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102 AQUATIC DR - OFFICE TRAILER r' "Pr S, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ler) -rr�V ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 COMMERICAL ALTERATION/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-COTH-1840 Job Type: COMMERCIAL OTHER Description: temporary construction office -job trailer Estimated Value: Issue Date: 9/8/2016 Expiration Date: 3/7/2017 PROPERTY ADDRESS: Address: 102 AQUATIC DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: Tribridge Residential Construction , CGC1504471 Address: 1575 Northside DR Phone: 904-219-9934 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 runoff must remain on-site during construction. Full right-of-way restoration, including sod, is required. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. FEES: BUILDING PERMIT FEE $55.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 PERMIT IS APPROVED ONLY IN ACCORDANCE; WITH All. CITY OF ATLANTIC BEACH ORDINANCES AND TTIE FLORIDA BUILDING CODES. w CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 .,r/ Jint t' Total Payments: $59.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • 'f, .i�rV.1-r4, City of Atlantic Beach APPLICATION NUMBER Js r . . •S\ Building Department (To be assigned by the Building Department.) s, 800 Seminole Road <<O-C-Unk- lsiy D Atlantic Beach, Florida 32233-5445 ,� Phone (904)247-5826 • Fax (904)247-5845 I �� r E-mail: building dept@coab.us Date routed: 0(6` la- I It �J;il__ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 10 a Atact,t L- 4'( • D- . . . ent review required Yes No Building Applicant: --Vf(1 b( ► 611... Q.,eskAtha\ C-0A --t • Pla ning &Zoning J L� (� fe- •• Project: `k Lt.?)PXX(U-I'- Ny S� ( liL-i- Aif.f.-rC-Q ub is Works Mil lic Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 'Approved. Denied. (Circle one.) Comments: BUILDING PLANNING &ZONINGI. l v Reviewed by: R Date: = ( TREE ADMIN. Second Review: I /Approved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. Denied. Comments: Reviewed by: Date: Revised 05/14/09 o a yj,,,, City of Atlantic Beach APPLICATION NUMBER j ., Building Department (To be assigned by the Building Department.) ,,, i - .� 800 Seminole Road -1-i1 p U ;j� �r Atlantic Beach, Florida 32233 5445 LO G D ` Ck— l E 1 D • Phone(904)247-5826 • Fax(904)247-5845 `� 01110 E-mail: building-dept@coab.us Date routed: (Ai It lb City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: `o a AtbacchL 4( . D ent review required Yes No Building Applicant: Tr.\ (.' UCL 1,41dA n a.\ SA + • (rPlar ring &Zonin� � L Tref AdIrrniStr city' Project: 1-Lt'W°(U--4`' n w+,.t Sk r l�.(�"11�� o it Pubic Works Public tilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required 1 Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District _ 1 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ®Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ,,,.14--"' (---- ‘ Date: /72/1/,‘ TREE ADMIN. Second Review: Approved as revised. ❑Denied. 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 .S vy:r City of Atlantic Beach APPLICATION NUMBER ,j • Building Departmenti (To be assigned by the Building Department.) /1. • 800 Seminole Road ECEIV n ,�U Atlantic Beach, Florida 32233-5445 1, _I Phone (904)247-5826 Fax(904)2 58AUG 1 2 2016 jolo'' E-mail: building-dept@coab.us Date routed: 0.%I la' 1 lb City web-site: http://www.coab.us - APPLICATION REVIEW AND TRACKING FORM Property Address: `o a Atbi,,t . D- • • . ent review required Yes No ` Building Applicant: T( b( ► Ul J�- w"sttAtn ct.\ �nS-t- • Planning &Zoning f r( re- • • - • Project: `k Ltq eD10-I1/4-I S�1 �L���1 L�11►(� _Pubic Works •u• is 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: Approved. IDenied. ce43,-; /I, (Circle one.) Comments: �l� ,'W 6,(144 BUILDING PLANNING &ZONING Reviewed by: L,i Date: i TREE ADMIN. Second Review: (Approved as revised. ❑Denied. 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 iwliJ J City of Atlantic Beach APPLICATION NUMBER Js ' ,.,.;: s 800 Seminole Road Building Department (To be assigned by the Building Department.) N r ,'.. , t;, ECEI'1 Eli <<o-CDTkk- 111.10 -8:_ _ Atlantic Beach, Florida 32233-544 \\::_;•.,v_3 Phone (904)247-5826 • Fax(904 47-a �? E-mail: building-dept@coab.us2016 Date routed: n�I 13 ` lb City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: iD a AvGt.4 L or . Dsnartment review required Yes No "` /�' Building Applicant: T(1 ► ck L 1„ostA�ka.\ Cosi- • Pla ng &Zoning , �(' re . tratvr Project: "t Lt et„„„' AW�,� t St 1 f 1,01,- 1/) UI.ke Pubic Works ublic Utilities Public Safety Fire Services Review fee $ 2 r Dept Signature r- , sj 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: 1 APP ICATION STATUS Reviewing Department First Review: I4Approved. ['Denied. (Circle one.) Comments: 1,thei-ra. C°/t/ ^�S; -- r9L_k � BUILDINGS, �(/ PLANNING &ZONING Reviewed by: 2f-A 7---.1'-' Date: il/slles TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. r d : C�WORK* Comments: "UBLIQ 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 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax (904) 247-5845 Job Address: 102 Aquatic Drive Permit Number: <<D— COTt{' LIMO Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair 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 insta ne): Yes No N/A Florida Product Approval# For multiple products use product approva orin Describe in detail the type of work to be performed: Temporary Construction Office- \VA)j gakti2_ Property Owner Information: 1!OR ti/-Ua+i c o wine 9,1(..,Lk, Name:_Tribridge Residential UAddress: 1575 Northside Drive,NW,Bldg 100, Suite 200 City Atlanta State GA Zip 30318 Phone "l Uel-(262 -2{�s�(` E-Mail or Fax#(Optional) Contractor Information: Company Name: Tribridge Residential Construction Address: 1575 Northside Drive,NW,Bldg 100, Suite 200 City Atlanta__State GA Zip 30318 Office Phone_904-219-9934_Job Site/Contact Number_904-219-9934 Fax# State Certification/Registration# COC25Oyt-(9-\ Architect Name&Phone#Poole&Poole Architecture 804-225-0215 Engineer's Name&Phone#Connelly&Wicker 904-265-3030 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electricar 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 herebycertify 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 ork will be complied w' i .hether spec,ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fede - ,state, o local b ,r egulating construction or the performance of construction. 41(Signature of Owner Signature of Contractor Print Name 3j ' R{A Print Name K,C h.q-AR C)\ t r Sworn o and sub ,/ribed before me Swo to and subs 'bed b��o re me this ay o t1_!:a >,N4 i . i i , I-1-4111:1;61;-- 20 this .�"'.ThDay of _..47-'C- 20l it rY / 4 -111 ..,,,L, (► • 1i No ary 'Qrc .� icpoWnkl+ssi ,mi/•>Q�„ Notary '1:11c `�:� .c ACY ii",� C� 1^�1* i O r `% ,•.•NN•�4 ' Z: CIC =--i '�it Z p'' y� ••••'GHQ. =O �� s 40 •�,, ,y GES. 0•. �� i ,,I I G '4111110% 0, f .. . . • Seal . ...•- . i *:.1... .":.'''''‘....j._.-..::•:--:—.-:--:-.4 V.-ii .--L---.--'------ • r i ct- . H .A.1. ILL \ k l , irgri',„tioikaiD „,,, ,)i., 111/ ,Michael R.Poole FL Lb.RAR00167 41 p h ,... .,,, ..., 7 BLDG #6 1 i \ 1 ' 70::klitii \l 4:'Uv° ...ippl.,: \..... , • , • ... • .• •\__,. ... ••• ., , '' POOLE E POOLE ORGIIIKT4RE 0 '... 1-e.,a 3736 Winterfield Rood,Suite 1( 1 Midlothion,Virginia 23113 1 , 011• t gi 1 1 FO E Telephone 804.225.0215 ! — • ” .. • , vvww.2po.net \ ,r,. .,•,-.--3-7.--;,A , ,• . . ,._ • " • !Project: AA-W°35221550.00 CARD File: MSSP I , 1Drawn By: ASM Checked By: GA DND 1 to !Permit Release Set: 1 If i -.---- ' \ - .. ...--- le I .. ‘ 'Cot•Aruction Release Set: N % ,..-T) Revisions 1 ' • ' ''. ''7'.'4 1 .. Iti No. Dote Description ) i ''''), ›'4 1 • •. / . 4 I - li '• , , I • 4 1 , 1 4,44.: 4 -..-.... 1 • ' ....:. 15 t / I r I S:22' 2,0,<;'4'., I') 1. ------ - \ .. '. •. ; •• ; . \ . . • t...-.( : • . ____.--- •I\ 1 ,... -.a' 1 III- .....-, i 1:1-....:-:- .' 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