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459 Ocean Blvd remodel 2015 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD rj ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-396 Job Type: RESIDENTIAL ALTERATION Description: REMODEL (PORCHES) Estimated Value: $25,000-00 Issue Date: 3/17/2015 Expiration Date: 9/13/2015 PROPERTY ADDRESS: Address: 459 OCEAN BLVD RE Number: 170165-0000 PRO OERTY OWNER: Name: GRUNTHAL 111, LEONARD H Address: 459 OCEAN BLVD 459 OCEAN BLVD PER irr INFORMATIO 4: PU BLIC NOR (S: No impervious table was included. No expansion of the house footprint or driveway is allowed. Small entrance addition below 400SF threshold is approved. FEES: PLAN CHECK FEES $87.50 BUILDING PERMIT FEE $175.00 STATE DCA SURCHARGE $2.63 STATE DBPR SURCHARGE $2.63 Total Payments: $267.76 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH Building Department 800 Seminole Road Atlantic Beach,Florida 32233 FILE COPY (904)247-5800 PLAN REVIEW COMMENTS Permit Application # Property Address: _415-9 190cl Applicant: Ownr r.� rl Project: Y-/ I-e)l r r 10- 0 V+ This permit application has been: EJ Approved F-1 Reviewed and the following items need attention: A ili 4eVe I S4 ee�n�� Re S- 0 U-e r- dJ* A P— &V1 -'Roo-+ g�2 '-nl Please re-submit your application when these items have been completed. Reviewed By: Date: i�" CITY OF ATLANTIC BEACH FILE COPY OVIVNE R / BUILDER AYF IDAVIT CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW. c I. FLORIDA STATUTES; CHAPTER 489,. FLORIDA STAT UTES, PART -1 "CONSTRUCTION DISCLOSURE STATEMENT FOR SECTION 489.103)(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS- YOU RAVE APPLIED FOR A PER&ffT UNDER AN EXEMPTION TO THAT 'XE'V'PTIO�l ALLOWS YOU,AS TBE OWNER OF YOUR PROPERTY.TO A C-T AS LAW. THB E' YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. MAWS-[ YOURSELF YOUMAYBUILDOR RO A - TWO FAMLLY RESWENCE OR A FAR.M 0 " VE ONE OR INIPROVE A COA84ERCIAL BUILDIN UIBU'LD]NG- YOU MAY ALSO BUILD OR G AT A COST OF$25.000.00 OR LESS. 1M BUILDTNG SE A BUILDING YOU 1 V, BUILT YOURSELF WIT, IF YOU SELL OR LEA� A11UST BE FOR YOUR USE AND OCCUPANCY. IT MAYNOTBE BUILT FOR SAtF OR LEASF -JA E rMq ONE YEAR AFTER TEB CONSTRUMITON IS coNpLETE, TBE L RE UIV Tf-T $7MCH IS IN VIOLATION OF TT-i1S E)MWT-ION. A�() IT FOR SALE OR LEASL,' 'V LAW WI L P 8 fE YOU BUILT tj N 1-� If 05—ON ,N-SAO MU It CON tACTO L�, YOUR cONSTRUC- _y is�l_ TION MU BE DONE ACCORDINC-, TO TBE BUILDING CODES AND ZONING RE GUL ST V01 IP ATIONS. I 1 1,, .-% RI-SNIINSIBIL11', TO MAKE SURF THAT PEOPLE EMPI-0YED I-ICI R12�UJIZED�,;y SLATE LAW AND BY C0UJ`JFY OR J\ILNL(�LPAL. J--� t.)I,'A)INAN(:L ICENSItL It. INJURY LIABILITY, SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY ;-JIRE, 'I-HE 2WILDING DEPARTMENT SUGGESTS—WORKER'S COMPENSATION INSURANCE BE PURCHASED 1111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND S IS ON THE WORKERS THEY OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMEN HOULD ALSO EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PEkl,".LTY; UNLICEN16ED - CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS 81EING SUBJEU I TO $5,000 PENAL TY UNDER FLORIDA STATUTE NO. 455-228(l). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE- THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKHOAffLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 1011� i'',1,11c. 1110:11C . 6 K -1.1712 0 C7 ADDRESS HNONE NUMBER -U n#74 —Qf� I #- — PRI ME 'I /flu 4— AGNATUR . DATE Beforemethis Q3 dayof 20 in the county of Duval,Stateol rida,has per�O—nallYappeaiecl herin y hersell and affirms that all statements and declarations are'true ana-jccurate. Notary Public at Large,State of Personally Known 0 jkv PC, Notary Public State of Florida Produced Identilication Kelly J Leighton my Commission EE096050 ,�yExpires 05/23/2015 Notary Signature: APPLICATION NUMBER City of Atlantic Beach VE VEIE Building Department ]EJ (To be assigned by the Buildi- D rtrn ent.) no epa "F 800 Seminole Road 015 Atlantic Beach, Florida 3223 -5445 FEB 4 Z015 3 Phone(904)247-5826 - Fax(904)24 E57845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: X50 �ef Azil Zz V6 Dgjaartfflent review required Yes No �Aiuikwwlb:� Applicant: 'Hanning &Zonin Ti AZMtMT-sT_rator Project: -C'Fu7bric Wo_rl_s�> ww-� 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: �Approved. ElDenied. (Circle one.) Comments: BUILDING 4 /vo r e PLANNING&ZONING Reviewed by.- "�z Date: TREE ADMIN. (9 Second Review: []Approved as revised. OlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 LI)L/1 -3 Ald Job Address: 7,;0 1 Permit Number: Legal Description Floor Area of Sq.Ft. Parcel Sq.Ft Valuation of Work Mo Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New 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 sprinMr 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: J9 oo,r lex 15 r/0 1 5 h ev Property Owner Information: Name: Ado Address: City A"Lr,#& 94) St�ate ip ;'IPhone 0-Y46 4 /1W E-Mail or Fax#(Optional) AIJ ey- 5,�11 .&—Arv% -7 t Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: Citv State zip Office Phone Job Site/Contact Number ax# State Certification/Registration# A Y, Architect Name&Phone# 1 9 Engineer's Name&Phone# E/ V I L_0� '%*I Fee Simple Title Holder Name and Address- Bonding Company Name and Address Mortgage Lender Name and Address 4pplication is hereby made to obtain aP iit to do the work and installations as indicated I certf,that no work or installation has commencedprior tothe issuance work ' be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void in six(6)months, or ifconstruction or work is suspended or abandonedfor aWeriod ofsix(6)months at any time after work is c that separate permits must be securedfor Electricar Work, Plumbing,Signs, ells,Pools, Furnaces,Boll&s,Heaters, Tanks andAir 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 YOVIi NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this t) 1�work will be c I' d with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the 0 er7 e eg , ,v provisions ofany th al,s lating construction or the peTformance of construction. Signature of Owne Signature of Contractor Print Name Print Name ................... . ............. ......H......4.1 A� / 0 ............... ........................................................................................................................................ Before me Before me this L'�Day of_Cr_brva-nAe 20 this —Day of 20 Swe of Flodd, NotaryPublid-) 'o Kelly Notary Public io �!Tj My Comminion EE096050 01. q WJ t0Zxph-eXs f06/2312013 Revised 01.26.10 ZA k 5 ZONING REVIEW COMMENTS City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach,Florida 32233-5445 'A'/ Phone: (904)270-1605 Fax: (904) 247-5845 Email: dreeves*coah.us Permit: 15-RAAR-396 Applicant: Lenard Grunthal, Owner Review: I st Address: 459 Ocean Blvd, Atlantic Beach, FL 32233 Site Address: 459 Ocean Blvd Phone: (904) 514-1594 RE#: 170165-0000 Email: bgrunthal@gmail.com March 2, 2015 Correction Comments I. Survey: Please provide a certified survey. 2. Site Plan: Please provide a new site plan that clearly shows property lines and setbacks. 3. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to removed. If no trees are to be removed, then please fill out an Affidavit of No Tree Removal. Both forms are available on the city website under"Planning and Zoning" and at City Hall. Derek W. Reeves Zoning Technician dreeves@coab.us BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: mir-71 Z lvd Permit Number: Legal Description . Floor Area of S *Ft, Parcel# Sq.Ft Valuation of Work$,Q 400 Proposed Work �hqeated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existin / sed structure(s) circle one): Commercial Residential If an existing gsTrurocfuore,is a fire spriWer 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: j9//*qq ocor ex/57-/,) i vp h a4-d ea ee,(' A, Property Owner Information: Name: Adl Address: e City _7;,A41P one lot) ((C -4 A t� State Wzip h�� g E-Mail or Fax#(Optional) PA j!�Aj" 7Ad e? -dArv% P? Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: Citv State Zip Office Phone Job Site/Contact Number ax# 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 4pplication is hereby made to 0 btain a dt to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance ofa permit and that all work be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void If work is not comme ced in six(6)months, or if construction or work is suspended or abandonedfor a period ofsix�6)months at any time after work is commenced. I unde that separate permits must be securedfor Electrical-Work, Plumbing,Sikils, Wells,Pools, furnaces,Boilers,Heaters, Tanks andAir 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. lWhereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this P, 07 'th whether specifleii herein or nt to work will be co 1* d )t. The granting of a permit does not presume to give authority violate or cancel the provisions of any other re,d 'F-'I,wstate, loca law re lating construction or the peTfo�mance of construction, Signature of Owne h f pv,- Signature of Contractor n rs ekPrint Name a......4-1 4� Print Name .................. Before Before me t is WDay of (7r_baW_yW —Day of h 20 114�' this 20 Of rInrid. Notary Publid'J Kelly J Leightr Notary Public a,-- My Commission EE096050 Revised 01.26.10 lop Expires 05/23/2015 TREE & VEGETATION AFFIDAVIT City of Atlantic Beach Department of Community Development Planning&zoning Division 800 Seminole Road Atlantic Beach,FIL 32233 PERMIT (P)904 247-5800 (F)904 247-5845 SECTION I-APPLICANT INFORMATION F--O-w-n—er(s) Legal Authorized Agent* NAME OF APPLICANT 71A NAME OF COMPANY ADDRESS OF COMPANY PHONE 9 V6 Iq el CELL EMAIL aYl 41 CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREET ADDRESS OF PROPERTY Ifon address has not been assigned to this propert)�contact the AS Building Department at(904)247-SS26 to request an address. 41 LEGAL DESCRIPTION 2— LOT 1. 25"�rZCrI-BLOCK SUBDIVISION .1 LOT OR PARCEL SIZE: /Z)/ SQ FT AC REAL ESTATE NUMBER 1-70 Ik-3 -,0000 RESIDENTIAL Vl""` COMMERCIAL — OTHER(SPECIFY) of the Municipal Code of I affirm that / have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" Ordinances for the City of Atlantic Beach,FL andlor I have participated in a pre-opplicotion meeting with the Administrator of those o regulated vegetation will be damaged,destroyed andlor removed regulation ub5equ�ently,I ffirm that no egulated trees and n 'rm descr,, t opJi imo conjunction with this project. from Lthebw de cr do PaPacent a ie5in S 0 OW SIGNATURE OF OWNER S R OF OW R Signed and sworn before me on this day of 0,VXA( State of by Countyof Identification verified: Vx)uwy) -tu f\,i— Oath sworn: F– yes No NoUry pubk State of Flor$ft KeltyJlLeighton Notary Signature Expires 05t2a/20`15 My Commission expires: REV-TVA-00.12 TREE & VEGETATION AFFIDAVIT City of Atlantic Beach Department of community Development Planning&zoning Division 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# olt (P)904 247-5800 (F)904 247-5845 SECTION I-APPLICANT INFORMATION r_-'0;;;_ner(s) F' Legal Authorized Agent* NAME OF APPLICANT NAME OF COMPANY ADDRESS OF COMPANY CELL EMAIL lv,�11�A4/�0 PHONE CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREET ADDRESS OF PROPERTY _ 4"5_5' f od6ell, �OLve/l If an address has not been assigned to this property,contact the AS Building Department at(904)247-5826 to request an address. 0 LEGAL DESCRIPTION �o r ,K et,,w 7*Ae �v L,)44 ))A1,,e P r ter I- LOT I-BLOCK SUBDIVISION LOT OR PARCEL SIZE: /a q,5"c,, SQ FT AC REAL ESTATE NUMBER 170 IkJ" aoao RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of ordinances for the City of Atlantic Beach,FL andlor I have participated in a pre-application meeting with the Administrator of those regulation ubsequ;n1.1y, ffi that no egulated trees and no regulated vegetation will be damaged,destroyed anwor removed "'rm rm t from 4thelbvi dde5 'It�ayVaceeent 0 J iesin conjunction with this project. �_de5 b J"Crl Z? i! 0 S S 0 /. — SIGNATURE OF OWNER OF OWNER Signed and sworn before me on this J day of by State of A�Wjy,_ — Countyof _Z)OJOD Identification verified: VA-lowy) -AD f,(\� Oath sworn: r- Yes No Notary Pubk SWO d FWW Kelly J Leighton 'Ne J,,dF expires osauzois Notary Sign ture� my Commission expires: REV-7VA-00.12 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 -5826 - Fax(904)247-5845 Phone(904)247 Date rout E mail: building-dept@coab.us ed: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t4, ef AW Z4 DpjaartWent review required Yes No Applicant: 40 40 f 'f48nning &Zonin e6-A-dMTff 1-sTr-a to r Project: '?9A 0 0/f Public Wo_TrRs�:> 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: DApproved. /�*Deniecl. (Circle one.) Comments: BUILDING PLANNING&ZONING TREE ADMIN. Reviewed by: Date:A4__�== Second Review:Rpproved as revised. F]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date. 3//J/(5- FIRE SERVICES Third Review: DApproved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /.15"- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us I Date routed: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 04&.,�111 ZZ 11,6 Departivent review required Yesl-No : WW"W _9 al� -)I V Applicant: � Pfanning &Zonin is rator rub1icWo_rks_ Project: 129AQ OW- :> 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: EB-A"pproved. ODenied. (Circle one.) Comments: CBUILDI-NS--) PLANNING&ZONING Reviewed by: Date:��_ TREE ADMIN. Second Review: RApproved as revised. E�DeVecl. PUBLIC WORKS Comments: PUBLIC UTILITIES Reviewed by: Date: PUBLIC SAFETY -]Approved as revised. [:]Denied. FIRE SERVICES Third Review: Comments: Reviewed by: Date: Revised 07127/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 1.,FILE COPY Office (904)247-5826 Fax(904) 247-5845 Job Address: Permit Numbe`r_--1,?,qqR -3,pc Legal Description Floor Area of q Ft. Parcel# 'q S - �=�theated/cooled '15011o1F Valuation of Work Proposed Work heated/cooled n Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure s circle oinle): Commercial Residential ff an existing structure,is a fire s il�er s st talled9 (Circle one): Yes No N/A I Florida Product Approval#k9on re 0:7 E& 1:19.5-6. ig F/ IVY For multiple products use product approval form Describe in detail the type of work to be performed: A?VOIJ9 OUT- lex 15 r/ 5/t7t h ev 'At? A-44, dz(a ke-bel, r Property Owner Information: Name: 11� Of Address: h7/vW city A"L'Aft, X647 State ip 14-11P-honD 10g) 0,yc - I,*'j It/ E-Mail or Fax#(Optional)—,04 j!�v P4 ZAad eff 4Z&uki I 4,0r).% C? Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number ax State Certification/Registration# Is Architect Name&Phone# A-1 J L Engineer's Name&Phone# 11-ol Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address i p 4pplication is hereby made to obtain a it 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 beperformed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null b r )m t 3 0 and void ffwbrk is not commenced hin six(6)months, or if construction or work is suspended or abandonedfor a period of six months at any time after t ' t t s r Permits mb work is commenced I underst that epparate permits must be securedfor Electricar Work, Plu ing,Signs, Wells,Pools,I urnaces,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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinqnces governing this work will be comp )t. The granting of a permit does not presume to give authority to violate or cancel the I/V _1' d with whether specified herein or nc provist.ons ofany otherfe W161,state, loc law re lating construction or the pe�formance of construction. Signature of Owne f Signature of Contractor - I Print Name 41 / Print Name ..................... ..................... .......#... .................. ....................................................................................................................................... Befo e Before me t is�6 2o 20 h VDay of this Day of t)tm . Notary Public Notary Kelly J Leightor My commission E� 096050 "I. Expires 05/23/2015 Revised 0 1.26.10 �Iv DO NOT WRITE BELOW - OFFICE USE-ONLY Applicable C—odes: 2010 FL0R1D,4 BUILDING CUD—E Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: /T1 Pi, 2 -c2—S;- ) :�r V Development Size Habitable Space Non-Habitable Y S,,P, roorcke5 Impervious area Miscellaneous Information Occupancy Group Type of Construction V Number of Stories z, Zoning District Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions/Comments: ,floor— P r JN 6 e -A a- O&W+, 800 Seminole Road Atlantic Beach,Florida 32233 Telephone(904)247-5800 FAX(904)247-5805 Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6-18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. I. Parking plan—parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. 3. Location of construction trailers, loading/unloading area and material storage area. 4. Location of chemical toilet area.(chemical toilets must be kept out of City right-of-way and not further than 15 feet from structure under construction) 5. Location of dumpster. Dumpster must be from an approved waste company (in accordance with Chapter 16 City Code) as of 2009 the permitted dumpsters are Advanced Disposal, Realco Recycling, and Shappells. Dumpsters will have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy. 6. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 7. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal, plastic and paper. 8. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion & Sediment Control Plan(silt fence, catch basin filters, etc.) until sod or other stabilization has been placed and approved by Public Works. 9. Other activities,where special conditions are identified by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code See. 6-17 (3) Revised 5/2009 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-978 Job Type: ELECTRIC ONLY Description: 15 outlets switches Estimated Value: Issue Date: 4/27/2015 Expiration Date: 10/24/2015 PROPERTY ADDRESS: Address: 459 OCEAN BLVD RE Number: 170165-0000 PROPERTY OWNER: Name: GRUNTHAL 111, LEONARD H Address: 459 OCEAN BLVD 459 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: BILL THOMPSON ELECTRIC CO, INC Address: 49 WEST 7TH ST QA WILLIAM R. THOMPSON, IV Phone: FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $9.00 Trade Permit Base Fee $55.00 Total Payments: $68.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, Fl, 32233 Ph(904) 247-5826 Fax 904 - 845 JOB ADDRESS: PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS' e— VOLTS PHASE ;11;VV VALUE OF WORK$ NEW SERVICE 0 Overhead F-1 Underground Underground up Pole EIResidential(Main) Service [10-100 amps 11101-1 50amps D 151-200amps []—amps #of Meters L1 Commercial(Main)Service 00-100 amps L1101-150amps 11 151-200amps El—amps 11CT Service amps Conductor Type Size E]Multi-Family(Sfa—in)—Service #of Unit Meters El 0-100 amps El 101-150amps D 151-200amps LI—amps ElTemporary Pole D __amps SERVICE UPGRADE 11____amps El CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) T Service amps E1100amps 11150amps E1200amps 0_amps EIC ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: __,�0-30amps 3 1-1 00amps 101-200amps Appliances: 0-30amps 31-100amps 10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lightinj-0—utlets, Including Fixtures: ZO OTHER ELECTRICAL PROJECTS s_Qty OTransformers KVA []Motors hp El Swimming Pool Li Sign [I Smoke Detector FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty_volts/amps REPAIRS/MISCELLANEOUS [I Safety Inspection 0 Panel Change Ll OH to UG Li Replace Burnt/Damaged Meter Can [I 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 Phone Number Office Phone Electrical Company d/&C .002 Af& 6,1 S_C? StatetZ,�Zip-5!�3 Co.Address: 1-6?j .3 7 — City,,77-/f X4 License Holder(Print): Z2V 7"& State Certification/Registration#/ 7&r___7 Al /I Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public