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168 SEMINOLE ADD/ALT 2017 CITY OF ATLANTIC BEACH pt 800 Seminole Road Atlantic Beach,Florida 32233 ;r Telephone(904)247-5800 FAX(904)247-5845 �£1it19� REVISION REQUEST SHEET Date: 2-2 Received by: Resubmitted: Permit Number: . R -CO Original Plans Examiner: Project Name: & (Vc,ccpm Project Address: (log Seu....',,., ilap '„ Comractor:iDgg � t Contact Name: i Contact Phone : ft-e/B 3-1 b 32- Contact e-mail: TD R !b • f- f iy G /' . Revision/Plan Check/Permit Fee(s)Due: 3, Descri tion of Pro osed Revision to Existin Permit: Y c 1-21 QrA a3 E4 Additional Increase in Building Value: $ Additional S.F. -4:P--- Site Plan Revised: —Fr- 3i6? �� ,�/Pub—lic W/U Approval: B signing below. Q/fin „I ne p{CS ' By lus g (prix nine) Be am that the above revision is inclusive of the proposed changes. , ''// �4rs�n 40 ..� z -27-12 Signature ofContractor/Agent(cronmaw nnA sign iriarae in vaiaaam) Date 3/,07 On.Ue Only Datc__ i ftk Approved: Rq.Wd: Naified Ey: Plan Review Comments: De Hent review required Yes No __WN_ / ✓._ nnin &Zonm w1 /✓ Tree Administrator Plans Examiner Public Works __ Public Utilifies Public Safe -- Fire Services Date araannr aw.a r TREE &-VEGETATION AFFMAVi'FCity of Atlantic Beach Department of community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 (F)904247-5845 PERMIT# SECTION I-APPLICANT INFORMATION �/ (�" Owner(s) r Legal Authorized Agent* NAMEOFAPPLICANT '! JO„ AnAYS NAME OF COMPANY ---L.fDlld�Lex�rJ— F��JU�� ��A1�r�f�\� ADDRESS OF COMPANY PHONE CELL Vq1 l )QQ3 EMAIL CONTRACTOR CERTIFICATION NUMBER C_C-ISU' P_(PS `7 ATLBCH BUSINESS TAX RECEIPT NUMBER lS/ SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY So Hanaddresshmmrbeen augnedro Mispropedy,ronwat�AAl8Jf0din,Departmental ry00J 191-5ffi6rorequesf an addreu. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SOFT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that 1 reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances fa the ofAdantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. S�ibsequ" tly,-F—firm that regulated trees and no regulated vegetation will be damaged,destroyed and/or mo ved front eabove-de 6edata dj n�Pr penin conjunction with MisprojeR. IGNATUh OFO nen SIGNATUREOFOWNER Signedan sworn before mean this�� dayof by State of ___. Identification ver' r Countyof :PwtAatyyyygq YSON MV COMMISSIO FP967M7 EXPIRES March 06.2020 Ror vea"' a s.nrw.m, No ry Sig to /7 RFV-NA-via.¢ My Commission expires: /„ , W 2 i l - J � N MAP SHOWING BOUNDARY SURVEY OF LOT 613, SECTION NO, 1. SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE B, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: JOSEF D. HALVORSEN BANK OF ENGLAND d/b/a ENG LENDING PONTE VEDRA TITLE, LLC OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY LOT 59] 50.00' (PLAT) N 21'5247' E E. 49.96' (MEASURED) a LOT 613 8 a ME] a n N.7' o v sTcaADE o � po p 0 LOT 615 g O O LOT 612 ONE STORY FRAME POSTED # 168 D W 0 O h rnx�Rco p i(• ' mr ul Q C zoo.ao'(Run 0IL ' 189,9Y(YEASLr1O) YCIX L R S 2139'05' W 50.04' (MEASURED) 50.00' (PUT) SEMINOLE ROAD D (.TNR BW .D M R 1) (]0'.T M WAY) LEGEND: FEB -WND P91Ftb VC - VWfR DIMAN2 I � . rano i�r wox we r7' - RoxT a TANm¢r xo of TFICAMX xRc - raxr a RE4WY (uaEss oTxERNa xmm) anvArwE ■- r..•coxD¢a uaxRoiT ra - Raxr a'msamo .-----... AM1' NP OMATh}IFA O CWME O SEE - CMCRER ?I�SAl�.yn R 7— LANTIC BEACH 800 Seminole Road Atlantic Beach Florida 32233 - MAR 22 9W Telephonq(904)247-5800 '"L r • c i? FAX 904)247-5845 JrilJ REVISION RE [ �� CORRECTIONS T � Date: 3-2'z -j l Received by: Permit Number:_ Resubmitted: Original Plans Examiner: Project Name: &I—yp e 5ery Project Address`: �_�t�uuh Contractor: kt3. T f Contact Contact Phone : e C( ( ?—erg Contact e-mail:_jpg Revision/Plan Check/Permit Fee Description of Proposed Revision to Existing Permit- C. �-M�IJAd T ,oP E a Additional Increase in Building Value: $ f)-- Site Plan Revised: Additional S.F. Public W/U Approval: By signing below.I(print name) e j� _ LIC 4ikp is inclusive of the proposed changeaffirm that the above revision ke �� _z7 Signature of Contractor/Agent(cwtmctorooetsignifinereese in valuation) Date Office Ose Only Date: at L APprovW:_�e__ Rejeped: Notified by: Plan Review De artment review re uired Yes No uil In ___� 2 ! nnin Tree A l Plans Examiner Utilities af�11 (7 Public Safety Fire Services Date cm�mauns ar.s 49 ZONING REVIEW COMMENTS City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us 3 i Date: 17 Permit: 16-RADD-3116 Applicant: TDB Construction Inc Review: 2nd Address: 423 St Augustin Blvd,Jacksonville Beach,FL 32250 Site Address: 168 Seminole Rd Phone: (904)463-1632 RE#: 170595-0000 Email: tdbconstructioninc@yahoo.com Correction Comments 1. Parking: Section 19-7(t)requires at least 100 feet of frontage for a circular driveway.Please revise the plans accordingly so that parking is provided for at least 2 vehicles. 2. Tree Removal: An Affidavit of No Tree Removal was submitted, but plans call for the removal of at least one palm tree.Palm trees are protected trees and their removal does require a Tree Removal Permit. Derek W. Reeves Planner dreeves@coab.us 6"L :l -7/yj17 14 ZONING REVIEW COMMENTS City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us Date: 2/8/17 Permit: 16-RADD-3116 Applicant: TDB Construction Inc Review: 10 Address: 423 St Augustin Blvd,Jacksonville Beach, FL 32250 Site Address: 168 Seminole Rd Phone: (904)463-1632 RE#: 170595-0000 Email: tdbconstructioninc@yahoo.com Correction Comments 1. Parking: Section 24-161 requires at least 2 parking spaces on a stabilized surface as approved by Public Works per residential unit. Removal of a portion of the existing driveway takes the property below the minimum requirement.Please revise plans to provide a second puking space on property with a surface approved by Public Works. J2. Height: Section 24-17 requires height to be measured from grade to the highest point of a building's roof structure or parapet and any attachments thereto, exclusive of chimneys. Please show the overall height on plans. 3. Survey: Section 24-67(c)requires a certified survey. Please provide a certified survey. .4 1. Tree Removal: Section 23-21 requires a Tree Removal Permit for any trees removed within 2 years of this project. Please submit a Tree Removal Permit Application if any trees are to be removed or were removed in the last 2 years. If no trees are to be removed or were removed, then please fill out an Affidavit of No Tree Removal. Both forms are available on the city website under "Planning and Zoning"and at City Hall. Derek W. Reeves Planner dreeves@coab.us / o W I 49.96' N 21°52'47" E ------ LOT 613 SEE PROPOSED FRAMED 1 LOT 612 ' STORACE , O LOT 615 I \, O w LOT 615 V��RR COyC E Ei I 0 0 EXISTING SINGLE 3 STORY FRAMED- Iiia m RESIDENCE o m N #168 r z � � s cn rn s' m E Y ' 3 I I � I 3 !CONC. 0 I DRIVE z 0 0 U 50.04' S 21'59'05" W ----- CONC. SIDEWALK A SEMINOLE ROAD 50.00' O KEY NOTES ,. FRAMED STORAGE TO TE REMOVED 2. COVER OVER CONCRETE REMOVED. REMOVE A SLAB AS NECESSARY TO ACCOMMODATE NEW 3. REMOVE EXISTING CONCRETE DRIVE AS INDICATED TO Q ACCOMMODATE NEW DRIVE 4. FRAMED STEPS TO BE REMOVED /I\ i N i LOT 613 ry M 18.4' 6'-6" o no O T 612 z o a LOT 612 m O1 0 LOT 615 w 0 mx 0 o o O-oxof /I 3 EXISTING SINGLE n0 STORY FRAMED I+ mm RESIDENCE 0O m o J� 0 #168 n z o n noo 0 0 O r co -I mx N Z on Z y O n 5.5' < m rn 0 E Y 20'-0" O N I N 1 50.04 S 5905 W 2 SEMINOLE ROAD 50.00' O KEY NOTES 1. CONTRACTOR TO VERIFY AND CONFIRM BUILDING SETBACK DISTANCES PRIOR TO CONSTRUCTION AND NOTIFY ARCHITECT IMMEDIATELY OF ANY ISSUES OR # CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 fl y INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES017-0014 Description: rebuild demolished laundry room 7 carport Estimated value: 15000 Issue Date: 6/6/2017 Expiration Date: 12/3/2017 PROPERTY ADDRESS: Address: 168 SEMINOLE RD RE Number: 170595 0000 PROPERTY OWNER: Name: HALVORSEN JOSEF D Address: 168 SEMINOLE RD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: TDB CONSTRUCTION INC Address: 423 ST AUGUSTINE BLVD CIA THEODORE DAVID BERKSTRESSER JACKSONVILLE BEACH, FL 32250 Phone: PERMIT INFORMATION: Please see attached conditions of approval WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work,a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. �SCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Fe 5 O1 A — �. Atlantic Beach,Florida 32233-5445 7 Phone(904)247-5826 Fax(904)247-5845 Date routed: O�13 b I a E-mail: buildingAept@coab.us - - City web-site: hffp:/WWWcoab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I�0 $ st Mt. n61,L Building ent review required Yes No Applicant: �U L,U r'LSiYLIInnU/� Plsfin—inff rZoning Tree Administrator Project: J..bCl.l�d d�.ma�ts�.d �wg dt$ Public Works Public Utilities ' IDDM `}U4 Public Safety Fire Services 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 Water Management District Any Corps of Engineers Division of Hotels and Restaurants Division ofAlmholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ®Approved. ❑Denied. . ❑Not applicable (Circle one.) Comments "� F-e��A CLL �Ati� BUILDING PLANNING 8 ZONING Reviewed by: Date: O 6 ll TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05119/2017 Building Permit Application D ElC�; u G V City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 MAY 2 4 2017 0 Phone:(904)247-5826 Fax: (904)247-5845 Job Address: 168 Seminole Rd Permit Number Legal Description RE# 1701595-0000 Valuation of Work(Replacement Cost)$15000 Heated/Cooled SF Non-Heated/Cooled 32 fgft • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is afire 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: Contractor Is replacing structure that Was previously permitte and demo to be prepared for new addition canceled by owne Florida Product Approval# for multiple products use product approval form Property Owner Information Name: Josef D Havorsen Address: 168 Seminole Rd. city Atlantic Beach State FIL Zip 322 Phone 904-707-3669 E-Mail ante . a versen @gmaTm Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of company: —TDB Construction Inc qualifying Agent: Theodore D Berkstresser Address 423 t. ugustme V City larkcnnu'llr e e Zi Office Phone 904-463-1 OAAite/Contact Number 0`)�3-T State Certification/Registration# - E-Mail TDBConstruclonnc(Epya oo.com Architect Name&Phone# VarmavA 1,'r rf on4_5145865 Engineer's Name&Phone#Verma Architect 904-514-5665 Workers Compensation exempt . 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 the laws regulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 RECORDIVG OUR NOTICE OF COMMENCEMENT. Jiavc�eae D 8¢-LEazk¢aau (Sigp eof Owner or Agent including Contra r) (Signature of ntractor) -Si and sworrlto(gr abrm 9`b�e ore methis day of Si and swor»�ffbme be remethis�dayof DA IELLEroErLL.Ys MY COMMISSION 0 FF B ureo Notary f oa EXPIRES Mani)08.202 DANRLLE ELL COMMISSION 0 FF957847 Personal) Known OR EXPIRES IAardt 00.2020 I )Personally Known OR y0 y iu,i araam p V.TProduced Identification'`y �' ■1 , I Produced Idenlifcatlon /Type of Identification: I�'J� Type of Identification: R1AP SH�NOIBOUNDARY SURVEY OF LOT 613, SECTILTAIR, AS RECORDED IN PLAT BOOK 10,AGE@, OF TIE RENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, JOSE CERTIFIED Dn H�VORSEN BANK OF ENDLAND of ENG LENDING OLO REPUBLICPNA ON DTIiLE INSURANCE COMPANY O� OFFICg 50,00' (PLAT) 0 N 21'52'47' E ,. 49.96' (MEASURED) g\v G S LOT 613 ILI w xo.x na• g O N iptAGE 0 0 O o nq 0 ox g N � LOT 615 LOT 612 I R ONE STORY FRAME POSTED 168 3 ° w m iMPXYO 4Q IP oA <g _ C tRasY(NrawRm) P RLWf( S 21'59'05' W ., 50.04' (MEASURED) 50.00' (PLAT) SEMINOLE ROAD LLQ 10 , tl P T or WAh LEGEND: FEB Y(gvU p9N011G pL pCWT Oi NRVaN2 ip.Mp 1 Ippv oWE IT p NT or iINEiNCY tM CFA(161LAlIGX No PONT Of flEYE�"c (UlF44 OMfA'MSf NOIFD) y1WyAU •�a'::a•WXGEIE MCNUVfXi PCC .V-R NC NR INRVANRCOXOITWFA O LLNUS� Ray Thompson REVISIONS SURVEYING. Inc. DAIS oesrxRlpnTx+ MAP SHOWING BOUNDARY SURVEY OF LOT 613, SECTION NO. 1. SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE 8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. JOSEF RD FALVORSEN BANK OF ENGLAND d/b/a ENG LENDING POINTE VEDRA TITLE, LLC OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY OFFICE,&-^pY 50.00• (PLAT) I N 2132'47' E R. 49.96' (MEASURED) a . LOT 613 B aW 0�0 7a �• EttMx6E -0 LOT 615 LOT 612 R ONE STORY FRAME POSTED # 166 3 a W 44 m mAmfR r _ O' 19990'(4fALP®) .'. P PLCdc Catl1fR S 21'59'05* W 50.04' (MEASURED) 50.00' (PLAT) �Pa r SEMINOLE ROAD D (:w.,.RaR m MA neo (V AOR a w..I) LEGEND: FEB O 'r.vxPob R - Rox,o'cuRv.,xRf -,L. -muw,y waw reE - wur a* "Ncv XO Ep1,FIfA,MM FAC - MNl M REHRY (WE60MIPRE WRD) p .T0'E - �-a..•caxasrz uonAa. Rm nyRx,Anpawro�xo i /✓C - MR O.Mna1P O . CWGGEI[ —x— iExCE Ray Thompson REVISIONS c• f� City of Atlantic Beach APPLICATION NUMBER ,j Building Department (To be assigned by the Building DepadmeM.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(9D4)247-5828 - Faz(904)247-5845 Eed: 1 I�7 117 E-mail: building-dept@mab.us --� Cityweb-site: hapdWiww.c- PPLICATION Q� u,�lt�`' `' FORM A Property Address CI t�wre Applicant: 1 c_-)r _s ccl\_ -��+y`i u�s7 ✓�5 Project: F�, Lam- p tT I OrV t Orl- Review fee.$ F Other Agency Review or Permit Required Review or Receipt Dateof Permit Vergied 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: L1GApproved. ❑Denied. (Circle one.) Comments: eA BUILDI G �/7/�7 PLANNING&ZONING Reviewed by: Date:- 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 05/14109 *DJ CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 Telephone(904)247-5800 FAX(904)247-5945 REVISION REQUEST SHEET Date: 2-2 •` Received by: Resubmitted: Permit Number. 7 Original Plans Examiner: Project Name: Ar/yeresen Project Address: rant c_„_ •. _ / jei Contractor:-MA r Contact Name: i r-d Contact Phone : f"-db 3-1(&.1-- Contact e-mail: rb R i c 6?ea boo, 4;ww Revision/Plan Check/Permit Fee(s)Due: $ 50,O0 �n Descri tion of Proosed Revision to Existin Permit: v D Y RJ Additional increase in Building Value: $ Additional S.F. �-- Site Plan Revised: — — Y Public W/U Approval: e By signing below.I(print ova> .fes/7o.� TL_ rpm that the above revision is inclusive of the proposed changes. _ Signature of Contractor I Agent(caaaaa dust sign irraRae in vatoe9on) Date omre Use Only Dw x VA7 Appraea:_ Rejected: Naifietl by: Plan Review Comments: DepartLnent review required Yes No ✓✓✓hhh rn� ,,.. Buildi nnin &Zonin Tree Administrator Plans Examiner Public Works _ Public Utilities Public Safety Fire Services Date <..W.,e...x CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 Telephone(904)247-5800 IV FAX(904)247-5845 REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: 3-7- 1-7 Received by: Resubmitted: Permit Number: -R - Lk Original Plans Examiner a uE S Project Name: Project Address: / B S wi I A Contractor. 4,` ?D ( Contact Name: o nP D&e 5�aes;se Contact Ph Contact e-mail:'r1)6 ie. •fin fepw'TCG@ boo • log•^ Revisio /Plan Check/ ermit Fee (s)Due: $ 5-0 ©0 Description of Proposed Revision to Existing Permit: RECEIVED Additional Increase in Building Value: $ © °, � Site Plan Revised: IV o PublicsW/U rov By signing below.I(print name) 7-4u1" D Oer< I'fiwi 59 affirm that the above revision is inclusive of the proposed changes. fi� 6 /_3z.-.0 `d- 3- 7-/ 7 Signature of Contractor/Agent(Contmetor must sign if increase in valuation) Date �I ///��s...,,, Uffce Use Only/7/17 nly _ pate: I 7 Approved: 2 1Reje ted: Notified by Plan Review Comments: o Wow/. / / f Q Gide M �a n_C/tec% 0•Nf. ant review reaired Yes . . Building Planning oning Plans Examiner Tree Administrator Public Works 3l7/t Public Utilities / Public Safety Date ca�+aivis an•.s Fire Services CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD OFFICE COPY ATLANTIC BEA(H,Fl, 32233 04)247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 1.27.2017 Permit#: 17-RADD-3116 Site 423 St.Augustine Blvd.,Jax Site Address: 168 Seminole Rd.,A.B. Address: Bch. Review: 1 Phone: 463-1632 RE#: 170595-0000 Email: tdbconstructioninc@yahoo.com Homeowner: Josef Daniel Halvorsen,707- Applicant: TDB Construction,Inc. 3669 Correction Comments: These comments are from 1 of 4Departments that are reviewing this application. 1. F a Resu6mit unis Informationn pang te+eadftq���. se.--/2��,.�,�� 2. Please fill out the In /-zo f7 m0 n 3. F the C5 Edition 2014 Energy Conservation, t o R402- 2014, Residential Building Thermal .2 copies. Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904( 247-5844 I= (9041247-5845 6rr1011It01 0{Vi6-w Lom vr.Bn-T� l-2'7-171�1t/� v 1 OFFICE CPffY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 1.27.2017 Permit#• 17-RADD-3116 Site 423 St.Augustine Blvd.,Jax Site Address: 168 Seminole Rd.,A.B. Address: Bch. Review: 1 Phone: 463-1632 RE#: 1 170595-0000 Email: tdi constructioninc@yahoo.com Homeowner: Josef Daniel Halvorsen,707- Applicant: TDB Construction,Inc. 3669 Correction Comments: These comments are from 1 of 4Departments that are reviewing this application. 1. rtanrttrtr20Yd 5Ih it+ea F�r�xisting Building Re 'd t' 1 hese a n on sls . se.— 2. Please fill out the last page of the Product Approval Information Forms. Both sets can be signed at the front counter of the Building Department. 3. From the FBC 5" Edition 2014 Energy Conservation, fill out form R402- 2014, Residential Building Thermal Envelope Approach. 2 copies. Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 - Ofc (904) 247-5844 Fax(904) 247-5845 3.3.2017 Second Review 1 The ' oarm tion requested on my first review,#3,came in the from Rick Epperson,_Air eves Heating and Cooling, and was not what I requested. Please review the 3r° item 0._ the original plan review comments and submit 2 copies. These forms do not have to be /> filled out by an energy rator or licensed mechanical A/C contractor The GC ca ase Mike Jones OFFICE COPY Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 bYUJ9 `yob? U/ 2 TREE & VEGETATION AFFIDAVIT u ro City of Atlantic Beach OF'[-ir 7 1-opy Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 pERMfTM (P)904247-5800 (F)904247-5845 SECTION I-APPLICANT INFORMATION �(7/��.r Owner(s) r Legal Authorized Agent- NAME OF APPLICANT 1d&� 66 's-114 1aK NAMEOFCOMPANY - CD8{{ Rue--tSryo ADDRESS OF COMPANY J23 Sr. AL)G�-��Js-rzp i� L�L'tJD• PHONE CELL EMAIL EMAIL "" CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION STREETADDRESS OF PROPERTY J (D2 � („� ICQ ,dCH1S(N`)ySLZIZ�.I rL, JG� JO Ifanaddmuhmnottreenasslgnedto ddspropeny,contaetheABBuilding DepmhrK vat 1`!9041147-SBMrorWuestanaddress LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOTOR PARCEL SIZE: SOFT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) 'a aFirm that 1 reviewed the provisions of Chapter 13, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances fa the Fy of Atlantic Beach,FL and/or I have participated in a pre-applicatfon meeting with the Administrator of those regulations. S�ihsequ Ny,+aKrrn that regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from 7 abol e-de edoradja P es in conjunction with this project. IGNA ./OFO NER F SIGNATURE OF OWNER Signed an sworn before me on this'N day of bion.ulshA , ,by State of Dl Countyof 1)*lL Identification ver' I : a;�+fc Oatb7YN1EEBp YlON P' n: MV COMML.I FFY01M7 EXPIRE.M.08.20M (�� �MAI r atea,w ciaaawss.m.m. No rySig tureU ALV PIA IOIz My Commission expires: t BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH Boo Seminole Road,Atlantic Beach FL 32233 %mor Office:(904)247-5826 • Fax: (904)247-5845 17-RRDa- 31 l (o Job Address: 2A Permit Number: Legal Description Lot( 'tSEcdl SYlrkr7 60048 RE# 1-205c)K-0000 Valuation of Work(Replacement Cost)$ �Heated/Cooled SF 3 O!,, Non-Heated/Cooled • Class of Work(Circle one): New Additio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercialsidemial • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 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 ofwork tobe performed: : --- rrdp ITIo Vt. 1=xi li STRIfGD1R Florida Product Approval# for multiple products use product approval form Property Owner Information JAN 2 5 2017 Name: 0S9:e _ba,' e.` -04XVo45P4Address: 1(- 8 Sewn NnlE RJ City A'tlawi:-:c 3rl.. State Me Zip 3123- Phone (1014- '107-39:&Y E-Mail Owneror Agent (VAgent,PowerofAvomeyer Ageueyl-encs Requ) tlJ/�F 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 RFO.COBTAIN YOUR FINANCING IN GC7E OF COMMENCEMENT LENDER OR AN ATTORNEY BEFORE Contractor Information: Name of Company: 7 D B Ceh,Ste ecl ioh T Qualifying Agent:jIA, do%f D Betz kS+ne SSex Address: `(2,3 S4 A.ia.Isl4- e .� City;la,c RrL R_ State Zip �z250 Office Phone T Job Site(Contact Number V -f State Certification/Registration# CG I SO b&57 E-Mail 'f D Rr'pr,0+�-• ri' T.c 1+an t++ Architect Name&Phone# T q04 Engineer's Name&Phone# Worker's Compensation emp usurer se mp oyees psmuon ate App(irntion is hereby made to obtain a penni do the work and installations as indicated. I cerl That no work ar ir�stollotion has commenced poor to the issuonce ofo permit and that all will be performed m meet the standorels ofall laws regulating construction in this jurisdiction. %'hu permit becomes null and void ijwork at mmenced within sa(6 months, ar ijcounucdon or work is suspended or abandoned(or a period o(su(6)months at any Rme o rk c !u that seporate permits must be securedfor E/ecnica/Work,Plumbing, Srgng Wets,Pools,Furnaces,BaA s,Xt era,T an t Doers,etc ��///� Signature of Prop Ovmer Signature of Contractor.�t..GOL( Befq{e/m�e this/4!/ Da o 7 l re me this `,ofDANIlLLE lLLYtON �T ;l!e NHCQ-�LLQ�N 'c MY COMM18810N a FF907647 ;K MY COM4188gNpFFi87617 Publi % 84are1s 06.2878 Notary Publi pdaFgy�06,�N "" r ataosn /hereby certify that I have read and examined this application and know the same to me and correct A!l provisions al'laws and ordinances governing this type of work will be complied with whether specified herein or not. The granfing of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regaining construction or the performance ofconstruetion. Rev.3/14/16 FLORIDA BUILDING CODE, ENERGY CONSERVATION I Residential Building Thermal Envelope Approach 1 FORM R402-2014 Climate Zone❑ 1 Scope:Compliance with Section R402.1.1 of Me Florida BuilOmg Code,Energy Conservalion,shall ba demonstrated by Meuse of Form 8402 1 for single-and multipla-family residences of three stories or less in height,additions to existing residential buildings,alterations,renovations, 1 and building systems in existing buildings,as applicable.To comply,a building must meet or exceed all of the energy efficiency requirements 1 an Table R402A end al applicable mandatory requirements summarizer)in Table R402B of this form.If a building does not comply With this Method.or by the UA Alternative method,it may still comply under Section 8405 of the Flunds Building Code,Energy Conservation 1 PROJECT NAME: Halvorsen ReNtlen®1611 Seminole Rd AOenBC Beech,Fl. BUILDER: TDB Combustion 1 ANDADDRESS: OWNER:haat D.Hkdwmxn PERMITTING OFFICE:CRY of A11ergc Beerlu Building Dept. ' JURISDICTION NUMBER: PERMIT NUMBER: 1 General Instructions: 1 1.FIII in all am applicable spares M Me"To Be Instafikd"column an Table R462A with the 4Rmm itlon rapuested.All"To Be Installed"values..at be 1 equal to or more efficient than me required levels. 2 Complete Page 1 based on the To Be Installed"Calumn indentation. 1 2.Read me requirements of Table R40213 aM check each boa to Indicate your intent to comply wild all applicable Nems. 1 4.Read,sign and date the"Prepared By"ceniecarion statement at the bottom of page 1.The owner or owner a agent must also sign and date me form. 1 1. New conahuctlon,shouted.0r existing building 1. 1 2. singe-homily calaoned or multiple-Mmily aeached 2. Sbgle Family AbaNreT __ 1 A N mulNpltfamllg number of units coveted by this submission > 1 4. Is this a worst Case?(yeaMo) A s conditioned near area(sq.n.) g, ere BAR __ 1 A. windows,type and grad 1 a) ufsdpr. 6e, 2e b) Sour Heet Gain Ccefrcgnt lSH0C1 60. A -- 1 c) Area Ne. 1408gA 1 T. skylights) LuoRECEIVED I udm. N, b) Solar Hsal Gain CoeMciem(SIIGC) m 1 6. Floor type,area or padmeter,and insulation: 1 a) Slab.,,radesdT.Iue) W. b) wooa.mised(a.We) gb, R-te y4p er � awl 1 C) Wood comnan(R-yawe) m Cmwrm..heated(R Uurh 11a. 1 a) Coming.....(R vasa) a. g. Wall"and Insulation. Buil DepartrneM 1 a) Exudm 1. Woadbame(insulation R-valve) g•,. R^g Atlantic Beach FLI 2. Mewnry 0nam. .h R-yam.) cox. m 1 b) AdWenc 1. Woodbame(IreulelionwvaWa) 2. MssorypnmulelionRvalue) Sri _, 1 10. CMling type am Managed. 1 a) Atm(InaulationR-value) 10s. R-TU b) Siegle assembly(Insulation R-vame) lOb. 1 11. Ab diWbamn emblem: 1 n DUMloealan,asimdion b) AHU location ,ID. tardy Ron 1 c) Total duct leakage.Teat report crushed lie. eI W .I. Yw IS No LI 1 12. Caalingsyntera: a)type 1EA Fond Air Hall Wig 1 07 sledenry lap. 158E. 15. heating sydmb: a)typs yy. Fam1AYIW1Pump - . . _ 1 b)efA[iee y: 1]E. retest 1 14. HVAC sizing calc ull attached 14. OT YM® Ni 1 15. Water heating system: a)ype ,rot. E46eg til eH.a.i,y lm. 1 I h away candy that Me plane and spttlflngone covered by this forte are Review of puns and apecRlulions covered by MIs form indicate 1 In ompHance wild the Fbdde Bulld/ng Coda EnWD, compliance with the floded Bu(Iding Coce,Energy Conaervalloa.estate PREPARED BY: P Bmeh&I peed OHIE!1] construction is complete,this bell&,will be inspected tin compl arse In 1 I hereby cartiy that this buibting he in compliance sled the Friend.BWbing accordance with Sec yAa.9011,F.S. 1 Cade,Energy Coneervegan CODE OEFICIAL: Imo— 1 OWNEIVAGENT:TI'o°ao°Ben'suear _...-.OM � : 011 Date: .Y.�//� FLORIDA BUILDING CODE—ENERGY GONSERVATION,6th EDITION(2014) All .. x TABLE N402B MANDATORY REQUIREMENTS Compwient Section Summar,M Rpubement(a) CMCN Ar leakage 8402.4 To be cau9md,gaNmled,weatlmmtdpped w otenses,seeletl Per Table 8,1024.1.1.Recemed lgM10ng:IGmleE as having 52.0 can teeter!to ASTM E M. / ' WndowtarMdaors:03ctMsq.M(swinging coom:0.5 dmla0 wM1an tested to NFRC400orAAMAM/DMA/CSA 1011 .V/ I.S.OA440. ' Rmplaces:Tight-fining flue clampers 8 outdoor oombustmn air. Programmable R403.12 Whom fonadair furnace is primary system,a programmable themwMat is mobbed. thermostat V Air distribution system x322 Ducts shelf be tested to Section 803 of he RESNET standards by an energy,after cvihfieE in acwrdance with1 840324 Section 5539 ,9.Florida Seoul. or as autonzed by Florida Slarules.Air handling units are not allowed in adkm. v- Water dozens 8403.4 Comply wit efficiencies in Table C404.2.Hot water pleas insukktl to>_R-3 to kmilsen cullets,other eases. / Circulating systems to have an automatic or accessible seemed OFF session.Heat troy required for wrrlkal pipe .V/ ' Idem. Swimming pools 8s pas R403.9 Spes and heated pude most have vapor-retaNant covers or a liquid corer or other means proven to reduce heat bas except it)0%d treat frau eAe-remvemd energy.Offrlimm switch required.Gas heaters midmum temslA ' etowmW a 82%.Heat pump pool hummis minimum COP ie A 4 0. CodingAmatin9 R403.8 Sizing calculation pertormecl B unearthed.Swell occasion obMirg or nodded,capadly,requires separate Woman or / 1 eoulpmenl vadebt.capacity system. V ' Ughthg equipmam 840,1A At least 75%of permmimll,mialled tegmen,raw.shell behigin-elficary,lamps. v 1 FLORIDA BUILDING CODE—ENERGY CONSERVATION.5th EDITION(2014) R-C.5 Equipment selection as per Manual S BTUH Nom.Tons Total heat loss 12083 Design tem . Outdoor Indoor Total heat gain 30875 2.6 Winter 20 70 Sensible heat gain 30155 Summer 100 75 Latent heat ain 690 FID design RH 63F WB Sensible/total ratio 0.98 Altitude 0 Target cooling TD j PredominandyCool climate Manufacturer's Equipment Specification Equipment Manufacturer Model tie. BTUH output Furnace ��� '1 . capacity (a OD design temp. Boiler 000 Total Sensible Latent Heat pump / n-ant 14DNA036 34000 28023 1977 AC F,ra orator 00 Air haudler Bnant -X4DNP03 OTAL CAPACITY with altitude correction 0 34000 28023 5977 Selected equipment size 0 Uh 0 Heating FM (revExt. static pressure of CFM ooling C . blower 588 1499 Available static pressure for duct Supplemental heat needed for heat pump lower ext. static press. OP capacity Cd 47F 03800 coil pressure drop 0 P capacity r 17F 0600 filter pressure dr OP ca acih �d ODD T 1920 register pressure dro 0 TUH supplemental heat IF9837 grille pressure dr o 0 W supplemental heat '0 other 0 Available SP for duct F Customer Information House-information .:a Mols,or? grans Duci 'ass D',ic! rain - Ccoling rrfiltrac?:on iaCHt 0 riga c rlotra.an AC;y: p Outdoor Heating Cooling Indoor Heating Cooling Cesiyn temperature d''.rferencer �, Area Btuh % ofload Vlla1! - - Floor _-.. Heatma Loads - system Efficiency Loss InWaWn GeLig 3• wm e Fbor � .• . Wal 'Cooling Loads Area Btuh % of load Wall 1955 6.3 Ceiling 3305 10.7 Windows 12997 42.1 Sensible Infiltration 2403 7,8 Latent Infiltration 4374 14.2 System Efficiency Gain 2503 8.1 Internal 2400 7.8 Sensible People Load 460 1.5 Latent People Load 460 1.5 Total: 30857 Sensible load 26023 Latent load 4834 SHR 0.84 Capacity at .75 SHR 2.89 Tons Cooling Loads Sensible People land - - Latent People Load Wag nlemal PMMVNS �' <, 'qp` 4 - Sensible ftrdmalnn System Effoamsy G Ceigng Lagaeg aigi aga, - r AEE) Graph; Equipment selection Glass (E; s Glass (Si Glass (N) - Glass (W) Summer Outdoor Summer Wet Bulb Summer '-�aor Summer Design Grains 50 Winter Outdoor 0°F Winter Indoor 701F Sensible Cooling 26.023 Btc� Latent Cooling 4.834 Btuh Required Cooling Airflow 1.183 CFM Sensible Heating 45,297 Btuh Required Heating Airflow 588 CFM AI .alc, z:'_•s yc baeed on apF sa_ ,.,d, 'r - c mpg mi, a e. nat e ar' _ ry repuGerr + A. oCTr� ed by E iell, r,-;ms's —:eiri, R LANTIC BEACH J� 800 Seminole Road of Atlantic Beach,Florida 32233 Telephone(904)247-5800 NAR 2 2 FAX(904)247-5845 r 1119) REVISION RV�.1, 15�i� 111 CORRECTIONS TO Rt4 Date: .3-22 -17 Received by: Resubmitted: Permit Number: 17 O S9$- -o00 17-RAC)Q?U�p Original Plans Examiner: 'I7 R C e., Project Name: fa t yne 5e w Project Address: 01,P 2i Contractor:Ti'*�,R Contact Name: TrJ RQ cfoe�cC� Contact Phone : Contact e-mail:Tr79 C,'•i cfrn k Fr'a k J Revision/Plan Check/Permit Fee(s)Due: $ Description of Proposed Revision to Existing Permit: Z. CaJa D"C u)" Additional Increase in Building Value: $ �— Additional S.F. Site Plan Revised: Public W/U Approval: By signing below.I(printmme) 1 N.t'ite affirm that the above revision is inclusive of the proposed changes. Signature of Contractor/Agent(Cennactnrnnu n sip if increase in valnanon) Date offia Use Only Dale: Approved: Rejected: Notificd by: Plan Review Comments: De artment review required Yes No nning&Zoning Tree AdMWzt=F plans Examiner Utilities Public Safety Date crt.asunn. ...s Fire Services ?S I REGE �I ANTIC BEACH J� J at 80(1 S^14�84 l Atlantic Bead Tele hon D w LIAR 22 F g �I REVISION RE ByGt� CORRECTIONS T 4 Date: 3•-22 -)7 Received by: Resubmitted: Permit Number: I06-95 -no© 117-RADD-Solo Original Plans Examiner: 12,2&d* [2,ic[2,iProject Name: 7qQ I LII ie Seo Project Address: ((g�. Se wf i u f v 2cl Contractor:IZB asTi� �cf.'v�N Contact Name: 7�,.f GJe%c-Ile (c ei-A!o Contact Phone : Q®U-rF6�-�(R� Contact e-mail:7PN (;o G6 f r'v c Revision/Plan Check/Permit Fee(s)Due: $ Description of Proposed Revision to Existing Permit: r'L,i o qje C- cH � e„ D,2: .Dka e-,e 2.. G.to �>Pvr/c .)oar( _A)n e�tafa1r°(rn� P,,,l T e Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W/U Approval: By signing below.I(print na .�/ me) I urdoxe ffd�S�,P affirm that the above revision is inclusive of the proposed changes. -22 Signature of Contractor/Agent(Contractorm,ut sig„ifmcc—in vA afioa) Date Office Use Only/y Appicvcd: Reject. 5 [/ / Nefified by: Plan Review Comments: r��►-/�- De artment review re uired Yes No wl m niiiep ning &Zoning Tree A i Plans Examiner Utilities Public Safety Fire Services Date au,eiau„a ar., 1 ,L ....b..CITY OF ATLANTIC BEACH y. � Tiv ! DEPARTMENT OF PUBLIC WORKS a 1"Sandpiper lane Aaantic Beach,FL 3M33-4318 i j TELEPHONE:(9 )247-5834 ' FAK:(9 )247-5843 �" 8 )T CONTRACTOR: DATE: 3/31/17 TDB Construction,hie. PERMIT#: 17-RADD-3116 423 St.Augustine Blvd. ADDRESS: 168 Seminole Road Jacksonville Beach,FL 32250 Atlantic Beach,FL 32233 Email: tdbconstructioninc@yahoo.com REVISION REQUEST—CIRCULAR DRIVEWAY TO 2 CAR DRIVEWAY Your Revision Request has been denied 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@coab.us. PUBLIC WORKS CORRECTION ITEMS: (Submit the following information to the Public Works Department) • Section 24-66(b)of the land Development Regulations requires on-site storage for increased run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-66(b). • Provide a detailed plan of water retention area and how water runoff gets to water retention areas and then to street. co: Toni Gindlesperger,Building Department Jennifer Johnston,Building Department Perrone Jennifer To: tdbconstmctioninc@yahoo.com Cc: Williams, Scott;Gindlesperger,Toni; Johnston,Jennifer Subject: Revision Request Comments for 168 Seminole Road Attachments: Revision Request 17-RADD-3116.pdf Revision Request for Permit Application #17-RADD-3116 for 168 Seminole Road is currently denied by Public Works. Attached are the comments. Please submit the required information at your earliest convenience in order that we can process approval for our Department. If you have any questions, please contact Scott Williams, Deputy Public Works Director at 904-247-5834 or email swilliams0 oab.com. Thank you, Jennifer Perrone Administrative Assistant Qty of Atlantic Beach Public Works (904)247-5834 ioerrone0ccab.us 1 PUBLIC WORKS PLAN REVIEW COMMENTS Date: � r'ZIX- /7 Application#: Project Address: �6����rl�Q K---�bQ A j f'F` Application Tracking Comments Check Box to Select CORRECTION ITEMS: CSMP rovide construction site management plan,including location of dumpster and portable toilet. ❑ Right-of-Way Permit is required if using right-of-way for construction parking. DPLN Provide drainage plans showing site topography(flow arrows,etc.). ❑ ESCP Provide erosion and sediment control plans with installation details. ❑ IMPS Provide impervious surface calculations for entire lot(existing and post construction). ❑ Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off LDCS if adding 400 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-66(b). REPM A Revocable Encroachment Permit must be obtained. ❑ RMRO II runoff must remain on-site. Cannot raise lot elevation. ❑ RWPM Right-of-Way Permit must be obtained. ❑ TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land purveyor,showing 1'contours. ❑ CUT Provide manufacturer's cut sheets for 50%credit on pervious pavers. ❑ DW Maximum driveway width within the City right-of-way is 20'(circular driveway width is 12'maximum). PAV rovide paver installation method(must meet I.C.P.I.). ❑ WRA Provide a detailed plan of water retention area and how water runoff gets to water retention �,/ reas and then to street. 9 WR Provide detailed plans showing proposed water retention. ❑ SID Concrete sidewalk must continue through driveway. ❑ 50 Documentation shows impervious areas are over the 50%allowed by City code. 0 i _ s 2 jivip _1GB�EMT.r,r ILdTIL EAEN, FIDRFD6.32�2j�-- MAL t, PIE NTTECT f 0 5. ROS u]Ll MAP SHOVANG BOUNDARY SURVEY OF A LOT 611 SECTION N0. 1. SUTA - AS RECORDED IN PUT 8001( 10, PACE 6. OE TME CURRENT MU C RECORD6 a WVAL CWNTY, ROMA_ ,GSE! 0. N `A Y BUM PW�hµAEDRA 1(TlF- Nac CED REPUBLIC NATIONAL TRE INSURANCE CWPANY LOT 59T 0 a W (PLAT) LOT CDNERwE: 37 °7p N 2192.17' E 0.99' (WA41Rm) N LOT 613 ag Sg 10T 815 LOl 612 pE STORY MANE P06TE0 R 18R it W oil % gg� 21 5000 (PUl) SEMINOLE ROAD LEGEND: 0 - � e R-M'mo[rt wuo, ,m Rey Thompson RE`ASI0115 SURVEYING, Inc. tln Ol4IANCEM Beomp Ny...,.6w 2n ON7E�EQ ITILE, LL.0 pmi.lvNwssla IPW m.use,n 11816 GATE a iTElO SIMVEY: W-22-1] SCALE. 1 20' NOl£5'. CERRMCAIE • W ,.. X�r rxu a^Fi•r� v�_n r 5��-3 r��t wua aiwLrt ,�TNrs�i�eimn PN�n�� �u Pumw::�.MLeB` m,. Rcmna°RwN An,1ESRwNRYIRP•� iw s.TI a.nRROA �o LAND•91NKY5 0 OOMSTRUCIION LWVM 0 9U9pM910M5 ;�Llprr RECANTIC H J� oI 80 01 ad q Atlantic BeaOA, loc�a 3 rj MAR 22 ' Telephon, 904)9-5 FAX 04)24ri5 � REVISIONT T Q CORRECTIONS Date: 3-2,2 -)7 Received by: Resubmitted: Permit Number. I � O5-1?y -(PC 1�-KADD-3116l/ Original Plans Examiner: 'n oe N—�t� Project Name: T!Q IV,g$PN Project Address: .) (,G Sew `u I v 2 Contractor: Contact Contact Name: T.d QL�G'f CC P.rb Contact Phone : QB tE—�G?�(Q'�2 Contact e-mail:TDB Revision/Plan Check/Permit Fee(s)Due: $ Description of Proposed Revision to Existin¢Permit r_L.n. tib. Dom DAo P .ro 2- Cate DQWc .�" M0 acAf..J a( p f` Pn I . T o Additional Increase in Building Value: $ 16-- Additional S.F. Site Plan Revised: .�'" Public W/U Approval: - By signing below.I(pdntname) i N.rct�aKC 1� �re,L�Sf'r�y.P affirm that the above revision is inclusive of the proposed changes. LPA_ &e b /. e� �-2.2 �% 7 Signature of Contractor/Agent(Cont.aor.=4 i,if in..i.,a a tiw) Date Office Uu Only qI 7 nate: /l Z� I Approved: Rejected: Notified by: Plan Review Comments: 1..71!_ / rY A-f?KvVO^ De artment review required Yes NoY _ nnmg &Zoning Tree A Plans Examiner liAtie 3179 1 7 Public Safety 5-29-(7 Date ou�aawia n....n Fire Services I I I 49.96' N 21°52'47' E ------ LOT 613 SEE PROPOSED \ LOT 612 5.3' I STORAGE I i O I w LOT 615 LOT 615 O ED I O COoI ETEi I o I ' o EXISTING SINGLE STORY FRAMED I I {a I m m o RESIDENCE X168 o r I m ss' E Y ,I 3 , I 3 i CON C. I DRIVE U O QU __—.. 50.04' S 21'59'05" W , CONC. SIDEWALK ---------� SEMINOLE ROAD 50.00' OX KEYNES ,. FRAMED STORAGE TO BE REMOVED 2. COVER OVER CONCRETE TO BE REMOVED. REMOVE SLAB AS NECESSARY TO ACCOMMODATE NEW 3. REMOVE EXISTING CONCRETE DRIVE AS INDICATED TO Q ACCOMMODATE NEW DRIVE `/4. FRAMED STEPS TO BE REMOVED N I LOT 613 M 18.4' 1 9'-10" A 00 T 612 - x o ' LOT 612 m O1 0 LOT 615 w 0 0 v o c o o m g EXISTING SINGLE a rn STORY FRAMED N- � m O1 RESIDENCE m rn p N (/168 0 g o po m O r Z ow O A rn 5.5' { rn 6\0"E O VRYk 9'-10" 20'-O" 2 O I� 0 0 _ 50.04' S °59'05" W SEMINOLE ROAD 50.00' O KEY NOTES 1. CONTRACTOR TO VERIFY AND CONFIRM BUILDING SETBACK DISTANCES PRIOR TO CONSTRUCTION AND NOTIFY ARCHITECT IMMEDIATELY OF ANY ISSUES OR 2. NEW PAVER DRIVE TO COMPLY w/ CITY of ATLANTI of Atlantic Beach .-. ,-_ APPLICATION NUMBER .uilding Department .< , (ro be assigned by the Building Department. 800 Seminole Road 1 �—1 _ O;A D D �� 1 /' ' Atlantic Beach, Florida 32233-5446 N 1 ! {� 1�t ' 1p Phone(904)247-5828 Fax(904)^y47584 2 2017 err E-mail: building-dept@coab.us .1;,, Date routed: Z City web-site: htip://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I�8 �GtY\I NOLO— 2� Department review re uired Yes No _ uil Applicant: �� CONS'TF t)('-7 f C) �fflanning &tonin ree Adminls ra or Project: n l i t OfV u lic o ublic Utl Public a ety Fire Services Review fee $ t` 19' 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 2y= Date:- j-7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. MPUBL;C S Comments: UTILITIES - Z7_i7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 AL E I F1Qa FSE A HxYE1Y5 420 S. R0 S . 3 c �nL 6 ��•32 MAP SHOWNG BOUNDARY SURVEY OF LOT 613. SECTION N0. 1, SALTAIR. AS RECORDED IN PLAT BOOK 10; PACE B& OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. JOSEFF CER0. HHAALVORSEN BANK OF PONTEVEDORA��TLE. LLC LENDING OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY LOT 597 1' 50.00' (PLAT) LA7 CDUER A(Ei 37 /o N 2132!47' E 49:98 (MEASURED) a _N LOT 613 g PMD 3J � a C O LOT 615 LOT 612 r A ONE STORY Y� _ FRAME Pi - POSTED / 168 �•y v h w J �J. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax: (904)247-5845 17-RADA- 31 l (o Job Address: �o�' Setti`h �F 1r✓ Permit Number: Legal Description Lo, t ec'tl Sarax> Bk 10 Ps8 RE# I OFc1K-0000 Valuation of Work(Replacement Cost)S l 3)W-0 geated/Cooled SF 3 O/. Non-Reated/Cooled • Class of Work(Circle one): New Addido=—Alteration Repair Move Demo Pool Window/Door • Use of existmWpmposed structure(,)(Circle one): Commercialesidential • If an existing structure,is a fire sprinkler system installed?(Circle one): yes —o 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: Florida Product Approval# —f.,uitiple products use product approval form Property Owner Information JAN 2 5 2017 Name:�'p City__'+.. E-Mazl � Statel=CZiP3zg_Phone_9�`l-1707-3669` ~, -- OwnerorAgent --1¢Agent.Po_alAsomey m Ase-y Lana R"'ai.em WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY TOS OBTAIN FUINRANCING ONSULOT WITH YOUR LSENDERUOR ANE ATTORNEY EEFORE RECORDING YOUR NOTIC°E OF COMMENCEMENT. Contractor Information• Name of Company: t Q Address: T Qualifying Agent:_I lt�er+dun-P D Beier SS-ae Office Phone -- �g�---`B 1 t� city 4. 1" F(._ State Zip g e2 O State Cer[ificahon/Re stration# GG G Job Site/Contact Number ,9 _1 >'� Architect Name&Phone# �LeA,a r.� Aact '+e T 904 cI� er Engineer's Name&Phone# Worker's Compensation a^tP Ler ase mp ogees xptmhon ate Applicatthe is hereby made to obtain opermi de the work and instal/anonr as indicated Icernfy that no work or instal/aHon fins commenced ppo�or to the issuance ofa permit and that all wit/be performed to meet the standards ofall(awe regulating conshuction in this jurisdiolon. 7riis permit becomes null and void if work of ommeme,d within six(a months, or ifmnsfrucHon or work is suspended or aboMoned((or a period oJfsix(6 months at any Hmea sk Iun lhatseparatepermusmustbeseenredfor Eleariedwork,PlamDing, QSigns,IVells.Pao&,PLrnacer,Bo i/e ,X s, T an Doers,etc e e ) Y Bef meofPrope tyOwner: / Signature of Contractor:_ e� this Da o 1 EC(��N ore me this iJ(I-o£DAREL_ LE ELLyMN MV cOMMISSION a FF =. MY COMMISSION a FFSS7S47 Notary Publi 1 X7&17 EXPIRES Mama 08.2020 n--.-ElteatEg yarµggrp2gN Publi -, r aoeo+ea F � nm ICi�, a. I hereby certify that I have read and examined this application and/mow,the same to rue and correct. Allprovisions of laws and ordinances governin this type o(work will be complied with whether specr�red herein or not. The granting of a perms does not Presume to give autl otity to v- ate or cancel the provisions ofany other federal,slate, or Iota!law regulating construction or the performance ofconsortchon. - Rev anent ysb=Lvr City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r .p 800 Seminole Road Atlantic Beach,Florida 322335445 =,y p ] b Phone(904)247-5826 Fax(904)24758'q E-mail: building-dept@mab.us Date routed: z Cityweb-site: hhp:WWoxw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I lJ O �GfY�I rWI-C— �� Department review re uired Yes No ui Applicant: COIUSxR t)C'f 10 of nning &Zonin r-� Tree Admlrns m or Project: _ L�t l7 C�tT I OsV u lic o ublic Ub I Public-Safety Fire Services Review fee$ Dept Signature Other Agency Review or Permit Required Review of Permit Verifor Receipt iedB 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: Approved. ❑Denied. (Circle one.) Comments: J44 fw" y4w "k BUILDING ^�// PLANNING&ZONING Reviewed by: Dater 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 95/14/09 ` BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Adaptic Beach FL 32233 Office:(904)247-5826 • Fax: (904)247-5845 17-RADA- 311 (0 Job Address: I {p h (e Permit Number: Legal Description Lai G135Et.°115t rank BvtoPka RE# j'-1p5ai—pODO Valuation of Work(Replacement Cost)$_(_�Heated/Cooled SF 30I Non-Hested/Cooled • Class of Work(Circle one): New Additi Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(,)(Circle one): Commercial esidential • If an existing structure,is a fire sprinkler system installed?(Circle ooe): Yes o 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 tobeperfonned: Florida Product Approval# - - -- ; form 6pie products use product approval form Property Owner Information JAN 2 5 2017 Name: A-2-I�^° � d ' IJtxgSaYtg it Ald, ddress: li Se City E-Marl ,r; 2- —State F<Zip ?27 z Phone_9oq- 7 o 1_3&b l Owneror Agent (IfA9xu PowrefAaomarm Agew Le1taRquieW] 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:._1 I) k5 L}'O"rQualifying Agent: I�t.eodun-PD Sea k5'Fae SSe re Address: {Z 5 S4 A sl{-?- e Office Phone B 1 City ILX &-L, R_ State Zip 3p25`0 Job SitoiContact Number v --1 Stale Certification/Registration# CCL f j O Architect Name&Phone# VeRw<.v �y4- ocl I V il!C X11 Engineer's Name&Phone if Worker's Compensation emp surer se tap oyees puahoa ate Application is hereby made to obtain a permi do the work and installations es indicated I certify that no work or installation has commenced war se the issuance ofa permit and that all wi((be performed to meet the standards of all laws regulating ceenvaction in this jurisdiction. rrirs permit becomes rml(and void if work of mann ed within six(6 months, or ifconslmctan or work is susppeended or abandoned((oor a rind ofsix(6)morz[he m any time a A c•nr9sn lar n that sepamle permits must be secured for6[ectrica[Work,P[um3ing, RR''el/s,PPoak,Furnaces,'Beilt s H ers,T tis an enars,etc Signature ofa a Owner: Signature of Contractor: ( � Befnagme this e o - ore me this/ ,OfDANIELLE ELLYtON 1 IN -NLL�O�1 :• MY COMMISSION a FFW7047 MY COMMISSION a FFSa750 1 Notary Publi I aESMrcbis FF08 84 Publi EXPIRES&Arch aa.papa a paiealU f 0 (hereby cert that I have read and examined this application and know the same to rvte and correct. Allprovisions of(aws and presume to governing this type oJ'work will be complied with whether specs zed herein or not. The granting of a permit does not presume to give authority n vio ate or cancel the provisions ofany other federal, state, or local law regulating construction or the performance ojconstruction. Rw 1/1,1116 - �Qe-.�:. 4 ,Gl .— �zum.irz va�� - �Jvtaa9 . . . - c ALy E I �H" FyaQ=D6 3 h1E HxT'Ec15 420 5. RD ST. UxL1 4 Fes•32z MAP SHOMNG BOUNDARY SURVEY OF LOT 613, SECTION NO. 1. SALTAIR, AS RECORDED IN PLAT BOOK 10: PAGE B. OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORW0. CF D� MSEWORSEN BANK OFP��LANNDDRA/b7tE. LLLENDING OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY LOT 597 T' , R: Q -p. p-7 t. 50.00' (PUT) LoT CODERAGE: 3707o/O N 2132'47* E 49:88' (MEASURED) LOT 613 —> —y Y Y O O p 8 I9S LOT 612 Lor fits 'd R ONE STORY FRAME POSTED 168 W y�i WSY F w. y Z •� N N�F Y .C$6 r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned 6y the Building Department.)- - `n 800 Seminole Road '`r _ ypQ ,_3 I1 j _ s Atlantic Beach, Florida 32233-5445 Phone(904)247-5828 - Fax(904)247-5845 E-mail: building-dept@coab.us Dale routed: z7 ( City web-site: http:/Avww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I COB SGm IN OL.C— 2fl_ Department review re uired Yes No Applicant: y1 l �OI�S`CRI)('-T100J nning &Zonin -Tree Administrator Project: [ n tT I OIV u lic o ublic Utl I Public a ety 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 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: ❑Appr,ove�d. Xenied. (Circle ane.) Comments: BUILDING PLANNING&ZONING Reviewed by:, Le_ Date: r TREE ADMIN. Second Review: [—]Approved as revised. �enied. PUBLIC WORKS Comments:,lk "'1�"'^'J PUBLIC UTILITIES / PUBLIC SAFETY Reviewed by:�,�iLr.' �/� Date: . t 1 FIRE SERVICES Third Review: L@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 a Fax:(904)247-5845 17-RRDD- 311 Job Address: iii Permit Number: Legal Description LE G i1 5rc.III 5eli TAIg 6K 10 pe 8 RE# 170K aS—0000 Valuation of Work(Replacement Cost)$ (�Heated/Cooled SF O Non- . �.�_ Heated/Cooled • Class of Work(Circle one): New Additio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structuro(s)(Circle one): Commercial esidential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o 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: s^f- -1 f Florida Product Approval# £or m itiple products use product approval for nI Property Owner Information JAN 2 5 2017 Name: 'Ose•� �n '�1 -L�p1 VtXLSV MAddress: I (n$ $ewiikol City__� ;lQ'66 $ 1 StateF<Zip 1-2- Phone ju-t- 7o7-3b69` E-Marl Owner or Agent (RAgeot,Power ofhaomey or Ageocy l.enerAequiredl Al/eF — G TO RESULTINYOUR OWNER: AYIING TWICE FOR IIMMPROVEMEENTS TO YOUR OF PROPERTY. YU ITEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOtIkft OF COMMENCEMENT. Contractor Information• Name of company:_I D B CakS c,� Oln T Qualifying Agent: 1 1reaaiv�r I)Be&k5fne sse e Address:—L3 S1 ,<La e Office Phone _V110--city +` L �-- State Zipg ex O Job Site/Contact Number d) _! State Certification/Re stration# CGL 1 e Architect Name&Phn e#_ --$-����'—E-Mail D R 1 yewn < E p,2el ti 1 904 e1J �! Engineer's Name&Phone it Worker's Compensation emp surer se mp oyees zpuanon ate Application is hereby made to obtain a permi do the work and installamme w indicated. I certify that no worker installation has commenced prtar to the issuance ofu permit and that all will be performed to meet the standards ofall laws regulating tow"a ion in this jurisdiction. /Ris pemtit becomes null and void fxvrk of ommenced within six(6 months. or if construction or work is sus nded or abandoned or a penial orsix(ti momhs at airy time o rk n nn e Po thotse orate pe /' g Signs, Wells,Pools,Furnacm,Boile s H ens,)T +ks an avers,etc.p Pe^nla'must be secamel for L�/ectrwal Work,Plumbin , Signature of Prope Owner: ✓ Befg�me Signature of Contractor. p � this Jb/1�T Da o ore me this ,ofDANNUA ELLMN l ''c Notary Publi '-� I MY COMMI&4K)N p FFSp7M) MYcOMMISSKNip FFSa7847EXPIRES Mmch pa,70M P XPWESMerµga,�pN ary Publi -• niu0.a�U F .run Thereby certify that I have read and examined this application and know the same to rue and correct. A!1 provisions of laws and ordinances governing this type ojwark will be complied with whether sped red herein or not. The granting ofa permit does not presume to give authority to violate or cancel the provisions of any other fe rem state, or local law regulating construction or the performance a wnstruction. Rm. z/tans IAL.VoRSEN 6511qlt -- x�>=Ru A-ru,Ns* �c�, FiQR= r M6 A cNxYEc1S 420 5 a0 S Sac soa�z 4eAc ��•32Y MAP SHOWING BOUNDARY SURVEY OF LOT 613. SECTION NO, 1• SALTAIR. AS RECORDED IN PLAT BOOK 10. PAGE 8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED TO: JOSEF D. HALV/ORSEN BANK OF LENDING TEE DRA�TI7LF, LLC OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY W(7a LOT 597 T- Q50.00• (PLAT) LAT CoOERAfE N 2132'47' E s 49:96' (MEASURED) u _NLLOT 613 r; X� gS F "s o ; 89 LOT 615 LOT 612 d R ONE STORY FRAME POSTED 0 168 3 ° W o wixr - fi b Z — — N Nb 5; o Anm•O«un _ Y G ,G}9Y fiB1AMG P SOIX ttN[A 50.04 (MEASURED) 50.00' (PLAT) SEMINOLE ROAD csr*Ym eaptv..o xn.u» Oa'wprt -1 y) LEGEND: 0 -isq�,lTpag.n w - wwr a wvwc • W[fl11fKA�HA� 'i - MYR 61M@Mi _. (iNIS 0H1f11i@ MORL) ME - PaW1Yf PEM •-Y'+.'0.WOE�E WP.4Mi RC - P011i 6 tlWM A?. - MR NOIIMII Q OPVI.NRE —Y— a ip4E • COICRER Ray Thompson REVISIONS - . 0 9 b "d mp v� A W N'. ' �. p r-r ° r• cr P• W N ~ r p ¢' Z P oo > 'r7 d •n x 5. V g P-; 5' rte.j- U] 0 '* ¢ d ¢ A� d o r 9 ccoo d Q `�° '-a as Q C °° 'Tl • a 5 D o 0 a= uc qd m r -a5 o o 0 VA C n cow kA rt 5 ; N cS o iiiltiLliilltlt 5. y 'I a•*o g 1:0 aaI• I. il''‘ , . 1 . .. ' .. -. _ i: L 1111 ' 00 ... ill• "e Cx1 tzi 1 11 ill I 11 II 11111 1111 • <l'. V Q n � ot o� m � n a O . , .� C• - o oo v rn to -P w N r-• — c 'O 00 �1 a\ (J P w N .-r b U D N ON to P w N ) 40 U . fl: UtUU UiHflhTUUhI1 n G 0 O < ? r A s � y - - D 4• /10 c. 'p, • 0 eD r- ._. 1d - ' I r1ty H aI 1 y ri -. . 9 3 MI Wo rn E 1 r' 0 AD 9 f I • ji DruF. o0 0, v, P w N n CID -Jcl n n tri y x p tri pi n td o N 0 H b' cn o o o g q 0 C\-<‘‘ G 1111111 Cs i ' ' I IIihIIIIIIfiI 1 I 1 I i 0 0 n n n q R''. 0 Z 1 Q�„ z o E. 5. •S o o � � o1 O 1 s sv cn ;s •-* z - N . 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