Selva Marina-1600 (14-0577) New Pump StationCity of Atlantic Beach? —
�s Building Department
r s 800 Seminole Road APR 16 2014
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 24 x5845
S) 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: 11aed 0f /rA.///4r1;1 A,
Applicant: 1#0Z
Project: /1
d
_Dep4ftent review required Yes No
Buildin
Planning & Zoning SNOEA"gr -12
Tree Administrator
ublic IWork
ublic Safet6y
Fire Services
Review;fee $ Dept Signature
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
s4e
Reviewing Department
First Review:
Approved. ❑Denied.
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
y �p
Reviewed by: Date: Z— ` �r
TREE ADMIN.
Second Review:
[—]Approved as revised. ❑Denied.
WORKS
Comments:
JBLTIL
SAFETY
Reviewed by: Date:
Third Review:
QApproved as revised. ❑Denied.
FIRE SERVICES
Comments:
Reviewed by: Date:
Revised 05/14/09
Kaluzniak, Donna
From: Kaluzniak, Donna
Sent: Thursday, April 24, 2014 2:12 PM
To: 'Doug Maier'
Cc: Alex Acree; Rick Wood
Subject: RE: Permit App 14-0577 - Lift Station
Doug,
• OK, I checked JEA spec regarding the radius, so agree with your comment. I'm wondering if would be better to
have the larger one on the other side—as in most cases the vac truck or generator would go past the driveway
then back in? (C station was probably a bad example, as it is not between two very high-end homes with nice
yards and landscaping that we might run over).
• 6" thick wire mesh with fiber at 4,000 psi will be great.
• Great, just making sure as unfortunately we have some that drain towards station!
• Good, we do have the vent on the building as well. (Heat is the enemy of electronics and equipment so fighting
the Florida sun)
• Good, will review fence permit whenever ready.
Sending through permit approval from Public Utilities – thanks for your help – Donna
Donna Kaluzniak, Utility Director
City of Atlantic Beach
902 Assisi Lane
Atlantic Beach, FL 32233
(904) 270-2535
dkaluzniak@coab.us
From: Doug Maier[mailto:dougmaier(a)comcast.net]
Sent: Thursday, April 24, 2014 8:47 AM
To: Kaluzniak, Donna
Cc: Alex Acree; Rick Wood
Subject: FW: Permit App 14-0577 - Lift Station
Donna,
We have provided our comments below, please get back with me regarding.
Thank you!
Doug
Pete & Alex, here are comments/questions on this permit app:
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: '/' //1
Initials:
Project Name / Address. /Vit
Application Permit #:
Check Box
Check
Application Tracking Comments
to Add
Box to
Comment
"Print"
UWSU
Avoid damage to underground water / sewer utilities. Verify vertical and horizontal
❑
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834.
MBSC
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
RT1C
A sewer cleanout must be installed at the property line. Cleanout must be covered with
❑
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
RPZB
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.
STRM
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.
FSBR
if fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow
❑
❑
requirements. At a minimum, will require a double check backflow preventer.
FLM
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.
❑
❑
❑
❑
❑
❑
❑
❑
13
❑
General Contractors, Inc.
Rd.
P.O. Box 330775
Atlantic Beach, Fl- 32233
(904) 241-4416 - (904) 241-4427fax
COMPANY: City of Atlantic Beach
ATTENTION: Shirley
ADDRESS: 800 Seminole Rd.
DATE: 04/15/14
CITY/STATE/ZIP: Atlantic Beach, FL 32233
REFERENCE/JOB: ABCC Pump Station
WE ARE SENDING YOU: . IM ATTACHED ❑ UNDER SEPARATE COVER
THE FOLLOWING ITEMS:
❑ SHOP DRAWINGS ❑ PRINTS IX1 PLANS ❑ SAMPLES ❑ SPECIFICATIONS
❑ COPY OF LETTER ❑ OTHER
COPIES
DATE
NO.
DESCRIPTION
3
03/20/14
Signed & Sealed Plans for Pump Transfer Station V4 03/20/14 Binder
5
04/02/14
Pump Transfer Station Site Plan
1
Pump Transfer Station Building Permit Application
Dear Shirley,
Please find our application for permit for the Atlantic Beach Country Club Pump Transfer Station. Please contact me if you require
anything further.
Sincerely,
Catherine
SIGNED:
ewin
Design
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: tto oo M x-, \y,\c . Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ Proposed Work heated/cooled non-heated/cooled 2>2(W
Class of Work (circle one): e Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/p-tQp�structure(s) circle one): Commerci Residential
If an existing structure, is a fire sprinkler system installed. ircle one): Yes No N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: N ew Gayi r1 e L�,2 \2LLD \b
Property Owner Information:
Name: ,A-\Cx-k�C, RPac. Address: L-1 \_,} O \d-1Acxrcti \ZA . &-ye 5 0 2
City \ StateFL- Zip3 X73 Phone
E -Mail or Fax # (Op onal)
Contractor Information:
Company Name: IC.Y Ca .-,V-�., 9 M-,-}Dl-r r, S \v -r-. Qualifying Agent: P J .
Address: 2,4b- t�--v �A V -J . City\c epic . State Zip _X2233
Office Phone C?04- 2y\ - yq1 yo Job Site/ Contact Number ew�vFax # goLA - 2-41
State Certification/Registration # C C--1 C_ a ti o ( o 1 a Ci V LA • 2-4 \ • %A i H \x
Architect Name & Phone # C ro fN Y-- D �-kav-\ /k -cy\ \pec \uv'e Q UL� - co ?-Lo -
Engineer's Name. & Phone # J . Co\ 1w\ s 41z-\
Fee Simple Title Holder Name and Address
Bonding Company Name'and Address
Mortgage Lender Name and 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 Lf work is not commenced within six (6) months, or if construction or work is suspended or abandoned for apenod 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,urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ws and ordinances governing this
type o work will be complied with whether s ecL Led herein or not. The granting of a permit does not presume to ve authority to violate or cancel the
provisions of any other federal, state, or loc regulating construction or the performance of construction.
Signature of OwnerSignature of Contractor /
Print Name . Ct ..r.1.........1 :� l �. .. .................... Print Name .. ............ ..> ...- CL oc4 - -
Sworn tp and subscribed before me Sworn to and subscribed bef�re`me
this Z^ Day of Aori 1 2014 this � Day of Zvi ! 20,14
ary lic Notary Public
Revised 01.26.10
4%.
,IENNIF�CATHERINE LEWIN
NVAry Mft -11faM N FINIM .° = Notary Public - State of Florida
Bfly Came. FpiMs AYr t=. i�17 My Comm. Expires Apr 23, 2017
SUy;��� City of Atlantic Beach
Building Department
V 800 Seminole Road APR 16 2014
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904);247-5845
E-mail: building-dept@coab.us 43y:_
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: lbed 091YA_1&0 a
Applicant: / Z,
Project: 10i n
JD,eent review required Yes No
Build_in
Planning & Zoning S OI
Tree Administrator
Publi Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
i
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
SFS
Revised 05/14/09
Reviewing Department
First Review:
Approved.
❑Denied.
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
�'" Date: y /
TREE ADMIN.
Second Review:
❑Approved as revised.
❑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
PUBLIC WORKS PLAN REVIEW COMMENTS
Date:
Initials:RAI
Pro iect Name / Address �"� v� Q V► 1� Application Permit #: / y- j% �S- �7 7
Check Box
Check
Application Tracking Comments
to Add
Box to
Comment
"Print"
Provide table of impervious surface calculations for entire lot (existing and post
[3
❑
IMPS
construction).
Provide erosion and sediment control plans with installation details and maintenance
❑
❑
ESCP
schedule.
DPLN
Provide drainage plans showing site topography (flow arrows, etc.)
❑
❑
All runoff must remain on-site. Cannot raise lot elevation without measures to retain
❑
❑
RMRO
runoff.
Provide construction site management plan, including Right -of -Way Permit if using
E3
❑
CSMP
right-of-way for construction parking.
Provide a pre -construction topographic survey prepared by a Florida Licensed Professional
❑
❑
TSUR
Land Surveyor, showing V contours.
Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased run-off if adding 400 SF or more impervious surface. Provide Delta volume
❑
❑
LDCS
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
If on-site storage is required, a post construction topographic survey documenting proper
0
❑
PCIS
construction will be required.
RWPM
A Right -of -Way Permit must be obtained for use
❑
❑
REPM
A Revocable Encroachment Permit must be obtained.
❑
❑
Pool - Wellpoint (if used) must discharge into vegetated area 10' minimum from street or
❑
❑
PLWP
drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of
DAPR
pavement to the property line. Reinforcing rods or mesh are not allowed in the right -of-
❑
❑
way. (Commercial driveways - 6" thick).
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
URCT
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the
❑
❑
plans.
RWRS
Full right-of-way restoration, including sod, is required.
❑
❑
Roll off container company must be on City approved list and container cannot be placed on
ROFF
City right-of-way. (Approved: Advanced Disposal, Realco, Shappelle's and Waste
❑
❑
Management).
Full erosion control measures must be installed and approved prior to beginning any earth
ECIN
disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control
❑
❑
Inspection prior to start of construction.
Recommend Owner/Contractor meet with Public Works Director to discuss proposed
[3
❑
MEET
construction. Cali 247-5834 to make an appointment.
❑
❑
❑
0
General Contractors, Inc.
248 Levy Rd.
P.O. Box 330775
Atlantic Beach, FL 32233
(904) 241-4416 - (904) 241-4427fax
COMPANY: City of Atlantic Beach
ATTENTION: Shirley
ADDRESS: 800 Seminole Rd.
DATE: 04/15/14
CITY/STATE/ZIP: Atlantic Beach, FL 32233
REFERENCE/JOB: ABCC Pump Station
WE ARE SENDING YOU: IM ATTACHED ❑ UNDER SEPARATE COVER
THE FOLLOWING ITEMS:
❑ SHOP DRAWINGS ❑ PRINTS Rl PLANS ❑ SAMPLES ❑ SPECIFICATIONS
❑ COPY OF LETTER ❑ OTHER
COPIES
DATE
NO.
DESCRIPTION
3
03/20/14
Signed & Sealed Plans for Pump Transfer Station V4 03/20/14 Binder
5
04/02/14
Pump Transfer Station Site Plan
1
Pump Transfer Station Building Permit Application
Dear Shirley,
Please find our application for permit for the Atlantic Beach Country Club Pump Transfer Station. Please contact me if you require
anything further.
Sincerely,
Catherine
SIGNED:
%cartewin
Design
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: ltg oo �N('Xvc- Permit Number:
Legal Description Parcel #
Floor Area of sq. t. Sq.Ft
Valuation of Work $ L51 cavo •coo Proposed Work heated/cooled non-heated/cooled 2 2'iS
Class of Work (circle one): ("e Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/p-rop -qiiibstructure(s) ((circle one): Commerci Residential
If an existing structure, is a fire sprinlder system installe trcle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval orm
Describe in detail the type of work to be performed: lel e�,o Gf"Xyyca c L�2 xotky�nb \��t c� ✓� .
Property Owner Information:
Name: 9eo c,\.-\ Address: Li 4 O \d NZa . S-ke. 5 0 2
City \ StateFt- Zip 3 Z. 3 Phone
E -Mail or Fax # (Op oval)
Contractor Information:
Company Name: k C -a anlf,r- f„{x�.d” s \v -. Qualifying Agent: Pe-tc_,y- Q,u e s
Address: 2' -ECS te-yu VA. City \cAnY _ ;RecAc State q=L tip 32233
Office Phone Rink- \- 1AxAl u Job Site/ Contact Number C'c`-1�v�,ne, l ew�\,ftx # q V LA - 2_"l - x-442-1
State Certification/Registration # CC-, L d) y C) c o l a cion - ?_q \ . `t4X Le
Architect Name & Phone # C v -c f1 Y__ R OLk - CC ?-CC
Engineer's Name & Phone # J . Co \ 1,, v\ g r--- - . "A q o 4 - Q_U Z - q 1 Z \
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and 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 and Air Conditioners, etc.
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.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions ws and ordinances governing this
type o work will be complied with whether specified ted herein or not. The granting of a permit does not presume to ve authority to violate or cancel the
provisions of any other federal, state, or locaLl.,w regulating construction or the performance of construction.
Signature of Owner L U Signature of Contractor
Print Name1 Print Name 1�c .
_�t ..r...........1....................................� ............................... .......... ........ .... ..... cue 5....-.......
Sworn tp and subscribed before me
this Z^ Day of r 1 20 l q
VIlryp'lic
JEW" ow
we
- SM N Flow
1(3CQt11.gwmhmaw1
C01111111111"I R lows111flr�lr MM1.
Sworn to and subscribed bef6rt3me
this L51_ Day of , to 1 20 I4
Notary Pub is
.o'' "ce; CATHERINE IEWfN
Notary Public - State of Florida
My Comm. Expires Apr 23. 2017,
Commission N FF 011275
Revised 01.26.10