2139 SEMINOLE RD - FOUN20-0004 City of Atlantic Beach APPLICATION NUMBER
r ,, Building Department (To be assigned by the Building Department.)
,.. '.-4 800 Seminole Road. ; ,/[
"` �� Atlantic Beach, Florda 32F233(-950444)52 F )i)fL) Z� —r -:^t-s4
Phone(904)247-5826 • ax 47-5845 I
.-Jroo- E-mail: building-dept@coab.us Date routed:4l z (I:2 ( Z
City web-site: http://www.coab.us ((
APPLICATION REVIEW AND TRACKING FORM
Property Address: i( J q \--) iyi 1 f10(e De nt review required Y•e No
Ra ildingApplicant: iv\ cx-a. nning&Zoning
• Tree Administrator
I
Project: f(—L 0 r\ACA O , (2-pDcti E Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: 7 pproved. Denied. I INot applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: VP''' Date: 1//Zf'/2-CJ
TREE ADMIN. Second Review: ❑Approved as revised. ❑ ied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I lApproved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 10/9/18
rv- '` w, : City of Atlantic Beach Building Department **ALL INFORMATION
�; 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: x139 SCM,,rc e. cc1. fl-HQ,re!\C. fir c cv1 F-?33 Permit Number: (, ( —0004
Legal Description See CkACZA03 proCer-r 4.. RE#
Valuation of Work(Replacement Cost)$,$, ga9.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition CIAlteration &I Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
[ Describe in detail the type of work to be performed: 1t1$' Nairn \r ) c.cJ (J►\es Ut �OWrdzx?Et0A r'�1Qa)f' 1
J 1
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Cam;‘1.eAc cemS Address o1Setv;,no‘e ed
City A kc 4%c, 'BCOCIA State FL Zip 3 Phone sac, • Bap• ►S I?
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 'S1CreN-5-c .A . Qualifying Agent SC.04 El('eW;
Address V-11-103 N ( \o. e S4. City'f tW i1\t State 9„•. Zip 32218
Office Phone 904-5.110-, 1/4051 Job Site Contact Number OL -5'-1O-31oe1
State Certification/Registration#GG'1GtSlgga�e E-Mail FL.Peic'c k �-vxorbrcutvripe.K•wcv\
Architect Name&Phone# Sou.\ i\ez-#4,-La‘\33
Engineer's Name&Phone#5Ckut I(Y1ark;ln z.-J#lo\\33
Workers Compensation Insurer OR Exempt❑ Expiration Date
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 the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the'public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
ri
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will beAd' n en7compnzince with all
applicable laws regulating construction and zoning.
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 ANCING, Co SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN • • N• CE OF COMMENCEMENT. I '
Ai a
`^'1ure of Owner or Agent) `�, �1
•• g ) (Signature of Contractor)
N.
Si:ned and sworn to(or affirmed)before me this s day of Signed and sworn to(or affirmed)beforOVfh IJ 4ay of
.• • (e ' . a.0am ,by � oN qc-•
Notary Public State of Fbnda ,••O� 3i SLA,.
ar Allan A Byrd k --
_ My Commission GG 93708 ( •'•• • e of No ) star otary) 4,,%.*
fc.,;
Expires 12/15/2023 =
,• G329899
[ ].Personally Known OR Personally Known OR 0., `y:
{,(J Produced Identifications ((�� I rj_/ l 1
•` �'L DL. Q V b� :6,4 Ty Produced
rodu Identification:atifi Identification
��{A�:°bkeUnde ����p����
Type of Identification:
RAMJAC1(
Power of Attorney
April 10, 2020
Re: Business License & Permits
Site address: 2139 Seminole rd Atlantic Beach FL 32233
TO WHOM IT MAY CONCERN:
I, A. Scott Erlewine licensed contractor #CGC1518926, hereby authorize the following person(s) to
obtain permits and/or sign any and all documents related to building permits applied for and issued in
my name with my license number.
Anthony Tony Brown
William Thomas
Gary Burden
Lonnie Quinn
Brodie Nuneviller
Ashlee Burden
Catoe White
Sincerely,
,241.fi aitc__;... ___
A. Scott Erlewine
Ram Jack Foundation Repair
GCG1518926
877-726-6372
Subscribed and sworn to before me this 10 day of April,2020,A.SCOTT ERLEWINE personally appeared
who® is personally known t e or❑produced as identification,and who did/did not take an oath.
gi/A441 otteg4 E.44.; se
V.
Notary Pus . Signature Seal NOTAltj. gin;
40102,
44 ,... ••or•
I
Ill.'s Signature s!l+ti i i I ,
I%
114403 N. MAIN ST. JACKSONVILLE, FL 32218 1866-735-3085 OFFICE
3/5/2020 Property Appraiser-Property Details
ADAMS CAMILLE THERESE Primary Site Address Official Record Book/Page Tile#
2139 SEMINOLE RD 2139 SEMINOLE RD 18108-01066 9409
ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233
MORENO JENNIFER L
2139 SEMINOLE RD
Property Detail Value Summary
RE# 169515-0500 Value Description 2019 Certified 2020 In Progress
Tax District USD3 Value Method CAMA CAMA
Property Use 0100 Single Family Total Building Value $171,487.00 $171,481.00
#of Buildings 1 Extra Feature Value $2,212.00 $2,239.00
For full legal description see Land Value(Market) $210,925.00 $210,925.00
Legal Desc. Land&Legal section below Land Value A ric. $0.00 $0.00
Subdivision 00000 SECTION LAND Just(Market)Value $384,624.00 $384,645.00
Total Area 6245 Assessed Value $372,559.00 $381,127.00
The sale of this property may result in higher property taxes.For more information go to Save Cap Diff/Portability Amt $12,065.00/$0.00 $3,518.00/$0.00
Our Homes and our Property Tax Estimator.'In Progress'property values,exemptions and Exemptions
tions $50,000.00
50,000.00 See below
other supporting information on this page are part of the working tax roll and are subject to ``- —
change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value $322,559.00 See below
include any official changes made after certification Learn how the Property Appraiser's Office
values property.
Taxable Values and Exemptions—In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
Assessed Value $381,127.00 Assessed Value $381,127.00 Assessed Value $381,127.00
Homestead(HX) -$25,000.00 Homestead(HX) -525,000.00 Homestead(HX) -$25,000.00
Homestead Banding 196.031(1)(b)(HB) -$25,000.00 Homestead Banding 196.031(1)(b)(HB) -$25,000.00 Taxable Value $356,127.00
Taxable Value $331,127.00 Taxable Value $331,127.00
Sales History
Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved
18108-01066 8/16/2017 $435,000.00 WD-Warranty Deed Qualified Improved
15626-02004 6/6/2011 $209,900.00 WD-Warranty Deed Qualified Improved
09837-01738 12/19/2000 $225,000.00 WD-Warranty Deed Qualified Improved
07835-02220 4/15/1994 $153,000.00 WD-Warranty Deed Qualified Improved
06730-00292 1/27/1989 $101,500.00 WD-Warranty Deed Unqualified Improved
06655-02179 2/8/1989 $100.00 QC-Quit Claim Unqualified Improved
05546-00896 7/13/1982 $100.00 QC-Quit Claim Unqualified Improved
05525-02225 5/4/1982 $82,500.00 WD-Warranty Deed Unqualified Improved
04931-00959 7/27/1979 $64,500.00 WD-Warranty Deed Unqualified Improved
Extra Features
LN Feature Code Feature Description Bldg. Length Width Total Units Value
1 FPPR7 Fireplace Prefab 1 0 0 1.00 $463.00 I
2 DKWR2 Deck Wooden 1 0 0 516.00 $1,776.00 I
Land&Legal
Land Legal
LN Code Use Description Zoning Front Depth Category Land Units Land Type Land Value ' LN Legal Description
1 0102 RES HD 20-60 UNITS PER AC ARG-M 27.50 226.00 Common 27.50 Front Footage $210,925.00 I • 1 9-2S-29E.142
2 PT GOVT LOT 1 RECD O/R 18108-
1066
Buildings
Building 1
Building 1 Site Address Element Code Detail
2139 SEMINOLE RD Unit
Atlantic Beach FL 32233 Exterior Wall 6 6 Vertical Sheet
Exterior Wall 8 8 Horizontal Lap •
'o� i——i �o�
•
rp-N F-1
Building Type 0105-TOWNHOUSE 1 Roof Struct 3 3 Gable or Hip �4�
Year Built 1979 Roofing Cover 3 3 Asph/Comp Shng
BuildingValue $171,481.00 FM FLIs
Interior Wall 5 5 Drywall
' i
Int Flooring 12 12 Hardwood
Gross Heated Effective Int Flooring 11 11 Cer Clay Tile L `°--r
TyPe Area Area 'Area •
Heating Fuel 4 4 Electric •
Addition 120 120 108 Heating Type 4 4 Forced-Ducted
•
Addition 120 120 108
Air Cond 3 3 Central I
Finished upper 740 740 703
https://paopropertysearch.coj.net/Basic/Detail.aspx?RE=1695150500 1/2
3/5/2020 Property Appraiser-Property Details
story 1 Element Code Detail
Finished upper 740 740 703 Stories 3.000 I
story 1 i •
Finished Encl : Bedrooms 2.000
Porch 40 0 24 Baths 2.500
Finished Garage 480 0 240 Rooms/Units 1.000
Base Area 240 240 240
Finished Open 120 1 0 36
Porch
Total 2600 1960 2162
2019 Notice of Proposed Property Taxes Notice(TRIM Notice)„
Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back
Gen Govt Beaches $372,559.00 $50,000.00 $322,559.00 $2,572.62 $2,629.24 $2,490.67
Public Schools:By State Law $372,559.00 $25,000.00 $347,559.00 $1,377.78 $1,356.18 $1,319.33
By Local Board $372,559.00 $25,000.00 $347,559.00 $765.70 $781.31 $733.21
FL Inland Navigation Dist. $372,559.00 $50,000.00 $322,559.00 $10.10 $10.32 $9.81
Atlantic Beach $372,559.00 $50,000.00 $322,559.00 $1,018.96 $1,041.38 $989.06
Water Mgmt Dist.SJRWMD $372,559.00 $50,000.00 $322,559.00 $80.86 $77.87 $77.87
Gen Gov Voted I$372,559.00 $50,000.00 $322,559.00 $0.00 $0.00 $0.00
School Board Voted $372,559.00 $25,000.00 $347,559.00 $0.00 $0.00 $0.00
Urban Service Dist3 $372,559.00 $50,000.00 $322,559.00 $0.00 $0.00 $0.00
1 [ Totals $5,826.02 $5,896.30 $5,619.95
Description 'Just Value Assessed Value Exemptions Taxable Value
i Last Year °$365,613.00 $365,613.00 $50,000.00 $315,613.00
Current Year $384,624.00 $372,559.00 $50,000.00 1$322,559.00
2019 TRIM Property Record Card(PRC)
This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM Notices) in
August.
Property Record Card(PRC)
The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed.
2019
2018
2017
2016
2015
2014
•To obtain a historic Property Record Card (PRC)from the Property Appraiser's Office, submit your request here:
More Information
ontact Us I Parcel Tax Record I GIS Map I Map this property on Google Maps I City Fees Record
https://paopropertysearch.coj.net/Basic/Detail.aspx?RE=1695150500 2/2
A-1 THRU A-3 2-7/8"0 HELIQ;AL RILE W/
STANDARD FOUNDATION BRACKET
_ B-1 THRU B-3 2-7/8"0 HELD -,AL RILE W/
STANDARD FOUNDATION II3RACKET
C-1 THRU C-3 2-7/8"0 HELICAL PILE W/
STANDARD FOUNDATION BRACKET
D-1 THRU D-2 2-7/8"0 HELICAL PILE W/
STANDARD FOUNDATION 'BRACKET
THREE STORY RESIDENTIAL CAMILLE ADAMS
2139 SEMINOLE RD.
QRICK / SLAB / 16" FOOTER ATLANTIC BEACH, FL, 32233
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MATERIAL LOAD CAPACITY
4021 Commercial Bracket
80 kips ultimate
2 7/8" Push Pier
70 kips ultimate
4061 Fold -Up Slab Bracket
20 kips capacity
4065 Beam Bracket
10 kips
4550 2.375 2 3/8" Wall Tie -Back
42 kips capacity
2 3/8" Helical Piers
3000 ft -lbs max torque
30 kips max capacity
12 kips normal use
42 kips tension
-
2 7/8" Helical Piers
5500 ft -lbs max torque
80 kips max capacity
30 kips normal use
64 kips tension
THE INSTALLATION AND DESIGN METHOD UTILIZED TO
IMPLEMENT THESE PIERS ARE IN ACCORDANCE WITH
THE 2017 FLORIDA BUILDING CODE 6TH EDITION
RESIDENTIAL.
Saul J. Martinez, PE
sa.�.rw�nersaoswrww,rowm+m�«r. lte.�aua. eilsrrw�mos P.E. 61133 I Iill 33
ayualy<.rm �e wnen.a. mrcm.�rw.prea ua.ewe
Mar 9 2020 9:14 AM
PIER PLACEMENT DIMENSIONS MAY BE ADJUSTED
UP TO 20%
FURTHER PIER IMPLEMENTATION MAY BE REQUIRED.
PIERS IMPLEMENTED NOT INTENDED TO PROVIDE
ANCHORAGE FOR UPLIFT. PIERS IMPLEMENTED TO
LEVEL FLOOR ONLY.
PIERS IMPLEMENTED NOT INTENDED TO SUPPORT
OVERHANGING BRICK VENEER.
IT IS THE INTENT OF THESE DOCUMENTS TO PROVIDE
DIRECTIVE ON THE IMPLEMENTATION OF HELICAL PIERS
FOR THE CORRECTION OF FOUNDATION SETTLEMENT
(NOT DUE TO SINK HOLE ACTIVITY) OR DEFICIENT
STRUCTURAL FRAMING. STRUCTURAL FOUNDATION
SETTLEMENT FOUND TO BE WITHIN THE AREA OF
SINKHOLE ACTIVITY MUST BE FURTHER EVALUATED VIA
THIRD PARTY GEOTECHNICAL ENGINEER.
MARTINEZ & ASSOCIATES
STRUCTURAL ENGINEERS, P.A.
PHONE 843 839 1620
FAX 8438391623
1 107 48- AVENUE NORTH .31 OC
MYRTLE BEACH. SC
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JOB NUMBER:
20-255
OWNER-
DRAWN BY:
S. MARTINEZ
CHECKED BY:
S. MARTINEZ
REVISION ; DATE:
#1'2/13/20
DRAWING DESCRIPTION'.
PIER PLACEMENT PLAN
DRAWING SCALE:
CURRENT DRAWINGISSUE:
CONSTRUCTION SET -AS BUILT
S1.0
MARCH 9, 2020
2 %"0 HELICAL PILES AND ANCHORS - THREADED CONNECTION
"B" —\ .'C" —\
-<A= F— — — T --- 2
"D" CUSTOM 4140
THREADED F'IN
�aa�1�10
"A"
"D"
('I ISTOM 4140
ZEADED BOX
Zl—
I%6" 0 DRIVE
PIN HOLE
TYP.
I 3" PITCH u U
— ►1 f '� (TYP.)
"A" "A"
LEAD SECTION
* MULTI -HELIX ARE SPACED 3 DIAMETERS
OF THE LOWER HELIX.
NOTES:
HELIX EXTENSION
HELIX EXTENSIONS
LEAD SECTION TABLE
CAT. #
"A"
"B"
"C" "D"
4368
5'-0
10"
12"
4370
7'-0
10"
12"
4367
7'-0
14"
16"
4062
5'-0
8"
10"
4050
7'-0
12"
14-
4371
T-0
10"
12" 14"
4360
5-0 1
81,1
10" 12"
5280
10'-0 1
6" 1
8"
* MULTI -HELIX ARE SPACED 3 DIAMETERS
OF THE LOWER HELIX.
NOTES:
HELIX EXTENSION
HELIX EXTENSIONS
CAT #
"A"
"B"
4385.12
5-0
12"
4387.12
T-0
12"
4385.14
5'-0
14"
4387.14
7'-0
14"
EXTENSIONS
CAT #
"A"
4385
5'-0
4387
7'-0
4422
10'-0
EXTENSION
STRENGTH RATING
MAX. TORQUE STRENGTH - 8,000 FT -LB
ULTIMATE CAPACITY (TENS/COMP) - 72 KIP*
ALLOWABLE CAPACITY (TENS/COMP) - 36 KIP**
* BASED ON A TORQUE FACTOR (Kt) = 9
** W/ SAFETY FACTOR OF 2 BEING APPLIED
***RECOGNIZED BY ICC -ES IN ESR -1854
1. POLYETHYLENE COPOLYMER THERMOPLASTIC COATING PER ICC -ES AC 228 OR HOT -DIPPED
GALVANIZATION.
2. LEAD AND EXTENSION SECTION AND PILOT POINT LENGTHS ARE NOMINAL. PILOT POINTS ARE
3".
3. SHAFT MATERIAL IS 2%"'0, 0.217" WALL, MINIMUM Fy=65 KSI AND Fu=80 KSI.
4. HELIX BLADE MATERIAL IS HOT ROLLED, MINIMUM Fy=50 KSI AND Fu=80 KSI CARBON STEEL.
PLATE THICKNESS IS AVAILABLE IW18" AND Y2" THICKNESSES.
5. CONNECTORS ARE 2'/" 0, CUSTOM 4140 INTERNAL THREADED COUPLINGS
6. NOMINAL SPACING BETWEEN HELICAL PLATES IS THRI��EE TIMES THE DIAMETER OF THE LOWER
HELIX.
7. MANUFACTURER TO HAVE IN EFFECT INDUSTRY RECOGNIZED WRITTEN QUALITY CONTROL
AND ASSURANCE FOR ALL MATERIALS AND MANUFACTURING PROCESSES.
8. MANUFACTURER SHALL BE ISO CERTIFIED.
9. ALL WELDING IS TO BE DONE BY WELDERS CERTIFIED UNDER SECTION 5 OF THE AWS CODE
D1.1.
10. RECOGNIZED BY ICC -ES IN ESR -1854. THE REPORTED !ALLOWABLE CAPACITIES MAY VARY
BASED ON THE SOIL CONDITION AND PILE APPLICATION AS DESCRIBED IN ESR -1854.
2%"O.D.
PILING
CONNECTION DETAIL
FF91/4" 47
0
l'-2 1 kV
TOP VIEW
M is
o -
FRONT VIEW
M
I I SIDE VIEW
I
d3l GM
TYP.
INSTALLATION
** BOLTING OF BRACKETS IS NOT REQUIRED
MARTINEZ & ASSOCIATES
STRUCTURAL ENGINEERS, P.A.
PHONE 843839162
FAX 843 8391623
11074AVE NUE NORTHRTH.31OG
MYRTLE BEACH. SC
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JOB NUMBER:
20.255
OWNER:
DRAWN BY:
S. MARTINEZ
CHECKED BY:
S- MARTINEZ
REVISION - DATE:
DRAWING DESCRIPTION'
PRODUCT SPECS
DRAWING SCALE:
CURRENT DRAWING IS UE:
CONSTRUCTION SET -AS BUILT
S2.0
MARCH 9, 2020