96 ARDELLA RD - NEW HOME PERMIT ':A � CITY OF ATLANTIC BEACH
ss.41 • 's 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
rt INSPECTION PHONE LINE 247-5814
DUPLEX 2 FAMILY DWELLING
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DPLX-1513
Job Type: TWO FAMILY RESIDENCE
Description: NEW DUPLEX 2894 SQ FT
Estimated Value: $200,000.00
Issue Date: 7/27/2015
Expiration Date: 1/23/2016
PROPERTY ADDRESS:
Address: 96 ARDELLA RD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
Phone: 904-686-4818
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $390.00
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $780.00
STATE DCA SURCHARGE $11.70
SEWER SDC-SYSTEM DEV CHG $4,050.00
STATE DBPR SURCHARGE $11.70
gcos(qotfve-frtiAt:rt,tmi81:kNcEsttxy ox3,1. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
CITY OF ATLANTIC BEACH
` ' 1 800 SEMINOLE ROAD
7:'
fl ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\J;319�
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
Total Payments: $7,383.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, ('I7'Y OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING('ODES.
�y A�� ffice (904) 247-5826 Fax (904) 247-5845
Job Address — . CNolt'� UNti-- h%c mi Jtc ') Permit Number: /•5 —/JPL x -/5-73
•
Legal Description Parcel#
/� Floor Area of Sq.Ft. q. t
Valuation of Work$ 9,OdiO Qd. Proposed Work heated/cooled Z9'-t- non-heated/co 1 t: . $
Class of Work(circle one): - Addition Alteration Repair Move Demo ttion pool/spa w'ndo /. ∎or
Use of existing/proposed structures) (circle one): Commercial ,3 vi
If an existing structure,is a fire sprinkler s stem installed? (Circle one): Yes No Warr-
Florida
Product Approval# -ee. Y oclaX'\'1' SI,.e.�C' �
For multiple products use product approval form
By I
Describe in detail the type of work to be performed: /(1Q.t v --Duf t•elc
Property Owner Information: FILE COPY
Name: 'DO�N- ��i L L C_ Address: .Jcj I t 5- t
City :Jl�.►'�' R'�tSL' State '(..Zip Z Phone ' O t(-3461 - ?.,go 3
E-Mail or Fax#(Optional) n',a)Jit:• QM ee2 . . Cow
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 4.-i 'c evi,11 t'"- tz •$ Rear-4.,6
:To,-
ualifying Agent: �cM,>o6 •� Ke.lteY
Address: x304 Rovit 7 T City 4Gj ttAt State /G/ Zip 3.7, 4q-
Office Phone ?o '6-'Li el? Job Site/Contact Number Fax#
State Certification/Registration# Cie. ra.C d L1 2 4'
Architect Name&Phone#
Engineer's Name&Phone# d t , P i . ', w b - .,G-• C.1
Fee Simple Title Holder Name and Addres- 'rn p! ov✓,v-e1 A vU-e-
Bonding Company Name and Address it.
Mortgage Lender Name and Address MA
Application is hereby 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 of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any tine after
work is commenced. I understand that separate permits must be secured for Electrical ;York,Plumbing,Signs, Wells, Pools, Furnaces, 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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certity that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work 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 any other federal,state, or local law re: dating construction or the performance of construction.
Signature of Owner i L _ Signature of Contractor
Ai / Zi-,/
--
Print Name (4? l*3"' Print Name °-� 1‹ _ (CJ to
Bef r Bef�r= ).�
this 4--'130-ay� of y�U1i�C� ,2C1 this , Day of V 1/4-VIRJ ,20 6
Iii t An LAJ �r:1____m A ___
Notar)IF lic 1 No.. '11 ublic ,
Revised 01.26.10
JENNIFER WALKER ''y JENNIFER WALKER
"?' ' MY COMMISSION#FF 011480 sa .. MY COMMISSION M FF 011480
:.; r � •... ''j `i EXPIRES:April 24,2017
Al per• �''Oi
t EXPIRES:April 24,2017 =. ;►.•
i1: Boned EXPIRES:
Notary Public,2017ders ?p X� '. Bonded Thru Notary PubNCUndenrrters
vti; t,.
■
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review sult (circle one):
Approve Disapproved Approved w/ Conditions
Review Initials/Date: 7- ! s - 1 5- 41 !/
Development Size �J
Habitable Space Pt?7 5r Non-Habitable `f o-S- F-. = Per 'f" '.4-
Impervious area
Miscellaneous Information
Occupancy Group 2^3
Type of Construction "t/3
Number of Stories Z
Zoning District g S- 2
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone /t/1-
Conditions/Comments:
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` � CITY OF ATLANTIC BEACH
- - ? PUBLIC UTILITIES
1200 Sandpiper Lane
PP
�vJfi�� ATLANTIC BEACH,FL 32233
\
(904) 270-2535 or(904)247-5874
NEW WATER/SEWER TAP REQUEST
Date: (p-29-/,5---- Project Address: ?4 4€6 Ems}- 4240 Ci IL) it 4Z
No. of Units: / Commercial Residential ✓ Multi-Family
New Water Ta
P(s)&Meter(s) Meter Size(s) 344
New Irrigation Meter Upgrade Existing Meter from to /(size)
New Reclaimed Water Meter Size New Connection to City Sewer ✓
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# IS-DPL X- /573
Water System Development Charge $ I /'/O, co
Sewer System Development Charge $ 0 S7). UO
Water Meter Only $
Reclaimed Meter Only $
Water Meter Tap $ On Oj) (notes)
Sewer Tap $
Cross Connection $ „'O, OD
Other $
TOTAL $ Oj
APPROVED: Kavle Moore,PE ?L'11"•-
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
,�" CITY OF ATLANTIC BEACH
�' = -;-.4 PUBLIC UTILITIES
v
1200 Sandpiper Lane
Js3��r ATLANTIC BEACH,FL 32233
(904) 270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 6 -29 15 Project Address: 96 Ae?F-- ,9- ciA//T 41 /
No. of Units: / Commercial Residential V Multi-Family
New Water Tap(s)&Meter(s) V Meter Size(s) //
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaimed Water Meter Size New Connection to City Sewer 1
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# /5- D?L.X—/573
Water System Development Charge $ / 0, Q
Sewer System Development Charge $ ,Oc . U()
Water Meter Only $
Reclaimed Meter Only $
Water Meter Tap $ (notes)
Sewer Tap $
Cross Connection $ Sj, a0
Other $
TOTAL $(p, O VD.op
APPROVED: Kayle Moore,PE K''v■
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
,;-c.:__::,/,; City of Atlantic Beach
i- � } Building Atlantic Beach
aa>�` APPLICATION NUMBER
tAj is
800 Seminole Road A�`�� IVFiD (To be ass ned b the Building Departm nt.
r) ;-'',' Atlantic Beach, Florida 32233-544 JUN 2 5 2015 '
-11
,, Phone(904)247-5826 • Fax(904)247-5845
"<<�yriii/ E-mail: building-dept @coab.us l
City web-site: http://www.coab.us i_ - Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ci lo Altp06 LLA De.artment review required Yes —
d�Buil• i.
— _ es No
Applicant: CUSTOM
� Planning &Zonin.
N 4tN bIA _
� �/ Tree Adminis rator
Project: J� ------ _
-_ain. • Wor
4 Public Utili'es
'u• ic aey
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt —
_of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
a
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: f Approved.
(Circle one.) Comments:
❑Denied.
BUILDING CI 0 64.E
PLANNING&ZONING - /��
Reviewed by: ._� Date: 6 14 /S/
TREE ADMIN
Second Review: nApproved as revised. Denied.
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
, r1 ..:'.._r,. City of Atlantic Beach
°'``'' ' APPLICATION NUMBER
i \ � Building Department
ice !� 800 Seminole Road (To be ass'•ned b the Building Departm nt)
' Atlantic Beach, Florida 32233-5445 I
. / Phone(904)247-5826 • Fax(904)247-5845
?.;_;;�tii E-mail: building-dept @coab.us
(19 IM
City web site http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ciu LLA De artment review required Yes No
Buil
Applicant: £L..JIE, CUSTOM — —
Planning &Zonin.
Project: N�w OWL-EX Tree Administrator
_ � Worl
Public Utili es
ublic Sate
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt --- i—
_of Permit Verified_ By 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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING ,/
Reviewed by: !/ -•-•'""— Date: 7/old
TREE ADMIN. --_-
Second Review: Approved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
-- -__ — Date:
FIRE SERVICES Third Review: nApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
1
•% .9-r. City of Atlantic Beach
" APPLICATION NUMBER
�� �\ Building Department
`` 800 Seminole Road (To be ass' ned b the Building Departm nt.
J` r' Atlantic Beach, Florida 32233-5445 • �' '
Phone(904) 247-5826 • Fax(904)247-5845
.';,,' E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM •
Property Address: CI Aitoe L ti.A De artment review required Yes No
Buil
Applicant: 51.OM Planning &Zonin
Tree Adminis ra or
N Project: 4.W Ibux . Worl
Public Utili es
ublic Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By 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:
,, _ APPLI TION STATUS
Reviewing Department First Review: pproved. ❑Denied.
Reviewed by: ��
rii (Circle one.) Comments:
BUILDING NO PLANNING&ZONING , 1 ny/5-7Y"/5-7Y"Date:
TREE ADMIN. Second Review:
['Approved as revised. nDe 'ed.
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
,- :il w'. • City of Atlantic Beach .� ��TT
f'} "'`s+Building Department APPLICATION NUMBER
I^ )� 800 Seminole Road
JUN 2 Z015 (To be assi•ned b the Building Departm nt.
4 Atlantic Beach, Florida 32233-5 5
Phone(904) 247-5826 • Fax(9 024.7-5845__ -: _ _-
'''?:,_ai>:-/ E-mail: building-dept @coab.us
City web-site: http://www.coab.us Date pouted:
APPLICATION REVIEW AND TRACKING FORM
Property Address: Cjt mO, LLA — Department review require d Y iVo
es
Buil. ••
Applicant: £L.1IE, C.L451"Ot' 4 — Planning &Zonin --
4 blAPLEX Tree Administrator
Project: - — --- f"--. -Wor
Public Utili es
•ublic Sa e y — —
Fire Services —
Review fee $ C o Dept Signature xI".N
i
Other Agency Review or Permit Required Review or Receipt —
of Permit V erified By 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.
(Circle one.) Comments:
❑Denied.
BUILDING
-
PLANNING 8,ZONING i.,/ v`_ Date: 7/1 fir
Reviewed by:
TREE ADMIN.
Second Review: LApproved as revised. nDenied.
BLIC IN RKS Comments:
PUB I UTI ITI S
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: ]Approved as revised. nDenied.
Comments:
— — " Reviewed by: Date:
1 Revised 07/27/10
1