870 MAIN ST - NEW HOME PERMIT 4
�� ; CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
si ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
iL) W'
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SFR-273
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME
Estimated Value: $194.000.00
Issue Date: 3/3/2016
Expiration Date: 8/30/2016
PROPERTY ADDRESS:
Address: 870 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
Phone: 904-686-4818
PERMIT INFORMATION: UTILITY DEPT.:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade and visible.
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $381.00
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $762.00
STATE DCA SURCHARGE $11.43
STATE DBPR SURCHARGE $11.43
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
1
: 4 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WATER CONNECT/TAP & METER $800.00
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
SEWER SDC-SYSTEM DEV CHG $4,050.00
Total Payments: $7,355.86
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
44 „ Comp. By: CDL
Date: 1/27/2016
Public Works Department
City of Atlantic Beach
Permit No: TBD
Address: 0 Main Street
Provided Storage:
Elevation Area Storage
(ft) (fe) (ft)
1,461 0 BOTTOM
1,461 138 TOB
Elevation Area Storage
(ft) (ft2) (ft3)
10.0 0 o BOTTOM Gravel parking areas
10.0 0 0 TOB
Elevation Area Storage
(ft) (ft2) (ft3)
0.0 0 0 BOTTOM
0.5 0 0 TOB
Inground storage=A`d*pf
A=Area= 1461.0
d= depth to ESHWT= 3.0
pf= pore factor= 0.3
Inground Storage= 1314.9 ft3
Required Treatment Volume= 1,485 ft3
Supplied Treatment Volume= 1,753 ft3
I
I
I
I
IRetention-327 retention Donnernorth2 1/27/2016
s ' Comp. By: SRW
r �,
___...„)
,,
Date: 2/5/2016
Public Works Department
City of Atlantic Beach
Permit No: 16-SFR-273
Address: 870 Main Street
Required Storage Volume
Criteria:
Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations
requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be
stored on site. Volume of Runoff is defined as follows:
V= CAR/12
Where: V=Volume of Runoff
C= Coefficient of Runoff
A=Area of lot in square feet
R= 25-yr/24-hr rainfall depth(9.3-inches for Atlantic Beach)
Predevelopment Runoff Volume:
Lot Area(A) = 5,100 ft2
Runoff Coefficient
Area Lot Area
Description (ft) (ft) "C" Wtd "C"
Impervious 0 5,100 1.00 0.00
Pervious 5,100 5,100 0.20 0.20
Runoff Coefficient(C)= 0.20
Runoff Volume
V= 0.20 x 5,100 x 9.3 / 12
V= 791 ft3
Postdevelopment Runoff Volume:
Lot Area(A) = 5,100 ft2
Runoff Coefficient
Area Lot Area
Description (ft) (ft) "C" Wtd "C"
Impervious 2,379 5,100 1.00 0.47 %ISA = 46.6%
Pervious 2,721 5,100 0.20 0.11
Runoff Coefficient(C)= 0.57
Runoff Volume
V= 0.57 x 5,100 x 9.3 / 12
V= 2,265 ft3
Required Storage Volume
DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume
DV= 2,265 - 791
DV= 1,475 ft3
Retention MASTER WATER RETENTION 2/5/2016
Comp. By: SRW
Date: 2/5/2016
•r
Public Works Department
City of Atlantic Beach
Permit No: 16-SFR-273
Address: 870 Main Street
Provided Storage:
Elevation Area Storage
(ft) (ft) (ft3)
10.0 782 0 BOTTOM 46 X 17
10.3 912 254 TOB 48 X 19
Elevation Area Storage
(ft) (ft) (ft3)
10.0 413 0 BOTTOM 59 X 7
10.3 549 144 TOB 61 X 9
Elevation Area Storage
(ft) (ft) (ft3)
0 BOTTOM
0 TOB
Inground storage=A*d*pf
A=Area= 1461.0
d=depth to ESHWT= 7.0
pf= pore factor= 0.3
Inground Storage= 3068.1 ft3
Required Treatment Volume= 1,475 ft3
Supplied Treatment Volume= 3,322 ft3
I
I
•
Retention MASTER WATER RETENTION 2/5/2016
I •
TO: Scott Williams
Deputy Public Works Director, City of Atlantic Beach
FROM: James Kelley S iZ
Elite Custom Homes and Renovations, Inc
DATE: January 27, 2016
SUBJECT: Construction Site Management Plan and Erosion& Sediment Control Plan
115 Donner Street, Atlantic Beach, FL
Construction Site Management Plan
1) Parking will be on site as noted on the Construction Site Management Plan
(CSMP).
2) There will not be a construction trailer on this site. The unloading and loading
area and material storage are identified on CSMP.
3) Location of chemical toilet is identified on CSMP and will be located on
owner's property with door facing construction project.
4) Dumpster location is on CSMP and an approved dumpster company will be
used.
5) Traffic control pattern is shown on the plan with entrance to property.
Adequate parking is available on site.
6) The site will be cleaned and picked up for all debris including construction
material and all other trash regularly.
7) If city inlet falls within driveway, owner will adjust top of inlet at owner's
cost.
8) Concrete driveway will be 5 inches thick,4000 PSI with fiber mesh from edge
of pavement to property line (in right of way). Reinforcing rods or metal mesh
will not be placed in city ROW.
9) Right of way will be restored to its original condition.
10) Any utility cuts in road made by contractor with be overlaid 10 feet in each
direction from the center of the cut
Erosion & Sediment Control Plan
1) Erosion and Sediment Control will be maintained throughout construction.
There will be a silt fence on all four sides of the property. Inspection by Public
Works of erosion and sediment control will be done prior to commencing
work. All siltation will remain on-site during construction.
2) All run off will remain on site. Run off will be contained on site with swales
and silt fencing during construction. If lot elevation is raised then it will be
retained so that it will not run off onto adjacent property with a wood bulk
head.
3) A post construction topographical survey will be performed documenting
proper retention and submitted with Certificate of Occupancy request.
P ,
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: /71 . c2// 9p6
Development Size
Habitable Space /y6 Non-Habitable ei 14 C r,
Impervious area '? %
Miscellaneous Information
Occupancy Group 3
Type of Construction V f3
Number of Stories /
Zoning District )1
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone )( - -f r,., S, ive y
Conditions/Comments:
Vii, , y-1, CITY OF ATLANTIC BEACH
�s t \ � Building Department OFFICE COPY
�, J 800 Seminole Road
�v> Atlantic Beach,Florida 32233
(904)247-5800
Axon ��
PLAN REVIEW COMMENTS
Permit Application # /G - S re- .273
Property Address: k'7o /Th i 57, /i• A
Applicant: eh i e-- CCYS710 erN ho vr14. s
Project: 711 — WQ m—P--
This permit application has been:
❑ Approved
• - I .n t e following items nee a etrtro .
0 - _ a iii aFrOY .2)
♦ iii Al � �� �' ♦ ' - �. a ' / 'Y'i
P. - .— ,
• • ' II F..'-f % - Q11.
0 : - , • -. - .. -e ft 'n pip:
r p ■�c A / . , / ' e I, • /n • .• . - ." - / i �f .
�Ot_-L�IJ h \
(Arc-Alec/vat bract,m 5 1
p4 c. 2/2f//6" i'l'ls.
I
C 'LU' Jo vAv ) z/zz/0 c me
Please re-submit your application when these items have been completed.
Reviewed By: //p Date: 2/2///9
BUILDING PERMIT APPLICATION
•
CITY OF ATLANTIC BEACH r-^, r' .4.1■,Alt,► .^ 1
800 Seminole Road, Atlantic Beach, FL 32233 ii m _ `y',..4I it 1
Office (904) 247-5826 Fax (904) 247-5845
Job AddressVO AIM 5t-A-ea
Permit Number: /G"S'F 2-- 273
Legal Description Lit a, mock- IGO ,fix ot ■ Parcel # 2� O -exxx�
7
Floor Area of Sq.Ft. t
Valuation of Work$ WO,MO 6 Proposed Work heated/cooled 146' non-heated/cooled 11 76
Class of Work(circle one): • Addition Alteration Repair Move Demolition pool/spa window/uuur
Use of existing/proposed structure(s) (circle one): Commercial Residentia
If an existing structure,is a fire sprinkler system install d? (Circle one). No 0
Florida Product Approval # -i- QC __Aopfava #2rhiN
For multiple products use product approval[oi`m
Describe in detail the type of work to be performed: A 6 l 15k. -t vW,l
Property Owner Information:
Name: MMN n cex co L L-1--C- Address: 355 1 i 5f
City M\AN\1l. QAPI6IN Statek Zip 3LZ33 Phone 9O -3°-i O3
E-Mail or Fax# (Optional) q0 )\\ 1 ,
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Nape: fin∎ (-4Mr . NDvv,() r- geArNA901 t' N - Qualifying Agent: i Anrt,S A
Address: a.0-1 PeAckN orkae.
City ;7iktV►11f/ State Zip 32,296
Office Phone 'go't-1A1:,-`f`bt% Job Site/Contact Number yo'.(- 616-`f$l S Fax#
State Certification/Registration# CgL I Z-654-2
Architect Name&Phone#
Engineer's Name&Phone# Rtil s19-9_ EA'S/ CR-fli p goy- gg6 -2101
Fee Simple Title Holder Name and Address 5-ee 7fib Abo�,,-e
Bonding Company Name and Address 4//4 l
Mortgage Lender Name and Address y/A
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 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 certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law re:ulating construction or the performance of construction.
Signature of Owner i Signature of Contractor /A''' ! i —
?rint Name ' ,0'3„r Print Name eaa d►r A• Ke_1 te-
hi. . Day of - �= ! Bef'Ir^Day if lar
,
�' . eiriL°�. wary Public State of Florida • - _ _
Fy
- ma.. .�allf1f-1'I.MCYr:I..a `�I ork. ayl , ...u
10 ary "u• ilii,,-., ,, My Commission FF 086990 ` e : • 'f,t "r'. s , ? My Commission FF 086990
opad1' Expires 02/14/2018 I.=,ua* Expires 02/14/2018
.
65i.-:4;,,:,.. \is\ CITY OF ATLANTIC
ili __ �' PUBLIC UTILITIES
1200 Sandpiper Lane
'��J13S��' ATLANTIC BEACH,FL 32233
(904)270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 2 - 8- /6 Project Address: 8740 {/f,q/ ST
No. of Units: I Commercial Residential Multi-Family
New Water Tap(s) 3 s)&Meter(s) Meter Size(s) �y
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaimed Water Meter Size New Connection to City Sewer V
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# /p— SFIQ— 273
Water System Development Charge $ / /'/O, 00 U4,6 Ev& o 19Q,b / 7 i
Sewer System Development Charge $
Water Meter Only $ .SD C S aia'-
Reclaimed Meter Only $
Water Meter Tap $ ,
Sewer Tap $ (notes)
Cross Connection $ SO, pV
Other $
TOTAL $ ( OLIO,0O
APPROVED: Kavle Moore,PE {--‘-,1
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
syvi:, City of Atlantic Beach
�s'' ''' y APPLICATION NUMBER
Y �• - Building Department
(To be assigned by the Building Department.)
`Y�.� ,,r 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
61no/ E-mail: building-dept @coab.us Date ro uted: //
7�
City web-site: http://www.coab.us !!!
APPLICATION REVIEW AND TRACKING FORM
Property Address: he ST iLkulluaLnt review required 0
/ q
Applicant: Et,/ Tr it �,j�m m fS '- :LanningiZ �.��
'tanning &Zoning Ammim
Project: /17 i fh Pri 6 ,Public Wor1- 111111111111111
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: 4roved. ❑Denied.
(Circle one.) Comments:
BUILDIN NOL
PLANNING &ZONING
Reviewed by: rh Date:312-7I/ G
TREE ADMIN. _
Second Review: []Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY • Reviewed by:
Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tevised 07/27/10
rs--L`P r,J, City of Atlantic Beach
JS , Building i y of Department RECEIVED APPLICATION NUMBER
(To be assigned by the Building Department.)
j 74,7 800 Seminole Road FEB o 4 2016 / P - ir 73
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)I t� 845
��U;31 '" E-mail: building-dept @coab.us L____ Date routed: 21491174::—
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (c7 T-1i ST 1.;;i;,,,ug:_nt review required Yes N
q No
/_ BLe
A pp licant: G/ 7f,, �� ? 1"� fs
■ •tanning &Zoning Ammin
rks rator
/1/14) ti
Project: � Q �'j') � •ublic Works
~
Pus ty
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: I Approved.
(Circle one.)
❑Denied.
Comments: ���Z�� ����/�
JeL �I
BUILDING
PLANNING &ZONING ,�,� '
Reviewed by:___ 14/, .7147T--- Date: /k-/ii,
TREE ADMIN.
Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: pApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tevised 07/27/10
4s�s iccj,�, City of Atlantic Beach
nl Building Department APPLICATION NUMBER
(To be assigned by the Building Department.)
1 ,r 800 Seminole Road /w _ (}�p - 7'
tjv se Atlantic Beach, Florida 32233-5445 J- /�'
Y Phone(904)247-5826 • Fax(904)247-5845 /
'' 01119'' E-mail: building-dept @coab.us Date routed: 2/y ��
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (�'77� Mfryi ST II - : - -nt review required Yes No
lE/ l giu
G/ i
Applicant: Tg �1 ��m m ES 'tanning &Zoning
- : . - inistrator
Project: /V It) f ni 6 Public Works
'us is Utilitie
Pu. -- 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: Wpproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: �/ Date:„5,/,///1"
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
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
:0-f- `1r City of Atlantic Beach
�•�•;�� APPLICATION NUMBER
d
n� Building Department (To be assigned by the Building Department.)
r,.. ` ,�4 800 Seminole Road RECEIVED /� - J-`/�, d 73
�� - ) Atlantic Beach, Florida 32233-54451
Phone(904)247-5826 6 • Fax(904)'247-58gEe 0 4 2016
�mo j, ��r E-mail: building-dept@coab.us Date .
to routed: 2/4/40
City web-site: http://www.coab.us B'Y:
APPLICATION REVIEW AND TRACKING FORM
Property Address: '7j if- Sr ki ant review required Yes No
Applicant: EL., / z ,?--am /6rn fs Manning &Zoning'■
• mis rator ==
Project: WE/0 #3 /')') 6 ,public Works
Fire Services
Review fee $ Dept Signature )CG✓\
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:
APPLIC ION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: 51.,.,.___ Date: 2// 17 L
TREE ADMIN. Second Review: DApp roved as revised. ❑Denied.
BLIC Comments:
PUBLIC UTI ITIES
2- s- /�
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tevised 07/27/10
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UNIVERSAL ENGINEERING SCIENCES
r PRIVATE PROVIDER /BUILDING INSPECTION DEPARTMENT
JACKSONVILLE OFFICE: 5561 Florida Mining Blvd. South, Jacksonville, Florida 32257 • (904) 296 -0757 • F. (904) 296 -0748
PALM COAST OFFICE: 4 Hargrove Grade, Suite A, Palm Coast, Florida 32137 • (386) 986 -2122 • F. (386) 986 -2095
PPI / SPECIAL • INSPECTION REPORT
PROJECT: r DATE: " T r %c? IC,,
ADDRESS: / v ( �n r PERMIT NO.:
l � t 7
CITY: LOT /BLOCK NO.:
OWNER: CONTRACTOR:
DISCIPLINE: 1 Special 1 PPI PHASE OF INSPECTION:IT Initial Inspection
UES PROJECT NO.: J In- Progress Inspection
UES WORK ORDER NO.: r7 Re- Inspection
UES INSPECTOR: n Final Inspection
TYPE OF INSPECTION: r r '
APPROVED El APPROVED AS NOTED PARTIAL REJECTED
DISPOSITION OF INSPECTION (AII PARTIAL and REJECTED inspections require a Re- Inspection)
NOTES: a
7J
Sr 126 t..(..)n c- (i
(15 a (4 J , Y l� t r( d r f
1 hereby certify that to the best of my knowledge and belief, the above listed inspections were performed as
indicated and the work was reviewed for compliance with the approved plans, and all pertinent sections of
the Florida Building Code, and pursuant to Florida Statute 553.791
Name of Inspector Signature Date
WHITE - JOBSITE COPY YELLOW - OFFICE COPY PINK - INSPECTOR COPY