1795 Mayport Rd 2015 Site Dev ' 'I IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DEV REV MULTI FAM USES/DWELL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DRMU-1004
Job Type: DEV REV MULTI FAM USES/DWELL
Description: SITE DEVELOPMENT
Estimated Value:
Issue Date: 1/20/2015
Expiration Date:
PROPERTY ADDRESS:
Address: 1795 MAYPORT RD
RE Number: 172056-0000
PROPERTY OWNER:
Name: PRITCHETT, JAMES R & AMY E,
Address: 301 3RD ST SUITE A
FEES:
DEV REVIEW-MULTI-FAM/UNIT $125.00
Total Payments: $125.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 15 V1QM Q_ 1002-
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cityweb-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: mo, Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
CIV.
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 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. OlDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: []Approved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. FIDenied.
Comments:
Reviewed by.- Date:
Revised 07/27/10
City of Atlantic Beach
Site Development Permit Checklist
Provide 2 sets of Site Plans including Site Management, Erosion Control and Stormwater
Plans. (for filling, grading, excavating or tOPographically altering land)
0 Cover Page:
Address of project
Printed name, contact info, date and signature of person responsible for the plans.
[I Site Plan (Legal Survey):
Driveways, walkways, patios...
Impervious Surface Area (lot coverage) calculations—tabulation of all impervious areas required
Including location of all easements on property.
All existing and proposed structures
Any jurisdictional wetlands or coastal construction control line, water bodies, any required buffers or significant
environmental features.
0 Erosion &Sediment Control Plans (Can be included on Site Plan/Survey):
Silt fence location, construction detail and maintenance plan.
Installation must be inspected and approved by Public Works before any site work is started. Site Operator
or Construction Supervisor must be present for initial inspection.
Inlet protection (if existing storm water inlets are adjacent to property.
E3 Construction Site Management Plan (Can be included on Site Plan/Survey):
Location of any proposed demolition
Onsite&offsite parking for construction workers
Location of temporary fencing with height and screening indicated
Location of(Atl. Beach franchise approved)dumpster. Location of construction trailer&chemical toilet.
El Tree removal permit COAB Code of Ordinances—Sec. 6-18
An approved site development permit is required if land is being filled and/or re-graded prior to the issuance of a
Tree removal permit.
Demolition permit
An approved site development permit is required if land is being filled and/or re-graded prior to the issuance of a
Tree removal permit.
Drainage plan
• On-site water storage calculations (required if increasing lot impervious surface coverage by 400 SF or more)
• Plan for providing required storage.
(Contact Public Works for information on On-Site Storage requirements for added impervious surface area).
Pd 12-45 -
CITY OF ATLANTIC 13EACH
800 Seminole Road
r 119, 7-5800
Atlantic Beach,Florida 32233-5445 ax j AN -16 904-247-584
SITE DEVELOPMENT PERMIT (for filling, grading or topogr Ily altering and)
hica
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION.
Date
=PERMIT#
IS,
Job Address__J_lj SU
ISSUED BY THE CITYIC_rpWL4_1CCn,__
Permitee:
_ k�Lu Telephone#
Permittee Address: -7!!) 1
.
Email Address xCl"em
J OL Fax Number:_. 'Joy-
Requesting Permission to Commence site development involving the following activity:
*Y,erts 4%=fi. r111 -1
Location: (Reference to Cross-Street)
The following permits have been submitted
_ Tree Removal 04 Demolition
THIS APPLICATIOyJNCLUDESALz_L INFORMATION REQUIRED BY THE CITY,
CHECKLIS r S SITE DEVELOPMENT PERMIT
(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 0 Florida Depa ment of Tr nspo
Standards and be performed under the supervision of -L rt a
4!w4- ��AevScj.� rtation
4. Project Superintendent) located at �(Contractor's
Calculations showin i Telephone#:
se in imoern a,ea on owner's lot and / or in the c _oy- 3 1 y-f"�L_
be included with this AgaugggIL - _MIUL2��ht of Way are to
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 _ 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 wo
construction. uld affect the permitted
7. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed: i6 -./s-
Date:
Before me this -day of ---�_in the County of Duval,
State Of Florida,has personally appeared_It� X
Notary Public at Large,State of Florida,County of Duval.
MY commission expires: --Personally Known:
Produced Identification:
My COMMISSION 0 EE185723
J407; 153 Fbnd&N04Wy8wAc,cam
EXPIRES April 02,2016