1798 ATLANTIC BEACH DR - REVISION 9/18/17 �, ,,"Sr,/fr�`1�'
CITY OF ATLANTIC BEACH
"x�t'� 800 Seminole Road
r `` Atlantic Beach, Florida 32233
�-��,�` �� OFFICE COPY
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date It 1 ' III- Revision to Issued Permit (/ Corrections to Comments Permit#
11
Project Address `'k-Ci 0 NAA It YkL 1-e&(J\ 1)( •
Contractor/ Contact Name Q i 4J.4 Si at tkp -3
Phone Email
Description of Proposed Revision/Corrections: Permit Fee Due $ r d
Ca M,p&Z 6/l s
kvt rrN b 00 oto \ co,i-k -kkk L
11
Additional Increase in Building Value $ Additional S.F.
By signing below, I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved 2( Denied Not Applicable to Department
Revision/Plan Review Comments Plea SIT SCa n PP,- % # -11---
De
11—De 8 artment Review Required:
Building J'.'\n
Planning : oning d". Reviewed By
Tree Administrator
Public Works
Public Utilities I'2S••!')
Public Safety Date
Fire Services
rer„,d- .& e�e6=3/7-c_xAs
EA Ellis&Associates Inc. corporate
Davis Creek Road,Jacksonville, FL 32256 P:(904)880-0960 F:(904)880-097C
EGroup of Companies Branch Location:
Geotechnical•Construction Materials•Environmental•Facilities Brunswick: 134 Newman Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086
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F F I C E C 0 P dna: 2706 S.Ridgewood Ave.,Suite 2 P:(386)944-9588 F:(386)944-9589
eliisassoc.co South Daytona,FL 32119
Work Order#: Z‘..0Z
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: ZZ . J\-o
Subdivision: -4r1 t--to(-IL C. C Reported to: Report#:
Unit or Parcel: — Location By: Gauge#:
Lot#/Block: k14 6S Contractor:
Date Tested: tel -/`S ( -7
Street Address: ! 7 J8 iQ"Tt-10.-,r7)C -F-4:../..4 c L-I 7),- . City: a x
Method: --7Q-s- '(-
Course: 1-3-'1.-L.-
Material: ?-f-'/-5-4‘—`S"..) Specific Requirements: GS`'�
------P.4 .---- Elevr�. Base/LR/
Fail/ Location Cti1L_.Ile� �Asphalt/ Dry Max.Dry % of Max Moist
Retest /Lift Thickness Density Density* Density %
Arte L ,ry - ,{ /�.-) 9?
C. r•1 7te
7
*So rce of proctor(Project# and/or Work Order#)
P-Test Meets Specification Requirements F- Test Fails To Meet Specification Requirements R- Retest
\
To Be Completed In Field \ ...,
Employee Name _
�--� Standby Approval
Time --
) Superintendent Printed Name
Start/Stop Travel Standby lob-- -..-_
/�14s Superintendent Signature
(Office use)
EA-10(rev.04/16) white copy-office use yellow copy-personal use pink and goldenrod-client use
Page ( of l
Field Compaction for 22306 Report 15 OFFICE COPY Page 1 of
dr; rt`MEL) R REPORT 15 Perrtst
EPCompaction Summary, ASTM D6938 R�S�7r C �
1 8 ?017 •
Club-
Project No: 22306 Project Atlantic Beach Country Date: 09'1517
Name:48030014
Test Method ASTM D6938
Client: Riverside Homes Nuclear Gauge No: 39
Make: Troxler Density Std: 0
Contractor: None Listed Model: 3430 Moisture Std: 0
Technician: Adam Daniel Jackson Serial No: 66373
l'( Samples. Pt Celts. and Specific (ira\ity \;,ill No)I print
Sample Description Proctor Method Uncorrected Max. Uncorrected Opt. Spec. Source
No Density MC G ray.
115208 Brown Fine Sand ASTM D 1557 103.60 14.60 2.65 onsite
Test Station/Location Corrected Corrected Test Data Comments
Test Lot Mode Maximum Optimum
No No Probe Oversize Dry Moisture Wet Dry Moisture Percent
Depth Lift/Elev Density Content Density Density Content Comp. P/ F
(pcf) (%) (pcf) (pcf) (%) (%)
1798
DT soutlmcst Corner 0.00 103.60 14.60 108.1 99.8 8.4 96.3 Atlantic
Bh
Drive
12 House Pad Sample No 115208 P
1798
DT Northeast Corner 0.00 103.60 14.60 108.4 100.7 7.7 97.2 Beach
6
Drive
12 House Pad Sample No 115208 P
1798
DT (_enter, 0.00 103.60 14.60 108.2 100.3 7.9 96.8 Atlantic
3 Beach
65 Drive
12 House Pad Sample No 115208 P
Test Mode: DT=Direct Transmission BS= Back Scatter
'Latitude and longitude data will NOT print out in the final report."
:. Corrected Max. Dry Density = Uncorrected Max. Dry Density * Specific Gravity * 62.43 / (%
()venire " Uncorrected Max. Dry Density +( 1- "/, Oversize) * Specific Gravity * 62.43) :_ **
rounded 2 decimal places **
.: Corrected Optimum Moisture Content= ( `A) Oversize * 0.02 + (1 - % Oversize )
( Uncorrected Opt. Moisture Content / 100 ) ) :. 100 * ** rounded 2 decimal places *"
* Percent Compression = ( (Dry Densit * 100)/Corrected Max. Dry Density ) * ** rounded 1
decimal places **
htto://1red35/index.cfm?fuseaction=PrintedReoorts.GenerateForm&maid=12565&height=... 9/1R/2017
OFFICE COPY
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FORM BOARD ELEVATION CERTIFICATE
Duval County / Clay County
'`/ Left copy on site No box
Lot and Subdivisio . tlGnhc p Ac
DATE: q-51-/`7
PERMIT
NUMBER: 12 5 / 1-0.03C)
ADDRESS: 17 ?8 Af44L ge,c /, A.
•
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN:
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: 0
SURVEY COMPANY
NAME: Bartram Trail Surveying, Inc.
1501 CR 315, Suite 106
Green Cove Springs, FL 32043
SIGNATURE OF SURVEYOR: CP&ty Chief)