1380 W Plaza 2014 DEMO CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00000908 Date 6/11/14
Property Address . . . . . . 1380 W PLAZA
Application type description DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
DEMO HOUSE (FIRE)
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Owner Contractor
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STANFORD, PAUL A E & R ENTERPRISES OF NORTH FL
1380 W PLAZA 2628 WEST END ST.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 626-5656
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/08/14
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Special Notes and Comments
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.
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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
4.�
s
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5-9-4 5
rJ4 0 S
'PLA-ZA
Job Address: I Permit Num e'.
Legal Description 2.S -A 9 a (P 10 Parcel# /7 0 T7
Floor Area of SS q.F t. Sq.Ft-
b
Valuation of Work$ 40W." Proposed Work heated/cooled 14(o* non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move emolition ool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidenti
<i��s
If an existing structure,is a fire sprinkler system installed? (Circle one)r: espN/A
Florida Product Approval#
For multiple proaucts use product approval form
Describe in detail the type of work to be performed: Z C-O&OV V-- 9 L-U i 0104 t,Aia
Ap4bi WP40 L4-MIC, �SLA13,
Property Owner Information:
Name: PA� u L_ A. STA r-1 Fo 9-D Address: 1380 PL.4203t�
city Nf-rie- 13CA. StateF_i_zip32X33 Phone
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EMAIL ADDRFSS: eAtiln i?u-V+bq_c_k cam
Company Name: P_ UWLT W?4 S G-S Qualifying Agent: ePWI-4 f0TT6AC-%A
Address: Z(o vie-W GYAO _410-1 city All-Awna Be-H—State Fi-A. Zip S232-33
Office Phone 'qoq-1-10- 2.1 O'S Job Site/Contact Number 91)'t-40 2-4-sks Fax#
State Certification/Registration# C Cy C /5'0 4 15 a
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 q(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 iTwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a Period qfsix�6)months at any time after
work is c6mmenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools,Purnaces,Boilers,Heaters,
Tanks andAir ConMoners,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 herelb certify that I have read and examined thisia lication and know the same to be true and correct. Allprovisions of laws and ordinances governing this
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Work will be coTplied with whether e , e§herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of any otherfederal,state, or localsf,w regulating construction or the pe�fbrmance of construction.
Signature of Owner PJ7777 Signature of Contractor Sv4..-- lPco�-w�
PrintName P60 A- 3+0 J.........
...................................................................I..........n.f ........................ Print Name Anw,_J PUT-Ter..................
Befo Before me
th,s,LT!Dayof 2014 thisSTI- Dayof -ID-rl
te
C J Du� "—.........
MyCommission FF
064283
Notary Public C �,pW Poo Notd�y Public 'lop'01 Expires 12/1212017
Notary PubliC StAill of Florida
C igwrtl Revised 01.26.10
y'ommisaion FF 064283
'y
Expires 1271 2�/27017
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 TTORIDA BUJLDTNG CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
800 Seminole Road
SS Atlantic Beach,Florida 32233
Telephone(904) 247-5800
FAX (904)247-5805
gill I F9
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code See 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
I. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code) as of 2009 the permitted
dumpsters are Advanced Disposal, Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 5/2009
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned byjhe Building Department.)
800 Seminole Road 3-5445 [ ��C�El
Atlantic Beach, Florida 3223
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us JUN 0 6 201,4 Date routed:
City web-site: hftp://www.coab.us I
I BY
APPLICATION REVIEW AND-MACKING FORM
/ Flfd A Dep 3rtment review required Yes No
Property Address: a Building
Applicant: Planning &Zoning
Tz"_A�inistrator
Project: Public\Norks_��
-Mu=ic t7f_ies
Public Safety
Fire Services
Dept
Review fee Signature
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
Reviewing Department First Review: VApproved. E]Denied.
(Circle one.) Comments: C4"o
BUILDING
PLANNING &ZONING Date: 6)
Reviewed by:--,Z 61_
TREE ADMIN. Second Review: FlApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09