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395 Skate Rd DEMO23-0010 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: JOSEPH AND MICHELLE VIEIRA 395 SKATE RD ATLANTIC BEACH FL 32233-3819 COMPANY:ADDRESS:CITY:STATE:ZIP: FERGUSON BUILDERS INC.317 3RD STREET ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171669 0000 ROYAL PALMS UNIT 02A3.00 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 395 SKATE RD DEMO PARTIAL Partial Demo $1800.00 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 DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL Notes: Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code. 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: 3/31/2023 PERMIT NUMBER DEMO23-0010 ISSUED: 3/31/2023 EXPIRES: 9/27/2023 DEMO PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT DEMOLITION 455-0000-322-1000 0 $100.00 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 TOTAL: $154.00 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 4 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 5 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 6 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 8 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: If replacing with new, additional impervious areas, it will need to be submitted on next permit since getting credit on this permit. 2 of 2Issued Date: 3/31/2023 PERMIT NUMBER DEMO23-0010 ISSUED: 3/31/2023 EXPIRES: 9/27/2023 DEMO PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Partial Demo DEMO23-0010 395 SKATE RD FERGUSON BUILDERS INC. 4'lf Building Permit Application Updated 10/9/18 i,1 City of Atlantic Beach Building Department ALL INFORMATION 1 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY r ` ..J9' IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: ," 11-- S L<,-4-,_ KZ k Permit Number: Legal Description 91bb D " R S L) a 7 OJrc!{T S *. , A C---- RE# 11[i7( -UO( D Valuation of Work(Replacement Cost)$ 4-tel G',0 Heated/Cooled SF Non-Heated/Cooled Class of Work: New Addition Alteration Repair Move Demo L]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 separateJ`reRemoval Permit) LINO Describe in detail the type of wprk to be performed: 1 f!% 0 A" +-- 13 I.f-- _ ' ,x_ 1 P P2 ' Florida Product Approval# for multiple products use product approval form Property Owner Information Name ,.jns.Lrk \j,t%-A Address 3`t `. Sk..,---e_ `-('.4 City -A-E-4.0...4;L ci, State EEE_ Zip 3;.).D":,- Phone "104 '")a ,3,4 E-Mail -i,kJ.-1._ '\+---,,, . (----0'''' Owner or-Agent(If Agent, PoWer of Attorney or Agency Letter Required) Contractor Information Name of Com any rt-ti-Q. J S ' - v t)' c Qualifying Agent i atA.5 Address - ;2 Z.% K. -t g t-7 4 City ')TL , .,i3c-(4. State tris Zip -'2..433 Office Phone 9 Z '( q.4 ! 15 Job Site Contact Number ....,•s ' i• State Certification/Registration# c`ea O.2 f(t3 _ E-Mail 6-"ILA lr .RR. "-"--^,f Z.-. 't•;r"f.a.. .'c-.?,0.-- fArchitectName& Phone# 'i's`rte ,i)" "G '7 )R`' Engineer's Name&Phone# 1 i 4 `ir C{ ,' j Workers Compensation Insurer ' X: S.4-a P'7" OR Exempt t Expiration Date Z"°' .-f i ' ' 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGUR NOTICE OF COMMENCEMENT. gnature,----- , C--VF-C---- )(----p_I 8,r C--e."1--L'e) of Owner or Agent) ignature o Contractor) f ',. 1 h Signedii and sworn to(or affirmed)before me this 22 day of Signed and sworn to(or affirmed)before me this Z7 day of f"t9+'C1,l , „Zr23 ,by . o h u • - . Mayrd l , 20 ,by r 0' v` 7 ignature of Notary Ono urn 'C ) ERJOLA DURMISHI YP•'•. L• :• Commission#HH 270865 VANESSA ANGERS 4 i ; :Y`- MY COMMISSION#HH 244118 1 Personally Known OR `.,, $f i,,q',( Expires Personally Known OR v: EXPIRES:March 23,2026 Produced Identificatio 1roduced Identification 9.".`.. ype of Identification: L L- Ems, Type of Identification: FL til S `17-4-1Y-(? CUTLASS S 8°3712 (' Rlclr FDRI vE i).------(i).------ 7„ E YJ S 83°3o 25f, kv 94. 95.3q; (M (PLAT) r Q m so' r o ' f t_. sB„ m' I _ Q. 1icr` Q1La_ W I LOT I I ff.) 4_ ! ••. .4. .. •., • t .' r BLOCK 24 p F . E' W Ln L Q O N .:f• ...•.le 26.1' H 1 L(1 I• • ' rr T•• O 11J ill- 0 ONE STORY V I 1 I MASONRY pvr 11.8Q O 121- IO L 111111•111111111111•111==11 r GOAROEI7 tv I T°O00I___ A, D 4 I o I Ir- (STING I - 26.0' 102't / -. 4.: , 26.9' in— I n10.3' I u inl SCREENED r / PATIO \ Q. 1 O O 0 01 0 O O 0 O O t_O O . O 0iri 1 5 i2°43'58" W G3.Oq' (MEASURED) I ` J I 82°43'58" E g3.Oq' (PLAT) LOT 2 BLOCK 24 C - r` 6 -4-0 v V l( e ci 1SITEFLA\ SCALE: N.T.S.