1565 Beach Ave demo for new home 2012 �� ss. CITY OF ATLANTIC BEACH
ay)
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001756 Date 12/04/12
Property Address 1565 BEACH AVE
Application type description DEMOLITION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
DEMOLISH SINGLE FAMILY DWELLING & DETACH GARAGE
Owner Contractor
ENCORE BEACH PROPERTIES, LLC CLADDAGH CONSTRUCTORS, INC.
C/O ALAN HOWARD ESQ 3997 AMERICA AVE
14 E BAY STREET JAX BEACH FL 32250
JACKSONVILLE FL 32202 (904) 241-1012
Permit DEMOLITION PERMIT
Additional desc . DEMO SFD AND DETACHED GARAGE
Permit Fee . . . 100 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/02/13
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: /S7a Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 7-2 /7/O 7 C/-7/ STS
-7C--7-- C‘_e I ,c--,---?±_
Property Owner Information: � vefrT!'�s, 4-LG.
Name:
'''''''''' '''T� .;//# En'c0" Address: 3 1 17 •1t"'1 e-✓icV fM
City ,�ohs •,/1a State FL-Zip 3265 ) Phone `l O'- Z-4/—/0/Z
E-Mail or Fax#(Optional) (76 4)T13 -/7 2Y
Contractor Information:
Company Name: C/A-ea,3Ci 's�.QS Qualifying Agent: oil'e- '- /Ct.-,n cil
Address: 3`0-7 v2' City - "`'' &d State FL- Zip 32_2_97
Office Phone Job Site/Contact Number F/3 -/?2-d'' Fax# 2-Y-2-13S1-9-
State Certification/Registration# G,ac_ 03e3 (c 7
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. 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 laws regulating construction in this jurisdiction. This permit becomes null months at and
work Disc ommenced.not I understand that separate or if construction
be secured for ElectricalpWork, Plumbing,Signs,a Wells,Pools,xFurnaces,Boilers,time
Heaters,
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 BE OMERRETCORDING YOUR NOTICE OF
I herebb�Jy�certify that I have read and examined this a plication a ' 7 ow the same to be true and correct. All provisions of laws and ordinances governing this
type of work o any be comlied sr,ith wohet�ear •• fzed herein t'n i ' ruction t. The
or tingfofivae permit cdoes not presume to give authority to violate or cancel the
provisions of Y federal,
IS if
Signature of Own= %iiL'/-! Signature of Contractor)Pr
opp-Print Name Ci . ,92 rg ,¢ Print Name 12 6-m/r / 4/ie if
Before e � BeforiA ,20 47.-this C 3 Day of II, ., l H'. , 20 /2 this ay of
b. .st'�i,*� 4�aa+∎■ r----- - -__..
Notary Pub is j . Notary Public sate a Florida Notary P ' '. i,',", DES,
N. , ,'' ,trig,;'3 •r-.:
Ky C Cornmisaion 'a-ice M POMMISSIoN 2rRevised I i.24.12
0rtl22t S•May 2015 a r Expires 07/20/2013 'R!„ _ Bonded inns Notary Public u
ndergriters
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: )16 c ate, Permit Number: ja -J-Sc
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move I/emolition ■•ol/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: Cc,eog�C L L Ay a-47<-5 Address: /S63--- g d aye.
City t State it ip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: t/cuddc.. A, 5%/',-mss ,a..-' -c. Qualifying Agent: /4.2,14 e...41 A 4
Address: 31-i 7 ► i c... /¢✓e- City TAcican✓r/(! Be4 State FL Zip 3 Z2.3a
Office Phone 7-J11- /o/z Job Site/Contact Number '/3-/7L? Fax# 2..V-2-'/-3 4144-
State Certification/Registration# c-- oS83 6 7
Architect Name&Phone# N/k
Engineer's Name&Phone# NM"
Fee Simple Title Holder Name and Address 1✓J/"
Bonding Company Name and Address //4-
Mortgage Lender Name and Address PM
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 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 aperiod of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
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
TTORNEY BEFORE RECORDING YOUR NOTICE OF WITH
YOUR LENDER OR ANA COMMENCEMENT.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of 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 other federal,state, or local law regulating construction or the performance of construction.
r-5%Signature of Owner Signature of Contractor
Print Name .--11+U m g Pet- 7
Print Name M i C
Befo e Before t..` 20 /2
this 3 Day of ,t 0 , 2012_ this Day of
•' as, * M*Y"U Nota Public State of Florida 46. 1'
i e .1 e
/ ^ Kelli C Paugh Nota ,1" .1,; EXPIRES:May 21,2015
Notary P blic My Commission DD888221 e• Bonded l'htu Notary PublcUnderwriters'? o'P Expires 07/20/2013 ' ' -— --!----,;-:,-:. 10.24.12
ori`
p '3 Do 3-26 70 z /. 0
i , , City of Atlantic Beach APPLICATION NUMBER
.„ Building Department (To be assigned by the Building Department)
i 800 Seminole Road /
�: Atlantic Beach. Florida 32233-5445 / 7 S�
Phone(904)247-5826 • Fax(904)247-5845 �/` .3 1 - Z
�• Jr,y�r E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /S70 S /3-4. - v`' Dept ent review required Yes No
C Bui1e� ,,i
Applicant: CO Q Gx tL �4- Planning&Zoning
Tree Administrator
n&-t.2 Public _
Project: 'd tie(.� mil'/ �. ”F�ublic Worlss/'
6/ Public Utilities
7-1-41�'. Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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
IReviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLAITING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127//0
DEPARTMENT OF PUBLIC WORKS
tei Ai 'r,41
t 71121410 ,''
EROSION & SEDIMENT CONTROL INSPECTION I,'
Date /
(--36-74- Time I. 7 Permit# i, " Inspector kf,r
Project Name/Location 1 ?~4- ) r3 bl-C-f.-- f i 1: -,--,
Contractor's Name/Address
Stage of Construction 5#148.51 `)
1p NO NA
❑ ❑ 1. All required erosion and sediment control measures are shown on plan.
R ❑ ❑ 2. All silt fences are properly installed(staked in and trenched in)and in good condition.
❑ ❑ IV 3. All disturbed areas are properly stabilized Temporary or permanent stabilization is required.
❑ ❑ R- 4. All dewatering operations turbidity readings are 5 29 ntu above natual background readings.
( Note,turbidity readings must not be above background levels for Outstanding Florida Waters.
X ❑ ❑ 5. All construction entrances are free from soil and mud tracking.
❑ ❑ is1'? 6. All above ground water impoundments are stabilized.
❑ ❑ �(�" 7. All stormwater inlets are adequately protected from sediments.
❑ ❑ X14 8. All stormwater ponds and conveyance systems are stabilized and free of sediments.
❑ ❑ �
9. All receiving waters are adequately protected with floating turbidity curtains or other
means as needed.
❑ ❑ [ ' 10. Sediment traps are installed as needed and are in good working order.
❑ ❑ "S 11. All soil stockpiles are adequately stabilized.
❑ ❑ 12. All preservation wetland and conservation areas are clearly marked and adequately
protected from silk,erosion and turbidity.
❑ ❑ lk 13. All alum/water treatment systems operating properly and coordinated with DPW.
❑ ❑ l' 14. Notice of Intent(NOI)(FDEP Form 62-621.300(4)(6)has been submitted to FDEP.
❑ ❑ T 15. The Stormwater Pollution Prevention Plan(SWPPP)is on site.
❑ ❑ g' 16. The required inspection and maintenance report forms are always completed.
f
Comments:
NOTE:Failure to comply with erosion and sediment control rules and regulations in a timely manner may result in PERMIT
VIOLATIONS,and ENFORCEMENT ACTIONS may be taken by City of Atlantic Beach,SJRWMD,FDEP,and U.S.EPA.
Letters of Violations,Stop Work Orders,and Fines may be issued for Permit Violations.
Please contact Public Works Department at 904-247-5834 or Fax 904-247-5843 for any questions or concerns.
Verbal Written notification given to:
Company Phone#
1
f_jj) .,„ali :.__....../"-----
Inspector Signature
White, Debbie
From: Nodine, Phil
Sent: Friday, November 30, 2012 3:33 PM
To: White, Debbie
Subject: FW: Demo
71C1 .
FY!
From: Nodine, Phil
Sent: Friday, November 30, 2012 2:38 PM
To: Hart, Melissa; Graham Shirley
Subject: Demo
I meet with Matt Fennell at 1565 Beach Ave he has installed his silt fence for the demo I
approved his silt fence he said he had applied for the permit but we didn't get it so he is good
for Public Works
1
White, Debbie
From: Nodine, Phil
Sent: Friday, November 30, 2012 3:33 PM
To: White, Debbie
Subject: FW: Demo
FYI
From: Nodine, Phil
Sent: Friday, November 30, 2012 2:38 PM
To: Hart, Melissa; Graham Shirley
Subject: Demo
I meet with Matt Fennell at 1565 Beach Ave he has installed his silt fence for the demo I
approved his silt fence he said he had applied for the permit but we didn't get it so he is good
for Public Works
1