1717 Selva Marina Dr RES21-0104 RevisionDESCRIPTION ACCOUNT QTY PAID
PermitTRAK $50.00
RES21-0104 Address: 1717 SELVA MARINA DR APN: 172014 0000 $50.00
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
TOTAL FEES PAID BY RECEIPT: R15605 $50.00
Printed: Thursday, April 22, 2021 3:55 PM
Date Paid: Thursday, April 22, 2021
Paid By: HOMECORE BUILDERS
Pay Method: CREDIT CARD 447389440
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15605
p UNIVERSAL ENGINEERING SCIENCE, INC.
5561 Florida Mining Blvd
4Jacksonville, FL 32257
904-296-0757 — Fax: 904-296-0748
NOTICE TO BUILDING OFFICIAL—USE OF PRIVATE PROVIDER
Project Name: "/L V ,I/ fi . Plans Review Inspections Both
Parcel Tax I.D ( G(7 afire Circle one
Note: If the notice applies to either private plan review or private inspection services the Building Official may require.at his or her
discretion,t private provider to be used for both services pursuant to Section 553.791(2)Florida Statute.
17ie-E,/ / A75/1
the fee owner,affirm I have entered into a contract with the Private Provider Indicated below to conduct the services indicated above.
Private Provider Firm:Universal Engineering Sciences,Inc. FL.License,Registration or Certificate No.P.E.38705
Private Provider: Richard G.Kushner,P.E.
Address: 5561 Florida Mining Blvd,Jacksonville,FL 32251 Phone: 904-296-0757 Fax:904-296-0748
I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the
subject of the enclosed permit application,as authorized by s.553.791,Florida Statutes. I understand that the local building official may not
review the plans submitted or perform the required building inspections to determine compliance with the applicable codes,except to the
extent specified in said law. Instead,plans review and/or required building inspections will be performed by licensed or certified personnel
identified in the application. The law requires minimum insurance requirements for such personnel,but I understand that I may require more
insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or
certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify,defend,
and hold harmless the local government,the local building official,and their building code enforcement personnel from any and all claims
arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the
subject of the enclosed permit application.
I understand the Building Official retains authority to review plans,make required inspections,and enforce the applicable codes within his or
her charge pursuant to the standards established by s.553.791,Florida Statutes. If I make any changes to the listed private providers or the
services to be provided by those private providers,I shall,within 1 business day after any change,update this notice to reflect such changes.
The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not
include review for fire code,land use environmental or other codes.
INDIVIDUAL CORPORATION PARTNERSHIP
Print Individual N. Print Corporation Name Print Partnership Name
By: / By: By:
signature) signature) signature)
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Its: Its:
7Address: S e\V a 1'
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Telephone ` -
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No: No.: No.:
Please use appropriate notary block.
STATE OF I Dkc‘
COUNTY OF Numta
Individual Corporation Partnership
ik'
Before met this (2 day of Before me,this day of Before me,this day of
YtS 20ai 20 .a 20
pe so ally appeared who executed the foregoing Corporation,on behalf of the state personally appeared Partner/agent on
instrument,and acknowledged before me that corporation who executed the foregoing behalf of,a partnership,
same was executed for the purposes therein instrument,and acknowledged before me who executed the foregoing instrument,
expressed. that same was executed for the purposes and acknowledged before me that same
therein expressed. was executed for the purposes therein
expressed.
Personall known or,pr••uced identificatiionl Type of identification produced
i l o nda S Ivtr ill
Signature o otary Print Name
Notagr Phihtic- NOTARY STAMP RFI.n1A/ My commission expires: t a() II I9 -09-1
P% MALYNDASTURGELL J
A% '°,t. Commission#GG 921415
Expires May 11,2021
jf°i,°SOP Bonded Thru Troy Fain Insurance 800-385-7019
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GENERAL STRUCTURAL NOTESTHE CONTRACTOR SHALL VERIFY ALL CONDITIONS AND DIMENSIONS AT THE JOBSITE PRIOR TOCOMMENCING WORK. CONTRACTOR SHALL REPORT ALL DISCREPANCIES THE DRAWINGS AND EXISTINGCONDITION TO THE ENGINEER PRIOR TO COMMENCING WORK.DETAILS AND SECTIONS SHOWN ON THE DRAWINGS ARE TYPICAL AND APPLY TO SIMILAR SITUATIONSELSEWHERE, EXCEPT AS OTHERWISE INDICATED. ADAPT REQUIREMENTS OF DETAILS, SECTIONS,PLANS, AND NOTES AT LOCATIONS WHERE CONDITIONS ARE SIMILAR.DIMENSIONS INDICATED ON THE DRAWINGS IN REFERENCE TO EXISTING CONDITIONS ARE THE BESTAVAILABLE DATE OBTAINABLE, BUT ARE NOT GUARANTEED. BEFORE PROCEEDING WITH ANY WORKDEPENDENT ON THE DATA INVOLVED, THE CONTRACTOR SHALL FIELD CHECK AND VERIFY ALLDIMENSIONS, GRADES, LINES, LEVELS, OR OTHER CONDITIONS OF LIMITATIONS AT THE SITE TO AVOIDCONSTRUCTION ERRORS. IF ANY WORK IS PERFORMED BY THE CONTRACTOR OR ANY OF HISSUBCONTRACTORS PRIOR TO ADEQUATE VERIFICATION OF APPLICABLE DATA, AT RESULTANT EXTRACOST FOR ADJUSTMENT OR WORK AS REQUIRED TO CONFORM TO EXISTING LIMITATIONS, SHALL BEASSUMED BY THE CONTRACTOR WITHOUT REIMBURSEMENT OR COMPENSATION BY THE OWNER.STRUCTURAL DRAWINGS SHALL BE USED IN CONJUNCTION WITH JOB SPECIFICATIONS ANDARCHITECTURAL, MECHANICAL, ELECTRICAL, PLUMBING, AND SITE DRAWINGS. CONSULT THESEDRAWINGS FOR SLEEVES, DEPRESSIONS, AND OTHER DETAILS NOT SHOWN ON STRUCTURALDRAWINGS.CONTRACTOR SHALL LOCATE ALL BURIED UTILITIES PRIOR TO EXCAVATION FOR BUILDINGFOUNDATIONS. THE STRUCTURAL ENGINEER SHALL BE NOTIFIED OF POTENTIAL CONFLICTS BETWEENFOUNDATIONS AND BURIED UTILITIES.CODE REQUIREMENTS:THE BUILDING STRUCTURE IS DESIGNED IN ACCORDANCE WITH THE 2020 FLORIDA BUILDING CODE 7THEDITION. OTHER CODES IMPLEMENTED FOR DESIGN INCLUDE: ASCE7-16, ACI 315/318/530, NDS 2018, APA,A.I.S.C., ANSI. FOLLOW ALL APPLICABLE PROVISIONS OF THE FLORIDA BUILDING CODE AND OTHERRELATED CODES FOR ALL PHASES OF CONSTRUCTION.TEMPORARY CONDITIONS:THE STRUCTURAL INTEGRITY OF THE COMPLETED STRUCTURE DEPENDS ON INTERACTION OF VARIOUSCONNECTED COMPONENTS. PROVIDE ADEQUATE BRACING, SHORING, AND OTHER TEMPORARYSUPPORTS AS REQUIRED TO SAFELY COMPLETE THE WORK. THE STRUCTURE SHOWN ON THEDRAWINGS HAS BEEN DESIGNED FOR STABILITY UNDER FINAL CONFIGURATION ONLY. FOUNDATIONS:FOUNDATIONS ARE DESIGNED FOR AN ALLOWABLE SOIL BEARING PRESSURE OF 2,000 PSF ONCOMPACTED FILL. NO GEOTECHNICAL REPORTS AND/OR IN-SITU SOIL DATA WAS GIVEN TO THESTRUCTURAL ENGINEER PRIOR TO DESIGN. THE BEARING CAPACITY USED FOR DESIGN IS BASED ONALLOWABLE LOADS FROM THE 2020 FLORIDA BUILDING CODE FOR SANDY SOILS WITH NO CLAY,ORGANIC MATERIAL, OR OTHER DELETERIOUS MATERIALS THAT WOULD AFFECT DESIGN BEARINGPRESSURE AND THE PERFORMANCE OF THE FOUNDATIONS.BEFORE CONSTRUCTION COMMENCES, SOIL BEARING CAPACITY SHALL BE VERIFIED BY A SUBSURFACEINVESTIGATION,AS WELL AS FIELD AND LABORATORY TESTS PERFORMED BY A CERTIFIED TESTINGLABORATORY, WHOSE REPORT SHALL INCLUDE ANALYSIS AND RECOMMENDATIONS FOR SITEPREPARATION IN ORDER TO BEAR THE FOUNDATION LOADS. ABOVE REPORT SHALL BE SUBMITTED TOTHE STRUCTURAL ENGINEER FOR REVIEW BEFORE FOUNDATION CONSTRUCTION BEGINS.CONCRETE:REINFORCED CONCRETE CONSTRUCTION SHALL CONFORM TO THE FBC AND ACI 318 "BUILDING CODEREQUIREMENTS FOR REINFORCED CONCRETE". CONCRETE STRENGTHS SHALL BE VERIFIED BYSTANDARD 28-DAY CYLINDER TESTS PER ASTM C39, AND SHALL BE AS FOLLOWS:f'cABS W/CMIN CEMENTSLUMPUSE2,500 PSI0.58470 LBS5” +/- 1ALL SLABS, MONOLITHIC FOOTINGS, SPREAD FOOTINGS3,000 PSI0.58470 LBS5” +/- 1TIEBEAMS, COLUMNS, WALLS, ELEVATED SLABSCEMENT SHALL CONFORM TO ASTM C150, TYPE 1. FLY ASH CONFORMING TO ASTM C618, TYPE F ORTYPE C, MAY BE USED TO REPLACE UP TO 20% OF THE CEMENT CONTENT, PROVIDED THAT THE MIXSTRENGTH IS SUBSTANTIATED BY TEST DATA. COARSE AGGREGATE SHALL CONFORM TO ASTM C33WITH A MAXIMUM SIZE OF 3/4". FINE AGGREGATE SHALL BE CLEAN, DURABLE, NATURAL SANDCONFORMING TO ASTM C33.A WATER-REDUCING ADMIXTURE CONFORMING TO ASTM C494, USED IN STRICT ACCORDANCE WITH THEMANUFACTURER'S RECOMMENDATIONS, SHALL BE INCORPORATED IN CONCRETE DESIGN MIXES. AHIGH-RANGE WATER-REDUCING ADMIXTURE CONFORMING TO ASTM C494, TYPE F OR G, MAY BE USED INCONCRETE MIXES, PROVIDING THAT THE SLUMP DOES NOT EXCEED 8”.SLEEVES, OPENINGS, CONDUIT, AND OTHER EMBEDDED ITEMS NOT SHOWN ON THE STRUCTURALDRAWINGS SHALL BE APPROVED BY THE STRUCTURAL ENGINEER BEFORE POURING. NO SLEEVE,OPENING, OR INSERT MAY BE PLACED IN BEAMS, JOISTS, OR COLUMNS UNLESS APPROVED BY THEENGINEER. CONDUITS EMBEDDED IN SLABS SHALL NOT BE LARGER IN OUTSIDE DIMENSION THAN ONETHIRD OF THE THICKNESS OF THE SLAB AND SHALL NOT BE SPACED CLOSER THAN THREE DIAMETERSON CENTER. PROVIDE 3/4” CHAMFERS ON ALL EXPOSED CONCRETE EDGES, UNLESS NOTED OTHERWISE. WHEREINDICATED OR REQUIRED, SLOPE CONCRETE SLABS TO DRAINS SHOWN ON PLUMBING AND/ORARCHITECTURAL DRAWINGS. ALL CONCRETE SHALL BE CURED IMMEDIATELY AFTER FINISHINGOPERATIONS.
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FOR SMOOTH WEL
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WITH #16 ANNEAL
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OR PLASTIC LEGS.
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(
2
)
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5
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;
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DISCONTINUOUS.DOWEL ALL WALLS
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1
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1
2
&
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2
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.
/
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.
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2
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