1630 AB DR. City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Departymen�]t.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 MAR 7
_01
Phone(904)247-5826 - Fax(904) 47-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: DepartMent review required Yes No
r-lo.')I uil ,
Applicant: V[1- Id 4E lanninq &Zon]
dministrator
Project:
tcZILIC Utili�Ies ���--
Public Safety
Fire Services
Review fee $ Dept Signature
ent review required
i istrator
SA tdm n
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
C
FFloridaDept. 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 Z
Reviewing Department First Review: [JApproved. VDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:
TREE ADMIN.
is
Second Review: DApproved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE�ERVICES Third Review: DApproved as revised. []Denied.
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 Jjr 73.6"_
Job Address: A�A"-No_ Paach br, 2)�)Q-SA Permit Number:
Legal Description LPI-5D Q%-D3-QciE A13CC Wlikli Of LOT 1151'3- Parcel# __1-0049 1
F loor Area of SS q.F t. q*
Valuatioln of Work$ '7X' DO t-)C6 Proposed Work heated/cooled !h ated/cooled SJq
Class of Work(circle one): (14�)'* Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial s�ie I
If an exist ng structure,is a fire sprinkler system installed? (Circle one): Yes No IcUk
Florida Pr)duct A proval #
For multiple prosucts use product approval form
Describe n detail the type of work to be performed: N CLU) CCLJSAA\-KQA�(� - Vr_
Property Qwner Information:
Name: RJ OCMQ,� C)� N, _fl_ - Address: IQQ-7LP SOU\) _�� RIM La 100
city It e State-ELZip 3 Phone qJ -A ,50'2�,--70'55
E-Mail or Fax# (Optional) CkCk 4-4 4p-"P y-r, , 6i) rmA r,v!z csiciay-inme-r, an
Contractor Information:
Company*q ame: RSVc-'r 1i Kie- "xf\Q S of N rL Qualifying Agent: Ma±±h�p_� Robe-r4 S
Address:- '�Sa M D city -State Zip
Office Phone Q�� Job Site/Contact Number Fax#
State Ceiriti ication/Registration# C-6C I DS 4 1 2SS
Architect T4ame& Phone#-har—a- CzVJ )0_SiLA1VC46 _10;), Jet �4 2"Doa
Engineer's Name& Phone# A"�L A-145 pq�lr_, cl :pt '-_�DaQ4
Fee Simple Title Holder Name ai�id
Address
Bonding Company Name and
Address
Mortgage I ender Name and Address
,4pplication is 7erepy 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 ofa
permit and the r all work will be perfqrmed to meet the standards of all laws regulatin construction in this jurisdiction. This permit becomes null and void if,work is not
commenced wi hin six months,or if construction or work is suspended or abandoned or a period 9f si months at any time after work is commenced I understand that
separate perm,'s must Osecuredfor Electrical Work,Plumbing,Signs, Wells,Pools,Filrnaces,Boilirs,Velers, Tanks and Air Conditioners,etc.
WARNIN"3 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR P YING TWICE ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
,S
FINAN G COT SU YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
P I
NC
COMME CKMENT.
4
I hereby certi that I have re an min his It ation and knoijithe same to be true and correct. Allprovisions of laws and ordinances governing this ye of work will
i
be conipl�ied w th whether cifi^i h ein at. e antin of a Pe t does not presume a give authority to violate or concel the Provisions of any otherfe erai,state,or
local/6w regulating const ch r ep man e o onst c oollvr
.............11100
Signature,)f Owne Signature of Contractor: -4�".,
Print Narnck',V Tv -)CA-. +A ome S. Print Name:(19n_+4 he-u-) f2bberJ,,,-k4e_rstrAq_ :U=q-
SW d s bscribeA be or5jipe SWO d subscr' ore me,
Y I(I rc4n 2015 aj�,I_ 20
this ay f I
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'J�Pmy Pu ic u ic
,Qk� Notary Public State of Florida
09' 0& AmberAfteberry
Y Amber Affeberry My Commission ES 860279
0 Notary Public State of Florida
MY Commission EE 850279
Expires 11108/2016
'-,i 11.0 Expires 11/08/2016
D
.A &A-A
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: Application Permit#:
Project Name/Aciclress:Z'��
Check Box to
Application Tracking Comments Select
CSK 0 including location of clumpster and portable toilet. Right- 0
ay for construction parking.
low
:1 DP C"��Ky" iphy(flow arrows, etc.) 11
with installation details.
E
=j;� 6�;-_ 70�
Regulations requires on-site storage for increased run-off if
L Provide Delta volume calculations and on-site retention
ied information sheet.)
i Public Works Director to discuss proposed construction.
REPM 1A Revocable Lncrua� ..... 3e obtained.
RMRO �11 runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff.
RWPM A Right-of-Way Permit must be obtained for use
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land
Surveyor, showing 1' contours.
ICONDITIONS OF APPROVAL TO PRINT ON PERMIT:
11 concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of pavement to the
DAPR property line. Reinforcing rods or mesh are not allowed in the right-of-way. (Commercial driveways-
thick.)
Full erosion control measures must be installed and approved prior to beginning any earth disturbing
ECIN ctivities. Contact Public Works 247-5834) for Erosion and Sediment Control Inspection prior to start
f construction. C L) I it-F t
4N.I t__7_
OSRO �11 AWGff must remain on-site during construction.
PCTS if on-site storage is required, a post construction topographic survey clocumen;�ing proper construction
11will be required.
PLWP 0ool-Wellpoint(if used) must discharge into vegetated area 10' minimum from street or drainage
eature (swale, structure or lagoon). A separate pool permit is required.
ROFF �oll off container company must be on City approved list and container cannot be placed on City right-
f-way. (Approved: Advanced Disposal, Realco Recycling, Republic Services, Shappel's and Waste Pro).
RWRS Full right-of-way restoration, including sod, is required.
URCT Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10
feet in each direction from the center of the cut. Repair must be shown on the plans.
SITE PLAN
LOT 155 AS SHOWN ON PLAT OF
ATLANTIC BEACH COUNTRY CLUB UNIT 1
S RECORDED IN PLAT BOOK 67, PAGES 52-54 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL.
SOD BREAKDOWN
TOTAL LOT AREA 5,400-Sq.Ft.
GRAPHIC SCALE a JW TO CURB 1.21�Sq. Ft. PLAT LINE
"N"
a Ft
S F t
q
30 0 15 30 GROSS SOD AREA 6.6 5 Sq. Ft.I
QFOUC DNS
6w FOUNDATION SLAB 2.417 Sq. Ft.
DRIVEWAY Ybd�q.Ft.
&STEPS 41 13 1.
LEAD WALK
SIDEWALK AREA 325 Sq.Ft.
&v_
IN FEET A/C PAE,k�)
I incli 30 ft. SERVICE DOOR SLAB 90 Sc.Ft.
ROADWAY 922 Sq. Ft�
4 Iq
1)AREA 2�5bl Ft.
HLL-U
20.83'
'20.83"
b,3 D
8.5 7.8 �A
LINE: TABLE
UNE DIRECTION LENGTH
LI(P) S14*27'25"E at
9MOO ocoss,
L2(P) S75*32'35'W 60.00
L3(P) S14W'25"E 9000
-Lot"
L4(P) S75*32'35"W 6(100 5.0V\ .5 n
;ROUS COVERAGE S
;111;PPEL111 ERAGE 10 yt
�s CO
\,.S So
_S_ F COT Ft, 9 C9_2
Lt. 67%
,.S S, 'L kkA l
5.00'
DENOTES CHEMICAL TOILET 5.00
EDDENOTES PROPOSED CONCRETE
EMDENOTES PROPOSED PAVERS . ................. 8.1
5.00' t. ...............
BOC - DENOTES BACK OF CURB 10.00,
ECIP - DENOTES EDGE OF PAVEMENT EVCE
- DENOTES FUTURE 4" TREE 10.00,
- DENOTES DRAINAGE MANHOLE 8.7 0.
DENOTES WOOD DECKING �,o IV 156
GSb - DENOTES GARAGE SERVICE DOOR SLAB
GENERAL NOIE
1.BEARII S ARE BASED ON THE ENTERUNE OF ATLANTIC BEACH DRIVE AS BEING S14-27'25*E.
2.ELF DNS SHOWN HEREON ARE BASED ON NAMD 1988. -AS DEPICTED ON ME FLOOD INSURANCE RATE MAP(F.I.R.M.)COMMUNITY
3.THE L INDS SHOV44 HEREON UE WTHIN FLOOD ZONE'X&X(SHADED) CALED OFF OF ME F.E.M.A.F.I.R.M.
NUMBER 20075.PANEL NUMBER 0408H,DATED.XNE 3.2013,THE FLOOD ZONES SHOWN ON THIS SITE PLAN ARE S
TION'S ON THIS SITE PLAN ARE VALID ONLY FOR DATE$UP TO AND
M APS M)ARE FOR REFERENCE ONLY THE F.I.R...INFORMATION AND DELINEA M ON.
I
INCLUDIN i THE DATE OF THIS SITE PLAN.THERE MAY HAVE BEEN SUBSEQUENT REVISIONS AFTER THIS DATE MAT WILL SUPERSEDE SAID INFOR ATI
INOl SHOULD BE MADE TO THE COMMUNITY'S FLOOD PLANE MANAGEMENT REPOSITORY.DEPARTMENT OF PUBLIC WORKS.CITY OF ATLANTIC BEACH�
4 FLOOI MAPS REFERENCED HEREON ARE BASED ON NAVD 198& , THE SCOPE OF THIS SITE PLAN.
5.NO Ul DERGROUND FOUNDATIONS OR UTILITIES&NO IMPROVEMENTS,OTHER THAN THOSE SHOWN WERE LOCATED UNI)ER
6�ADDI T)NS.DELETIONS AND/OR My Wl TEN INFORMARON ADDED TO THIS MAP AND/OR REPORT IS PROHIBITED AND IS NOT AUTHORIZED BY THE
SIGNING ;URVEYOR.
7 THIS AP S INTENDED TO BE VIEWED AT A SCALE OF 1'=36 OR SMALLER.
'R S&I PATIOS DEPICTED AS EXTENDING INTO THE BUILDING RESTRICTION UMITS MUST REMAIN UNCOVERED&NOT ENCLOSED.
ENTRII D DS E TO REMAIN NATURA"VEGETA7VE,AND UNDISTURBED.
UPL SUFFERS ADJACENT TO WETLAN AS
10 DIME SIONS ARE IN FEET AND DECIMAL PARTS THEREOF. FREEDOM OF ENCUMBRANCES.
11 THIS I TE PLAN IS ONLY FOR THE LANDS AS DESCRIBED.IT IS NOT A CERTIFICATE OF TITLE,ZONING,EASEMENTS 0�
S
12.THIS 'ITE PLAN WAS NOT INTENDED TO DELINEATE OR DEFINE MY WETLANDS,ENVIRONMENTALLY SENSITIVE H AREAS,,,WILDLIFE HABITATS OR
XRISDIC C-AL UNES OF ANY FEDERAL,STATE.REC40NAL OR LOCAL AGENCY,BOARD,AND COMMISSION OR Of ER EN TY AND ANY LIABILITY RESULTING
YHEREFR IS NOT E RESPOtSISELTY OF THE UNDERSIGNEM
lISOO IS A , ANDES ARE IDENTICAL NTH PLAT VALUES. -SETBACKS'
1 UN S A COM41 MEASURED BEARINGS AND DIST RONT-20 FEET FROM FACE OF GARAGE To BACK OF RIGHT OF WAY AND
MATION AS PROVIDED BY THE C IENT, F
4 THIS SITE PLAN ASED ON INFOR PROPERTY LINES. ALL BUILDING TES ARE SHOWN 15 FEET FROM BUILDING FACE OR PORCH TO SACK OF RIGHT OF WAY.
SI IS 8
1 0
Buill INC;AND IMPR V[E,,IINTS,IF ANY.AS DEPICTED HEREON ARE PERPENDICULAR TO THE PARCEL
TO ME OUNDAIION� EXCEPT CORNER/DOUBLE-FRONTAGE LOTS,FOR WHICH ME NON-ADDRESS
THIS IS N T A BOUNDARY SURVEY� FRONT/SIDE MINIMUM YARD SHALL BE 10 FEET FROM GARAGE OR BUILDING
Is 0 S 0
,C
PUB.SIDEWALKS DEPICTED H REON ARE BASED ON ME CONSTRUCTION PLANS, THEY ARE SHOYM FOR INFORMATIONAL PURPO ES ONLY AND ARE FACE T BACK OF RIGHT OF WAY.
NOT TO )E RELIED UPON FOR C FOR CORRECT LOCATION AND/Oft DIMENSONS REFER TO THE MOST CURIENT SET OF CONSTRUCTON
ONSTRUCT ON,A EE T CURRENT D VAL COD TY AND
ION "UM.M U
PLANS. THERE IS A MAXIMUM 2Z SLOPE ON UL SOEWAUK&ALL SIDEWALK AND FLATWORK SHALL.AT A MIN SE 'N RIVEWAY APRON
ADA STfi 4DARDS.CROSS SLOPES SHALL BE NO MORE THAN 2X ME PORTION OF THE SIDEWALK W[CH TRANSVER S I OUGH ME D
-S.ET0 SHALL-NOT P'INSTALLED WTHIN THE SDEWALK.
SHALL A-SO MEE T THIS REQUIRE�ENT.ALSO,PLEASE NOTE THAT UTIUTIES(METER BOXES.VALVE
18 A C PADS MUST MAINTAIN 2 AWAY FROM ANY PROPERTY LINE AN CAN NOT ENCROACH INTO A C DRAINAGE EASEM[FIT DUE TO DRAINAGE PURPOSES.
I T DIMENSIONS
191 DAX 4AGE STRUCTURES DEPICTED MAY VARY IN SIZE. REFER TO ENGINEERING PLANS FOR CORRE
REVISON A�REVISED STE PLAN-UPDATE HOUSE(3/25/15)(SLL/OBG) CERTJ[FIED TO:RIVERSIDE HOMES
PREPARED FOR:RIVERSIDE HOMES
Mail
BARTI�AM TRAIL SURVEYING, INC.
LAND SURrzyoRS - PLANNERS - LAND DEVELOPMENT CONSULTANTS
15ol coUNTY ROAD 315 SUITE NO. 108 (904) 284-2224
COVE SPRINGS, FL 32043 FAX (904) 284-2258
GRF11N
PLO= CERTIFICATE OF AUTHORIZATION LB #6991
COPYRIGHT Q 2014
NOTATION: I F.I.A.M.FLOOD ZONE X(N/A)&
X(SHADED)
"I HEREBY CERTIFY. that this survey graphically ep�'111 Th.,,Yly,hler without benefit of abstract or W/ELEVATION:
the results of a field survey mode under my respor" se ch , it s on " PANEL NO.:
..0 .(are the undersigned and B.rt,.,
t t e,jIficationS regarding information
direction and complies with he latest Standards c Troll Surveying make no C 120075 G408H 6/3/13
Pr.Cticeffor Surveys as promulgated by the Florida State shown or not shown hereon Pertaining to easements,claims
-of-way, setback lines,overlaps,
Board 0 ProfessionCT SUreyOrs and Mappers, Chcpt�r of easements, Rights FB/PG: N/A
OR 5
J-17 F.A.C.; Pursuant to section 472.027, Florida Boundcry Line disp�es,agreements.reservations or other
s s H may appear in the abstract. or search
tatue, subject to all notes and notations shown h,r similar rri whic
=-I IM DATE: SCALE:
N/A NLA This survey is prepared and certified for the exclusive use of 11/21/14 30'
Etc t e client rom ed hereon and
o.-,tr LILY SIC, .D the.survey mop and report of
FIELD WORK COMPLETED MAP ORIGINA In.Copies thereof or.hot VcF!d ithout the signature and PROI�CT NO REVII�ON:
`z s sed surveyor and A
A :=, th original raised seal of a lorco licen 049
N/A
RAYMOND PAUL SUTHERLAND, P.S.M. SHEET I OF I
STATE OF FLORIDA LICENSE NUMBER LS t�,�77 DRAWN BY�. ME13 CHECKED BY: RPS