201 Mayport Rd 2014 Site Plan v
`S CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
!� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
BUILDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-CVPR-656
Job Type: CIVIL AND SITE PLAN REVIEW
Description: SITE DEVELOPMENT REVIEW
Estimated Value:
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 201 MAYPORT RD MAIN
RE Number: 177649-0000
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY
Address: 797 MAYPORT RD
FEES:
Building Flat Rate Fee $150.00
Total Payments: $150.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
"K Building Depar�rnen'l -o be assi ned by the Building Department.)
800 Seminole Road RECEIVED
Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 • Fax(904) 47-5EDEC 162014
js;;; City web-site: http://wwn .coab.us i• Date routed: / �J
BY: L� --
APPLICATION REVIEW AND TRACKING FORM
Property Address/ d�/ �Q Department review Irequire-d )Fes h�o
Building
Applicant: -27 (.cPlanning Zoning
ZT6
Tree Administrator
Project: ' Public Wor
Public Utiiides
Public Safety
�`! Iire Sef�r�es•. . ... ,
I i !`
w_
Review flee $ Dept Signature
CONTRACTOR EMAIL ADDRESS'
CONTRACTOR CONTACT
APPILMATiON STATUS
Reviewing 6S
eviewin� Department First Review:: OApproved.
D
(Circle one.) Comments: C,Q
BUILDING yv
lJ�
PLANNING &ZONING Reviewed by: � 1
TREE ADMIN.
Second Review: []Approved as revised. ❑Dense .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
FIRE SERVICES
Third RevlevtF: []Approved as revised. ❑Deniec'-
Comments:
Reviewed by: Date:
REVISED 09252014
CITY OF ATLANTIC BEACH
800 Seminole Road �\ 04-247-5800
Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
SITE DEVELOPMENT PERMIT (for filling, grading or topographically altering land)
PLEASE SUBMIT (2) COMPLETE SETS OF PLANS WITH APPLICATION.
Date December 09 2014 PERMIT#
Job Address 201 Mayport Rd Atlantic Beach, Florida ISSUED BY THE CITY
Permitee: Brown & Luke Contracting Company Inc. Telephone# 904-285-7079
Permittee Address: 12249 Shadow Creek Court, Jacksonville, Florida 32226
Email Address Tom(o)b-Icontracting.com Fax Number: 904-285-0512
Requesting Permission to commence site development involving the following activity: Eroision Control Silt Fence)
Filling and Grading Site
Location: (Reference to Cross-Street) North of Atlantic Blvd
The following permits have , en submitted _ Tree Removal Demolition
THIS APPLICAT N LUDESFO ATION REQUIRED BY THE CITY'S SITE DEVELOPMENT PERMIT
CHECKLIST (Must be signed by Applicant)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing
utilities, both aerial and underground and the accurate locations are shown on the sketches.
2. Any work proposed in City rights of way or easements shall be subject of a separate Right of Way and
Easement Permit Application.
3. All work shall meet City of Atlantic Beach, City of Jacksonville or Florida Department of Transportation
Standards and be performed under the supervision of Tracy Holmes
(Contractor's Project Superintendent) located at 12249 Shadow Creek Crt Jacksonville, Florida
Telephone#: 904-545-5116
4. Calculations showing any increase In Impervious area on owners lot and / or In the city Right of Way are to
be included with this application.
5. All city property shall be restored to its original condition as far as practical, in keeping with city
specifications and the manner satisfactory to the city.
6. This permittee shall commence actual construction in good faith within 6 days. If the beginning
date is more than 60 days from date of permit approval, then permittee must review the permit with the
Director of Public Works to make sure no changes have occurred in the area that would affect the permitted
construction.
7. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER 3c'FK f1tS f�131•TH 1 i�/ tfV— 1 rt l T� �
r • Rte, p ens i T , 3 r �/ A -
Signed: ��—+(�^ Date: I L I Z I y
Before me this -7 4Z, — day of in the County of Duval,
State Of Florida, has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Produced Identification:
KYLE MURRAY
MY COMMISSION#EE185723
EXPIRES Apra 02,2016
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