967 CAMELIA ST - NEW HOME PERMIT -S 1'-1-�J`l\
`` S CITY OF ATLANTIC BEACH
�,.>,, ,' j 800 SEMINOLE ROAD
'} ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J 1119''
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SFR-721
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME
Estimated Value: $160,000.00
Issue Date: 6/14/2016
Expiration Date: 12/11/2016
PROPERTY ADDRESS:
Address: 967 CAMELIA ST
RE Number: 170967-0000
PROPERTY OWNER:
Name: BENNETT, KEVIN
Address: 4429 JIGGERMAST AVE
GENERAL CONTRACTOR INFORMATION:
Name: SOLAR HOME DEVELOPERS LLC
Address: 2425 Bentshire DR
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $660.00
STATE DCA SURCHARGE $9.90
PLAN CHECK FEES $330.00
SEWER SDC-SYSTEM DEV CHG $4,050.00
STATE DBPR SURCHARGE $9.90
IW' K Ci PN PTA49.8, Nirki-Fl?Nci;$114§4.1, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID,'
RUI,DING CODES.
isi
rs ` `S CITY OF ATLANTIC BEACH
r SA s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'r.tJ;31t�
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
Total Payments: $6,584.80
PERM I l' IS APPROVED ONLY IN ACCORDANCE WITH Al.l. CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
s!.Anr, City of Atlantic Beach
r� � Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
s Atlantic Beach, Florida 32233-544
Phone(904)247-5826 • Fax(904 247-5 IR
''tonioa E-mail: building-dept@coab.us R '� 2016 fi Date routed: i/2 y f
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9 G 7 on-pa:et De•artment review required Yes No
Applicant: -win Is i rn _ Planning &Zoning
C ,�.,` ree L i minis rator
Project: NG t43 //u -ublic Works
is tilities
'Lie lc aey
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: roved. ❑Denied.
(Circle one.) Comments:
kfee tOrndifel 49denedt
BUILDING
PLANNING &ZONING
Reviewed by:N_ 1 ,.ea-LDate: 3- ?2f'4'
TREE ADMIN.
Second Review: [Approved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tevised 05/14/09
ii;' f BUILDING PERMIT APPLICATIO
-,,,i "is ri CITY OF ATLANTIC BEACH ECEOVE
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845 ' MAR P 4 2016
Job Address: dIG 7 m el I AL_ S tetA p;,.., II-
Legal Description RE#
Valuation of Work(Replacement Cost)$ I(TX,000 Heated/Cooled SF I(--.I` Non-Heated/Cooled ' '/
/&U, D_
• Class of Work(Circle one): , New Addition Alteration' Repair Move Demo Pool Window/Door
• Use of existing/proposed struccture(s) (Circle one): Commercial
)Zeside ..-
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A)
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Jew C;:151t„t�k\o S n fe ram1`- Pe��Aenc? (see dalaehe_ (JI �n5)
Florida Product Approval# See ko(ir
— for multiple products use product approval form
Property Owner Information
Name: riCk41,zk. GI(71-.),,r LL.c.
Address: (-�kg Ktintncon IZoi.t.A
City 140,1,-,x,i+e�,,f State rt. Zip 33035 Phone --1V6'.- 3 ii c; -,13 t
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: So lu e H c..-,e,_ �e,.e top�,i_s J LU . Qualifying Agent: ki-•., rkr'c :-1
Address: d 1dS Gr,,--51-,,i',' Di,:,e City jA,,x State Zip 3 G
Office Phone 70H-H7.—I'N.)9 Job Site/Contact Number /04-'/ ,-%4.15''
State Certification/Registration# E-Mail Kmctrl',it esv/er-/,4 ve cit-,-(4,27' a,c c.y
Architect Name &Phone#
Engineer's Name & Phone# tine Le,- .,I)ne z;,,nI <: p/,,.; c,„
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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 ofsix(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. �+
Signature of Property Owner:
�. Signature of Contractor: /��
Before me ,�,,
this:ALJ' Day of .�.aL`1 Before me this . , ii Day of //i J
�// W�
Notary Pub 'c: , / �� • Notary Publ•�,_� f ���
NM
or, • c r t o1 r lTwist ,exa �', this application and know the same . .e,Fy ie andcor�t• .t. , 1 `�i on .f laws and
ae o work ill be compliedtit ith whether speci fled , ripi' ,, 4;,:i Digi' • ier- itdoes not
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MAP SHOWING SURVEY OF
LOT 1, BLOCK 163, SECTION H, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF RECORDED
IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
FOR: SOLAR HOME DEVELOPERS, LLC
a
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0
I SEWER LOT 6, BLOCK 183 to
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0 ELEV.(7.74) SEWER 0
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(50.0 FOOT RIGHT-OF-WAY)
t /
LEGEND;
CONCRETE MONUMENT ECK LAND SURVEYORS, INC.
IRON PIPE OR ROD
0/E OVERHEAD ELECTRIC 1660 EMERSON STREET RECORDS SINCE 1881
o/T OVERHEAD TELEPHONE JACKSONVILLE, FLORIDA 32207
C/L CENTER LINE OF ROAD (904) 396-6334 FAX (904) 396-9997
x—x FENCE email: eckjax®aol.com
(F.M.) FIELD MEASURED LB 7992
EOP EDGE OF PAVEMENT GENERAL NOTES;
1.) This is o: Tree, Topographic 1URL0 G. EVEREIT,JR.
As best determined from an and Boundary Survey. Certificate No. 3287
inspection of Flood Insurance Rate 2. No abstract of Title furnished. LOUIS J. EVERETT
Mop 120075 0408 H 3. Not abstracted for eosements. Not volid unless Surveyor's Certificote No. 4099
dated 6/3/13 the loads/house 4. Basis of Bearings: N/A Official Seal is embossed Profesaiono1 Surveyors &Mapper.
surveyed lie in Zone 'X". hereon. State of Florida
SCALE: 1"=20' DATE- 11/20/15 FIELD BOOK 734 PAGE 126 DRAFTSMAN: J A B ORDER # 15-264 - A
/ •
„.../).......\17)---'
�' � Comp. By: SRW
k). . j Date: 3/25/2016
Public Works Department
City of Atlantic Beach
Permit No: 16-SFR-721
., Address: 967 Camelia 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) (ft2) "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 1,836 5,100 1.00 0.36 %ISA = 36.0%
Pervious 3,264 5,100 0.20 0.13
Runoff Coefficient(C)= 0.49
Runoff Volume
V= 0.49 x 5,100 x 9.3 / 12
V= 1,929 ft3
Required Storage Volume
DV= Postdevelopment Runoff Volume-Predevelopment Runoff Volume
DV= 1,929 - 791
DV= 1,138 ft3
Retention MASTER WATER RETENTION 3/25/2016
2. Comp. By: SRW
,.
Date: 3/25/2016
Nt-;:dE6
).______)
Public Works Department
City of Atlantic Beach
Permit No: 16-SFR-721
Address: 967 Camelia Street
Provided Storage:
Elevation Area Storage
(ft) (ft) (ft3)
9.0 882 0 BOTTOM 42 X 21
9.8 1,269 860 TOB 47 X 27
Elevation Area Storage
(ft) (ft) (ft)
0 BOTTOM
0 TOB
Elevation Area Storage
(ft) (ft) (ft3)
0 BOTTOM
0 TOB
Inground storage=A*d*pf
A=Area= 1269.0
d=depth to ESHWT= 6.0
pf= pore factor= 0.3
Inground Storage= 2284.2 ft3
Required Treatment Volume= 1,138 ft3
Supplied Treatment Volume= 3,145 ft3
Retention MASTER WATER RETENTION 3/25/2016
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 170967-0010
County of Duval
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: 18-34 38-2S-29E SEC H Atlantic Beach Lot 1 Block 163
Address of property being improved:967 Camelia St.Atlantic Beach,FL 32233
General description of improvements:New construction SFR
Owner: Prett Developers LLC Address: 888 Kingman Rd Homestead,FL 33035
Owner's interest in site of the improvement: Fee Simple
Fee Simple Titleholder(if other than owner):
Name:
Doc#2016134567,OR BK 17597 Page 227,
of
V Contractor:Building Unlimited Roofing and Solar Inc. Number Pages:
Recorded 06/14/2016 at 03:25 PM,
Address: 888 Kingman Rd Homestead,FL 33035 Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Telephone No.:954-235-8307 Fax No.:786-349-1348 RECORDING$10.00
Surety(if any)N/A
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements N/A
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
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:
Address:
Telephone No: Fax No:
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 /41 R C• s USE ONLY OWNER
• �+ Signed: a , Date: 6(a L2 'I
rThC HERINE EASON Before me this ,D •. of 2c)1 in the County of Duval,State
)Q '
MY COMMISSION#FF459708 Of Florida,has personally appeared i L(c \ebQ r
�. EXPIRES:February 10,2020 c Notary Public at Large,State of Florida,Coupty ofDDuval.
e)My commission expires: 1Q 1.00
Personally Known: k or
Produced Identification:
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. CITY OF ATLANTIC BEACH
Z' PUBLIC TT`TT 4
1200 Sandpiper Lane
UFi�1S1-' ATLANTIC BEACH,FL 32233
(904)270-2535 or(904)247-5874
NEW ATE SEWER TAP REQUEST
Date: 3—2g- /to Project Address: 96 7 al-,29-c--4,1--
No. of Units: Commercial Residential V Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) 3
New Irrigation Meter Upgrade Existing Meter from to
(size)
New Reclaimed Water Meter Size New Connection to City Sewer
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application /b- SF, - 72 /
Water System Development Charge $ / /c c2 p ./
Sewer System Development Charge $ �s- .
Water Meter Only $ f /Ss—&j
Reclaimed Meter Only $
Water Meter Tap $
Sewer Tap $ (notes)
Cross Connection $ ,2), 00
Other $
TOTAL $.4_92 ,00
APPROVED: Kavie Moore,PE ?u _
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY u2urIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
0.i.v.pi, City of Atlantic Beach c, APPLICATION NUMBER
Buildin J
y 4-1
cs1 g Department (To be assigned by the Building Department.)
' (� 800 Seminole Road W
Atlantic Beach, Florida 32233-54 QRZ 6 2416 i - �� • 72
Phone(904)247-5826 • Fax(96 . 4.7-5845
E-mail: building-dept@coab.us Date routed: 2
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 96 7 ��a� Department review required Yes No
Applicant: /n-r- /-n l Planning &Zonin
� /C ,�,�,` Tree minis rator
Project: / G ltJ / / u, 'ublic Works
• is Utilities
'u• is a e y
Fire Services
Review fee $ Dept Signature %M
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: rApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: //� / Date: i/Z`1 fL
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
d ICiWOR 4. Comments:
BLIC U ILITIES
3 2 - / ,
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tevised 05/14/09
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Ct'' ��,� BUILDING PERMIT APPLICATIO EC
g\ei."') CITY OF ATLANTIC BEACHr oeIE
\ 800 Seminole Road,Atlantic Beach FL 32233
f_tJRI9/� P 4
Office: (904)247-5826 • Fax: (904)247-58450 MAR 2016
Job Address: '(7 7CITY• l u S+!eek p it Nttmher•
Legal Description RE#
Valuation of Work(Replacement Cost) $ 103/000 Heated/Cooled SF I(-,.D/ Non-Heated/Cooled '-. 1 0'
/100, ooD_ 2 r
• Class of Work(Circle one): ; New Addition Alteration' Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial IZ se identi
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A;>
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describejjin detail the type of work to be performed:II rr ++ �,]]
Jew ��54(,,LLkNo), Sq e *Fa tr;,l, 1\C- er.[�' (See 4�-t10,CL.e �'dIA.ns)
Florida Product Approval# /
hp _ See Tor'�'� for multiple products use product approval form
Property Owner Information
Name: P0-1-1 Lk 6I el-xr, Li-c- Address: S< k tn�tnavA Roe A.(\
City 1-10),,,e4e,,,.(\,e,,, State F2-,Zip 33035 Phone ��� 31-1q -,131`6
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: Snick,- H o;h* De e k op?iS f L Lc Qualifying Agent: key,f Te to-f--l) -,
Address: al,) 6rn'51,;(e 0,,;,e City Jkx State Zip 3ac).'ic.
Office Phone toy-97.D.—I .151 Job Site/Contact Numberi��/-417oZ J tJ5q.
State Certification/Registration# E-Mail Kuiar't,r',eso/enk-r‘e de/ f ' ,)-C.cV i
Architect Name &Phone#
Engineer's Name &Phone# A,n e Ile).- n4,ne e;:,r\y <:f pi,, 4,,,
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 constriction or work is suspended or abandoned for a
period ofsix(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. _
Signature of Property Owner: / Signature of Contractor:
Befo,re me �,, ��
this T;;" Day of �a// Before me this . Day of /t�c -,
Notary Pub •c: OL • Notary Publ.
1 h • rti tlt t5 Eexa ' this application and know the.same •. .ere and co •
��rr � �, ,�, •[1 r.vt ion i f laws and
or igre 'sotlY�p• t (sage o work 'ill be complied with whether specified r i „tor,*-i .f ir' it does not
prettrnl� v tr.{;{.o�tka'(��or iincel the provisions of any other•federal,..tat r oy}y'�ul,_,_f nstrt, lion or the
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MAP SHOWING SURVEY OF
LOT 1, BLOCK 163, SECTION H, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF RECORDED
IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
FOR: SOLAR HOME DEVELOPERS, LLC
a
a
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SEWER
LOT 6, BLOCK 183 co
I MANHOLE No. 975 �'
CD ELEV.(7.74) SEWER O
I- II FD IRON ` 4 a 'i 102.00'(PLAT) FD. 3/4'IRON
0 (LB 1674) COVERED M,TO UNE
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9th STREET
(50.0 FOOT RIGHT—OF--WAY)
I ` /
LEGEND;
CONCRETE MONUMENT ECK LAND SURVEYORS, INC.
IRON PIPE OR ROD
0/E OVERHEAD ELECTRIC 1660 EMERSON STREET RECORDS SINCE 1881
0/1 OVERHEAD TELEPHONE JACKSONVILLE, FLORIDA 32207
C/1 CENTER UNE OF ROAD (904) 396-6334 FAX (904) 396-9997
x—x FENCE email: eckjax®aol.com
LB 7992
(F.M.) FIELD MEASURED
EOP EDGE OF PAVEMENT GENERAL NOTES;
1.) This is o: Tree. Topographic HARLO C. EVERETT.JR.
As best determined from an and Boundary Survey. Certificate No. 3287
inspection of Flood Insurance Rote 2. No abstract of Title furnished. LOUIS J. EVERETT
Map• 120075 0408 H 3. Not abstracted for easements. Not valid unless Surveyor's Certificate No. 4099
doted 6/3/13the lands/house 4. Basis of Bearings: N/A Official Seal is embossed Professional Surveyors&Mappers
surveyed lie in Zone 'X'. hereon. State of Florida
SCALE: r=20' DATE: 11/20/15 FIELD BOOK 734 PAGE 126 DRAFTSMAN' J A B ORDER # 15-264 — A
/
r1LjUV/7„ City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
,� Atlantic Beach, Florida 32233-5445
P
Phone(904)247-5826 • Fax(904)247-5845
'"`./.010 - E-mail: building-dept@coab.us Date routed: 2 i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 96 7 1l?) /1L J7- Department review required Yes No
Applicant: ...do v i I'7') Planning &Zonin•
ree .: i i raratio!.ject: _ Ni/ V £ ublic Works
c tilities
Public Tale y
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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b : -��....1 Date: /,t %t
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:
tevised 05/14/09
•
Js r - `: BUILDING PERMIT APPLICATIO
� "� -r-? CITY OF ATLANTIC BEACH '
\' ECEOVE
800 Seminole Road,Atlantic Beach FL 32233
�Zu';t,r Office: (904)247-5826 • Fax: (904)247-5845 I LIAR P 4 2016
Job Address: •
C7�-, 7 C m e•f I ck S+reei p,.--
Legal Description RE#
Valuation of Work(Replacement Cost) $ 100,000 Heated/Cooled SF Ie-,JI Non-Heated/Cooled -7 �-
• Class of Work(Circle one): CP Addition Alteration' Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial ,R denri
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A>
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the( type of work to be performed: , /]
blew Gs:—,4t„1Lk\v'•. S'1 le raml�y gr t ei:Le (see octIck- ^e� IJ1Ar,S
Florida Product Approval# See o t,T // for use multipleproducts
p product approval form
Property Owner Information
Name: �`c, -r,Lk. Ca I eh�, LLQ-. Address: Sw K„n t. (,vl r of�\
City 1-1,,,,,,,e)4-e,,, State F-4 Zip 330.35 Phone i^1. i
. 3LIq .-131
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: 50 i�.: N c.,-,,v_ Deve lop...VS,/ LLC. Qualifying Agent: Kev, re,,,,,..-,
Address: :�Z`'1�S 6r,4c1\;rt, 0t,;de City ✓max State Zip 3,2a47,c.
Office Phone 70y-97 -j159 Job Site/Contact Number in�-/- /7,;(' c G
State Certification/Re stration# /7��/ �S`
E-Mail krn„t.rf,n e sole rho we cit-,-eiVi'✓,c c/'^
Architect Name&Phone#
Engineer's Name & Phone# A n z 114,., .014)1\e e ,',i., ..-f- Ay,, ,,,
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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
7'hiprior 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.
s permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended
Work,Pluming,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and/Air Conditioners,etc.
Signature of Property Owner. / 1 �}
Before me Signature of Contractor: �,,� ��
this J-; Day of��,a a,,.I'i Before me this . . Day of Act
Notary Pub 'c: _ IIT4. Notary Publ. `\ f Mr
I h •e y rti ap U m6 Eexa ) this application and know the same . ,w, a an cot• t. ' ,v on. r f laws and
or c goy . : l 4 pe o work ill be complied with whether specified . rli ,gio '• i c 1? . er it does not
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MAP SHOWING SURVEY OF
LOT 1, BLOCK 163, SECTION H, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF RECORDED
IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
FOR: SOLAR HOME DEVELOPERS, LLC
a
u.
o
I SEWER
LOT 6, BLOCK 183 co
= MANHOLE
U• ELEV.(7.74) SEWER No. 975 ~
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EE CLEANOUT
0 II FD. 1 2-IRON 6 4 * : 6 102.00'(PLAT) FD. 3/4'IRON
0 (LB 1674) COVERED �$ TO UNE (No 1.0.)
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9th STREET
(50.0 FOOT RIGHT-OF-WAY)
I
LEGEND;
CONCRETE MONUMENT ECK LAND SURVEYORS, INC.
IRON PIPE OR ROD 1660 EMERSON STREET RECORDS SINCE 1881
O/E OVERHEAD ELECTRIC JACKSONVILLE. FLORIDA 32207
0/T OVERHEAD T (904) 396-6334 FAX (904) 396-9997
C/L CENTER UNE OF ROAD email: eckjoxOaol.com
X—X FENCE LB 7992
(F.M.) FIELD MEASURED
EOP EDGE OF PAVEMENT GENERAL NOTES;
1.) This is o: Tree. Topographic HARLO G. EVERETT,JR.
Aand Boundary Survey. Certificate No. 3287
inspection best determined Flood from nonc 2. No abstract of Title furnished. LOUIS J. EVERETT
of Flood Insurance Rote 3. Not abstracted for easements. Not volid unless Surveyor's Certificate No. 4099
Map 120075 0406 H 4. Basis of Bearings: N A Official Seal is embossed Prof eE�ono1 °rs& Mavpers
sure 6/e/in tee lands/house / hereon. State of Florida
surveyed lie Zone •X'.
SCALE- 1..=20'_ DATE• 11/20/15 FIELD BOOK 734 PAGE 126 DRAFTSMAN;, J A B ORDER # 15-264 — A
01..w r f, City of Atlantic Beach APPLICATION NUMBER
-4>.;, \ Building Department (To be assigned by the Building Department.)
A1, 800 Seminole Road /
j... _ � Atlantic Beach, Florida 32233-5445 / ji 2--!
ark` Phone(904)247-5826 • Fax(904)247-5845
p i E-mail: building-dept@coab.us Date routed: 2 f /
City web-site: http:/lwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 96 7 6,--„,a, D- .artment review required En No
i--__ IIIIIIMIIIIIIMIIIUA�
Applicant: 1/-y' I'n 6 4 Planning &Zonin•JIMMII
ree A:minis rator
Project: NV c3 fiv/7). 4rubliWorks
Fire Services _-
rtevlew fee$ _Dept:$:_f afureBlit.I
Other Agency Review or Permit Required Review Receipt Date
of Permit or Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
:UILDING
PLANNING &ZONING Reviewed by: Kr‘` Date: /'i q1 6
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denies,.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH Cm COPY
JorBuilding Department
�
46—;) 800 Seminole Road
�
:••••
.' Atlantic Beach,Florida 32233
(904)247-5800
PLAN REVIEW COMMENTS
Permit Application # /6- S F'2- 7,2 /
Property Address: 7h 9 Ce m eS /-
Applicant: S/ct r Lip yr
Project: Y-e '- 110rn-e
This permit application has been:
VApproved trI ' 19- /
[31' eviewed-anht the-folloW"irl -item - .-,•• a1 ion:
Sc, 6 en / f cc, e 3 c ( end 01-e-e2 Ort s
Le Bur - eo ' , s Sea/ 6o h
any
Sen e, - ( f Pet/. (-Ornery/T.S L/-/-1e ? 2? Ar1
Please re-subm't your application when these items have been completed.
Reviewed By: Date:
,,
FILE COPY
`go iy,�\J`� BUILDING PERMIT APPLICATIO - ,
i:Er
-. ..--- ,
•` CITY OF ATLANTIC BEACH 0 ` • �` '
,_:.
U
800 Seminole Road,Atlantic Beach FL 32233
ot319'+ Office: (904)247-5826 • Fax: (904)247-5845 MAR 20 6 +
l ! /,
`
a/ i C '
Job Address: 1, meI h cr. st(eee* p: -... ► •- . /6 - PR- 7
Legal Description RE#-
Valuation of Work(Replacement Cost)$ I OCA 000 • : .. l oled SF I(�31 Non-Heated/Cooled G L a
t(,U, Q0.o_ Z Covvec!- /71W- 9-i-i
• Class of Work(Circle one): 4100 Additio • . ion' Repair Move `Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialesidenti
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No (NT/9
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
FJe,w Con51tutLk't�1•N S l,e carr,\iy Ike.5,tenc-e (see ok,A\ eP1&n )5
Florida Product Approval# See -U)r tri for multiple products use product approval form
Property Owner Information
Name: PGA-I- rk (Leber, s Address: K)Y\ iflt&v' Rbcs.,
City I-to me s•tv,, State ri_Zip 33035 Phone —7V61.-3111 -131 5
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: So i ar 0 o n.e Develop ,(S1 LLC Qualifying Agent: 14v,r1 rito4-1)v->
Address: alas t'rre5h,(e. Di,;/e. City J,,x State Zip 31/c.
Office Phone 7o1-1-9-7,D.-1,-159 Job Site/Contact Number ?pt,/-Lf 7a-/(,I Sq
State Certification/Registration# E-Mail ktnctr>t)n Ps01,rAc,we dewe/ups/3 cofit
Architect Name &Phone#
Engineer's Name & Phone# An Lice C)151 nee/,i ‹.f r/,,,4c,
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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 ofua 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 rs 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.
Signature of Property Owner /--/------) Signature of Contractor:
Befo a me M
this Day of - 4 Before me this . ' As II ay of /t la i
WP' (1
Notary Pub c: win Or• Notary Publ 411L A Oa
NM
I h'•e. rti • LE e'gt5P i%t this application and know the same r• • ah a an otcor• t. ' I,r,vi on ,f laws and
or,' "c• • 01 S$. : tame o work ill be complied with whether specified r *el satire •1' er it does not
pr:.mak `. ••v . 7, ;Ityo+(4F3'bel k or r.ncel the provisions of any other federal,,,v t e.io r Mil,"mr ....:Al Ag99gnstr , tion or the
• pe of o, 0 i JtftJ 18 ;OF;ZS Expires 02/14/2018
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,
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: /i1 1/-11(7
Development Size
Habitable Space /6 3/ •F Non-Habitable S y a 3, F=
Impervious area
Miscellaneous Information
Occupancy Group e-5
Type of Construction V (3
Number of Stories 2
,
Zoning District R G _in
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
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