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Selva Marina-1600 (14-1244) Entrance TowerCity of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER W' (To be assigned by the Building Department.) AUG 4 6l,' / ,Z Date routed_ APPLICATION REVIEW AND TRACKING FORM Property Address: _ ,/(I/ a0D S�1iI�`�f jrj�j�Q Applicant: /I 9f y' Project: Department review required- Yes No Building Planning & Zoning Tree Administrator Al ,. c Utili Public Safety Ciro C-;,..... Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection ❑Denied. Florida Dept. of Transportation Comments: St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPI I('_ATInN ATATI IS Reviewing Department First Review: %Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING,a Reviewed by: L Date: TREE ADMIN. Second Review:A ❑ pp roved 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 05114/09 PUBLIC WORKS PLAN REVIEW COMMENTS Date: �'-6 1��q Initials: PNJT— M Project Name /Address: % &pd (� Application Permit #: 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 13 13construction). ESCP Provide erosion and sediment control plans with installation details and maintenance ❑ ❑ 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 [3 E3right-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' ❑ ❑ 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 ❑ ❑ MEET construction. Call 247-5834 to make an appointment. ❑ ❑ 0 11 City of Atlantic Beach Building Department 800 Seminole Road A6 iG () 0* Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us ---- __ City web -site: http://www.coab.us APPLICATION NUMBER (To be assignedby the Building Department.) Z r IL Date routed: if APPLICATION REVIEW AND TRACKING FORM Property Address: Applicant: / 1� Project: OZ S-717,V4-neE c Department review required Yes No Building Planning & Zoning Tree Administrator F15—blic 4 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: [Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: ( _ Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. LI*SAFY Comments: PUB IC PUBLI Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 PUBLIC UTILITIES PLAN REVIEW COMMENTS ✓� / Date: Initials:` Project Name / Address: �CpQ Q J� /� Ct Applic3ti Pem Check Box Check Application Tracking Comments to Add Box to Comment "Print" UWSU Avoid damage to underground water / sewer utilities. Verify vertical and horizontal Hand location of utilities. dig if necessary. If field coordination is needed, call2461-8 4. 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. FLM Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must 13 ❑ be installed in a vault as noted in JEA specifications. k) Y/A CG'rTs w� cep .` � i ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 0 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY 800 Seminole Road Atlantic Beach, Florida 32233-5445 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date: August 6. 2014 Job Address 1600 Selva Marina Drive (Entry Tower) Atlantic Beach FL 32233 Permitee: Maier Development Solutions OF WAY AND 904-247-5800 Fax MM -247-5845 PERMIT # _J ISSUED BY THE CITY Telephone # 904-759-1395 Permittee Address: 12786 Hunt Club Road North, Jacksonville, FL 32224 Requesting Permission to Construct: Atlantic Beach Golf & Country Club Entrance Tower Location: (Reference to Cross -Street) Elva Marina Drive and Seminole Road t Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Uhlities/Municipalities: Jacksonville Electric Authority Yes (X) No ( ) Date: 7-17-2014 Bell South Telephone Company Yes ( X) No { ) Date: 7-17-2014 Ferrell Gas Yes (X) No { ) Date: 7-17-2014 Comcast Yes (X) No ( ) Date: 7-17-2014 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shalt meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of Douglas Maier (Contractor's Project Superintendent) located at Same as above Telephone #: 904-759-1395 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. Calculations showing any increase in impervious area on owner's lot or in the cit Right of Way are to be included with this agolication. 7. This permittee shall commence actual construction in good faith with 5 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 holier, 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 worlt�nolrl�in immediately upon completion. ,i��� SPS OWNER: Signed e t Date: e ` — ©�1� Rr'`.�(� Before me this _5•rh day of the County of Duval, Q State Of Florida, has personally appeared F GI't-u WQOLf to MWI 4.2016 Notary Public at Large, State of Florida, County of Duval. J t4a, C, MW a Personally Known: Produced Identification: �iiT p84.•'' R.O.W. Permit Attachment of for R.O.W. Permit # issued _ 2200 _ Atlantic Beach, FL 32233 Q2_ Owner's Name: Atlantic Beach Partners, LLC Property Address: 1600 Selva Marina Drive Atlantic Beach, t=L 32233 Subdivision: Atlantic Beach Golf & Country Club Lot # / Block #: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 5th day of August , 20044 by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and Atlantic Beach Partners, LLC of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: Atlantic Beach Golf & Country Club Entrance Tower Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: 414 Old HarDRoad Suite 502, Fleming Island, FL 32003 (904) 264-65553 The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USEWs proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks" Pagel of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as -built drawings showing the change within thirty (30) days after the day of completion. This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this S day of By: 011ci; roperty Owner,na•hyl� e n► de ¢, �i j fay ]yam JG�i 1DQ (to be signed in presence of fhe-f4otary) STATE OF FLORIDA COUNTY OF DUVAL On this day of 2-0 j —, 42 personally appeared before me, a Notary Public in and for said ,County and State, LAkLeel, the property owner of 1(sGY> fAf,i(fit MQ KM -9y: , Atlantic Beach, Florida,f known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. SrP Notary Public in for said County and State Q"? *MOM�� CITY OF ATLANTIC BEACH, FLORIDA, a &m4.20111 4E 4.2011 Q• municipal corporation: r� Approv Ricky"L. Ca r, Public Wo s Are&or For Permits where city sidewalk is impacted, City Manager approval required: N/4 aim Haftsert, City Manag6r Page 2 of 2 Doug Maier From: irth_host@callsunshine.com Sent: Thursday, July 17, 2014 1:15 PM To: dougmaier@comcast.net Subject: Response to Sunshine State One Call ticket 198400133 The following facility operators have responded for this locate request: Ticket 198400133 FL: DUVAL County, ATLANTIC BEACH City SELVA MARINA DR CITY OF ATLANTIC BEACH, FLORIDA - Marked JACKSONVILLE ELECTRIC AUTHORITY - No Conflict - utility is outside of the requested work site A T & T/ DISTRIBUTION - Marked COMCAST CABLE COMMUNICATIONS INC - Marked FERRELLGAS INC. - Clear No Facilities The most up-to-date response status can always be gathered at http://www.online8ll.com/IRTHoneCall/ or by calling 1 - (800) 852 - 8057. No virus found in this message. Checked by AVG - www.avg.com Version: 2014.0.4716 / Virus Database: 3986/7865 - Release Date: 07/16/14