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1588 OCEAN BLVD - HOUSE DEMO i L\JJr , CITY OF ATLANTIC BEACH R, S) 800 SEMINOLE ROAD 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-2119 Job Type: DEMOLITION Description: DEMO HOUSE Estimated Value: Issue Date: 9/16/2015 Expiration Date: 3/14/2016 PROPERTY ADDRESS: Address: 1588 OCEAN BLVD RE Number: 171886-0000 PROPERTY OWNER: Name: FUSSELL, HALLIE L Address: 1588 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: OSSI CONTRACTING LLC Address: 13349 STONE POND DR JACK OSSI JR Phone: - - PERMIT INFORMATION: PUBLIC WORKS: Suggest a pre-construction topographic survey prepared by a Florida Licensed Professional Land Surveyor, showing 1' contours; to confirm pre-existing conditions. 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. Silt fence is required along Ocean Boulevard. No Fill is authorized by this Permit. 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. paicilewskreamal( 1Qt11itJ M r cE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. --- cit 4. �„ ` ' `' CITY OF ATLANTIC BEACH ra A. s 800 SEMINOLE ROAD j•-•,, ._ . ATLANTIC BEACH, FL 32233 leo) INSPECTION PHONE LINE 247-5814 Construction dumpster and portable toilet cannot be place on City right-of-way. FEES: Demolition Fee $100.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.00 I 11 0 il PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BE.ACII ORDINANCES AND THE FLORIDA BUILDING('ODES. ICERTIFIED TO: OSSI DEVELOPMENT,GIBRALTAR TITLE SERVICES,OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY ■ / OCEAN BOULEVARD �';. (MANDALAY AVENUE BY PLAT) I (50' R/W) I SO4°00'00"E 75.06'(M)\ f FD.Y2"I.P. ? i., NO I.D. 4'CONC.WALK o S03°5607"E A 225.10'(M) o NO I.D. • 50.00'(D) 25.00'(D) 9.9' �FD.Yi I.P. 2.2' in NO I.D. AD K I M N N WOOD z %j N r RAMP V • 1 G cm j CONC. 'i r.J'I, 15.2' C.i 5'VINYL xo 26.0. 3 8.0' 2.0' 7.:'i(. In / COVERED `I CONC. Filia7 II. 4. r'; 1 STORY MASONRY ^0 i I #1 588 N I 2 5 II • • CONC._ - I N r I STOOP N t■1 (V I 15.3' 52.0' O. O in o 7.8' I r' J Q O W Y X 4'CLF x_ 27.5' D q 4 I, a iI J if) U O W` . I - COVERED• CONC. : i CV Z ° ,1. o ii ill Z I--I J J tl CO I •I II o z !! ill s li 1 I (' i f 0.4' El r ° a' ' ° I 50 r• 25.0..1a - I! FD.Y I.P. L_. .r�. r�1��r4?.i±r L �3'r�St�Adoly/�- N01.0. 0.9. S: I.P. On '- NO °•9 3 "W i§ 75.01'(M) o ' Ii`° LOT 6 ATLANTIC BEACH PARKWAY UNIT NO. 2 PLAT BOOK 15- PAGE 83 PERRET AND ASSOCIATES INC 5627 ATLANTIC BOULEVARD SUITE#6,JACKSONVILLE,FLORIDA 32207-(904)805-0030-FA (904)805-9888 GENERAL NOTES: LEGEND I ■ 1 BEARINGS SHOWN HEREON ARE BASED ON P.C. POINT OF CURVATURE R RADIUS (1)) P T POINT OF CURVATURE T R 0 . N 1 0 �t `` O f ' f _1 O 4 Cm `O n0 `4 i_ I ` W -- < 0 1 i a C ft N , , + r i . . � 0 ... 0 , . + M CO P r N W I. 0 4 t rn I 00 i 4.l y r••3,• ON i ' 1 ■ r r: ~' ' fD N O 0 LA i ( N Prepared by, Record and Return to: Cindie Hernandez Gibraltar Title Services 4190 Belfort Road, Suite 475 Jacksonville, Florida 32216 File Number: 15-9777A General Warranty Deed Made this September 4, 2015 A.D. By Hallie L. Fussell, whose post office address is: 185 Sherry Drive, Atlantic Beach, Florida 32233, hereinafter called the grantor, to Ossi Development, Inc., a Florida Corporation, whose post office address is: 1588 Ocean Blvd, Atlantic Beach, Florida 32233-5758, hereinafter called the grantee: (Whenever used herein the terms "grantor" and "grantee" shall be construed to include masculine, feminine, singular or plural as the context permits or requires and shall include the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Duval County, Florida, viz: Lot 6 and the North 25 feet of Lot 5, Block 64, Mandalay, a subdivision according to the plat thereof recorded at Plat Book 10, Page 11, in the Current Public Records of Duval County, Florida. Parcel ID Number: 171886-0000 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except covenants, restrictions and easements of record, if any, and taxes accruing subsequent to December 31, 2014. City of Atlantic Beach ;i ° -- ( t9 -C ..WET) APPLICATION NUMBER P ,t, Building Department SEA 9 J j (To be assigned by the Building Department.) ._ - 800 Seminole Road 0 2015 I G M 2//9 v, r� Atlantic Beach, Florida 32233-5445 /5 )G/" Q - 9 Phone(904)247-5826 • Fax(904)247-5845 / �;���' E-mail: building-dept @coab.us i Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /5O O d'etng B it/h Department review required Yes No Building Applicant: OS S-1• I-6/ t fi Planning &Zoning 9 Tree Administrator I Project: 2iiiite � as£ u lic or Pu�Tic 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: Approved. ['Denied. (Circle one.) Comments: fee #/yzei,),� � G BUILDING �W` PLANNING &ZONING 1 r r/— Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. enied. 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: /See cC4N a'aA Permit Number: Legal Description Lot 6 ÷ N 2$ ee4 Aoki 4y G yC Parcel# ror Seof q t Valuation of Work$ 2, cu., Floor heate d/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move 10 emolitia. pool/spa window/door Use of existing/proposed structure(s) (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 approva orm Describe in detail the type of work to be performed: Pe �-,,,1��y,/ Property Owner Information: Name: 0 5s,' DDV `jp/hee„t . Addss: / ! �, 7!� asp& 1L 9 60 6 /0 �3iy3 E-Mail o� ax# (Optional) c �- State> Zip r1114 Z` C hone ' v Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Os5 ' t- Qualifying Agent: It 0 a,,' Address: L l it gf 6 .� City . State Office Phone O4' -(�/v• es�/ �Ii Zip?2�(, ,3 �1 Job Site/Contact Number Ja is Fax# State Certification/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 and installations as indicated. I certify that no work or installation has commenced prior to the issuance of 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 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 ElectricalpWork,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 ertify that I have read and examined this a placation 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 sppecifpd herein or•not. The granting of a permit does not presume to give aut 'ty to violate or cancel the 9rovisions of any other federal,stat- • local la tiv gulating construction or the performance oft signature of Owner Signature of Contractor _ 'Tint Name N /447,4 0 a S; Print Name /'' K 06 S. efore f Before me is I. •.... «iI. _ 20 this 'i. `�"` 6 ' 20 r4� otary •ublic S : orida --- : to•f Florida i [e�aham ,rle L Gra �cif,a air,``,, FF 086990 Iota�o�+. �.��wy ' ''-'1F ',G�.41•,.. VI _ r �S11F1 Yin►s o2nar2ot Notary Pu i�, 1 . 40 r WO • Revised 01.26.10