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592 TIMBER BRIDGE LN - NEW RESIDENCE PERMIT �� I� CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD 9* • = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-2734 Job Type: SINGLE FAMILY RESIDENCE Description: NEW SINGLE FAMILY RESIDENCE Estimated Value: $400,000.00 Issue Date: 12/18/2015 Expiration Date: 6/15/2016 PROPERTY ADDRESS: Address: 592 TIMBER BRIDGE LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: RIVERSIDE HOMES OF N FL Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS Phone: - - PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $690.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $1,380.00 STATE DBPR SURCHARGE $20.70 STATE DCA SURCHARGE $20.70 DEV-REVIEW SFR UNIT $50.00 ®E3VUERsS 48Y6T€M [DE NA ( ANCE$41o6 aQQCITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. " ►,;, '`�� CITY OF ATLANTIC BEACH `°\'°` f 800 SEMINOLE ROAD r 1w3 a ,,\. Y s) j V y :}Z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ' _0.21W r WATER CONNECT/TAP & METER $370.00 WATER CROSS CONNECTION $50.00 WATER SDC-SYSTEM DEV CHG $1,140.00 Total Payments: $7,921.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J v � CITY OF ATLANTIC BEACH l Atlantic 800 Seminole Road 'J ' �"°' J I ti i,� OFFICE COPY Beach,Florida 32233 Telephone(904)247-5800 FAX(904)247-5845 ��J131EP REVISION REQUEST SHEET Date: i,),1 i 5/i 5- Received by: Permit Number: Resubmitted: Original Plans Examiner:` z... Ark, /..r,n Project Name: Lam}- 1 7I 4 fu Project Address: y, T"; I r:. • Contractor:R;ae,.,i,r/, Contact Name: Contact Phone : Contact e-mail: //. / Revision/Plan Check/Permit Fee (s) Due: $ 0(,-� s+ Description of Proposed Revision to Existing Permit: cg' 61�-y c1�5 TAMEINOM Additional Increase in Building Value: $ 0 Additional S.F. Ii Site Plan Revised: Public W/U Approval: By signing below. I(print name) I` t,,. 'D&1f affirm that the above revision is inclusive . •e proposed chan:et 4�■t Ar _/ 1 a1/5" � / s S . e o ontract. Agent(Contractor must sign if increase in valuation) Date //� Office Use Only Date: f 2'17Y 5- Approved: x Rejected: Notifie< . E© E Y E ,1 Plan Review Comments: DEC 1 1 5 2015 et,,r5 y Ca lc s Af jrnv D t review required Yes No Building ./1 ing &Zoning f'Tree Administrator • Public Works ans Examiner Public Utilities / 2'/7i Sv- Public Safety — Fire Services Date Created 8/20/15 Rev.2 0 ® ,\\\\ ` , ` _ �% .-1 #) _to 25 § co En\\ )\ ) u _ § ! E 15 CL ) ) E o -_§ Ii \ Ji o � ) W � II _ _ •0 NE - \ /k / § -- *( Q ` ; - II - _i ci: !%e 1 93. ] 0 \\{ < \ ;/\ 1 ft \\� \ 0 = \ / � \ \j± 9 ) , f !! 22/_ $37 . ._= 1;$1";§ § N {{ Cl ; !! - Zi, §flta § go P csj k ���13 I E q_ VI 3 (§fg 2 ) ) a k)1) `Ca" I k o 3� 2 I� �( LL \ J =z : e ii :♦ d \{2# al /`)` ; \ / ; --0 ( - { & ° X23 . F _ - -#/ / / r 4\�-) - 2 ` ` \ -.,, ',26.:2.3.- _ $ IS I— § </ - «) , , ,�„ ; - :2;77)§7,2 z ! z!}}§§§,;) k \ ,{tf ) J (0220 _ \ (\\ i. . � ; IV 6. ` m \ #7277 » 8 , _ ! c2 e � . .\ } N !\a ;% ; - r \ !} � 20 55))\ \\ \\§ \ f/}k §)Q � \ \ \\\\\ \( \\ //(\\ _\ \)\))\\\\j\{\ . \ \\\\\\\co\\\ . EZ ICC EVALUATION `-? SERVICE Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-3375 OFFICE COPY Reissued August 2014 This report is subject to renewal August 2016. www.icc-es.orq I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE pcf. The insulation's liquid components are supplied in PROTECTION nominally 55-gallon drums, labeled as "A" component or Section: 07 21 00—Thermal Insulation "B" component. The insulation components have a shelf life of six months when stored in unopened containers at REPORT HOLDER: temperatures between 70°F(21°C)and 90°F(32°C). SES FOAM 3.2 Surface-burning Characteristics: 4008 LOUETTA ROAD,#538 At a maximum thickness of 4 inches (102 mm) and a SPRING,TEXAS 77388-4405 nominal density of 0.5 pcf, the insulation has a flame- (713)239-0252 spread index of 25 or less and a smoke-developed index of www.sesfoam.com 450 or less when tested in accordance with ASTM E84. Thicknesses of up to 111/2 inches (292 mm) for wall EVALUATION SUBJECT: cavities and ceiling cavities are recognized based on room corner fire testing in accordance with NFPA 286, when SES FOAM 0.5 lb SPRAY: SPRAY-APPLIED the insulation is covered with a minimum 1/2-inch-thick POLYURETHANE FOAM PLASTIC INSULATION (12.7 mm) gypsum board installed in accordance with the applicable code. 1.0 EVALUATION SCOPE 3.3 Thermal Resistance(R-values): Compliance with the following codes: The insulation has thermal resistance(R-values)at a mean • 2012 and 2009 International Building Code®(IBC) temperature of 75°F(24°C)as shown in Table 1. • 2012 and 2009 International Residential Code®(IRC) 3.4 Air Permeability: • 2012 and 2009 International Energy Conservation The insulation, at a minimum thickness of 3 inches Code®(IECC) (76 mm), is considered air-impermeable in accordance • Other Codes(see Section 8.0) with IRC Section R202, based on testing in accordance with ASTM E283. Properties evaluated: 4.0 INSTALLATION • Surface-burning characteristics 4.1 General: • Physical properties SES Foam 0.5 lb spray insulation must be installed in • Thermal resistance(R-values) accordance with the manufacturer's published installation • Attic and crawl space installation instructions and this report. A copy of the manufacturer's published installation instructions must be available at all • Air permeability times on the jobsite during installation. 2.0 USES 4.2 Application: SES Foam 0.5 lb spray polyurethane foam plastic The insulation is spray-applied at the jobsite using a insulation is used as a nonstructural thermal insulating volumetric positive displacement pump as identified in the material in buildings of Type V-B (IBC)construction, and in SES Foam 0.5 lb spray application manual. The insulation dwellings built under the IRC. The insulation is for use in components must be stored at temperatures between wall cavities and floor/ceiling assemblies, and in attics and 70°F (21°C) and 90°F (32°C) for several days before crawl spaces when installed as described in Section 4.4. application. The insulation must not be used in areas Under the IRC, the insulation may be used as air- that have maximum in-service temperatures greater than impermeable insulation when installed as described in 180°F (82°C) The insulation must not be used in Section 3.4. electrical outlet or junction boxes or in contact with water 3.0 DESCRIPTION (e.g., rain, condensation, ice, snow) or soil. The substrate must be free of moisture, frost or ice, loose scales, rust, oil, 3.1 General: grease or other surface contaminants. The insulation can SES Foam 0.5 lb spray foam insulation is a two- be installed in one pass to the maximum thickness. The component, open cell, one-to-one-by-volume spray-applied spray-applied foam insulation must be protected from polyurethane foam system with a nominal density of 0.5 weather during and after installation. ICC-ES Evaluation Relwrts are not to he construed as representing aesthetics or any ocher attributes not specifically addressed,nor are they to he construed el CZ) as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by l(C Evaluation Service,1./.('.express or implied,as to any finding or other natter in this report,or as to any product covered by the report. Copyright 0 2014 Page 1 of 3 ESR-3375 I Most Widely Accepted and Trusted Page 2 of 3 4.3 Thermal Barrier: 5.0 CONDITIONS OF USE SES Foam 0.5 lb spray insulation must be separated from The SES Foam 0.5 lb spray polyurethane foam plastic the interior of the building by an approved thermal barrier insulation described in this report complies with, or is a of 1/2-inch-thick (12.7 mm) gypsum wallboard or an suitable alternative to what is specified in, those codes equivalent 15-minute thermal barrier complying with, and listed in Section 1.0 of this report, subject to the following installed in accordance with, IBC Section 2603.4 or IRC conditions: Section R316.4, as applicable. Within an attic or crawl 5.1 The insulation must be installed in accordance with space, installation must be in accordance with Section 4.4. the manufacturer's published installation instructions, 4.4 Attics and Crawl Spaces: this evaluation report and the applicable code. If there are any conflicts between the manufacturer's 4.4.1 Application with a Prescriptive Ignition Barrier: published installation instructions and this report, this When SES Foam 0.5 lb spray is installed within attics and report governs. crawl spaces, where entry is made only for service of 5.2 The insulation must be separated from the interior of the utilities, an ignition barrier must be installed in accordance building by an approved 15-minute thermal barrier, as with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or described in Section 4.3. Installation in an attic or R316.5.4, as applicable. The ignition barrier must be crawl space must be as described in Section 4.4. consistent with the requirements for the type of construction required by the applicable code, and must be 5.3 The insulation must not exceed the thicknesses noted installed in a manner so that the foam plastic insulation is in Sections 3.2 and 4.4. not exposed. SES Foam 0.5 lb spray insulation at a 5.4 The insulation must be protected from exposure to the minimum thickness of 3 inches(76 mm)may be installed in weather during and after application. unvented attics in accordance with 2012 IRC Section R806.5(2009 IRC Section R806.4), as applicable. 5.5 The insulation must be applied by contractors certified by SES Foam. 4.4.2 Application without a Prescriptive Ignition Barrier: Where the spray-applied insulation is installed in 5.6 Use of the insulation in areas where the probability of accordance with this section (Section 4.4.2) or Section termite infestation is "very heavy" must be in 4.4.3,the following conditions apply: accordance with 2012 IBC Section 2603.9 (2009 IBC Section 2603.8)or IRC Section R318.4, as applicable. y a) Entry to the attic or crawl space is to service utilities, 5.7 Jobsite certification and labeling of the insulation must and no storage is permitted. comply with IRC Sections N1101.4 and N1101.4.1 b) There are no interconnected attic or crawl space and IECC Sections R303.1.1 and 303.1.1.1, as areas. applicable. c) Air in the attic or crawl space is not circulated to other 5.8 SES Foam 0.5 lb spray polyurethane foam plastic parts of the building. insulation is produced in St. Louis, Missouri, under a quality control program with inspections by ICC-ES. d) Attic ventilation is provided when required by IBC 6.0 EVIDENCE SUBMITTED Section 1203.2 or IRC Section R806, except when air-impermeable insulation is permitted in unvented 6.1 Data in accordance with the ICC-ES Acceptance attics in accordance with 2012 IRC Section R806.5 or Criteria for Spray-applied Foam Plastic Insulation 2009 IRC Section R806.4. Under-floor (crawl space) (AC377), dated June 2012, including reports of tests ventilation is provided when required by IBC Section in accordance with Appendix X of AC377. 1203.3 or IRC Section R408.1, as applicable. 6.2 Report of room corner fire testing in accordance with e) Combustion air is provided in accordance with NFPA 286. International Mechanical Code®Section 701. 6.3 Report of air permeance testing in accordance with In attics, the insulation may be spray-applied to the ASTM E283. underside of roof sheathing or roof rafters, and/or vertical 7.0 IDENTIFICATION surfaces, and in crawl spaces the insulation may be spray Components of the SES Foam 0.5 lb spray polyurethane applied to the underside of floors and/or vertical surfaces foam plastic insulation are identified with the as described in this section. The thickness of the foam manufacturer's name (SES Foam) and address; the date plastic applied to the underside of the top of the space of manufacture or the lot number; the product trade name must not exceed 12 inches (305 mm). The thickness of the (SES Foam 0.5 lb); the mixing instructions; the density; the foam plastic applied to vertical surfaces must not exceed flame-spread and smoke-developed indices; and the 111/2 inches (292 mm). The foam plastic may be installed evaluation report number(ESR-3375). without a covering or coating. The insulation may be installed in unvented attics in accordance with 2012 IRC 8.0 OTHER CODES Section R806.5 (2009 IRC Section R806.4). The ignition In addition to the codes referenced in Section 1.0, the barrier in accordance with IBC Section 2603.4.1.6 or IRC products in the report were evaluated for compliance with Section R316.5.3 may be omitted. the requirements of the following codes: 4.4.3 Use on Attic Floors: SES Foam 0.5 lb spray • 2006 International Building Code®(2006 IBC) insulation may be installed exposed at a maximum • 2006 International Residential Code®(2006 IBC) thickness of 111/2 inches (292 mm) between joists in attic floors. The ignition barrier in accordance with IBC Section • 2006 and 2003 International Energy Conservation 2603.4.1.6 or IRC Section R316.5.3 may be omitted. The Code®(2006 IECC) insulation must be separated from the interior of the building by an approved thermal barrier. ESR-3375 I Most Widely Accepted and Trusted Page 3 of 3 The products comply with the above-mentioned codes as provided in accordance with Sections 701 and 703 of described in Sections 2.0 through 7.0 of this report, with the 2006 IECC. revisions as noted below: • Protection against Termites: See Section 5.6, except • Application with a Prescriptive Thermal Barrier: See use of the insulation in areas where the probability of Section 4.3, except the approved thermal barrier must termite infestation if"very heavy" must be in accordance be installed in accordance with Section R314.4 of the with Section R320.5 of the 2006 IRC. 2006 IRC. • Jobsite Certification and Labeling: See Section 5.7, • Application with a Prescriptive Ignition Barrier: See except jobsite certification and labeling must comply Section 4.4.1, except an ignition barrier must be with Sections 102.1.1 and 102.1.1.1, as applicable, of installed in accordance with Section R314.5.3 or the 2006 IECC. R314.5.4 of the 2006 IRC. • Application without a Prescriptive Ignition Barrier: See Section 4.4.2, except that combustion air is TABLE 1—THERMAL RESISTANCE(R-VALUES'.2) THICKNESS(inches) R-VALUE(°F•ft2•h/Btu) 1 4.0 2 7.6 3 11 3.5 13 4 15 5 19 6 22 7 26 8 30 9 33 10 37 11 41 12 44 For SI: 1 inch=25.4 mm, 1°F•ft2•h/Btu=0.176 110K•m2/W. 'R-values are calculated based on tested K values at 1-and 3.5-inch thicknesses. 2R-values greater than 10 are rounded to the nearest whole number. ES ICC EVALUATION �. SERVICE Most Widely Accepted and Trusted ICC-ES VAR Environmental Report VAR-1030* Reissued July 2013 This report is subject to renewal September 1, 2015. www.icc-es.orqlep 1 800-423-6587 I (562)699-0543 A Subsidiary of the International Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE high-pressure, plural component SPF application PROTECTION equipment. The bio-based content is as set forth in Table 1 Section: 07 21 00—Thermal Insulation of this report. REPORT HOLDER: 4.0 CONDITIONS 4.1 Code Compliance: SES FOAM See ICC-ES report ESR-3375 for compliance of the SES 4008 LOUETTA ROAD,#538 Foam 0.5 lb Foam S Polyurethane Foam Plastic Insulation SPRING,TEXAS 77388-4405 with code requirements. (713)239-0252 www.sesfoam.com 4.2 Green Codes, Standards and Rating Systems Eligibility: EVALUATION SUBJECT: The information presented in Tables 2 through 5 of this report provides a matrix of areas of evaluation and SES FOAM 0.5 lb SPRAY POLYURETHANE FOAM corresponding limitations and/or additional project-specific PLASTIC INSULATION requirements, and offers benefits to individuals who are assessing eligibility for compliance. 1.0 EVALUATION SCOPE The final interpretation of the specific requirements of the Compliance with the following environmental criteria: code rests with the Authority Having Jurisdiction. ICC-ES Environmental Criteria for Determination of Compliance for items noted as "Verified Attribute" is Bio-based Material Content(EC102), dated March 1, 2012. subject to any conditions noted in the tables. Decisions on Compliance eligibility with the applicable sections of compliance for those items noted as "Eligible for Points" in the following codes and standards: Tables 2 through 5 rests with the user of this report, and those items are subject to the conditions noted. The user is • 2012 International Green Construction Code"' (IgCC) advised of the project-specific provisions that may be (see Table 2 for details) contingent upon meeting specific conditions, and the • ASHRAE Standard 189.1 – 2009 (see Table 3 for verification of those conditions is outside the scope of this details) report. • National Green Building Standard (ICC 700-2008) (see Due to the variability of costs and volume, the bio-based Table 4 for details) content percentage listed in this report is based upon weight (mass). The use of cost or volume as the method • ANSI/GBI 01-2010, Green Building Assessment for calculation is outside the scope of this report. Protocol for Commercial Buildings (see Table 5 for details) 5.0 BASIS OF EVALUATION 2.0 USES The information in this report, including the "Verified Attributes," is based upon submission of documentation SES Foam 0.5 lb Foam S Polyurethane Foam Plastic demonstrating compliance with the requirements set forth Insulation is used as nonstructural thermal insulating in ICC-ES EC102. (Evaluation applies to IgCC Section material in wall cavities, floor/ceiling assemblies, or in 505.2.4, item 3; ASHRAE 189.1 Section 9.4.1.3; ICC 700 attics and crawl spaces. See ICC-ES report ESR-3375 for Section 606.1; ANSI/GBI-01 Section 10.1.2.2.) more information on uses and applications. 6.0 IDENTIFICATION 3.0 DESCRIPTION Containers of SES Foam 0.5 lb Foam S Polyurethane SES Foam 0.5 lb spray-applied polyurethane foam plastic Foam Plastic Insulation are identified by a label bearing the insulation is a two-component, open-cell, water-blown, SES Foam name and address, product name, spray-applied polyurethane foam (SPF) with a nominal manufacturing date, manufacturing location and the VAR density of 0.5 lb/ft3. The foam is sprayed in place using Environmental Report number(VAR-1030). *Corrected May 2014 It t-b..S VrrJicaaon of Attributes Reports are issued wider the ICC-LS VAR Environmental Program.These reports are not to he construed as representing aesthetics or any other attributes not specifically addressed,nor are they to he constnred as an endorsement o/the subject of the report or a recommendation for its use. There es no warranty by IC(' EV(111 athon Service.LLC,express or implied,as to any funding or other matter in this report,or as to any product covered by the report Copyright m 2014 Page 1 of 2 VAR-1030 I Most Widely Accepted and Trusted Page 2 of 2 TABLE 1—B10-BASED MATERIAL CONTENT SUMMARY PRODUCT NAME %MEAN BIO-BASED CONTENT METHOD OF DETERMINATION SES Foam 0.5 lb Spray Polyurethane Foam Plastic Insulation 17%(+/-3%)' ASTM D6866 Note: 'Based on precision and bias cited in ASTM D6866. TABLES 2 THROUGH 5 Section Possible Number Section Intent Points Conditions Of Use To Qualify For Points Finding TABLE 2—SUMMARY OF AREA OF ELIGIBILITY WITH THE 2012 INTERNATIONAL GREEN CONSTRUCTION CODE Bio-based materials shall be those materials that comply with one or more of the following: 505.2.4 Bio-based content N/A 3.The requirements of USDA 7CFR Part 2902. • Note:USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%).SES Foam 0.5 lb Spray exceeds this minimum. TABLE 3—SUMMARY OF AREA OF ELIGIBILITY WITH THE 2009 ASHRAE STANDARD 189.1 A minimum of 5%of building materials used,based on cost,shall be biobased products. Biobased products shall comply with the minimum biobased contents of the USDA's Designation of Biobased Items for Federal Procurement[7 CFR Part 2902],contain the 9.4.1.3 Biobased products N/A "USDA Certified Biobased Product"label,or be composed of solid wood,engineered • wood,bamboo,wool,cotton,cork,agricultural •fibers,or other biobased materials with at least 50%biobased content. Note:USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%).SES Foam 0.5 lb Spray exceeds this minimum. TABLE 4—SUMMARY OF AREA OF ELIGIBILITY WITH THE 2008 NATIONAL GREEN BUILDING STANDARD(ICC 700) The following biobased products are used: (h)products with the minimum biobased contents of the USDA 7 CFR Part 2902 606.1 Biobased products 3 (I)other biobased materials with a minimum of 50 percent biobased content(by weight • 8 max or volume) Note:USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%).SES Foam 0.5 lb Spray exceeds this minimum. TABLE 5—SUMMARY OF AREA OF ELIGIBILITY WITH THE ANSI/GBI–01 (2010)STANDARD Bio-based products accounted for 1%or more of the materials used in the building. Percentage= 100 x A+B,where: A=Total cost or weight of bio-based products B=Total cost or weight of all building products 10.1.2.2 Materials content– 1 Cost or weight must be used consistently • Assemblies 7 max For USDA-designated products,products meeting or exceeding USDA's bio-based content,criteria or qualifying as USDA"BioPreferred"were used. Note:USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%).SES Foam 0.5 lb Spray exceeds this minimum. • =Verified attribute EZ ICC EVALUATION SERVICE Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-3375 Seal and Insulate with ENERGY STAR®Supplement Reissued August 2014 This report is subject to renewal August 2016. www.icc-es.orq I (800) 423-6587 I (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION Section: 07 21 00—Thermal Insulation REPORT HOLDER: SES FOAM 4008 LOUETTA ROAD,#538 SPRING,TEXAS 77388-4405 (713)239-0252 www.sesfoam.com EVALUATION SUBJECT: SES FOAM 0.5 lb SPRAY: SPRAY-APPLIED POLYURETHANE FOAM PLASTIC INSULATION 1.0 EVALUATION SCOPE Conformance to the following: Seal and Insulate with ENERGY STARE Program—Definitions and Testing Requirements for Residential Insulation, Version 7.0 Properties evaluated: • Thermal resistance • Surface-burning characteristics 2.0 PURPOSE OF THIS SUPPLEMENT This supplement is issued to certify that the insulation products described in Sections 2.0 through 8.0 of the master report ESR-3375 have been reviewed for compliance with the requirements of the Seal and Insulate with ENERGY STAR Program, as set forth in the document Definitions and Testing Requirements for Residential Insulation, Version 1.0. The insulation product covered by this supplement is defined as"Spray or Pour Foam Insulation." The requirements for testing laboratory qualification and product sampling, as well as the specific material and test standards and editions used in this evaluation, are as set forth in the applicable documentation noted in Section 6.0 of the master evaluation report. 3.0 DEFINITIONS The following definitions are from Definitions and Testing Requirements for Residential Insulation, Version 1.0, and are applicable to the subject of this report. 3.1 General Definitions: Insulation: Any material mainly used to slow down heat flow. It may be mineral or organic, fibrous, cellular, or reflective (aluminum foil). It may be in rigid, semi-rigid,flexible, or loose-fill form. 3.2 Insulation Product Definitions: Spray or Pour Foam Insulation:A thermal insulating material that is sprayed or poured (as a gel or foamy liquid) into place, and expands or sets into a cellular foam and cures at the point of installation through a chemical reaction. Foamed materials include, but are not limited to polyurethane, polyisocyanurate, phenolic, and cementitious insulation. 3.3 Insulation Performance Definitions: R-value: The inverse of the time rate of heat flow through a body from one of its bounding surfaces to the other surface for a unit temperature difference between the two surfaces, under steady state conditions, per unit area. For the purposes of the Seal and Insulate with ENERGY STARE program, Imperial units will only be accepted((h•ft2•°F)/Btu]. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed.nor are they to be construed ANSI as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service.LLC express or implied,as - to any finding or other matter in this report,or as to any product covered by the report. <o�:« Copyright®2014 Page 1 of 6 ESR-3375 I Most Widely Accepted and Trusted Page 2 of 6 Smoke-Development Index: The characteristic of a material to emit smoke when exposed to flame or fire compared to red oak and inorganic cement. Flame-Spread Index: The characteristic of a material to resist the spreading of flames when exposed to flame or fire compared to red oak and inorganic cement. 3.4 Thermal Resistance: The insulation has the thermal resistance R-values as noted in Table 1 of ESR-3375, based upon testing. 3.5 Installation: 3.5.1 General: The installation of the insulation must be in accordance with the requirements set forth in Sections 4.0 and 5.0(as applicable)of ESR-3375. The insulation is manufactured on-site by spray polyurethane foam applicators meeting the qualification requirements of SES Foam. The following information on personal protective equipment and ventilation requirements is reprinted from the SES Foam published installation instructions: "F. SAFETY 3. PERSONAL PROTECTIVE EQUIPMENT(PPE): a. Skin: Wear gloves, coveralls, apron and boots as necessary to prevent contact of liquid components or partially-cured SPF with skin.When handling liquid components, gloves should be made of nitrile, neoprene, butyl or PVC. b. Eyes: Protect eyes while handling liquid components or spraying with safety goggles or safety goggles and a face shield. During spray application, eye protection may be provided by a full-face or hood respirator. c. Respiration: Firms engaged in the application of SES Foam systems must have a written respiratory protection program for employees engaged in handling or applying SES Foam materials. Depending on the situation, respiratory protection may include dust masks, air-purifying respirators (APR), powered air-purifying respirators (PAPR), or supplied- air respirators(SAR). 4. VENTILATION: Provide ventilation and other engineering controls to exhaust vapors from work areas and to protect building occupants and other trades." 3.5.2 Occupancy Time after Installation: The re-entry or re-occupancy time shall be in accordance with the manufacturer's installation instructions,which state the following: "E. RE-ENTRY SES Foam 0.5 lb Spray reacts and cures within seconds of application. Re-entry times will vary depending on factors including ventilation. Typically, ventilation is continued for 24 hours following the conclusion of spray application and re-entry may occur at that time." 3.5.3 Figures:The figures shown represent general installations of the insulation in the following applications: above-grade wall, below-grade wall, vented and unvented crawl space, unvented cathedral ceiling, and vented and unvented attic. These figures are for illustration purposes and are not to be construed or used as construction documents. This supplement expires concurrently with the master report, reissued August 2014. 0 ESR-3375 I Most Widely Accepted and Trusted Page 3 of 6 . 00°'0°'0°°'0°°� °°opO°o°°o°°°o°°o°°oo°°oo°• 00000°000°00000 .000000"o0""0p00 °00000 0"O •0° ::0 °°°0°°. .01:00°°000°"°°000°0p000°° oo°00°°000"0°o. °00°000° 0° 0 ° 00"0000 ►,0000000 'O"°o°0 00%000, •000200 000„00 °00" •00000-00 'OO 00000• 00 g o.. Interior Partition 00°00°00 .000000" 0000000• Interior Finished Surface 000 x0000 (112-inch Sheetrock) 0000 0 000. 00 0000°• 000000- 0000000. SES Foam 0.5 lb Spray 00°00°°0 0 .OnO"00O '00 -0000o00°00 . 0 Exterior Sheathing •o 00 00°00°°' .00.0°00 SES FOAM 0.5 LB SPRAY ABOVE GRADE WALL INSULATION SES 05-1 071812 ESR-3375 I Most Widely Accepted and Trusted Page 4 of 6 000,* Masonry Block 00< :/.::/:/ (Typical) -0–<4I 1 o Interior Finish Surface (1/2-inch Sheetrock) 2"x 4"Studs ,I‹.� " SES Foam 0.5 lb Spray 00 .. '': .. of V /L SES FOAM 0.5 LB SPRAY I BELOW GRADE WALL INSULATION I SES 05-2 i 071812 (Insulation on Interior Side of Wall) Baffle to provide i/ air space between j EEireci ,�. by local code) ,..-- A ,,,,,,-,-_-- //�jam/ goo; °o°o°o°o°o°o°0 0 0 0°0 0 0 0 0 0°0 0 0 0 0 0° 0°0°0000000000000000 000000000000000000000000. // 0000000o000000o000000 '0000000000000000000000._m....._........ /-// _......... °00000°0 00000000 ■ o°o°o°o° bg0000o0 SES Foam 0.5 lb Spray °o°°°°°° moo°00 00000000 0°0°0°0° o°o°o°o° o°o°o°o° 0 0 0 0 •00000000 o°o°o° Vented Soffit o%gog%0S 0000000 o°0°0°00 0 0 0 0 °°a°o°o° `Where attic entry is for the :ovogo°o°o°o°o SES Foam 0.5 lb Spray °o°o°o°o service of utilities only,thermal 00000000 and igniton barrier on the attic ooft,c).: _ side of the spray foam surface V may be omitted. SES FOAM 0.5 LB SPRAY VENTED ATTIC:FLOOR/SOFFIT SES 05-3 071812 ESR-3375 I Most Widely Accepted and Trusted Page 5 of 6 Subfloor SES Foam 0.5 lb Spray ►�A oeoe00000eDeoeovoe0000e00000;e;e... ;e: o°°o°e;ogog;go°evovo ogggggo:► °g°ggggg°g,g,°,,°,°g°g°;°g°g°:► °gg°8°°°°°°°>°°�°°°g°, %°°g°; Header ^"gg°°°g /�"',e lg•°g°g°g%gegog , ■ Sill ��*�4i°°g°go �►��•��°,°. Joist Floor Cross Section ►•iiii•4 g ►••i•••ii ►•••••••i Thermal Barrier` '•••�' (as required by Exterior Grade 0�ii$ local code) ►••••••••4 6"Min • • /.. .4 ►Oiii�4 ♦•••♦ Footer ►• • �• •�4 Vapor Barrier ' •. � ••�..••+ •• �.//\//\//\/ ► 'Where crawlspace entry is for the ;.; \/\\/\/,* service of utilities only,thermal • / // A and igniton barrier on the crawlspace side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY CRAWLSPACE:VENTED SES05-4 071812 A Isere e°g° Subfloor °ggg °g°° I Iiiiiiiiiir t=om ►Header , I g° Sill i j ;:-:-4 voo% Joist ►•�•�•• 4gggog Thermal Barrier' ►•■ .4 g°ggg (as required by Exterior Grade jj legg local code) SES Foam 0.5 lb Spray ►•ii •4 gggg• ►••••••4 g°. jiii% ■ Footer--„,,...... ►••••••: 6"Min Vapor B.rrier //\\/\J► �/ / /// 'Where crawlspace entry is for the service of utilities only,thermal and igniton barrier on the crawlspace side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY I CRAWLSPACE:UNVENTED SES 05-5 I 071812 ESR-3375 I Most Widely Accepted and Trusted Page 6 of 6 Note:In cold climates,embed metal connector plates in spray foam to prevent winter-time condensation. oo •o . 0000°• ; 000.. °o°U i• •t SES Foam 0.51b Spray o°o° / .t...: '--,„,t.:„0,,40,o: 000 ,•o° oo , g ,000 • Roof Sheathing j; t=°•r o, 000. Truss Top Cord/ /; o. Rafter ° .0000°°" 000� nnnnnn OM IBM� nnnnnn i' Thermal Barrier' (as required by local code) Note:Local building code may A. require the use of a vapor retarder 'n cold climate zones. Ceiling/Thermal Barrier 'Where attic entry is for the as required by local building code. service of utilities only,thermal and igniton barrier on the attic side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY UNVENTED ATTIC/INSULATED ROOF DECK SES 05-6 071812 Qo0-00-0'0-4-- SES Foam 0.5 lb Spray " Q •O O.*;60---°0-'00-' O O O to specified thickness. i O O• A�� O O • 0Q0. f•••Roof Sheathing • O O • \ OQOQOQ• � r O O O O O 0 ' Thermal Barrier as Rafter ■•O Q required by code. �O Note:The local building code may require the installation of� a vapor barrier in cold climate ' zones. • 1 SES FOAM 0.5 LB SPRAY I CATHEDRAL CEILING SES 05-7 071912 R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach,FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: 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 Ri VQ S‘Ca 410erva 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: ICJ Q,UJ �j,S-k ruGk 1c t {z Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: I aai to a)N Jost Stec 1 auk_ loo, JaCk�Soruvi Ile, PL. 3x.D3 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 and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 594D Ti mheir I f`L dog_ La..Ns.L Permit Number: Legal Description (p7-(32. 0$-2S-29E ,l1!5CC (Atli-F Oz Parcel# (Q 505'2. 15 Floor Area of Sq.Ft. Sq.F't Valuation of Work$ 400,Goo Proposed Work heated/cooled 3397 non-heated/cooled l3..3 L0`- F7 ( Class of Work(circle one): 42111 Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial : - ide• '. 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: NQ n) C_ONKSIT U C -I ON -- Sc 2. Property Owner Information: Name:}2 i VQXS i cIQ 1-101-02i O N N. cL�.1 W PWC' . Address: /DO 7(D �SOUNI .. .142-I kVO/ S U_.1-k-k 00 City c)(II. i\i,U&. StateFLZip 3Ja3 Phone 503.1055 E-Mail or Fax#(Optional) a0.+�I.2oerr �� n- r'1v.Q ns Q (fie ,con-) y y Contractor Information: Company Name:' WQ!CSIde _ {-\.Ct` e.s oc- N..c!-. INC.Qualifying Agent: Ma-I•-thew 124 -1-3 Address:/0D7(9 SOLN JQSQ 13(Vd/ 4•e /app City Lacesorvvi (IQ State •FL Zip330.33 Office Phone 904.503•"1O55 Job Site/Contact Number Fax# State Certification/Registration# CJ C I.D5 4135 Architect Name&Phone# NE rL De s c 4,INc. 904 •a1QC.331 q Engineer's Name&Phone# Ape-Y-. TechNO1094 O104 . I . 5 OO Fee Simple Title Holder Name and Address . Bonding Company Name and Address Th © IIVI ling© EUVEil Mortgage Lender Name and Address • Application is hereby made to obtain a permit to do the work and installations as indicated. I cert�that no instratanon liar co hQJed prie issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this n. This permit becomes null• d if work is not commenced within six(6)mo nths,or i construction or work is susppeended or abandoned for a period of six 6) . any time af�ter work is comme understand that separate permits must be securedfor Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,beat s 1A.. C10110?tio••°-c".,. I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF • 14 %t ► ►I T MAY RESULT IN YOUR PAYING TWICE .•i` ' i I'ROVEMENTS TO YOUR PROPERTY.IF YO f 0 e • : • r FINANCING CONSU . / • T YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT . 1 hereby cert •that I have rea•and-••mi - is••pli.•lion and kn•r he same to be true and correct. All provisions of laws and ordinances governing this ty e o work will be complied with whether spe•free. '-rei • 'not. e: •rating of a p 1 does not presume to give authority to violate or cancel the provisions of any other feral of ..or-- local law regulating construe ion•r he•er: • ce o onstruction. Signature of Owner: . Allim► Ii' •Signature of Contractor: r Print Name: AI 3 _ 1♦ Print Name: mQ++ham) P {r--- Sworn and subscri•-• be ore ne Swo fpty�,and subscriber •e . e •e • may of CA(' • 20)5 ,'s_P May of k ■r P_u P.Z. 20 ilk ..• Oa A . AI • ► &�,..n z! i I , y 'u. lc " ar!"•. 'u. rc �� 440)%• Notary Public State of Florida • ,v�Y°u,., Notary P State of Florida My Co missio Atteberry Amoy Public ubli berry o My Commission EE 850279 : . .I My Commission EE 850279 A• Raf Expires 11/08(2016c��o.1' Expires 11(08(2016 KSr Af W`d' v CITY OF ATLANTIC BEACH (---- � %� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS �� 4.: jr) 800 Seminole Road 904-247-5800 {�_511,�` Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 1 VQV 11`''(1 0. 015 PERMIT# Job Address 5c:12- 7'l bet bell LQN Q ISSUED BY THE CITY Perm itee: k1VQr-lc�� 1--1omeis O . FL.IINC. Telephone# "(O4•aa..3•-1056 Permittee Address: Ia.)--t( -sew Jose_ 131Vc►) * [acs, JTXC /3ONVI 11Q.,tL- sJaDs Requesting Permission to Construct: NOLO C i`S+rU C_4 ON- 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) 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 • Florida De•artment of Transportation Standards and be performed under the supery ion of .4._ 1 l (Contractor's Project Superintendent) located at KIver5l e_ .-ecfle.5 Telephone#: 03'.--10S5 4. All materials and equipment shall 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. 6. 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 30 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 P btlic Works shall be notified twenty-four (24) hours prior to starting work and again immediately u.• otpletio . OWNER , arm°k�4 Notary Public State of Florida f - '" Amber Atteberry / '� > c. a� My Commission EE 850279 Signed: i�� , Date: r�/I`�l f Y iii, e' Before m is fr1 day of •, �■5in the County of Duval, os�° Expose t troa12ot6 State Of Florida,has personally appeared G1rt S '-Good u Notary Public at Large,State of Florida,County of Duval. I My commission expires: I I-8-f I ersonally Know Produced Identification: I L'''‘'r��, ZONING REVIEW COMMENTS �1 S City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 .i J3�1�'r Phone: (904) 270-1605 Fax: (904)247-5845 Email: dreeves @coab.us Date: 12/9/15 Permit: 15-SFR-2734 Applicant: Riverside Homes Review: 1st Address: 12276 San Jose Blvd,Jacksonville, FL 32223 Site Address: 592 Timber Bridge Phone: (904) 503-7055 RE#: 169505-2115 Email: N/A C o n(■ Correction Comments 1. Eave Projections: All projections into side yards are limited to 24 inches. While the proposed structure does not maximize the lot width, the eaves still exceed 24 inches into the side yards. Please revise plans so that no portion of the structure is more than 24 inches into the required side yards. Derek W. Reeves Planner dreeves @coab.us BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 59D Ti mhf2X- i ii C Of Li Q. Permit Number: Legal Description 697-132 0$-z$-29E A'r5CC (AO+-1. OZ Parcel# ((r29 5D5-1115 Floor Area of Sq.Ft. q.Ft Valuation of Work$ 4t0,GOO Proposed Work heated/cooled 339-7 non-heated/cooled 1 323 i_04- 1 '7 Class of Work(circle one): drill Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial dent If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No CN/T) Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: N Q'I 1 C_OIVS u C+i ON — SC Property Owner Information: Name:1R i,02.1.5 t elQ �Ome O� N N. cL�.1 I tJC. Address: lag 7Cv <SOCry 3IVO) Sint-1-2. I o City ciO e K_seNsj Ilk. StateLLZip 33aa3 Phone 0104 SO3•-7b55 E-Mail or Fax# (Optional) QQ+4�eY'r9 mtjriiVeristcjQheme .Cccr Contractor Information: Company Name:V\VQXSICdQ 4-\.CIr\2S C - N. PL. INC.Qualifying Agent: Mot-Whelk) IPohe r-I-3 Address:/oa7LP San JQS2 13(Vc!`SC,C.i Q /0.)8 City c JOLC.1CSOn/vi I IQ State CL Zip3 ,DO3 Office Phone 904-503.1055 Job Site/Contact Number Fax# State Certification/Registration# C r3C IQ54 35 Architect Name&Phone# NE L beS Cy.1,INC. 904•a(.QO.331 q Engineer's Name&Phone# Al ex Tee c voloc 0Lo4- I • soo0 Fee Simple Title Holder Name and Address Bonding Company Name and Address f C E a V. Mortgage Lender Name and Address V �5 III r Application is hereby made to obtain a permit to do the work and installations as indicated. 1 cert5 that no ppr �. instt112.ton as bo eld ed priJid he issuance of a permit and that all work will be performed to meet the standards of all laws regulatin construction m this us, ion. This permit becomes null if work is not commenced within six(6)months,or l construction or work is suspended or abandoned regulating a period of six(6) . t . .t any time a er work is comme understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers, eat s, Ta • WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF • 14 Ilk 4 ► u T MAY RESULT IN FINANCING,CONSUL T YOUR LEENNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby cerith,that I have rec.and mi , is`-••pli. tion and la:• he same to be true and correct. All provisions o17aws and ordinances governing this t e o work will be complied with whether spe.fie. '"rei . "not. e i.nting of a p t does not presume to give authority to violate or cancel the provisions of any other federal,star _or... local law regulating construe ion.'r the.er. ma ce of onstructon. • Signature of Owner: . A ► j k' Signature of Contractor: Print Name: .a S • Print Name: Ma...-1-4-hew R('- ?r-4-;) Sworn and subscri.-. be i.re ne Swo �p ty�,and subscriber .e . e 1 e •' _ ay of OY 201�>' Øi•1. 'Y ay of , $r F.u a_'. 20 1 iUC J ' i•7��►. A I &LIA �t7 JbA — �e� °ft,� Notary Public State of Florida O(Pot, Notary Public State of Florida Amber Atteherry ''� 'c Amber P,tteberry My Commission EE 850279 - •a X41 ca My Commission EE 850279 �`c�fL�� Expires 11/08/2016 0.1 Expires 11/08/2016 rs •"`' CITY OF ATLANTIC BEACH _ \fl CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS J �� 800 Seminole Road 904-247-5800 -.`,,,;s„% Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION. V Date 1 OA1 I` )1 020'' i 5 PERMIT# Job Address pp- I al rJ( Bel LWv Q ISSUED BY THE CITY Permitee: g�vQY�1�Q �t�rclC�iS OP . ft INC- .; Telephone# v(O2-1'• 3•^I0-5 Permittee Address: Ia0)Y1t9 SCu\iJc 13tVe% * too JCSONV Mel JQj t--L 3c)AD 3 Requesting Permission to Construct: N . CzNM-ruC-`-ION- SR. 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) 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 • Florida Del a ment of Transportation Standards and be performed under the supery,tsI,on of ,4 k e' L ' (Contractor's Project Superintendent) located at 1- 1VP2CS1 Q O(YleS Telephone#: o3•-lOSS 4. All materials and equipment shall 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. 6. 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 3C ) 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 P isitlic Works shall be notified twenty-four (24) hours prior to starting work and again immediately u•. oynpletio . OWNER : &...Ot.k.._ ,Nk, Notary Public State of Florida ,?" ; Amber Attebeny Signed: ,A1111111. , Date: J 1 1I F` My Commission EE 850279 is r ECG got Expires 11!08!2016 Before m is (� day of 4, Z015in he County of Duval, a State Of Florida,has personally appeared Ch rj S (.l)opd Notary Public at Large,State of Florida,County of Duval. My commission expires: I t'13.E er onall Know Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach,FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: 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 RI wade_ ---loorle.S 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: NQ-UV C N kruC.,-ia.4 - ,Srf2 Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: XJ'4 I aa1 S Jose '131Nict, .5t�i-le Igo, Jaek nevi Ile, FL. 3aaD3 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 and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times 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 ri rLy CITY OF ATLANTIC BEACH 6= : 1� Building Department OFFICE COPY 800 Seminole Road OFFIC v z: Atlantic Beach,Florida 32233 (904)247-5800 \,1119!' PLAN REVIEW COMMENTS Permit Application # /5" - S '/Z- 2 7 3y Property Address: S 9.1 7,71 h ftc f i✓ e-- Lqn e- Applicant: it verve//. CArrtls O t /1'•L FL. Project: /1/ 3 1#p ii - This permit application has been: Approved PI)7- `'.' Reviewed and the following items need attention: t21. = '77rh— .4. /rail/fa/ " J " ern r e 14- Re cQ,ved /2• /S -/ , .arc had many corn/ergo/tor. wv 4. Q&rjy 41/0/z . ,7lr.. RrvAiter, Please re-submit your application when these items have been completed. Reviewed By: illy Date: 1 A./Y•l 5" BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Spa Ti nrIbz..tr E/ cloy_ L( t•( IL Permit Number:/5 3 .77 ' Legal Description (07-i 32 08-25-29E A-15C.0 U f 02 Parcel# ( 5o5'2--115 Floor Area of Sq.r't. ((fig Valuation of Work$ ACC),600 Proposed Work heated/cooled 33 on non-heated/cooled L 3.23 L©4 I7 Class of Work(circle one): CP Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial : - 'de1 •• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No LN /Aj Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: Mu) COr\ T a C-Il ON - Sc Property Owner Information: Name:iVQf3 i(le 1-1o■ QS CSC N. cL7 Ihgc. Address: /go AD L0.r4 A"-)SSL i? \/ct, :sW-1-Q lapo City 0.CK3(-)c\tV%tk StateFLZip aa3 Phone 0(04 503•`7055 E-Mail or Fax# (Optional) a 0L*4Qbe re3 (9.) Mt-1 rI VP rsk'Q he Yw .CCO Contractor Information: n Company Name:\'1Q X&de }kCi 2 S O - N. PL.�INC-•Qualifying Agent: 1 7cH4 hew KOhr�'S Address:/ 71.9 SON JQSQ- P Vd)SCA.i /ap City C-ICsOrvvi lIQ State CL Zip310.3 Office Phone 904.503.105S Job Site/Contact Number Fax# State Certification/Registration# C€C 1 a5 4135 Architect Name& Phone# NE fiL e 5 4,INC. 904•DUO.33 i q Engineer's Name&Phone# Apex Te.ChNOtco3u) 0104•ceo l • Fee Simple Title Holder Name and Address Bonding Company Name and �--1 2 a � 0�n� _'�--•,� Address LS CVi V Mortgage Lender Name and Address 1 t ii AA''((��''// nn'' 1 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no,r oY instuttapon..as co irle+, ed prior tc he •issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this c isei4ion. This permit becomes null a}rd'c`id if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six_76)' the t any time a ter work is commer c1 i. understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers, enters, Ta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Cn U T MAY RESULT IN YOUR PAYING TWICE i` ' i 'ROVEMENTS TO YOUR PROPERTY.IF YOU FINANCING, CONSU / T YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that 1 have rea•and ami - is.•pli. tion and kn,^ he same to be true and correct. All provisions o1laws and ordinances governing this type of work will be complied with whether spe•fie, '.ref • not. e g •nting of a p t does not presume to give authority to violate or cancel the provisions of any of er federal,sta _or-- local law regulating construc ion Jr the •er: m• ce of onstruction. Signature of Owner: ■ `m. IL' Signature of Contractor: Print Name: .* S _ ■ Print Name: irna++heL&) it 4, Swornand subscri•-• be •re e Swo u},t4y`and subscriber se • e i e •'s I Lis-Day of OY' 201 ,is i L "Day of 2,, %r .P.a/ AL 20 IT 'u. 1 ■ „ 1, •u. lc _ 6ov'q. Notary Public State of Florida °Wr,, Notary Public State of Florida ;" 4' Amber Atteberry : Amber Atteberry • a My Commission EE 850279 u` My Commission EE 850279 ciFtia� Expires 11/08/2016 OF op* Expires 11/08/2016 I DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: /f 1k /�-/y/r U OFFICE COPY Development Size Habitable Space 3397 se Non-Habitable/ ? Impervious area Miscellaneous Information Occupancy Group R- 3 Type of Construction 5 Number of Stories 2 Zoning District Covn/r7 Cl&6/,9i3 Max. Occupancy Load Fire Sprinklers Required Flood Zone )c Conditions/Comments: vnventpo/ a/Iz; prote04 i1 SS('oS wY, k!, Zherj y cr/ manv4/ RS OFFICE COPY CITY OF ATLANTIC BEACH _ r rl CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS _ 35y' 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT ( (3) COMPLETE SETS OF PLANS WITH APPLICATION. . A Date I f 41 04)0 I-J PERMIT# Job Address 5Ci J 1 m her r .( LQN Q ISSUED BY THE CICITY �,l 2 Permitee: �0,102C dQ 1- W-19_3 O� . fL• INC• Telephone# "(04. a-L .--iosS Permittee Address: Ia )1(Q SaNJOSe_ 13WcI, 4- 1&b, ictC'450Nv 111Q1 gL 3.Daa s Requesting Permission to Construct: i\SQ).J.. C..1 �S-*rUAC*iCN- 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) 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 Florida De pa ment of Transportation Standards and be performed under the supery ion of 4't �' L E \ , (Contractor's Project Superintendent) located at F VCstsI Q 3- O(f2S Telephone#: r�O3 `LOSS 4. All materials and equipment shall 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. 6. 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 3( ) 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 P :lic Works shall be notified twenty-four (24) hours prior to starting work and again immediately u•• or pletio . ,�,� Notary Public State of Florida OWNER AmberAtteberry My Commission EE 850279 Signed: ��` day Date: I(' Pr t Before m' is da of a gal in e ounty of Duval, State Of Florida,has personally appeared Chri I u.)oC>d �\ Notary Public at Large,State of Florida,County of Duval. �IQ�� My commission expires: 11—P—,l9 ersonaI y Know�rt, Produced Identification: OFFICE COPY R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: 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 Rim-332.. 4-IOfnQS 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: N Ql.J1.) Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: I Qa- a Jose B We k , ,k.i,_ 00, Jpac sa.,vi Ile, P 33 3 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 and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times 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 ;.:5IAIP;;;... City of Atlantic Beach �; >° Building Department APPLICATION NUMBER w.. 1�0 800 Seminole Road (To be assigned by the Building Department.) J" S F R ` Z734` Atlantic Beach, Florida 32233-5445 (904)247-5826 • Fax(904)247-5845 •41.,:nt 97- E-mail: building-dept @coab.us Date routed: 1 (-- I Z3 /15 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM LK.) Property Address: ,S 9 7_ i Ilk ER, E,Ribe.,,E, p- . - ent review required Yes No Applicant: RWERRt0 — Q(y\ f ( - anning &Zonln• J 1'060 Tree •am - . or Project: S11■ C°�(,C: Lxj ��ub' ,t arks 4� c 1 !!ties Public S e y 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: [Approved `I,Denied.i.(Circle one.) Comments: fe 7-4 BUILDING PLANNING &ZONING ( Reviewed by: / / '•" Date:t if S. TREE ADMIN. Second Review:XApproved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: �� Date: !z 4 FIRE SERVICES Third Review: QApproved as revised. ilDenied. Comments: Reviewed by: Date: used 07/27/10 �s ' �S� CITY OF ATLANTIC BEACH r= PUBLIC UTILITIES J v� 1200 Sandpiper Lane ATLANTIC BEACH, FL 32233 J 13 i 9'" (904) 270-2535 or (904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: //- 2'/-/ 5 Project Address: 1592 Ts-,beie ereids ' ti No. of Units: Commercial Residential ✓ Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) ` &j f r New Irrigation Meter Upgrade Existing Meter from to (size) 3 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# /tS -5P--- - 2 73'/ Water System Development Charge $ / / L/Dr QO Sewer System Development Charge $ y,v SZX 00 Water Meter Only $_ 8S 00 Reclaimed Meter Only $ / 5 OC) Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ SO dj Other $ TOTAL $46 /0. DO APPROVED: Kavie Moore, PE —/'"--- (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED ,•,clavy , City of Atlantic Beach R CE.E� r) i ' fib\ Building Department APPLICATION NUMBER F 800 Seminole Road (To be assigned by the Building Department.) °�� h .t` NOV 2 4 2015 � Z`73 ,�M Atlantic 00 S Seminole Beach, Florida 32233 5445 s._ S 1` D 4 Phone(904)247-5826 • Fax(904)2 :45 f�. )- j E-mail: building-dept @coab.us Date routed: L ( Z3 ` City web-site: http://www.coab.us • APPLICATION REVIEW AND TRACKING FORM Liv Property Address: S9 7. I i M. E, ERtbC--E p- . _ ent review required Yes No Applicant: I \V ERS U t I�t-Q ry_\.� N ri ; arming&Zonin. 1 'VC(.1� Tree`�.mi . or Project: �(t °a1�� F . L Ly rYl •MI irks Public Sa ety Fire Services Review fee $ Dept Signature I 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: — APP ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING �C. Reviewed by: � r✓ ``--� Date: I I/ Id" TREE ADMIN. Second Review: ❑Approved as revised. @Denied. �fr7CANO' S Comments: r iBLIC TILITIE' PUBLIC SAFE Y Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: used 07/27/10 r•c.:ipj,, City of Atlantic Beach APPLICATION NUMBER S Building Department •i 800 Seminole Road (To be assigned by the Building Department.) "-1,? Atlantic Beach, Florida 32233-5445 [5-- S F - Z-734 Phone(904)247-5826 Fax(904)247-5845 .o;{ 0- E-mail: building-dept @coab.us Date routed: C 2-3 ILS City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Ltv Property Address: S9 7. t tv,( Ek �(Ztp��� D • . . ent review required Yiezfilo Applicant: RwgRst0E, I4OM�S crc I p( . - anning &Zoning l Trenlstr_ or rks- Project: M Eck S t p C-a LL F(-�_or L L y t4vvi c: ubl. hies Public a ety 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: BUILDING PLANNING & ZONING /2,/ / Reviewed by: Date: 7- r TREE ADMIN. Second Review: ❑Approved as revised. ❑De 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 ,;( jliT4% City of Atlantic Beach !RFCETVED APPLICATION NUMBER ii �� Building Department •; 800 Seminole Road NOV' 2 4 (To be assigned by the Building Department.) - Atlantic Beach, Florida 32233-5445 20 5 Phone(904)247-5826 • Fax(904)24 : ��_ - 2���- '�.�;{ 0- E-mail: building-dept @coab.us • Date routed: 1 L f 2_3 iLS City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM LK) Property Address: ,S' 7_ I ,A„,„ ERipeAG, D- . . . ent review required Yes No Applicant: RVER,SCOE: Norn.Gs N • an ing &Zonin J A.,�G� CF PV m or Project: NJ sf1� C� F(V r L y klorv1c- ,-ub I .rks` •lic ''ties Public afety 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: ( v pproved. []Denied. (Circle one.) Comments: / /� BUILDING fee ” /71444( 9 ‘ PLANNING &ZONING L� Reviewed by: Date: /44/S--- TREE ADMIN. Second Review: []Approved as revised. ['Denied. e[BLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. (Denied. Comments: Reviewed by: Date: used 07/27/10 R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: Property Address: Subdivision: Lot#/ Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this /Pr day of jafi.„44_, 20 Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the S to of Florida,hereinafter referred to as "CITY" and R1VQr%ICi - A-too-RAS 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: NQ J.) CC' N.5kruC_-Vic* - SV� Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: lap Jose 131•16, & k wo, Jpack Nv t Ile, FL 3.1a33 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 and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax(904) 247-5845 Job Address: 59D Ti m1-312x 1- C4't CA 1.- LOjs J Q_. Permit Number: Legal Description 07-132 08-25-2.9E, Ar5cc UNi f Oz, Parcel# ( 505--2.115 Floor Area of Sq.Ft. Sq.N't Valuation of Work$ 4C0,000 Proposed Work heated/cooled 331"7 non-heated/cooled 1 323 L- 4- 1 ` ( Class of Work(circle one): 411.210 Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial !�'dentl If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No tgeo Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: f\(Q 11) C01\ 5 r U CSI ON - SV(2. Property Owner Information: Name:R l VQXS■ele omQS pC N N. Pl-. WC. Address: /007(.9 Sow it u__1l Ve4l .7c...6--e Ia0 City c)OCKScN .i%I II StateVt_.Zip?a!tla a3 Phone aO4 503•-1055 E-Mail or Fax#(Optional) a0,+41?-b2X'rt3 f nt 3 r^/vP r sida_home .Ccn-' Contractor Information: J J Company Name: \\IQZSide_ OI.ane_S C N..-PL. INC.Qualifying Agent: a-}4 hew r --4-3 Address:1c '7Ll SSOJV JQSQ. Blvd)S(,U 4Q /app City �C.KSOrvvj Ile State -FL Zip3a0-.33 Office Phone 904-50:1.1055 Job Site/Contact Number Fax# State Certification/Registration# C f3C. I.Q5 4135 Architect Name&Phone# NE 1=L teS■CyN,INC. 9074•alQO.331 q Engineer's Name&Phone# Ap etc. Te.e.A.No1oc34 0104• I - SDOO Fee Simple Title Holder Name and Address Bonding Company Name and 2 Address Mortgage Lend er Name and Address (�t� ! AA''n/�''II !� t1 �n Application is hereby made to obtain a permit to do the work and installations as indicated. 1 cert that no rr inst6YKrl#on leas borfrW, e issuance of a permit and that all work will be performed to meet the standards of all laws regulatin construction in this Cd'd ion. This permit becomes d if work is not commenced within six(6)months,or i construction or work is suspended or abandoned for a period of six f6) . t t any time a er•work is counderstand that separate permits must be secured for Electrical Work,Plumbing,.Signs,Wells,Pools,Furnaces,Boilers,Heat s, Ta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 1 1 1 1 ■ 11 T MAY RESULT IN YOUR PAYING TWICE - z ' i I'ROVEMENTS TO YOUR PROPERTY.IF YO 0 ` 1 O W ; • 11 FINANCING CONSU • T YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. / ..__ 1 hereby certibi that!have rea•and •mi - Li','ph,'lion and kn��"yy he same to be true and correct. All provisions of laws and ordinances governin this type of work will be complied with whether spe.fie. '•rei • 'not. e gi'nting of a p 't does not presume to give authority to violate or cancel the provisions of any fe rat,,stat,.or-. local law regulating construc ion 4r he•er: m• ce of onstruction. Signature of Owner: . fir_ ;i' Signature of Contractor: l '- Print Name: A1 3 _ III Print Name: Ma,-E--1-hew R-tex4, Sworn nd subscri.-. be ere ne Swo �p,t9,and subscriber •e . e 'e •' / ay of OY t 20 J •'s ILI"gay of A. $r �_u AZ. 20 Ilia ':g: 'u. lc •■ - .R'.!i 'U. is ••••• o`O eye, Notary Public State of Florida • e°o,., Notary Public State of Florida Amber Atteberry Farber Atteberry r My Commission EE 650279 c . ,a My Commission EE 850279•(• ?eF F Expires 11/08/2016 ei.op° Expires 11/0812016 • CITY OF ATLANTIC BEACH �411I 1fl CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS — \�\ - �___ ' 800 Seminole Road 904-247-5800 J ;::.,Q;;V/ Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION. I Date cX iqt C1DI PERMIT# �q rim bet- Br t n ^ . , ISSUED BY THE CITY Job Address i' I LI li,.,) X (�(�fVQ. n Permitee: KX\ Q. cog_ }--1O( S O.P . ft.I INC. Telephone# q04.a)3--105 5 Permittee Address: Icc1U9 SauvJc se 131Vc%) 4 ISXD JCt.0 som i I Ie_j FL 3.DA23 Requesting Permission to Construct: Na ,M-ruC- tON- ,.SR. 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 ( ) No ( ) Date: • Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) 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 Florida De a ment of Transportation Standards and be performed under the supery Ion of (�(j J\J 0r'�E\ I. (Contractors Project Superintendent) located at 'tver:si 2- 1--1Cf12_3 Telephone#: o• •'i0S5 4. All materials and equipment shall 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. 6. 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 ..3(7 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 P :lic Works shall be notified twenty-four (24) hours prior to starting work and again immediately up. o: pletio . ° +ate, OWNER t °k:, Notary Public State of Florida � ,/� :r vo AmberAtteberry ', Signed: 1��� Date: /f i ii-3 `�� ,�o My commission EE 850279 Before m is day of 1, 2015in the L`ounty of Duval, E�r�o Expires iZ�oal2o�6 _ � F State Of Florida,has personally appeared C4�ri 5 uOor�d ' � �'+. Notary Public at Large,State of Florida,County of Duval. My commission expires: 11^B-i lA er;nally Know�. Produced Identification: 1 1 J-90L /off`" /.3r 7z >f > 7,37 -- ts._rx A//1 _ 6''are j01,1,3,3 Xgc2.4 s'ort, 8y 1241_11.1 r 7(2 zz.63 Jut, 6 642. 7,2 l Qjf 3. 67 X Y d sc/e Jq . ((moil 1 - *fY / 7; 90 /ikif igalatit 2 eflq tilepvia, 3 0 R3 := pii;oit I /g XI? Bbl yd y A G 6 5C,1 z5 1� �/2,r-/ I 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. DATE►if NED this f day of NOk m 62( , 20e.�' 1 By ,-,- _ Pr,l'Ortrer . 9 signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this Rl n day of / kAl ifi bQ,r , 204/ personally appeared before me, a Notary Public in and for said County and State, C.hr 1 S U0006 , the property owner of 5C)2 1 itn Qe imd Lowst_ , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. ,os,Pot Notary Public State of Florida ettl • 4Ir_U k L > 4 ; Amber Attebeny _ . '���•�--- {.. < My Commission EE 850279 0 . .. Public in�"'aid County at ate cos Expires 1110812018 CITY OF ATLANTIC BEACH,FLORIDA, a municipal corporation: Appr eil ' . +: . For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 • SITE PLAN LOT 171 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67, PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. S' GEN[RAL NOTES• GRAPHIC SCALE I.�N�GE ElEy DINS SHORN HEREON c BASED�, ARD 1M;AS BONG N6024'1rw. 30 0 15 SD 3.THE LADLE. HEREON UE MNIN FLOOD ZONE'X'AS DEPICTED ON TIE ROOD INSURANCE RAMC MAP(f.I R.M.)LOIOUNIIY NUMBER 120077,PANEL NUMBER 0406X,DATED.JUNE 3.2013,THE FL000 ZONES SHORN ON THIS SITE PLAN ARE SCALED OFF Of THE F.E.M.A.FI.R.M.MAPS AND ARE FOR REFERENCE OMIY.TIE F.I.R.M INFORMATION AND DELINEATION'S ON THIS SITE RAN ARE VALID ONLY FOR DATES UP TO AND INCLUDING THE DATE OF NIS SITE PLAN.THERE MAY HAYS BEEN SUBSEQUENT REVISIONS AFTER THIS DATE MAT MALL SUPERSEDE SAID IKORMATION.INQUIRES SHOULD BE MADE 70 ME COMMUMTYS FLOOD PLANE MANAGEMENT REPOSITORY.DEPARTMENT Of PUBUC WORKS.DUVAL COUNTY. 4.ROC°MAPS REFERENCED HEREON ARE BASED ON NAVD 1996. S NO UNDERGROUND FOUNDATIONS OR UTUTES t NO IMPROVEMENTS,OTHER THAN THOSE SHORN WERE LOCATED UNDER THE SCOPE OF THIS SITE PLAN. 6.ADDITIONS DELETIONS AND/OR ANT WRITTEN INfORMATIGN ADDEO TO THIS MAP AND/OR REPORT IS PROMBITED AND IS NOT AUTHORIZED BY THE SIGNING ( IN FEET ) SURVEYOR. 7.Des RAP IS INTENDED TO BE VIEWED AT A SCALE OF 1'.30'CR 9 ALLER. 1 inch = 30 It 8 ENTRIES t PATIOS DEPICTED AS EXTENDING INTO THE BUILDING RESTRICTION LIMITS MUST REMAIN UNCOVERED at NOT ENCLOSED. 9.UPLAND BUFFERS ADVACENT TO WETLANDS ARE TO REMAIN NATURAL.VEGETATIVE.AND UNDISTURBED. 10.MANSIONS ARE IN FEET AND DECIMAL PARTS THEREOF. 11.THIS SITE RAN IS ONLY FOR THE LANDS AS DESCRIBED.IT IS NOT A CERTIFICATE OF TITLE.ZONING.EASEMENTS OR FREEDOM O'ENCUMBRANCES 12.THIS SITE PUN WAS NOT INTENDED 10 DELINEATE OR DEFINE ANY WETLANDS,ENVIRONMENTALLY SENSITIVE AREAS WILDLIFE HABITATS OR JURISDICTIONAL LIMES OF ANT FEDERAL.STATE.REGIONAL CR LOCAL AGENCY.BOARD.AND COMMISSCH CR OTHER ENTITY AND ANY UABIUTY RESULTING THEREFROM IS NOT THE RESPONSWILITY OF THE UNDERSIGNED. 13.UNLESS A COMPARISON IS MADE.MEASURED BEARINGS AND DISTANCES ARE IDENTICAL WITH PLAT VALUES. 1A.THIS SITE PLAN IS BASED ON INFORMATION AS PROVIDE°BY THE CLIENT. IS.BUIDNG AND IMPROVEMENTS.IF ANT,AS DEPICTED HEREON ARE PERPENDICULAR TO THE PARCEL PROPERTY LINES. ALL BUILDING TES ARE SHOWN TO THE FOUNDATION. 16.THIS IS NOT A BOUNDARY SUMVET. 17.PUBLIC SIDEWALKS DEPICTED HEREON ARE BASED ON THE CONSTRUCTION PLANS. THEY ARE SHOWN FOR INFORMATIONAL PURPOSES ONLY AND ARE NOT TO BE LINE TABLE RELIED UPON FOR CONSTRUCTION. FOR CORRECT LOCATION AND/OR DMENSIONS REFER TO TIE MOST CURRENT SET OF CONSTRUCTION PUNS THERE IS A MAXIMUM 2R SLOPE ON ALL SIDEWALKS ALL SIDEWALK AND FLATTERS SHALL.Al A I NIBUM,MEET CURRENT OWN.COUNTY AND ADA STANDARDS.CROSS SLOPES LINE DIRECTION LENGTH SHALL BE NO MORE THAN 2R THE PORTON OF ME SIDEWALK WHICH TRANSVERSES THROUGH THE DRIVEWAY APRON SHALL ALSO MEET THIS MIMEJENT.ALSO. PLEASE NOTE MAT UTILITES(METER BOXES.VALVES.ETC.)SHALL NOT BE INSTALLED WITHIN NE SIDEWALK. LI(P) N8012417"te 55.00 18 A/C PADS MUST MAINTAIN 3'AWAY FROM ANY PROPERTY LINE AND CAN NOT ENCROACH INTO A DRAINAGE EASEMENT DUE TO DRAINAGE PURPOSES. 19.DRAINAGE STRUCTURES DEPICTED MAY VARY IN SIZE REFER TO ENGINEERING PUNS FOR CORRECT DIMENSION$. L2(P) NBS06•56'W 57.01 P.D_ TIMBER __ N8p 24'1 7Nw (BRIDGE DIVE /26.10 siDE,M s 20. q' 362.66,(P� N 20.50' . liti 7.5'RA-E` =� P.7' / 100 CD �W4YI Ois 5.17 A '3. I El DENOTES PROPOSED WOOD 22.67' 1 20'8 R1 al DENOTES PROPOSED CONCRETE a 4 IAGT il © DENOTES CHEMICAL TOILET 00 ? S 00 FP'+- DENOTES FUTURE 4" TREE ' ' 0 o u0° 5.17' "SETBACKS.' t` ' x47' FRONT-20 FEET FROM FACE CF GARAGE TO BACK OF . RIGHT Cr WAY AND 15 FEET FROM BUILDING FACE OR F, 11Mp S OPQyED • PORCH TO BACK OF RIGHT Of WAD EXCEPT qF�,,� CORNER/ODL18LE-FRONTAGE LOTS FOR MARCH 1K O N F'F'ETEV--"`^_ FEET FROM GARAGE OR BINDING FACE TO BACK OF 1D y 3.00 267• N'1MP7(y1l TO ® SOD BREAKDOWN i 1Y+m '.""'• moo OF WAY. $ 44.O V'�3 Fj RAN TO CURB AREA 743 50 So.FtFt.Pt • TOTAL LOT 91 C" GROSS SOD AREA 8.581 Sq.Ft. 5.17' 1 war DEDUCTIONS 1111 e F FOUNDATION SLAB 3.31 Sq.Ft. PF laer DRIVEWAY 672 Sq.Ft. d' rl�'lI fy_I. LEAD WALK 72 Sq.Ft. * : '-/"P ril ifir O -..111, o 1 3 SIDEWALK AREA 141 Sq.Ft. r 1 E F II�!1 2' A/C PAD(S)A GARAGE 32 Sq.Ft. arf' ,a 2' : SERVICE DOOR SLAB ..................... r 7Y" 5.17' WATER/CONSERVATION°Sq.Ft. 113161 A m Z�'E4LEl7TP)'.....r TOTAL TWSI1F1NM4 4.348 Sq.Ft. ;n� L 171 ' NET SOD AREA, 4,233 Sq.Ft. '.838 Sq Ft, p am F� <FN J IMPERVIOUS COVERAGE CF 42 MPERSIOUS S4 Ft. LOT So.Ft. X A 3.924 Sq.Ft. 7.638 So,Ft._50% COIL.. PREPARED FOR:RIVERSIDE HOMES CERTIFIED TO:RIVERSIDE HOMES w� 7' � ,WOSISMO Dr we 3,!II BARTRAM TRAIL SURVEYING, INC. LAND SURVEYORS - PLANNERS - LAND DEVELOPMENT CONSULTANTS N COVE El 1501 EE OUNTY ROAD 315 SUITE NO. 108 CBRTIPICPATE OF AUTHORIZATION LB�/84) 284 2256 wwx.M. COPYRIGHT © 2015 e.."' NOTATION: F.ITEM.FLOOD ZONE X(N/A) 1r.!'(7'-w `,",a "I HEREBY CERTIFY. that this survey grOph:C011y represents The survey hereon woe made without benefit of abstract or W/ELEVATION: 7'°.`r_,P,es .°Oforc°mo°1°Mi the results Of o field survey mode under my responsible search of title.and therefore the undersigned and BorlrOm .'.u-° °O..w�..'w� direction and complies with the latest Stundords of Trail Surveying make no CertifiCOIIBNs regarding information PANEL NO.. 120077 0408H 6 nd..w+ '; .,..,P„I Practice for Surveys os promulgated by the Florid°State shown or not shown hereon pertaining to easements,claims 6/3/13 .. v,e. Board of Professional Surveyors and Mappers.Choptee of easements.Rights-of-woy,setback lines.overlaps, _ " """" m"` 5.1-17 F.A.C.; Pursuant t0 section 472.027.Florida Boundary Line disputes.agreements,reservotlons U'other Fe/PG: N/A !� .wow. ��, 4 statues.subject fo all notes ono notations shown hereon. e,miIOr moth".which may appear in the abstract,Of search. N/A N/A This survey is DATE: 1 SCALE: m,.. Y I Orepored and certified for the excNSive use of 7/29/15 1�°3pP _ FIELD WORK COMPLETED MAP ORIGINALLY SIGNED the client homed hereon ontl the survey mop and report of the client timed T ore 101 Vol id without the signature rep and PROJECT Na: REVISION: °0'p1p'(.W„°" ,,,,,,,� N/A the original roiled seal of°Florid°licensed surveyor and 1349-15-037 m„"'',`a's•` RAYMOND PAUL SUTHERLAND, P.S.M. "'°ppeY. "°'°'°°""' STATE OF FLORIDA LICENSE NUMBER LS 6477 DRAWN BY: SLL CHECKED BY: MOB SHEET 1 OF 1 (--- SITE PLAN LOT 171 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67, PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. GENERAL NOTE$; GRAPHIC SCALE j DRANAGEE ARE BASED ON$SNOWM REEBORNLI E BASED ON GNAW 19TH. AS BEING N807417-W. 0 15 30 3.THE LANDS SHOWN HEREON LX WITHIN P1000 ZONE'X'AS DEPICTED ON THE FLOOD INSURANCE RATE MAP(FIRM.)COMMUNITY NUMBER 120077,PANEL NUMBER OROBH.DATED.ANE 3,2013•THE ROOD ZONES SHORN ON THIS SITE PLAN ARE SCALED OF OF THE F.E.MA.FIRM.MAPS AND ARE FOR REFERENCE ONLY,1HE F.I.R.M.INFORMATION AND DELINEATION'S ON THIS SITE PLAN ARE VALID ONLY FOR DATES LIP TO AND INCLUDING THE DATE OF THIS SITE PLAN.THERE MAY HAW BEEN SUBSEOUENT REVISIONS AFTER THIS DATE THAT DILL SUPERSEDE SAD INFORMATION.INQUIRIES SHOULD BE MADE 10 THE COMMUMTYS FLOOD DUNE MANAGEMENT REPOSITORY.DEPART ENT OF PUBLIC WORKS•RURAL COUNTY. • FLOOR MAPS REFERENCED HEREON ARE BASED ON NAND 1986 5.NO UNDERGROUND FOUNDATIONS OR UTLITES re NO IMPROVEMENTS.OTHER THAN THOSE 560511 WERE LOCATED UNDER THE SCOPE O THIS SITE PLAN. 6.ADOLT1ONS,DELETIONS AND/OR ANY WRITTEN INFORMATION ADDEO TO THIS MAP AND/CR REPORT IS PRCHIRTED AND IS NOT AUTHORIZED BY THE S191ING Oele ( IN FEET ) SURVEYOR. 7.THIS MAP IS INTENDED TO BE NETTED AT A SCALE CF 1'.30'OR SMALLER. 1 inch = 30 IL 6 ENTRIES 5 PATIOS DEPICTED AS EXTENDING INTO THE BUILDING RESTRICTION MITTS MUST REMAIN UNCOVERED A NOT ENCLOSED. 9.UPLAND BUFFERS ADJACENT TO WETLANDS ARE 70 REMAIN NATURAL.VEGETATIVE.ANO UNOISTURBEO. TO DIMENSIONS ARE N FEET AND DEFAMAL PARIS THEREOF. IT.THIS RTE PLAN IS ONLY FOR THE LANDS AS DESCRIBED.IT IS NOT A CERTHCATE OF TITLE.ZONING.EASEMENTS OR FREEDOM OF ENCUMBRANCES 12.THIS SHE PLAN WAS NOT INTENDED 70 DELINEATE OR DEFINE ANY WETLANDS,ENVIRONMENTALLY SENSITIVE AREAS.WILDLIFE HABITATS OR JURISOCTIONAL LINES OF ANY FEDERAL.STATE.REGIONAL C LOCAL AGENCY.BOARD.AND COMMISSION OR OTHER ENTITY AND ANY LIABILITY RESULTING THEREFROM IS NOT THE RESPONSIBILITY OF THE UNDERSIGNED. 13.UNLESS A COMPARISON IS MADE.MEASURED BEARINGS AND DISTANCES ARE IDENTICAL MTH PLAT VALUES. 14.THIS 5HTE PLAN IS BASED ON INFORMATION AS PROVIDED BY THE CLIENT. 15.BUILDNG AND IMPROVEMENTS.E ANY.AS DEPICTED HEREON ARE PERPENDIOAAR TO THE PARCEL PROPERTY LINES. ALL BUILDING DES ARE SHOWN TO THE FOUNDATION. TB.THIS IS NOT A BOUNDARY SURVEY. 17.PUBLIC SIDEWALKS DEPICTED HEREON ARE BASED ON THE CONSTRUCTION PLANS. THEY ARE SHOWN FOR INFORMATIONAL PURPOSES ONLY AND ARE NOT TO BE LINE TABLE RELIED UPON KR CONSTRUCTION. FOR CORRECT LOCATION AND/OR DIMENSIONS REFER 70 THE MOST CURRENT SET OF CONSTRUCTION PUNS. THERE IS A YARIMUM Zx SLOPE ON ALL SIDEWALKS ALL SIDEWALK AND FLATWORK SHALL.AT A MINIMUM.MEET CURRENT DUVAL COUNTY AND ADA STANDARDS.CROSS SLOPES LINE DIRECTION LENGTH SFHALL BE NO MORE THAN 2€THE PORTION OF TE SIDEWALK MIEN TRANSVERSES THROUGH THE DRIVEWAY APRON SHALL ALSO MEET THIS REQUIREMENT.ALSO, PLEASE NOTE THAT UTILITIES(MEYER BORES.VALVES.ETC.)SHALL NOT BE INSTALLED MORN THE SOEWALK. L(P) NBOZ4'17"W 55.00 16 A/C PADS JUST MAINTAIN 3'AWAY FROM ANY PROPERTY UNE AND GAN NOT ENCROACH INTO A DRAINAGE EASEMENT DUE TO DRAINAGE PURPOSES 19.ORANAGE STRUCTURES DEPICTED MAY VARY RI SIZE. REFER TO ENONEERING PLANS FOR CORRECT OMENSIONS. L2(P) N65'OB•56'W 57.01 1 7288 o l 2a'I;Mw PG TIMBER (5B 0R :D1 G E LANE 62.66`(p)20.yaw 3K S 1111111411111111111111 ........ ry 20.50' 7.5'vEA_E�� WIN 1,......2 — owvc,,, i 741111511111ftimm CD----- it/UZI! !Iry NQ ., a 5.17' ! 3 e.Ri. M E DENOTES PROPOSED WOOD 22..y. ! 20'B.RL ® DENOTES PROPOSED CONCRETE a k•. CT _ } EL © DENOTES CHEMICAL TOILET 0 ' e g S O O n r%- DENOTES FUTURE 4- TREE tn !III :.'//b or 6 •o 2200' 5.17' -SETBACKS•• N 2Br • FRONT-20 FEET FR FACE OF GARAGE 70 RAOK O -` FEN NONE OF WAY ANO IS FEET FROM BUILDING FACE OR PORCH 70 BACK OF RIGHT OF WAY;EXCEPT 0 • !O Ma s. RES,�,c e CORNER/DOUBLE-FRONTAGE LOTS FOR WHICH THE N�Rp "1 ELE1: 'I`'F NON-ADDRESS�nw FRONT/SIDE B 1111 1109 YARD SHALL BE TO a 300 ter 11.10 ® SOD BREAKDOWN IRBIAN QM"' RIGHT OF WAY. I g 44.8 '33, t, N R/W TO CURB AREA 74335p FT. I � GROSS SOD AREA 8.581 Sq.Ft. 5'17'3 : f0.0D• '" EDUCTN)N DS I I r, 9. FOUNDATION SLAB 3.431 Sq.Ft. e i(1 11+ j liter 0 DRIVEWAY 872 Sq.Ft. w,} i ' I(II 1,1 LEAD WALE 72 Sq.Ft. M �j t//Ij/ ' 'rfl/I b 1 SIDEWALK AREA 141 Sq.Ft. I,llr)H 11 rl 2' A/C PAD(S)A GARAGE 32 Sq. I. 1 l I+1,.• 2 ' M SERVICE DOOR SLAB rn :.................................. • 5.17' WATER/CONSERVATION 0 Sq.Et. Ina m 2 2 SIN ivf""'.J 15 TOTAL DFFIIICTIFNS 4.348 ST.Ft. LOT NET SOD EA AR 4.233 Sq.Ft. „� 7.835 9. Y 6.4 .4 7. K '?.y1�N IMPERVIOUS COVERAGE '^') CF 42 IMPERVIOUS Sq.FL LOT Sq.Ft. 1 x 3.924 Ses Ft. 7538 Sq Fl. 5016 COLE PREPARED FOR:RIVERSIDE HOMES CERTIFIED TO:RIVERSIDE HOMES wan FP= �� +—°� I'm BARTRAM TRAIL SURVEYING. INC. ;,M„„d;TM LAND SURVEYORS - PLANNERS - LAND DEVELOPMENT CONSULTANTS • WOO MN° °^� ���� 1501 COUNTY ROAD 315 SUITE N0. 108 (904 284-2224 •W ;,1 ,q..«• GREEN COVE SPRINGS, FL 32043 FAX i904 284-2258 02:=mow _ .. CERTIFICATE OF AUTHORIZATION LB 089 1 :�=MX COPYRIGHT © 2015 • „„,...' rte' NOTATION: FIR.M.FLOOD ZONE K(N/A) "c°!'{alEv--1..., "I HEREBY CERTIFY, that this survey graphically represents The survey hereon was mode without benefit of obstroct or W/ELEVATION uc:m` I��.', PM,27 m°I.iw the results of o field Survey mode under my responsible seorch of title,and therefore the undersigned And Bartrom 17 -moo direotOn and complies with the lolest Slondords of Trait Surveying mole no Certifico0ons regording in formation PANEL NO.. lAW..'1 o...2•C—m�4..: ...w,Illu Practice for Surveys os prarnulgated by the Florido State shown or not shown hereon pertaining to easements,claims 120077 0408H 6/3/13 o tg=,. Board of Profesaionol Surveyaa and Mappers.Chapter of easements.Rights-of-way,Setback lines.overlaps, :-mom Rely,, SJ-17 F.A.C.; Pursuant to section 472.027,Florida Boundary Line dISpateS.ogreements,reservations or other rB/PG' N/A ` °.o o .+w 4' et°tues,subject to all notes and notations shown hereon. similar matters which may appear in the abstract,or search. O i•0i o N/A N/A This survey'6 DATE: 1 SCALE: .o-, ,,. m , ,r y prepared and cThe B0 for the exclusive use of 7/29/15 1'.30' FIELD WORK COMPLETED MAP ORIGINALLY SIGNED the client named hereon and the survey mop and report of =:::,"== •Ow the Copies ihereol ore VAT vditl without the signature Ond w.`was a�m+rw,u.wm 9 PROJECT NO.: I REVISION: I �T,.iOM.o N/A the original raised seal of o Florid°licensed surveyor°nd 1349-15-OS7 wi0iO1o.t RAYMOND PAUL SUTHERLAND. P.S.M. moppet.. STATE OF FLORIDA LICENSE NUMBER LS 6477 DRAWN BY; $LL CHECKED BY: MEB SHEET t OF 1 SITE PLAN LOT 171 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67, PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. S' TYPIFRAI NOTES. GRAPHICSCALE j DRAWAGEE ELEVATIONS SHOWN CENTERLINE ARE BASED ONB�W t966LANE AS BOND 46021'17 W. 30 Q 1S SO 3.THE LANDS 5404.11 HEREON L(MINN FLOOD ZONE'X'AS DEPICTED ON T(FLOOD NSURANCE RATE MAP(F.LR,M,)COMMUNITY M/MBER 120077,PANEL NUMBER 0908TH,DATED.AXE 3,2013,THE FLOOD ZONES 5140404 ON THIS SITE PUN ARE SCALED OFF OF THE F.E.M.A FI,R.M.MAPS AND ARE FOR REFERENCE ONLY.T(LLR,M,INFORMATION AND OELNEATOIFS ON THIS SITE PLAN ARE VALID ONLY FOR DATES UP 70 AND NCLUDINO THE DATE OF THIS SITE PLAN,THERE YAY HAVE BEEN UMW:K ENT REVISIONS AFTER THIS DATE THAT WILL SUPERSEDE SAID INFORMATION.INQUIRIES SHOULD BE MADE TO THE CONMUMTYS FLOOD PLANE MANAGEMENT REPOSITORY.DEPARTMENT OF PUBLIC WORKS,DUVAL COUNTY. ♦.ROOD MAPS REFERENCED HEREON ARE BASED ON RAND 1980. 5 NO UNDERGROUND FOUNDATIONS OR UTUTIES a NO IMPROVEMENTS,01N(R THAN THOSE WORN WERE LOCATED UNDER THE SCOPE OF THIS SITE PLAN. 6.ADDITIONS,DELETIONS AND/OR ANY WRITTEN INFORMATION ADDEO 70 THIS MAP AND/OR REPORT IS PROHIBITED ANO IS NOT AUTHOMZED BY THE SIGNING ( IN FEET ) SVRVEYpt t 7.TINS MAP IS INTENDED TO BE V1EWm AT A SCALE OF r-30'OR SMALLER. 1 inch = 30 ft &ENIMES a PATIOS DEPICTED AS EXTENDNG INTO TX OVUM°RESTRICTION LIMITS MUST REMAIN UNCOVERED a NOT ENCLOSED. 9.UPLAND BUFFERS ADJACENT TO WETLANDS ARE TO REMAIN NATURAL.VEGETATIVE.AND UNDISTURBED. 10.DW(NSONS ARE IN FEET AND DEOMAL PARTS THEREOF. II.THIS SITE PLAN 12.THIS SITE PLAN IS WAS NOTE INTENDED 0 DELINEATOR DEFINE ANY WETLANDCERTIFICATE NMRONMENTALLYI SENSITIVE MAREAS.WILDLIFE HABITATS OR JURISDICTIONAL LINES OF ANY FEDERAL..STATE.REGIONAL OR LOCAL AGENCY.BOARD,AND COMMISSION OR OTHER ENTITY AND ANY LIABILITY RESULTING THEREFROM IS NOT THE RESPONSIBUTY OF THE UDERSIGNED- 13.UNLESS A COMPARISON IS MADE.MEASURED BEARINGS AND DISTANCES ARE IDENTICAL 111TN PLAT VALUES. 14.THIS SITE PLAN IS BASED ON INFORMATION AS PROVIDED BY THE CLIENT. I5.BULDING AND a/PROVEN:NTS.IF ANY.AS DEPICTED HEREON ARE PERPENDICULAR TO THE PARCEL PROPERTY LINES ALL BUILDING TES ARE SHORN TO THE FOLIIOATON, 16.THIS IS NOT A BOUNDARY SURVEY. 17.PUBLIC SIDEWALKS DEPICTED HEREON ARE BASED CN THE CONSTRUCTION PLANS. THEY ARE SHOWN FOR NFOR1IATIONAL PURPOSES OBEY AND ARE NOT TO BE LINE TABLE RELIED LYON FOR CONSTRUCTON. FOR CORRECT LOCATION AND/OR DIMENSIONS REFER 70 THE MOST CURRENT SET OF CONSTRUCTION PLANS. THERE IS A MAXIWM 21f SLOPE IN ALL SIDEWALKS.ALL WOEWALK AND RATNORK SHALL.AT A MINW4,MEET CURRENT DUVAL COUNTY AND ADA STANDARDS.CROSS SLOPES WE DIRECTION LENGTH SHALL BE NO MORE THAN 2R THE PORTION OF THE SIDEWALK RIIOI TRANSVERSES TROUGH TIE DRIVEWAY APRON SHALL ALSO MEET TINS REOUIRENENT.ALSO. PLEASE NOTE THAT UTILITIES(METER BOXES,VALVES,ETC.)SHALL NOT BE INSTALLED KANN THE SIDEWALK. Ll(P) N8024'171V 55.00 18 A/C PADS MUST MNNTAIN 3'AWAY FROM ANY PROPERTY LNE AND CAN NO7 ENCROACH INTO A DRANAGE EASEMENT DUE TO DRAINAGE PURPOSES. 19.DRAINAGE STRUCTURES DEPICTED NAY VARY N SIZE. REFER TO ENGINEERING PLANS FOR CORRECT DIMENSIONS. L2(P) N65.08'50'W 57.01 P.C. • _ UMBER BRIO E 4_80 24'17"W (50' For) LANE 12610'(— _ -----------, P.I. -........ 1 20.50' �� 362.66'(P) s0E1y"" S 20.50' 7,5'.EA-E. `n ...F, lX9.0 s — _ SWAY .�� I 4 1!5.17 : I 38.Rol. RIRIF DENOTES PROPOSED WOOD 2ZRr a 2p'BELL isi DENOTES PROPOSED CONCRETE a E.7 El DENOTES CHEMICAL TOILET 0 R ti O +- DENOTES FUTURE 4w TREE • '11/1,10/Il� LO o 2xo0 5.17'• ••SETBACKS•• xar • FRONT-20 FEET FROM FACE OF GARAGE TO BACK OF • RIGHT OF WAY AND 15 FEET ROM BUILONF FACE OR CORNER/DOUBLE-FRONTAGE RONTAGE LOTS.YFOR M ICH THE 500' 71IOF • • FEET apiENO 09ugolN�fAIS To BACK OF 10 • tar NW'74F SOD BREAKDOWN ww'I�x°14 RIGHT OF WAY. �v KREEV.9 TOTAL LOT AREA 7,838 Sq.Ft. 6 X�'� 8 R/W TO CURB 743 SG.Ft. 1'� 1, GROSS SOD AREA 6.581 So.Ft. 5.17' To.ar o 5EOUCTIONV 3 I I N E.. FOUNDATION SLAB 3.431 Sq.FL /.7 �I!i/I/I♦ 1887• DRIVEWAY 672 Sq.Ft. LEAD WALK 72 Sq.Ft. 'i111/11 HIyANyll 1'//II/- I� SIDEWALK AREA TAT Sq.Ft. I 1 ,•ar / 1 N 2' A/C PAD(S)a GARAGE 32 Sq.Ft. •tT I.r T2+2' F°) SERVICE DOOR SLAB En y : 5.17' WATER/CONSERVATIONO Sq.Ft.•ri EDO m 'w/!. M +TOTAL�WL71L7N4 4.348 Sq.F(. in� /71 J • NET SOD AREA 4,233 Sq.Ft. 0)7.838 f„ S/4 T ON et. iriP FFN J IMPERVIOUS COVERAGE CF • E.2 IMPERVIOUS Sq.FLI LOT So FL K C 3,924 SON FL 7,838 S4.FL 50X Off, COURSE x i� PREPARED FOR:RIVERSIDE HOMES CERTIFIED TO:RIVERSIDE HOMES r ` 3,11 BARTRAM TRAIL SURVEYING, INC. LAND SURVEYORS - PLANNERS - LAND DEVELOPMENT CONSULTANTS ii::"m,. .41 "" al 1501 COUNTY ROAD 315 SUITE NO. 108 (904) 284-2224 GREEN COVE SPRINGS, FL 32043 FAX (9049) 284-2258 du" �" p CERTIFICATE OF AUTHORIZATION LB X89 1 COPYRIGHT © 2015■ NOTATION: F.I.R.M.FL000 ZONE {A,'o,,,,,w rwr n "I HEREBY CERTIFY, Mot this survey grophically represents The survey hereon was mode without benefit of obstruct or W/ELEVATION: %(N/A) ".-.....""•"""....."'` ��14-op��wr the results of a field Survey mode under my responsible seorth of title.and therefore the undersigned and Bertram direction and complies with the latest Stondords of Trod Surveying make no Certifications regarding information PANEL ND.: 120077 0408H 6 Is..In-...”%'"' . In,1 Practice for Surveys as promulgated by the Florida Stole shown or not shown hereon pertaining to easements,claims 6/3/13 .-m oIr, vw., Board of ProleesIGnol Surveyors and Mappers, Chapter of easements,Rights-of-way.setback lines.overlaps, :i''''''u ''''''r r..4.'°° 5.1-17 F.A.C.; Pursuant l0 RRCIiOn 472.027,Florida Boundary Line dispute!.agreements.reservotlon!a other FB/PG: N/A 3( moss«., a man statues.subject to all notes and notations shown hereon. similar matters which may oppee,in the abstract.or search. =a°'^' �q� N/A N/A This survey is prepared and certified for the exclusive use of DATE: 7/29/15 I SCALE' 1'.30' :°. ro _mm.°O "mt.., FIELD WORE COMPLETED MAP ORIGINALLY SIGNED the client named hereon and the survey mop and report of AL WM) mom u4NH OM the copies Thereof ore not valid WIShpal the signature and PROJECT NO.: I RENWOIS ...qua"" .. N/A the original raised Red of o Florida licensed curve and A.w4.rw°Q � RAYMOND PAUL SUTHERLAND, P.S.M. mop per. 13CT NO.:037 lamp 104.1.200310 11/111.4 '°'°'°"�' STATE OF FLORIDA LICENSE NUMBER LS 6477 DRAWN BY, 51.1 CHECKED BY: 1JE8 SHEET 1 OF 1