675 Beach Ave 2015 demo pool house CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
19,
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATI)N:
Job ID: 15-DEMO-174
Job Type: DEMOLITION
Description: demo pool house
Estimated Value:
Issue Date: 1/29/2015
Expiration Date: 7/28/2015
PROPERTY ADDRESS:
Address: 675 BEACH AVE
RE Number: 170121-0000
PROPERTY OWNER:
Name: BENZ, JAMES W & CATHERINE M,
Address: 675 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD CIA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
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.
All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff.
FEES:
Demolition Fee $100.00
ENG REV RESIDENTIAL BLD $25.00
Total Payments: $125.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C 7��
APPLICATION NUMBER
City of Atlantic Beach -1
S t—Vjp (To be assi ned by the Building Departmen)-)
6
JAN 2 6?015
Building Department
800 Seminole Road 3 41go / 7y
Atlantic Beach, Florida 3223 _54
6 - Fax(904)247 5a�'
7/ Phone(904)247-582 L Date routed:
-dept@coab-us
E-mail: building
Cityweb-site. http://wwwcoab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Aqi (I JJ Jo�
25:Property Address: —L Building
11; Planning &Zoning
Applicant: Tree Administrator
A P6611c,wko�rk
Project:
Public Utilities
Public Safety
Fire Services
Review fee Dept 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: NApproved. XDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_ Date:
TREE ADMIN. Second Review: F]Approved as revised. FDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
ATLANTIC BEACH BUILDING DEPT.
PROPERTY OWNER
4
DEMOLITION
RELEASE FORM
Date: —January 14, 2015
To Whom It May Concern:
I / We the current property owners of: Lot 5
Block 15
Legal Description of Property
AKA 675 Beach Ave - Atlantic Beach, FL 32233 have contracted with to have
(Address of Property)
Bosco Building Contractors, Inc to remove the PoolHouse
(Company Name) (Single Family,Duplex,Commercial,etc.)
Prior to the construction of New Pool House
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 affected area or new structure is completed and landscaping is in
place.
4V
'te
S;r tu
Signature
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed: Date: I
WILLIAM L.POPE Before me this 11' day of A�jVf Y in the County of Duval,State
Notary Publir,Slate ot Florida Of Florida,has personally appeared i;&V7_
My Comm,Expires Oct.19,2ff15 Notary Public at Large,State of Florida,County of Duval.
Commission No.EE 128745 My commission expires: or
Pe!2pg�w 3AA6'5 d6t/k
Produced Identification:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845
Job Address: 675 Beach Ave - Atlantic Beach, FL Permit Number:
Legal Description 5-69 16-2S-29E .23 - 03101 Atlantic Beach Parcel # Lot 5 Block 15
F loor Area of Sq.Ft. Sq.Pt
Valuation of Work $ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(�)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approvalTo-rm
Describe in detail the type of work to be performed: Demolition of Pool House
Property Owner Information:
Name: James & Catherine Benz Address: 675 Beach Ave
city Atlantic Beach State FLzip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosco Building Contractors, Inc Qualifying Agent: Todd A. Bosco
Address: 2158 Mayport Rd Citv Atlantic Beach State FIL Zin 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326
State Certification/Registration#_ CBC 1250212
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 apermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance ofapermit and that all work will bepedbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
ed ri 0 ix
and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandon for a pe od f s P6)months at any time after
work is commenced I understand that separate per7nits must be secured for 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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lhere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
fi-ed herein or not. The granting of a permit does not presume to give authorl.ty It . 1 eo ncel the
1� i,t I y I t
7work will be complied with whether speci
provi.si.ons of any otherfederal,state,or local law regulating construction or the pe�formance of construction.
Signature of Owner Signature of Contractor S-_-g
PrintName Print Name To.d.d A.....B.o.s..c.o.....................................................................................
.. .................................................................................
............?.".I&. .4................................ ......... ... ..... -...... .....
Sworn to and subscribed before me Sworn to and subscribed before me
this_Lj__Day of mWVwU this vj Day of 142s),4&E
Public Notary Public WILLIAM L.POPE
Notary WILLIAM L.POPE p I* state of Florida
Notary Public,State of Florida Re fn
My Comm,Expires Oct.19,2015 Viyfflor0milipires Oct 19,2015
Commission No.EE 128745 Commission No.EE 128745