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Permit Demolition 2061 Beach Ave 2012 . �$!.�.-V , , N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000783 Date 7/06/12 Property Address . . . . . . 2061 BEACH AVE Application type description DEMOLITION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc demo single family dwelling ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHAW RICHARD AND MIMI TRUST SIGNATURE HOMES & DEVELOPMENT 2061 BEACH AVE 731 DUVAL STATION RD ATLANTIC BEACH FL 322335934 STE 107-417 JACKSONVILLE FL 32218 (904) 759-9867 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/02/13 ---------------------------------------------------------------------------- Special Notes and Comments Must protect catch basins on Beach Avenue . Full right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. ---------------------------------------------------------------------------- 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. PUBLIC WORKS PLAN REVIEW COMMENTS CK �/ Date: /�L I L PNInitials: Project Name/Address: '� C)(�f I �J� 4' Application Permit#•jo� `7 8?j M L'_ check sox check RC Application Tracking Comments to add Box to Comment 'Print" Provide table of impervious surface calculations for entire lot(existing and post construction). ❑ ❑ Provide erosion and sediment control plans with installation detailsnd maintenance ` schedule. -w.5it Provide drainage plans showing site topography(flow arrows,etc.) ❑ ❑ Provide construction site management plan, including Right-of-Way Permit if using unpaved right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed Professional 13 E3Land Surveyor,showing 1'contours. Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and ❑ ❑ on-site retention required per Section 24-66(b). (See attached information sheet.) If on-site storage Is required,a post construction topographic survey documenting proper C3 ❑ construction will be required. A Right-of-Way Permit must be obtained for use ❑ ❑ A Revocable Encroachment Permit must be obtained. ❑ ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10'minimum from street or drainage feature(swale,structure or lagoon). 0 All concrete driveway aprons must be S"thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW ❑ p (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑ plans. Full right-of-way restoration,including sod,is required. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. (Approved:Advanced Disposal,Realco,Shappeile's and Waste management) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control Inspection prior to start of construction. Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ ❑ construction. Call 247-5834 to make an appointment. ❑ ❑ s'. City of Atlantic Beach / APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233- � ��! � /� ��✓ Phone(904)247-5826 Fax( 4447-5845 ?® E-mail. building-dept@coab.us / Date routed: /L City web-site: http://www.coab.ua APPLICATION REVIEW AN RACKING FORMA Property Address: v&I '6-6-01, Ae Department review required Yes No Building Applicant: /71 S Planning &Zoning Tree Administrator Project: c7� f ublic wo ublic Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: *pproved. ❑Denied. (Circle one.) Comments: BUILDING J."o— PLANNING&ZONING Reviewed by: Date: JJ? / AL TREE ADMIN. Second Review.- A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904)247-5845 Job Address: O0 C 1 5&,& A V(. Permit Number: Legal Description Parcel# Floor Area oF Sq.Ft. Sq.Ft Valuation of Work$ /0)03-0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolitio pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esidenti If an existing structure,is a fire sprinkler system installed?(Circle one): No N/ Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: e V1^b eAi 5 �.��\i Property Owner Information: Name: L, Address: City State_Zip Phone E-Mail or Fax#(Optional) Contractor Information: I `' 1 Company Name: v-e, 5 d cVt. Iwe.�n _L.-K. Qualifying Agent: RFk ic.w s Address:231 j ov xl S,, e_ 101-,o7, City Jcyc State,F Zip 3) 1 Office Phone 7 i T--07 Job Site/Contact Number 75 r-q g`'7 Fax#_71 -b71- State Certification/Registration Architect Name& Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for apertod of six 6)months at any time after work is commenced. /understand that separate permits must be secured for Elecirica/ Work,Pluanbdttg,Sigus, Wells, Pools, urnaces, Boilei:s, Heaiets, Tanks and Air Conditioners,etc 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 RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi nces 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 iolate or cancel the provisions ofany other federal,state, or local law regulating construction or the performance ofconstruction. Signature of Owner Signature of Contracto Print Name Print Name s t. ......G�.l ........................ Sworn to and subscribed before me Swor an u i d be f re e this Day of 20 iii Da 20 tiri�erg, SHI LEY t. Notary Public :.; * N 14, 014 Bonded 7hru Notary Public Underw iters Revised 01.26.10 } ATLANTIC BEACH BUILDING DEPT. ams r , DEMOLITION — PROPERTY OWNER r RELEASE FORM vN fj; t r Date: aa 12 To Whom It May Concern: I /We the current property owners of: Lot Block Legal Description of Property AKA A Vc. have contracted with to have (Address of Property) rvs U fe ohA(-S 4 e-V mac" to remove the �i� �c �G„�.�� D04"w (Company Name) I (Single Family,Duple ,Commercial, tc.) Prior to the construction of : Ncw S i jc, raw l� flo r'.� 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, lot is to be graded and leveled. 3. All construction debris is to be removed from the property. 4. Affected area i to have grass or seed in place. 5. Erosion contr I devices will be put in place and will remain in place until grass has covere ected area or new structure is completed and landscaping is in agip gn t e Signature THIS SPACE FOR RECORDER'S UqONLYMYCOMMISSIONYr, EXPIRES:February 1of Bonded Thru Notary PutSiDate: sday of in the County of Duval,State Of Florida,has personally ppeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: Letter of Intent Authorized Agent This agreement is made this�day ofNL2012 between Richard and Mimi Shaw(hereinafter referred to as owner)and Rex.J. Williams, Signature Homes & Development, Inc. (hereinafter referred to as Contractor). Owner agrees to use contractor for construction of their home located at 2061 Beach Ave. Atlantic Beach, FL, pursuant to all permitting, design completion, and final pricing. Owner authorizes contractor to act as owner's representative on said project for the purpose of applying for permits, variances,and engineering. Owner: Contractor: l is and Shaw 16AA Illiams Owner: M' a Witness as to owners: Witness as to contractors: PUBLIC WORKS PLAN REVIEW COMMENTS CK Date: ��L ( Z initials: y PN o� a(pl ,�l ( 2 ML Project Name/Address: �— *v Application Permit X:10 Cho*sox Check RC _. Application Tracking Comments to add Box to Comment "Print" Provide table of impervious surface calculations for entire lot(existing and post construction). ❑ ❑ Provide erosion and sediment control plans with installation detailsnd maintenance schedule. �ut,,g ' ,i ,� Provide drainage plans showing site topography(flow arrows,etc.) ❑ ❑ Provide construction site management plan,including Right-of-Way Permit if using unpaved tight-of-way for construction parking. 01 '-' Provide a pre-construction topographic survey prepared by a Florida Licensed Professional ❑ ❑ Land Surveyor,showing 1'contours. Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and ❑ ❑ on-site retention required per Section 24-66(b). (See attached information sheet.) if on-site storage Is required,a post construction topographic survey documenting proper ❑ ❑ construction will be required. A Right-of-Way Permit must be obtained for use ❑ ❑ A Revocable Encroachment Permit must be obtained. ❑ ❑ Pool—Welipoint(if used)must discharge into vegetated area 10'minimum from street or O ❑ drainage feature(swale,structure or lagoon). All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW ❑ ❑ (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑ plans. Full right-of-way restoration,including sod,is required. Roil off container company must be on City approved list and container cannot be placed on City right-of-way. (Approved:Advanced Disposal,Reaico,Shappelle's and Waste Management) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control Inspection prior to start of construction. Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ construction. Call 247-5834 to make an appointment. ❑ ❑ ❑ ❑