380 19TH ST - FOUNDATION REPAIR A it "� CITY OF ATLANTIC BEACH
) 800 SEMINOLE ROAD
j P ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
14.t01119
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1667
Job Type: RESIDENTIAL ALTERATION
Description: FOUNDATION REPAIR
Estimated Value: $2,742.00
Issue Date: 7/20/2015
Expiration Date: 1/16/2016
PROPERTY ADDRESS:
Address: 380 19TH ST
RE Number: 172020-0834
PROPERTY OWNER:
Name: PETLEY, PHILIP L
Address: 380 19TH ST
GENERAL CONTRACTOR INFORMATION:
Name: RAM JACK
Address: 2075 S US HWY QA ERLEWINE A SCOTT
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $31.86
BUILDING PERMIT FEE $63.71
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.57
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND 711E FLORIDA
IUIII,DINC CODES.
D - 2100
'.,. . BUILDING PERMIT APPLICATION —6,. .
! r CITY OF ATLANTIC BEACH L JUL 13 FIl 800 Seminole Road,Atlantic Beach,FL 32233 II
Office(904)247-5826 Fax(904)247-5845 ;3 /�n p
Job Address: 380 19TH ST ATLANTIC BEACH FL 32233 Permit Number: /5-` /`77/11`— It-' 7
Legal Description37-40 08-2S-29E SELVA MARINA UNIT 10-C Parcel# 172020-0834
Floor Area of Sq.l t. Sq.ht
Valuation of Work S 2742.00 Proposed Work heated/cooled 500 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 sprinkler 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: FOUNDATION REPAIR
Property Owner Information:
Name:PHILIP PETLEY Address: 380 19TH ST
City ATLANTIC BEACH State FL Zip 32233 Phone 904-247-0565
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: RAM.TACK Qualifying Agent: SCOTT ERLEWINE
Address: 14403 N MAIN ST City JACKSONVILLE State FL Zip 32233
Office Phone 904-570-3651 Job Sitel Contact Number Fax# 803-337-3202
State Certification/Registration Of CGC1518926
Architect Name&Phone#
Engineer's Name&Phone# CARI mot #16921 863-667-2323
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplicatian it hereby nude 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 o a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit heroes in null
and told tf work is not commenced within.cis(6)months.or if construction or work is suspended ar abandoned for a te'riml of sir(6)months at any time after
work is commenced. l understand that separate permits mail he secured for Electrical Work,Plumbing,Signs.Wells.Pools.furnaces,Boilers.Hewers.
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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that/haw read and e.amincd this application and know the same to be true and correct. All provisions c f laws and ordinances goterniag this
type of wink will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of ant.other federal ate.or local law regulating construction or the performance of construction
Signature of Own, �/,— t�- - Signature of Contractor
Print Name `1.,t%. -/_.ham_ AT /�Print Name C [/ ek eii✓ ✓"r-
Swo�to and subscty d before me Sworn to and subsc;..'d • fore me
thi/s� f°Day of J V 20 this Day of ' _ / l 20 1
Notary Notary u t d 40
Revised 01.26.10
ALLEN CATOE vaunt
MY cOMM1sS10N il PP121448
%a d EXPIRES:M■ Oa."18 :rJ''w''"°C'e . ANGELA I BURDEN
n� •` 1 � i MY COMMISSION #FF096472
••'rfaF-..c" EXPIRES February 26,2018
(407)398-0153 FloridallotaryService.com
Doc # 2015152418, OR BK 17221 Page 1988, Number Pages: 1, Recorded
07/02/2015 at 02:06 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
P Cop I
OTICE OF COMMENCEMENT
Permit No. 1 g1 i t — 6 b 7 Tax Folio No. 172020-0834
Stale of Florida County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real propeny in accordance with
Chapter 713,Florida Statutes.the fidlowing information is provided in this Notice of Commencement.
I. Description of property Akita!description of property and address if available):
37-40 08-2S-29EySBLVA MRINA UNIT 10-C LOT 16 380 19TH ST ATLANTIC BEACH
2. General Description of improvements:FOUNDATION REPAIR
3. Omer Intonnation:
a)Name and Address: PHILIP PETLEY 380 19TH ATLANTIC BEACH FL 32233
h)Interest in property:
c)Name and address of simple titleholder(if other than owner):
4. Contractor d Add anon: RAM JACK 14403 N MAIN ST JACKSONVILLE FL 32218
a)Nance and rWdress:
b)Phone Number: .984-5, 8-1'
9.Q4-5751 — - -
5. Surety Information:
a)Name and Address: NA
h)Plume Number:
c)Amount of Bond:S 6. Leader huilmntion:
a)Name and Address:___NA
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(I)(a)7,Florida Statutes:
a)Name and Address: NA
h)Phone Numbers of Designated Person:_-- — _-
F. In addition to himself%her..clt;Owner designates NA of to receive a
copy oldie Lienor's Notice as provided in Section 713.13(I)(h),Florida Statutes.
a)Name and Address: NA _
h)Phone Number of person or entity designated by owner:
e). Expiration date of Notice ol'Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(I)year front the date ol'recording unless a different date is
specified: NA ---------
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,D'ART I,
SECTION 7.1:.I t, FLORIDA S'T'ATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS 'f0 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE SITE BEFORE TIIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated
there' are true to the best d 'my knowledge and belief. —gate I. •-,5- 1A/
Signa ore of On er or Owner's Authori-cd Ofticeril)irecttwiPannerManager Signatory's Printed Name 8 Title Office
The toregoing instrument was acknowledged before me this 62 NW day of U6L// '
.201 .
by.l• �E'(LOsf as OLLI - for OWNar
(VoteofPcrsonl f ("I%p.titAuthcorit).1.c.OfliccrAttantcy) IN.axof Party Inurumcnt ExecutcStor)
��j E • `� .
ALI f•x1 r`TOE WHITS NOT;\RIESTAT OF FLORIDA
my c m 8� Print Name: A� ) . wkl ?r M7
❑Personally Known,
Fdentific:tiou l'ype: (�•( _•
(Alti.1W.K)k.11•\ts•r;
Revised 3/15;12
(f . City of Atlantic Beach Building Department APPLICATION NUMBER
9 p (To be assigned by the Building Department.)
,: 'f` Atlantic tic Seminole Road hr.-
/�-�/ 2-� 7
•
Atlantic Beach, Florida 32233-5445
/
V . Phone(904) 247-5826 Fax(904)247-5845
,,,t,, ��i• E-mail: building-dept @coab.us Date routed: 7 /3//s---
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: c3v v /977e
l'i / nt review required Ye No
Buildi
Applicant: 7/9-r-Y1 1 C 4. anning&Zoning
Tree Administrator
Project: ak"r)oil,ile)i ,safe Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review Receipt Date
of Permit or 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: RApproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: 41` Dater-f 6-/r—
TREE ADMIN. Second Review:
['Approved as revised. ❑ enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
Cool and Cobb Engineering Company
Date: 07/06/15
Job: Philip Petley
Location: 380 19th Street
Atlantic Beach, FL 32233
PILING DESIGN ANALYSIS
The load requirements for the pilings designed to assist in supporting the identified areas of the
subject residence were determined.The selected piling locations and the specific piling are identified
on the Pier Identification and Location Plan attached.The calculated total loads on the piles in the
specific location, including both dead and live loads are documented in the attached table which is
designated as Attachment"A". Based on the total load requirements for each of these piles,the 5 k
driver is to be employed.The 5 k torque driver should be employed with a selected gauge pressure of
1,000 psi,which will provide pile capacity, including the 2 to 1 safety factor of 15,283 lbs.
which is greater than the maximum calculated total load of 7,200 lbs. which occurs on the pile
identified as no. D-1 . Based on this analysis,the use of the 5 k torque driver for the Ram Jack piles
with a specific gauge pressure of 1,000 psi and a minimum depth of 15' is approved and certified
as meeting all of the requirements of the Florida Building Code 2014 5th Addition, and good
engineering practice.This is not to be the primary support structure, but a supplement support to
assist in support of the weight of the structure,which will reduce the total pressure on the existing
soils. After completion of installation,Cool and Cobb Engineering Company shall be supplied with a
drilling log of the location and depths of each pile installed so they can evaluate the installation and
prepare t. e"As it" drawings.
07/06/15
Carl Cool, P.E.
State of Florida
Professional Engineer No. 16921
7 COT/
j
REVIEWED FOR CODE COMPLIANCE 203 W. Main St.
CITY OF ATLANTIC BEACH Avon Park, FL 33825
SEE PERMITS FOR ADDITIONAL CA No. 29713
REQUIREMENTS AND CONDITIONS Office: (863) 657-2323
/1n "7-h.,,/S Fax: (863)657-2324
REVIEWED BY:, / i 1 DATE:
f
_ D-1 THRU D-2 2-7/8"0 HELICAL PILE W/
STANDARD FOUNDATION BRACKETS
IfiA))
- SINGLE STORY
- WOOD SIDING
- SLAB
- RESIDENTIAL STRUCTURE
PHILIP
RAMJAC1(
PETLEY
380 19th STREET
ATLANTIC BEACH, FL. 32233
* NOT A FULL EVALUATION
ONLY AREA OF CONCERN.
® GARAGE
O WELL PUMP
N
BRICK PAVERS
D-2
i0
Di1
� •
21 -0w Cool & Cobb Engineering Co
203 West Main Street
Avon 33825
CA No.. 29713
29713 3
PE No. 16921
0106/15
r
Cool and Cobb Engineering Company
Date: 7/6/2015
Job: Philip Pettey
Location: 380 19th Street
Atlandtic Beach,FL 32233
Attachment"A"
Total Load on Pile (Live Load+Dead Load)
PILE NO. TOTAL CALCULATE LOAD
D-1 7,200 lbs
D-2 7,200 lbs
Maximum Total Load on Pile : 3,600 lbs
Cool and Cobb Engineering Co.
7/6/2015 203 W.Main St.
Carl E.Cool,P.E. Avon Park,FL 33825
PE# 16921 CA#29713
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' " 203 West Main Street
Avon Park, FL 33825
Carl E. Cool, P.E. CA No. 29713
I07/06/15 PE No. 16921
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Cool and Cobb Engineering Co.
203 West Main Street
Avon Park, FL 33825
Carl E.Cool, P.E. CA No. 29713
07/06/15 PE No. 16921