671 Selva Lakes Cir alteration permit CITY OF ATLANTIC BEACH
'sJ 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2766
Job Type: RESIDENTIAL ALTERATION
Description: remove existing paver patio and replace with new pavers
Estimated value: $4.151.50
Issue Date: 1/30/2017
Expiration Date: 7/29/2017
PROPERTY ADDRESS:
Address: 671 SELVA LAKES CIR
RE Number: 172027-5888
PROPERTY OWNER:
Name: ROBERT, JOHN A
Address: 671 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: CONSTRUCTION SOLUTIONS &
,26657
Address: 5225 EDGEWOOD CT CIA NONE - UNABLE TO FIND
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing
activities. Contact the Inspection Line(247-5814)to request an inspection from Public Works for
Erosion and Sediment Control Inspection prior to start of construction.
Roll off container company must be on City approved list(Advanced Disposal and Realco Recycling).
Container cannot be placed on City Right-of-Way.
Full right-of-way restoration, including sod, is required.
All runoff must remain on-site. Cannot raise lot elevation.
FEES:
PLAN CHECK FEES $35.38
BUILDING PERMIT FEE $70.76
STATE DBPR SURCHARGE $2.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-- INSPECTION PHONE LINE 247-5814
STATE DCA SURCHARGE $2.00
Total Payments: $110.14
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assignedby theBuilding Department.)
n tllant c Bea
e Road
Atch,Florida 322335445
Phone(904)247-5828 Fax(904)247-5845 II I
pj$g E-mail: building-dept@mab.us Date routed:
City web-site: hfiP#www.coab.us
APPLICATION REVIEW AND TRACKING FORM
lV 'f 1
Property Address: SAIJA I_,W( CC De artmentreviewre uired Yes No
l _1 Buildin
Applicant: Cl�(15�1.1(.\1(�/� STIl�� C�"SU{/A111 ning &Zoning
r'T Tree or
Project: ( Ll)J._. I It U Public Wo
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Reviewor Receipt Date
of Permit Verified B
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: AApproved. [-]Denied.
(Circle one.) Comments:
BUILDING /
PLANNING &ZONING Reviewed by: Date: 12 114ILt
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
Qc City of Atlantic Beach /� APPLICATION NUMBER
Building Department �Rra�q�. (To he assigned by the Building De-p�arrtm_ent.)
800 Seminole Road 2 IY!_p—� —o� 1tUyCj
Atlantic Beach,Florida 32233-54R,IPE582451
Phone(904)247-5826 Fax 9 2016 f
�oav E-mail: -site:
-P://ww ab.us.coab. BV``__
City web-site: htlp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �t -f ` S61JA � S De artment review required Yes No
Builam
Applicant: G)nSN1tLki�/15�11fi 1CdSuQD11t ring &Zoning
�� Tree or
Project: ! 6J 1, \ .(; Q,� u lic We
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Wager Management Distnct
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
rReviewingepartment First Review: ❑Approved. Denied.
one.) Comments:
ING
&ZONINGReviewed b Date:—/.aDMIN. Second Review: ZApproved as revised. ❑Denied.
PUBLIC WORKS Comments: 1✓n
PUBLIC UTILITIES W # U/ (!�WN
PUBLIC SAFETY Reviewed by: Date%9//C
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie
Comments:
Reviewed by: Date:
Revised 05/74/09
City of Atlantic Beach APPLICATION NUMBER
Building Department
n r 800 Seminole Road
Atlantic Beach,Florida 32233- �F`l
vitPhone(904)247-5826 - Fax(94 E-mail: building-dept@coalb.us
1220SCity web-siteffia:# .coah. (TDoatbee raosul staeigdn:'ed�b�y��__theffb
B�(auild—ing�a(Depa_rtm�ent
)
APPLICATION REVIEW A RACKING FORM
Property Address: W T y S��Lt I—q, S Department review required Yes No
Buildin
Applicant: CO(15�L1( `j)/� ��l f�JJ1C dSUQD1U inning&Zoning
Tree or
Project: ( � OJ .� a� ublic W
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature t +�
ftOther. M
gency Review or Permit Required Review or Receipt Date
of Permit Verified B
ept of Environmental Protection
ept.of Transportation
s River Water Management District
rps of Engineers
of Hotels and Restaurants
of Alcoholic Beverages and Tobacco
APPP-YCATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING /
PLANNING&ZONING rff -�. t3'li
Reviewed by: Date: Z
TREE ADMIN. Second Review:
[]Approved as revised. []Denied.
F WORK Comments:
PUBLIC UTILITIE
/Z -/ 2 -a
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 0974109
TREE & VEGETATION AFFIDAVIT___
-- City of Adandc Beach
r Department of Community Development
rSSECTION
Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233
(P)904 247-5800 (F)904 247-5845 PERMIT#
I-APPLICANT INFORMATION OF Owners) r LegalAuthorized Agent-
NAMEOFAPPUCANT R,OryLseT ��H>`I
NAMEOFCOMPANY
ADDRESS OF COMPANY
PHONE CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SITE INFORMATION i DEC 9 2016 i,, N!
.
STREET ADDRESS OF PROPERTY G'}I I_VA 4 cL9__ -
Ifan Pddren ins naNren r
aWgnedroWspopeny,mnrarrheABBW/wnglMPartmentm NW)N7-Se mrequesa
LEGAL DESCRIPTION
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SOFT AC
RESIDENTIAL COMMERCIAL OTHER(SPECIFY)
I olfinn that i have reviewed the provisions of Chapter 23, 'Protection of Trees and Native Vegetation'of the Municipal Code of
Ordinances for the City of Atlantic Beach,FE and/or I have participated In a pre-applicodcxn meeting with the Administrator of those
regulations. Subsequently,)affirm that no regulated trees and no regulated vegetation will be damaged,destroyed andtor removed
Tram theob s/ bed or/addjacentproperties in conjunction with thisprojea..
SIGNATU EOF ER SIGNATURE OF OWNER
Signed and Svrom beforemeon this q dayof Q&kq W, c70lI,o,by State of
County of kky L
Identification verified:
Oath sworn: r yes r No n
JENNIFER JOHNSTON Notary I naure t
iw•'µ '` MYCOMMISSNN#GGae29N
EXPIRES:pppx1t.20m My Commission expires:
0 1Nu N W ry PUN'c ariGmNr n
1'S `JyJ ...b..CITY OF ATLANTIC BEACH
DEPARTMENTOFPUBWC WORKS
J �) 1200 Sa.*M Lew
Att"w Bach,FL 322334318
�' ) n1JETHONE:(904)247-5834
j -
FAX:(904)247-5843
'T�JJS ��'
CONTRACTOR: DATE: 12-13-16
Construction Solutions PERMIT# 16-AAAA-2766
5225 Edgewood Court ADDRESS: 671 Selva Lakes Circle
Jacksonville,FL 32254 Atlantic Beach,FL 32233
Email: invoice@comtructionsolutionsjax om
PERMIT APPLICATION TO REM E AND REPLACE PAVER PATIO
Your permit application has been by the Public Works Department for the reasons listed below. Please submit this
information at your earliest convenience in order that we may approve your application. If you have any questions,please
contact Scott Williams,Deputy Public Works Director at 904-247-5834 or email swilliams(aumab.us.
PUBLIC WORKS CORRECTION ITEMS:
(Submit the following information to the Public Works Department)
V Provide impervious surface calculations for entire lot(existing and post construction).
/Documentation shows impervious areas are over the 50%allowed by City code.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments w411 be printed on your permit as Conditions of Approval)
"" Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities.
Contact the Inspection Line(247-5814)to request an inspection from Public Works for Erosion and Sediment Control
Inspection prior to start of construction.
•• Roll off container company must be on City approved list(Advanced Disposal and Realm Recycling). Container
cannot be placed on City Right-of-Way.
•• Full right-of-way restoration,including sod,is required.
"• All runoff must remain on-site. Cannot raise lot elevation.
cc: Toni Gindlesperger,Building Department
Jennifer Johnston,Building Department
Perrone, Jennifer C.
From: Perrone, Jennifer C.
Sent: Tuesday, December 13, 2016 12:00 PM
To: 'invoice@constructionsolutionsjax.com'
Cc: Williams, Scott; Gindlesperger,Toni;Johnston, Jennifer
Subject: Plan Review Comments for 671 Selva Lakes Circle
Attachments: Plan Review Comments 16-RAAR-2766.1>df
Permit application q16-RAAR-2766 for 671 Selva takes Circle is currently denied by Public Works. Attached are the plan
review comments. Please submit required information at your earliest convenience in order that we can process
approval for our Department.
Thank you,
Jennifer Perrone
Administrative Assistant
City of Atlantic Beach Public Works
(904) 247-5634
ioerrone@coab.us
t
IlAgg
-92
� l�"8
/
Yrs
_CanGt
12-.r-x. 4?
r 6
/ -
aZI A 0
- �z�`
BUILDING PERMIT APPLICATION I
DEC - 9 2016
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233 !
v'2ontp%'
Office:(904)247-5826 • Fax:(904)247-5845
Job Address: (;It ScrLyA +./area uac.ur, PemritNumber:
Legal Description RE#
Valuation of Work(Replacement Cost)$ y I YI.5z7 Heated/Caoled SF Noa-Heated/Cooled
• Class of Work(Circle one): ew Addition A temtion Repair Move Demo Pool Window/Door
• Use of existing/proposed structures)(Circle one): Commercial Residen[i
• If an existing structure,is a fire sprinkler system installed?(Circle one): You (9 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: Aw o✓e; 6Srit5r,1_ PFdvrsre P� TW AMO rP�atAcrr 1,i,1µ
Jvdw2 NR✓/%2 Ag`Pu, LOC/)'p,v /) /ry AoON gnt9 'ay PA.a r vovA.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Aodap-r 7e)h! Address: SELy S G
City /arLanirie- 13iracy Stato4- Zip.iaa?.�Phonejq� 9Ga-asv�-
E-Mai112 aEnr 7ourJQ/'o1r-rnrr n/�
Owner rAgent (V Agevt,Power ofAttmvey or Agency Letter Required)
RESUULT IN YOUR OWNER: YOUR
TWICE FOR MPFAILURE ROVEMENTS TO ORD A YOUR ROOF PE TY IF YOU INTMMENCEMENT END
TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTIC2E OF COMMENCEMENT.
Contractor Information::11� � ,, �
Name of Com any�yl.D7YBCS�`I c"`lLl�&&k15 lc Oath ' Ig Agent �y�0.
Address:''+ l"Ir�IlJ .G1dT71. VF Ci vil\ Stat Zip3, Sl_l
OfficePhone - - ,QjW Job Site///Contact Number
State Certification/Registration# CKG+6/�(7t� E-Mails
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation Mb✓C1 Lz4 ZeSkuo 'Z /�
-�xemp T usurer a p o ees r nationDate--
"
iat—L e
dpplicodou is hereby made to obtairz a permit ro do the work and insm/latianr as indicated. I certJy that no work or insmllatian has commenced
ynor to the issuance ofd permit and that al/work will be performed m meet the standards ofaU laws regulating cou tion in fhis jurisdiction.
%'his permit becomes null and void ijwork is not commenced within six(6 montlu, or ifconshuction or work u e dor abandoned((oor a
period dlsix(6l momhsatany fine after work is commenced. Iunders(an�thatseparate permits mus[beseeure ar ec rk,Pfum2ing
rgns I1P'eI(s,PPootg Furnaces Be H ers, ankc andAir Condtiioners,etc
Stgmuen'ofProperty Owner. Signature ofContracto t �Nf
Before me
this
of p(I..CJn�-( a0(lp Before me this Day of�AA...�1lYit�q/J
i 2�IlL
Notary Public: NM AA j1,, Notary Public
,rix xarrvaac a" Roma
Ther, this application and thaw the some to be true n` 51'GJul11J ws a
ordin .j4r nit 1 NN�Map97aat wil a complied with whether specifi�ed herein or 1 r rdN t oes
presu i rpyru Sao aacaen lthepravisions of any olherfederal, state, or! egaai
perfn , onME
rnWRaiockEer2l.2ne
:,,r' eac.arm,xoun a�azum.aanr,• Rev.3/14/16
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