Selva Marina-1600 (14-COTH-341) Columns DIRCity of Atlantic Beach APPLICATION NUMBER
Building ®epae$met'st (To be assigned by the Building Department.)
4 800 Seminole Road
Atlantic Beach, Florida 32233-544 ;_
Phone (904) 247-5826 • Fax (904) 247-5845/
=r j ;e. City web -site: http://www.coab.us I �} i ? ' "r Date routed: _f
APPLICATION
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Property Address: 40w& i. Q!�
Applicant: / .f,4
Project:
Review fee $
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT
Reviewing Department
(Circle one.)
BUILDING
PLANNING & ZONING
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES j
PUBLIC SAFETY
FIRE SERVICES
:EVISED 0925201'
De arty rant review required Yes Rlo
,A6rn-nninci A.
Tree Administrator
'c Wor
Ic ti r I
Public Safety
Fire Services
Dept Signature
APPLICATION STATUS
First Review: pproved
Comments: \\
Reviewed by:
❑Den: -
Second Review: []Approved as revised. ❑Denied.
Comments:
Dater
Reviewed by: Date:
Third Review. [Approved as revised. ❑Deniers. '
Comments:
Reviewed by: Date:
Date:
PUBLIC WORKS PLAN REVIEW COMMENTS
0—,/
Initials:
Project Name / Address: /YY plication Permit #: / T J GD r�/�3y,
'
Check Box
Check
Application Tracking Comments
to Add
Box to j
Comment
"Print"
IMPS
Provide table of impervious surface calculations for entire lot (existing and post
construction).
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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.)
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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
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right-of-way for construction parking.
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TSUR
Provide a pre -construction topographic survey prepared by a Florida Licensed Professional
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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
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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
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construction will be required.
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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Pool— Wellpoint (if used) must discharge into vegetated area 10' minimum from street or
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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-
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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
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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
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ROFF
City right-of-way. (Approved: Advanced Disposal and Republic Services).
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
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MEET
construction. Call 247-5834 to make an appointment.
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0
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lSU1LDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office,(904) 247-5826 Fax (904) 247-5845
Job Address:
Legal Description
Valuation of Work S 5,000 Proposed Work heated/cooled N/A no=eated/cooled N/A�'�''�
Class of Work (circle one): X New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): X Commercial Residential
If an existing structure, is a fire sprinkler system installe (Circre one): Yes No N/A
Florida Product Approval # N/A
For multiple products use product approval form
Describe in detail the type of work to be performed: Masonry Columns at Selva Marina Drive Entrance
Property Owner Information:
Name: Atlantic Beach Partner, LLC
City 414 Old Hard Road Suite 502 State FL Zip 32003 Phone 904-264-9786
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Maier Development Solutions, LLC Qualifying Agent: Douglas Maier
Address: 12786 Hunt Club Road North City Jacksonville State FL Zip'32224
Office Phone 904-759-1395 Job Site/Contact Number Same Fax # 904-821-8188
State Certification/Registration # CGC #1510122
Architect Name & Phone # Kelly Elmore, Euthenic's, 904-333-7483
Engineer's Name & Phone # Alex Acre. Taylor & White 904-346-0671
Fee Simple Title Holder Name and Address Atlantic Beach Partners, LLC, 414 Old Hard Road, Fleming Island, FL 32003
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to
issuance o� a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes
and void tf work is not commenced within six (6) months, or if construction or work is suspended or abandoned for apertod of six16) months at airy time a
work is commenceaC I understand that separate permits must be secured for ElectricaC Work, Plumbing, Signs, Wells, Pools, ['Furnaces, Bollers, Heat,
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 1 have read and examined this plication and know the same to be, true and correct. All p v' 'ons of 1
type o work will be complied with whether sppeci ted herein or not. The granting of a permit does not pres me o give
provisions of any other federal, state, or local lmv regulating construction or the performance of construction..
Signature of Owner��24a4zSignature of Contractor —
Print Name Rick Wood
Swo and subscribed before me
this ay of K 20
Notary ublic
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rnd ordinances governing
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olate or cancel
--
Print Name Douglas. Maier "
..............................................................................................
Swo o and subsOCAV�bee� me 20 [�
this Day of (0)CC..##DD
Notary Public
Revised 01.26.10
June 4, 2015 — _* � + An 001MAsm t FF onm
Ift won=j,gt.Sx`' 26,2017
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