730 Plaza RESO19-0027 Extend Carport, Replace Facade RESIDENTIAL OTHER PERMIT PERMIT NUMBER
r z
o
CITY OF ATLANTIC BEACH RESO19-0027
800 SEMINOLE ROAD ISSUED: 12/9/2019
0111 ` ATLANTIC BEACH. FL 32233 EXPIRES: 6/6/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
RESIDENTIAL OTHER SINGLE OR
730 PLAZA TWO FAMILY RESIDENTIAL extend carport, replace
$20000.00
OTHER
facade
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171290 0000 ROYAL PALMS UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
BOUTWELL DESIGN BUILD 5353 Ramona Blvd #4 JACKSONVILLE FL 32205
OWNER: ADDRESS: CITY: STATE: ZIP:
Rachel Martin 730 PLAZA ATLANTIC BEACH FL 32233-3932
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247
-5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 12/9/2019 1 of 2
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RESO19-0027
800 SEMINOLE ROAD ISSUED: 12/9/2019EXPIRES: 6/6/2020
ATLANTIC BEACH. FL 32233
3 I PURL IC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,1Dog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod, is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
7 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
Water runoff cannot go to another lot.
8 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
Water runoff must stay on lot or be directed to street.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $155.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50
BUILDING PLAN REVIEW RESUBMITTAL FOURTH AND
455-0000-322-1006 0 $100.00
CONSEQUENT
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
BUILDING PLAN REVIEW RESUBMITTAL THIRD 455-0000-322-1006 0 $75.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.86
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.58
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $593.94
Issued Date: 12/9/2019 2 of 2
-:$1,:l.r , City of Atlantic Beach APPLICATION NUMBER
J, it)6 Building Department (To be assigned by the Building Department.)
800 Seminole Road � O 19
_ n,1 1
r e Atlantic Beach, Florida 32233-5445 Ca) I
� � s
Phone(904)247-5826 • Fax(904)247-5845 l
`,,, as )r E-mail: building-dept@coab.us Date routed: �//3//C1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 0 fl l( e4 _ Depaiment review required Ye" No
Iding 1J
Applicant: ,�D(&kW I lI OtS1A. £ tt ( I Cr " g &Zonings
Tree Administrator
Project: 'bac AA� C(),4 Pp v i 4 4� i„,„ k Public Works
Public Utiliti ,
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
9
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. I (Denied. ❑Not applicable
(Circ - •1- Comments:
BUILDING
PLANNING &ZONING
Reviewed by: /114 ,- Date: Ci/2e1/9
TREE ADMIN. Second Review: ['Approved as revised. [t6enied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES , y�
PUBLIC SAFETY Reviewed by: ! Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: L%-fit
Date: 17-31
1)
Revised 05/19/2017
Jtri i/,,tis � Building Permit Application Updated 10/9/18
Y City of Atlantic Beach Building Department **ALL INFORMATION
...1-0,, ,,,,,
fi� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`Oit IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: ' j sc)l_FZA Permit Number: F-LS rJ 19 - DO -3-
Legal Description Set SL24C1 AT U1.1 RE# Iy11 z%- b Ooc
Valuation of Work(Replacement Cost)$ ;.7,8)C)(-)t) Heated/Cooled SF Non-Heated/Cooled 3“) sr
• Class of Work: ❑New ❑Addition ❑Alteration ❑ air ❑Move [Memo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes DNo
• Will tree(s) be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) ❑No \.`
Describe in detail the type of work to be performed: 6(7-6---\)(>_, CI:i.4 n i' (,J )),YrIAA. ' C 7
11)U. U i O.&S ‹j 0 E Y1�4 S [CAA P-t'-0U(,�> ).c/i, c;
Florida Product Approval# for multiple products use product app'pval'form;
r.
PropertyOwnerInformation n , L :_ 1y a
Name -AC L2'1., rt- -'1 i- Address-37:7,--r,3
-730 -NA:LA Lt 0 9 a
City i C VIT)(.- '3C\A State (U Zip 37_7�3 Phone 4`�,p �q^ 3-' r- �Y ..1
C
E-Mail -rZlfl � 1itttl1,,s, Gi1JJ}1- r,m'Y4 )_.
-
Owner or Agent(If Agent, Power of Attorneyor Agency Letter Required) c r1
Contractor Information s: = '
Name of Company—BOUTli,J;-(,C1i'; -G VI( O Qualifyin Agent 01. 7 ,'tq 7 j1g f4- 1
Address5T3 _jZ,Ary
3 7, -14 STE4 City &JI((A,,.E ^_tate / L Zip 322.-per " i'"
Office Phone 9O4^' ,)- ` Job Site Contact Number �/� _%a)^2 0
State Certification/Registration# CC.-- -/,(03 3t� E Mail q 6_$ i2T-w )(,rJ S3VIvp.Cey,-, t.i : , . `1 ua
I
Architect Name&Phone# ? tw
Engineer's Name& Phone# —Th t j
Workers Compensation Insurer OR Exem Expiration Date q-/-0) 7�L CC
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 regulating
construction in this jurisdiction. I understand that a se•arate •er 't t •- s-, -. ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, .•: O , 0 ICE: In addition to the requirements of this
permit,there may be additional restrictions applicable o .ro r at may .e ound 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.
SEP 1 3 2019
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 TB'REi 11tB '� -at F COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPnO\7 MN#ISTSITO`Y�OUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
.it.-g4 Avkit- - .,,lv--,idizek-.4
(Signature of Owner or Agent) (Signature of Co ctor)
Signed and sworn to(or affirme )before me this l3 day of Signed and sworn to(or affirmed) before me this l' day of
Sei)te.M lati, aD‘C-I , by kc e-Lht 1 ),Att./.—k; ► e.ot off, do 6 , • ,,"tri' tS ,rr ,
to ii =:..•„ ..•HNSTON !4_1k 4111111
I 11'., ignatate 1g�t168 }it GG 042984 -
.r lit *_ , .'i :?y''•-; •JENNIFER JO STON
;:. litP EXPIRES:October 27,2020 , Ay ; 4'
*: !�. ;*: MY COMMISSION#GG 042984
;FBF o,. Bonded Thru Notary Public Underwriters ,, time' v.:� EXPIRES:October 27,2020
[ I Personally Known OR [ ]Personally Known OR f,f''°p'' Bonded Thru Notary Public Underwriters
[lj.F'roduced Identification Identificati,' \
Type of Identification: AI, �(,'J t 1�L.L/Ib Q_ Type of Identification: FL t i Q--v,..--v,.. \t L24S
4 , .
rte. > Revision Request/Correction to Comments **ALL INFORMATION
q �„ HIGHLIGHTED IN
j ; A ir, City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 800 Seminole Rd, Atlantic Beach, FL 32233
~F`i V• Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: (^�S 01 —1 — OG:4-4--
❑ Revision to Issued Permit OR 0 Corrections to Comments Date: /D—a--/1
Project Address: 1730 41.,_,.._
Contractor/Contact Name: 8a�r U ( /PaatcA ( "u�Ti
Contact Phone: qc)'-`)—D7 6Email: 12 ,i pr,.. ,4:: 1 , C c 3-i
Description of Proposed Revision/�C�orrections:
r- 1,\,`4-e c 6Vt✓1,\. i , , t
l GF.t1I l e ♦ _.1._
I
OCT 1 8 2019
I'��G`t v�GLl�-6),_ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Building Department
•aill proposed revision/corrections add additional square footage to origejtytatAlltantic Beach, FL
Jo ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
,Atio ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _a Aja,-,.4-1-4-----
/ (Office Use Only)
El �,
Approved Denied ❑ Not Applicable to Department Permit Fee D e$ d.00
Revision/Plan Review Comments SY.g" /7/, s 01 E S',.. 6rnfi i-A/ i 7 10 2r1Q J*if.d Trvrh
P1/ST 17--e V-i`e14i C.cj r)—vr%-0rt T" ..
De artment Review Required:
% ,
Planning&Zoni Reviewed By
Tree Administrator
Public Works
Public Utilities /'1 — a _d-CV9
Public Safety Date
Fire Services Updated 10/17/18
c A
4 //`` R 'f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
� OFFICE 'er, (904) 247-5800
BUILDING REVIEW COMMENTS
Date: 9/20/2019 _
Permit#: RES019-0027 Site Address: 730 PLAZA
Review Status: Denied RE#: 171290 0000
Applicant: BOUTWELL DESIGN BUILD Property Owner: Rachel Martin _
Email: sales@boutwelldesignbuild.com Email: radinteriors@gmail.com
Phone: 9043618207 Phone: 4802094393
9043618207
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
1. Submit 2 copies of structural engineering for the carport exstension.
2. Submit cover letter for project.
3. Submit construction compliance method/alteration level on the cover page.
4. Submit 2 copies of site plans with fencing placement details.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 247-5844
Email:mjones@coab.us
�rr�or ;1-ted Com. rt r 9. ao.1q illy
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
)FFICE COn '
re L Revision Request/Correction to Comments **ALL INFORMATION
` HIGHLIGHTED IN-"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
s-•••!:-..,91:19.,- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: K__ES O j el -noz_11
❑ Revision to Issued Permit OR -WI Corrections to Comments Date: Oa/ 261 1
Project Address:/A CZ tNt1A�\-1c .'tAe.A6.) rU 3Z233
Contractor/Contact Name: vi( 1> Sl CO tV1M Ir,A0yr- N 4.,t-__,
Contact Phone: GYA_-V.01 - �e-) Email: 'AUU�($OVVI \Cr7-tj\Li .6o`rY\
Description of Proposed Revision/Corrections:
C" && r l\s afi
I T 1, ,_ affirm the revision/correction to comments is incR the proposed chant
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
4\lo ❑ Yes (additional s.f.to be added: ) NOV 1 2 )119
• Will proposed revision/corrections add additional increase in building value to or' ' Mittal? Int
F`No ❑*Yes (additional increase in building value: $ .1l nia rmustsign if increase in�41uFilp)
Tom' i A
*Signature of Contractor/Agent: rL%� I, 4. ‘411!
(Office Use Only)
❑ Approved el I)enied ❑ Not Applicable to Department Permit Fee 4 ue$ 5700
Revision/Plan Review Comments S/,,l/ /UeJ/C ,h f eV)" ,n / /YKD1 halo R e r L' '1 /
Tfo✓✓\ - l r 7 I- P.c;.e - J
Department Review Required:
-_�$'iding " •_
,_ Planning&Zoning ,-, 7r1C)ivkewed By
Tree Administrator
Public Works / / �/�_��
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
•
OFFICE Cr'''"
rt uf„, Revision Request/Correction to Comments **ALL INFORMATION
q J . HIGHLIGHTED IN
' ' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
til, Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: T5Se,5"oOZ7
❑ Revision to Issued Permit OR CJ Corrections to Comments Date: Il LTJ /,
l
Project Address: 730 ZA 41-1-4&11 C Pi 37,2.33
Contractor/Contact Name: �csZcij‘kt� Ne))( ‘) '3.l.A g
Contact Phone: 1� 3.L, 72.0/.)' - Email: 1(per',T, " i'l�_GtQ CA')Aa L .CoteN.--..of Proposed Revision/Corrections:
T P L6 ai-T fes' ) L,rGUF,(, r t a tOtMc o(\) Vii.-d-2s,
I -P-'/(•( Z' affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
\No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
No ❑*Yes (additional increase in building value: $ ) (Con ractor must sign if increase in valuation)
*Signature of Contractor/Agent: -1_.---4/-• 74).02,4%-eiFilrei
(Office Use Only) • - ,_00
LJ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee D • $ - --
I
Revision/Plan Review Comments
Departmgnt Review Required:
Buil '_ - '' -T/ 1
:tanning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities /2 " 3'-1 ?
Public Safety Date
Fire Services Updated 10/17/18
CITY OF ATLANTIC BEACH
A J
800 SEMINOLE ROAD
5 .. 5 ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING REVIEW COMMENTS
Date: 11/19/2019
Permit#: RES019-0027 Site Address: 730 PLAZA
Review Status: denied RE#: 171290 0000
Applicant: BOUTWELL DESIGN BUILD Property Owner: Rachel Martin
Email: sales@boutwelldesignbuild.com Email: radinteriors@gmail.com
Phone: 9043618207 Phone: 4802094393
9043618207
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Co ments:
1. 1 looking for the information from 1 rst review concerning the construction compliance
method/alteration level, information to be placed on page 1 of the architectural drawings. 2 co, es of this
revised plan required.
Building '�` ' C-'
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 247-5844
Email:mjones@coab.us
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.
,,:o....46;----,, City of Atlantic Beach APPLICATION NUMBER
} `. ,',�� Building Department (To be assigned by the Building Department.)
-: ..: , 800 Seminole Road .�' D!9 _ C
,5,. Atlantic Beach, Florida 32233-5445 I
Phone(904)247-5826 • Fax(904)247-5845 ' r
''!o;i q:- E-mail: building-dept@coab.us Date routed: q L3//'7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 0 fl a C4 Department review required Yes No
l : ilding
Ra k kiAi L 0 OLSIJA K�I la alb! . g &Zoning
Applicant: n Lt ( Tree Administrator
Project: ty, n ti, C p v "1 tet-ni rau4 Publicorks
PuGrc Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
9
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. enied. ['Not applicable
(Circle one.) Comments: �- i�e4��e
weed sc4-�cic�s/ 1; (-4/e-�,�(.�, d�4w; sfr
BUILDING p(A(,%1
PLANNING &ZONING Reviewed by:�i Date: q 251--t
TREE ADMIN.
Second Review: ❑Approved as revised. 71Cenied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES 1 V e-e d epee I n 1C
PUBLIC SAFETY Reviewed by:____ __,X Date: ( """)--ti —(9
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
;ice Revision Request/Correction to Comments **ALL INFORMATION
4 HIGHLIGHTED IN
J \ City of Atlantic Beach Building Department GRAY IS REQUIRED.
`y . 800 Seminole Rd, Atlantic Beach, FL 32233 0 L�
�°''"'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: e-�SD[CI ^003
❑ Revision to Issued Permit OR $ Corrections to Comments Date: /1)—a---/I
Project Address: 730 41.
/cj
Contractor/Contact Name: 8a_P-1--A )L4-rp 9 ( / ../.4,20-A. Mtf___Pk7.\q.
Contact Phone: Li '``")-1D5 -4 6 ,13 Email: 1 c of(c--;�('\7 ,,r I t C oYYk
Description of ProposedrRevision� I
/Corrections:n
Tr`c..4k r a ce-ek_ GO 4k 1 ' ,tA r-C..Ch-i lb 41 4
'� ,,((�� c 1 to _
[l. h Ls UVJ'J
OCT 1 8 2019
I It AO V ''lL 't7)-‘_ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Building Department
•aill proposed revision/corrections add additional square footage to or•ig>1 t 61 t AtiAntic Beach, FL
o ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
)AtIo ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:�`T J.C.,JC (".G..,T -
(Office Use Only)
❑ Approved Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments N. e r- ci le, I e , Fri
D•.. .. - t Review Required:
Buit•' zip.-
Planning&Zonin: Reviewed By
Tree k•ministrator
Public Works r
Public Utilities t Li - I I
Public Safety Date
Fire Services Updated10/17/18
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED City of Atlantic Beach Building Department GRAY ISREQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:RCS O! _fl07')
n Revision to Issued Permit OR Corrections to Comments Date: tiV/Z. 24591
Project Address: 73 -vt AZA gc_TAS,clCAA1 pu. 3 a 5
Contractor/Contact Name:"gaUZ-(,,, _ ) ' lAk.ArN
Contact Phone: —Vol -.(S2Orl Email: $/jLks .tovVINI likInS\GP` k) (.,() F
Description of Proposed Revision/Corrections:
I ~ — 1 /t
affirm the revision/correction to comments is inc he proposed chalg
(printed name) r .;
• Will proposed revision/corrections add additional square footage to original submittal?
VVo ❑ Yes (additional s.f.to be added: ) ��19 •
> NO
• Will proposed revision/corrections add additional increase in building value to or}'g. I'.DU¢lY1t�taP "'!"9t
JV ❑o *Yes (additional increase in building value: $ °4.J{ n Matt6rtYrtrs#lsign if increaseini4uFiilli)
*Signature of Contractor/Agent: I/IT � A
gL� ..r .�, _
(Office Use Only)
/Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Hing&Zoning �'� Reviewed By
Tree Administrator
Public Works
Public Utilities / /`
Public Safety Date
Fire Services
Updated 10/17/18
rsi_I-tivrif, City of Atlantic Beach jAPPLICATION NUMBER
S �- -) Building Department ` (To be assigned by the Building Department.)
v800 Seminole Road SEP 16 2019 C' D 1 _ Ca)1-
5 g ,- Atlantic Beach, Florida 32233-544
\ -g Phone(904)247-5826 • Fax(904) 845
c;i1s:- E-mail: building-dept@coab.us Date routed: q//3/i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 0 p l a ' -g De•_tment review required Yes No
ilding
Applicant: im-
SRO(,&�"W . t OtsjA iLt ( l d —iu g & Zonin
1 D Tree Administrator
Project: -11,);A M a Ct4 po v 4 VV-tk) Fa agiJ Pub Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
9
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. nNot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed byLhateeta444..._Date: f•-filrTREE 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
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,,,:5!..Adr City of Atlantic Beach APPLICATION NUMBER
0 tittic c Building Department (To be assigned by the Building Department.)
r 800 Seminole Road
C-6.-SD
' LC�I�- �'1
j.. s Atlantic Beach, Florida 32233-5445 IC ?
Phone(904)247-5826 - Fax(904)247-5845
o;;,r� E-mail: building-dept@coab.us Date routed: //13//611
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 0 P1 a De tment review required Yes No
Ming
Applicant: �RO(,&- w L t ( ►�OLS eLU E d ' g &Zoning)
Tree Administrator
Project: 'lL c Rt Ca-r Po V M1,0rL,,(,4 Public Works
P tb„ tili$ie
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By9
Date
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: ./l�__Date: /7—/9
TREE ADMIN. Second Review: Approved as revise . ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Application#:
Project Address:
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment Print
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Water Sewer horizontal location of utilities. Hand dig if necessary. if field coordination is 0 0
Utilities needed,call 247-5878.
Meter Boxes Ensure all meter boxes,sewer cleanouts and valve covers are set to grade
Sewer cleanout and visible. 0 0
A sewer cleanout must be installed at the property line. Cleanout must be
RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade 0 ❑
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ be provided or if there is a private well on the property. Backflow preventer
Backflow must be tested by a certified tester and a copy of the results sent to Public ❑ ❑
Utilities.
Plans note the building will be unsprinkled. If plans change,any fire line
Sensus installed must be metered with a Sensus touch-read meter in a properly sized
Touch-Read vault and an appropriate backflow preventer installed. Backflow preventer 0 0
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinkler if fire sprinkler system is provided,call 247-5878 for backflow requirements.
Backflow At a minimum,will require a double check backflow preventer. 0 ❑
Requirement
1
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger
Meter
than 2"must be installed in a vault as noted in EA specifications. ❑
Utility Map See attached Utility Map. 0 0
Disconnect
&Cap Disconnect and cap water and sewer lines. 0 0
Inspection Must call the Inspection Line at 247-5814 to request an inspection of the
Prior disconnected and capped water and sewer lines prior to demolition. ❑ ❑
O 0
❑ 0
❑ 0
O 0
730 Plaza, Atlantic Beach FL 32233
Exterior Changes:
The original block has been covered with a cement board,that has been altered to look like faux brick on bottom and Giraffe
Spots, formed from stucco and paint over the top of the board. It will be pulled off exposing the block, and the block will be
painted a lighter blue color, Behr M460-2, "Beachside Drive". (color chip provided)
There will be a poured concrete front patio with low decorative wood railing.
The Patio, front porch and walkway will be epoxied with a micro-chip to be added for texture.
There will be a new front door (Product Provided) of Walnut that will be stained.
There will be white rock added next to the front of the house as well as in the curved areas in front of the new carport.
The chain link fence will be replaced with taller wood fencing,which will be vertical, however the fence returns showing from
the street will be horizontal.
Carport:
There will be a new Carport Structure with enclosures on the front and side elevation. The back will be open to the back yard.
The roof will be the same slope and height as the house roof. Drainage will be directed to the side yard.
There will be a front façade attachment,which will be slightly taller than the roofline, and will extend in front of the carport
side of the front porch,still exposing the front door. (See Plot Plan)
A light and house numbers will be on the front.The façade will be a white board and batten. The side will either be white
board and batten, or horizontal wood, to match the new fence returns separating the side yard and back yards.
There will be a 7 or 8 foot garage door painted a very dark brown to match patio railing, light fixture and house numbers.
BM5-2
Beachside Drive
M460-2"
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