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102 Aquatic Dr 16-CVPR-740 Civil (3/28/16) 01�vpri City of Atlantic Beach APPLICATION NUMBER Js f� IL Building Department (To be assigned by the Building Department.) 800 Seminole Road �� /j '/ �/`/� \� -e Atlantic Beach, Florida 32233-5445 (f, {/ `Z C/ Phone(904)247-5826 • Fax(904)247-5845 ,' ,I31W� E-mail: building-dept@coab.us Date routed: ,, 1 /� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: V A ,2776 Zr+ Department review required Yes No Buil.... Applicant: a,�1� firr-T-A4rs P g &Zon Ol'ild. Tree AdministratorProject: ` 4.54,41-7.6. 767;il- 1,6,,,A5 _ Public Utilities Public Safety ire Services Review fee $ Dept Signature Review or Receipt C Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection Cans M Florida Dept. of Transportation 4/2-11//6 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. Fir enied. (Circle one.) Comments: 5e- 6-0M14-1%f--KTS BUILDING PLANNING & ZONING Reviewed by: . Date: 4 it tit [� TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. Denied. Comments: Reviewed by: Date: Revised 05/14/09 sCITY OF ATLANTIC BEACH SS1 ,. 800 SEMINOLE ROAD h ATLANTIC BEACH,FL 32233 (904)247-5800 \—ii?-11',Y BUILDING DEPARTMENT REVIEW COMMENTS Date: 4/18/16 Permit#: 16-CVPR-740 Applicant: Urban Partners Site Address: 0 Aquatic Dr. Address: 3236 Beach Blvd. Review: 1 Phone: 270-2225 RE#: 177603 0000 Email: eg@urbanpartnersgroup.com THIS BUILDING DEPARTMENT REVIEW IS ONE OF 4 DEPARTMENT REVIEWS. PLEASE FIND ALL DEPARTMENT REVIEWS AND ADDRESS ALL COMMENTS. Correction Comments: Application is disapproved for the following issues: 1. This site is in a special flood hazard area(SFHA) and requires, in addition to other permits, a Floodplain Development Permit,per COAB, Section 8-23, Floodplain Management Ordinance. The project will be in an AE-7 flood hazard area. Please find, attached: 1) Floodplain Development Permit Application. 2) Floodplain Development Permit Application Checklist. Dan Arlington, CBO, CFM 904-247-5813 darlington@coab.us 1 October 27, 2015 City of Atlantic Beach 800 Seminole Road Atlantic Beach,FL 32233 Re: Owner Authorization—RE#177643-0000 Dear Sir or Madam: The undersigned is the owner of the above-referenced property, located at the corner of Atlantic Boulevard and Aquatic Drive (the "Property"). Please allow this letter to serve as an owner's authorization for TriBridge Residential, Rogers Towers, P.A., and/or Connelly & Wicker to apply for any rezoning (but not future land use map amendment), concurrency, or permitting review or approval necessary for the development of multifamily residential dwelling units on the Property. Very truly yours; ,'f Sellef�Entity]� ' "," P\ a-rn„ + A r.ht- s LAI-, it 10?- 51 W,1sh,e R\Vc,6. , kU-S t--'''S ),-)e` CA ' o - / A t tisTz ox DEPARTMENT OF THE ARMY JACKSONVILLE DISTRICT CORPS OF ENGINEERS P.O.BOX 4970 p,, tl�l ;h JACKSONVILLE,FLORIDA 32232-0019 s ^�" February 26, 2016 `-t4. .t°f_` REPLY TO ATTENTION OF Regulatory Division North Permits Branch Jacksonville Permits Section SAJ-2016-00206 (NWP-BJC) Tribridge Residential, LLC Attn: Mr. William Norris 1575 Northside Drive Northwest Building 100, Suite 200 Atlanta, Georgia 30318 Dear Mr. Norris: The U.S. Army Corps of Engineers (Corps) assigned your application for a Department of the Army permit, which the Corps received on January 21, 2016, the file number SAJ-2016-00206. A review of the information and drawings provided indicates that the proposed work would result the discharge of clean fill over a total of 0.143 acre of waters of the United States (wetlands). The project site is located in Sectionl7 and 20, Township 2 South, Range 29 East, Jacksonville, Duval County, Florida. The work would affect waters of the United States (drainage-swales) associated with Hopkins Creek. Your project, as depicted on the enclosed drawings, is authorized by Nationwide Permit (NWP) Number 39. In addition, project specific conditions have been enclosed. This verification is valid until March 18, 2017. Furthermore, if you commence or are under contract to commence this activity before the date that the relevant nationwide permit is modified or revoked, you will have 12 months from the date of the modification or revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. Please access the-U.S. Army Corps of Engineers Jacksonville District's Regulatory Internet page to access Internet links to view the Final Nationwide Permits, Federal Register Vol. 77, dated February 21, 2012, specifically pages 10270 — 10290, the Corrections to the Final Nationwide Permits, Federal Register 77, March 19, 2012, and the List of Regional Conditions. The Internet page address is: http://www.saj.usace.army,mil/Missions/Regulatory.aspx Please be aware this Internet address is case sensitive and should be entered as it appears above. Once there you will need to click on "Source Book"; and, then click on - 2 - "Nationwide Permits." These files contain the description of the Nationwide Permit authorization, the Nationwide Permit general conditions, and the regional conditions, which apply specifically to this verification for NWP Number 39. Enclosed is a list of the six General Conditions, which apply to all Department of the Army authorizations. You must comply with all of the special and general conditions and any project specific condition of this authorization or you may be subject to enforcement action. In the event you have not completed construction of your project within the specified time limit, a separate application or re-verification may be required. The following special conditions are included with this verification: 1. Reporting Address: The Permittee shall submit all reports, notifications, documentation and correspondence required by the general and special conditions of this permit to the following address: a. For standard mail: U.S. Army Corps of Engineers, Regulatory Division, Special Projects and Enforcement Branch, P.O. Box 4970, Jacksonville, Florida 32232-0019. b. For electronic mail CESAJ-ComplyDocs@usace.army.mil (riot to exceed 10 MB). The Permittee shall reference this permit number, SAJ-2016-00206, on all submittals. 2. Erosion Control: Prior to the initiation of any work authorized by this permit, the Permittee shall install erosion control measures along the perimeter of all work areas to prevent the displacement of fill material outside the work area into waters of the United States. Immediately after completion of the final grading of the land surface, all slopes, land surfaces, and filled areas shall be stabilized using sod, degradable mats, barriers, or a combination of similar stabilizing materials to prevent erosion. The erosion control measures shall remain in place and be maintained until all authorized work is completed and the work areas are stabilized. 3. Fill Material: The Permittee shall use only clean fill material for this project. The fill material shall be free from items such as trash, debris, automotive parts, asphalt, construction materials, concrete block with exposed reinforcement bars, and soils contaminated with any toxic substance, in toxic amounts in accordance with Section 307 of the Clean Water Act. 4. Agency Changes/Approvals: Should any other agency require and/or approve changes to the work authorized or obligated by this permit, the Permittee is advised a modification to this permit instrument is required prior to initiation of those changes. It is the Permittee's responsibility to request a modification of this permit from the Jacksonville Permits Section. The Corps reserves the right to fully evaluate, amend, and approve or deny the request for modification of this permit. - 3 - 5. Cultural Resources/Historic Properties: a. No structure or work shall adversely affect impact or disturb properties listed in the National Register of Historic Places (NRHP) or those eligible for inclusion in the NRHP. b. If during the ground disturbing activities and construction work within the permit area, there are archaeological/cultural materials encountered which were not the subject of a previous cultural resources assessment survey (and which shall include, but not be limited to: pottery, modified shell, flora, fauna, human remains, ceramics, stone tools or metal implements, dugout canoes, evidence of structures or any other physical remains that could be associated with Native American cultures or early colonial or American settlement), the Permittee shall immediately stop all work and ground-disturbing activities within a 100-meter diameter of the discovery and notify the Corps within the same business day (8 hours). The Corps shall then notify the Florida State Historic Preservation Officer (SHPO) and the appropriate Tribal Historic Preservation Officer(s) (THPO(s)) to assess the significance of the discovery and devise appropriate actions. c. Additional cultural resources assessments may be required of the permit area in the case of unanticipated discoveries as referenced in accordance with the above Special Condition; and if deemed necessary by the SHPO, THPO(s), or Corps, in accordance with 36 CFR 800 or 33 CFR 325, Appendix C (5). Based on the circumstances of the discovery, equity to all parties, and considerations of the public interest, the Corps may modify, suspend or revoke the permit in accordance with 33 CFR Part 325.7. Such activity shall not resume on non-federal lands without written authorization from the SHPO for finds under his or her jurisdiction, and from the Corps. d. In the unlikely event that unmarked human remains are identified on non-federal lands, they will be treated in accordance with Section 872.05 Florida Statutes. All work and ground disturbing activities within a 100-meter diameter of the unmarked human remains shall immediately cease and the Permittee shall immediately notify the medical examiner, Corps, and State Archeologist within the same business day (8-hours). The Corps shall then notify the appropriate SHPO and THPO(s). Based, on the circumstances of the discovery, equity to all parties, and considerations of the public interest, the Corps may modify, suspend or revoke the permit in accordance with 33 CFR Part 325.7. Such activity shall not resume without written authorization from the State Archeologist and from the Corps. 6. Self-Certification: Within 60 days of completion of the work authorized by this permit, the Permittee shall complete the attached "Self-Certification Statement of Compliance" form and submit it to the Corps. In the event that the completed work -4 - deviates in any manner from the authorized work, the Permittee shall describe the deviations between the work authorized by this permit and the work as constructed on the "Self-Certification Statement of Compliance" form. The description of any deviations on the "Self-Certification Statement of Compliance" form does not constitute approval of any deviations by the Corps. This letter of authorization does not obviate the necessity to obtain any other Federal, State, or local permits, which may be required. Prior to the initiation of any construction, projects qualifying for this Nationwide permit must qualify for an exemption under section 403.813(1), Florida Statutes or 373.406, Florida Statutes, or otherwise be authorized by the applicable permit required under Part IV of Chapter 373, Florida Statutes, by the Department of Environmental Protection, a water management district under section 373.069, Florida Statutes, or a local government with delegated authority under section 373.441 , Florida Statutes, and receive Water Quality Certification and applicable Coastal Zone Consistency Concurrence or waiver thereto, as well as any authorizations required for the use of state-owned submerged lands under Chapter 253, Florida Statutes, and, as applicable, Chapter 258, Florida Statutes. You should check State-permitting requirements with the Florida Department of Environmental Protection or the appropriate water management district. This letter of authorization does not include conditions that would prevent the `take' of a state-listed fish or wildlife species. These species are protected under sec. 379.411, Florida Statutes, and listed under Rule 68A-27, Florida Administrative Code. With regard to fish and wildlife species designated as species of special concern or threatened by the State of Florida, you are responsible for coordinating directly with the Florida Fish and Wildlife Conservation Commission (FWC). You can visit the FWC license and permitting webpage (http://www.myfwc.com/license/wildlife/) for more information, including a list of those fish and wildlife species designated as species of special concern or threatened. The Florida Natural Areas Inventory (http://www.fnai.org/) also maintains updated lists, by county, of documented occurrences of those species. This letter of authorization does not give absolute Federal authority to perform the work as specified on your application. The proposed work may be subject to local building restrictions mandated by the National Flood Insurance Program. You should contact your local office that issues building permits to determine if your site is located in a flood-prone area, and if you must comply with the local building requirements mandated by the National Flood Insurance Program. If you are unable to access the internet or require a hardcopy of any of the conditions, limitations, or expiration date for the above referenced NWP, please contact Brad Carey by telephone at 904-232-2405. - 5 - Thank you for your cooperation with our permit program. The Corps Jacksonville District Regulatory Division is committed to improving service to our customers. We strive to perform our duty in a friendly and timely manner while working to preserve our environment. We invite you to complete our automated Customer Service Survey at http://corpsmapu.usace.army.mil/cm_apex/f?p=regulatory_survey. Please be aware this Internet address is case sensitive; and, you will need to enter it exactly as it appears above. Your input is appreciated —favorable or otherwise. Sincerely, t � M rkE 'ns Senior oject Manager Enclosures Copies Furnished: Environmental Resource Solutions, Inc. Attn: Matt Dinkins 8711 Permiter Park Boulevard.,Suite 1 Jacksonville, Florida 32216 CESAJ-RD-PE GENERAL CONDITIONS 33 CFR PART 320-330 1. The time limit for completing the work authorized ends on March 18, 2017. 2. You must maintain the activity authorized by this permit in good condition and in conformance with the terms and conditions of this permit. You are not relieved of this requirement if you abandon the permitted activity, although you may make a good faith transfer to a third party in compliance with General Condition 4 below. Should you wish to cease to maintain the authorized activity or should you desire to abandon it without a good faith transfer, you must obtain a modification of this permit from this office, which may require restoration of the area. 3. If you discover any previously unknown historic or archeological remains while accomplishing the activity authorized by this permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordination required to determine if the remains warrant a recovery effort of if the site is eligible for listing in the National Register of Historic Places. 4. If you sell the property associated with this permit you must obtain the signature of the new owner in the space provided and forward a copy of the permit to this office to validate the transfer of this authorization. 5. If a conditioned water quality certification has been issued for your project, you must comply with the conditions specified in the certification as special conditions to this permit. For your convenience, a copy of the certification is attached if it contains such conditions. 6. You must allow a representative from this office to inspect the authorized activity at any time deemed necessary to ensure that it is being or has been accomplished in accordance with the terms and conditions of your permit. DEPARTMENT OF THE ARMY PERMIT TRANSFER REQUEST PERMIT NUMBER: SAJ-2016-00206(NW-39) When the structures or work authorized by this permit are still in existence at the time the property is transferred, the terms and conditions of this permit will continue to be binding on the new owner(s) of the property. Although the construction period for works authorized by Department of the Army permits is finite, the permit itself, with its limitations, does not expire. To validate the transfer of this permit and the associated responsibilities associated with compliance with its terms and conditions, have the transferee sign and date below and mail to the U.S. Army Corps of Engineers, Enforcement Section, Post Office Box 4970, Jacksonville, FL 32232-0019. (TRANSFEREE-SIGNATURE) (SUBDIVISION) (DATE) (LOT) (BLOCK) (STREET ADDRESS) (NAME-PRINTED) (MAILING ADDRESS) (CITY, STATE, ZIP CODE) SELF-CERTIFICATION STATEMENT OF COMPLIANCE Permit Number: SAJ-2016-00206 Permittee's Name &Address (please print or type): Telephone Number: Location of the Work: Date Work Started: Date Work Completed: PROPERTY IS INACCESSIBLE WITHOUT PRIOR NOTIFICATION: YES NO TO SCHEDULE AN INSPECTION PLEASE CONTACT AT Description of the Work (e.g. bank stabilization, residential or commercial filling, docks, dredging, etc.): Acreage or Square Feet of Impacts to Waters of the United States: Describe Mitigation completed (if applicable): Describe any Deviations from Permit (attach drawing(s) depicting the deviations): *****kit***k********* I certify that all work, and mitigation (if applicable) was done in accordance with the limitations and conditions as described in the permit. Any deviations as described above are depicted on the attached drawing(s). 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J , narW cr aw"'4.'""" a o _S .rrrr _:,,r4,4. a 4, rr:.. .ts. 6}' 4414 (--nit 1.1.4 i!+{vaiAiirelf I run!ll(r.tau: :1X IGfi} Schematic and Impact ..jay•�,r�yk f�{" City of Atlantic Beach :4 Complete Plans Checklist Provide (2) copies of signed and sealed Architectural/Engineering Plans to include five (5) sets of Site Plans. (Note:Commercial projects will need(3)sets of signed and sealed plans;one to be sent to Fire Department for review.) LI Cover Page: • Address of project • Occupancy Class:For One&Two family'Group R-3". • Applicable codes;5th Edition Florida Building Code and Florida Fire Prevention Code,2011 National Electrical Code,and COAB Code of Ordinances. Energy forms as required by Florida Energy Code. • Index of all drawings&attachments and all pages numbered. • Printed name,contact info,date and signature of person responsible for the design of the structure. ❑ Site Plan(Legal Survey): • Distance of proposed house to property lines. • Flood Zone. • Proposed Finish Floor Elevations for lowest habitable space and garage. • • A/C compressors,generators, LP gas tanks,pool equipment etc. • Driveways,walkways,patios... • Impervious Surface Area(lot coverage)calculations—tabulation of all impervious areas required • Drainage plan with supporting on-site water storage calculations,and location of easements. Contact Public Works for information on On-Site Storage requirements for added impervious surface area. ❑ Erosion&Sediment Control Plans(Can be included on Site Plan/Survey): • Silt fence location,construction detail and maintenance plan. • Installation must be inspected and approved by Public Works before any site work is started. • Inlet protection(if existing storm water Inlets are adjacent to property. ❑ Construction Site Management Plan(Can be Included on Site Plan/Survey): • Location of any proposed demolition • Grading&drainage surface water management plan • Onsite&offsite parking for construction workers • Location of temporary fencing with height and screening indicated • Location of(Atl.Beach franchise approved)dumpster. Location of construction trailer,chemical toilet,soil stockpile,and materials storage. COAB Code of Ordinances—Sec,eels ❑Foundation Plan: • Required plan note i.e.:"A foundation survey shall be performed and a copy of the survey shall be on the site for the building inspector's use prior to framing inspection.'Or, "all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks.' ❑ Floor Plan: • Size and arrangement of all rooms and intended use. • Locate air handlerst fireplaces,water healers,attic access,etc. • Label accessible 1" floor bathroom,egress,windows,window sill height,etc. ❑ Elevations ❑ Structural Engineering: • Structural design criteria,loading requirements indicated. • Shear Wail plan. • Size all beams,headers and support requirements. • Detail uplift&load path connections. • Engineers embossed seal required. ▪ Supporting structural calculations included.(FEW-See-1603) • Truss and delegated engineering must he signed off by Engineer of Record as meeting his/her design- 1 • i ❑ Roof Plan: Indicate how attic is to be ventilated. • Indicate roofing types. Sections and Details: . Typical wall sections for each dissimilar wall type,including insulation. • Stair sections with guard and handrail details. • Balcony guardrail and deck and flashing details. • Exterior wall covering details. Electrical Plan: • • Riser diagram including size and type of service entrance conductors • Location of all receptacles,switches and the distribution panel. . Required plan note; "All electrical wiring to be in accordance with 2011 NEC. Provide arc-fault and ground fault circuit interrupters as required by NEC. ❑ Plumbing(please note If the following applies): • New or existing private well on property • Irrigation to be installed ▪ Irrigation meter desired Trees: • Tree Removal Permit Application. • If no trees are to be removed,please submit a Tree Affidavit. 9 • • • 2 I 1 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J331>'� PHONE(904)247-5800 FAX(904)247-5845 CONTRACTOR REGISTRATION REQUIREMENTS *NO PERMIT WILL BE ISSUED WITHOUT CURRENT REGISTRATION* The information listed below may he submitted via mail,facsimile,email or hi persons. 1. Current State Certified or Registered Contractor's License,Duval County Construction Trades Qualifying Board License,Florida Department of Agriculture and Consumer Services License; 2. Current Business Tax Receipt(for City and/or County where your business is physically located); 3. Current Certificate of Liability Insurance(certificate hold;City of Atlantic Beach, 800 Seminole Road,Atlantic Beach,Florida 32233); 4. Current Worker's Compensation Exemption or Certificate of Insurance(certificate holder:City of Atlantic Beach,800 Seminole Road,Atlantic Beach,Florida 32233). All items 1 4 must be submitted and current. •• { • 1 DO NOT WRITE BELOW.- .OFFICE USE ONLY Applicable Codes:2010_FLORIDA BUILDING C'UDg Review Result(circle one): Approved Disapproved.pp Approved Iv/Conditions Review Initials/Date: Development Size Habitable Space _Non-Habitable Impervious area • Miscellaneous Information Occupancy Group Type of Construction Number of Stories Zoning District Max. Occupancy Load Fire Sprinklers Required. Flood Zone Conditions/Comments: • • LAN- -16 t t, 800 Seminole Road t Atlantic Beach,Florida 32233 Telephone(904)247-5800 FAX(904)247-5805 "J7 i Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6-18 has been approved as a part of this building permit.The Construction site management plan was approved based upon the following information. 1 1. Parking plan—parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers,loading/unloading area and material storage ! area. ! 3. Location of chemical toilet area.(cbemical toilets must be kept out of City 1 right-of-way and not further than 15 feet from structure under construction) 4. Location of dumpster.Dumpster must he from an approved waste company 1 (in accordance with Chapter 16 City Code)as of 2009 the pemlitted 1 dumpsters are Advanced Disposal,Realco Recycling,Republic 1 Services,Sunshine Recycling and Shappells.Dumpsters will have tarp covers or rigid covers on windy days.Dumpsters must be removed prior to issuance of Certificate of Occupancy. S. Traffic control plan,showing access with dimensions,area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 1 6. Site cleanliness.Contractor must have the entire construction site cleaned by -Friday of each week.This means removal of scrap lumber,concrete remnants and other such construction debris including cans,metal,plastic and paper. 7. Erosion and Sediment Control.Contractor must maintain all elements of the • approved Fmsion&Sediment Control Plan(silt fence,catch basin litters,etc.) until sod or other stabilization has been placed and approved by Public Works. 8. Other activities,where special conditions are identified by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. 6-17 (3) Revised 3/2016 - r•-----fir+,=—.:-_ .._.._.�.. ._...__..:n .....=—... BUILDING PERMIT APPLICATION a''b.. a� CITY OF ATLANTIC BEACH \ • / 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax;(904)247-5845 Job Address: Northwest corner of Aquatic Drive and Atlantic Blvd. Permit Number: Legal Description �L RE# 1 7 7 bP?7"GSt'O Valuation of Work(Replacement Cost)$ 4'f k- Heated/Cooled SF Non-Heated/Cooled GtiV^-41P-g) ■ Class of Work(Circle one): Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(CIrcle one): ommercta Residential • ■ If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • 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# for multiple products use product approval Ions Property Owner Information Name l`t1,�i thAMAZ 1""4ddress: 1575 Nb1z-1 i1 P b1Z. (LSYJ/ (il5O��Z D City Lfjf l© StateC/0Zip 'z \/Phone -1 - 3/ 7-- to 74 E-Mail f Vl lit—WwiN1 IV Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 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 Com�yy+ Urban Partners Construction, LLC Qualifying Agent: ��nRu AIpO E_ �Ot.)��fi Lam• Address: 3236 Beach Blvd. City Jax. State Zip FL 32207 Office Phone 904-270-2225 Job Site/Contact Numb- 904-591-7929 State Certification/Registration# CGC. t51" 37'1 urbanpartnersgroup.com Architect Name&Phone# Poole&Poole Architecture 804-225-0215 Engineer's Name&Phone# Connelly&Wicker, Inc. 904-265-3030 Worker's Compensation j9wt.pe )/11MT11 �Cr 1/JsU2f1nJC'�F (l.(syv�,Pi I 1 U1 104tgl(e Exempt nsurer 1 Lease ham oyees/hxprratron Dale Application is hereby trade to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced error to the issuance of q permit and that all work will be performed to meet the standards of all lass regulating construction in this jurisdiction. is permit becomes null and void f work is not commenced within six(6)months,or if construction or work is sa . nded or abnndoncd�jor a period o sox(6)months at any time after work is commenced. 1 understand that separate pernits must be securedjor ectrlcal Wo -Pt Sing, Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks and Air Conditioners,eta Signature igna re f Property Owner: Signature of Contracto(" me this Day of Before me this a ay of Notary Public: Notary Public: I hereby cerci/i'that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governiiz,g this type o work will be complied with whether specified herein or not. The granting of a permit dais not presume to give authority to violate or cancel the provisions of any other.federal..state,or local law regrdatrng construction or the performance of construction. Rev.3/14/16 CITY OF ATLANTIC BEACH 800 Seminole Road 904-247-5800 a' Atlantic Beach,Florida 32233-5445 Fax 904.247-584 SITE DEVELOPMENT PERMIT (for filling, grading or topographically altering land) PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Date..- March 21,2016 PERMIT'# Job Address Northwest corner of Aquatic Dr.and Atlantic Blvd. ISSUED BY THE CITY Permitee: TBR Aquatic Owner,LLC Telephone# 404-367-6523 -- Permittee Address: 1575 Northside Dr. Bldg 100, Ste. 200,Atlanta, GA 30318 Email Address williamn@tribridgeres.com _ Fax Number: Requesting Permission to commence site development Involving the following activity: Clearing, grubbing, filling,grading, construction of utilities, drainage and roadways Location: (Reference to Cross-Street) Northwest corner of Aquatic Drive and Atlantic Blvd. The following permits have been submitted Tree Removal xX Demolition xX THIS APPLICATION INCLUDES A L INFORMATION REQUIRED BY THE CITY'S SITE DEVELOPMENT PERMIT CHECKLIST (Must be signed by Applicant) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,both aerial and underground and the accurate locations are shown on the sketches, 2. Any work proposed in City rights of way or easements shall be subject of a separate Right of Way and Easement Permit Application. 3. All work shall meet City of Atlantic Beach, City of Jack§onville or Florida De -rtlnent of Transportation Standards and be performed under the supervision of DMA t_ Contr ctor's Project Superintendent)located at 1. ..Telephone#: ��•�' 2,11-177,1 4. Calculations showing an increase In imoerviotfs area on owner's lot and f orio the city Rig't of Way are to be included with this application. 5. 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. T. 6. This permittee shall commence actual construction in good faith within t,(0 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. 7. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Serum rrre ihi5 day of hr Ste County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: Produced Identification: