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130 Seminole Rd 2014 Demo CITY OF ATLANTIC BEACH 1 l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J�3 Application Number . . . . . 14-00000591 Date 4/22/14 Property Address . . . . . . 130 SEMINOLE RD Application type description DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc DEMO EXISTING STRUCTURE ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- FANNIE MAE REALCO RECYCLING ONE WEST BANK FSB 8707 SOMERS ROAD 888 WALNUT ST E JACKSONVILLE FL 32226 PASADENA CA 91101 (904) 955-3581 --------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . . 00 Permit Fee . . . . 100 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/19/14 ------------------------------------------- Special Notes and Comments Full right-of-way restoration, including sod, is required. 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. --------------------- -------- 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 L5 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845a P s 20 1Q Job Address: 130 Seminole Rd Permit Numbe Legal Description 10— 20— 5-2 I it E 1 Parcel# oor Area o q. t. Nq rt Valuation of Work$ Proposed Work heated/cooled 1614 non-heated/cooled 408 / Class of Work(circle one): New Addition Alteration Repair MoveDemolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire spl' cler system installed?(Circle one): N/A Florida Product Approval# /�j For multiple products use product approval form Describe in detail the type of work to be performed: nerriniitinn of existinC1 str rt11rA Prooerty Owner Information: L Name:ZZ� dL4117_D2 t.l,&i Address: Z3 City "MX State[ ip 3Z?<Ko Phone 4(g-15— L aD E-Mail or Fax#(Optional) Contractor Information: Company Name: RealcO Rec clip CO Inc Qualifying Agent: D h rt Address: 87� omers City lartkennyillp State Zip 37776 Office Phone 77-7311 Job Site/Contact Number g5S-�5�1 Fax# 751-6611 � State Certification/Registration# CGCO55166 Architect Name&Phone# n/a Engineer's Name&Phone# n/a Fee Simple Title Holder Name and Address Bonding Company Name and Address n a Mortgage Lender Name and Address n a �_f' tionis hereby made!o obtain a permit to do the work and installations as indicated !certify that ro work orinstallation has commencedprior to the peiithis jurisd ction This permt becomes null d rf work is not conmrenced within six(6)months,or if construction or work is cu ruled or abarulwted for a pejo poof�16)aces,B�t H a filer ri WkPlbiSinsa C eatersTnd Air Condrtioners,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 BEOR ERECORDING YOUR NOTICE OF COMMEI here certify that 1 have readand examined this plication and know thefiont(fbe a&arrd coneet. ,411 prmfsions o laws andordinances governing this type o work will be complied with whether sppeci ted herein or Trot Theng of apemrit dt*xr.s rot plrsvw to grw authority to violaeor cancel the oeirn rice of Utfw r. C Signature of OwnerSignature of Contracor Print Name GA R-I At. f4otZ�rR u Print Name Sworn to and subscribed before me Sworn to and subscribe fore m 201 this�Day of t �201 this Day of No Public bis Revised 01.26.10 �'Yrr'"� KIMBERLY L.QUINTAL SANDRA Y.JENKINS '•`N Commission#EE 146720 Notary Public,State of Florida Expires January 26,2016 My Comm.Expires May 26,2016 B,,. dT uTr,Fak,k,..8W3W70A Commission No.EE 187847 ATLANTIC BEACH BUILDING DEPT. DEMOLITION - PROPERTY OWNER RELEASE FORM Date: 4 / 14 / 14 To Whom It May Concern: I / We the current propely owners of: Lot Block 10-8 20-25-29E Saltair SEC 1 Legal Description of Property AKA 130 Semmnole Rd have contracted with to have (Address of Property) Realco Recyclinq Co,Inc to remove the Single family home (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : &.f. ri 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 dftris is to be removed from the property. 4. Affected area islo have grass or seed in place. 5. Erosion control dovices will be put in place and will remain in place until grass has covered affected area or new structure is completed and landscaping is in plac ... C. Signature Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: " K1M8ERLY L.QUINTAL Before me this / day of r i A01 in the County of Duval,State Of Florida,has personally appeared 4-r A Cct K Commission#EE 146720 h. feS IanUBfy 26,2016 Notary Public at Large,State of Florida County of Duval. ,+ pF �nruTroyFsnwur uNO-3W7a1s My commission cVires: Personally Known: or Produced Identification: W i M C YLt ,W .1 J _3 Ell :T 61.. iI� aL RR � m ru^_ LL. W LL r ::�r��•.r• r :j Jrr '.r V .j 4r. : • r� jr � W Lr} 4-J T - i _ f T 1 r' T Date., Initlats: PFV tail Project Name/Address : ��/ /��/� Application Permit i8: Check Box Check Application Tracking Comments to Add Box to Comment "Print" [4ESCP vide table of impervious surface calculations for entire lot (existing and post struction). ❑ ❑ vide erosion and sediment control plans with installation details and maintenance edule. ❑ ❑ DPLN Provide drainage plans showing site topography(flow arrows, etc.) ❑ ❑ RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. ❑ ❑ 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. ❑ ❑ Section 24-66(b)of the Land Development Regulations requires on-site storage for LDCS 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). ❑ ❑ All concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of DAPR pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑ way. (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be URCT overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑ plans. RWRS I Full right-of-way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on ROFF 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 ECIN disturbing activities. Contact Public Works(247-5834) for Erosion and Sediment Control Inspection 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. ❑ ❑ ❑ ❑ ❑ ❑ Vit.=3�/r City of Atlantic Beach APPLICATION NUMBER s { , 'j-,f ' (To be assigned by the Building Department.) Building Department R.�C� / 800 Seminole Road Atlantic Beach, Florida 32233-5445 APR 17 ,j"4 Phone(904)247-5826 • Fax(904)247 5845 Date routed: i jjilt E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / G / �i p/ Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: �i kJ ublic Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: l 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 05/14/09 rn � 0 C) cs, 0 o 6 o 0 6 WOOD 2 n b Nis. ' � PENCE00 00" r 5�.000 o 0 r � o CFDAR a y O 0.2. Q O� OD02 = A W r y Q 00 00 .O � 0 ca r ? rn o e Q z o rn rn > o 20" LA D ' URfL m D S15��oy0�y LINK CAICE o o 50 ,5:8 .106 "ftCAUREL OAK SSIOEWARETE . e E K R .� ,,p,FR HH RDq Qqp r °fi WAY) ER PCq T) o=� m N N Z S m fn ZA �Dtm Z Del ; { O rrn m n Dm S p-u r D D 0 mZ) r �z0 "1 G) D {r A rTlLf) mm0 ;u:E QM Orrl KZ z= T (� O_NO O = 0 fTt zZ= m m 0 W W ' 1 z =gym K o M V m0W Z ZA W o CMm N DZ j ` J C nl mV) �Z ;05O m NZ .. n0DC)Z �- C� nO ZOjN� O •V m 0 N o-i r C7 p Z _ m D D o 4 rl rn toM zCD D O C W? 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