309 AHERN ST RES17-0267 (2) r11,Al fl, City of Atlantic Beach APPLICATION NUMBER
._-i1 Building Department (To be assigned by the Building Department.)
800 Seminole Road NOV 1 u 2017
Atlantic Beach, Florida 32233 5445 ' 11- —DQ
Phone(904)247 5826 Fax(904)247-58
45 �� I
,.01119 E-mail: building-dept@coab.us
r Date routed: t i l 13-l II-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: f3CCA MAS-( 11 S - - De ardent review required Yes No
B '
Applicant: V,I bw n fanning&Zoning
n -moo !� t Tree Administrator
t
11 rv1.)
Project: c)\-)009.__10M�— L Ct( bc) Public Ncirks j
'ublicU • • '-
Public Safety
Cir Seir ervices
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 artment First Review: ❑Approved. VDenied. ❑Not applicable
(Circle one.) Comments:
BUILDING 1K Plans in lave c
PLANNING &ZONING La5tv-kc l •, i II-28-11
Reviewed b �// ,, _ Date:
TREE ADMIN. Second Review: 14proved as revised. Denied. I 'Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. Date: ,Z
FIRE SERVICES Third Review: ❑Approved as revised. ElDenied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
r0„t v\, City of Atlantic Beach APPLICATION NUMBER
4S ' Building Department (To be assigned by the Building Department.)
i 800 Seminole Road
V I-
;� Atlantic Beach, Florida 32233-5445 _LS, ^�a
Phone (904)247-5826 • Fax(904) 247-5845 I �1_
• 0109' E-mail: building-dept@coab.us Date routed: t I 1 L S-` r
City web-site: http://www.coab.us '
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3v"\ 7‘ r i2 f sk - De a tment review required Yes No
B`
Applicant: U.I \(--.)c'1 0 ' 0,-1-VOD--(S e S C bi) - Planning &Zoning-�
Tree Administrator
Project: CZ Q..,i,-.) t1\100—— t..A`) skittc%h t ►public,Werk
'ublic U ' '
Public Safety
ire Services
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: ❑Approved. ,Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING /
PLANNING &ZONING Reviewed by�iw✓l t....-- ;------'. /Z1/ib
Date: 1
TREE ADMIN. Second Review: Approved as revised. ,Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY ! Reviewed by:��wo, 1.----"A"---- Date: y/1/1 if
FIRE SERVICES Third Review: JC.4Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by:.�i�ar, t//C.- Date: f/ //$
Revised 05/19/2017
rrA.PI: City of Atlantic Beach APPLICATION NUMBER
lJ
�s " � Building Department (To be assigned by the Building Department.)
800 Seminole Road p 6S`1- ^0,3
j , Atlantic Beach, Florida 32233-5445 i—
Phone (904)247-5826 Fax(904)247 5845
i il9'i- E-mail: building-dept@coab.us Date routed: I( It t
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3CCA Nhpl f-\ S} - 1 De ea 'lent review required Yes No
g
Applicant: .A.,1 ‘(:)a.O p0.1A'(-{S CC1SiitkC 1 of) i 'lannin• :. onin•
Tree Administrator _-
Project: 'R Q.vJ '�.„) nh0c — � C {Pub A • •
d -1_11.---
ubU -
Public Safety 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: ❑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. ElDenied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
-f-i7i. City of Atlantic Beach APPLICATION NUMBER
, d Building Department (To be assigned by the Building Department.)
' `) 800 Seminole Road ?.-!_S ; �L _ Q
0 a (n.. Atlantic Beach, Florida 32233-5445T `� p
Phone (904)247-5826 • Fax(904)247-5845
jslwr E-mail: building-dept@coab.us„2
Date routed: 4. 1 iS. W4-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 I I NAtJ.4 Sk - Department review required Yes No
�" Cildi
Applicant: k1.1t(�L
1 f1 VLU`�Y�S nSIilk_CTi a_____ &Zoning----_,
T�_Adninistrator
Project: n ►L") nVN.OmQ_ Conskfl-CA>ty1 -arks
blic Utilities
Public Safety
ire Services
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: ❑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
,;11-tv.ir. City of Atlantic Beach APPLICATION NUMBER
�s , „ Building Department ,� (To be assigned by the Building Department.)
r - W y 800 Seminole Road NOV 1 6 2011
_.-6 s, JL5l -iia V'•-
•w ",, Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904) 247-5845
-01699. E-mail: building-dept@coab.us Date routed: t l LIS' L1.--
City
�City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: r3O"\ Nv\D-( i Sk-S . De a ent review required Yes No
Pn2&Zoni3
Applicant: U '0u n Pcu4c -rS 0�NSk b,r)
Tree Administrator
Project: ¶\tjk.311\-10e- S U C 1c ,Pub. ; • ,
•ublic U " "
Public Safety
Fire Services
Review fee $ Si) 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:
APP ATION STATUS
Reviewing Department First Review: li Approved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDING * P aOY -tio Ict 9e,
it
PLANNING &ZONING �aS -P4Q-
Reviewed by:46 1,1,. /, Date:2 57( g
TREE ADMIN. Second Review: Approved as revised. ['Denied. ❑Not applicable
PU . W_ ORI5�� Comments:
UBLIC UTILITIES
2 — S—
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
-' 1 CITY OF ATLANTIC BEACH
� , tom. -�
si) PUBLIC UTILITIES
Us, ,. r
1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
'4J;f!>'' (904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 2/05/18 Project Address: 309 Ahern Street
No. of Units: 1 Commercial Residential 1 Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) 3/4"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# RES 17-0267
Water System Development Charge $ PROPERTY CREDI l'ED FOR SIX
Sewer System Development Charge $ EXISTING WATER AND SEWER
Water Meter Only $ SERVICES.
Reclaim Meter Only $
Water Meter Tap $ No SO C 562
Sewer Tap $
Cross Connection $ 50.00
Other $
TOTAL $ 50.00
APPROVED: Kayle Moore, PE
(Deputy PW Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
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
r Building Permit Application
1-3 r, City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
�Oii 9Phone: (904) 247-5826 Fax: (904)247-5845
Job Address:,3 09 Al--1 e....-r-7 . 1-. 4.)-IGr74i- 8 cCJ-jl F1 Permit Number:
Legal Description See Attached RE# 169742-000,169737-0000,169737-0010
Valuation of Work(Replacement Cost)$ 200,000.00 Heated/Cooled SF 1823 Non-Heated/Cooled 639
• Class of Work(Circle one : New ddition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): r 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 Al A 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 OBTAIN INANCING, CONSULT WITH YOUR LENDE• • • . N ATTORNE BE-4 RE
RECORG Y RNO i" COMMENCEMENT. //
/ #0;
_ iLI1/
(Signature of owner or Agent including Contractor) (Signatur• o Contra .r)
Signed and sworn to(or>affirmed)before me this Lo day of Sig -d and sworn to(or affi ,d)before me this t.. day of
1 1 ,mai-1 ,by R..C-i< _o/-,r--1�-1--orl 1 ,o7C>r1 , •y Cs11-1-)•..+-=Icy G'or"7Zr1C-Z
•..,__1
(Signature of Notary) (Signature of Notary)
Personally Known OR `ot."...;4'; TALIADAHLKE ,( Personally Known OR ;o;'F' '';-: TALIADAHLKE
[ ]Produced Identification ;r' * MY COMMISSION#GG 094490 [I Produced Identification LI ,.• MY COMMISSION#GG 094490
Type of Identification: %� . '&& EXPIRES:April 16.2021 T,•.e of Identification: 'i 2 EXPIRES:April 16.2021
3;pr Ft°, Bonded Thru Notary Public Undenvriters of F .� Bonded Thru Notary Public Underwriters
sr ♦t,--"--ft.-1____ -- .ems.....