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967 Camelia St CIV20-0003 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP: PASSAFARO ANGELA M 967 CAMELIA ST ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170967 0000 ATLANTIC BEACH SEC H JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 967 CAMELIA ST CIVIL AND SITE SINGLE OR TWO FAMILY CIVIL AND SITE ADDED DIRT WITH WATER RETENTION $2000.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247- 5814) to request an Erosion and Sediment Control Inspection prior to start of construction. 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 1 of 2Issued Date: 9/14/2020 PERMIT NUMBER CIV20-0003 ISSUED: 9/14/2020 EXPIRES: 3/13/2021 CIVIL AND SITE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $251.50 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 2 of 2Issued Date: 9/14/2020 PERMIT NUMBER CIV20-0003 ISSUED: 9/14/2020 EXPIRES: 3/13/2021 CIVIL AND SITE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $251.50 CIV20-0003 Address: 967 CAMELIA ST APN: 170967 0000 $251.50 BUILDING $65.00 BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN REVIEW $32.50 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 PUBLIC UTILITIES PLAN REVIEW $25.00 PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING PLAN REVIEW $100.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL FEES PAID BY RECEIPT: R13222 $251.50 Printed: Monday, September 14, 2020 9:32 AM Date Paid: Monday, September 14, 2020 Paid By: PASSAFARO ANGELA M Pay Method: CREDIT CARD 361677032 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R13222 �i,. City of Atlantic Beach APPLICATION NUMBER Building Department (To be signed by the Building Department) 'i� 800 Seminole Road. ��*l r� Atlantic Beach, Florda 32233-5445 '1 V LC) — 00C-).-- IPhone(904)247-5826 • Fax(904)247-5845 I E-mail: building-dept@coab.us Date routed: 31 t (v a0 Z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 107 OJ\in E(_ I ( Department review required Yes No Building Applicant: ��/,7('--r� GrPIa�__n�g $,Zoning') Tree AdminisTiifbr Project: �' l�Z� � 7C (Public o s� ) Public Utilities 2C � N 'TE `rt © 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: ['Approved. Denied. ❑Not applicable (Circle one.) Comments: BUILDING 1--..e e S PLANNING &ZONING 2-d — Reviewed by Date: TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 sa.,:r City of Atlantic Beach APPLICATION NUMBER Building Department (To be signed by the Building Department.) s. 800 Seminole Road . Atlantic Beach, Florida 32233-5445 MAR 1 7 2020 1 V LC) -�00� AVPhone(904)247-5826 • Fax(904)24 45 t0 E-mail: building-dept@coab.us BY. Date routed: 3 t (0 Zo City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l(07 eAff,,,i ( Department review required Yes No Building Applicant: DM;,o&7C--�� C,�-nning $Zonm Tree Administrator . Project: ��� II\DPNz (bl or s Public Utilities RETE&)7l OIC) 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: Vpproved. Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by_J,,:a,. " ' Date: 3 f/P-'2C) TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. nDenied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 10/9/18 • .........,. City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY on v'- IS REQUIRED. Phone:(� / ,(904) 247-5826 Email: Building-Deppt1@coab.us Job Address: -1�7 Came'i 0. . }kC.l(� 7. 1� c. `' ermit Number: LI V z.0 - 0003 Legal Description g-- 3� 11-2S- Lii J � Yhi sat �i LY•RE# V 7Q%� OM r/7��(��/�`��n/� N; `Of Valuation of Work(Replacement Cost)$__C�LLL—Heated/Cooled SF � �' Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial )tesidential • 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 `` J J ec rQ- Ore,5, AD be ',‘- ttQd t-((j �)( (S V v�'`t 2 016 6 Jf 0\/a;-- C.rs 1U1(1 -}-o Via-ter C + r*A (AIK\ \ Florida Product Approval# for multiple t approval form Property Owner Informatio' Name .a(k •� . v MAddress G(01 Catyletta//,�S1-. • -�r city (\ii(. ' C,h State �L Zip '22.3 3 P one C10"1" 22.x" -7. ' E-Mail Q SS. ' 1�1 e.cimxt1 ,cpm �, Owner or Age?t(If Agent, Power of Attorr4ey or Agency Letter Required) Contractor Information \on `w\�,� �n Name of Company V v retn c ktX Qualifying Agent Address City Stat Zip Office Phone Job Site Contact Number c 1 State Certification/Registration# E-Mail me-VMV\ri=1-1 A -4-.to =k Architect Name&Phone# Engineer's Name&Phone# 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. ;11'7, .s Air E OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be.dbne in compliance with I applicable laws regulating construction and zoning. rr MAR 1 6 2020 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMtNCEMENT MA RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO;ii, ING YOU , OTI OF COMMENCEMENT. . �., (Signature of•rner or Agent) (Signature of Contractor) i ed and sworn to by :/ .efore m• this .ay o Signed and sworn to(or affirmed)before me this day of y i & ,J 1:� , by ( atu I�� (Signature of Notary) I .,,. :,:!;f: s'' TONI GINDLESPERGER [ ]Personally Known OR I .v{ rt'sinMYC04/1M16 )N#00353178 [ ]Produced Identification �(�: . +cedffDCPtfttlSlcatian-- 2023 Fo..`o Type of Identification: 1' e nI Ty6�•3 Ic nitfltliticlh:, c;'rdenvrttem ALL J. , Owner Builder Affidavit **HIGHLI HIGHLIGHTED ON r, ;e HIGHLIGHTED IN P, .nry City of Atlantic Beach Building Department GRAY IS REQUIRED. '5111r1 800 Seminole Rd, Atlantic Beach, FL 32233 `E • Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF ANOWNER-BUILDERPERMIT. Job Address: CIO Cone( fa arm-- otio tic Reach, rL � 3 (} r�/ c Owner Name: On`, �Q Phone Number: i `i�'"2[.(0, Sr?S J 1 (�( I C Y �r c City: .� Beath State: L Zip: 322• Mailing Address: `1 Q�� V� Week y �� Dl', � � p �3 Notarized Signature of Owner at f The . ging i strum•nt was acknowled d before me isL� W day • • ,20Z`?the State • lorida, County of VV a Signature of Notary Publics "i AO [ ] Personally Known OR [ ] Produced Identification Type of Identification: 'P L ..... Updated 10/24/18 "`"� TONT GINDLESFt'i *. MY COMMISSION#GC:;;3178 ':`A 4.� EXPIRES:C .:r 6,2023 'FOFFIOP: BondCd ThN Notal)r:_jiic Undscwr:ters Construction Site Management Plan APPROVED } 4411 O I saw!? LOT 6, BLOCK 183 to C.)I E1E74) SEWER No. 975 ~O CLEANOUT yr� O 5 102.00' PLAT ~ 11• FD. 1/2' IRON 6 • • - } ( ) FD. 3/4' IRON (LB 1674) COVERED UNE (6.61) � 0.2' O.1y CONCRETE / 101.93'(F.M.) 6' WOOD FENCE (NO LD.) /06, O ,(7.74) R` t , CA �j rwevr4vrvr• ` �4)' O 14.4••••••••••4 EAVES t.0' (7.40) W 1.4.444444444• • • EOP k ►!�!�!i!4!i!i!i!i!i!•^i OMIT&POST POSMONS.❖.❖❖❖:❖:^. faa g .... POST nams 27.4-OR 2 lir MK CTA 1D00 Ce .•••••••••••.4 . 5 a IW ro�no� (canon N •4•••••••••• :STEEL 113 PROCIAL POST t'ropoe4d SFR L__- « d az p1\‘111.4./ 10 tdt4m non •- •••4, •••• On o 0 omit TANK O .iy: •i•�•i N 0, p0 J � I 44444444••••} d 1A IA •••••••••••} ill SL_s-L1 •44444444444 ♦4444.444441 I 1iIi *L1( ••••••4.4.4♦ t ow ♦4••4••4••„} �ii•4.44i•444444444•�•i \ 1J h h 4,61. —LL •444••4.444• U •4444.4444t•� Ll ammo' •444444444• ♦44.4.444.4, — — — \ FD. 1/2' IRON SECTION �Qi1�•QQQ�•����Q�t� —1-___ I—I (NO I.D.) TYPE III SILT FENCE -Jeb-�h Te-TIM o. 1� !!• (9.8) 1 ,�(ti . N.T.S. \(7.71) FO. l/2- IRON FD. 2' IRON 1.8. (7.82) TOP OF (1-9 101.96(FM)) 102.00'(PLAT) (NO I.D.) CA CURB USIH Fenn To be Installed TBM MI properly boundary Ile N lbws NAIL & DISK before oonelruallon, non ELEV.(7.82) d'fe1 LOT 2 NAVD (88) C,t�©� Y 0 9th STREET (50.0 FOOT RIGHT—OF—WAY) .� off' l'r es Comp. By: s Date: 3/10/2020 rSi1 Public Works Department City of Atlantic Beach Permit No: 16-SFR-721 Address: 967 Camelia Street Required Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that stormwater runoff from impervious areas be stored onsite. Volume to be retained is as follows: V=CAR/12 which is the Modified Rational Method for estimating stormwater runoff Where: V=Volume of Runoff to be stored (cubic feet) C = Runoff Coefficient, 0.92,the difference between impervious area(C=1.0) and undeveloped conditions(C=0.08). A= Impervious Area(square feet) R=25-yr/24-hr rainfall depth (9.3 inches for Atlantic Beach) Onsite Storage Volume Required for Impervious Area: Lot Area= 5,100 ft2 Impervious Area(A) = 1,836 ft2 = 36.0% V= 0.92 x 1,836.0 x 9.3 / 12 V= 1,309 ft3 Provided Storage: Area 1 -Relative Elev. Area Storage Sideslope: 2 :1 (ft) (ft) (ft3) • 1 850 555 BOTTOM size: 37.6-,, X 0.6 1,000 TOB size: i 40 X CI:6)5 Area 2- -- . we Elev. Area Storage ( _-- (ft) (ft) (ft3) 0.0 00 BOTTOM size: 0 X 0 0.0 0 TOB size: 0 X 0 Area 3-Relative Elev. Area Storage —— (ft) . (ft2) (ft3) 0.0 00 BOTTOM size: 0 X 0 0.0 0 TOB size: 0 X 0 Inground Storage: =A*dlpf Total Storage Area at TOB(A)= 1000.0 ft2 Depth to ESHWT from BOTTOM(d)= 2.0 ft,default is 2.0 ft,verify onsite ESHWT Pore Factor(pf)= 0.4 default is 0.4 Inground Storage Provided= 800.0 ft3 Required Treatment Volume= 1 309 ft3 Supplied Treatment Volume= 4112, ft3 Retention W.R.Copy for Sending-Revised 04-16-19-Copy 3/10/2020 .- • I I . • ...'s I t ••• .L I . Z -.Ft.. •41b, ..4,1:b 1 '' •,.. . .1 -. .. , *\ , fl t....$ IN) ?N• , ..,,..1. 4( k) ' 4 Li 4414, -......,, \ A I . te tt tt tf. _ ..... . (lb -.., ..., •-•14 G.\ ..t. 1,1 CM) "'"•40 '1/4 41i, C4 . .. .., )N1\ 1 ‘NN (...1 N1, , . , \s\...e.............„,......, . - . s. ‘,..1