363 4TH ST - PUBLIC WORKS •
rsrirTr111 City of Atlantic Beach ( `______
of fr �� Building Department �jT T��—
APPLICATION NUMBER
- ■ 800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445 JUN
Phone(904)247-5826 Fax 1 9 ?�1� r.' - /92
(9l1 St47-5845
R-�/r yr E-mail: building-dept @coab.us Date routed: /
City web-site: http://www.coab.us �/5-
APPLICATION REVIEW AND TRACKING FORM
C
Property Address: �/3 17.7t ( /
�1 /f� / ��:,1;..;ment review required Yes No
Applicant: �cT(g Plan,".. &Z.
Trei• inistrator Project: GIO S-7/70
'OW rublic Works __
PrrUblic Utilities _
/'}') •
u. is Safety __
Fire Services _=
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
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. ,,----��//
L�Denied.
(Circle one.) Comments:
BUILDING ��e_ Al,e4"1 -31 C•'"'`''E'''i5
PLANNING&ZONING
Reviewed by: „Zr.--27e.: Date: 23 ,,/
TREE ADMIN. ___ a.m.
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
T'_7T CITY OF ATLANTIC BEACH
DEPARTMENT OF PUBLIC WORKS
J :+;, 1200 Sandpiper Lane
Atlantic Beach.FL 32233-4318
A r.' TELEPHONE:(904)247-5834
U - FAX:(904)247-5843
www.coab.us
r �N
•Ji3
CONTRACTOR: DATE: 6-23-2015
Dig Architecture,LLC PERMIT# 15-SFR-1421
13500 Sutton Park Drive South ADDRESS: 363 4th Street
Jacksonville,FL 32224 Atlantic Beach,FL 32233
FAX:904-223-7054
PERMIT APPLICATION FOR A NEW FAMILY RESIDENCE
Your permit application has been denied by the Public Works Department for the reasons listed below. Please submit this information
at your earliest convenience in order that we may approve your application. If you have any questions,please contact Doug Layton,
Public Works Director at 904-247-5834 or email dlayton @coab.us.
PUBLIC WORKS CORRECTION ITEMS:
(Submit the following information to the Public Works Department)
**Provide drainage plans showing site topography(flow arrows,etc.)
**Provide impervious surface calculations for entire lot(existing and post construction). Also need dimensions and
elevations to allow a check of impervious calculations and storage volume.
** A Revocable Encroachment Permit must be obtained.
** Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land Surveyor,showing 1'
contours.
**Provide catalog information of grass block proposed for driveway.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments will be printed on your permit as Conditions of Approval)
** 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.
**All runoff must remain on-site during construction.
**If on-site storage is required,a post construction topographic survey documenting proper construction will be required.
**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.
cc: Jennifer Walker,Bldg. Dept.