485 Sailfish Dr 2014 siding,windows,fence v
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
'-} ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001426 Date 9/05/14
Property Address . . . . . . 485 SAILFISH DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2100
Owner Contractor
------------------------ ------------------------
MAS CASA LLC XL PORPERTIES & CUSTOM
4724 JOCOBS AVE DEVELOPMENT LLC
JACKSONVILLE FL 32205 1333 HIDEAWAY DR S
JACKSONVILLE FL 32259
(904) 704-3777
----------------------------------------------------------------------------
Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2100
Expiration Date . . 3/04/15
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233FILE COPY
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 5 S7�/6hf-f , Number: ^4' /y�
Legal Description Re~q!�J g -2S'?y7E7 /? yNI& (iii AZ Parcel# 13/a
Floor r T q, t, Sq.Ft
Valuation of Work$ 7,/0(). °O Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial R ide
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approvaorm
Describe in detail the type of work to be performed: �-Jf h f' i 51011! ej
Property Owner Information:
Name: Address: If7"2*, 1.4 fl�bS �ti2
City Stat�Zip Phone q 1 f—
E-Mail or ax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRZE
�S
-S:
Company Name: l u'•aTi �ing Agent: P AIt"k—" /U 14 Q10,4 f-
Address: ,e City State _Zip� 7
Office Phone Job Site/Contact Number 9D!f Fax#
State Certification/Registration#
Architect Name&Phone#
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 commencedprior 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 months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, W6)ells,Pools, Furnaces, 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.
I herebycertify that I have read and exam this
plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whet er spect ted herein or not. The granting of a permit does not presume to give aut ity to folate cancel the
provisions of any other federal,state, or cal law regulating construction or the performance of construction.
Signature of Owner ,'''' Signature of Contractor
Print Name �L
5...... . !..'J.................................................. Print Name
Bef6KAe Bef e
t isay of 20 thi Day of 20)
R) ry� \�ap_A.
Notary Public' ' 4 Notal ublic "
Commission#EE 839948 ''�' Ccmmissson#EE 83�9p948
{r` oTroy
January 20,2017 -• *' MY a" ones
Sw4wnmFain Inw nceM3asto1s m�
,� k3iondodl'nv
City of Atlantic Beach
f Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
1.� r Atlantic Beach, Florida 32233-5445 �7 Hz/0
Phone(904)247-5826 • Fax(904)247-5845 YY
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: sk. SA De artment review required Yes o
Building
Applicant: L �d ing &Zoning
— Tree Adr1inistrator
Project: 5— zl,' Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By 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: I9"Approved. ❑Denied.
(Circle one.) Comments:
C-i6
PLANNING &ZONING
Reviewed by: /7 Date:zl!�hl V
TREE ADMIN.
Second Review: []Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
s ,v'
z CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jjilt
Application Number . . . . . 14-00001422 Date 9/05/14
Property Address . . . . . . 485 SAILFISH DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
----------------------------------------------------------------------------
Application desc
window/door
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MAS CASA LLC XL PORPERTIES & CUSTOM
4724 JOCOBS AVE DEVELOPMENT LLC
JACKSONVILLE FL 32205 1333 HIDEAWAY DR S
JACKSONVILLE FL 32259
(904) 704-3777
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 3/04/15
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jt City of Atlantic Beach
APPLICATION NUMBER
r\-;). Building Department (To be assigned b t e Buil ing Department.)
800 Seminole Road
;:�• r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 .� o
E-mail: building-dept@coab.us Date routed: L�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
uilding
Applicant: XL anning &Zoning
I =' Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
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: roved. ❑Denieea.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: /)-7 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:
Revised 05/94/09
E o -2
oma .
c o �
A N
z °
aj
a� a
CL. O >
O O N
U b IT
wFScnN 7
W C
CIOM
a
F a.,° HO,
Old-
U � N
� .r.. cd u
W ° c�,O
t Q
Q Y_ j'" a
n > O
O
u
_O O
ri
ct
99
0 ami on ° o '
'" .n o 0 3 a� o �,
. E" v� v� v� rx d O x U Q0. w d w a 3 Q
~ N M � V•; M d vi 116 06 C� � �
i
o
� o �
� o
b
w
C >o v t
o
� w
o c H
IFA
> o Q W >
o a i s
rn ID
ca "> /
Y
r a--
45 z
z ,. w',
i
i
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �� 9/ �/� 1�.3�Permit Number:
Legal Description )04 k&1 �Lt�'Z Parcel # / /Q
oor Area q.Ft. —Ft
Valuation of Work$ Fl—
_ -T-O . Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercialide
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Property Owner Information•
Name: Cam- Address: J44eS A-14
City Ej ' ,� /��/�,{� Stat Zip Z Phone Def . <fOD SS�f j
E-Mail or Fax#(Optional) Lys
Contractor Information: CONTRACTOR=IADDREFSS:
Company Name: uahfying Agent:
Address: !� City �f�'�yf-C— A& State _Zi
Office Phone �ob Site/Contact Number p
State Certification/Registration# (��( ` _
Fax#
Architect Name&Phone#
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 eriod of six(6)months at any time after
work is commenced. I understand that separate permits mast be secured for Electrical Wo
Tanks and Air Conditioners,etc. rk,Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters,
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.
I hereb certify that I have read and examined this a plication and know the same to be trate and correct. All provisions of laws and rdinanee gover this
type o work will be complied with w ether speci red herein or not. The granting of a permit does not presume to give autho ty to vi e cel the
provisions of any other f decal,state, local taw regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
g
Print Name
......... .. ...... .. ..............
.. ...11am.......................................................... Print Name
............. . .. .... ........... . . .. . .................................
..............................................................
Before me Befo ane
hiDay o 20 this Day of 20
KIM S.WATERS
Notary Public =•: : CcmmiSsicxl#:EE839948 of
e8=WmuExpires TMyFaam1e 2017 KIM S.WATERS
;•; ComnNssion#EE 839944ev ed 01.26.10
,+� Expires,laiivary 4,2017
..' � CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
i3
Application Number . . . . . 14-00001423 Date 9/05/14
Property Address . . . . . . 485 SAILFISH DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
6ft fence
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MAS CASA LLC XL PORPERTIES & CUSTOM
4724 JOCOBS AVE DEVELOPMENT LLC
JACKSONVILLE FL 32205 1333 HIDEAWAY DR S
JACKSONVILLE FL 32259
(904) 704-3777
----------------------------------------------------------------------------
Permit FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/04/15
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
LOT 7, BLOCS 75
ROYAL PALMS UNIT TWO, AS RECORDED IN PLAT BOOK 30, PAGES 94 AND 94A
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERNFIED TO:
JIM SOK
COUNTRYWIDE HOME LOANS, INC.
WART TITLE INSURANCE
BUSCHMANEAHERN. PERSONS & BANKSTON
SALTAIR SECTION
2
LOT 170
BLOCK 7
S 07'16'02" E 75.14' (PLAT)
FOUND 1/2- IRON PIPE S 07'11'04" E 75.23' (MEASURED)
NO IDENTIFICATION 01•
EAST LINE Of C110N}g FOUND 1/2' IRON PIPE
p,}• O.D' NO IDENTIFICATION
5'DRAINAGE AND UTILITIES EASEMENT
`) 0.4'
LOT 7 LOT 8
BLOCK 7 BLOCK 7
W �
� O
t0.8' W
'Q 54-T 9.7
W d a
Q LLI
C J
V d
LOT 6 On CA . t - ONE STORY Do
BLOCK 7 MASONRY & METAL
POSTED
w LSI 485
to � 3
LV
co
..
00 I
'• O
Z .10.0 l 0.6 ti 10.7' N DO } �-
co Lnx
ZcT
•- 25' BUILDING RESTRICTION LINE Q �
Ic' Q
N.. W
• N 0716'02-W
227.03' (PLAT)
FOUND 1/2'IRON PIPE D.3' 0.3' 0.5'
NO IDENTIFICATIONN 07'10'52" W 75.18' MEASURED F°No IDEN11FICATION1/2'IRON IPE
( � CORNER OF'NTERSECTION
N 07'16'02' W 75.14' (PLAT)
11-,fg5 SAILFISH DRIVE EAST
(60.0' RIGHT OF WAY)
NOTES: ACCEPTED BY;
LEGEND:
R - RADIUS —x— = FENCE
L = LENGTH O = CONCRETE
NOTES:
1. BEARINGS ARE BASED ON THE __PLAT BEARING OF __N 82'43'88" E REVISIONS
NORTHERLY BOUNDARY LINE OF SUBJECT PARCEL -------- ALONG THE
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _ _X DATE DESCRIP11ON
NATIONAL, FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER t 20075, PANEL SHOWN
ON THE
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PEI? RECORDED PLAT &/OR. TITLE COMMITMENT
IF SUPPLED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 19399 DATE OF FIELD SURVEY: 12-17-02DATE OF ISSUE: 12-19-02 SCALE: 1" = 20'
252Z Oak Street CERTIFICATE
Jacksonville, Florida32204 I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
- AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(Phone) 904-389-5989 BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 6IC17-6, FLORIDA
(FO.) 904-389-.6175 ADMINI:mcOE.PURSUANT TOACTION CTION 472.072.FLORIDA STATUTES.
1
MICHAEL
LICENSED BUSINESS y 6702 REGISTERED SURVEYOR ANO MA ER g 4879 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDfVISONS
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: "INA WRft it Number:
Legal Description • Parcel# Q
60 001 ea o q t
Valuation of Work$ 16A .—Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): �Icv51 Addition Alteration Repair Move Demolition pool/spa window/door
v
Use of existing/proposed structure(s) (circle one): Commercial R siid tial _
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Property Owner Information•
Name: kt&44 A Address: qqq
City State Zip 122&Phone 6164,
E-Mail or Fax#(Optional) Mail 4u
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Quali ing Agent:_�k 6 4 j3 fjn -'
Address: City L State�—Zip
Office Phone Job Site/Contact Number G��{.� pe�, ��-. Fax#
State Certification/Registrationl511392AS
Architect Name&Phone#
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 or 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 zfwork is not commenced within six(6)months or if construction fr work is suspended or abandoned for a period ofsix(6)months at anytime after
work is commenced. I understand that separate permits must be secured or Electrica Work,Plumbing,Signs, Wells,Pools,Furnaces,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.
I hereb certify that I have read and mined this a plication and know the same to be true and correct. All provisions of laws and ordinances go ning this
type of work will be complied with w ether speci zed herein or not. The granting of a permit does not presume to give auth ity,to iola t cancel the
provisions of any other fe state, local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name �'� .... ��... LVW. .................................................. Print Name
...........R:�f�......��(�.. . . ..................................................................
Befo e Befo e
this X- ay of 20 this ay of A 2014
A 1
WATERS M RS
No ary Public =' '- Cortxrrssion#EE 839948 otary Public t;
_. .. ,.: :.: cxrmlission#EF 839948
� a Exgres January 20,2017 ?�, r z;= �:xpi:Ss J3nWi _0,2017
BMW ThN TMIF*kwAa to 800.385-7019 185-7019
City of Atlantic Beach
APPLICATION NUMBER Department (To be
assigned by the Building Department.)
} 800 Seminole Road
!� Atlantic Beach, Florida 32233-5445 /�z3
.� Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �,FS etm 1 sA Department review requires! Yes No
Buildino
Applicant: L TroAP ekPlanning &Zonin
I( I- ree nlstrator
Project: C u lic Works
- ilities
Public Safety
Fire Services
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: []Approved. ❑Denied.
(Circle one.) Comments:
BUILDING \ �( `'i/(' �' ��� • LL
PLANNING &ZONING Reviewed by: Date:
09
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:
Revised 05/14-109
PUSUC WORKS [ILAN REEF[EW COMMENTS
LL
Date: Initials: PN ML
Project Name/Address Sit r Application Permit#: /T"
Check BoxFCheckApplication Tracking f`"ctrrments to Add CommentIMPS Provide table of impervious surface calculations for entire lot(existing and post
construction).
ESCP Provide erosion and sediment control plans with installation details and maintenance
schedule. ❑ ❑
DPLN Provide drainage plans showing site topography(flow arrows, etc.) ❑ ❑
RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain
runoff. ❑ ❑
CSMP Provide construction site management plan, including Right-of-Way Permit if using
right-of-way for construction parking. ❑ ❑
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional
Land Surveyor, showing 1' contours. ❑ ❑
Section 24-66(b) of the Land Development Regulations requires on-site sto4rmatono
LRCS increased run-off if adding 400 SF or more impervious surface. Provide Del
calculations and on-site retention required per Section 24-66(b). (See attac ❑ ❑sheet.)
PCTS If on-site storage is required, a post construction topographic survey docum ❑ ❑construction will be required.RWPM A Right-of-Way Permit must be obtained for use ❑ ❑REPM A Revocable Encroachment Permit must be obtained. ❑ ❑PLWP Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum ❑
drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be S"thick;4000 psi, with fibermesh from edge of
DAPR pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑
way. (Commercial driveways—6" thick).
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be ~
URCT overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑
plans.
RWRS 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
ROFF City right-of-way. (Approved: Advanced Disposal, Realco, Shappelle's and Waste' ('� ❑
Management). l
Full erosion control measures must be installed and approved prior to beginning any earth
ECIN disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control Q Q
Inspection prior to start of construction.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ ❑
construction. Call 247-5834 to make an appointment.
NCS _ . .
City of Atlantic Beach APPLICATION ION NUMBER
1 }'r Building Department ��' � �`�N.JFD (To be assigned by the Building Department.)
800 Seminole Road ' /,/��
Atlantic Beach, Florida 32233-5445 l'
AUG 2 9 2014
Phone(904)247-5826 • Fax(904) 147-5845
--� E-mail: building-dept@coab.us Date routed: Z
]�S`t k b Y__
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � � � � Department review required lies No
Buildino
Applicant: L Tro PP kkeo Planning &Zonin
ree nistrator
Project: 0-L u lic W(,,rks
ilities
Public Safety
Fire Services
Review fee Dept Signatur
Other Agency Review or Kermit 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; XApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by� Date:
TREE ADMIN. Second Review: A roved as revised.
❑ pp []Denied.
IC WO KS Comments:
UBLIC U
-3- y
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied:
Comments:
Reviewed by: Date:
Revised 05/114/09