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640 BEGONIA FLOODPLAIN „ Floodplain Development Permit Application llndnted6/14/2021 City of Atlantic Beach Building Department -Mg'Y 800 Seminole Rd, Atlantic Beach, FL 32233 `-r); Phone: (904) 247-5826 Email: Building-Dept@coab.us Application #:_PPRI21-0008 SECTION 1: General Provisions (APPLICANT to read and sign): 1. No work of any kind may start until a permit is used. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six (6) months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state, and deferral regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. THE APPLICANT CERTIFIES THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE): DATE: SECTION 2: Proposed Development (to be completed by APPLICANT): NAME: ADDRESS: TELEPHONE: EMAIL: APPLICANT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number, legal description, and outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. _640 Begonia,Atlantic Beach, Florida _RE# 170921 0010 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ESTIMATED COST OF PROJECT: $ ACTIVITY: STRUCTURE TYPE: New structure ❑ Residential (1-4 family) ❑ Addition 0 Residential (more than 4 family) O Alteration ❑ Non-residential (Floodproofing? ❑ Yes) ❑ Relocation 0 Combined use (Residential & Commercial) ❑ Demolition n Manufactured (mobile) home Page 1 of 4 ❑ Replacement I (In manufactured home park? ❑ Yes) B. OTHER DEVELOPMENT ACTIVITIES ❑ Clearing ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (except for structural development checked above) ❑ Watercourse alteration (including dredging and channel modification) X Drainage improvements (including culvert work) ❑ Road, street, or bridge construction ❑ Subdivision (new or expansion) ❑ Individual water or sewer system ❑ Other (please specify) After completing SECTION 2, APPLICANT should submit form to the Local Administrator for review. SECTION 3: Floodplain Determination (to be completed by LOCAL ADMINISTRATOR): The City of Atlantic Beach has adopted an additional 2.5 feet (Freeboard) above the FEMA Base Flood Elevation (BFE), per COAB, LDR 24-251(c). The BFE + 2.5-foot Freeboard =the required Design Flood Elevation (DFE). The proposed development is located on FIRM Panel No._12031C0408J , dated _11/02/18 The proposed development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is partially located in the SFHA, but building/development is NOT in the SFHA. X Is located in a Special Flood Hazard Area FIRM zone designation is_AE "100-Year" flood elevation (BFE) at the site is:_6.0 ft. NAVD DFE at the site is 8.5 ft. NAVD ❑ Is located in the floodway FBFM Panel No. , dated (If different from the FIRM panel and date) ❑ See Section 4 for additional instructions. SIGNED: --Dri" t,t 4 Crib. DATE: 1 1© 1 (Z ► SECTION 4: Additional Information Required (To be completed by LOCAL ADMINISTRATOR): The applicant must submit the documents checked below before the application can be processed: X A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions, and proposed development. Page 2 of 4 X Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures, proposed elevation of lowest floor (including basement), types of water- resistant materials used below the first floor, details of floodproofing of utilities located below the first floor, and details of enclosures below the first floor. Also, ❑ Subdivision or other development plans. (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide "100-year" flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Change in water elevation (in feet) ❑ Meets ordinance limits on elevation increases ❑ YES ❑ NO ❑ Top of new compacted fill elevation ft. NAVD. ❑ Floodproofing protection level (non-residential only) ft. NAVD. For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any, increase in the height of the "100-year" flood. A copy of all data and hydraulic/hydrologic calculations supporting this finding must also be submitted. ❑ Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR): I have determined that the proposed activity: A. ❑ Is B. ❑ Is not in conformance with provisions of COAB Code of Ordinances, Chapter 8 and Sections 24-68, 24-81, and 24-251. The permit is issued subject to the conditions attached to and made part of this permit. SIGNED: DATE: If Box A is checked:the Local Administrator may issue a Development Permit upon payment of designated fee. If Box B is checked: The Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision —Approved? ❑ Yes ❑ No Reasons/Conditions: Page 3 of 4 SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued): The following information must be provided for structures that are part of this application. This section must be completed by a registered professional engineer or a licensed land surveyor (or attached a certification to this application). Complete 1 and 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest horizontal structural member of the lowest floor, excluding piling(s) and columns) is: ft. NAVD. Information must include two (2) FEMA Elevation Certificates; one (1) Under Construction, completed at slab or top of foundation; and one (1) Finished Construction. 2. Actual (As-Built) Elevation of floodproofing protection is ft. NAVD. Information must include two (2) FEMA Elevation Certificates; one (1) Under Construction, completed at slab or top of foundation; and one (1) Finished Construction. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR): The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE: BY: DEFICIENCIES? ❑ Yes ❑ No DATE: BY: DEFICIENCIES? ❑ Yes ❑ No DATE: BY: DEFICIENCIES? ❑ Yes ❑ No SECTION 8: CERTIFICATE OF COMPLIANCE (To be completed by LOCAL ADMINISTRATOR): Certificate of Compliance issued: DATE: BY: Page 4 of 4