720 SELVA LAKES CIR- FOUNDATION REPAIR tfS
s `� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.7) INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-1097
Job Type: RESIDENTIAL ALTERATION
Description: FOUNDATION REPAIR - UNDERPINNING
Estimated Value: $6,200.00
Issue Date: 5/19/2016
Expiration Date: 11/15/2016
PROPERTY ADDRESS:
Address: 720 SELVA LAKES CIR
RE Number: 172027-5842
PROPERTY OWNER:
Name: WILLIAMS B/E, PHILIP L. *
Address: 720 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: FOUNDATION SYSTEMS & EQUIPMENT
Address: PO BOX 50545 PO BOX 50545
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $40.50
BUILDING PERMIT FEE $81.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $125.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
51..tvi City of Atlantic Beach APPLICATION NUMBER
s r fS Building Department (To be assigned by the Building Department.)
1 -.,- , 800 Seminole Road V R _ I
,- Atlantic Beach, Florida 32233-5445 1
Phone(904)247-5826 • Fax(904)247-5845 Al11 V E-mail: building-dept@coab.us Date routed: 5�t it
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: \-7 ELV A LA kES Department review required Yes/No
43131ilding) J/
Applicant: Fp on) c (z.c rio L �Binan ing
Tree Administrator
Project: 1 00 f•-)DA---1 LOP.- Re.P( .2. Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
. of Permit Verified By
'• Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: �App-roved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: ,71' Date: 5-1 F1-6
TREE ADMIN. Second Review: ['Approved as revised. ❑De ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845 f 2- -Re R _ I
097
Job Address: 7 Z 0 SLLVA LAKES c l2Ct-e Permit Number:
Legal Description Oa 0•/6-Zs-2T . Se4 NQ G4/CGF44 -47/ZS-Parcel# / 7ZO Z7-- s8S/Z-
do Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 6 ZOO = Proposed Work heated/cooled /9/Z non-heated/cooled e'S S
Class of Work(circle one): New Addition Alteration CRepair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): 4w o N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: /`Ou.1-/D/17ioit.l 4/9//e — UivZ)E,%Piic%ti/ILZ--
Property Owner Information:
Name: OR a/4.),4 W iLt.. /AM 5 Address: -7 ZO S4Gi/4 L,exeS e,,eeL._.
City 41L4A 7k ' '0,4cj - Staten Zip 3 z z 3Phone y''(f - Z 3 4.1-• 5154 ^z
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: / &J,ua A7kbt) Sy SILinS .Z/VC Qualifying Agent: &//y C. / /11,4114 A/
Address:20$-L glia/hG S7 City /f7Gp,v7,C Eide ( State #C. Zip 3 ZZ33
Office Phone goy- ?AY/-tiyZc Job Site/Contact Number 90 y- Z9 y- Z8& Fax# 9oY- ZS/7-inS 3
State Certification/Registration# C Qe o5 `? 308
Architect Name&Phone# 4//A
Engineer's Name&Phone# ,b/// C'. /VlrM,a yGGA-) -3,e,, /2L 4bv 2 y/-cly2 c--
Fee Simple Title Holder Name and Address /1//i/Bonding Company Name and Address ,1 fA
Mortgage Lender Name and Address /1//10
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 rf 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 thisplication 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 specified 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 regulating construction or the performance of construction.
Signature of Owner ! `
!,� !�/ /ANWS/J Signature of Contractor `� ti.::: ---5A=: ---,-,--.1
—
Print Name V,12 c/4 i 4 w/./j/ ,q alS Print Name B..1..1 I MC M6,11G V\
Sworn to and subscribed b fore me Sworn t and subscribed before -
this I g, Day of AP214. ,20 I to this 1'11^II ay of MCA , S _ ,201 (o
Notary
. . /Mr-
Public
Z_,„:7( 7/i.--7/--4______Th
► . Pu.-is
ary
"" xN aowERs1vised 01.26.10
;
3• ik '' BILLY C MCf11AHAN ' ;F ICY CDISSICN t FF 997944
,: .0.1CYOIOCQ II I i li MY COMMISSION I FF230603 .���;•'a: EXPIRES:July 12.2019
'nn #Rd's` Bonded BoThN Notary Pubic UMa. ir.n
Per✓nrf # 16 -Rfi/)2 - /oy7
OFFICE COPY
NOTICE OF COMMENCEMENT
State of F,Ln p/ Tax Folio No. / 72 0 Z 7- S$ `/7—
County of 0 0114/
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: 41t,/-1,0'/e, -ZS - Z 9. SEG vet Lanes
U .v - Z
Address of property being improved: 72 S6 I/4 44/44S C/PGCE /1 TL, 4c,( , 2Z33
General description of improvements: ckait,4471eamj X -',,,4 -- ' 'I ..) C�.•v v„�Xr
Owner: (//pC,, ,4 14./ (/ /i,.v�S Address: 7 Zp S t/A Z4/LES C,P, //x, Owej,' 1z;3
Owner's interest in site of the improvement: 04t.J,t,i
Fee Simple Titleholder(if other than owner): 1//_4
Name: /t//A
Contractor: f cm.. )47AD Sy S%may S 4. -0{/C
Address:
Telephone No.: 9Dk1-Z y/-yy Z f Fax No: may. Z v cs7.3
Surety(if any) AZ/4
Address: /WA Amount of Bond$ /j//,/
Telephone No: /v/,q Fax No: 41,4
Name and address of any person making a loan for the construction of the improvements
Name: 404
Address: it0
Phone No: Fax Fax No: �v0
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name: /110
Address:
Telephone No: it/�Q Fax No: ASI
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: ,(1j4
Address: // /f///0
Telephone No: i///4 Fax No: 14
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER , /�� •
Signed: !' IT/ •a) G�VGtiII t Date: O�7 /G
Before me this a Z3 N day of 4 O /L in the Coun of Du al,State
Doc#2016105972,OR BK 17558 Page 98, Of Florida,has personally appeared (// ae4.3A tt//GL,,.4/1as
Number Pages:1 P y pp
Recorded 05/11,2016 at 11:08 AM, Notary Public at Large,State of Florid ounty of Duval.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY Personally Known: K or
RECORDING$10.00 Produced Identification: 5"-Y G MC(�T1N
x SAY COMMISSION M„To=
• EXPIRES May 13.2019
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REVIEWED FOR CODE COMP ►! L
--- CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
REVIEWED BY: /7i DATE: 5 ”/Fr.g.,
I attest that this spat pion has been prepared IN general FOUNDATION SYSTEMS, INC.
accordance with the Florida 2014 Balding Code using standard
engineering practices. The repair has been � uany
1 the beet ave • informtionand our experience si <a
r Atlantic Beach, Florida
projects In the area The pier deign is based upon a wonting
stress metl+odd°gp using animated ebucturd loads. The pier FOUNDATION REPAIR PLAN
system and tea .acamp�oneent$ have been rated by the
support
the valorortio a+tkPated toads necwsory to 720 SELVA LAKES CIR
support the affected portion of 4lrls s6vcturw ATLANTIC BEACH, FL 32233-4350
WILLIAMS VIRGINIA B
Bill C. McMahan Jr, P.E. DRAWN: BCM DATE: y/t/G SCALE:
Registered Fl. 42677 CHECKED: BCM JOB NO: /,'g '
f
AP-2-UFB-2875 UNDER F❑❑TING BRACKET
CATALOG NO: PSA1034 [P1 OR PSA1055 [G]
9i' 4'
CONCRETESi 1-*-- 7P --I
FppTING PIER
BRACKET i 4�' I
NE4
1 'SLOT '. O 1� f
T❑ FIT 5/8' DIA '� , ' I ' I
TOP PIER ANCHOR BOL TS 1 i 136' 0 Li.
66'
PLATFORM PIER I 1 1 7 •
I EXTENSION
Elimmo
O ' 11
INTERNAL 4'MAX i 9'
COUPLER LIFT HEIGHTl! [I •
I� II
jl II
11 I�
PIER 11 II
STARTER
FRICTION
L.�� �l .-J NOTES-
REDUCTION 1� �I
COLLAR 1. BRACKET FINISH AVAILABLE IN PLAIN IP] OR HOT DIP
l' f GALVANIZED CG) PER ASTM A153-(LATEST REVISION).
2. BRACKET MATERIAL j THICK HOT ROLLED STEEL PER
11 I� ASTM A572 MIN. YEILD STRENGTH 50 KSI.
TYPICAL INSTALLATION 3. ALL WELDING TO BE DONE BY WELDERS CERTIFIED UNDER
SECTION 5 OF THE AWS CODE D1.1.
4. MANUFACTURER TO HAVE IN EFFECT INDUSTRY RECOGNIZED
WRITTEN DUALITY CONTROL FOR ALL MATERIALS AND
AP_141F-ffi75 SYSTEM COMPONENTS MANUFACTURING PROCESSES.
--j - --,-- - - - --TooAMO�'--.� 5. TWO 5/8 DIA PIER PINS (PARTS PSA1030) CONFORMING TO
i Top Pier Pier Starter Plain Merl Met Woddn0:intimal. ASTM A29 GRADE I0B21 ARE REQUIRED FOR EACH PIER.
WOW I Platform I Section Section Sieve, Swr, Capacity Capacity 6. LIFT SHIMS (PARTS PSA1031 OR PSAI032) SHALL BE USED AS
catalog 1 1b I (kips) REQUIRED UP TO A MAXIMUM HEIGHT OF 4 INCHES.
Na Pier 65(PISye.tt : I- .1 1_ i__1 --} lalA .(A .;__ .300 00 7. REFER TO DRAWING SA1002 FOR TOP PIER PLATFORMS.
PSA-1-033•AP$.UF.2879185(P](1(14j ! I. • y1 3 f 1 IM -, 8. REFER TO DRAWING SA1003 FOR PIER SECTIONS.
FSA1847 AP�47F.7d7S tea[?N[11'd'J t 7 1 1 i i 1 - !M.- IM I 9D EO ..
pSAlv38 APa11F.7S75,1t65(GA]I14•-o'1 , 1 t' 1 I -3-: ! 1 l w► I it I eo
FSA1054 APdLF-2075.155(GJ 11401 1 I 1 ( 3 1 11A : NP. j 30 _ 50 • -
SYS-74S
PSM707 4P-ZUF-2f7i189�1 1 1 S 1 0£ 1 30 70
__ IP1Ct' _.[ _...._ I.--- --- 1. I ATLAS .
rsMzot AM,a+NFas7s.155M[PAI t4.103:. 1 !._1- s 1 + of � 1 I�s� _ is -- --- 30111: -
►SA47S0 AP-zJ1F,xRs1�i1 i____+ -- it' _ - - -
vJ�
2 UFB 287
roAt55e;AP�a7sl�i P1 twirl. 1_f ...1— ! s ±_�.—o' 1 >6 70 �riYic���: BRACKET
�
Miss: r — -- 1. 1. w w.a av 7 r�nw la y l
it-rift te•4A n.vc.ee rinsii.ww.u.�o.weOpp.ewa.r.�r-www n.. ; 1 L A SA1034 � SFE DNC C
F7+r:n'..sw..:..wrrduwwwie,.:viiioei.Farah.►ew.�e.wiiA.�ew`as.«bwiWo:i..onw:r..r 7 ---
. — r• as iw.s6 iw3/1/37 I. I M I
% 0% NICMAygA/ee_
SHEET NOTES: �.`��N..•\G E N SF••••,, ,�:
�\' No 42677 ';•*
1. A P1 thru P-.(o - 20 KIP capacity Atlas Piers. _ *: a3�c
2. NOTE: Actual Pier locations may be moved as necessary = •• Y �-'�`�-- ¢
to avoid underground utilities, obstructions, etc.
:Iv..• STATE OF • �
3. NOTE: Upon completion of Pier installation, all Piers �7:•(-) •,•,. QP•: ;�
may be loaded. %,,�FS• O ..�••�\C %-
•
4. NOTE: Following completion of underpinning operation, '•,,,5ION A`,�. �%
a cement based grout shall be injected to fill voids
created during underpinning.
5. NOTE: Installation records shall be kept during the
underpinning operations.
6. NOTE: All Pier materials shall be hot dipped galvanized to
prevent corrosion.