777 VECUNA ADDITION 2015 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RADD-665
Job Type: RESIDENTIAL ADDITION
Description: FAMILY ROOM ADDITION
Estimated Value: $23,000-00
Issue Date: 4/27/2015
Expiration Date: 10/24/2015
PROPERTY ADDRESS:
Address: 777 VECUNA RD
RE Number: 171327-0000
PROPERTY OWNER:
Name: Ingrum, Robert
Address:
GENERAL CONT ACTOR INFORMATION:
Name: CAYMAN HOMES INC
Address: 1653 WINDWARD LN JAMES MCLEROY
Phone:
PERMIT INFORMATION: PUBLIC WORKS:
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.
Roll off container company must be on City approved list and container cannot be
placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services,
Shappel's and Waste Pro.)
Full right-of-way restoration, including sod, is required.
FEES:
PLAN CHECK FEES $82.50
UTIL REV RESIDENTIAL BLDG $25.00
BUILDING PERMIT FEE $165.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
jilt
STATE DCA SURCHARGE $2.48
STATE DBPR SURCHARGE $2.48
Total Payments: $277.46
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
IS U ILD IN G FERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE COPY 800 Seminole Road, Atlantic Beach, FL 3)223 3 MAR 2
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 7777 Ile- CuUA- 121) kt1-##jr1C 96*fc(+ Permit Number:
Legal Description 3 7 - 2 2 qE Parcel# R*!& ftm yA,, r ZA
Floor Area of" Sq.Ft. zSq.11t
Valuation of Work$ _Proposed Work heated/cooled 2,30 non-heated/cooled
f
Class of Work(circle one): New (Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial �Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product A proval #
For multiple proSucts use product approval form
Describe in detail the type of work to be performed: 4p7,acff LI) sf tjocj& I-Avkc ;=Ao�m# c QAJJrAdce t7ty.-,
e.&-,C y k&,�M
Property Owner Information:
Name: Address: 77? V9CyVA- 120,
City ft,�fiam'C sa&ro State 9L Zip_7?7-?I Phone Tv�q- 3 7-7 -3-2-9 6
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: c-4yA4,4,V#o"&S 4uk S.0 Ufft.,ou 46 1—
Company Name: Cof YA4#^l*oA4&4 Qualif�4ng Agent: .3-4mASAjrLe.Aoy
Address: #377 kj,,,, o w&A p j-4., City sel!)r "&S#e.4cw State kc- Zip '7124
Office Phone 9 1.4/ 24 7 b Job Site/Contact Number Pq 5-jr, &V/ & Fax# go.4 24,6 el 0 4
State Certification/Registration# 6 e3 C /Z 54 7.7 8 1
Architect Name&Phone# F12&?1Z 526,,,c R-9 AF019 Z"Z(12 - lr�
Enaineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
ZD tn
Application is hereby inade to obtain aperinit to do the work and installations as indicated. Icertify that no workor installation has conunencedprior to the
issuance o),ra permit and that all work will be pe)forined to ineet the standards of all laws regulating construction in thisjurisdiction. Thisperinitbeconlesnull
and void if work is not coininenced within six(6)177017thS, or if construction or work is suspended or abandonedfor a period of six(6)n7onths at any tiine after
work is connnenced I understand that separate perinits inust be securedfor Dectrical-Work, Plumbing,Signs, Wells,Pools, Furnaces, Boilers, Heaters,
Tanks and A ir 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 hereby certify that I have read and exaniined this application and know the saine to be true and correct. All provisions of laws and ordinances governing this
type of work will be coinplied with whether specified herein or not. The granting of a perinit does not presume to give authority to violate or cancel the
provisions of any otherfeder st e, or I law regulating construction or the pe�formance of construction.
Signature of Owner=I I - Signature of Contracto-
V-
Print Name
L) Print Name
....... ......... .................
......................
Before rne Before ine
this 11 Day of -291 r- - this -�j-Day of i\A
ENNIFER L BENDETTI jENNlFn4R.E'NtETTl
Notary Public-State of Florida
State of Flo
Notary Publi rida t N
GOMM, &PiFes A6 15
7'20 15
W&Jry Public fly Comm. Expires Aug 7,2015 Nbtar�Public
9
j Commission#EE 119373
z
EE 119378
�S' commission #
NafionalN(� �sn.
s� Noiary k
As
Sonded Through National Notary jksn.
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 207 u FTORIDA—B--uj-L—D--1N-U-70—DE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date: /P� 3 2,1 y
61 FILE COPY
Development Size
Habitable Space JF 3 Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group R- S
Type of Construction _V (5
Number of Stories
Zoning District ,9
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone —,X
Conditions/Comments:
CITY OF ATLANTIC BEACH
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
41.0
PLAN REVIEW COMMENTS
Permit Application # /-5- -R 11,DO 66:5-
Property Address: -7 7 7 yecuy� 61 gdo 111.3
Applicant: C?�a-y?0 '0 /-/0 1"e S
Project: '�70/77;'/V kno"""
This permit application has been:
ve
Reviewed and the following items need attention:
0 1/10 6 S /71e IA601 r2
/e ve 2010 exi5 P7 /0//n (f ocl-e- ,
P-1 to r Y 'ou S'
r,q) S 'bky7*"'� co /cu/& �;Cp','
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j2fU,4tA, Cametyr-4h V1 9 /-n-16'0 1 J-.77-157- q;TC'P"N Kmllv—
Please re-submit your application when these items have been completed.
Reviewed BY: /714-- Date: Yd 7
61
SITE DEVELOPMENT PLAN - 777 VECLINA ROAD
FILE COPY
777 VECUNA ROAD
ATLANTIC BEACH, FLORIDA 32233
CAYMAN HOMES, INC.
1653 WINDWARD LN.
NEPTUNE BEACH, FLORIDA 32266
0-904-241-2436
C-904-536-0016
J13 MCLEROY
v-
DATE -#-/7, r
SITE DEVELOPMENT PLAN - 777VECUNAROAD
SITE DEVELOPMENT PLAN - 777 VECLINA ROAD
SITE PLAN W/PROPOSED STRUCTURE
BRIL
..............................................................
......................... ....................... .............
ADDITION
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EXISTINGs I STOW WSIDENIM
Ill Yr:C%INA IWAD
SITE DEVELOPMENT PLAN 777 VECLINA ROAD
Legend:
Dumpster areas -
Material areas -
Toilet area -
Silt fence . ......
Parking - L
PREPARED BY:
E) 'CACTA I
LANDSURVEYORS
-Serving aff qf.1-fohda
,4,
—7�
PROPERTY ADDRESS:777 VECUNA ROAD JACKSOMALLE,FLORIDA 32233 SURVEY NUMBER:FL1410.1908
FIELD WORK DATE:1QMW4 REVISION DATE(S);(REv o 1w23i2o14)
R 14 M 1908
BOUNDARYSURVEY
DUVAL COUNTY
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FORMS FILE COPY
FLORIDA BUILDING CODE,ENERGY CONSERVATION
FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
Scope:Compliance wittileclion 402 of the Florida Build hall be demonstrated by the use of Form 402 for single-and muhiple-family residences of three
or le.in he Og C es.f'�'e q C'n's-'ic"' mial bdildgs ew be Ing,comolaing I w lerthea ing systems in existing,b.ildings,as
stories iUht I'ad ibons to existing residential b.ildVg ,21yalip.,to existing fesiden Table 40, ann a
. it if ndaanZ,:4.
able c pp it to ents summarized in Ta e 402B of this
Tol ,a buildirig must meet or exceed all of the energy efficiency requirements oi arficable ,,,,J,,,t
Ipp", but doirm ,not coiiiply with this method or Alternate Form 402,it may still comply unde e 17 ode,Energy
form.If a r Section 405 of Florida Conseriahon.
PROJECT NAME: I Ingrurn Addition BUILDER: Cayman Homes
AND ADDRESS- 177 Vecuna Rd PERUrrnNG Atlantic Beach
I Atlantic Beach OFFICE:
OWNER:Ingrum PERMIT NO.:I e--?fiJ0D- JURISDICTION NO.: 261100
General Instructions:
1'New construction which incorporates any of the following features cannot comply using this method glass areas in excess of 20 percent of conditioned floor area,electric resistance
heat and air handlers located in attics.Additions,600 sq-ft.,renovations and equipment chanleouts may comply by this method with exceptions given.
2'Fill in all the applicable spaces of the'To Be Installed"column on Table 402A with the information requested.All"To Be Installed'values must be equal to or more efficient than the
required levels.
3.Complete page 1 based on the-To Be Installed"column information.
4.Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items.
5.Read,sign and date the"Prepared By"cerfifiration statement at the bottom of page 1.The owner or owners agent must also sign and date the form.
Please Print CK
1. New construction,addition,or existing building 1. Addition
2. Single-family detached or multipte-family attached 2. Single-family
3. if multiple-family-No.of units covered by this submission 3.-
4. Is this a worst case?(yes/no) 4. No
5. Conditioned floor area(sq.ft.) 5. 317
6. Glass type and area:
a.U-factor Ga. .30
b.SHGC 6b. .30
c.Glass area -Adjusted 6c. 128.1 sq.tL
7� Percentage of glass to floor area 7. 40.4 %
8. Floor type,area or perimeter,and insulation:
a.Slab-on-grade(R-value) Ba.R 0 4T2 lin.tt.
b-Wood,raised(R-value) 81b.R= sq.ft.
c.Wood,common(R-value) 8c.R= --Sq.ft.
d.Concrete,raised(R-value) 8d.R= _sq.ft.
e.Concrete.common(R-value) Be.R= _sq.ft
9. Wall type,area and insulation:
a.Exterior: 1. Masonry(Insulation R-value) 9a-1. R=- _sq.ft.
2. Wood frame(Insulation R-value) 9a-2. R=-Q- 377.6 sq.ft.
b.Adjacent: 1. Masonry(insulation R-value) 9b-1. R=- _sq.ft.
2- Wood frame(insulation R-value) 9b-2. R _sq.ft
10. Ceiling type,area and insulation:
a.Under attic(Insulation R-value) 10a.R 30 sq.tL 317
b.Single assembly(Imsulation R-value) 10b.R=_ _sq.ft
11. Air distribution system:Duct insulation,location,On
a-Duct location,insulation 11a. R= 6
In.AHU location 11 b.
c-Qn.Test report attached(<0.03;yes/no) 11 c.Test report attached? Yes[3 NoO
12. Cooling system: 12a.Type:- Existing
a-Type 12b.SEER/EER:
b.Efficiency
13. Heating system: 13a.Type: Existing
a-Type 13b.HSPF/COP/AFUE:
In.Efficiency
14. HVAC sizing calculation:attached 14. Yes 0 NoO
15. Hot water system: 15a.Type:
a-Type 15b.EF:
b.Efficiency
I hereby certify that the plans and specifications covered by the calculation are in compliance with the Florida Review of plans am specifications covered by this calculation indicates compliance with the Florida
Energy Code- Energy Code.Before construction is completed,this building wit be inspecied lof compliance in
PREPARED By Ryan B.Ellis BATE: 4/16/15 accordance wth Section 553-908,F.S.
CODEE OFFICIAL M
I hereby certify Ing this building is in compliance with the Florida Energy Code: � 'Y12
OWNER AGENT: DATE:- DATE_
CA 2010 FLORIDA BUILDING CODE ENERGY CONSERVATION
A
FORMS
TABLE 402A
WJaJ)M CONPONEPfr PE11111:0111111ANCE CINTEFW INSTALLED VALUM
U-Factor�OAS U-Factor= .30
Winikwx(we Note 2): SHW=030 St=
%otCFA<=2^ .30
Skylights U-Facllor�IL75 %otcFA= 40A% -Adjusted
Doors:Exterior door U-Factor 1.11-Fackir<OA6 UFactor
Floors: Slab-on-gradis No miquirernant PlValus= WA
over unoonditioried spaces(see Note 3) FI-13
Wals—Ext.and Adi.(see Note 3y
Frante FI-13 R.Vakie= 13
Mass (see Note 3)
Interior of wall: R-7.8 PIvakie=
Exterior of wal: R-6 RVskje=
Ceilings(see Notes 3&4) F�_W RVakie= 30 Test report
Attached?
Reflectance 0-25 Relectance
Air distribution system(see Note 4)
Ductwork&air handling unft� Location: Test report
Unconditioned space I Not allowed Aftached'?
Ganditioned space YesNo
Duct R-value R-value,6 R_Vahle 6
Air leakage On On 5:0.03 (In=
Air conditioning syalems,(see Note 5) SEER=13.0 SEER=
Heating system
Heat pump(see Note 5) Cooling SEER=13.0 SEER= Existing
Heating: KSPf=7.7 HSPF=
Gas furnace AFUE 78% AFUE=
oil furnace AFUE 78% AFUE=
Electric resistance:Not allowed(see Note 5)
Water heating System(StDragEl 4W)
Electric(see Note 6): 40 gat EF=0.92 Gallons N/A
50 gat EF=0.90 EF=
Gas fired(see Note 7): 40 gat EF=OS9 Gallons
Other(describe): 50 gat EF=0.58 Ef`�
(1)Each component present in the As Proposed home must meet orexceed each of the applicable performance criteria in orderto comply with this code usinig this method-,
otherwise Section 405 compliance must be used.
(2)Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U-Factor and the maximum SHGC(so4ar Heat Gain Coefficient)criteria
and have a maximum total window area equal to or less than 20%of the conditioned floor area(CFA);otherwise Section 405 must be used for compliance.
Exception: Additions of 600 square feet(56 M2)or less may have a maximum glass to CFA of 50 percent.
(3)R-values are for insulation material only as applied in accordance with manufacturers'instaKation instructions-For mass wait-,the'interior of wag"requirement must be
met except if at least 501%of the R-6 insulation required for the'exterior of wall"is installed exterior of,or integral to,the wall.
(4)Ducts&AHU installed substantially leak free per Section 403.2.2.1.Test by Class I BERS rater required.
Exception:Ducts installed onto an existing air distribution system as part of an additim or renovation:duct must be R-6 instaAed per Sec.503.2.7.2.
(5)For all conventional units with capacities greater than 30,000 Btu/hr. For other types of equipment,see Tables 503.2.3(1-8).
Exception:The prohibition on electric resistance heat does not apply to additions,renovations and new heating systems installed in existing buildings.
(6)For other electric storage volumes,minimum EF=0.97-(0.00132 x volume).
(7)For other natural gas storage volumes.minimum EF=0.67-(0.0019 x volume).
TABLE 4= MANDATORY RE01111111MIENTS
COMPONEMM SECTION MENEINTS CHECK
To be caullmd,gasketed, eatherstiroped or ailhanxise sealed.Recessed lighting IC-rated as meeting ASTU E
Air lealiage 402A =Windows and doors=0.30 chn(sqJL Testing or visual hapedbon required.Fireplaces:gasketed doors& X
ouldow combustion air.
CedingsiPlinee wells 4052-1 R-19 space peffnftn g. X
PmWarrarnable thermostat 403.1.1 Where famed-aw himace is primary system,pqrammable theirmosted is mWood.
Air distritiubon system 403.2 Ducts in attics or on roots insulated to R-8;othier&icts" Ducts tested to CL=0.03 by a Class 1 BERS rater. X
�im_tbalp—.qLwed for vertical pipe nears.Cm*.Ah erficiencies in Table 403.4 32-Rolwe silch or clearly
Water heaters 4M4 marked circult breaker(electric)or shutoff(gas).Circulating system pillies insullated to=P,2+accessible manual
OFF switch-
Spas and heated pools must have vapor-retardant covers or a liquid cover or other means prorven to reduce heat
Swimming pool&spas 403.9 loss except if 70%of heat from site�o�ered energy.OffAimer switch required.Gas heaters rninmum thermal
efficiency=78%(82%after 4116113).Heat pumppoolheatoem mumnum COP--4.0.
SbzV cakid"on perlomied&ahached PAnimurn efficAinaes per Tables 5032-&Equipment ethmency venfication X
Cooklo'beafirm aworne"t 403.6 ratligred.Special occasion cooling or heating capacity requires separate system or variable capacity system.
Electric heat>1 0kW must be dmded into-two or more stages.
Lightinig-quipment 404.1 At bad 50%of pormarently instaged klt"lbaves shall be high-aftacy laffVs, X
2010 FLORIDA BUILDING CODE ENERGY CONSERVATION C.5
Project Summary Job:
+ wrightsoft Date: 4116/15
Addition By: M.Ellis
Energy Design Systems, Inc.
12132 Weatherwood Estates Dr W,Jacksonville,FL 32223 Phone 90.4-268-3670 Fa)c 904-268-3670 Erna:eds.jax@_girnai1.corni
Project Information
For: Ingrum Addition
777 Vecuna Rd,Atlantic Beach, FL
Notes:
Design Information
Weather: Mayport Ns, FL, US
Winter Design Conditions Summer Design Conditions
Outside db 39 'F Outside db 92 'F
Inside db 70 'F Inside db 74 'F
Design TD 31 'F Design TD 18 'F
Daily range L
Relative humidity 50 %
Moisture difference 58 grflb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 5282 Btuh Structure 4027 Btuh
Ducts 284 Btuh Ducts 427 Btuh
Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 5566 Btuh Use manufacturer's data n
Rate/swing multiplier 0.97
Infiltration Equipment sensible load 4325 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 1 (Average) Structure 529 Btuh
Ducts 117 Btuh
Heating Cooling Central vent(0 ctm) 0 Btuh
Area (ft2) 317 317 Equipment latent load 646 Btuh
Volume(ft3) 2536 2536
Air changes/hour 1.08 0.32 Equipment total load 4970 Btuh
Equiv.AVF(cfm) 46 14 Req. total capacity at 0.80 SHR 0.5 ton
Heating Equipment Summary Cooling Equipment Summary
Make Make
Trade Trade
Model Cond
AHRI ref Coil
AHRI ref
Efficiency 100 AFUF Efficiency 0 SEER
Heating input 27735 Btuh Sensible cooling 0 Btuh
Heating output 27735 Btuh Latent cooling 0 Btuh
Temperature rise 124 'F Total cooling 0 Btuh
Actual air flow 203 cfm Actual air flow 203 cfm
Air flow factor 0.037 cfm/Btuh Air flow factor 0.046 cfm/Btuh
Static pressure 0 in H20 Static pressure 0 in H20
Space thermostat Load sensible heat ratio 0.87
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
2015-Apr-16 16:55:39
+ wrightSOft Right-SuiteO Universal 2015 15.0.00 RSU17457 Page I
ACCA I Al rigrurn Addition,7T7 Vecuna Rd,All Bch.rup Calc=MJ8 FrontDoorfaces S
SITE DEVELOPMENT PLAN - 777 VECLINA ROAD
777 VECUNA ROAD
ATLANTIC BEACH, FLORIDA 32233
CAYMAN HOMES, INC.
1653 WINDWARD LN.
NEPTUNE BEACH, FLORIDA 32266
0-904-241-2436
C-904-536-0016
JB MCLERO
994
DATE- 4� � -/
SITE DEVELOPMENT PLAN - 777 VECUNA ROAD
SURVEY (with impervious surface calc)
PREPARED BY
E-= -= ACTA
L A N D SURVEYORS
-Serving aff of-I-forida
PROPER-fY ADDRESS-777 VECUNA ROAD JACKSONVI LLE,FLORIDA 32233 RVEY NUMBER:FL1410.1 90B
F1 FLD WORK DATE:��X2312(114 RMSION DATE(S):WN-0 l0nW2MQ
FL 1410.1908
SOUNDARYSURVEY
DUVAL COUNTY
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r.S L Miry B GRAPHIC SCALE (In Feet)
1 inch = 30' ft
Mark A Jd)rson
StaW d Fbrida Pmkswonal Sarvriw and Mappm
Lamw No,65n
SITE DEVELOPMENT PLAN - 777 VECUNA ROAD
SITE PLAN W/PROPOSED STRUCTURE
A L
7
BRL
..................................................................................... ....................... ............
ADDITM
7'-9 mne
EA
ODIL
EXISTIhL-x I STORY RESIDENCE
Ill VECU"ROAD
SITE DEVELOPMENT PLAN 777 VECLINA ROAD
Legend:
Dumpster areas -
Material areas -
Toilet area -
Silt fence
Parking
PREPARED BY:
E A C T A
LANDSURVEYORS
d,
_,�erurqg alrot.1-lon a
PROPERTY ADDRESS: 777 VECUNA ROAD JACKSONVILLF-FLORIDA SLIRVEY NUMBER:FL1410.1908
FIELD WORK DATE:iw23/2mA REVISION DATE(S)-.(wv o ivmmw)
FL1410.1906
BOUNDARYSURVEY
DUVAL COUNTY
1/2'rIP m
TAEU. NO ID 6 0
LI 555*3T27'E 170.G5'(P) 1.3'ON 5 155'46'2()-E-50.3 1'(M)
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I hereby ft 8019*Sismy he�dawrbed ?V,,—_OWNZOtl'1,C
-ic Seach
City of Atlant
LICA
Building Department APP:TION NUMBER:]
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5)845
E-mail: building-dept@coab.us t ro 20
City web-site httv//www.coab.us [Doa e:outed:
APPLOCAT�ON REVIEW AND TRACKING FORM
Property Addres, _7d —
777
Vt 0 -4 4-' De ment review required Yes
Applic,ant: Buil ing
2 ning &Zonjin
Pro* i: Tre Administrator
Works
tilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
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
Othe
APPLICATION STATUS
Reviewing Depariment First Review. Wpproved.
Cir _omme 00enied.
(Circle one.) Comments:
0
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: []Approved as revised. nied- ——---------
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICIFS Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by: Date.-
aviscd 07/27/10
City of Atlantic Be ch ]R
a r- r
Building Departme ATION NUMBER
mi 7D APPLIC
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233
-544
Phone(904)247-5826 - Fax(904)247-5845
'j-'_ E-rnail- building-dept@coab.us Date r 20
uted:
City web-site: IttP://www coab.us n;q
APPLICATION REVIEW AND TRACKING FORM
Property Addresc;: 77 7 Vte&-AA_, '701 Q ment review required Yes No
Applicant: Building
anning &Zonin
Projec-j: Tree Administrator
4 A orks
tilities
Publ Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection Date
Florida Dept. of Transportation
St.Johns Riv r Water Management District
Army Corps of Engineers
Division of Ho
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Revie Approved. ODenied.
(Circle one.) Comments:
BUILDING E JE A77-Ac b
PLANNING &ZONING Reviewed by.-,�2'
TREE ADMIN_ Date:
Second Rev
PUBLIC WORKS Comments: iew: E]Approved as revised. OlDenied.
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
3vised 07/27/10
City of Atlantic Deach
Buildinq Defoartment RRE CEIVE b APPLICATION NUMBER
(To be assigned by the Building Department,)
800 Seminole Road
t
Atlantic Beach, Florida 32233-5445 MAR 2 8 2015
Phone(904) 247-5826 - Fax(904)24-,-5)845
E-mail: building-dept@coab.us Date routed: 0
Cityweb-site http1/wwwcoabA1S BY:
APPLOCAT�ON REVIEW AND TRACKING FORM
t"roperty Address: 777 VtN_44 A-' D Ment revie
Building -.w required- Yes No
Applirant: &77 anning &Zonin
Tree inistrator
Project: 7— 1 Works
tilities
Public Safety
IFFire FSewices
7
Review fee $ Dept Signature
Other Agency Review or Permit Required 0 Review or Receipt Date
Florida Dept. of Environmental Protection f Permit Ve ified By
Florida Dept of Transportation
St. Johns River Water Management District
Army Corps of Enginee�rs
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Deparimerilt First Review: EVApproved, ElDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by, Date:
TREE ADMIN.
Second Review: []Approved as revised. []Denied
LIC WOR S Comments:
al7e4
*PUBLIL(C UTILITIES
IC SAFETY Reviewed by.- Date-
FIRE SERVICES Third Review: DApproved as revised. []Denied.
Comments:
Reviewed by.- Date:
wisad 07/27/-10
of Atlantic Beach
CRY -7--]
APPLICATION NUMBER
Building Department (To be Essigned by the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax (904) 247-r;P4.9
E-mail: building-dept@coab.us t r
Cityweb-site littp://www.coab.LIS [EDae
APPLOCAMN REVIEW AND TRACKING FORM
Property Address: 777 Q ment review required Yes No
Building
Applic.ani: anning & 7onin
Tree Administrator
Works
_"O A
tilities��>
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
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. ;KDenied.
(Circle one.) Comments:
A+(wAtj
BUILDING
PLANNING &ZONING Reviewed by:'e<.'/ Date.
TREE ADMIN. r - . - j/
Second Review: XAPProved as revised. F
—]Denied
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Datte� 2�Z7
FIRE SERVICES Third Review: [-]Approved as revised. ElDenied.
Comments:
Reviewed by.- Date:
avised 07/27/-10
TREE & VEGETATION AFFIDAVIT
City of Atlantic Beach
Department of Community Development
Planning&Zoning Division APR 17
800 Seminole Road Atlantic Beach,FL 32233 PIE MIT#
(P)904 247-5800 (F)904 247-5845 B
SECTION I-APPLICANT INFORMATION F_ Owner(s) Fx- Legal Authorized Agent*
NAME OF APPLICANT JB McLeroy
NAME OF COMPANY Cayman Homes,Inc.
ADDRESS OF COMPANY 1653 Windward Ln.
PHONE (904)241-2436 CELL (904)536-0016 EMAIL cayman homes@bellsouth.net
CONTRACTOR CERTIFICATION NUMBER CBC1254738
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION 11-SITE INFORMATION
STREET ADDRESS OF PROPERTY 777 Vecuna Rd.Atlantic Beach,FL 32233
If an address has not been assigned to this property,contact theAB Building Departmentat(904)247-5826 to request an address.
LEGAL DESCRIPTION 31-1 17-2S-29E Royal Palms Unit 2A
9 14 SION 03122 ROYAL PALMS UNIT 021
LOT BLOCK SUBDIVI — a
REAL ESTATE NUMBER 171327-0000 LOT OR PARCEL SIZE: 7386 SQ FT AC
RESIDENTIAL X 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
regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed andlor removed
from the above-des Jbedorad' cent properties in conjunction with this project.
Sl NAT 0 OWNER SIGNATURE OF OWNER
Signed and sworn before me on this 1'� day of A�,� by State of FL
'I — County of L,vi-_
r 9 C�_^ C_ue r 0
Identification verified: "FbL
4theabove-de, ,11e r 0" centpropemesm,L0111-1-011
10
Sl 0 OWNER
% No
(.0-F" WTREBOR M.DEVENTER
Notary Public-State Of FINW8
"N,
my Comm.Expires MV 30.2"01 Notary Signature
.,Vdo commission#IFF 110MI My Commission expires: kkr 10, 20 18
SITE DEVELOPMENT PLAN - 777 VECLINA ROAD
777 VECUNA ROAD
ATLANTIC BEACH, FLORIDA 32233
CAYMAN HOMES, INC.
1653 WINDWARD LN.
NEPTUNE BEACH, FLORIDA 32266
0-904-241-2436
C-904-536-0016
JB MCLEROYQd�� ,
DATE jlq- 2-
SITE DEVELOPMENT PLAN - 777 VECUNA ROAD
SURVEY (with impervious surface calc)
PREPARED BY:
E X- ACTA
L LANDSURVEYORS
aff of Fforida
CPPROP7ERTY ADDRESS-777 VECUNA ROAD JACKSONVILLE,FLORIDA 32233 SURVEY NUMBER:FL1410.1908
FIELD WORK DATE:!OP-312014 REVISION DATE(S)-.(REV 0 lOrW20-4)
FLi4taigo8
BOUNDARYSURVEY
DUVAL COUNTY
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Chapb--r5.1-17o S Code. GRAPMC SCAU (In Feet)
11
I inch � 30' ft
MarkkJolffmn
Stato of FWW8 Rdm"Sg&nWW 8W WPM
LMWW NIL 6M
SITE DEVELOPMENT PLAN - 777 VECLINA ROAD
SITE PLAN W/PROPOSED STRUCTURE
T67
BRIL
.............................................................. ...................... ......................
jo ADDITION
7"-9 310d,
rom NOW.
ODiL
EXISTM I sl�ow
Tn%48CU"fWAD
SITE DEVELOPMENT PLAN 777 VECLINA ROAD
Legend:
Dumpster areas -
Material areas -
Toilet area -
Silt fence . ......
Parking
PREPARED BY:
E=-' '.ACTA
L A N D SURVEYORS
—Serving aff qf-Fforida
SURVEY NUMBER:FL1410-1908
PROPERTY ADDRESS*777 VECUNA ROAD JACKSONVILLE,FLORIDA 32233
FIELDWORK DATE:10123r2M4 REVISION DATE(S):otEvo 1w23M14)
FL141aigoa
BOUNDARYSURVff
DUVAL"ffff
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