Selva Marina-1600 (14-0985) Golf Cart StorageCity of Atlantic Beach APPLICATION NUMBER
Building Department -- , 'To be assigned by he Building Depar
800 Seminole Road .
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247=5845 SUN % r; }t} jf
E-mail: building-dept@coab.us Date routed: (/
City web -site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
Applicant: ,L sir S
Project:
Z0
�rqg'iCo�i 9
t review required Yes No
uil gQ
nnm & Zo
istrator
u lic Ir tit a
Public a e y
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
Reviewing Department
First Review:
Approved.
❑Denis ;.
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by.-
Date:
Second Review:
❑Approved as revised.
❑Denied.
TREE ADMIN.
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
Third Review:
[]Approved as revised.
❑Denie-':.
FIRE SERVICES
Comments:
Reviewed by:
Date:
Revised 05/14109
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: & -oZ1/--/
Initials: PN I . J' u ML (\�
Project Name/ Address : '1600 M, {-f rl ti pnnliratinn Darmit !t• / V " 5�r
Check Box
Check
Application Tracking Comments
to add
Box to
Comment
"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 maintenance
schedule.
❑
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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.
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❑
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.
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❑
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
❑
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sheet.)
PCTS
If on-site storage is required, a post construction topographic survey documenting proper
construction will be required.
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RWPM
A Right -of -Way Permit must be obtained for use
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REPM
A Revocable Encroachment Permit must be obtained.
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PLWP
Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from street or
drainage feature (swale, structure or lagoon).
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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-
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way. (Commercial driveways — 6" thick).
Any utility cuts in the road must be repaired using CO1 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
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plans.
RWRS
Full right-of-way restoration, including sod, is required.
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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
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❑
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
❑
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Inspection prior to start of construction.
Recommend Owner/Contractor meet with Public Works Director to discuss proposed
MEET
construction. Call 247-5834 to make an appointment.
❑
❑
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
2 129
E-mail: buildin 9- p @ de t coab.us ���
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assignedby he Building Depar
; ] / . w1or
routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: lhdo
Applicant:
r
Project: X 12 Q
G�
,�7drqg, A i lok#
t review required Yes No
uil
anninq & Zoziail
F istrator
Public r
iU*
Public a e y
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By
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. ❑Denis ;.
(Circle one.) Comments:
BUILDING n,
PLANNING & ZONING Reviewed by: Yd'
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
/(s� WORKSi Comments:
LIC S XET}
FIRE SERVICES
Revised 05114109
Reviewed by:
Third Review: []Approved as revised. ❑Denie .
Comments:
Reviewed by: __, _
Date: to -:
Date:
Date:
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: �'"�'-� Initials:
Project Name / Address: �(o � (/ L(..�_ Na4" `/1 Gt, Applic�ti'on Pe 4:
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
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❑
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
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❑
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
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❑
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.
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ami/40/t&_ Ou &
L Aa -s AnkeW VA IX e
fesh a 'C'ev-liry
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0
0
Date: 6/27/14
CITY OF ATLANTIC BEACH
PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
(904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Project Address: 1600 Selva Marina Dr. — Golf Cart Storage_Bld_g.
No. of Units: 1 Commercial X Residential
New Water Tap(s) & Meter(s) 1 Meter Size(s) 1"
New Irrigation Meter Upgrade Existing Meter from
New Connection to City Sewer 1
Multi -Family
Name: Atlantic Beach Partners/EFS Construction- Doua Maier
Applicant Address:
City: State: FL Zip:
Phone Number: 759-1395 Cell Number:
Email Address_ dougmaiergcomcast.net Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# 14-985
Water System Development Charge
Sewer System Development Charge
Water Meter Only
Water Meter Tap
Sewer Tap
Cross Connection
Other
TOTAL
$ 1,904.00
$ 6,794.00
$ 220.00
$ 50.00
$ 8,968.00
to (size)
New golf cart storage/washing
building at Atlantic Beach Country
Club.
(notes)
APPROVED: Donna Kaluzniak 6/27/14
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: E6,00 NF1 JA ArzF 01?_ 1✓ IE� Permit Number:
Legal Description
U
®;. rioor Area or aq.ri. aq.rt
Valuation of Work $ 3) Proposed Work heated/cooled -- non-heated/cooled_
Class of Work (circle one): �ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one):. jkercial Residential
If an existing structure, is a fire sprinkler system insta arc a one): Yes No N /A
Florida Product Approval # ` f—S A'If/1Gff _o
For multiple products use product approya orm
Describe in detail the type of work to be performed: C_'.rt'5i?-u C7- `x [ Zr3(CG.i c7c� . A=r, Fjac4r�F_ o
/ l� .ry r a, �i F.FJ in! e ✓t� d�_�c1 r. r 7�7' 1��a� �. 162c,r a f s yk)
Property Owner Information:
Name: S Address: 0 0 tJ _
City rr/wl W /� tate Zip mgr_ Phone Z —455
E -Mail or Fax # (Optional) ZCc — Z-7 Z
Contractor Information:
Company N#me: � S �a t J . ViV Qualifying Agent: CSL�,gD/��c /M --SC_
Address: V. Q.L� R m:,C T City _State �� Zip '3
Office Phone Job Site/ Contact Number 4Z-�_-T- %0 2 Fax # ;K5 e)
State Certification/Registration # C— --e— 2—
Architect Name & Phone # r, vu,6t_r
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 has commenced prior to the
issuance. of a permit acrd that all work will be. performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void rf work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a eriod 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 cert that I have read and examined this application 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 v' or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor'
Print Name{�..��.......... �. Print Name /'f'El' �. :......P�.....................................................
Swo o and subsc ' ed efore me
this � Day of 20
otary Public
.00.4;'• CHRISTINA P. CARLSON
MY COMMISSION Y FF 072983
EXPIRES: November 25, 2017
Bonded Thru Notary Public Underwdterz
Sworn to and svbmri12edbQfo e e— —
this a HiIE E gtt
Notmy Public - Stale of Florida
Notary u licE = Commission # EE 102894
Bonde hrouph N i r l r sap.