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1875 N SHERRY DR - PERMIT DWAY18-0012 'i`-j rL�Jrl`a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY - SINGLE OR TWO FAMILY DRIVEWAY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DWAY18-0012 Description: CONCRETE DRIVEWAY Estimated Value: 0 Issue Date: 6/14/2018 Expiration Date: 12/11/2018 PROPERTY ADDRESS: Address: 1875 N SHERRY DR RE Number: 172020 0808 PROPERTY OWNER: Name: DERLIKOWSKI AMY V Address: 1875 NORTH SHERRY DR ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BURLINGTON CONCRETE CONSTRUCTION Address: 13635 Dunn Creek Road Jacksonville, FL 32218 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. ' � r= City of Atlantic Beach APPLICATION NUMBER . Building Department (To.be assignedby the Building Department.) - 800 Seminole Road I1W Atlantic Beach, Florida 32233-5445 0 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date,routed:_ S City web-site: http://wm.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7S (?tN4 Department review required Yes No Building Applicant: god ZLI JUC� 1 C©�CKC,7�C— /� annirg&Zonm � , n re mrnis ra or Project: e—C)&D C L fir/�-�(� (Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date pp of Permit Verified By t' Florida Dept. of Environmental Protection � ^ Florida Dept. of Transportation t ) 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. ❑Not applicable (Circle one.) Comments: BUILDING Reviewed by: Date: 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 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department -(To be assigned by the Building Department.) 800 Seminole Road � ' -'i •� (J ff�� j Atlantic Beach ! �7 �. rl , Florida 32233-5445 � �A , Phone(904)247-5826 • Fax(904)247-5845, 'j I�tlr� 20131 ,gamA E-mail: buildin de t coab.us i L1 Date routed: 1 9- p °� f J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7S � ku Department review required Yes No Building Applicant: t_ ,��r!I, (-�, ( �� CC)&3c,,Q_ C_--rC_ <f[a:n_ning &Zonin re minis ra or Project: ®SCR-��C= �i� txblicVllorks Public Utilities Public Safety Fire Services Revlew igfee $ __pfiSnatur_e . Other Agency Review or Permit Required Review or Receipt DateP, v � of Permit Verified By Florida Dept. of Environmental Protection CP (� Florida Dept. of Transportation � A 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. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed ate: TREE ADMIN. Second Review: VApproved as revised. ❑Denied. QNot applicable RU,BL RI< Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 1 2"P Permit Number: + A 18 `�y 1 1 V "r C Y/ v� W RE# Legal Description ©"I Valuation of Work(Replacement Cost)$ Heated/Cooled SF P - Non-Heated/Cooled • Class of Work(Circle one): NewAiJditio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structures)(Circle one): CommercialResidential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN/ • 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: evacuw, %.p 4 Florida Product Approval# / for multiple products use product approval form Property Owner Information Name: Address: 7f �, City State Zip �;k 33 Phone6�otl ���% ' Ua�� E-Mail h�1"`'? Owner or Agent(If Agent,Power of Att ney orAgency Letter Required) Contractor Information /- Name of Company: Uf��h j� �o e Qualifying Agent: IVIA- Address J N '� a City cJ rcL�5c�.2cP�'%�i. State _Zip ��ZLT Office Phone 90c 3o— Z//any Job Site/Contact 7Number o� State Certification/Registration# E-Mail r i u, Architect Name&Phone# AJ Engineer's Name&Phone# / Workers Compensation U Exemp /insur i 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.NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 R=Signature E OF COMMENCEME T. " 24 ner or Agent) (Signature of Contractor) (including contractor) Si ned and swo�r to(or affirmed)before me 5hi d y of .Signed and sworn to(or affirmed)before me this day of n 04,:>19 'by V Lt�GSs I by D 'ice. d -rS U � m CLEO LANGWe (5 n t�re�f to YESELPAANtANILLO Notary public,State of (5' ur Notary) ae Notary Public,State of Florida Commission#+FF9 Florida o ��� 9302 [ ]Personally Known OR Commission#FF 920529 [ � '10+2# Q [ duced Identification My eemm:expir s Sept.24,2019 Type of Identification: Type of Identification: — - RIGHT-OF-WAY/EASEMENT PERMIT ss>r Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address @ tl,4e, Phone 00 0 351 Permittee M t/ '— S64t wm Email LJ—J) Requesting Permission to Construct Location(Reference to Cross-Street) _59m,y,94ei �N llJGc f�149J►`a�t�. • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction,repair,improvement,maintenance,safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works,any or all said poles,wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of RAV t./ C-Plv ,, ,`� /C (Project Superintendent) with Company Namer r3J�i`n 6 ('00 ,r K^" PhoneT .?OOH— !!5 • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within—,*� days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,title and interest in the land to be entered upon and used by the holder,and the holder will,at all times, assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of .the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again itely upo co etion. n Date5LLI co Permittee ed in presence of Public) STATE OF FLORIDA,COUNTY OF DUVAL ' The forego'ng instrume t as ackno led d this day of ,20/ r by ,who personally appeared before me and ( nted name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Personally Known J Signature of Florida Produced Identification(Type) (qR!, � $0,5�� A CLEo LANGWELL Notary Pubik,State of FloridaCOmmissIOn#FF149302 MY Comm expires Aug,10, tote BOUNDARY SURVEY -LOT 4 .:. t{ 107,64' 0.35 07"w mom -- – — -- -- N " 0.47E Ln 'z LOT 3 ' �`,�X, i No. tib t� zi 4,' t' LOT 28. r BUILDING #1875. 19.97co v o' 01) �i N a - in #MRM fOTAIID 1/1' '775- 5� LBfm fMRW S84'51'4S"W 99.6 LOT 00. qm C1 v . L=79.80: � R=1068:54 A=V16 4 . 4- Tan=39.92 - a -.:SUS CES NEAR THE BOUNDARY Fol m r� OF EPROPERTYAT REAR OFPROPERTY. ROIVAtb: Aero L"A FtASURVEYORS CBMFICATE SURVEIHE3ESYCERTIFYDATTHSBOUNG4RY&UiNEY TARGETISATHUEANUCO(iAECTHEPHESENTATIONOFASURVEYPREPARED ONNOTVAW WTnXWANAUfFIENTICATtD EECTRONICE OF , SIGNATUTtEANDAUit MMAT®EIECTR WSEAL: LB#789.3 ORI oRARAISEDFJ1806DSEALANDSIGWI111RESERVING FLORIDA Kenneh6250 N.I ALRARY TRAIL,SUITE 102 sbofn@:" • WEST PALM BEACH,F133107PHONE STATEWIDE PHONE-(800)228x807 Nh-M J MCRNE STATEIIVIDE FACSIMILE(800)741-0576 ssa►Lu suRveYoraAraMAPPER"4ts. . m WEBSITE:htlpJ AalAtwttmyWtgnol CITY OF ATLANTIC BEACH .. Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 5/8/18 Applicant: Burlington Concrete Construction Permit#: DWAY18-0012 Email: burlingtonconcrete@gmail.com Review Status: DENIED Property Owner: Amy Derlikowski Site Address: 1875 N. Sherry Drive Email: avderlikowski@gmail.com THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: APPROVE® `® Section 24-66(b) of the Land Development Regulations requires on-site storage fCincreased run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and /Ioprovide n-site retention required per Section 24-66(b). a detailed plan of water retention area and how water runoff gets to water retention areas and then to street. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. • 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 Erosion and Sediment Control Inspection prior to start of construction. • All runoff must remain on-site during construction. • If on-site storage is required, a post construction topographic survey documenting proper construction will be required. All water runoff must go to retention area and retention overflow must run to street. • Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapell's, Inc., Republic Services, Donovan Dumpsters). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. • Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of-way for construction parking. • All runoff must remain on-site. Cannot raise lot elevation. Page 1 of 2 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\DWAY18-0012(Burlington).docx e Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 2 of 2 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\DWAY18-0012(Burlington).doa Comp. By: S/W Date: 5/8/2018 Public Works Department City of Atlantic Beach Permit No: DWAY 18-0012 Address: 1875 North Sherry Drive 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) = 8,682 ft' Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd"C" Impervious 2,185 8,682 1.00 0.25 Pervious 6,497 8,682 0.20 0.15 Runoff Coefficient(C)= 0.40 Runoff Volume V= 0.40 x 8,682 x 9.3 / 12 V= 2,700 ft3 Postdevelopment Runoff Volume: Lot Area(A) = 8,682 ftZ Runoff Coefficient Area(ft) Lot Area Description (ft) "C" Wtd"C" Impervious 2,851 8,682 1.00 0.31 %ISA= 30.5% Pervious 6,031 8,682 0.20 0.14 Runoff Coefficient(C)= 0.44 Runoff Volume V= 0.44 x 8,682 x 9.3 / 12 V= 2,989 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume-Predevelopment Runoff Volume DV= 2,989 - 2,700 DV= 289 ft3 Retention MASTER WATER RETENTION 5/8/2018 Comp. By: S/W Date: 5/8/2018 Public Works Department City of Atlantic Beach Permit No: DWAY 18-0012 Address: 1875 North Sherry Drive Provided Storage: Elevation Area Storage (ft) (ft) (ft) ? 9.5 100 0 BOTTOM size 10 X 10 ? 10.0 144 61 TOB size 12X 12 Elevation Area Storage (ft) (ft) (ft) 0.0 0 0 BOTTOM 0.0 0 0 TOB Elevation Area Storage (ft) (ft) (ft) 0.0 0 0 BOTTOM 0.0 0 0 TOB Inground storage=A*d*pf A=Area= 144.0 d=depth to ESHWT= 6.5 pf=pore factor= 0.3 Inground Storage= 280.8 ft' Required Treatment Volume= 289 W Supplied Treatment Volume= 2 W I cid f Retention MASTER WATER RETENTION 5/8/2018 Impervious Surface Calculations % Formula Find Square Footage of the Following House footprint l � Driveway All sidewalks and walkways A/C Pads 5 Detached Garage/Sheds Pool Decking U� Patios, terraces and/or decks Add the total square footage of the areras listed above then, divide the sum by the total lot area of ��`�,69 property a �aq r 7 PPR®VE® A . �