Permit 275 Walter AvenueCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 09-00001775 Date 10/19/09
Property Address 275 WALTER AVE
Application type description DEMOLITION (ENTIRE BUILDING)
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
demo house ( fire )
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Owner
STROWBRIDGE, JESSIE
275 WALTER DRIVE
ATLANTIC BEACH FL 32233
Contractor
------------------------
REALCO WRECKING CO.
8707 SOMERS ROAD
JACKSONVILLE FL 32226
(904) 955-3581
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Permit --------------
DEMOLITION ------------------
PERMIT ---------------------
Additional desc .
Permit Fee 100.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 4/17/10
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Fee summary
----------------- -------------
Charged
---------- - -------------------
Paid Credit
--------- ------- ---------------------
ed Due
---
-
-
Permit Fee Total
100.00
100.00 -
---
----
.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 100.00 100.00 .00 .00
PERMIT IS APPROVED ONLY dN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION -PROPERTY OWNER
RELEASE FORM
Date: / ~~~~(~
To Whom It May Concern:
i / We the current property owners of:
AKA
(Address of
Lot ~°~'-~. C~ ~~z~ ~-~ ' ~ ;~+ `6~
Block
Legal Description of Property
contracted with to have
~~.. ~~' ~ ~-L ~~ ~ r'l1 ~- ~ to remove the ~ °n- ~~~-1-~•~tc>~e LC ~' N
(Company Name) (Single Family, Duplex, Commercial, etc.)
Prior to the construction of : _ ~~~
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked.
2. Once house is removed, iot is to be graded and leveled.
3. All construction debris is to be removed from the property.
4. Affected area is to have grass or seed in place.
5. Erosion control devices will be put in place and will remain in place until grass
has covered affected area or new structure is completed and landscaping is in
place. ~/'
~J
S' ture
Signature
THIS SPACE FOR RECORDER'S USE ONLY
SMMNM ~~
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. ~ ~~• 6co~>s ,loll, 2012
Comm~~ ~ fi1D 60290
~py~1 NtdOn~ MOtify ~.
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Signed: ~~~,~~~"'-- Date: /Q ~~
Before me this ~_ day of ~~~}~ _ in the County of Duval, State
Of Florida, has personally appeared ,, ~ o A(` ~ ~ Yt')Gl/1l
Notary Public at Lazge, State of Florid-~a~Gounty of val.
My commission expires: ~k~,1rl/ ( 7i(~ ~
Personally Known: or
Produced Identification: _ ~L'('~ L_
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Job Address: ~ l
Owner of Property:
,~
Address:
CITY OF ATLANTIC BEACH
DEMOLITION PERMIT APPLICATION
Legal Description: Block Number
Contractor: Real co Recyci i ng
Contractor's Address: °~"~
Telephone: 904-757-7311
Describe proposed use and work to be done:
Present use of land or building(s):
Jacksonville,
Demolition Work
I~~.
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees?
X10. Applicant certifies that no change in site grade or fill material will be used on this project.
^ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
,~NO. Applicant certifies that no trees will be removed for this project.
~^ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as aapropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Attach Tree Removal Application if trees are to be removed or relocated.
I hereby certify that all information provided with this application is correct.
Signature of Owner:
Date: ~ ~`~~~~
I hereby certify that I have read and examined this application and know the same to be true and wrrect. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required
800 Seminole Road • Atlantic Beach, Florida 32233-5445
Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us
Page 1 Revised 1/14/03
Date: ~ ~ ~~ `~
Signature of Contractor:,
October Z0, 2009
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: Realco Recycling Co.
Mailing Address: 8707 Somers Road, Jacksonvi 11 e, F1 32226
Telephone: 904-757-7311 Fax: 904-751-6611 E-Mail: ~d rea co~ax.com
AS TO OWNER:
Sworn to and subscribed before me this ~~ day of ~J~ l'~ , 20 C~ !
St ~
MPSON
NoWY Public - >~ d fblida
~ Cq~, mini Jul 1, Y012
Notary's Signature:
Coa+mlaion +~ 00 402400
!OM^dlprou~AM^tlon~ltiot~ty~^~ ^ Personally kno n
]'Produced identi ~ tion
Type of identification produced ~~(
AS TO CONTRACTOR:
Sworn to and subscribed before me this 20th day of October ~ 20 09
State of Florida, County of Duval ~
A. JEAN DOWLING
NOtary Public, State Of FlOlfda Notary's Signature:
My comm. exp. May 8, 2013 rr--~~66
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P
Camm. N0. DD 868737 ersona
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^ Produced identification
Type of identification produced
800 Seminole Road • Atlantic Beach, Florida 32233-5445
Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.ll.us
Page 2 Revised 1/14103