1042 Beach Ave 2013 demo house CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003778 Date 12/16/13
Property Address . . . . . . 1042 BEACH AVE
Application type description DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
DEMO SFR
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Owner Contractor
-
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BERNARD MARY C GRIDER CONSTRUCTION INC
1042 BEACH AVE 2057 VELA NORTE
ATLANTIC BEACH FL 322335754 ATLANTIC BEACH FL 32233
(904) 463-4606
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Permit DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/14/14
---------------------------------------------
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 . )
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.
Silt fence to be installed prior to beginning demolition.
---------------------
----------------------------
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 \ APPLICATION NUMBER
Building Department �� (To be assigned by the Building Department.)
800 Seminole Road rSri
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904) 247-5845 O�j7
0,3U%' E-mail: building-dept@coab.us \ ILDate routed: /
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ) a-1 2-- BeQcl'-)five Department review required Yes No
Building
Applicant: G 1�1 �i1� Planning &Zoning
Tree Administrator
Project: el✓Y>�
5��� ublic Works
Public Utilities
Public Safety
Fire Services
Review fee $ ;,s Dept Signature
Other Agency 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
PLANNING &ZONING Reviewed by: 4� Dater
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 05/14/09
PUBLIC WORKS PLAN REVIEW COMMENTS �'h
Initials. PN MLL
Date: f� ✓
�Project Name/Address: Application Permit#: ��7
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
IMPS Provide table of impervious surface calculations for entire lot (existing and post
construction).
ESCP Provide erosion and sediment control plans with installation details and maintenances ❑
schedule.
DPLN Provide drainage plans showing site topography (flow arrows, etc.) ❑ ❑
CSMP Provide construction site management plan, including Right-of-Way Permit if using ❑ ❑
right-of-way for construction parking.
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional
Land Surveyor, showing 1' contours.
LDCS 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.)
PCTS If on-site storage is required, a post construction topographic survey documenting proper ❑ ❑
construction will be required.
RWPM A Right-of-Way Permit must be obtained for use ❑ ❑
REPM A Revocable Encroachment Permit must be obtained. ❑ ❑
PLWP Pool—Wellpoint (if used) must discharge into vegetated area 10' minimum from street or ❑ ❑
drainage feature (swale, structure or lagoon).
DAPR All concrete driveway aprons must be 5"thick, 4000 psi, with fibermesh from edge of
pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑
way. (Commercial driveways—6" thick).
URCT 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.
RWRS Full right-of-way restoration, including sod, is required. ❑ ❑
ROFF 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)
ECIN 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 ontrol
Inspect not prior to start of construction.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed ❑ ❑
construction. Call 247-5834 to make an appointment.
firii�� ����r76� :
❑ ❑
1' DEC 4 013
BU I PERMIT APPLICATION
C F ATLANTIC BEACH By
800 S",Pil+le Road,Atlantic Beach,FL 32233
Offs. (9K,)4 247-5826 Fax(904)247-5845
' G Permit Number:
Job Address:
Parcel#
Legal DescriptionAil
t
0 q. t. 9
Valuation of Work S Propos Work heated/cooled non-heated/cooled
Class of Work(circle one)- Additi n Alteration Repair M4eN.
Iition pool/spa window/door
Use of existing/proposed.structure(s)(circle ):II
Commercial If an existing strucctture, s a fire sprinkler sy flbstalled?(Circle ooe) N!A
Florida Product Approval#
For multiple products use pro uct approv o
Describe in detail the type of work to be Per od:
Property Owner Information:
AAk G lZNFl2 Address:��� ` `Y 17N Sr
Name: Phone
City c. Fir 1 State f C Z, 32
E-Mail or ax#(Optional)
Contractor Information:
Company Name: s�r7/V. Quali in A nt;
City State Zip
Address: Fax#
Office Phone lob Situ/Contact Number
State Certificatio 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 dnd installations as indicated 16
rt that no work or installation has commenced prior to to
and void(work manor�that ommerrced within!be pe fmor onths�to
f�otrh+sir�Cilori or v o)rk is suspeg ended or abandonconstruction orr ahpwriod of six 6.)Tmonths ata any timesaA
work is commenced. f understand that separate permits ntus i}e secured for Electrical Work,Plumbing,Signs, We11s,Pools,Farnares,Boilers,Neater
Tanks and Air Conditioners,de.
WARNING TO OWNER: OUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESUL IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU! ND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTR EY BEFORE RECORDING YOUR NOTICE OF
OMMENCEMENT.
1 herebyy certify that I have read and examined this plical ion and blow the same to be true ancorrect.
1 resumer o gions ve authority foand r violate es gor cancel tt
rype o"l work will be complied with whether specs red herein or not. The granting of pe P
provisions of ny other fed'rat.state,or loc law re I ractruction or performance ofcanstruction.
1 Fit, - �s > yr•S
j•
Signature of Owner i'4-e� Signature of Contractor
Print Name �� �
> `Y
Print Name N t�".___ / ....._.__.._.._._.
Swor�ubscribe of a me 3
Sworn to and subscribed before me >✓ 20
this t Cl Day of ^Jt- �!_'Ja k>- 4' 20 this Day of
Notary Public / /. ota u ac
Revised 0 1.26.10
OBBIE J JOHNSON
•,�,pr aye..:_ I
MY COMMISSION#FF004282
zs•.. o
EXPIRES April 3,2017
'p or N JENNIFER WALKER
(407)398-01 53 FtoridallotaryService.com MY COMMISSION#FF 011480
- ' � EXPIRES:April 24,2017
�;?aF yygr Bonded Thru Notary Public Underwriters
II
I �
Ii I
NOTICE OF COMMENCEMENT
State of (Plot
d Tax Folio No.
County of T'•.W
To Whom It May Concern: property,
The undersigned hereby in you that improvements will be made to certain real and in accordance with Section 713 of
the Florida Statutes,the following information is ted in this i� CaF O E;`1�E A
Legal Description of property being improved:
ti
Address of property being improved:
General description of improvements: `
,
S� ryE�14_�r
�' Address:�-� ���71-( r-r------
t\Owner: _
Owner's interest tr.site of the improvement:
Fee Simple Titleholder(if other than owner):-I-Name:
Contractor:
G
Address: 00
Telephone No.: !- Fax No:
Surety(if any) pkmotmt of Bond$
Address:
Telep o:
Fax No:
Name and address of any person making a loan for the construction of the improvemerin
i
Name:
Address:
Phone No:
Fax No:
Name of person within the State of Florida,other than himself,designated by owner'upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
g person to receive a copy of the Lienor's Notice as provided in Section
In addition to himself, owner designates the following
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:_
Telephone No:
Fax No:
Expiration date of l,fotice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNEEj--
SiSned: i!'�Z E-�--
-------. iia be County of Duval,State
Before me this ec day of, !
Of Florida has personally appeared
Notary Public at large,State of Florida,Colt of Duval.
My commission expires: or
Personally Known:
Produced Identification: %
OBBIE J JOHNSON
I 4r B�
N O ,� C•.
MY COMMISSION#FF004282
OR SK 16606 Page 536, :a± EXPIRES April 3,2017
Doc# 013299589, P.
rF Oi M1.:
Number Pages:1 14 0398-0153
FloridallotaryService.com
Recorded 11,22;2013 at 09:32 AM,
Ronnie FusseN CLERK CIRCUIT COURT DUVAL,
S'
COUNTY
10.00 1'
RECORDING$ I ,,
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION —PROPERTY OWNER
RELEASE FORM
Date:
To Whom It May Concern:
We the current property owners of: Lot
�./ Block AV e•
Legal Description of Property
VIE _have contracted with to have
AKA Property)
ea to remove the
(Single Fily,DuplexCOM raal,etc.)
(company Name)
Prior to the construction of
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 leve
l
3. All const property.
ction debris is to be removed from theed
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 affected area or new structur is completed and landscaping is in
place.
ignatum
Signature
I
THIS SPACE FOR RECORDER'S USE ONLY
OWNER -
� Zr.e:s ate:
Signed: f Duval,State �e
of N� e M 6 v�in the County p
Before me this --- `
Of Florida,has personally appeared
Notary Public at Large,State of Florida,Counq of Dkval.
My commission expires: o 1
Personally Known:
i Produced Identification r L b
OBBIE J JOHNSON
F�,;OF
MY COMMISSION#FF004282EXPIRES April 3.2017 M1�:
:01n 398-oi53 Floridallotaryserv'tce.com