365 8th St 2013 Demo CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Application Number . . . . . 13-00002347 Date 4/01/13
Property Address . . . . . . 365 8TH ST
Application type description DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
DEMO SINGLE FAMLY HOUSE
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Owner Contractor
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BEACH CASTLES OF NE FL REALCO RECYCLING
1730 OCEAN GROVE DR 8707 SOMERS ROAD
ATLANTIC BEACH FL 32233 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 . . 9/28/13
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Special Notes and Comments
Full right-of-way restoration, including sod, is required.
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.
If sidewalk gets damages, it must be replaced ASAP.
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Other Fees . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
City of Atlantic Beach 1-ECETVEL. APPLICATION NUMBER
ds Building Department MAR 212013 (To be assigned by the Building Department.)
800 Seminole Road /2 Z J7 t f-7
; Atlantic Beach, Florida 32233-544 f —
Phone(904)247-5826 • Fax(904 - -
�J3 E-mail: building-dept@coab.us Date routed: .Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 0 d'T Department review required Yes No
Building
Applicant: tj 11141,t,A 4aPlanning &Zoning
Tree Administrator
Project: X ks� ublic Works
Public 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: Approved. ❑Denied.
(Circle one.) Comments: �Qp
BUILDING
PLANNING &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: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
BUILDING PERMIT APPLICATION D
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 �S
Office(904)247-5826 Fax(904) 247-5845 MAR 0 2013
Y
Job Address: ��5 �A Permit Number:
Legal Description S�' —Z� Zai Parcel # �,�q,174-e✓Q5700
Floor Area of meq. t. Sq.Ft
Valuation of Work$ Sj coo Proposed Work heated/cooled 1100 non-heated/cooled 2�
Class of Work(circle one): New Addition Alteration Repair Move Demoli ' n pool/spa window/door
Use of existing/pro osedistructure(s) circle one):iCommercial Resi
es o
If an existing structure, s a fire spriWer system installed? (Circle one): N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: D �
oaerty Owner Information: Aln
ante: 'h �/g OF'Ab�l� l /DA- Address:�?30 �'' 1A l 0tJC--
ity /f7'L q,sj,'G 9&79-44 State,�Zip,�23 33 Phone �!/ G 7 7
-Mail or Fax#(Optional) �' C !��E
Contractor Information: /l
Company N me: GO Qualifying Agent:
Address: -70 SyN z-g C4 City -�AK � p
State L Zi
Office Phone 1,5?—:2511 Job Site/Contact Number7S Fax#
State Certification/Registration >
Architect Name&Phone#
Engineer's Name&Phone# A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address I
Application is hereby made to obtain a permit to do ghwork and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of apermit and that all work will be pe ormto meet the standards of all laws regulating construction in this jurisdiction. Thispermit becomes null
and void tf work is not commenced within six(6J mo , or if constntctlon or work is sus eoraanonefra_peno pofsix(u�ntacesBoilemonths at ys,HQ a rsrwork iscomenced. I understand that serapets must be secured for Electric Worly Plumbing,Sig W F
Tanks and Air Conditioners,de
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 YO�JR NOTICE OF
COMMENCEMENT.
I herebycertify that I have read and examined this a licadon and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojwork will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, te,or local law regulatin onstruction or the performance of construction.
Signature of Owner Signature of Cont r -�,,
Print Name fit. ........... l.., p.. ,/........... Print Name ...........L, ......� ...........................
Sworn to�nd subscribed before me Sworn to and subsc6��?ed before me
"Day of t,V1 tAr2e'N . 20 i� this aib Day of /'1lEtC�lt 20/3
Aa-f3E t ��No
UFAM
otary ublic ALBERT MORENO lic
.
ny Notary Public,State of Florida
Notary Public-state of Florida
My CoR�lui�iklNhbl.�02016
My Comm.Expires May 26,2015 cwm&sion No.EE 187847
Commission#EE 97846
Rnnded Throuah National Notary Assn.
TREE & VEGETATION AFFIDAVIT
City of Atlantic Beach
Department of Community Development
Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233 �,• .,, ,,. ...1. � 1
(P)904 247-5800 (F)904 247-5845
SECTION I-APPLICANT INFORMATION Owner(s) r Legal Authorized Agent*
NAME OF APPLICANT &%WA D19061
NAME OF COMPANY � &-4 or9�3AK $T A&*10/4 . 444,1
ADDRESS OF COMPANY 1730 E N rGdaLg
PHONE MIZ`ar4 7J1 ,7 CELL J,0q 2N6770 EMAIL Bi�9cl7CJ4 7'-L(r� �j f�Sl
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER /v 1 A-
SECTION 11-SITE INFORMATION
STREET ADDRESS OF PROPERTY '36eS
If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request on address. /,�J
LEGAL DESCRIPTION ' ' U�17lVIS10 %%~ �,.��, ps RdaZ'0aD la G4t��0 ` '� `�
0CM "rT` - VAL U /
LOT !IN S BLOCK I SUBDIVISION 0.310/ ArAN'L 994c
33.3c e�'I''o tC'Gx�'T'��• �
REAL ESTATE NUMBER LOT OR PARCEL SIZE: 0 SQ FT Q AC
11�.� 7�DQ lam___
RESIDENTIAL �� COMMERCIAL OTHER(SPECIFY)
1 affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of
Ordinances for the City of Atlantic Beach,FL and/or 1 have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
from the ve-d�e�scribed=properties in conjunction with this project.
SIG ATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on thiso?l Jayof 4Arbc 14 c, 1?, ,by State of
12 aSArJ N —0 County of C>,& ✓ 14
Identification verified: 15�u,4 t 17A V
Oath sworn: 10Yes r o
ALBERT MORENO J✓ (2 n10
Notary Public State of Florida of Signature
•; :• My Comm.Expires May 26,201
Commission#EE 97846 Commission expires: d 5��?(� aO i5
R �` X,fk°�� Bonded Through National Notary Assn.
•,5,,;,,+1�_. ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
J` }
' RELEASE FORM
'' •r
Date:
To Whom It May Concern:
I /We the current property owners of: Lot 30 Aup_rXE ER4-,4T33.30 �Ea7�D�'LoT,3d2
Block A9 I W 1U0. uB Awe-990t,
A gaJWVcription of467) Ur BOOBS, Pry 6 9 D I vA�
AKA36 S a I A)7_1G if have contracted with to have
(Addrefs of Property)
to remove the
(Company Name) (Single FMnily,Duplex,Commerci ,etc.)
Prior to the construction of 51AJ /y/
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 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 affecteq area or new structure is completed and landscaping is in
pla(e. .
Sign ture
Signature
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
QSigned: 1 Date: 3118) 1-3 _
aDi3 in the County of Duval,State
Before me this day of�dCp
Of Florida,has personally appeared QcSA-%�h* D l).&til
Notary Public at Large,State of klonda,County of Duval.
My commission expires:
Personally Known: —
yroduIlentification: Dt- .•``nr pb�., _ALBERT MORENO
��� :•r°. «`�= Notary Public-State of Florida
N6 41°• + :•E My Comm.Expires May 26,2015
t �E� ` �� 'N'rFOFFtV�o•` Commission#EE 97846
" " Bonded Through National Notary Assn.