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765 SABALO DR - ADDITION s ar) CITY OF ATLANTIC BEACH A . 800 SEMINOLE ROAD j P� X ATLANTIC BEACH, FL 32233 C INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RADD-1397 Job Type: RESIDENTIAL ADDITION Description: summer kitchen w/ pavers and pergola Estimated Value: $16,000.00 Issue Date: 7/29/2015 Expiration Date: 1/25/2016 PROPERTY ADDRESS: Address: 765 SABALO DR RE Number: 171303-0000 PROPERTY OWNER: Name: WYLIE, MICHAEL Address: 765 SABALO RD 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 $65.00 BUILDING PERMIT FEE $130.00 STATE DCA SURCHARGE $2.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA BUILDING CODES. S4 CITY OF ATLANTIC BEACH �n s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Ji31)r� STATE DBPR SURCHARGE $2.00 Total Payments: $199.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH All. (:1'I'Y OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH • M E l'1 -, RE 800 Seminole Road, Atlantic Beach, FL 32233', -- . . Office (904) 247-5826 Fax (904) 247-5845 JU 1 P �me CifN Job Address: ?IBS bc�l 0 1�rtVe Permit Nu IBy . Legal Description ;� � wo Floor Area of Sq.Ft. Parcel # Ft Valuation of Work$ Uol an _ Proposed Work heated/cooled i __�___�.•_�__ non-heated/cooled 509 51'1 Class of Work(circle one): 1111ED 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 es o N/A - Florida Product Approval# For multiple products use product approva orm— Describe in detail the type of work to be performed: Sj 6 -64- .VCS l0 X 12 b L . _— © cl40r ;-1'cln eot.,, q r►it s i`,n k fie; I t 9 -a n,. --_- Property Owner Information: Name: Mike 11,-)j I i e Address: TfoS i1'J'a-I-o Din Ve, City (j,w-' a.Gh. StateFL Zip Phone •")14, • 45.5. 0 2 2p ----- - .. E-Mail or Fax#(Optional) ----__-___. Contractor Information: CONTRACTOR EMAIL,ADDRESS: Company Name:Av+ O 14 S+ rte Qualifying Agent: - �� Address: ID I' 5 Deac t blvd City �'4..x State FL. Zip 22.x, Office Phone B02.• 72 2.1 Job Site/Contact Number p �-- State Certification/Registration# Fax# Architect Name&Phone# N/A Engineer's Name&Phone# N A —_ Fee Simple Title Holder Name and Address N A — - Bonding Company Name and Address NA Mortgage Lender Name and Address OA Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 time alter work is commenced. I understand that separate permits must be secured for ElectricalWork,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Healers. 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 I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w ether specific,' erein or not. The granting of a permit does not presum- • : ve authority to violate _ -cancel the provisions of any other federal,state, r local I w re if ating construction or the performance of construction. 1 r` Signature of Owner 1 r \'' AO Signature of Con ctot �o► /` / Print Name i e Wy\(e Print Name ! / ,P r SIC. Befor Befor- re' this lay o.' -�1�� G. 20/s this _ • D yof .,_•r.--f ei_ 20 .lc �� '` di Do.,6 otary Public State of Ftor'da �O 7"."--.U IC �,. ±,r=s -�� ` J.i �eyr7. aoY P4e`O Notary Public State of Florida • • "U r Ile �., My Commission FF 086990 Shirley L Graham �� Explros 02x14/2078 yc �o� My Commission FF 086990 , /y .... : -i :a i P. '> � °' Expire 02!14/2018 U / E. ,),,,,.... 5 fj. . In ..._ . . f • i ' . . . .• 1 - . , , _ 0 . T . a T I . 'il k) , C (9 1Cb 1\ 1 L_____ . 0 NWO •s,. City of Atlantic Beach _______ �S r# s Building Department APPLICATION NUMBER `' 'i 800 Seminole Road (To be assigned the Building Department.) 5v Atlantic Beach, Florida 32233-5445 ��� , �] Phone(904)247-5826 - Fax(904)247-5845 .. f ?_;� �r E-mail: building-dept @coab.us Date routed: / Aar City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7673 16 Department review required IMF No 47-- L : et l op( auildin g Applicant: � • :met/ ". nm &Zonin: Project: ∎OO �, ree •• .ministrator IA 'S ••• is Works /� I Public I i i ies /4 X/ 2- irl 6 �&. - Public Safety ! � At /E r �,•I ch£N ,� 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: APPLICATION STATUS Reviewing Department First Review: Kproved. (Cir ❑Denied. Comments: fjj PLANNING &ZONING Reviewed by: ' / Date:/2 _ TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ___ ___. { <} N TREE & VEGETATION AFFIDAVIT �` '- , k City of Atlantic Beach t 1 Department of Community Development +;, � Fr b. Planning&Zoning Division � `PI 800 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 (F)904247.5845 PERMIT!k l' ° irr ` 0.'E^( 7 SECTION I-APPLICANT INFORMATION I- Owner(s) �egal Authorized Agent* NAME OF APPLICANT C la 7 4Lv.. �..,o s(c; i NAME OF COMPANY ,Ay---r U'n - , -20 stone ADDRESS OF COMPANY 1 p 175 D+°d.ci-. 51 U 6. jaA 3 22 4' PHONEEQ4- e"7-7221 CELL'7304. 2. 4 .8a0-7 EMAIL avr c r1Ltiwn.,i sfri-„,e,eIa,I,00 L CONTRACTOR CERTIFICATION NUMBER Y _ 1 ATLBCH BUSINESS TAX RECEIPT NUMBER } SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 'M,5 J`Gt loA,('p br,ve If art address has not been assigned to this property,contact the AB Building Department at,904)247-562b to request an address. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE; $Q FT AC Y RESIDENTIAL Y COMMERCIAL OTHER(SPECIFY) 1 �..(- ;1:•. .- . K. i,,,;,.. ' ., c � :'. .. ',�.._, i sN I affirm that 1 have reviewed the provisions �-t p Ions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of. 1 Ordinances for the City of Atlantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those re, ons. +: equently,I affirm that no regulated trees and no re ulated vegetation will be damaged,aestroyed and/or/-Amoved,t OM th above-des. ibed or adjacent properties in conjunction wit this project. w p -fee5 Ov yeti" e-{z�-to& fit'ec1-cd . ° s.. I, �r / SIG j RE O" OWNER SIGNATURE OF OWNER .— 1 Signed and sworn before me on this day of ,by State of County of Identification verified: Oath sworn: p Yes F. No Notary Signature - REV•TVA•v10.12 My Commission expires: 3 01.-44j../ City of Atlantic Beach JUN APPLICATION NUMBER Building Department 5 205 (To be assigned by the Building Department.) '� 800 Seminole Road': Ar: #4/7,2° / ��7 ' � Atlantic Beach, Florida 32233-5445 " A � b Phone(904)247 5826 Fax(904)247 5845�1H 9r E-mail: building-dept @coab.us Date routed: �/J� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7/4•-6-. <: ,►-44'1D W'i Department review required Yes No _ Odin•Applicant: ' r .0 , A , 'r(,l v�O nine &Zoni /� I ree aaministrator Project: e/ _�Q II. ! is orks / PPu5iT Utilities 1 /6 y/ Z Ir5 a / - Public Safety y Fire Services 11 k •Tch gN Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required 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 I Other: APPL CATION STATUS Reviewing Department First Review: Approved. ❑Denied. _he one.) Comments: � 7yl tp/L BUILDING , PLANNING&ZONING 0/7'G�,� cr r Reviewed by: /; ( Date: 6Aa J TREE ADMIN. Second Review: ❑Approved as revised. 11 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road Atlantic Beach,Florida 32233-5445 �jP•i - 1397 �I Phone(904)247-5826 • Fax(904)247-5845 °41,;;11?• E-mail: building-dept©coab.us Date routed: City web-site http://www.coab us APPLICATION REVIEW AND TRACKING FORM Property Addre : 743 -`o _Department review required Yes No r.uildin. Applicant: 40, f - j -. nrn. &Zoni_ ree Aa Inistrator Project: / 4.0 / P06-117-Utilities / / 6 14t, _ Public Safety Fire Services flS—kAt/kg r Rini/tit/ Review fee$ _ Dept Signature-- Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Flonda 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: s:, ,74'ti 1/ tlQ BUILDING PLANNING&ZONING Reviewed by: / Date: it If TREE ADMIN. Second Review: }}},,,���/// ['Approved as revised Denied. PUBLIC WORKS Comments: f �j.�.j PUBLIC UTILITIES Al / PUBLIC SAFETY Reviewed by�� (/ ate: 7/1/zr FIRE SERVICES Third Review: proved as revised ['Denied. • j Comments: / v Reviewed by: I. 1/ Imo'Z/4f Revised 07/27/10 ' f • ' ' • • I . G 1 0 C,____________.) ,..._. 0 N I -•x Ul `t" n lC 0 A G' (- �0 :N' c� c p N \\ Q co lb o n c .t. s Ls- - — 5 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 / Ph(904) 247-5826 Fax (904)247-5845 JOB ADDRESS: 7(¢ A f o PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan _ Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 4 0 ',q k / Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name A/Aa �"�)�/7"l) Phone Number Plumbing Company i 01.1 ZONING REVIEW COMMENTS 4 !s City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach,Florida 32233-5445 f3 )' Phone:(904)270-1605 Fax:(904)247-5845 Email:dreeves @coab.us Permit: l5-RADD-1397 Applicant: Art of Natural Stone Review: 1st Address: 10135 Beach Blvd,Jacksonville,FL 32246 Site Address: 765 Sabalo Dr Phone: (904)802-7221 RED: 171303-0000 Email: N/A Correction Comments 1. Survey:Please provide a current survey of the property. 2. Site Plan:Please provide a site plan showing the distances from property lines of all elements over 30 inches in height. 3. Height:Please provide plans showing the overall height of the structure as measured from grade. 4. Tree Removal:Please submit a Tree Removal Permit Application if any trees are to be removed.If no trees are to be removed,then please fill out an Affidavit of No Tree Removal.Both forms are available on the city website under"Planning and Zoning" and at City Hall. Also please be aware that codes have recently changed.If you are unsure about how the new codes effect your project,please submit a Tree Removal Permit and staff can then determine if it is necessary. Derek W. Reeves Zoning Technician dreeves @coab.us