Selva Marina-1600 (09-1335)WJCity of Atlantic Beach
B ildin De artment
Y 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247
E -mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION REVIE
Property Address:
Applicant:
Project: -
Department review required Yes No
Building
Planning & Zoning
Tr nistrator
Public Utili
Public Safety
Fire Services
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:
I Reviewing DepartmentI First Review:
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
TREE ADMIN.
PUB I WO KS
PUB IC TIES
PUBLIC SAFETY
FIRE SERVICES
' Revised 05114109
APPLICATION STATUS
%Approved. ❑Denied.
Reviewed
Second Review: ❑Approved as revised. ❑Denied.
Comments:
Third Review:
Comments:
Reviewed by:
❑Approved as revised. ODenied.
Reviewed by:
Date:
Date:
Public Utilities Plan Review Comments
D Initials:
Date:
I I
Project Name/Address: ' � 00 Sc l & �G� n Q �2 Application Permit W: 01- 1335'
:Check Box
Application Tracking Comments
to Add
Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call
X_P�
247-5834.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and
❑
visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered
0
with an RTI concrete box with metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer 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 installed
must be metered with a Sensus touch -read meter in a properly sized vault and an
❑
appropriate backflow preventer installed. Backflow preventer must be tested by a
certified tester and a copy of the results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for
backflow requirements. At a minimum, will require double check backflow
❑
-preventer-
Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2"
❑
must be installed in a vault as noted in JEA specifications.
❑
J 6" AC water main I
110" vc sewer main l'
8" vc sewer main I A 1% 18" vc sewer main
6" AC water main
U
12" water main I
Sep
i� City of A Beach
Building Depa::zz
=� 800 Seminole Road
45 Atlantic Beach, Florida 32233-5
Phone (904) 247-5826 • Fax (904) 247-5845
r; E-mail: building-dept(Mcoeb.us
City web -site: http://www.coab.ua
APPLICATION REVIEW AND TRACKING FORM
Property Address: /iP 0 1ISfIyag
Applicant:
Project: -
MEit ��.'°" zi�.',,�.M
Department review required Yes No
Building
Planning & Zoning
Tr nistrator
Public Uti'
Public Safety
Fire Services
Other Agency 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:
A13131 If+ATInKil CTATI IC
Reviewing Department
First Review:
Approved.
❑Denied.
(Circle one.)
Comments:
BUILDING
ZONING
1
PLANNING &
Reviewed b
Date: d�!
TREE ADMIN.
Second Review:
[]Approved as revised.
❑Denied.
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
Third Review:
[]Approved as revised.
❑Denied.
FIRE SERVICES
Comments:
Reviewed by:
Date:
Revised 05/14/09
Public Works Plan Review Comments
�V,
Date: Initials:
i
Project Name/Address: I (o 00 S6LV 1- 6,cC 14 Application Permit M (� "� 3 3 SJ
ox
,A.pplication Track ng Comments
Application
to Aad
onTili�ilt
Provide impervious surface calculations.
❑
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
0
right-of-way for construction parking.
Provide a pre -construction topographic survey prepared by a Florida Licensed
❑
Professional- Land Surveyor, showing P contours.
Section 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 documenting
❑
proper construction will be required.
A Right -of -Way Permit must be obtained for use
❑
A Revocable Encroachment Permit must be obtained.
❑
Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from
❑
street or drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from
the edge of the pavement to the property linea Reinforcing rods or mesh are not
❑
allowed in the ROW (Commercial driveways — 6" thick).
Any utility cuts in the road must be repaired using COJ 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.
P - Roll off container company must be on City approved list and cannot be placed
on City right-of-way.
❑
0
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
•` 800 Seminole Road 904-247-5800
Atlantic Beach, Florida 32233-5445 Fax 9D4-247-6845
DateF.Q. b4r- ' iim p �200 9 TER#
Job Address /&00 SeIVCt BY THE CITY
Marina Dr.
Permitee: AT&T (fka BELLSOUTH TELECOMMUNICATIONS) Telephone # 904-7779052 ext 320
Permittee Address: 7666 BLANDING BLVD JACKSONVILLE, FL. 32244 ATTN: Nicole Padron
Requesting Permission to Construct: TELEPHONE CABLE ` A74T *� 93e log j a0 h
Location: (Reference to Cross -Street) Be �- td
-1. Applicant declares that prior ascertained the location of all existing utilities,
both aerial and underground hown on the sketches.
A Letter of Notification was n l /
Inicipalities:
Jacksonville Electric Authorit
Yes (X) No (
} Date: -Rd " Ug
Bell South Telephone Comp,
Yes( ) No (
) Date:
Ferrell Gas
Yes (X) No (
_
) Date:
Comcast
Yes (X) No (
) Date: 9-1(0-0-9
2. Whenever necessary for the ient, maintenance, safe and efficient operation,
alteration or relocation of all, asement as determined by the Director of Public
Works, any or all of said other facilities and appurtenances authorized
hereunder, shall be immedi; or easement or reset or relocated hereon as
required by the Director of inse of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent)
located at Telephone #: 904-393-4958.
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
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.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit
7. This permittee shall commence actual construction in good faith with 60 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.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER Q
Signed £ P GKN t (Ar%� - Date: 9-/J,-,09 /J° -a9
Before me this day of in the County of Duval,
State Of Florida, has personally appeared a), coir sr n
Notary Public at Large, State of Florida, Bounty, of Duval
My commission expires: t /t 2.,jo
rsona y Know or
P entiflcation: BARRY 0.YKI ti
_ W COAASION 6 DD 612293
'
EXPIRES, November 6, 2010
ecntl�a iMu ftwy ruao unamrNero
EXI STING A7&
MANHOLE