Permit Demo 195 Seminole 2011 g !,.rU`.f;r
�� , s CITY OF ATLANTIC BEACH
' � ` 0 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002236 Date 6/22/11
Property Address 195 SEMINOLE RD
Application type description DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
garage (not rebuilding)
Owner Contractor
REICHLER RICHARD ECONOWASTE INC.
2025 BEACH AVE 5252 SHAWLAND RD
JACKSONVILLE FL 32254
(904) 378 -0927
Permit DEMOLITION PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/19/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 104.00 104.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
'At' , , ,
as' ,fr ,o.,. / 7 is
V (!
,.,,..;?...:::-.1 i‘
u
:, 9,,!1„,,,ti.., ci---6-0
%,, ,...„„ti„, 4
City of Atlantic Beach • 800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Phone: (904) 247 -5800 • FAX (904) 247 -5805 • http : / /www /ci.atlantic- beach.fl.us
PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS,
MOVING OR DEMOLITION OF SINGLE - FAMILY OR TWO- FAMILY (DUPLEX) CONSTRUCTION
� ( DATE i6 � / (
APPLICANT V. (.1�4r.-A - ?..e.. CatY"
ADDRESS 06 0 S --- g( -JCL- A.--le--- PHONE: ? 0
ADDRESS WHERE WORK IS TO BE PERFORMED / 06 , t ,,,..16.-
LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER 6o?6 ZONING DISTRICT a -5 ` a
CONTRACTOR EC cAo, C.ve.S C . STATE LICENSE NUMBER N(o .
ADDRESS 6 5 rS ,, l PHONE (PO ) (/J?
CITY stS Svhvti STATE Ft ZIP .3 FAX 6920 3 7S) - 49 3 1-
DESCRIBE PROPOSED USE AND WORK TO BE DONE rndiS e --
pea l
PRESENT USE OF LAND OR BUILDING(S) O-t+•k.\
VALUATION OF PROPOSED CONSTRUCTION ,i 3000 • (u)
1
Is this an addition? N If yes, what are the dimensions of the added space: feet by feet
Will the added area be heated and cooled? New electrical or increase in service? Pp
New plumbing fixtures? /U New fireplace? A )O New heating / air conditioning?
Is approval or Homeowner's Association or other private entity required? ,Ub If yes, please submit with this application.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904 - 247 -5817. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction
topographical survey is required. (If not required, written verification must be provided with this application.) The
Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834
STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and
four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall,
800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826
01/02/02
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
1. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and
square footage. Identify any existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works, a pre - construction topographical survey.
5. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies.
6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
SIGNATURE OF OWNER Lam
DATE G AWL r 1
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. 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.
s- i
SIGNATURE OF CONTRACTOR 1, DATE L (' - Y� ) t
ADDRESS AND CONTACT INFORMATION 0 PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME 2..1 t.k6t., -.A.7�
MAILING ADDRESS kx) ca. Iw� V-C•c- j =( 395E
PHONE 31-58 8 °- O .a FAX 1 5T6 - 0 E -MAIL (..6 h /4Th 0 tc6,.4 Ac... lh C,
SWORN AND SUBSCRIBED BEFORE ME THIS {) DAY OF 0 +'"t 901 I 1
STATE OF FLORIDA, COUNTY OF DUVAL
NOTARY'S SIGNATURE r _ .
?o .��� "1oa�,, COLIN BINGHAM
�-
`S,.R P 4
�- Notary Public - State of Florida
--)
AS TO t ; ;� ^ My Comm. Expires May 8, 2015 2 known
..z,.7..,,,,,-;., ' Commission # EE 56649 ❑ Produced identification
Bonded Through National Notary Assn. Type of identification produced
`a o� P avn� B( `' COLIN BINGHAM
- Notary Public . State of Florida
AS TO ' E ..`� ' '; 'fl ;', . + �R Expires Ma 8, 2015 personally known Comm E
s „,. .��� c Commission # EE 56649 ❑
°', °,, `”' Bonded Through National Notary Assn. Produced identification
Type of i dentification produced �"
01/02/02 •