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54 W 10th St 2014 metal building Lj r &� '` � � CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000291 Date 4/25/14 Property Address . . . . . . 54 W 10TH ST Application type description COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 43000 ---------------------------------------------------------------------------- Application desc new metal building ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JACKREL, TED D & DEBRA A FLINT CONSTRUCTION SVCS (GC) 13707 LITTLE HARBOR CT 1419 LINKSIDE DRIVE JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233 (904) 994-9626 --- Structure Information 000 000 METAL COMMERICAL BUILDING Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . BUSINESS Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . COMMERCIAL NEW Additional desc . . Permit Fee . . . . 265 . 00 Plan Check Fee 132 . 50 Issue Date . . . . Valuation . . . . 43000 Expiration Date . . 10/22/14 ---------------------------------------------------------------------------- Special Notes and Comments MUST PROVIDE WATER FLOW DETAILS AND PER NFPA 1 18 .4 . 5 . 1 . 2 . 1500 GPM AT 20 PSI . FIRE FLOW ACCEPTABLE IF WITNESSED BY JACKSONVILLE FIRE DEPT OR JEA IN WRITING ON JEA LETTERHEAD PER REY ESCANIO Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line . Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed on the customer' s side of the water service on all commercial buildings . Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of pavement to the property PERMIT ISUPMVED CLIYlI�QQ�� N IIpA�I:T � IOI�e 'f f N @rBEA �N�L AYYH FHE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J .. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r lilt Page 2 Application Number . . . . . 14-00000291 Date 4/25/14 ---------------------------------------------------------------------------- Special Notes and Comments right-of-way. Full right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management. ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS --------------------------------------------------------------------- Other Fees . . . . . . . . STATE DCA SURCHARGE 3 . 98 DEV REVIEW-COMMERCIAL/IND 150 . 00 ENG REV COMMERCIAL BLDG 150 . 00 STATE DBPR SURCHARGE 3 . 98 SEWER SDC-SYSTEM DEV CHG 4050 . 00 UTIL REV COMMERCIAL BLDG 50 . 00 WATER CONNECT/METER ONLY 185 . 00 WATER CROSS CONNECTION 50 . 00 WATER SDC-SYSTEM DEV CHG 1140 . 00 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- Permit Fee Total 265 . 00 265 . 00 . 00 . 00 Plan Check Total 132 . 50 132 . 50 . 00 . 00 Other Fee Total 5782 . 96 5782 . 96 . 00 . 00 Grand Total 6180 . 46 6180 .46 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION D a CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach,FL 32233 FEB 2 7 201 Office (904) 247-5826 Fax(904)247-5845 4 �� SEcce 7 By Job Address: 5 4 W ' to Permit Numbe . Legal Description q. t. Parcel# q Valuation of Work$ 000, 010 nn theated/cooledproposed Work heated/cooled vv Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name: Te6iil S &t c,k ee Address: 2 44;6 City ull d1r.14 State Ft Zipigg?3_Phone E-Mail or Fax#(Optional) Contractor Information: , p 1 Company Name: R a>/ (oNS7 X_ ,, 6,410u4t c3 Qualifying Agent: Aye �q,-*7 Address: /q/q City A//AKA•c /lt4G4 State c4 Zip TAXC3 Office Phone f'Ga G Job Site/Contact Number qg t �G C� Fax# T? 40!/ State Certification/Registration# C 6 c 1 SvYa03 _ Architect Name&Phone# 'To s OLA Cu Hst,'+R v 7.0 I X f Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I cert that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaees,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type olYwork will be complied with whether specs ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the prol.ons of any other federal,state,or local law regulating construction or the performance of construction. Signature of Own Signature of Contractor 's( ✓'"�' Print Name JtiP _ ��.._ .._........._.._._._ _...._ Print Name fh_`.. ..._ �� __ _...__..._..._. .........._..... Swo to and subscribed before me 11''-- Sworq to and subs,�r'bed before me 20 (4- this N Day of 'Ct��t�G�.V1i1 ,20 & this L(p Day of {•CJO�_ Notary P is ''' , :_ Commission#EE 264217 Nota is ;i�'� Comfy sion#EE 204217 o, Expires June 15,2616 °* "� 016 Imre Y;h E1,nM -TmyFeinlnsurance800,1857018 'J�► p�,.• she+ wv^••sn.rtr.lr"r.--('.. a`wvl,^*'Rt x^'h� BUCK STEEL, INC. ;j K 6855 LYONS TECH. CIR #18 f ILE COPY COCONUT CREEK, FL 33073 DATE: 1/22/14 JACKREL . JOB NO. 3046 BUILDING SIZE: WIDTH 68 ft. LENGTH 86 ft. EAVE HT 26 ft. JOBSITE ATLANTIC BEACH, FL. To Whom It May Concern: This is to certify that the above referenced building components furnished by Metal Building Manufacturer are designed with good engineering practice and in accordance with the order documentation and the applicable structural design provisions set forth in the applicable MBMA "Low Rise Building Systems Manual", the applicable AISC05 and NAUS07 Manuals, and the applicable IBC code, to sustain the requested design loads, specifically as follows: The criteria for application of design loads are follows Governing Code FBC 10 (IBC 12) Roof Dead Load 2.000 psf plus wt. of metal bldg structure Roof Live Load 20.00 psf Frame Live Load 20.00 psf W/REDUCTION Collateral Load 0 psf Wind Load (ULTIMATE) 130 mph Enclosure Type CLOSED Wind Exp. Cat B Wind Imp. Factor 1.00 This certification is limited to the structural design of the frames, secondary, and roof/wall covering manufactured or supplied by Metal Building Manufacturer. Accessory items such as doors, windows, louvers, translucent panels, and ventilators supplied by the customer are not included. This certification specifically excludes any foundation, masonry, or general contract work. Sincerely, Richard T. Smith PE#43541 Ph-706-888-4874 510 Lee Rd 281 Salem AL, 36874 ��,��utttttt EN � * 0 43547 �� STATE OF 44t� • . F�;•� 0R1• ��• &jO tV A� �C?% 11 REVIEWED By Richard T Smith at 4.32 pm,;tat►22,, RICHARD T. SMITH, P.E. �rm ; � l � - oz �' 1 �� r� is r" � r � � �� ia-� s - ��'� �� — - -- -- - --pcyz,m ' �U;ZJ -�irnc Zoe+� • C C� __ _ — C.ur Cex►�Ino a ASD erv1'LIAt C�El 72> -,F S roc is , C 8M e i nmc�, -Fc-fL I(`11y "i�uu �� a (D i�2 i , S `Tun,- uJ ra ,f\i 1 'v c c� _ ; : CITY OF ATLANTIC BEACH s; `� Building Department artment r .r.. z� 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 .TJ131�j' . PLAN REVIEW COMMENTS Permit Application Property Address: —15-4/ 100�W 1 / Applicant: F'//7i / e-OA STlrc11fOrl Project: �l¢ �'IP � ��•�;LOIi iz� This mit application has been: Approved 0 Reviewed and the following items need attention: n 4H G411 4' SF 57 c� O 'e �-r i ,P a G is d G/ -e +%r.� T pie S'�c�✓I T, 5'G v SS rr�/ o S fa ,h ieeif, -Q IT v Ctedll Please re-submit your application when these items have been completed. Reviewed By: Date: Walker, Jennifer From: Ratliff, Bob [BRatliff@coj.net] Sent: Friday, April 25, 2014 2:31 PM To: Walker, Jennifer Subject: RE: Have you received the new information from Jason? Jennifer, With the updated fire flow documentation from the Atlantic Beach Utilities Department, I am fine with signing off on this permit. If I can make it there by 5:00 I will sign off today but it does not look promising. Most likely it will be next week. Thank you, Captain Bob Ratliff, CFPS Jacksonville Fire & Rescue Department Fire Prevention Division Office of Plan Review 214 N. Hogan Street Room 281 Jacksonville, FL 32202 (904) 255-8320 Office (904) 255-8559 Fax CONFIDENTIALITY NOTICE: Please note that under Florida's very broad public records law, e-mail communications to and from city officials are subject to public disclosure. -----Original Message----- From: Walker, Jennifer [mailto:iwalker0coab.us] Sent: Friday, April 25, 2014 1:59 PM To: Ratliff, Bob Subject: RE: Have you received the new information from Jason? Bob, An email today would work for us to release this permit but I want to verify that this email is for 54 W. 10th St, 14-291? Thanks, Jenny Walker Administrative Assistant Building Department City of Atlantic Beach 904-247-5826 -----Original Message----- From: Ratliff, Bob [ iilto•BRatliff(@coi .net] Sent: Friday, April 25, 2014 1:47 PM To: 'tjackrel08@yahoo.com' ; Jason Canning; Jason Canning Cc: Graham, Shirley; Walker, Jennifer; Jones, Mike Subject: RE: Have you received the new information from Jason? 1 I have emailed the Building Department but will not be able to make it out there to sign off on the permit today. I do not know if their policy will allow the permit to be issued without an actual signature. Captain Bob Ratliff, UPS Jacksonville Fire & Rescue Department Fire Prevention Division Office of Plan Review 214 N. Hogan Street Room 281 Jacksonville, FL 32202 (904) 255-8320 Office (904) 255-8559 Fax CONFIDENTIALITY NOTICE: Please note that under Florida' s very broad public records law, e-mail communications to and from city officials are subject to public disclosure. -----Original Message----- From: tiackre108@y_ahoo.com [mailto•tiackrel08�yahoo.com] Sent: Friday, April 25, 2014 1:38 PM To: Ratliff, Bob; Jason Canning; Jason Canning Subject: Have you received the new information from Jason? Would like to pick up my permit today. Can you let the building dept know that you received the test. And want to sign off? Sent from my Verizon Wireless B1ackBerry 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road Atlantic Beach, Florida 32233-5445 OZ9 f ' Phone(904)247-5826 • Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Depaftnjent review required Yes No Applicant: 627, ��rJ"� (�'�j _ Planning &Zoning M � �� Tree A minis r Project: fes_ Public Works 'J3&/& PU / Public Utilities =Fir �,.,-s ;Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Eg<`proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 I�ay;y� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 049/ Atlantic Beach, Florida 32233-5445 Z Phone(904)247-5826 • Fax(904)247-5845 of �� E-mail: building-dept@coab.us -)ate routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACt ING FORM Property Address: 6�1 7 at review required Yes No Applicant: 8'2r ��j Planninc ? Zoning / Tree Ad,, Project: - 7�) (� Public Wo:Ks u is Utilities �, - Pu Fire Services ;Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receip. Date of Permit Verified F Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [4 p roved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:_14 y�Fi� Date: R7 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 \�s "S, CITY OF ATLANTIC BEACH s PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: �� `�" roject Address: S No. of Units: _Commercial Residential Multi-Family New Water Tap(s) &Meter(s) Meter Size(s) New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer Name: Applicant Address: City: Atlantic Beach State: Zip: Phone Number: ffl f(6-2(p Cell Number: Email Address Fax: Signature: (Applicant) /I/— O Z 9 CITY STAFF USE ONLY Application# Water System Development Charge $ s'yl1. UCS Sewer System Development Charge $ CSD Water Meter Only $ Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ S.. �• DD Other $ TOTAL _ Z� APPROVED: (Utility erector or 66thorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED City of Atlantic Beach I r APPLICATION NUMBER js f , Building Department RECFTVED o be assigned by the Building Department.) 800 Seminole Road /� Atlantic Beach, Florida 32233-5445 FEB 2 g 2014 �% — Phone(904)247-5826 • Fax(904) 47-5845 E-mail: building-dept@coab.us Date routed: 7 City web-site: http://Www.coab.us BY APPLICATION REVIEW AND TRACKING FORM Property Address: �/ ent review required Yes No Applicant: , / Q/��T'f�( ��j�_ Planning &,Zoning / Tree A minis Project: S40,6 7WW_k tom• Public Works `=1 ti15es Fire Serv;as ;Review fee $ L'' Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: DApproved. enied. (Circle one.) Comments: p _ BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: C2_aJA PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:—V// /y FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department R CCF-T 7ED be assigned by the Building Department.) 800 Seminole Road ,/ f r� Atlantic Beach, Florida 32233-544 A FEB 2 8 2014 9 c Phone(904)247-5826 • Fax(904 247-5845 X7 /0h �� E-mail: building-dept@coab.us B�: L gate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '6�1ent review required Yes No Applicant: 6-2,r- &As -u, o—/7/)7__2 Planning Zonin / Tree A ni T Project: SI&6 020 7W9__k Public Wo l<s / Public Utilities u Fire Servs- -a Review fee $ b Dept Signature— Other Agency Review or Permit Required Review or Rece ),' Date of Permit Verified D Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: VlApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:, —�� TREE ADMIN. Second Review: []Approved as revised. ❑Denied. WO KS Comments: 3C —/—/TI PUB TY Reviewed by.- Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road AlAtlantic Beach, Florida 32233-5445 /7 off 0,491 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 77'1ent review required Yes No C. 6 Applicant: /j — Planning &Zonin Tree A minis Project: 'mbil✓ Public Works / Public Utilities Fire Services 'Review-fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District ,1� Army Corps of Engineers "k Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: ro APPLICATION STATUS Reviewing DepartmentFirst Review: []Approved. enied. (Circle one.) Comments: 1 / BUILDING PLANNING &ZONING Rev -/ sewed by: Date. OF F TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SE Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 UIYOF AnAKM UACH WAM AND WWP UTMM*S DFPAXMW I O Ftp KgNtANT FU)W MY a ►„oma .r�1 .._o__ : I , O + w , STATIC PRESSURERESIDUAt 33 msmmu.—i 305 tiay � -..,L ' or s � � 5o R W comwNTS, A4 4jeAt cy c .i elg t Soo • f � Z � z I � '� 3a BP250UO2 CITY OF ATLANTIC BEACH 3/07/14 Application Tracking Individual Step Maintenance 13:02:55 Application number . . . . : 14 00000291 Application type . . . . . : COMMERCIAL NEW CONSTRUCTION Revision number . . . . . . : Path/Step/Seq/Agency . . . : A 01 00 FIRE DEPT. Date submitted, resulted . 22714 30714 Status code (F4) . . . . . . DA DISAPPROVED Reviewed by (F4) . . . . . . DW DEBBIE WHITE Revised est cpl date . . . . 31914 Copies of plans . . . . . . . _ 1=Add new comment 2=Change comment 4--Delete comment Prt Date Opt Seq Comments 1.000 MUST PROVIDE WATER FLOW DETAILS AND PER NFPA 1 18.4.5. 1.2. Y 30714 1500 GPM AT 20 PSI . FIREFLOW INCWRIATBLE IF ING ON JEANLETTERHEAD BY JACKSONVILLE FIRE DEPT OR PER REY ESCANIO _ _ 2.000 _ 3.000 More. . . F3=Exit F4--Prompt F8=Log maintenance F9=Add standard comments F12=Cancel F14--Required inspection maintenance Y\ C. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM RP Department review required Yes No Address Building Applicant: Planning &Zoning Tree Administrator Public Works Project: Public Utilities P Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: XApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES Reviewed by: Date: PUBLIC SAFETY / 1'�/ FIRE SERVICES Third Review: ❑Approved as revised. ❑De Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH sss l 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �s JI31>� Application Number . . . . . 14-00000291 Date 4/29/14 Property Address . . . . . . 54 W 10TH ST Application type description COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 43000 ---------------------------------------- Application desc new metal building --------------------------------------- Owner Contractor _ _ ------------------------ JACKREL, TED D & DEBRA A FLINT CONSTRUCTION SVCS (GC) 13707 LITTLE HARBOR CT 1419 LINKSIDE DRIVE JACKSONVILLE FL 32225 A LANTIC BEACH FL 32233 626 -- Structure Information 000 000 METAL COMMERICAL BUILDING Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . BUSINESS -- --Flood - -- - FloodZone-------------------ZONE-------------------------------------- Permit PLUMBING PERMIT Additional desc . Sub Contractor . . FLINT CONSTRUCTION Plan Check Fee . 00 Permit Fee 97 . 00 Plan Check . Valuation Issue Date Expiration Date . . 10/26/14 ----------------------------------- Special Notes and Comments MUST PROVIDE WATER FLOW DETAILS AND PER NFPA 1 18 .4 . 5 . 1 . 2 . 1500 GPM AT 20 PSI . FIRE FLOW ACCEPTABLE IF WITNESSED BY JACKSONVILLE FIRE DEPT OR JEA IN WRITING ON JEA LETTERHEAD PER REY ESCANIO Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed on the customer' s side of the water service on all commercial buildings . Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . All concrete driveway aprons must be 5" thick4000 psi, PERMIT ISWAP�V LL $1 1�1S1 C� C1�` �I►� $�IA�Ot`P %Wt1%BEt4M Mb?NAjRKAP`Wt1y]E FLORIDA BUILDING CODES. ""It CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 DSIVI Page 2 - Application Number 14-00000291 Date___4/29/14 _______-- -------------------------- Special Notes and Comments line. Reinforcing rods or mesh area not allowed in the right-of-way. Full right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City Right-of-way. (Approved: Advanced Disposal, Realco, Shappelle' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities • Contact Public ik7834) oErosion and Sediment Control Inspectonpriortostartof construction. 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE A sewer cleanout must be installed at the property line. ncrete box with Cleanout must be covered with an RT1 co metal lid. Cleanout to be set to grade and visible. *SUBMIT CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT- -- FASTENERS ------------- - -- --------- ------------------------------------ - -STATE PLBG DCA SURCHARGE 2 . 00 Other Fees • • STATE PLBG DBPR SURCHARGE 2 , 00 ----------------- ---------------------------- Charged Paid Credited Fee summary g ---- --- Due ---------- --- --- - ---- ------------ 9700 . 00 . Permit Fee Total 97 . 00 00 . 00 Plan Check Total 00 . 00 4 . 00 . 00 . 00 Other Fee Total 4 . 00 00 . 00 Grand Total 101 . 00 101 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 /! Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDRESS: �`� /0 7/4 S t PERMIT# /44 —� NEW OR REPLACEMENT INSTALLATION: Project Values ( � TYPE oFFIXTURE QTY TYPE oFFIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet a Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory _ Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE oFFIXTURE QTY TYPE oFFIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** VRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name e Phone Number Plumbing Company Bi,t ('m `G °`i S'-0C'.4'Z` S Office Phone )-Ca.- Fax 9?d 2(0l i Co. Address: l�(q �� 64 � ' City w- , ea State�f Zips a?3_ License Holder(Print): c.S Sc'( 4 r State Certification/Registration# Cts Notarized Signature of License Holder `27� Before me this day of 20 Signature of Notary Public 'V `1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Dill Application Number . . . . . 14-00000291 Date 4/25/14 Property Address . . . . . . 54 W 10TH ST Application type description COMMERCIAL NEW UCTION Property Zoning . . . . . . . COM GENERAL DIST -----Application-valuation . . -_-_-------43000- ----------- --------- QRz-Ze�C3Application desc Z new metal building �p ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JACKREL, TED D & DEBRA A FLINT CONSTRUCTION SVCS (GC) 13707 LITTLE HARBOR CT 1419 LINKSIDE DRIVE JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233 (904) 994-9626 --- Structure Information 000 000 METAL COMMERICAL BUILDING Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . BUSINESS Flood Zone . . . . . . . . ZONE X -------------_--------------------------------------e - ---------- Permit . . . . COMMERCIAL NEW /� 4 Additional desc . ii`® Permit Fee . . . . 265 . 00 Plan Check Fee 132 . 50 Issue Date . . . . Valuation . . . . 43000 Expiration Date . . 10/22/14 ---------------------------------------------------------------------------- Special Notes and Comments MUST PROVIDE WATER FLOW DETAILS AND PER NFPA 1 18 .4 . 5 . 1 . 2 . 1500 GPM AT 20 PSI . FIRE FLOW ACCEPTABLE IF WITNESSED BY JACKSONVILLE FIRE DEPT OR JEA IN WRITING ON JEA LETTERHEAD PER REY ESCANIO Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if y,, ` necessary. If field coordination is needed, call 247-5834 . jll '/J Ensure all meter boxes, sewer cleanouts and valve cove are set to grade and visible . A sewer cleanout must be installed at the property line. ��((/�� Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed on the customer' s side of the water service on all commercial buildings . Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of pavement to the property prop}e�rty PERMIT IS]AiPgOVED bedglI�1Q�L 69tgNMd'$I'FOA2LLnAI IOIakftAN-nPtBE�lI�rAN� AY�iE'iHE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD `} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r lilt Page 2 Application Number . . . . . 14-00000291 Date 4/25/14 ---------------------------------------------------------------------------- Special Notes and Comments right-of-way. Full right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management. ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 98 DEV REVIEW-COMMERCIAL/IND 150 . 00 ENG REV COMMERCIAL BLDG 150 . 00 STATE DBPR SURCHARGE 3 . 98 SEWER SDC-SYSTEM DEV CHG 4050 . 00 UTIL REV COMMERCIAL BLDG 50 . 00 WATER CONNECT/METER ONLY 185 . 00 WATER CROSS CONNECTION 50 . 00 WATER SDC-SYSTEM DEV CHG 1140 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 265 . 00 265 . 00 . 00 . 00 Plan Check Total 132 . 50 132 . 50 . 00 . 00 Other Fee Total 5782 . 96 5782 . 96 . 00 . 00 Grand Total 6180 .46 6180 .46 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rim-.-._�.,L�•w .�..._.._:.T.�^ri�F'. BUILDING PERMIT APPLICATION ' CITY OF ATLANTIC BEACH T O FILE COPY F 800 Seminole Road Atlantic Beach FL 32233 .e FEB 2 7 2014 Office (904) 247-5826 Fax(904)247-5845 Job Address: 5 4 W • 10 fi� S lX ee y Permit Numbe Y Legal Description Parcel# Valuation of Work$ 3i QOo Proposed Work heated/cooled non-heated/cooled S, 7 44 w Class of Work(circle one): 69 Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)((circle one): Commercial Residential If an existing structure,is a fire sprinlder system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product apoir—oval form e / / f Describe in detail the type of work to be performed: /f/,/ s-4 'Ve y'-y Property Owner Information: Name: tG' S a c, ,& o /� � Address: o ��(c vz.f I� City &t -c r State A Zip 3�A?_3__Phone Qok 24,? - /pit E-Mail or Fax#(Optional) Contractor Information: L Company Name: 8,,(/ (00s ,?VC .j� oma+ rc e3 Qualifying Agent: / se,11 P.14/ Address: lglf Ale, City " X-c4Gti State A4 Zip 1AP-C3 Office Phone f9� f6 ,2 G Job Site/Contact Number ftp f6a c Fax# T? 40!/ State Certificaiion/Registration# C G c 137 Vroojr Architect Name&Phone# 'f•s orn CuHK,'N y 7fI' T gq Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby cert that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether speci ped herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Own Signature of Contractor `i( ✓/ Print Name ie�z 4 - Print Name (f� (/ tjK 1_- -P ._...._..............__..__._.._.._..__......._.._.._._ . ___.._..__._............... _...____...__...__._._......._..... Swo to and subscribed before me Sworq to and sub ribed before me this Day of glam " ,20 (y' this `4p Day of Ftkjn &" ,20 1 Notary P ist-a Vj 4 tNlu Commission#EE 204217 Nota is ,i ' •. ission#EE 204217 COW Q Expires June 15,2016 =* '1 % 5 2016 �% ;�` Baded Thu Troy Fain Insurance 80QJ8S7018 ''t. B-1w A1438S7018 BUCK STEEL, INC. M 6855 LYONS TECH. CIR #18 Z COCONUT CREEK, FL 33073 DATE: 1/22/14FILE COPY( JACKREL JOB NO. 3046 '° ' ' BUILDING SIZE: WIDTH 68 ft. LENGTH 86 ft. EAVE HT 26 ft. JOBSITE ATLANTIC BEACH, FL. To Whom It May Concern: This is to certify that the above referenced building components furnished by Metal Building Manufacturer are designed with good engineering practice and in accordance with the order documentation and the applicable structural design provisions set forth in the applicable MBMA "Low Rise Building Systems Manual", the applicable AISC05 and NAUS07 Manuals, and the applicable IBC code, to sustain the requested design loads, specifically as follows: The criteria for application of design loads are follows Governing Code FBC 10 (IBC 12) Roof Dead Load 2.000 psf plus wt. of metal bldg structure Roof Live Load 20.00 psf Frame Live Load 20.00 psf W/REDUCTION Collateral Load 0 psf Wind Load (ULTIMATE) 130 mph Enclosure Type CLOSED Wind Exp. Cat B Wind Imp. Factor 1.00 This certification is limited to the structural design of the frames, secondary, and roof/wall covering manufactured or supplied by Metal Building Manufacturer. Accessory items such as doors, windows, louvers, translucent panels, and ventilators supplied by the customer are not included. This certification specifically excludes any foundation, masonry, or general contract work. Sincerely, Richard T. Smith PE#4W7 Ph-706888-4874 510 Lee Rd 281 Salem AL, 36874 ful,,,. •QNG.`.�GE N 5lo .��,5,��. 0 43547 �� r G _ STATE OF .ORI,, REVIEWED By Richard T Smith at 4:32 pm,Jan 22,2014 RICHARD T. SMITH, P.E. 1 d2- q I �7- --- PCYZ,mITcso n DID s 7 ? eovc-eO 7a i O' Lo fi�izz p,,otcILrr�Y� EL\� cE, ► s ' Ccx-A r D' 5aprc s; `Tuu i-,s--- Lxj ,pj 7;7 ti S Sc�ZEjEFIv- -- 6 i >rrC-__(,- C LF ? _ _ SEC /77 Lr � ir�C Cc ,_ t__� Z t{ - CITY OF ATLANTIC BEACH r 1 Build ing Department 800 Seminole Road ' -- Atlantic Beach,Florida 32233 Yy'��J131} ' (904)247-5800 PLAN REVIEW COMMENTS Permit Application #_/ y— 6 ,,? 91 Property Address: S-y W p1 f S - Applicant: F/� �pn S�!"rc J<<u✓► Project: Ane 4l This mit application has been: Approved Reviewed and the following items need attention: � '1F aG�S add - -e- Ot / 1 look-0 +�tir.'t. % - �'Yt oK S''cin 1`, S-6 us) ed S io 73F PC t- PIease re-submit your application when these items have been completed. Reviewed By: . Date: `,` y Walker, Jennifer From: Ratliff, Bob [BRatliff@coj.net] Sent: Friday, April 25, 2014 2:31 PM To: Walker, Jennifer Subject: RE: Have you received the new information from Jason? Jennifer, With the updated fire flow documentation from the Atlantic Beach Utilities Department, I am fine with signing off on this permit. If I can make it there by 5:00 I will sign off today but it does not look promising. Most likely it will be next week. Thank you, Captain Bob Ratliff, CFPS Jacksonville Fire & Rescue Department Fire Prevention Division Office of Plan Review 214 N. Hogan Street Room 281 Jacksonville, FL 32202 (904) 255-8320 Office (904) 255-8559 Fax CONFIDENTIALITY NOTICE: Please note that under Florida's very broad public records law, e-mail communications to and from city officials are subject to public disclosure. -----Original Message----- From: Walker, Jennifer [mailtn:;.%ialker coah. !!r] Sent: Friday, April 25, 2014 1:59 PM To: Ratliff, Bob Subject: RE: Have you received the new information from Jason? Bob, An email today would work for us to release this permit but I want to verify that this email is for 54 W. 10th St, 14-291? Thanks, Jenny Walker Administrative Assistant Building Department City of Atlantic Beach 904-247-5826 -----Original Message----- From: Ratliff, Bob [ ilt Kati, �coi .net] Sent: Friday, April 25, 2014 1:47 PM To: 'tjackrel08@yahoo.com' ; Jason Canning; Jason Canning Cc: Graham, Shirley; Walker, Jennifer; Jones, Mike Subject: RE: Have you received the new information from Jason? 1 I have emailed the Building Department but will not be able to make it out there to sign off on the permit today. I do not know if their policy will allow the permit to be issued without an actual signature. Captain Bob Ratliff, CFPS Jacksonville Fire & Rescue Department Fire Prevention Division Office of Plan Review 214 N. Hogan Street Room 281 Jacksonville, FL 32202 (904) 255-8320 Office (904) 255-8559 Fax CONFIDENTIALITY NOTICE: Please note that under Florida's very broad public records law, e-mail communications to and from city officials are subject to public disclosure. -----Original Message----- From: tiackrel08pyahoo.com [ lailto:tiackrel08(@yahoo.com] Sent: Friday, April 25, 2014 1:38 PM To: Ratliff, Bob; Jason Canning; Jason Canning Subject: Have you received the new information from Jason? Would like to pick up my permit today. Can you let the building dept know that you received the test. And want to sign off? Sent from my Verizon Wireless B1ackBerry 2 City of Atlantic Beach APPLICATION NUMBER Building Department 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 //_ eZ/ Phone(904)247-5826 • Fax(904) 247-5845 s r E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Sy 4) ent review required Yes No Applicant: A.?; &aSr1-,6 n Planning &Zonin Tree A minis Project: 1 'a,G. Public Works u is Utilities Pu Fire Servi _s Review fee _. Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified ByDate Florida Dept. of Environmental Protection Florida Dept. of Transportation - St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: �oved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. nDenied. Comments: Reviewed by: Date: wised 05/14/09 City of Atlantic.Beach ]a�ssigne5 PLATION NUMBER Building Department 800 Seminole Road (To beby the Building Department.) Atlantic Beach, Florida 32233-5445 QZ9 fPhone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us -)ate d: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACt ING FORM Property Address: At review required Yes No Applicant: / 2;7— ?;,"_��h t1716�- Planninc • _'onin Tree Aa., Project: 'SIX'6 �h �--a, G. Public Wo:Ks u is Utilities �3&/ ,- Pu Fire Services ;Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receip• of Permit Verified V Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [ p oved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING y/�� Reviewed by: Date:_9kM TREE ADMIN. Second Review: [Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 'S f CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH, FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: 3' y-/ rojectAddress: -5V. t.Aj ID No. of Units:�_Commercial Residential Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) 3� New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer Name: -k- Applicant Applicant Address: City: Atlantic Beach State: Zip: Phone Number: fG�J ff�(o (P Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# /(/- - a 2 q� Water System Development Charge $ / I ya UCS Sewer System Development Charge $ Water Meter Only $ C0 Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ D. DD Other $ TOTAL $,f ZS-ut) APPROVED: (Utility erector or thorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED City of Atlantic Beach LDa APPLICATION NUMBER Building Department RECFIVED 800 Seminole Road be assigned by the Building Department.) s� Atlantic Beach, Florida 32233-5445 FEB 2 8 2014 /� ez I L'1 Phone(904)247-5826 • Fax(904) 47-5845 t E-mail: building-dept@coab.us te routed: 7 Cityweb-site: http://www.coab.us BY.— APPLICATION REVIEW AND TRACKING FORM Property Address: ent review required Yes No Applicant: �% �� 1-T�j Planning 81.Zoning Tree A minis Project: ,SJA,6 , Public Works u is Utilities Fire Serves ,Review fee $ C,, Dept Signature - Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. enied. (Circle one.) Comments: p BUILDING PLANNING &ZONING �y l Reviewed by: Date: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES Y PUBLIC SAFETY Reviewed by: Date: ��IX FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 20 ' `aCity of Atlantic Beach APPLICATION NUMBER V Building Department ECFv TED as R , 'o be assigned by the Building Department.) 800 Seminole Road ww �r Atlantic Beach, Florida 32233-544 FEB 2 8 2014 /� aZ Phone(904)247-5826 • Fax(904 247-5845 moo; j� E-mail.- building-dept@coab.usBy' t )ate routed: 7 City web-site: http://www.coab.u- APPLICATION REVIEW AND TRACKING FORM Property Address: ent review required Yes No Applicant: , — � � �!-� _ Planning :~Zonin Tree A nji- .s Project: �L� )W_A, G. Public Wo","-"s u is Utilities u Fire Serv, Review fee4$ Dept Signa - - _. � ture Other Agency Review or Permit Required Review or Rece';1. of Permit Verified Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: _ Date:, —�� TREE ADMIN. 17 Second Review: [Approved as revised. ❑Denied. 4UB O KS Comments: ILITITY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. []Denied. Comments: Reviewed by: Date: wised 05/14/09 City of Atlantic Beach Building Department APPLICATION NUMBER r ` 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 /� 4Z 7 / Phone(904)247-5826 • Fax(904)247-5845 119'� E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ent review required Yes No Applicant: Ih*-,-;;7_ Afa.Srl*ltt'—A�_ Planning &Zonin Tree A minis Project: r_SlXPublic Works / u is Utilities Pu Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date p of Permit Verified B [Florida Dept. of Environmental Protection Florida Dept. of Transportation i St. Johns River Water Management District Army Corps of Engineers 11V �►l` Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: n TO APPLICATION STATUS t i D (, Reviewing Department First Review: ❑Approved. enied. (Circle one.) Comments: V BUILDING PLANNING &ZONING _ Reviewed by: / Date. �/ J / TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SE Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 O f Y of AnAOFM KA 14 MWATEA AMO WWF11UTAMS DFVAATME'W I D FM NVORAN'T FUM TEST D� DATU, 5 - /0 _ r `( TIW: ;? r' STATIC PUssuAE: +EsiouAj - 3%3 rr L cow*imAfhjCAf WE W t�La So rr,�.•�6 4 S BP250UO2 CITY OF ATLANTIC BEACH 3/07/14 Application Tracking Individual Step Maintenance 13:02:55 Application number . . . . 14 00000291 Application type . . . . . : COMMERCIAL NEW CONSTRUCTION Revision number . . . . . . . Path/Step/Seq/Agency . . . : A 01 00 FIRE DEPT. Date submitted, resulted . . 22714 30714 Status code (F4) . . . . . . DA DISAPPROVED Reviewed by (F4) . . . . . . DW DEBBIE WHITE Revised est cpl date . . . . 31914 Copies of plans . . . . . _ 1=Add new comment 2=Change comment 4--Delete comment Opt Seq Comments Prt Date _ 1.000 MUST PROVIDE WATER FLOW DETAILS AND PER NFPA 1 18.4.5. 1.2. Y 30714 1500 GPM AT 20 PSI . FIRE FLOW ACCEPTABLE IF WITNESSED BY JACKSONVILLE FIRI� DEPT OR JEA IN WRITING ON JEA LETTERHEAD PER REY ESCANIO _ 2.000 3.000 More. . . F3=Exit F4--Prompt F8=Log maintenance F9=Add standard comments F12=Cancel F14--Required inspection maintenance s aiyLJr�� City of Atlantic Beach APPLICATION NUMBER J Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM ss: 6� / /� 7L'. L [_ Department review re uired Yes No Property Addre Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Pu Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. [—]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: XApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES �f PUBLIC SAFETY Reviewed by: Date: 1 2_S FIRE SERVICES Third Review: []Approved as revised. ❑De Comments: Reviewed by: Date: Revised 05/14/09