1633 Selva Marina Dr - Summer Kitchen & Cabana - 1.,1��`f�
,� r J�a.
,� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
U V ._ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 J131
RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 15 -RADD -2849
Job Type: RESIDENTIAL ADDITION
Description: SUMMER KITCHEN AND CABANA
Estimated Value: $91,000.00
Issue Date: 2/22/2016
Expiration Date: 8/20/2016
PROPERTY ADDRESS:
Address: 1633 SELVA MARINA DR
RE Number: 171993 -0000
PROPERTY OWNER:
Name: FERGUSON, MICHAEL ALAN
Address: 1633 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: DARNELL CONTRACTORS
Address: 107 CYPRESS QA BARRY LEE DARNELL
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works (247 -5834) for Erosion and Sediment Control
Inspection prior to start of construction.
All silt must remain on -site during construction.
Roll off Container Company must be on City approved list and container cannot be placed on
City Right -of -Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and
Waste Pro.)
Full right -of -way restoration, including sod, is required.
FEES:
ENG REV RESIDENTIAL BLD $100.00
UTIL REV RESIDENTIAL BLDG $50.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�r �
' �= \�A CITY OF ATLANTIC BEACH
..., „ -- ; ) 800 SEMINOLE ROAD
�'� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
BUILDING PERMIT FEE $444.00
STATE DCA SURCHARGE $6.66
PLAN CHECK FEES $222.00
STATE DBPR SURCHARGE $6.66
Total Payments: $829.32
I
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s -►;V City of Atlantic Beach
l " ` APPLICATION NUMBER
1 6 Building Department (To be assigned by the Building Department.)
800 Seminole Road ~ °'' *� "";'-
Atlantic Beach, Florida 32233 -5445 � /�
Phone (904) 247 -5826 • Fax (904) 2 7 -584 y +
o;t a E -mail: building- dept @coab.us vo Date routed: 2 /GrA5
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND RACKING FORM
Property Address: /633 J/v- 2 /ar/ 774 De partment review required Yes No
Applicant: bill- 64 X/2 07�,eS ,-- Tannin• & • •
4 reAli-7 Tree Administrator Project: DA I .� me i J �.� Bpi✓ Fr bli • . - _-
• 1 -
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: F4pproved. I 'Denied.
(Circle one.) Comments: J ♦1 / U 1 / 1
�G �,tc W
BUILDING
PLANNING & ZONING �
Reviewed by: _ _= L Date: /2
TREE ADMIN.
Second Review: nApproved as revised. itienied.
•UBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: 1 (Approved as revised. I (Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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; -.tt t A, City of Atlantic Beach
} Building Department APPLICATION NUMBER
— ±•--'s: 's - , ' ) 800 Seminole Road (To be assigned by the Building Department.)
`) Atlantic Beach, Florida 32233 -5445
/J A// ) a /�
Phone (904) 247 -5826 Fax (904) 247 -5845 J
,140;“ 9 E -mail: building- dept @coab.us
Date routed: i Z-
/ 45" City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
/633 /va- 2 Department review
required Yes No
rui n � �
Applicant:
�r���� 647-x„ (1 �,,E's ,Manning & Zonifib �-
Project: U '(/ !/ eq4 /\ %� Tree Administrator
��� ' �� LX " . 'ublic Works) ==
67ic Ufififie �-
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: 1 jApproved.
Denied.
(Circle one.) Comments: SG G „ � J
BUILDING
PLANNING & ZONING - /
Reviewed by:e y 2 ' Date: /
Amor '
TREE ADMIN.
Second Review: 1 IAPproved as revised. gDenied.
PUBLIC WORKS Comments: f� t
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed b
Y:_ / /iw..�� L��� _Date:
FIRE SERVICES Third Review:
Approved as revised. UDenied.
Comments:
Reviewed by: Date: 1. /`
used 07/27/10
I
r . : _ t!-vP .. City of Atlantic Beach
es; Building Department APPLICATION NUMBER
= / ,' , i; 800 Seminole Road `Ci���� ., (To be assigned by the Building Department)
,, ; r Atlantic Beach, Florida 32233 -5445
Phone (904) 247-5826 • Fax (904) 247 5845 /c ' / / ~ ZO ;/ei
\s,011 0 E -mail: building- dept @coab.us DEC 0 9 2015
City web -site: http: / /www.coab.us Date routed: ...5-
BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 3? J/va_ _ 77) ar, 7) a---'
Department review required Yes No
PP b/lriiii-// C `f4 tt �,e La nni g.� __ A licant q _ pl
Tree Administrator _ -
Project: gt(I )Otlie /C % 77lA1/ ,- t " i gnj/&.- ►_ubli .r.1)
6 Tic l7Tiiities- =
Review fee $ 2.,� Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental Protection momm ENIPII I 111 il M.. 11.1111111111111111
Florida Dept. of Transportation
MMMMIIIII IIIIIIIIIIIIMIIIIIIIII
St. Johns River Water Management District
iiiallral
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco IIIIIIIIIIIIIIIIIMMIIIIIIIII
Other:
APPLIC A TION STATUS
Reviewing Department First Review: If A pproved.
(Circle one.) Comments:
Denied.
BUILDING
PLANNING & ZONING
Reviewed by: 2 ' Date: i�. — I o_► 5
TREE ADMIN.
Second Review: UApproved as revised. UDenied.
/ WOR : Comments:
WI BLI UTILITIES
PUB Z i
Reviewed by:
Date:
FIRE SERVICES Third Review: 1 (Approved as revised.
Denied.
Comments:
Reviewed by:
Date:
iised 07/27/10
I
;-, tAii -. , City of Atlantic Beach
tri•jiNvP Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
'f,? Atlantic Beach, Florida 32233 -5445 /�
\ : Phone (904) 247 -5826 • Fax (904) 247 -5845 /� J` � y Z /J
.0; 9 E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us Date routed: ! 45'
APPLICATION REVIEW AND TRACKING FORM
Property Address : /633 J/-
Department review
/ w required No
/I // r � /� / /' L� % 7 J,E'S ing,2 � -
Applicant: �" � � �lanning
Project: dt(I )O,� B Tree Administrator =�
/ /� blic Wnrks,
"G6Cic l7 }ilit'ie�—, ==
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental Protection 11111111.1111111111M1
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: Ilericpproved.
(Circle one.) Comments:
UDenied.
B
/11
UILDIN
PLANNING & ZONING
Reviewed by: Date:a /7 /6
TREE ADMIN.
Second Review: QApproved as revised. [Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: 1 'Approved as revised.
Denied.
Comments:
Reviewed by: Date:
iised 07/27/10
Dey \ -et- e , F ',/ \o k .k 3 -1- j ‘k , 1 c c c_') Kv1 1014- \it. k/K1 -96( qf a
BUILDING PERMIT APPLICATION
OFFICE COPY CITY OF ATLANTIC BEACH ( ; �; J tt
- 800 Seminole Road, Atlantic Beach, FL 3223 :'
___--
Office (904) 247 -5826 Fax (904) 247 -584 i 1
,
Job Address: u,33 SeE.r� Mar'A nr• I I. /5• nADQ_ - t ! . 911E
Perm' urn ,.•r: __
Legal Description 30 - 2. • D' - 2.8 - a i E Se v. .. . , , ' Parcel : t? 1 • - r #00
Valuation of Work $ ql • ogle Proposed Work heated /cooled N -d. on- heated /coolediV —
Class of Work (circle one): ew Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial esident'
Ilan existing structure, is a fire sprinkler system installed? (Circle one): es N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the Meant
type of work to be performed: C • 44 :. • , ' .. rill IK4 0
Property Owner Information: I 1 C 8 2°15 I
Name: A+ -A.A./ F ER6ruso v Address: 6 �, ; • City Ai. £?e K.1„ Statea_Zip 322 3a Phone ' v - - 46.: - --
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: N ,, 11 C•,.,-4.-., (.4 or Qualifying Agent: 13,,,, Darnel ►
Address: 107 rye rt 4 s Lunt/ r`.,i City T4 )4.. State PI Zip 3 22.51
Office Phone 131- ti L S L. J Job Site/ Contact Number 4 y'- g q q 0 Fax #
State Certification/Registration # C!? C p S• 81
Architect Name & Phone # . 1 - 1 4 ctc SP [. t. M AN (N.3 % rrK. 7 3 7- tl 6 S Z
Engineer's Name & Phone # -DI M eq t tct-er g 21- 7 r7 9
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 1 certib that no work or installation has commenced prior to the
issuance o/'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. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners, eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with Nether specified herein . not The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, st or local law re: toting • « nstruction or the performance of construction. /
.....
Signature of Owner !, r� Signature of Contracts/ / �
Print Name ilgi e /1,74`z- - • /s-' l' 2 X71 v� ar✓ Print Name BA - r r% . 7A- & A/.F (- L
Sworn to and efore m Sworn to and subscribed before me
this,. /'itb Day of u f'cirYA , 20/S this ,721 Day of . or-.vin . 20 /.-----
No AIR" • a .r- -- Pu'lic
YKM1 f . BARBARA RACHELE HOLDEN
, 3013
, o. -4 NY COMMISSION 1 EE 05 ' k �� 8 Q 26.10
••, •.s MY COMMISSION 1 EE 053013
'%'•.%�. ;# EXPIRES: March 20 2017 . ' t EXPIRES: Me c zo ,>•mr
1 Yq , : IIon lee Thtu ilolay P a t)nAer w le s ' ;AL h„ . Bo TMu Notary Pabic Undenxgen
J'
rs ,,y CITY OF ATLANTIC BEACH
�' - Building Department
800 Seminole Road
Atlantic Beach, Florida 32233
(904) 247-5800
PLAN REVIEW COMMENTS OFFICE COPY
Permit Application # / 5 / O D " .2819
Property Address: /633 Selo" Marina Or.
Applicant: � Q r //toif Coe /tatAyie s
Project: Iv/ OIOGiG i T _ * C (o! n et q
This permit application has been:
El Approved
El Reviewed and the following items need attention:
/ St" »i L eaa I wrv
Spoke 4v;-/ ) De reci Zort,1 hCi SeVera
p / r Vey 7 S on-a n A A-ervl, /2)26 //S" %30v 1)T
2 / /g //
Please re- submit your application when these items have been completed.
Reviewed By: Date:
MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 6
AS SHOWN ON MAP OF SELVA MARINA UNIT NO. 5
AS RECORDED IN PLAT BOOK 30, PAGES 29 AND 29A OF THE CURRENT PUBLIC RECORDS OF DU VAL COUNTY, FLORIDA.
SELVA MARINA UNIT NO. 6
PLAT BOOK 34, PAGES 51, 51A & 518 c'' � P�
LOT 19, BLOCK 6 LOT 20, BLOCK 6 A 2600 E Q V E
L+7 ri)
��,,. N11'56'50 "W 150.00 , r
.0.r 1 WALL -- NOE ONCREIE IL I i + / 2013
t
LOT 5, BLOCK 6
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1311ELLING NO. 1633
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SELVA MARINA DRIVE NOTES:
• FOUND 1/2" IRON (NO CAP) (COUNTY ROAD NO. 551)
DEED B00H 808 PAGE 8 1. BEARING REFERENCE: BEARING SHOWN ON
O SEr 1/2' IRON (LB 1704) RIGHT - - WAY IJNE HEREON I0 THE SAME AS
CH CHORD DISTANCE (1 R/W) SHOWN ON THE ABOVE MENTIONED PLAT.
R RADIU5 �/..� wn' 2. THE PROPERTY SURVEYED HEREON APPEARS TO LIE
L ARC LENGTH Je
ewwEn T IWIHIN FLOOD ZONE "X' AS SCALED FROM THE
PC 00/NT of CURVATURE FLOOD INSURANCE RATE MAPS, COMMUNITY PANEL
MICHAEL ALAN FERGUSON NO. 120077- 0409H, DATED JUNE 3, 2013.
PT POINT OF TANGENCY
PRC POINT OF REVERSE CURVE SARI JAMES FERGUSON 3. DISTANCES SHOWN THUS: (P) REFER TO THE
ABOVE MENTIONED PLAT. DISTANCES SHOWN THUS:
RAW RIGHT OF WAY (M) REFER TO ACTUAL FIELD MEASUREMENTS OR
0.5. OFFICIAL RECORDS 8000 OR VOLUME COMPUTAIONS THEREFROM.
HEREBY CERTIFY THAT THIS SURVEY, PERFORMED UNDER MY RESPONSIBLE DIRECTION MEETS THE
MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYORS IN ACCORDANCE WITH CHAPTER 61617 - FLORIDA
ADMIN S R R CRNT O . 7, U TES), HER CERTIFY THAT THERE IS ARE A 7I NO VE VISIBLE ODE (PU ENCROA T UPON SEC710N TH S FLORIDA PROPERTY STA 7 E %CEPT AND AS FURT SHO (XAR$ON AND ASSOCIATES, INC.
PROFESSI. 'L SURVEYORS & MAPPERS
SURVEYED: JANUARY 17 2016 1543 N904' 396-2623 23KSa 0 E. � 32207
(904' 396 -26623 LB 0. 04
SCALE: 1" = 20 ��. If�
CIA R S O N FIELD BOOK: 900 PAGE: 52. Si JOSE A. HILL J'
K, AS S O C 1 A TES SURVEY NOT VALID WITH01/7 EMBOSSED SUPVE"OP'S SEAL
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:::„.„..,, , : 7 '' ZONING REVIEW COMMENTS
City of Atlantic Beach
`
,-.3-
r Building and Zoning Department
no, 5
'! J31 >r� Phone: (904) 800 270 - le Road Fax: Atlantic (904) 247 -5845 Beach Flor Email: ida dreeves 32233 -544 @coab.us
Date: 12/18/15
Permit: 15 -RADD -2849 Applicant: Darnell Construction
Review: 2nd Address: 107 Cypress Landing, Jacksonville, FL 32259
Site Address: 1633 Selva Marina Phone: (904) 737 -4652
RE #: 171993 -0000 Email: N/A
Correction Comments
1. I Survey: Please provide a legal survey of the property.
2. Setbacks: The minimum setback for all structures over 30 inches in height is 5 feet from side and rear
property lines. The shown 2 feet 8 inches is less than the minimum required setback. Please revise
plans accordingly. Note that all structures within 5 feet of the main house are considered part of the
house and subject to the setbacks of the house, which is 7.5 feet from side property lines. It may be
necessary to move the proposed structure closer to the house and utilize the these setbacks.
Derek W. Reeves c2
Planner
dreeves @coab.us O C
J
(1 . �,
1\
1 7 S
L%
r , '` J r�� ,, ZONING REVIEW COMMENTS
�� City of Atlantic Beach
.5 z Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233 -5445
j Phone: (904) 270 -1605 Fax: (904) 247 -5845 Email: dreeves @coab.us
Date: 12/18/15
Permit: 15 -RADD -2849 Applicant: Darnell Construction
Review: 1st Address: 107 Cypress Landing, Jacksonville, FL 32259
Site Address: 1633 Selva Marina Phone: (904) 737 -4652
RE #: 171993 -0000 Email: N/A
Correction Comments
1. urvey: Please provide a legal survey of the property.
2. Height: Please show the overall height as measured from the highest element to grade.
3. / Setbacks: Please show the distances from all property lines for all elements that exceed 30 inches in
height.
4. j Separation: Please show the distance between the house and all element that exceed 30 inches in
height.
5. / Tree Removal: Please submit a Tree Removal Permit Application if any trees are to be removed. If no
trees are to be removed, then please fill out an Affidavit of No Tree Removal. Both forms are available
on the city website under "Planning and Zoning" and at City Hall. Also please be aware that codes
have recently changed. If you are unsure about how the new codes effect your project, please submit a
Tree Removal Permit and staff can then determine if it is necessary.
Derek W. Reeves MM
Planner C%
dreeves @coab.us
f ill /cD .
2 ( 1-.
101(1-'i\ 11 \ ./
c 1
TREE & VEGETATION AFFIDAVIT
F City of Atlantic beach
h r 1 Department of Community Development
Planning & Zoning Division
800 Seminole Road Atlantic Beach, FL 32233
t . (P) 904 247 -5800 (F) 904 247 -5845 4 IRMIt i P' 15 4t4tX4344 ;
G SECTION I - APPLICANT INFORMATION IR Owner(s) r Legal Authorized Agent*
NAME OF APPLICANT
Alan Ferguson
NAME OF COMPANY Darnell Construction
i ADDRESS OF COMPANY 107 Cypress Landing
PHONE 7374652 CELL 9044499990 EMAIL
derek @prattguys.com
I CONTRACTOR CERTIFICATION NUMBER CBCO56685
ATLBCH BUSINESS TAX RECEIPT NUMBER 8000583.0001-001
i
SECTION II - SITE INFORMATION
I
1 STREET ADDRESS OF PROPERTY 1633 Selva Marina
i f an address has not been assigned to this property, contact the AB Building Department at (904) 247 - 5826 to request an address.
# LEGAL DESCRIPTION 30 -29 09- 2S -29E +
J
i LOT 5 BLOCK 1
6 SUBDIVISION Selva Marina Unit 5
REAL ESTATE NUMBER 171993_.0000 LOT OR PARCEL SIZE: 28511 SO FT AC
i
RESIDENTIAL x COMMERCIAL OTHER (SPECIFY)
g ay>; tg r.'S::mZ., :. .4 ,; :gi: ' ,444.os*, • an b., :.c :4..'.Airs+« t.?Y .:. , eaii.:rv'? , ..1 - - - ' , ; -As' '' .t... .$ 4 ..40.. 1 4: a:W7'._ i . .. ' .d,-
I affirm that I have reviewed the provisions of Chapter 23, 'Protection of Trees and Native Vegetation" of the Municipal Code of
Ordinances for the City of Atlantic Beach, FL and /or I have participated in a pre - application meeting with the Administrator of those
regulations_ Sue"quently, I affirm t at no regulat-. trees and no regulated vegetation will be damaged, destroyed and/or removed
from the abov- described .r adjace ' p operties 1 onjunction with this project.
7 ' /- -
SIGN ' • URE OF OWNER / SIGNATURE OF OWNER
i /
Signed and sworn before me on thi �' day of 1 .p, j/5 by State of - 1/at?i dA
9 County of ... v,4 J,
Identification verified: +• _
/ I are //
Oath sworn: iv ryes r No /
i - - - , o .r `ignature
Mn'14fi _ BARBARA RACHELE HOLDEN
``4 + • + 7 3 MYCOMSSIO530 � Q - °3 ,,80/7
RR " w ,.�4 2 EXPIRES March N #EE8 20, 2017 18 My C. mission expires: - -- � +'
%t, �,? Bonded Tim Notary Public Underwriters
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