28 Sherry Dr - Interior Demo . _ 1. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
- t - IF 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: 16- DEMO -67
Job Type: DEMOLITION
Description: INTERIOR DEMO
Estimated Value: $1,500.00
Issue Date: 1/8/2016
Expiration Date: 7/6/2016
PROPERTY ADDRESS:
Address: 28 SHERRY DR
RE Number: 170702 - 0000
PROPERTY OWNER:
Name: HARBA LLC
Address: 1775 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: EASTERN SHORES CONSTRUCTION
Address: 1015 ATLANTIC BLVD QA ROBERT ROY LEINENWEBER
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAP SHOWING BOUNDARY SURVEY OF ,
LOTS 851. 852. 853 AND 854, SECTION NO 3 SALTAIR , AS RECORDED IN PLAT BOOK 10, PAGE 16.
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTEFIED TO:
LEAH 11. DAER
SUNSHINE STAFF. HOLDINGS, LLC
COMMONWEALTII LAND 'TITLE INSURANCE COMPANY
POPPIT VEDRA TTTLE, LLC
RE CE/vE
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NOTES: REVISIONS
1 BEARMGS ARE BASED ON THE ASSUMED BEARING OF N 15.00.00 W ALONG THE
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE 71 AS SHOWN ON THE
BLOCH
NATIONAL F1000 INSURANCE MAP OATEO APRIL 17, 1989. COMMUNITY NUMBER 120075, PANEL ___ODDLQ. 08 SIGNATURE'
3. THIS SURVEY REFLECTS ALL EASEMENTS 4 RIGHTS OF WAY AS PER RECORDED PLAT &MOR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED. 140 OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY TIE UNDERSIGNED
A. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERT6nNC SURVEYOR
JOB N 7771 DATE OF FIELD SURVEY: 06 -20 -00 DISK 1 co-." 1 SCALE: 1" = 20'
CERTIFICATE
OW :. i22 Oak Street 1 NE E9Y marry THAT IH15 W OE PAS NADE UNDER M
NY RESPONSIBLE OIGE
�$A4 n44 ioov,I1l, FIo4i00 32204 AND IACEIS 11‘. NMRRRI TECHNICAL SEABOARDS AS SET roam eY T E RdDA
�5��, phone) 90A 389 - 5989 BOARD 07 PR�� C SURLEYERS ANO YAPPERS W I
CHAPTER 61017 -. 1101110A P ADNRASTI� Pt NS IANT= CIRN 77077. 71.0010A STAMRS
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LICENSED BUSINESS / 6702 REGISTERED SURVEYOR AND M PER / 40 "9 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
p Office (904) 247 -5826 Fax (904) 247 -5845 1 CO
Job Address: (- S' %Q t rol
Permit Number:
Legal Description
Floor Area of Sq.Ft. Parcel # Sq.Ft
Valuation of Work $ 1 6 • a> e Propo Work heated /cooled
n - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Mov Demolition of /spa window /door
Use of existing /proposed structures (circle one): Commercial Residentia
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: T t c , f Da" i ( ' k r,, 6 O 1 if t c
Property Owner Information:
Name:
City Address:
State Zip Phone
E -Mail or Fax # (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 6- VI f" S „J 'iv' n,4r Qualifying Agent: 141 19.) ti Q'v 4d Qt y
Address: t 01 C P�1c t. 4, bar L - , % -1 L frW i g g L
Office Phone t t� S1S� l � Job Site/ Contact Numbe G' S tate 1 Zip LL33
Fax #
State Certification/Registration # �(, os $'3 3 3
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
issuance
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert fy that no work or installation has commenced prior to the
e
and void (work is commenced with'n six to
or if construction ds orrk is susp d d orr abandoned for a_ this eriod of six n 6) T mon hs at any time a null
r
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F 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.
I hereby cert5 that I have read and examined this ' on and know the same to be true and correct. All provisio . of laws and ordinances governing this
type of work will be complied with whether s•e• Led her - n or not. The granting of a permit does not presume • give authority to violate or cancel the
orovisios of any other feder e, or loca .� egulatin: construction or the performance of construction.
II
Signature of Owner � - /
Signature of Contracto
'lint Name v
} n ` � ”
- el GikrSr ze c pr , Print Name 1W� -
3efo a 1,4�' ' ^ �. ..� e/
his la t• Al • 20 Befor e
this 0 Day of k f. 2 I l
`_
• ! r SONI G § / �, 1
lotary Pub 1c — sic MY COMM € N _
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1-
/ 4 A I.
"' : *` October 6 2019 otal' r ' ° ` e`o i
�;�:,:a EXPIRES: rNriters ,•....: KENDRAN.ROBERTSON
`'? Pi Bonded Thru Notary Public Unde g,. rm, , * MY COMMISSION # EE 4118 =�' - , ; EXPIRES: December 15W61 S I, 1 01.26.10
s ' of igd:•' Bonded Thru Notary Public Underwriters
•
J
/ :; ' ' � � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
/ (904) 247 -5800
NOTICE
THE 5 EDITION OF
THE FLORIDA BUILDING CODE
TAKES EFFECT
JUNE 30, 2015
ALL BUILDING PERMITS, APPLIED FOR, ON OR
AFTER JUNE 30, WILL BE REVIEWED AND
INSP +;CTIV,D UNDER THE FBC, 5 EDITION.
BUILDING PERMITS APPLIED FOR BEFORE JUNE
30, WILL BE •' EVIEWED AND INSPECTED UNDER
THE CURRENT 2010 FBC.
•
DO NOT WRITE BELOW - OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING 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:
.._...... _ ...............
! •rL`Jr
SA 800 Seminole Road
J Atlantic Beach, Florida 32233
�' ��, N� Telephone (904) 247 -5800
J ,„ FAX (904) 247 -5805
J;310
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan — parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading /unloading area and material storage
area.
3. 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)
4. 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, Republic
Services, and Shappells. Dumpsters will have tarp covers or rigid covers
on windy days. Dumpsters must be removed prior to issuance of Certificate of
Occupancy.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. 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.
7. 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.
8. 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 1/2016