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311 AHERN ST RES17-0268 rte:LN City of Atlantic Beach APPLICATION NUMBER N J« Building Department (To be assigned by the Building Department.) Jr• _� si 800 Seminole Road f S , � _o a rn ,. Atlantic Beach, Florida 32233-5445 C AFI Phone(904)247-5826 - Fax(904)247-5845 -i-c____01 tgr E-mail: building-dept@coab.us Date routed: t 0 LS WI- -City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 i k N\i1 1\ a • Department review required Yes No 4 . uildin Applicant: g-t VCL( 45 U.)nSii-Lt ;;U) ._an_ning&Zonin� 13-e jnistrator Project: n fit,) n1 VDivt.Q_ CO3�s-t r �,t� = arks �°j l - olio Utilities _ Public Safety F176-8- 17------C Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: El Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING 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 :f�suir Building Permit Application pAie City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904)247-5845 Job Address: 31 1 . hr er i S .4}►Grn '-[�h, J1 Number: S a,)(0a,)(0A Legal Description See Attached RE# 169742-000,169737-0000, 169737-0010 Valuation of Work(Replacement Cost)$ 200,000.00Heated/Cooled SF 1836 Non-Heated/Cooled 658 • Class of Work(Circle one : New ddition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): I ommerc :I Residential • If an existing structure,is a fire sprinkler system installed? Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal - Describe in detail the type of work to be performed: New Townhome Construction Florida Product Approval# See Attached for multiple products use product approval form Property Owner Information Name: Ahern Project TH LLC Address: 830-13 A1A North#170 City Ponte Vedra Beach State FL Zip 32082 Phone (904)219-5003 E-Mail rjohnston.mec@gmail.com Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Urban Partners Construction Qualifying Agent: Edmundo Gonzalez Address 3236 Beach Blvd. City Jacksonville State FL Zip 32207 Office Phone (904)270-2225 Job Site/Contact Number (904)591-7929 State Certification/Registration# CGC 1518379 E-Mail eg©urbanpartnersgroup.com Architect Name& Phone# Mark Macco(904)249-2724 Engineer's Name&Phone# Bradford Davis(904)739-3655 Workers Compensation Builder Mutual Insurance Co.WCP 104191601 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 OBTAI INANCING, CONSULT WITH YOUR LEND '.O: N ATTORNEY BE• •RE RECOR G YO NOTI OF OMMENCEMENT. gnature of Own r or Agent including Contractor) (Signatur-41 Contracts Signed and sworn to(or ffirmed) before me this Los day of Sign-d and sworn to(or affir- -d) before me this l.0 day of , by t Ci( ..Jo4-1,z34-r>r7 F 1 ,‹Doi , . de, Cror7-5mi (Signature of Notary) (Signature of Notary) J Personally Known •: Personally Known OR [ ]Produced Identifica ort.;': o. TALIADAHLKE [ ]Produced Identification ?' ,�� TALIADAHLKE , '.,• MY COMMISSION#GG 094490 Type of Identification: ?',�� = •, ISSION#GG 094490 Type of Identification: = � _ EXPIRES:April 16,2021 • ;FCF a Pnl 16.2021 Bonded Thai Notary Public Underwriters • a0 ThN Notary Public Unde wnlers Legal Description: A Replat of Lots 2, 4, 6, 8, 10 and 12, Block 2, Plat No. 1 Subdivision "A" Atlantic Beach, as Recorded in Plat Book 5, Page 69 of the Current Public Records of the City of Jacksonville, City of Atlantic Beach, Duval County, Florida. Address RE#: 542 EAST COAST DR RE# 169742-0000 329 AHERN STREET RE# 169737-0000 331 AHERN STREET RE# 169737-0010 PLAT BQOK PAGE AHE.. "� " SHEET 2 t� 2 SMEEI'� 8 10 and 1 , Block 2. Plat NOo i Subdivision A fjMT t O . A R lat of i=ota 2, public lteeords of,zC�,s ep Atlantic Beeth, as Recorded'1at Boo 5, Pale #39 orf the Cv�rren the City of ,lac`kso�a le, City of AtlabUc Beach, Duval County Florida. i •. X„y, a^. � a; 36.59 - .. " c f ' •�" � 6G.9b. 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