The URL can be used to link to this page

Selva Marina-1600 (09-0366).A\41 City of Atlantic Beach Building Department Y s 800 Seminole Road a Atlantic Beach, Florida 32233-5445 - Phone (904) 247-5826 . Fax (904) 247-5845 r Ja3j3? E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department) Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: �(� UO Sf l vii. —A4z;m ,)r Applicant: �_ dlwmgs Project: i#&s g, 2timchl JVD �FC Department review required Yes No Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: JApproved. ❑Denied. (Circle one.) Comments: � O - (Q /�� BUILDING PLANNING & ZONING�� TREE ADMIN. Reviewed by: Date: Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. [--]Denied. Comments: Reviewed by: Date: Public Works Flan Review Comments Date: 3 a° oq Initials Project Name/Address: j ivt� S( -LVA Application Permit # . oq - ©3�6 to , ,r�ppliea'tron Provide impervious surface calculations. c Provide erosion and. sediment -control plans with installation details and maintenance schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right -of -Way Permit if using �/ rit-of-wa for construction arkin �'` Provide a pre -construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing l' contours. S ection 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey-doctmeenting ❑ proper construction will be required. A Right -of -Way Permit must be obtained for use L7 A Revocable Encroachment Pe=h must be obtained. ❑ Pool — Wellpoint (if used) must discharge into vegetated area 10' -minima from � street or- drainage feature (swale, structure or lagoan . All driveway aprons must be concrete, 5 inches thick, 4,000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW Commercial driveways — 6." thick). Any utility cuts in the road must be repaired using COd Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. Roll off container company must be on City approved list and cannot be placed on -CCity right-of-way. 4 si CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 sT OFFICE: (904)247-5826 • FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US 9� BUILDING PERMIT APPLICATION 09- DUVAL COUNTY WWWRµ�G rrxM4CJTIk?t�)",SC�UGIDEO:. OF1hF?D2E00, iuoo SP-6vo- kctAfna- Dr 35, ooU goo l E-WVE& ❑ NEW BUILDING ❑ DEMOLITION ❑ RESIDENTIAL LOT BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE 09 COMMERCIAL =9401'G), ";:i� %ALTERATION 13 ACCESSORY BLDG. -'WW"-$,P�?) / i peg I� 13 REPAIR 13 POOL / SPA [3 YES X1, N/A P Q t�� ef. ) )Q{ft 4 �1( e i S {-( I ❑ MOVE ❑ OTHER Cl NO P OPER�I E.: � . � s -,. u - TON 4)R CT i E1 9. NAME: S$IV a- M tllYtnq emillr-r e, J 15. COMPANY NAME: 1 OC C Q,l ctm"Clials'pDr- 23. COMPANY NAME: iZPG - 'a -t Vmt " Cho),1, 4-t) - 16. NAME: e4-ev go Ct r u,e s 24. LICENSEE NAME: e is r 10. ADDRESS: 17. STATE OF FLORIDA LIOEENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: Ilsoo Satva 0y' C67 n oc4otg1\) 18. ADDRESS: C y 26. ADDRESS: 12d .� aft I art'ri c f'�r_ad i/ r L 3.2:235 -ic each �L 3a a B c - a�� 3a a 3 11. OFFICE PHONE:12. goy- auG- u�a�7 FAX NO.: 9bl.+-aUG-ql-.l 19. OFFICE PHONE: - U --iJH1 20. FAX NO.: q04-dql, uL1�7 27. OFFICE PHONE: . u- u1- '441(algo�►�r 28. FAX NO.: yya 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: N/A N/A 14. EMAIL ADDRESS: NiA 22. MAIL ADDRESS: e+e@Y C 30. E MAIL ADDRESS: U 1 '3'11tuTe@I 13.- ll 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, 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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. * 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. �ittotileY4�4��-,...riifl41?.�d)'��'",' Signed: Da Signe Date: 3/11/0 1/ �M Before 4 a this �_ day of 2009 in the county of Before 1 1 day of 2009 in the county of Duval,S to o Florida, s red Duval, S Rersonally appeared . TLiallapp r s herin by himself / her and affirms that al statements and declarations are herin by himself / herself a affirms that all statements and declarations are true and accurate. S -tl itrue . '•, Y�NEECLARMITE and accurate. nNotary Public at Lar f• �f Notary Public at Large, State of lOr/CI k , County of D it -v �-V Personally Known %j EXPIRES July U2, 2011 1�Personally Known ❑ Produced Identific ''T ,,15 ❑Produced Identifcati n - Notary Signature: j Notary Signature: V BLDG01 Permit Application Bldg: REVISED: 12/18/2008 (/ r4r1 JENNIFER SNOW Notary Public - State of Florida ' . EMy Commission Expires Aug 23, 2009 oe Commission # 00464853 Bonded By National Notary Assn. NOTICE OF COMMENCEMENT State of V-10Yk dc. Tax Folio No. County of Duval To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 1600 6-e l v a x aY i n a Dr A -a--! an+- i s 16 ca cl-1 FL 3 a -13 3 Address of property being improved: � General description of improvements: SL( f g W c. e R-ePYlO d e l A Dec K - Owner: ,Se l va A 0,r 1'rla. (;DU n±jM CIU. -I, Address: I U 0 0 SS Iy a Dr, A+-Ia.r *ic, bead ). 1-- L Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: g P 6 &C -r y-0-1 (f 13&Ta CkDY S , -j-no Address: Jq8 Leyv pd A+1ani Ic bnnch,R 3PP33 Telephone No.: q 0 q- a t 1 la Fax No: q p t1- a 4 I- L4 r-! -o'-% Surety (if any) Address: Telephone No: Fax No: Amount of Bond $ Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THI5 SPACE FOR RECORDER'S USE ONLY OWNER Doc ;t 2009065335, OR BK 14515 Page 412, Number Pages: 1 Recorded 03/19/2009 at 12:51 PM, JIM FULLER. CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Signed: Dater W, Beforalme this I Ito day of° in theY141 of Duval, State Of Florida, has personally appeared 1,( h l C Notary Public at Large, State of Florida, County of Duval. My commission expires: '0-7 /O 2 /11 Personally Known: ✓ or Produced Identification: my COMMIS ION S my ", 2011 �b a