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
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