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Selva Marina-1600 (14-0940) Golf Cart ShelterCity of Atlantic Beach Building Department ` r 800 Seminole Road SUN 12 2014 Atlantic Beach, Florida 32233-5445 "^ Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: buildin de t@ coab.us 9- p 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: / & UQ ��/V"a' -727a n -;'1 Applicant: �/'S 61)6rrac4id 0 Project: '� L lC•e,J �X/ Departm.prit review required Yes No Buil tannin & Zoni ree nistrator Public Works ublic lities ublic Safety ire rvices 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 Revised 05/14/09 Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: I Date: 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: _%—/ T Initials: PNYi M Project Name/ Address: / Q 1j i_11(,4 Application Permit #• A 9 z Check Box Check Application Tracking Comments to Ad Box to Comm nt "Print" IMPS Provide table of impervious surface calculations for entire lot (existing and post construction). ❑ ESCP Provide erosion and sediment control plans with installation details and maintenanc , schedule. ❑ DPLN Provide drainage plans showing site topography (flow arrows, etc.) ❑ RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. ❑ ❑ CSMP Provide construction site management plan, including Right -of -Way Permit if using ❑ right-of-way for construction parking. TSUR Provide a pre -construction topographic survey prepared by a Florida Licensed Professional Land Surveyor, showing 1' contours. ❑ ❑ Section 24-66(b) of the Land Development Regulations requires on-site storage for LDCS increased run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-66(b). (See attached information ❑ ❑ sheet.) PCTS If on-site storage is required, a post construction topographic survey documenting proper construction will be required. ❑ ❑ RWPM A Right -of -Way Permit must be obtained for use ❑ ❑ REPM A Revocable Encroachment Permit must be obtained. ❑ ❑ PLWP 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" 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 1� ❑ 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. MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed T _ ❑ ❑ construction. Call 247-5834 to make an appointment. i 0 0 City of Atlantic Beach Building Department 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 J U N :' ! ; ! i 4 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) >- ?1140 Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: /& UQ Ji I✓,a, -777a. r% ii �� C ` Applicant: /�.ST GC.C-�i 0 /n � Project:'� L •e,✓ E �2Z/ Review fee $ t Dept Signatu D ent review required Yes No Buil Plan & Zoni ree nistrator Public Work ub is s ublic Safety ire rvices Other Agency Review or Permit Required Review or Receiptof Permit Verified R 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: PApproved. ❑Deni:: (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denier.'. Comments: f1PRKS Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denis..'. Comments: Reviewed by: Date: Revised 05/14/09 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: C 2 Name / Address: 1600 'SO'b. lnitials:� - Y V 0 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. ❑ ❑ RTIC 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. E3 ❑ 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 0 BUILDING PERMIT APPLICATION `X"Y ` ''' `' r" CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-51145 Job Address:(C C,` > GI i � A 11V1a t l & Permit Number: Legal Description 1 (nto ! u/f �rf�--�,' n!1� 0t2-iy 2.,� Parcel #_ � Floor Area o q. t. Valuation of Work $ 3 Proposed Work heated/cooled non-heated/cooled r Class of Work (circle one): Nee Addition Alteration Repair Move. Demolition pool/spa window/door Use of existing/proposed structure(s) ((circle one): Com�ercia Residential If an existing structure, is a fire sprinlrWr system install ne): Yes No /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: 6rlsr72"C- Propertv Owner Information: City 1/ E -Mail or Fax # Contractor Information: �_5?r9 3 Phone %✓:��— ��>t'= - Company N me: C..1C�- C Qualifyin Agent: r r. Address: City ^ State Zip 3z;260 Office Phone Job Site/ Contact Number -? Fax # State Certification/Registration # Architect Name & Phone Z Engineer's Name & Phone # 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 lugs commenced prior to the issuance. of a permit and that all work will be performed to meet the standards of all laws regulating con,strGction in this jurisdiction. This permit becomes null and void f 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 ar ul 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 thispplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulatin construction or the performance of construction. Signature of Owner /'C gn Signature of Contractor Print NamePrint Name Klcg ....e�e. -......................................... Swoto and sub this Day of me - 8tdo of FlaWa otary Pubis o ary Public '?N Commission d EE 102894 �a r^! ."P•; CHRISTINA P. CARLSON MY •8ondedjhjojUiiXjI r 83 EXPIRESMNovember25, 2017 os 4d ' Bonded Thru Notary Public Underwr&ers