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290 BEACH AVE - DEMO 0 rL‘J-0 Jam • _ <� iv; S f CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD Ts Yll Z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DEMOLITION PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DEMO-1866 Job Type: DEMOLITION Description: Demo of 2 existing SFR Estimated Value: $100.00 Issue Date: 8/11/2015 Expiration Date: 2/7/2016 PROPERTY ADDRESS: Address: 290 BEACH AVE RE Number: 170196-0010 PROPERTY OWNER: Name: PITLER, ANDY Address: 273 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: BOSCO BUILDING CONTRACTORS Address: 2158 MAYPORT RD QA 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 silt must remain on-site during construction. Roll off Container Company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Waste Pro.) Full right-of-way restoration, including sod, is required. 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. FEES: .rAI u l Uk.leg M VCCORDA\CEeM ALL CITY OF A"II.ANT1(' BEACH ORDINANCES AVU 771E FLORIDA r11I', 1, 'S, CITY OF ATLANTIC BEACH ., , 1i j 800 SEMINOLE ROAD J X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Demolition Fee $100.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.00 PERMIT IS APPROVED ONI,l' IN ACCORDANCE WITH A1.I. (III' OF ATLANTI(7 BEACH ORDINANCES AM) '17lE FLORIDA BUILDING CODES. 1-a,1;. ATLANTIC BEACH BUILDING DEPT. 4 t DEMOLITION - PROPERTY OWNER � s RELEASE FORM t5.!.riarp-z" * -,si !a Date: 7/22/15 To Whom It May Concern: I / We the current property owners of: Lot 5 Block 28 Legal Description of Property AKA 290 Beach Ave, Atlantic Beach, FL 32233 have contracted with to have (Address of Property) Bosco Building Contractors, Inc. to remove the two single family homes (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : New Single Family Residence . 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. Signature L Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER WILLIAM L.POPE Signed: .':,„/.1:-- _ '/ 22L Date: 7-2?-,r Notary Public,State of Florida Before me this -7 day of ,)04...y 2 i� in the County of Duval,State My Comm.Expires Oct.19,2095 Of Florida,has personally appeared 4/v;i42 v' i7f7'Lc✓ Notary Public at Large,State of Florida,County of Duval. Commission No.EE 128745 My commissio expires: /. 17 -15 ewnl or Produced Identification: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904) 247-5845 l5-1em0-- I Quip Job Address: 290 Beach Ave Permit Number: Legal Description 5-69 16-2S-29E.15 Atlantic Beach 03101 Parcel # Lot 5 Block 28 Floor Area of Sq.Ft. Sq.Ft 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 structures)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Demo of two existing single family residences. Property Owner Information: Name: Andrew Pitler Address: 277 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. City Atlantic Beach State FL Zip 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 a permit to do the work and installations as indicated. I certib,that no work or installation has commenced prior to the issuance of a permit and that all work will be pe ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, 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. I hereby certify that l have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,scat ,or 1 al law regulating construction or the performance of construction. Signature of Owner Signature of Contr. Print Name Andrew T. Pitler Print Name Todd A. Bosco Sworn to and subscribed before me Sworn to and subscribed before me this?f' Day of SLA.y ,2(k' this ..Day of )iJ ,24/5". Notary ublic Notary Public WILLIAM L.POPE WILLIAM L.POPE Notary Public,State of Florida Notary Public,State of Florida Revised 01.26.10 My Comm.Expires Oct.19,2015 My Comm.Expires Oct 19,2015 fri- „i:v= City of Atlantic Beach �` ,.T . Building Department "i APPLICATION NUMBER 800 Seminole Road AUG ''� (To be assigned by the Building Department. ”` Atlantic Beach, Florida 32233-5445 S 4 2°15 1 5_ DEMO— ' , Phone(904)247-5826 Fax(904) g / _� '6 t4 E-mail: building-dept @coab.us City web-site: http://www.coab.us ` Date routed: APPLICATION REVIEW AND TRACKING F•RM Property Address: 2410 I AV f Department review e q iured CCI Yes No OS Building Applicant: Planning &Zoning OL I TI ©� Tree Administrator Project: ____ t � .blic Works OF 2 5F 12 4 Public Utilitie Public Safety Fire Services _- Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: BUILDING Jr' � � �G��� �� PLANNING &ZONING ft" "dipReviewed by. / TREE ADMIN. Date: % / 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 07/27/10