329 AHERN ST - DEMO (11 4* v"°S, CITY OF ATLANTIC BEACH
'- - 'J 800 SEMINOLE ROAD
J
N� 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-588
Job Type: DEMOLITION
Description: DEMO HOUSE
Estimated Value: $17,000.00
Issue Date: 3/16/2016
Expiration Date: 9/12/2016
PROPERTY ADDRESS:
Address: 329 AHERN ST
RE Number: 169740-0000
PROPERTY OWNER:
Name: SCHMITT, ROBERT H
Address: P 0 BOX 4573
GENERAL CONTRACTOR INFORMATION:
Name: MULLIGAN CONTRACTING INC
Address: 533 10TH ST COM PATRICK EDWARD MULLIGAN
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Strongly suggest good documentation of impervious areas to be recorded.
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.
Lot elevation cannot be raised.
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.
Slab to be fully removed.
Full site to be grassed.
FEES:
PERMIT IS .APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
\J. = s, CITY OF ATLANTIC BEACH
„,„0 , 1 J
c 800 SEMINOLE ROAD
Y , r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
\J1319`r
Demolition Fee $100.00
STATE DCA SURCHARGE $2.03
STATE DBPR SURCHARGE $2.03
Total Payments: $104.06
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
■
�i,.,\J :_ City of Atlantic Beach APPLICATION NUMBER
i,,, I���EJ\TFr) (To be assigned by the Building Department.)
. - ; • Building Department
�� 800 Seminole Road MAR 1 1 2016 1 DESO _SE3b
,; Atlantic Beach, Florida 32233-5445 i /
Phone(904)247-5826 Fax(904)247- 845 Date routed: 3/ ( � J
`os;t�: E-mail: building-dept@coab.us IBY:_ 4
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 2.9 1- H CRK) ST Department review required Yes No
Building
Applicant: } v ` ULLA G,NV CEO S" Planning &Zoning
Tree Administrator
blic Wor
Project: l�O u5 [ � P ks
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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:
II APPLICATION STATUS
Reviewing Department First Review: Approved. I (Denied.
(Circle one.) Comments:
J ee w�/Ga 4w ed
BUILDING
PLANNING &ZONING Reviewed by: - r° i Date: 3/ti//A
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax (904)247-5845 t G -bC(\(\j- 6 S
Job Address: 32 9 j, A'.11 7 , .,/ ,-Jr -. -2,25 Permit Number:
Legal Description Z 8 Ems, L l v ,a- ?IM-/ So A 1741,41ric /SeAff_a Parcel#
Valuation of Work$ j7 lj(j 'Floor Area of Sq, t, t
G Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move I emoli '., 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 approval form
Describe in detail the type of work to be performed: ./22 e ‘(..c''
Property Owner Information:
• Name: Address:
City State_Zip_ Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: —
Company Name:/yI�L</G,47,/ 6v4I7/e1G77b /,/f
Address: 533 JD�,Ovr�,v Qualifying Agent: /17/e/cie Gr /�vGl/64/1/
Office Phon City f K 4'4 kil State ,csi Zip ;42ySa
�� 73E--4P67( Job Site/Contact Number#o-t) gsg_q ge$ Fax# to-29 4 70-0105-
State Certification/Registration# r_fled SBO.'-f
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 of is pei hereby nmade t allbwork w Ybeiper ormed towork
meet the installations s f all indicated regulating construction to thisjur jurisdiction. commenced i becomes to
and void if 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 it commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,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 certify that I have read and examined this plication 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
provisions of any other federal,state,or ocal law regu , ing construction or the performance of construction. give authority to violate or cancel the
1 /'I
Signature of Owner__ ,d. C- , .di■r Signature of Contractor
Tint Name (
,ec
Print Name
3efo esie Before me
his -'1 Day of /Y),4 C it .20/(,
this Day of ,20
.v //.. I 41 /i Ae __
ot.Ty 'u is Notary Public
""1 "'� MARv ePoaowAtER Revised 01.26.10
.``a.:V Pte''.
r (A Notary Puohc State of Florida �
f. My Comm Eaor..a Oct 5,2018
cF:
''+ ���d,: Commiss.nr .r �F 165701
Bunn"` Bondedthrov: •.••.onal Notary Attu.
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION - PROPERTY OWNER
1 RELEASE FORM
.,
, ,
/
Date: 0 - cf - Z-O (t
To Whom It May Concern:
JJ `lI / We the current property owners of: Lot anc� `� �/�'S( 3- o{ �� lU
Block e(cLx 60. `
�
Legal description of Property
AKA 3 2.C1 AAA(`'(Y1 'S S cee t have contracted with to have
(Address of Property) I I
N-()-() ('t q A✓t CC A + ,CA -< ■�'�(cy to remove the 9 U(1 cc-
t A e 1 - C3U c.
(Company Nakie) Jf (Single Family,Duplex,Commercial,etc.)
Prior to the construction of : i O)r c,k F 5 .
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.
._______:6
,,t6.7
Signature
Signature
THIS SPACE FOR RECORDER'S USE ONLY
MARY K BROADWATER OWNER
;i Notary Public State of Florida Signed: .--1� G ti Date:03"°S-2'I 6
•; ii:• My Comm Expires Oct 5,2018 ( Before me this Cf day of in the County of Duval,State
%�;,ko1 9 Commission#FF 165701 r Of Florida,has personally appeared Qui • , ?oa [t'izf
';..''i;'„` Bonded through Nation-4 Noisy Assn. Notary Public at Large,State o�Fluridta,Cuunt If Duval.S4/,1 7b/I,4/5.
My commission expires: ( Cfp 17 e ,Zol
Personally Known: t/ ye'S- Pen-So/74 elm('(om/) or
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