178 BEACH AVE - DWAY PERMIT & DECK v CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
k-t JFII 9�
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DWAY-1801
Job Type: DRIVEWAY
Description: PAVER DRIVEWAY
Estimated Value:
Issue Date: 8/4/2015
Expiration Date: 1/31/2016
PROPERTY ADDRESS:
Address: 178 BEACH AVE
RE Number: 170210-0000
PROPERTY OWNER:
Name: 178 BEACH AVE LLC
Address: 6 E BAY ST SUITE 500
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
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 silt must remain on-site during 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.
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.
Repair all damaged asphalt.
PER\11"1 IS APPROVED ONI,I IN ACCORDANCE WITII ALL CITI' OF ATLANTIC BEACH ORDINANCES_AND THE FLORIDA
BUI I)TNO CODES. -
Five-. CITY OF ATLANTIC BEACH
IS\
•
800 SEMINOLE ROAD
4-)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Install pavers per manufacturer's recommendations.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with an
RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
I
PERNIIT IS APPROVED ONLY IN ACCORDANCE WIT!! ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
;•rj �,;,� City of Atlantic Beach APPLICATION NUMBER
Building Department J VE (To be assigned by the Building Department.)
tr ' 800 Seminole Road p
Atlantic Beach, Florida 32233-5445 JUL 2 8 2015 /�-•bfv� ,. n0 e
Phone(904)247-5826 • Fax 90
( 4)247-5845
r;, / E-mail: building-dept@coab.us LB Y: Date routed: - 8 /4
City web-site: http://www.coab.us —APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7( ef teIi 1VL Department review required Yes No
Building
Applicant: • w Planning &Zoning
1I ,w€ Tree Administrator
Project: tom. { vew �blic W_
'c.kitilitie
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit 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: [(Approved. ['Denied.
(Circle one.) Comments: ,,/ee gtholyei lodareet-k
BUILDING
PLANNING&ZONING
Reviewed byy Date: 7//__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
;-7. r City of Atlantic Beach RECEIVED APPLICATION NUMBER
Building Department
JUL 2 (To be assigned by the Building Department.)
;.'f 800 Seminole Road 2015
Atlantic Beach, Florida 32233-544 / � .. /I' /
' Phone(904) 247-5826 • Fax(904 W5845 �f _
E-mail: building-dept @coab.us Date routed 1 41
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING Pit "ICI
Property Address: / ir_ a3 y a e-A d`/L Department review required Yes No
// Building
Applicant: S !.) I —s Planning &Zoning
Tree
Administrator
inistrator Project: 14 er__ { V iQ. [ Iic W. n-
-
i7. •ti '-
Public Safety ==
Fire Services
Review fee $ 23— Dept Signature X"-•--__
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:
APPLICA IOM STATUS
Reviewing Department First Review: pproved.
❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING /
Reviewed by: w, Lv� Q
TREE ADMIN.
Date: /3
Second Review: Approved as revised. ❑Denied.
BUC WO KS omments:
PUBLIC TILT EESS
PUBLIz87/ETY
Reviewed by: Date:
FIRE SERVICES Third Review: --
'Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
R.O.W. Permit Attachment of for
R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233
Owner's Name: ee-5So'v, �`----4544--, S
Property Address: 11 8e.cui, Ave_
Subdivision:
Lot#/ Block#: ' / 3 1
R.E. #:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida, hereinafter referred to as "CITY" and
of Atlantic Beach, Florida, hereinafter referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached).
This work is generally described as: Pc---'1`►�c.ec3Oj e T' c✓ .S /PA
e 4,1
11 reaired erected and/or install+e�i e xercise of the privilege granted
Any facility maintained, p p g
remains subject to relocation or removal on thirty (30) days notice by'Yftq, e USER, said notice to
USER shall be given by certified mail, return receipt requested, tor`the following address:
t
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any 141 11 ce sary repairs to any facility erected or maintained in
the exercise of the privilege herein gra el sh ., !, • es maintain said facility in good and safe
condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
Codes, Land Development Code, and all other land use and code requirements of the CITY, including
City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be
replaced with other materials, but must be replaced with smooth concrete left natural in color so that it
matches the existing and adjoining sidewalks."
Page 1 of 2
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change
within thirty (30) days after the day of completion.
This permit shall insure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGNED this day of , 200_.
eliy:— „.401111.0111Alle.:16.
Property •. ner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF pUVAL
On this of , 204 pe onall appeared before me, a Notary
Public in and for said County and State, U.J"wiplers , the property owner of
, Atlantic Beach, Florida, known to me to be the person(s)
descri•- i 1 and ;ho executed the foregoing instrument; who acknowledged to me that he or she
exec te. •e . ! ,'reely and voluntarily and for the uses and purposes therein mentioned.
it
..0.5.1.e. .........
V
4,40,,,,-1,„\sotII
Not. •• Public in sr said C•unty and State JDANN DAWN MORRIS
?. Notary Public-State of Florida
?; � 4i My Comm.Expires Nov 6.2016
CI •F ATLANTIC BEACH, FLORIDA, a -;;�;qr; Commission# EE 849380
municipal corporation:
Approved:
Ricky L. Carper, Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Jim Hanson, City Manager
Page 2 of 2
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
•
_.
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date
ff PERMIT#
Job Address nn1 10 ISSUED BY THE CITY
Permitee: Iambi�fl EcS��.e- 5 —" SL ,(4 eeXelephone# 41,04 " 3��("' v
Permittee Address: I -7K /-vi
Requesting Permission to Construct: PA(JCIe<'- 1J�''v — ��✓'44'46ce.-(4) G S
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes(j No ( ) Date:
Bell South Telephone Company Yes(� )' No ( ) Date:
Ferrell Gas Yes I!- ) No ( ) Date:
Comcast Yes (y- No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach,9r Florida Department of Transporjatio Standards and be
performed under the supervision of . 'v--✓' m-4 i• • ' kar kW e,.ntractor's Project
Superintendent) located at 1-7 P5v-A-,k 4✓� Telephone#: ?3 y -a 2-j('
4. All materials and equipment sha I be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city
Right of Way are to be included with this application.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completi. .
OWNER
Signed: :!Af Date' ?/2?//f.5
Befor�mre, %ii.�day of _A inI? County pff,Duval, # uolsslwwo3 ,,�0;;';03•,�
State Of Florida, .asp a ly appeared f : t.?''\ LA- i 9 noN <JIdx3•wwo3�IN ;13%,""` `�;'s
Notary Public at Large,State of Florida,County of Duval. T i _.. ��,
Mycomm��n expires: !I Co /YQ Pe -o all Kn•,4gd0 N d0 NNVOf o I'•'o�',����
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Property Appraiser - Property Details Page 1 of 2
4P ffi
178 BEACH AVENUE LLC . Primary Site Address Official Record Book/Page Tile#
6 BAY ST E STE 500 178 BEACH AVE 13582-01393 9416
JACKSONVILLE, FL 32202 Atlantic Beach FL 32233
178 BEACH AVE
Property Detail Value Summary
2014 Certified_ - 2015 In Progress
RE# 170210-0000 1
Tax Di Value Method CAMA CAMA I
_—�trst USD3 ----
ProoediUse 0800 Multi-Family Units 2-9 Total Building Value $48,395.00 $15,412.00
#of Buildings 1 Extra Feature Value $0.00 $0.00
5-69 16-2S-29E.144 Land Value(Market) $450,000.00 $700,000.00
Legal Desc.
ATLANTIC BEACH land Value Mark-) $0.00 $0.00
Subdivision 03101 ATLANTIC BEACH Just(Market)Value $498,395.00 $715,412.00
Total Area 6862 Assessed Value $381,569.00 $419,725.00
The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $116,826.00/$0.00, /$0.
to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exemptions $0.00 I See below
exemptions and other supporting information on this page are part of the working tax -
roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $381,569.00 I See below
certified in October,but may include any official changes made after certification
Learn how the Property Appraiser's Office values property.
Taxable Values and Exemptions—In Progress t
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
•
Sales History _ --_
Book/Page I Sale Date Sale Price I Deed Instrument Tvoe Code Oualified/Unqualified Vacant/Improved
0 13582-01393 1 10/12/2006 $600,000.00 I MS-Miscellaneous Qualified Improved
07632-02269 1 7/29/1993 $100.00 I QC-Quit Claim Unqualified Improved
06551-01523 j 7/22/1988 $100.00 I QC Quit Claim Unqualified Improved
05708 00570 1 4/29/1983 $100.00 QC Quit Claim Unqualified Improved
03392-00730 1 8/16/1972 $100.00 I WD-Warranty Deed Unqualified Improved
•
Extra Features -J _
LN Feature Code Feature Description Bldg. Length Width Total Units Value
1 DKWR2 Deck Wooden 1 26 18 468.00 $0.00
2 DKWR2 Deck Wooden 1 10 7 70.00 $0.00
•
Land&Legal
and Legal
LN C� units Use Description Zoning Front Depth Category Land Land Tvoe Value LN Legal Description i
1 5-69 16-2S-29E.144 I
RES MD 8-19 UNITS PER Front I
ATLANTIC BEACH
1 0101 AC ARS-2 50.00 136.00 Common 50.00 Footage $700,000.00 i 2
3 LOT5BLK31
•
Buildings
Building 1
Building 1 Site Address Element Code Detail
178 BEACH AVE r 7
Atlantic Beach FL 32233 Exterior Wall 14 14 Wood Shingle
Roof Struct 3 3 Gable or Hip
Building Type !0802-TRIPLEX Roofing Cover 3 3 Asph/Comp Shng s
•
Year Built 1926 Interior Wall 3 3 Plastered r " r-
riAs -Ir� i
I Building Value $15,412.00 Iot Flooring 14 14 Carpet F FUA Int Flooring 12 12 Hardwood LP� L° I -=T
IY� Gross Heated Effective Heating Fuel 3 3 Gas 1.
Area Area Area Heating Type 3 3 Frcd Not Ductd
Finished upper 790 790 750 Air Cond 2 2 Wall Unit
story 1
I
http://apps.coj.net/PAO_PropertySearch/Basic/Detail.aspx?RE=1702100000 7/28/2015
Property Appraiser - Property Details Page 2 of 2
Finished upper 112 112 111 ( Element I Code I
story 1 Stories 2.000
Finished Open 230 0 69 Bedrooms 3.000
Porch
Base Area 1271 1271 1271 Baths 3.000
Unfinished Rooms/Units 3.000
Carport 220 0 44
Total I 252 2073 2145
2014 Notice of Proposed Property Taxes Notice(TRIM Noticel_ _
Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed ,Rolled-back
I Gen Govt Beaches $381,569.00 $0.00 $381,569.00 $2,666.00 $3,110.25 $2,967.00
Public Schools:By State Law $381,569.00 $0.00 $498,395.00 $1,681.13 $2,520.38 $2,474.63
By Local Board $381,569.00 $0.00 ($498,395.00 $735.25 $1,120.39 $1,082.26
FL Inland Navigation Dist. $381,569.00 $0.00 $381,569.00 $11.28 $13.16 $12.32
Atlantic Beach $381,569.00 $0.00 $381,569.00 $1,088.65 $1,270.05 $1,210.15
Water Mgmt Dist.SJRWMD $381,569.00 $0.00 $381,569.00 $107.38 $120.73 $120.73
Gen Gov Voted $381,569.00 $0.00 $381,569.00 $0.00 $0.00 $0.00
School Board Voted $381,569.00 $0.00 $498,395.00 $0.00 $0.00 $0.00
Urban Service Dist3 $381,569.00 $0.00 $381,569.00 $0.00 $0.00 $0.00
Totals $6,289.69 $8,154.96 $7,867.09
Just Value Assessed Value Exemptions Taxable Value
Last Year $327,069.00 $327,069.00 $0.00 $327,069.00
Current Year $498,395.00 $381,569.00 $0.00 $381,569.00
2014 TRIM Property Record Card (PRC)
This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed
Property Taxes (TRIM Notices) in August.
Property Record Card(PRC)
The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the
year listed.
2014
•To obtain a historic Property Record Card (PRC) from the Property Appraiser's Office, submit your request here:
4
More Information
ontact Us I Parcel Tax Record I GIS Mao I Mao this property on Goode Maps I City Fees Record
http://apps.coj.net/PAO_PropertySearchBasic/Detail.aspx?RE=1702100000 7/28/2015
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IS 41,DI I AS A COURWSr cWl.Y NOT OOMSTITUTE A f ..CA TIf1 4F SAAeE.
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8411 8A Y'MfEADWS WAY 5JJTE A JACXS(WWLLE, FLORIDA 37156 (9a4) .731-7235
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D MT.n-6'0,3:
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[AL OLYGM:.ld"!'n irk.,0,C
LARRY G. E)OY, PLS. Itk,. 4744
ajx 4:4F-0,--•4v WM 0 CLEW M. a WO_ 5814
Bel k.QU ilegr,A:! Hap KIRK DAM/0-5.eee . -. .._-.••
Q m.vrrrt ShlwArtll'E DATE. /Q-'i'-6w :fc' ��., N -
F ,a1,1 _ ORDER Na.111, _
City of Atlantic Beac h
j` /! '' h
4 ' APPLICATION NUMBER
7 Building Department (To be assigned by th Building Department.)
i 800 Seminole Road /�-/2/
-. J '.,Atlantic Beach, Florida 32233-5445
/ Phone(904)247-5826 • Fax(904)247-5845 AUG 0 1 1fl14 �J®�
,,,;,•:••:,:„ E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us i
APPLICATION REVIEW AND TRACKING FORM
Property Addr ss: / / Q 6i de/41 dye' ient review required Yes • No
1 Bt it
Applicant: Ref`� 6 �rkG lie/2 annin &Zo _ _
dministrator
Project: •z C4 I'
P
Public Safety
Fire Services
ReV diZe : ept 3ignattlre '. `A 1
Other Agency Review or Permit Required Review or Receipt Date
of Permit 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 Ai of
Reviewing Department First Review: riklApproved. enied. D,/� `
(Circle one.) Comments: C/v p/
BUILDING /tdj�
i
PLANNING &ZONING �� /'� J
Reviewed by Z54%' \' Date: })/y
'
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
PUBLIC WORKS PLAN REVIEW COMMENTS
• r Initials: PN v. j ML_ \
Date: F , 4�
Project Name/Address/2F 13,4 [i1/4.__ z(,/ _ Application Permit#: 421
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
IMPS Provide table of impervious surface calculations for entire lot(existing and post ❑ ❑
construction). � ) -
ESCP Provide erosion and sediment control plans with installation details and maintenance . ❑
schedule.
DPLN Provide drainage plans showing site topography(flow arrows,etc.) ❑J ❑
RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain ❑
runoff.
CSMP Provide construction site management plan, including Right-of-Way Permit if using ❑ ❑
right-of-way for construction parking.
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional ❑ ❑
Land Surveyor,showing 1'contours.
Section 24-66(b)of the Land Development Regulations requires on-site storage for
LDCS increased run-off if adding 400 SF or more impervious surface. Provide Delta volume ❑ ❑
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS If on-site storage is required,a post construction topographic survey documenting proper ❑ o
construction will be required.
RWPM A Right-of-Way Permit must be obtained for use ❑ ❑
REPM A Revocable Encroachment Permit must be obtained. 0 ❑
PLWP Pool-Wellpoint(if used)must discharge into vegetated area 10' minimum from street or ❑ ❑
drainage feature(swale,structure or lagoon).
All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of ❑
DAPR pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- 0
way.(Commercial driveways-6"thick).
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
URCT overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑
plans. .
RWRS Full right-of-way restoration,including sod,is required. ❑ 0
Roll off container company must be on City approved list and container cannot be placed on
ROFF City right-of-way. (Approved:Advanced Disposal, Realco,Shappelle's and Waste
Management). '
Full erosion control measures must be installed and approved prior to beginning any earth y , ❑
ECIN disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control i'
Inspection prior to start of construction.
Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ ❑
MEET construction. Call 247-5834 to make an appointment.
❑ ❑
❑ ❑
.1 _
•
,r..' I.'', City of Atlantic Beach APPLICATION NUMBER
,,/;!: .. Building Department (To be assigned by th Building Department.)
_. :?` � '—/2/ 7• 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 AUG 0 1 2014 1 ®�
E-mail: building-dept @coab.us •i Date routed:
City web-site: http://www.coab.us —
APPLICATION REVIEW AND TRACKING FORM
Property Addr ss: / 71 gg A c l dye 0 ' - ■ ent review required Yes No
I Buil • • 3
Applicant: 7 //f`/ 6/6.rote /7-0 4 I'" anning &ZoQ
i ree Administrator
Project: Di tL — �'' —' ' — _
lLrllPM"IPIIIIIIIIIPP. ..- a Public Safety
Fire Services
ROW 0-.04460 fee$ , F' a !6Wa#trr: ,., �r tr 4 .
Other Agency Review or Permit Required Review or Receipt Date
of Permit 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: '411 pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:_____ Date: 1.5.'"V-7
TREE ADMIN.
Second Review: nApproved as revised. nDenie.
III A e Comments:
p.
',PU: IC UTILITY:
PUBLIC SAF' Y Reviewed by: — Date:
FIRE SERVICES Third Review: nApproved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 05114109
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: e----/J/ y- Initials: .$.........---"7
Project Name/Address:/2 g .„& 4 Application Ptrmit7t: 7
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
UWSU_ Avoid damage to underground water/sewer utilities. Verify vertical and horizontal ❑ Cl
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834.
M BSC
Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible. ❑ ❑
RT1C A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ ❑
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested ❑ ❑
by a certified tester and a copy of the results sent to Public Utilities.
STRM Plans note the building will be unsprinkted. If plans change,any fire line installed must be
metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
+
FSBR If fire sprinkler system is provided,contact Malcolm Clemons at 247-5839 for backflow
requirements. At a minimum,will require a double check backflow preventer. ❑ ❑
FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must ❑ ❑
be installed in a vault as noted in JEA specifications.
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
. ❑ ❑
L
❑ ❑
❑ ❑
0
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 11 g .6.-Are-fl /WI _ Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ /1, °ae - Proposed Work heated/cooled 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
If an existing structure, is a fire sprinkler system installed?(Circle one): Yes N/A
Florida Product Approval#_Ai 1.4
For multiple products use product approval form
Describe in detail the type of work to be performed: B„ ,4.6 4 n c k Pe''? _ 4,0.) .4-s/b i=t4:. -
Property Owner Information:
Name: 1 ss giPC11 Aid 14-41 Address: 173 g6 4 ,4 tie-
1 City i7/lo w',c 8e-1, State F/Zip 3 33 Phone_ 4D y - C. ¢9 5'3i 3 —
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: eRNT'Me'G.( 6.ti>itzucTran1 IJC_. Qualifying Agent: _,veek Ct4Nree' .
Address: t nn” 44/a.4-1- 15((.1 , .5,,.-fre %qv Aid 5 City A etki-,c 6,7,4,a _State Pe Zip 3z z
iii
III Office Phone S'!5 - VIZ g- Job Site)Contact Number �'z/S -!YZ8 Fax# __
State Certification/Registration# GC. plyZSt`(
Architect Name&Phone# 4/i/G Or L{111( (G`GAc S 3'I S - f q t
Engineer's Name&Phone#_ ,leFr- Gii-eriva.
Fee Simple Title Holder Name and Address —
Bonding Company Name and Address
Mortgage Lender Name and Address_ —
Application is hereby made to obtain a permit 10 do the work and installations as indicated. I certify that no work or installation huts 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 mull
and void if work is not commenced within six(6)months.or if construction or pork is suspended or abandoned/or a period of six(6)months at any time after
work is commenced. I understand that separate permits must he secured for Electrical Work, Plumbing, Signs. Wells. Pods. 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 YOuJR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this application and know the sante to be true and correct. .4/i provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The gratuing.of a permit does not presume to give authority to violate or cancel the
Provisions of any other.federal.state.or local 1 tw regulating construction or the pe(lormance of construction.
Gttt v61. , LLG �A �}
Signature of Owner Signature of Contractor_ f r I�
ithriie-r-L
Print Name l prhl '.. ea.o.ex. Print Name t1 h kk Co '
Sworn to and subscribed before me Sworn t.otand subscribed before me
this ?'' Day of A.vi .20 14 this Zit Da .f 1 . 201L(
Notary Piiiito Notary 'u
Revised 01.26.10
i AMA. BMCONt.TRAUB li rn - R
•
B E A C H AV E N U E
EXIST. CONCRETE
50.00'
- ---- ;---J_ _ _ _ _ _EL . - - - -
CONC.
DRNE i
, I
, S.... j ,
� O 1 ' EXISTING X°c,
2-STORY w°30 I
FRAME A/c `�
"'��' RESIDENCE a a li
' E
I I—EXIST. PAVERS
N` 1 'rI111�9API J EXIST. STEPS
1111V
iqi �. /�-'. EXIST.
►' i ,
I �� ,� PAVERS 1
I �, /1.;� EXSTORY ;
,
NEW WOOD DECK
APPROX. 24' HIGH I HOT TUB
PAVER LANDING I I /I I I I
EXIST. STEPS I
3"-6"
8.-2" I
i
In I Q. I N
N ; m i
,
N i r I N
, I
I EXIST. I
CONC. i
L I EXIST. DRIVE
I SHED
i 20' BRL
, I
I
I I
I 1
•------
i
GENERAL DESIGN INFORMATION:
BUILDING CODE RESIDENTIAL - 2010 FBC
WIND SPEED 130
CATEGORY I
MEAN ROOF HEIGHT +/- 00
MAX. ROOF HEIGHT +/- 23'-4"
(MEASURED FROM GRADE, FIELD VERIFY)
SEE STRUCTURAL ENGINEERING SHEETS (BY OTHERS) FOR:
1. EXPOSURE CATEGORY, WBDR CLASSIFICATION & PROTECTION
REQUIREMENTS.
2. DESIGN PRESSURES.
3. DETAILS, SPECIFICATIONS, CONNECTIONS, ETC. OF ROOF. WALL &
FOUNDATION.
TYPE OF CONSTRUCTION:
V-B
LEVEL OF ALTERATION:
FBC 2010 - EXISTING BUILDING - LEVEL 1
SCOPE OF WORK:
1. NSWY-'AVER-A4T10.
2. NEW WOOD DECK & PERGOLA. NEW ROOF, ATTACHED AT REAR OF
HOME TO COVER PART OF DECK AREA.
3. ENCLOSED SPACES ARE NOT AFFECTED.
SITE CALCULATIONS: ZONING - RG-2
LOT SIZE 6275 SF
HOUSE COVERAGE + NEW UNDER ROOF 1504 + 93 SF 25%
CONCRETE DRIVE, STEPS. PAVER COVERAGE 722 + 308 SF 16%
SHED COVERAGE 62 SF 01%
WOOD DECK COVERAGE 504 SF 08%
TOTAL COVERAGE 3183 SF 50%
SQUARE FOOTAGE CALCULATIONS:
CONDITIONED SPACE - 1ST FLOOR NOT AFFECTED
CONDITIONED SPACE - 2ND FLOOR NOT AFFECTED
TOTAL CONDITIONED SPACE NOT AFFECTED
UNENCLOSED SPACE - CARPORT NOT AFFECTED
UNENCLOSED SPACE - ENTRY NOT AFFECTED
TOTAL SPACE UNDER ROOF 1597 SF
ADDITIONAL INFORMATION:
N/A