Selva Marina-1600 (14-COTH-342)Y City of Atlantic Beach � APPLICATION NUMBER
Building DepattBY9e6's (To be assigned by the Building De artment.)
{ 800 Seminole Road Z
Atlantic Beach, Florida 322:33-5445 l.I
Phone (904) 247-5826 • Fax (904) 247158,4,5 rq
City web -site: http://Www.coab.us Date routed: 1 /
APPLICATION
PP I Ce•fR` F_ AND
TRACKING FOR\
Property urs, ��
Applicant:
AProject: J
®epar dent review required Yes No
nning �. Zonih
-T-re-e-70ministrator
ub ' ork
ill '
Public Safety
Fire Serv:lces
Review fee $ Dept Signature /9(f
"C"ONTRACTOR EMAIL :ADDRESS
CONTRACTOR CONTACT
Reviewing Department
(Circle one.)
BUILDING
PLANNING & ZONING
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
VISE[? 09252014
First Review:
`I Comments:
APPLICATION STATUS
Reviewed by:
[]Denied.
Second Review: []Approved as revised, ❑Denied
Comments:
Reviewed by:
Third Review. DApproved as revised. DDenied.
Comments:
Date:
Date:
Reviewed by: Date:
Date:
PUBLIC WORKS PLAN REVIEW COMMENTS
69 '/
Project Name / Address :
Initials:
Application Permit #:/ ' ���/✓ 3�a
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).
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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
right-of-way for construction parking.
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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
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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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ROFF
Roll off container company must be on City approved list and container cannot be placed on
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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.
MEET
Recommend Owner/Contractor meet with Public Works Director to discuss proposed
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construction. Call 247-5834 to make an appointment.
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O
City of Atlantic Beach APPLICATION NUMBER
Building Departrner's l (To be assigned by the Building Depar
800 Seminole Road /1 T/iJ Q Z
-- Atlantic Beach, Florida 322:33-5445 nr l.� r '• a.+
Phone (904) 247-5826 - Fax (904) 247-58#'3 v `i0 14 q
City web -site: http://w\hrw-coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address:
Applicant: '/ / 1 -i �
Project:le., V '
IF
Review fee $ _CJ
CONTRACTOR ENTAIL ,ADDRESS
CONTRACTOR CONTACT #
Reviewing Department First Review:
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
TREE ADMIN. Second Review:A roved as revised.
�f pp UDenied
LC WO Comments:
BLIC UTIL
PUBLIC SAFTY
FIRE SERVICES
De erurntant reviews required Yes No
uildin
,Pffh--ning & Zonis
ree msnistrator
ublic /Vork
Public Safety
Fire Servi.oes
Dept Signature
APPLICATION STATUS
Reviewed by:
enied.
Third Revievts
Comments:
I'-R–E--V'-1—SED 09252094
Reviewed by:
❑Approved as revised. ❑Denies -
Reviewed by:
nt. )
Date: 10-31yl
Date:
Date:
PLISUC UTI 1TIES PLAN RPEVI EW COMMS TS
Date: v — Initials:
Project Name /Address: �6 / -if r
/[i �i�/yV f /1 App ication Permit #•
F_ IApplication Tracking Comments
Check Box Check
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 247-5834.1
M BSC
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
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RTIC I 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.
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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.
_ST
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RM 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.
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FSEIR 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.
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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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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 p
CT
Job Address: 1600 Selva Marina Drive
Legal Description p
Valuation of Work $ 5,000 Proposed Work heated/cooled N/A non-heated/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 (Circle one): Yes No N /A
Florida Product Approval # N/A
For multiple products use product approva orm
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 OualiNina Agent: Douslas 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. 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 aperzod of six r6) 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 hereb certify that I have read and examined this application and know the same to be true and correct. All p vi 'ons of laws and ordinances governing this
type q�work will be complied with whether specified herein or not. The granting of a permit.; does not pres me o give aolate or cancel the
thorny t vi
provisions of any other federal, state, or local [mv regulating construction or the performance of construction.
Signature of Owner Signature of Contractor ~'
Print Name RickWood Print Name Douglas. Maier
Sworn and subscribed before me Swo to and subscribed before me
this ay of 20 this " Day of _QC,-�Dlor , 20 (4
CAIUO,0�1Notary rublic Notary Public
�•��gP' SRevised 01.26.10
A PF.�.
My (, fPhes i� ,i'"Y >yr CHRIS11NA P. CARLSON
PJune 4, 2015 == '*- *- MY COMMISSION N FF 072983
No. EE06808g i A EXPIRES: November 25, 201711
�N • z u:'' Bonded ihru Notuy Public Undenwritera