2395 Mayport Rd 2013 Demo waffle house CITY OF ATLANTIC BE
800 SEMINZ
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003688 Date 1 1 1/25/13
Property Address . . . . . . 2395 MAYPORT RD
Application type description DEMOLITION
Property Zoning . . . . . . . COM GENERAL DISTRICT
Application valuation . . . . 0 --------------
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Application desc
demo structure and parking lot
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Owner Contractor
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NCCRF FLEET LANDING NCCRF
1 FLEET LANDING BLVD ONE FLEET LANDING BLVD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 219-4002
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . - . 00
Permit Fee . . . . 100 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/24/14
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Special Notes and Comments
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 . ) must be installed and
Full erosion control measures
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and "Sediment Control Inspection prior to start of
construction.
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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.
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2395 Mgyport Rd. Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel#
Floor Area of -&q.Ft. Sq.Ft
Valuation of Work$ 15,000.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mov<���pool/spa window/door
Use of existing/proposed structure(s) circle one): Residential
If an existing structure,is a fire sprin=system instailedd?�(Circle one): Yes No
Florida Product Approval #-�r_oduct approval form
For multiple products use
Describe in detail the type of work to be performed: DEMOLITION OF STRUCTURE AND PARKfNG
Property Owner Information: P jqz � 8 S �
Name:NCCRF dba Fleet Landing Address: I Fleet Landing Blvd (2)
City A7t—lantic Beach State FL—Zip 32233 Phone 904-246-9900 xt 431 NOV 14 2013
E-Mail or Fax# (optional)jholder@fleettanding.com
Contractor Information: tZ3
Company Name:NCCRF dba Fleet Landing Qualifying Agent: Jason Holde
Address:I Fleet Landing Blvd City Atlantic Beach -State FL Zip 32233
Office Phone 904-246-9900 xt 431 Job Site/Contact Number 904-219-4002 Fax#
State Certification/Registration# CBC 1254586
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 commencedprior to the
issuance o)"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 sus fter
pended or abandonedfor a period ofsiXP6)months at any time a
work is commenced. I understand that separate permits must be securedfor Electrical—Work, Plumbing, Signs, Wells, Pools, urnaces, 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 INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here ?rt ead and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
o7b ify that I have i y
type i�cerk will be complied with whether specified herein or not. The granting of a permit does not presume to give authorit to violate or cancel the
provisions of any otherfederal,state, or locall law r ulating construction or the pe�formance of construction.
Signature of Contracto�
Signature of Owner
PrintName Jason Holder ..............................................................................................
...........................................
.. ................. ....... .... .......... .. ..
.................
...... ...
Print Name . .........................................................................................
................ ...
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EXPIRES November 4.2017
(407)398-0153 FlorkJallotaryService.corn
(407)3WO153 Foori&NotaryServicezom
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City of Atlantic Beach APPLICATION NUMBER
�X Building Department (To be assigned by the Building Department.)
800 Seminole Road �3
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us
ED) City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: o939 600 der TV Department review required Yes No
Building
Applicant: Planning &Zoning
T�p��rator
Project: d-Public Works
-Ru-Uric—Utilifies
Public safety
Zo r S—
;� )Fire Services
d AJ-411 Ad -r�I
Review fee $ Dept Signatwie—l—"
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
—R�t
Reviewing Department First Review: /ElApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:: Date:
TREE ADMIN. Second Review: FlApproved as revised. [_]Denied.
=PUBLICWORKS Comments:
PUBLIC UTILITIES
'PUBLIC SAFETY Reviewed by'. Date:
FIRE SERVICES Third Review: RApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09