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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 ---------------------------------------------------------------------------- Application desc DEMO SINGLE FAMLY HOUSE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BEACH CASTLES OF NE FL REALCO RECYCLING 1730 OCEAN GROVE DR 8707 SOMERS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226 (904) 955-3581 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/28/13 ---------------------------------------------------------------------------- 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. -------------------------------------------------------------------- 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. 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.