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173, 177, 181, 185 OCEAN GATE DR - PERMIT CITY OF ATLANTIC BEACH y SS1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �. INSPECTION PHONE LINE 247-5814 SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2846 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SINGLE FAM ATTACHED Estimated Value: $117,000.00 Issue Date: 1/6/2016 Expiration Date: 7/4/2016 PROPERTY ADDRESS: Address: 185 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A #701 Phone: 904-334-1202 PERMIT INFORMATION: FEES:- --- - ---- ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $265.50 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $531.00 STATE DCA SURCHARGE $7.97 STATE DBPR SURCHARGE $7.97 WATER CONNECT/TAP & METER $185.00 MAZER GRQO3 CONNECTION ti)\"( I $51340.11. CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING COD! s. ((J s�, CITY OF ATLANTIC BEACH _. 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 jn Total Payments: $1,197.44 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,�� ': '' \1\ CITY OF ATLANTIC BEACH < " , _ 800 SEMINOLE ROAD \V ATLANTIC BEACH, FL 32233 \ INSPECTION PHONE LINE 247-5814 ,�J;319r' SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2845 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SINGLE FAM ATTACHED Estimated Value: $117,000.00 Issue Date: 1/6/2016 Expiration Date: 7/4/2016 PROPERTY ADDRESS: Address: 181 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A#701 Phone: 904-334-1202 PERMIT INFORMATION: • FEES: -- -- -- ---ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $265.50 UTIL REV RESIDENTIAL BLDG $50.00 STATE DCA SURCHARGE $7.97 BUILDING PERMIT FEE $531.00 WATER CONNECT/TAP & METER $185.00 WATER CROSS CONNECTION $50.00 kattAlllEl>DB{t R)SORC>}thA :CORDANC1.$71917 ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING('ODES. "` J\`s CITY OF ATLANTIC BEACH '{ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $1,197.44 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �� '' CITY OF ATLANTIC BEACH \SS1 ":.- 1) 800 SEMINOLE ROAD '� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J'!r� t c 'r, SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFAT-2844 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SINGLE FAM ATTACHED Estimated Value: $117,000.00 Issue Date: 1/6/2016 Expiration Date: 7/4/2016 PROPERTY ADDRESS: Address: 177 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A #701 Phone: 904-334-1202 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $265.50 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $531.00 STATE DCA SURCHARGE $7.97 WATER CROSS CONNECTION $50.00 WATER CONNECT/TAP & METER $185.00 ISIPMBCIB►FOSIURafflA RC 'CORDANCI:$7l97 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID.\ BUILDING CODES. 0- r CITY OF ATLANTIC BEACH SS1 4 -r 800 SEMINOLE ROAD wog ATLANTIC BEACH,FL 32235 INSPECTION PHONE LINE 247-5814 Total Payments: $1,197.44 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. l '1 - '�,s't>> CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SINGLE FAMILY ATTACHED MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: - - Job ID: 15-SFAT-2843 Job Type: SINGLE FAMILY ATTACHED DWELLING Description: SINGLE FAM ATTACHED Estimated Value: $117.000.00 Issue Date: 1/6/2016 Expiration Date: 7/4/2016 PROPERTY ADDRESS: Address: 173 OCEAN GATE DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: 201 MAYPORT CONSTRUCTION MANAGEMENT Address: 2768 STATE RD A1A#701 Phone: 904-334-1202 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $265.50 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $531.00 STATE DCA SURCHARGE $7.97 STATE DBPR SURCHARGE $7.97 WATER CONNECT/TAP & METER $185.00 A.NAliE g GRG N:cCt){hLNEcTdOQMtU\\( I $SQJ®aI,L CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA Ill ILDING(01)1 . CITY OF A'LANTIC BEACH I • I _ 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 i INSPECTION PHONE LINE 247-5814 �•6 1 f./ Total Payments: $1,197.44 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 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: 173 Ocean Gate Dr., COAB FL 32233 Permit Number:/5 S'FIT-v269`/3 Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-2.24 Blk#5 Parcel # 12 Valuation of Work $110,000 Proposed Work heated/cooled ed/cooled 1170 non-heated/cooled: 200 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential X If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No(X) N/A Florida Product A A. •royal# attached or mu tip e pro a ucts use pro r uct approva orm Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certifir that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sus ended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for ElectricalpWork,Plumbing,Signs, Wells, Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby cert�that I ave read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be .implied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other •'era],state r local law regulating construction or the performance of construction. Signature of Owner Signature of Contract _ Print Name be rJ;t e, ...0....:....' .5 Print Name 12--v1,<...+ Pe.-1-e Vs K-. Swop and subscribed before m Sworn to and subscribed before me this 1 L'Day of No - L--- ,20 15 this re-Day of Q C4-r4t1 ,201 Notary Public Public -- -0 KYLE MURRAY •'? MY COMMISSION I EE185723 KYLE MURRAY Revised 01.26.10 �%�-�t. EXPIRES ApdI 02.2016 • _ �: MY COMMISSION#EE185723 .007)306 4153 Ao•aaHovaryssr�con ' .: .4'„r` EXPIRES AWi102,2016 OFFICE COPY . DO NOT WRITE BELOW- OFFICE USE ONLY App Ica. e Coles: 2010 LIR DA :II D 'ID Review Result (circle one) Approved Disapproved Approved w/ Conditions Review Initials/Date: 77'i ; 9V I Development Size Habitable Space /170 S F' Non-Habitable ac'o> SF' Impervious area Miscellaneous Information Occupancy Group 2 -- 3 Type of Construction \ Number of Stories 2 Zoning District Put Max. Occupancy Load Fire Sprinklers Required Flood Zone / Conditions/Comments: 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: 177 Ocean Gate Dr., COAB FL 32233 Permit Number:/5-- 31797--a8 947 Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk. #5 Parcel# 11 Valuation of Work $110,000 Proposed t d Work hea d/cooled: 1332 on heated/cooled: 165 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition _pool/spa window/door Use of existing/pro osed structure(s)(circle one): Commercial Residential X If an existing structure ,is a fire sprinkler system installed? (Circle one): Yes No (X) N/A Florida Product A..royal # attached or mu tip e pro,ucts use pro 1 uct approva orm Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City: Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for ElectricalWork,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of-work will be omplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any othe deral,s te,or local law regulating construction or the performance of construction. Signature of Owner` - 9tP"...9—.„____ Signature of Contracto Print Name � (,,, `j-� �"�� t", . 5 Print Name i4ti=„-1 Pe-(-cis Sworn tend subsc�ibeid before •e � �Sworn to and subscribed before me this 11.- Day of_�( ,20 15 this _170—Day of (14f -er Notary Public ' ;; 'i"a KYLE MURRAY '- • KYLE MURRq •1 MY COMMISSION*EE185723 , _ '= MY COMMISSION EE Revised 01.26.10 ;i. EXPIRES April 02.2016 EXPIRES )39 ' �'�A:. ' April 02 2016 (407)X984163 FlomlallowyB.rvlee oom X07 s9bOta� Fbna+Nowrae.vir..w... OFFICE COPY 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: t71 /d.,) ,/S' Development Size Habitable Space / 3 3a S F Non-Habitable / S P Impervious area Miscellaneous Information Occupancy Group 3 Type of Construction Lt 13 Number of Stories 2. Zoning District PU U Max. Occupancy Load Fire Sprinklers Required Flood Zone 2 Conditions/Comments: • • BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 OFFICE COPY Office (904) 247-5826 Fax (904)247-5845 Job Address: 181 Ocean Gate Dr., COAB FL 32233 Permit Number/5-- 3F47–0 8'4` Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-2.24 Blk. #5 Parcel# 10 Valuation of Work $110,000 Proposed Work h a ed/cooled:1332 non-heated/cooled: 165 Class of Work(circle one): New(X) Addition Alteration R pair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential (X) • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No (X) N/A Florida Product A I s royal# attached or mu tip e pro'ucts use pro r uct approva orm Describe in detail the tie of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat for Humanity Address: 797 Mayport Rd City: Atlantic Beach State: FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Ajent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I cert that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a penod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certi that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be c. plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or•cancel the provisions of any other •:-ral,state,or local law regulating construction or the performance of construction. Signature of Owner ,.,, =• • Pr Signature of Contractor ,.— Print Name ' ..'./ ... Print Name got ry Sworn' a,• rd subscribe efore me Sworn tot and subscribed before me this l AO:ay of - 20 ' this j7 Day of Oc d. ,20/( Notary Public '� LE HURRAY • •u (c KYLE MUR 'Y f ••s MY COMMISSION*EE185723 =�: MY COMMISSION a EE18Si;ed 01.26.10 -.'"'"<, EXPIRES AprN 02.2016 • q.'r� EXPIRES April 02.2016 ,(+or; iti.0t53 FbriEaNOtaryearviort Oom (407) 398-0153 FlO"OaNOrerrSaMiu Dort, i OFFICE COPY 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: //1 /c),a 9-/ S" Development Size Habitable Space /3 32 S F Non-Habitable /G s SF' ' • Impervious area Miscellaneous Information Occupancy Group /2 3 Type of Construction U 5 Number of Stories 2 Zoning District QvO Max. Occupancy Load Fire Sprinklers Required ' Flood Zone X Conditions/Comments: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 OFFICE COPY Office (904) 247-5826 Fax (904)247-5845 Job Address: 185 Ocean Gate Dr., COAB FL 32233 Permit NumberV5- SF79 T-gYr6 Legal Description 38-2S-29E-7.42 B De Castro Y Ferrer Grant PT RECD 0/R 16531-224 Blk#5 Parcel#9 Valuation of Work$110,000 Proposed Work he ted/cooled: 1170 on heated/cooled: 200 Class of Work(circle one): New(X) Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential (X If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No (X) N/A Florida Product Approval# attached For multiple products use product approval form Describe in detail the type of work to be performed: Construct 2-Story 3 Bed/2 Bath Single Family Attached Dwelling Property Owner Information: Name: Beaches Habitat Address: 797 Mayport Rd City: Atlantic Beach State FL Zip 32233 Phone 904-241-1222 E-Mail or Fax#(Optional) Contractor Information: Company Name: 201 Mayport Construction Management LLC Qualifying Agent: Robert Peterson Address:2768 State Rd AlA#701 City Atlantic Beach State FL Zip 32233 Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-4310 State Certification/Registration# CGC-1506666 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certib,that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certj that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be c.'rpled with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other ••eral,state,or local law regulating construction or the performance of construction. 11 Signature of Owner .f Signature of Contr.. tor ,� Print Name a r'1 —} Print Name 12,l,F,,t R4-.-rs Y., Sworngto,ant subscri�iegl�b re me Sworn to and subscribed before me this 1 -Day of �V ,20 this /714-Day of 2ci o er .20/5— Notary Public --7.) --- :ft' LE MURRAY KYLE MURRAY r Revised 01.26.10 - MY COMMISSION EE1857'>; i � •'c MY COMMISSION aY EE1857?3 • EXPIRES April 02 20i6 1 'a' EXPIRES April 02 2016 . 1407)496'0153 F+orwar ,,,s..�vr...-,,.,. t40?)3Obota3 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: /�I79- ,o i/S� Development Size • Habitable Space //7v S Non-Habitable a co Impervious area Miscellaneous Information Occupancy Group g-5 Type of Construction 1! 1" Number of Stories 2 Zoning District PU 0 Max. Occupancy Load Fire Sprinklers Required Flood Zone X Conditions/Comments: • A CV E D Nov. 11, 20115 Mr. Dan Arlington Building Official City of Atlantic Beach 800 Seminole Rd. Atlantic Beach, FL 32233 Dan Attached are the following materials in support of Beaches Habitat application for the building permit : Quad R, Block#5 Lots# 9, 10, 11, 12 #185, 181, 177, 173 Ocean Gate Drive, COAB 1) One (1) copy of the Building Permit Application each unit 2) Two (2) copies of roof truss plans 3) Two (2) copies of HVAC Energy Sheets 4) Two (2) copies of the Florida Product Approval form 5) One (1) copy of recorded Notice of Commencement 6) One (1) copy of letter to Kayle Moore regarding fire sprinkler/irrigation systems. 7) Five(5) copies of the Construction Management Plan 8) Two (2) copies of architectural plans 9) Two(2) copies of structural engineering plans 10)Five (5) copies of civil engineering plans 11)Two (2) copies R.O.W. Permit Please let me know if any additional information is required. Thank you, Sincerely, Ro. - 'eterson, Construction Director 904.334.1202 attachments t1 +i4;. City of Atlantic Beach r' 41:14,3\ Building Department /6/ APPLICATION NUMBER Iv _ �� 800 Seminole Road (To be assigned by the Building sr Atlantic Beach, Florida 32233 5445 Department.) is-dl"F, p \ � Phone(904)247-5826 • Fax(904)247-5845 � 0 y� ``/o;ti9 E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: Z, •v APPLICATION REVIEW AND TRACKING FORM Property Address: /0 -77 if Department review required ED d�Build_.. ,o 1 �� `'- Applicant: 0. / / 11111 Project: Ad Tree Administrator _EN i. t T' . A L__- blic Work WO Public Safety -= Review fee $ Dept Signature —i_ _ Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants MMMEMEIMMEMIIIIIIIIIII Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: (Circle one.) pproved. ❑Denied. Comments: BUILDING PLANNING &ZONING ill Reviewed by: / / 0'a`l'! TREE ADMIN. Date: Second Review: ]Approved as revised. ❑Denie•f. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ❑ Date: Approved as revised. ['Denied. Comments: _ Reviewed by: Date: used 07/27/10 i I ,:o..A i,;;;, City of Atlantic Beach L.), , 4 Building Department /oAPPLICATION NUMBER !'- r) 800 Seminole Road (To be assigned by the Building Department) s' Atlantic Beach, Florida 32233-5445 _ �a;_-:L,-,:,, r G Vi Y Phone(904)247-5826 • Fax(904)247-5845 /' ��/9 d htuji .9'" E-mail: building-de t coati �� P @ .us City web-site: http://www_coab.us Date routed: 2. APPLICATION REVIEW AND TRACKING FORM Property Address: a' 2Lf/-fl a .Department review required �r Build_.. ° A �, � `_ ��41 Applicant: i, / 1, / Project: o� t Tree Administrator an iqi t I L. blic Work _- Public Safety == Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date Florida Dept.of Environmental Transportation ent St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants IMMENNEMIIIMMEIMMINE Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: lie (roved.one.) L►HPProved. ❑Denied. Comments: BUILDIN PLANNING &ZONING Reviewed by: , TREE ADMIN. Date: Second Review: DApproved as revised. DDen'=.. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ]Denied. Comments: Reviewed by Date: used 07/27/10 I ,,c':•'+w ;) ., City of Atlantic Beach r kik% Building Department /dAPPLICATION NUMBER 1:-� E„: 800 Seminole Road r _ ri (To be assigned by the Building Department.) ,_,' • -r Atlantic Beach, Florida 32233-5445 / ""S`nt* if Phone(904)247-5826 • Fax(904)247-5845 /,, /'!+ �7 `.'9;sl9 E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: Z APPLICATION REVIEW AND TRACKING FORM Property Address: /7 a Department review required �� No Applicant: i. `, �, /, / , 4uil. `-- � • : _1111 Project: die rTree Administ _ rator - / ��zt jr. A A k blic Work Public Safety == Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers 111 II I I I I II II II I II II 1111 Division of Hotels and Restaurants - Division of Alcoholic Beverages and Tobacco Other: 1111111111 1 APPLICATION STATUS Reviewing Department First Review: (Circle one.) LApproved. ❑Denied. Comments: cTINN PLANNING &ZONING Reviewed by: ' TREE ADMIN. � Date: % /� Second Review: DApproved as revised. • PUBLIC WORKS Comments: ❑Denied. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: Q Date: Approved as revised. []Denied. Comments: Reviewed by: Date: used 07/27/10 ■ ,,s=+�`.ik City of Atlantic Beach �'./ ,`al Building Department /6Z APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 p#3 1 yr Phone(904)247-5826 • Fax(904)247-5845 G 'Atos �i• E-mail: buildin de t 9 p @ coa b.us Z routed:Date City web-site: http://www.coab.us Da i i .v APPLICATION REVIEW AND TRACKING FORM Property Address: /73 if cy- De•artment review required I Buil•' �= Applicant: i. / i, h ,, I i e f , ___ •. q,• : __ Tree Administrator == Project: 40,1 a /AIL ' L T• , is - blic Work Public Safety 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 Mil 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: Q(vroved. (Circle one.) Comments: ❑Denied. ) CUILDNG PLANNING &ZONING Reviewed by: Date:/2 7 -1E— TREE ADMIN. Second Review: QApproved as revised. ❑Dena. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 ;.:(=17); City of Atlantic Beach '' ' Building g Department 1/6 APPLICATION NUM :,, p� ,f 800 Seminole Road NUMBER u�t z•'.. (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 (� Phone(904)247-5826 • Fax(904)247-5845 SCI—— ��(�� `'•___,:fa E-mail: building-dept @coab.us City web-site: http://wn�.coab.us Z Date routed: ' APPLICATION REVIEW AND TRACKING FORM Property Address: a 41. De•artment review required Applicant: aw- / ,i, ;4 / _Buit._•. No A Air, [ / '' iii• : .. ... Project: �� Tree Administrator _- % /. .tl Jr, � blic Work ork _ •lic Utilitie ii .Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept.of Environmental Protection of Permit Verified B Date Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants IMMOIIIIIIIIIIIIIIIIIIIIIIIIII Division of Alcoholic Beverages and Tobacco Other: APP (CATION STATUS ?eviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING 'LANNING &ZONING Reviewed by: 4111°TREE ADMIN. � L� Date: if. Second Review: [Approved as revised. `Denied. PUBLIC WORKS Comments: DUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: Date: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: d 07/27/10 1 0!.-4%: City of Atlantic Beach • �' ' >�t Building Department 800 Seminole Road 36z1 T APPLICATION NUMBER Ti' I. Atlantic Beach, Florida 32233-5445 ( °be assigned by the Building Department.) Phone(904)247-5826 / _ �£��sfa�' Email: buildin de t coat us904)247-5845 F/9T_ avyc ■ City web-site: hgtt :P @ p www.coab.us Date routed: Z ' v APPLICATION REVIEW AND TRACKING FORM Property Address: a l / a ,s' _Be�artment review required Applicant: 0, .�, A Build_.. No �, �� Project: �� Tree Administrator �� % /irk L T > k blic Work • ran �� Public Safety =-M. Review fee �� • Dept Signature • Other Agency Review or Permit Required Review or Receipt Florida Dept.of Environmental Protection of Permit Verified B Date Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants MENIMMIIIIIIIIINEMINIII Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS ?eviewing Department First Review: Approved. (Circle one.) Comments: ❑penied. BUILDING 'CANNING &ZONING TREE ADMIN. Reviewed by: � � Second Review: i�� Date: /Z/j /� PUBLIC WORKS Comments: ❑Approved as revised. Denied. DUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: Date DApproved as revised. [Denied. Comments: Reviewed by: Date: d 07/27/10 I I ,-j`-A%. City of Atlantic Beach `�ti• : j Building Department 6 APPLICATION'I 800 Seminole �''` Road CATION NUMBER (To be assigned by the Building Department.) ;. I Atlantic Beach, Florida 32233-5445 /1- `in- ` //,.. 11 // Phone(904)247-5826 • Fax(904)247-5845 J /� g�� v E-mail: building-dept @coab.us City web-site: http://www.coab.us Z Date routed: v' • APPLICATION REVIEW AND TRACKING FORM Property Address: /7 1 Ti De•arfinenf review re.uired No Applicant: .., �, 'Buil,_•- _ Project: �� a Tree Administrator _� % him L T A L blic ork �� Public Safety MO - EIMMENIMIIIMMO Review f -� ee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date 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: 1 APPLICATION STATUS teviewing Department First Review: L- (Circle one.) ►Hpproved. Comments: ❑Denied. BUILDING gAe /4,�.-A e D e0..-- .�s 'LANNING &ZONING TREE ADMIN. Reviewed by: AO Second Review: F Date: /,�/S PUBLIC WORKS Comments: ❑Approved as revised. Op�d. 'UBLIC UTILITIES PUBLIC SAFETY Reviewed by: SIRE SERVICES Third Review: Date Approved as revised. ODenled. Comments: Reviewed by Date: d 07/27/10 A'j rs. rll,j, 111 CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane -1 r )r ATLANTIC BEACH, FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: /2—i9— / Project Address: /?3 t C Dr— No. of Units: Commercial Residential Multi-Family New Water Tap(s)& Meter(s) 3/ if p( ) ( ) Meter Size(s) �/ New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application#/S Sjf4T'_ Water System Development Charge $ n` p Q.J e_,/ ,t, r Sewer System Development Charge $ I u /,[�PF�Q.7*' Water Meter Only $ cgs Ov wt LT/-a(�J Reclaimed Meter Only $ . A/o S Oc 13 4.64Q% , Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ SSA Da Other $ TOTAL $23s CO APPROVED: Kavle Moore, PE (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED `t ' •;s1 V CITY OF ATLANTIC BEACH 1- -` s' PUBLIC UTILITIES J \ ___j 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 (904) 270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: /2 AO_, ' Project Address: /77 2 )1V7 6,, D„-- No. of Units: Commercial Residential ✓ Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) e{ New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# Water System Development Charge $ �e fiftAs)//1-0.-v r f Sewer System Development Charge $ tit f!-IA a/'r 4'66" Water Meter Only $ a8S; 00 Reclaimed Meter Only $ .. N a Slc 15 iti..e t/.J. Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ J19 . 00 Other $ TOTAL $ 2 3 S, cad APPROVED: Kayle Moore, PE (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED ► viii r,S� 'riti, �' . J`� CITY OF ATLANTIC BEACH ....; s' PUBLIC UTILITIES 1200 Sandpiper Lane 0.21_ ATLANTIC BEACH, FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: /2 —/O —/ 5— Project Address: /8/ Qom' j a, t/ No. of Units: Commercial Residential ✓ Multi-Family 3/ New Water Tap(s) & Meter(s) Meter Size(s) t/ New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# /5-- SFt7-- Z /5 Water System Development Charge $ a 40 NCO,P%,tt t- O C- Sewer System Development Charge $ Water Meter Only $ i 8�DO Al“L-7-00) ► � - Reclaimed Meter Only $ AID S D C t z ;„4) D, Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ Ste, 06 Other $ TOTAL $ 2 3 S. 0 d APPROVED: Kayle Moore,PE 16 (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED ,r'� . SA CITY OF ATLANTIC BEACH s' PUBLIC UTILITIES ....) J 1200 Sandpiper Lane ATLANTIC BEACH, FL 32233 (904)270-2535 or(904)247-5874 NEW WATER/SEWER TAP REQUEST Date: /2 -/O- / 1— Project Address: /85- & ?t,i 641E. Dl-- No. of Units: Commercial Residential 1r Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) 5/11.1 New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip ' Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application#t.5--- SF+-T- Z db Water System Development Charge $ J2 AJ(-C c /9friJ JT or Sewer System Development Charge $ Mu L.�t_u� 1 Ptee Pell-713 Water Meter Only $ /fS� r Reclaimed Meter Only $ - n!o S A S f Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ cri), OD Other $ TOTAL $ 235 at) APPROVED: Kayle Moore, PE ' v1 (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED :ot.tiii>, City of Atlantic Beach , e Building Department /6 APPLICATION NUMBER c� 800 Seminole Road sig ed by the Building Department.) �� 3. �r Atlantic Beach, Florida 32233-5445 4-L CE OF' �s,c- r 2 • Phone(904)247-5826 • Fax(904)247-5845 j . v 7y ``„oil �� E-mail: building-dept @coab.us �E� o 2015 City web-site: http://www.coab.us Date ro ted: 2, APPLICATION REVIEW AND TRACKING FORM Property Address: /73 ,Ti Department review required No Applicant: �� `, :� �, / 4 Buii._.. _- / A / ,_..,,,,,,,..,,,. .t........_ ' -� � : .. ... Project: �� L. Administrator == firk AT. A A L blic Work -- C . _ IIMMINIMININEIMII Public Safety _= Review fee $_ Dept Signature X Other Agency Review roe Permit Required Review or Receipt Florida Dept.of Environmental Protection of Permit Verified B Date 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: IMApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING vV 7.2.--1.-----Reviewed by: TREE ADMIN. Date: V- Second 7 /Review: DApproved as revised. ❑Denied. ; C WOR S Comments: UTILITIES Z— 0' PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ❑ Date: Approved as revised. ❑Denied. Comments: Reviewed by: Date: used 07/27/10 , s-:1!T,� City,� �;; y of Atlantic Beach ' /j*PAW,' Building Department /6Z APPLICATION NUMBER 800 Seminole Road (To be assig ed by the Buildi Atlantic Beach, Florida 32233-5445 /� �� n�eppartment.) l Phone(904)247-5826 • Fax(904)247-5845 v �3 E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: 2. ' APPLICATION REVIEW AND TRACKING FORM Property Address: /73 Tf .► De•artment review required MI No Applicant: o� i / d Buil._1._ _- Project: �� rTree Administrator == % 1gal i A A k blic Work 111111- Public Safety IMMEININIMMINIIIII 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 iiiMil Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: (Circle one.) Approved. ❑Denied. Comments: BUILDING PLANNING & ZONING Reviewed by: TREE ADMIN. Date: ! to Second Review: QApproved as revised. PUBLIC WORKS Comments: ❑Denied. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ❑ Date: Approved as revised. ❑Denied. Comments: Reviewed by: Date: iised 07/27/10 s--'1�'/;`, City of Atlantic Beach `' .1t Building Department IdZ ._. 1 APPLICATION NUMBER �.•> ' , 800 Seminole Road (To be assigned by the Building Department '-14V.',' Atlantic Beach, Florida 32233-5445 C •) Phone(904)247-5826 Ji�Ar� /Lif -,4 • ;. Fax(904)247-5845 7 7 % 1� E-mail: building-dept @coab.us City web-site: http://www_coab.us Z Date routed: s... APPLICATION REVIEW AND TRACKING FORM Property Address: /•7 7 / / a .' De a artment 1 ive ew required rum Applicant: �� / , 4 Buil_�. No IIIIIIIIII Project: �� Tree Administrator I /mai Ir A bh We on _- Public Safety -- _i Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date Florida Dept. of Transportation St.Johns River Water Management District 1111111 .1— 111" iiMill Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: IIIIIIIIIII APPLICATION STATUS teviewing Department First Review: Approved. (Circle one.) Comments: ❑denied. BUILDING 'LANNING &ZONING TREE ADMIN. Reviewed by: Second Review: Date: 0 l ■ PUBLIC WORKS Comments: DApproved as revised. Denied. 'UBLIC UTILITIES PUBLIC SAFETY Reviewed by: SIRE SERVICES Third Review: O Date: Approved as revised. IDpenied. Comments: Reviewed by: Date: d 07/27/10 :'i; City of Atlantic Beach �•. y `: ��,'� Building Department "':°= '� 800 Seminole Road /6Z APPLICATION NUMBER "�; -� s, (To be assigned by the Building Department.) '� s Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 / — �� ` ,j1112 E-mail: buildin de t coab.us904)247 5845 r (�� City web-site: http:p/www.coab.us Date routed: 2. v APPLICATION REVIEW AND TRACKING FORM Property Address: a/ a •, _Department review required Applicant: 4., / Build_.. No Project: �� Tree Administrator 1 1w, I T A L blic Work Public Safety 1.111.11 Review fee$ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified B Date 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 Zeviewing Department First Review: I ,pproved. (Circle one.) ❑Denied. Comments: BUILDING 'CANNING &ZONING TREE ADMIN. approved Reviewed by. � Second Review: Date: _ �� PUBLIC WORKS Comments: pproved as revised. Denied. DUBLIC UTILITIES PUBLIC SAFETY Reviewed by: LIRE SERVICES Third Review: Date: DApproved as revised. Denied. Comments: Reviewed by Date: i d 07/27/10 f I I I • ,j_►tp;,;., City of Atlantic Beach Y ' •>� Building Department APPLICATION NU, i 800 Seminole Road /dI NUMBER '�� (To be assigned by the Building Department. Atlantic Beach, Florida 32233-5445 ) , Phone(904)247-5826 • Fax(904)247-5845 / _ y`A,- -/ ;s 9%- E-mail: buildin de t coab.us Date routed: 2, 6 3 City web-site: http://www.coab. us APPLICATION REVIEW AND TRACKING FORM Address: /J5 '77 1 / a m' De P artment review re•uired Applicant: A. Buil. �. r No Project: de Tree Administrator - /AMA I T I L blic Work _ • MINN Public Safety _- rIIII Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of jmitjerifiedBjp Date Florida Dept.of Transportation St.Johns River Water Management District Army Corps River of Engineers Division of Hotels and Restaurants MMIIIMIIIIINIIIIIIIII Division of Alcoholic Beverages and Tobacco Other: MUM APPLICATION STATUS 2eviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING 'CANNING &ZONING TREE ADMIN. Reviewed by: Date: Second Review: []Approved as revised. PUBLIC WORKS Comments: ['Denied. DUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ❑ Date Approved as revised. []Denied. • Comments: Reviewed by: Date: d 07/27/10 1 1 � ,, rs. +iii,, City of Atlantic Beach Building Department '� ',�' �. uilding art APPLICATION � 800 Seminole Road (To be NUMBER • �r Atlantic Beach, Florida 32233-5445 assigned by the Building Department) Phone(904)247-5826 • Fax(904)247-5845 (p� �i '`,01tic%' E-mail: building-dept @coab.us /�dJ��r �0 �Gj City web-site: http://www.coab.us Date routed: Z, •v APPLICATION REVIEW AND TRACKING FORM Property Address: /15 ' De.artment review required Applicant: ,p, / MI No �, � F, Project: �� Tree Administrator % /. FIT. a blic Work w MINIM Public Safety Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept.of Environmental Protection ®f Permit Verified B Date imminnmEINIPIN 1111.1111.11 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 2eviewing Department First Review: �,— (Circle one.) �►HPProved. []Denied. Comments: BUILDING • 'CANNING &ZONING TREE ADMIN. Reviewed by: �� ,,�• �`_ Second Review: Date: Z 17 l r �� DApproved as revised. Denied. 011..4s Comments: 1 LIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ❑ Date: Approved as revised. []Denied. Comments: Reviewed by: Date: d 07/27/10 0!...tip,,;.., City of Atlantic Beach DI / '" o" Building Department -? I, 36., APPLICATION NUMBER ,�J s'i 800 Seminole Road (To be assigned by Beach, Florida 32233-5445 / .. y the Building Department.) Phone(904)247-5826 • Fax(904)247-5845 �i9r_ a�y� -ti.oso%" E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: Z , v APPLICATION REVIEW AND TRACKING FORM Property Address: di / 77 / / Tf 4' De•artment er view required Applicant: i. / 1, IA �, _Buil._.. No i i ,/ ' -/ Project: de Tree Administrator % •_ n/�� L �� / � blic Work _ - _- _ Public Safety EMI Rev" _� lew fee $ .S�p Dept Signature__ ___ Other Agency Review or Permit Required Review or Receipt Florida Dept.of Environmental Protection IMIIMILIMINII of Permit Verified B Date MIII 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: IIIIIIIIIIII APPLICATION STATUS deviewing Department First Review: 2(p (Circle one.) �1HPproved. [Denied. Comments: BUILDING 'CANNING &ZONING TREE ADMIN. Reviewed by: A..., i'✓, >�_ Second Review: Date: 2- I Z • []Approved as revised. ODenied. ' e WORKS' / Comments: iBLIC UTILITIES /Z—ia—ir PUBLIC SAFETY Reviewed by: SIRE SERVICES Third Review: ❑ Date: Approved as revised. ❑Denied. Comments: Reviewed by: Date: d 07/27/10 i J r ,,:s!AJ.ik.., City of Atlantic Beach `��` ::� Building Department adz APPLICATION NUMBER S I. 1 ::. --. i'� 800 Seminole Road (To be assigned by the Building Department) •�� `1• '. Atlantic Beach, Florida 32233-5445 S // g Phone(904)247-5826 • Fax(904)247-5845 /S��AT U �� 'v" �i,sfJ%' CEitmy awiel:b b-suitiled:inhgt-tdpe/p/wf @ocaoba.ubs.us Date routed: Z APPLICATION REVIEW AND TRACKING FORM Property Address: /7 7 77 I / TE 4, Department review re. En No Applicant: i, 1 A / / Buil._.. _ • Project: �� Tree Administrator _� f q I T a blic Work _ Public Safety =- Review fee $ o Dept Signature `v Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified B Date 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 ?eviewing Department First Review: (Circle one.) Approved. ❑Denied. Comments: • BUILDING 'CANNING &ZONING )� Reviewed by: r7 �✓ �'1�--- TREE ADMIN. Date: /2' /? (,r Second Review: []Approved as revised. Denied. l' � 00WORKS' Comments: • -BLIC UTILITIES /2—Av—is PUBLIC SAFETY Reviewed by: SIRE SERVICES Third Review: Date: Approved as revised. ODenied. Comments: Reviewed by: Date: d 07/27/10 i 1.Airi.r City of Atlantic Beach os ,+I �� Building Department 7.p. APPLICATION NUMBER r" �$,:t e, 800 Seminole Road srI To be assig ed by the Building Department.) Atlantic Beach, Florida 32233-5445 ��,J V Phone(904)247-5826 • Fax(904)247-5: .o;; g1• E-mail: building-dept @coab.us DEC 0 ZQ7� City web site: http://www.coab.us Date routed: Z BY: APPLICATION REVIEW AND TRACKING FORM Property Address: /73 71 TE Department review required q Yes No pp , d Buil.'.._ _ Applicant: 0, / , �A // 1 e ' J Tree Administrator _= Project: A1a;-mily 7-400 O L blic Work _- Public Safety _- IIMMEMINIMINIIII Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection 111.111111111111111M 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 MIIIIIIIIIIIIIMIIIIIIIIIII Other: APP (CATION STATUS Reviewing Department First Review: ,a Approved. (Circle one.) Comments: nDenied. n BUILDING � t '� C � 6•* tr:r PLANNING &ZONING Reviewed by: Z-77C(::::::::>4—- Date: /Z TREE ADMIN. : te. Second Review: []Approved as revised. ❑Denied. UBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: 'ised 07/27/10 I �r417 -_ rs 3py9T casy ) ;.), egg, 6--z/s; eq ) NOTICE OF COMMENCEMENT OFFICE COPY State Florida County of Duval Tax Folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved : 38-2S-29E-7.41 B De Castro Y Ferrer Grant PT Recd OR/16531-2248 ( Block# 5 Lots# 9, 10, 11, 12) Address of property being improved:, 185, 181, 177, 173 Ocean Gate Drive, Atlantic Beach. FL 32233 General description of improvements: Construct 2 Story Single Family Attached Quad-Plex Owner: Habitat for Humanity of the Jacksonville Beaches Address: Atlantic Beach, FL 32233 Owner's interest in site of the improvement: 100% Fee Simple Titleholder(if other than owner): Name: Contractor:201 Mayport Construction Management LLC ( FL State Certified General Contractor#CGC1506666) Address: 2768,Atlantic Beach, FL 32233 Phone No.: 904-334-1202 Fax No.: 904-241-4310 Surety(if any): Address: Amount of bond$: Phone No.: Fax No.: Name and address of any person making a loan for the construction of the improvements: Name: Address: Phone No.: Fax No.: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Robert Peterson, c/o 201 Mayport Construction Management, LLC Address: 2768 State Rd A1A, Atlantic Beach, FL 32233 Phone No.:904-334-1202 Fax No.: In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Phone No.• Fax No.: Expiration date of Notice of Commencement(the,expiration date is one (1)year form the date of recording unless a different date is specified): Warning to owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper payments under Chapter 713, Part 1, Section 713.13, Florida Statutes,and can result in your paying twice for improvements to your property. A notice of commencement must be recorded and posted on the job site before the first inspection. If you intend to obtain financing,consult with your lender or attorney before commencing work or recording your notice of commencement. THIS SPACE FOR RECORDER'S USE OWNE • • e,..0•!- -!:,,,,,1= z CITY OF ATLANTIC BEACH OFFICE CO 1' CONSTRUCTION PERMIT WITHIN CITY RIG COPY ._ RIGHTS OF WAY AND EASEMENTS \.F 800 Seminole Road '`.nips z Atlantic Beach,Florida 32233-5445 PLEASE SUBMIT,,�y Fax SETS OF PLANS WITH APPLICATION. Fax 904-247-5845 Date I_ 1_ . Job Address 1 rj 3 '9 I WI- D r` ' PERMIT (QM,Ga,k �v ""Q1� ISSUED BY THE CITY Permitee: a e I '' o. 00 wk C./+,1 kip-1,..c fir, 0144.4rst�(4,4 • #Telephone Permittee Address: g o y - 3 y_ t Z o Ls Requesting Permission to Construct: vt, _ i.,. 01 �i v tJ . Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this a both aerial and underground and the accurate locations are shown application he has ascertained the location of all existing utilities, A Letter of Notification was mailed to the following Utilities/Municipalities: sketches. Jacksonville Electric Authority Bell South Telephone Company Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: Yes ( ) No ( ) Date: Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, alteration or relocation of all, or any portion of said street or easement as determined safe and efficient Dir Director operation, Public Works, any or all of said poles, wires, Works, a shall be immediately removed from said sweet of easement mined by the aces authorized th rued • pipes, cables or other facilities and a required by the Director of Public Works, and at the expense of the appurtenances authorized authorized. ement or reset or relocated hereon as 3. All work shall meet City of Atlantic Beach or Florida Department of Permittee unless reimbursement is performed shall the supervision of . �t Pf4 Transportation Standards and be Superintendent) located of 1 4. All materials and equipment shall be u ect to inspection by the Director of (Contractor's Project 5. All city property Public Works#: his g 3 _ ty pro ert shall be restored to its original condition as far as practical, in keeping y rns and the manner satisfactory to the city. f Public Works or his designee. 6. A sketch of plans covering details of this installation, as well as, a copy p g with city specifications part sketch this perms.covering details ai sof thin. an increase in im.ervious area on owner's lot or be n the a Right of Way are to be included with this a lication. L 7. This permittee shall commence actual construction in good faith with a cif more than 60 days from date of permit approval, then permittee must review t Public Works to make sure no changes have occurred in the area that would days. If the beginning date is 8. It is Public Works to and make sure agreed no that the rights and occurred herein a area set that w ul the permit with the construction. of City's right, title and interest in the land rights a entered upon nd used by the grant granted permittee extent of th . times, assume all risk of and the are holder, only to the extent of the indemnify, defend, and save harmless the City holder,Atlantic Beach from all against any and all loss, damage, and cost of expenses arising in any manner of the exercise exercises by the holder of the aforesaid rights and privileges. and 9. The Director of Public Works shall be notified twenty-four (24) hours xercis„ or attempted immedi,tely upon completion. prior to starting work and again OWNER Signed: ' ' / � "' , Before me this ; Date: 1` �l ((.5 r ,a, :°�': HURRAY State Of Florida,has per all a day of J M1'COMMISSION!f EE185723 Notary public of Large,State of onear County of Duval. the County of Duval, 40 9$.. EXPIRES April 02,2016 My commission expires; 40 I. o>>s, F#onesNo�erY9e, °,,,, Produced Identification:sonally Known: i7/ Permit Attachment of for OFFICE COPY Permit# issued ,20_Atlantic Beach,FL 32233 Owner's Name: s Property Address: 173 `-� t�C #: c�e� 6/Niue- R.E. Subdivision: 6 L,� Lot #/Block#: &I k ic) t�tZ REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT,issued on this by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and hereinafter referred to as"USER". ,��" s i'{x-F of Atlantic Beach, Florida, 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 Beach Right-of-Way/Easement permit numbers noted above(copiespattached)escribed in the City of Atlantic This work is generally described as: t • 41. i cw4 l. • b. 4) • 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: '1 1 IM& . . .4 ! . • 4 4 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 OFFICE COPY 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. y This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this / day of , 2015 By: ce._ �L- //Pr."�rty Owner i (to be signed in presence of the Notary) ' Si:-- KYLE MURRAY STATE OF FLORIDA MY COMMISSION#EE185723 r4�t EXPIRES April 02 2016 COUNTY OF DUVAL (407,39�,� i Florida ... Se-me com j On this 177`day of - ii__ 1 �r' and for said County and State, 20!—personally appeared before me, a Notary Public in /1-cjae. 1o,-,—s the property owner of and who executed the foregoing instrument;who acknowledged to me that he or hetex uteri se same in and voluntarily and for the uses and purposes therein mentioned. executed the same freely Notary Public in for said County and State CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Doug Layton, Vorks Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere,City Manager Page 2 of 2 OFFICE COPY Nov. 11 2015 Mr. Kayle Moore Public Utilities Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Mr. Moore, I have submitted a building permit application for a house at: BLK 5: Lots #9, !O, 11, 12: #185, 181, 177 and 173 OceanGate Dr., COAB. Beaches Habitat will not be installing a fire sprinkler in this structure. In addition, pursuant to our HOA docs, we will be installing an irrigation system. Please give me a call 904-241-1222, or 904-334-1202 if you require any additional information. Sincerely, • rert-Peterson, Construction Director OFFICE CO PY 0 Turner MAIM Orrlaa:480 Eocew000 AMR*,Soure, JACI SOwnLLE,FLORIDA 32205 PiliPest EOM;804.3653100•fez 904.353.1488•bit Ifr2 3•j80,5•www,,TumfsnrastAsp Si.MARYS,GA.-912-676.1300 (kw,Fu.-352-3514386 !"3 Control Dams Burn,Fu.-386.788.8303 Pon Si.Luct,Fu.-7724924078 What's Bugging You? Mamma,Fu.-321-951-3325 Tama,Fu.-8134314301 NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES as red uired by Florida Building Code.FBC 104.2.6) Address: r-73 &Cots 0/1 ( _ Lot: Z Block: Date: 11 —I 1 li( 1tAAItL lru�itiridc(Wuod'I}cattt)s'nt) ALL STRUCTURAL CHANGES ARE TO BE REPORTED Product Used FOR RETREATMENT J)isrulium t)culboratc Tetri yljratl. 3%Active Ingredient Chemical used(active ingredient) Percent Concentration Application will be.pgrfot n.eJ unto structurnj)L•ooti at dripdjin stage ufconstrOAP)) Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) BORA-(;ARE 7ermiticide application shall be applied according to 1;1'A rcgistrated label directions as stared in the Florida Roil •n Code Section 18 14,1jj (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION) ERTurner WIN Osr,ce:480 Eosiw00o Av>aa,Sound, Jaxso.vntE,FLORIDA 32205 OFFICECOPY 01111Pest ti 884.965.53/0•rot 90.9-353.1488.1 8Ip.• 5.5305•Irww.TVnMERrast,cau Q Control Daum Bumf,Fu124386 7884309 St Lues,Fu 1 92.0078 What's Bugging You? Maso.m,E,Fu.-821-861-3325 Tmu,Fu.-1134814381 NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES as roe uired by Honda Building Code.FBC 104.2.6) Address: 1.-1 l dCQ�v _�1LC- Lot: 1 t B l o c k: Date: I i- I I / li()KA S;AItL"lrtniticidc (Vi�uod'lr4atnuEat) ALL STRUCTURAL CHANGES ARE TO BE REPORTED Product Used FOR RETREATMENT Jistl.lium Octaboratc TetEabytiratt• 23%Active Ingredient Chemical used(active ingredient) ■ Percent Concentration Application Will b )e.rfurut,_ei unto structuraLw_ott j st driol—in stage ofconstru lien Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) KORA-CARE 7crmiticidt'application sI a.! be applied according to EPA rcgistrated label di}•cc4ions as stated in the Florida Code Section I816.1i (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION) t�Turner MAIN OVUM 480 EDGEWOOD AAUMIE,SOUIN,JAc,sOIMLIE,FLORIDA 32205 Peet tow 8A9 65 D0 Fw'9A4.353.1488! iii l Turner MAIN crib e:480 EDGE w000 AVM*,Soumm, JACKSONVILLE,Roma 32205 • Pest bac 9114:39.5:53.113•Fe►.084-363.1488•Toil FNu 8f 735.33j•weiw.wPMtnresi,cow EN Control ST.Mean,GA.-912.576.1330 Oulu,Fu.-362-351.1386 Batau Bual,Fu.-386.7884303 Pan ST.Lucs,Fu.-772.6824078 What's Bugging You? MajounNE,Fu--321-851-3325 Terva,Fu.-3134814381 OFFICE COPY NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES as re.wired by Florrcia Building Code.FBC 104.2.6) Address: (0 r (A\ Lot: Block: Date: II 11'f)1_ ALL STRUCTURAL CHANGES BBeKA.j,. R!7 nnitieidc f Wuod Treatuwt1t) ARE TO BE REPORTED Product Used FOR RETREATMENT J)ist/dium()elaborate Tt•tralyT1ratc 23%Active Ingredient Chemical used(active ingredient) Percent Concentration Application will be hijlurmc l unto sttticturlJ++_ol at dried-in stage ofcullstto}jjstn Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) BORA-CARE'Iertniticide applicatjptt shall be applied according to i PA registratcd label directions as stated in the Floridaliuilding Code Section 18163 (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION) 4 A P a n °E y b b .-- --� �O 00 �1 9' !-A A W N �. 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