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303 10TH ST - DEMO S, CITY OF ATLANTIC BEACH - r 800 SEMINOLE ROAD tti r 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-2528 Job Type: DEMOLITION Description: demo house Estimated Value: $100.00 Issue Date: 10/30/2015 Expiration Date: 4/27/2016 PROPERTY ADDRESS: Address: 303 10TH ST RE Number: 170063-0000 PROPERTY OWNER: Name: BOUY, KIM L Address: 303 10TH ST GENERAL CONTRACTOR INFORMATION: Name: LENDRY HOMES LLC Address: 4745 SUTTON PARK CT APT 501 QA BRYAN JAMES LENDRY Phone: - - PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. A Right-of-Way Permit must be obtained for use of(construction parking, if needed). 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 and silt fence must surround entire lot. 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; sidewalk must remain. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be pgiNftti1404911844rinogiChl4iAKMIOAPPIANICWEViPsf ORAcitittNikPRKFTIMAFNAPIWARAI th ORIDA BUILDING CODES. r J, CITY OF ATLANTIC BEACH Ss1 .z 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 plans. Suggest existing impervious be confirmed prior to demolition. FEES: Demolition Fee $100.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -stA City of Atlantic Beach APPLICATION NUMBER S Atotiptik; Building Department R.ECE t (To be assigned by the Building Department.) {� 800 Seminole Road s ,,v - Atlantic Beach, Florida 32233-5445 OCT 2 7 CU 15 /C-46�/�-O - 2 c 21 Phone(904)247-5826 • Fax(904)24 -5845 26//5-. �o;; qr E-mail: building-dept@coab.us BY: Date routed: /o/ City web-site: http://www.coab.us ----- —_ APPLICATION REVIEW AND TRACKING FORM Property Addre s: 3 4 3 /4 Sr 1 n^^^-'--:-4 -eview required Yes No Applicant: (fit city 4 ,,�,, f'S _ ing Tree_Administrator Project: -->KA 4-16(a' ublic Works 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: rOipproved. ❑Denied. (Circle one.) Comments: It ,4 ' , /,e/ G � &� BUILDING PLANNING &ZONING Reviewed by: _.- Date: /v/ /s�--- TREE ADMIN. Second Review: ['Approved as revised. it flied. 'UBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ifs Ar-ea " 1`260 L1-0 # JCZ 4600 ) orQ 71-la J✓0 — Mu 43 k g y,3 c .9eZ2 ,p f 22X /cf7 4fII , y 1//2d'21 4ok e 7 g -= 14. ?2 /d 3 "1 7cf f 147- _- brim d$1 3 r A/o = SIC .323 �C IV 45 y Iota -- , a)- 10 .102,P-/-� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach,FL 32233 Office (904) 247-5826 Fax (904)247-5845 Job Address: 303 10th Street Atlantic Beach, FL 32233 Permit Number: Legal Description 5-69 16-2S-29E ATLANTIC BEACH Parcel# 170063-0000 — Floor Area of Sq.Ft. Sq.l.t Valuation of Work$ Proposed Work heated/cooled non-heated/cooled fikr fie l� 7a no Class of Work(circle one): New ll dition Alteration Repair ove Ieinolitio ' pool/spa windo /door Use of existing/proposed structure(s)(circle one): Commercial esidenti Fr If an existing structure,is a fire sprinkler system installed? (Circle one): N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: DEMO EXISTING SINGLE FAMILY RESIDENCE INCLUDING DRIVEWAYS PRIOR TO THE CONSTRUCTION OF A NEW SINGLE FAMILY RESIDENCE Property Owner Information: Name: K, N1 13 CL)y Address: 1 7k RCilh ET SAg,1AJe S i.41 ', City C—�Qt�r1V 5 30,4 0 State Zip yZ Phone r,/C'6 - 7- 2/426^ E-Mail or Fax#(Optional) $z v yC c ea.94.6 A.-T-4-170A) ('4g L2 , A,, 7 Contractor Information: Company Name:LENDRY HOMES,LLC Qualifying Agent: ,--4v6v 1-1.13--deer Address:4745 SUTTON PARK CT. SUITE 503 City JACKSONVILLE State FL Zip 32224 Office Phone(904)•92-2100 Job Site/Contact Number (904)99 - i• Fax# (904)992-2105 State Certification/Registration#fig_ _ , , 1"p�Ii�►'"t~tirriarit-�...._., Architect Name&Phone# 11 11.`-��1 ` A_-�fZ1 Engineer's Name&Phone# i 1! .._ Fee Simple Title Holder Name and Address I � 11 1; Bonding Company Name and Address I I 1 1 Milli; Mortgage Lender Name and Address I l„/ Application is hereby made to obtain a permit to do the work and installations as indicated certify that no work or instal a ion ray co menced prior to the issuance of a permit and that all work will he performed to meet the standards glob laws regr∎• • infraction in this jurisdiction. ?hi. permit becomes null and void if it 01 k is not commenced within six(6)months, or if construction or work is sus)en ee or a '. • llts at any time after work is commenced. l understand that separate permits Hurst he secured for Electrical/Work, Plumbing,Signs, { ells, Pools, 'urnaces, Boilers, Healers, 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 drat I have read and examined this application and know the same to be true and correct. All provisions of laws nd ordinances go, rning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give au ority to violate cancel the provisions ofany other federal,state, or local specified regulating construction or the performance of construction. Signature of Owner/Y Signature of Contractor I Print Name 14A nfk BOA Print Name Swore to and subscribed before me Sworn to and subset....-• before me this `-'� Day of (DC- ,201'..S- this 2/Day of 11/0.7.t.._ - _ _`_5 • _ I S �= I 6Qf tMiSSION#FF 215988 I Notary Pus IC I=,;•A, '...,4 MY COMMISSION II FF 21 • Notary Pu. IC ► -a,i 1`s.. Bom4d Thru Notary pubic Undenvrilers EXPIRES:July 19, -- ..� 2019 .',•op.r. . .Th, . . P .GcUnderante$ Revise. I . .. I ATLANTIC BEACH BUILDING DEPT. ,4-:P:-.4.!., DEMOLITION — PROPERTY OWNER„, ;7.,•y RELEASE FORM Date: iD N, c-- To Whom It May Concern: I /We the current property owners of: Lot _ Block 5-69 16-2S-29E Legal Description of Property AKA 303 10th St. Atlantic Beach, FL 32233 have contracted with to have (Address of Property) Lendry Homes, LLC to remove the Single Family Residence (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. ' -' igtefrV- j...---- , Signature Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed:__. ._-_..__._._. Date: Before me this ___.___day of acK,IT Z,^(S” in the County of Duval,State Of Florida,has personally appeared Kt'LA - --. Notary Public at Large,State of Florida,County of Duval. My commission expires: _ ,.y,�.,r_... p.B.AN17At(tig..__ Personally Known: :'" Y �\.�.-..._ =��,.,--��.,;----#Yf6MMiSSION ifFF 21b986 Produced Identification: t+' a9•..f....: EXPIRES July.19.20119_._.._.... f,ii��; - Bonded Thru Notary Public Underwriters r 301 10th St - Google Maps Page 1 of 1 Go gle Maps 10th St w 4.•pr 1 ",: ., 1•+ .. w 1 1+• • ti .se Google Image capture:Dec 2014 ©2015 Google Atlantic Beach,Florida Street View-Dec 2014 ir 12th St 11th St v 303 10th m Atlantic Beac m https://www.google.com/maps/place/3 03+10th+St,+Atlantic+Beach,+FL+... 10/28/2015