1475 MAIN ST - DEMO S rL��r
CITY OF ATLANTIC BEACH
, J! s 800 SEMINOLE ROAD
T. 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-996
Job Type: DEMOLITION
Description: demo building
Estimated Value: $5,000.00
Issue Date: 5/9/2016
Expiration Date: 11/5/2016
PROPERTY ADDRESS:
Address: 1475 MAIN ST
RE Number: 171075-0000
PROPERTY OWNER:
Name: MURR, JOHN G
Address: 61 W 2ND ST
GENERAL CONTRACTOR INFORMATION:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
Phone: 904-686-4818
PERMIT INFORMATION: PUBLIC WORKS:
Strongly suggest good documentation of impervious areas.
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.
Slab and driveway to be fully removed.
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, Shapell's, Sunshine Recycling and
Waste Pro).
Full right-of-way restoration, including sod, is required.
Lot elevation cannot be raised.
FEES:
pliha olitioCl'heivF.D ONLY IN ACCORDANCE W11IWQ•Q0l. CITY OF ATLANTIC BEACII ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ss , CITY OF ATLANTIC BEACH
1 Jy 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0A1.1f, City of Atlantic Beach REC APPLICATION NUMBER
„ Building Department ��T�tr,,t (To be assigned by the Building Department.)
�s. 800 Seminole Road (��/
,11 ,i (Q / (P
Atlantic Beach, Florida 32233-5445 2 8 2u �
l APR Phone(904)247-5826 • Fax(904)247-5845 ,/ Q /�
0 E-mail: building-dept @coab.us X_ Date routed: ' 15
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /95 M it)/1/ Jr Department review required Yes No
Building
Applicant: ihn. 1k 7? '?i /bin/._S
ree
Project: ,�J S,h1A �ti , '1)1 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: [Approved. ['Denied.
(Circle one.) Comments: s e,
BUILDING
•
PLANNING &ZONING
Reviewed b ate: V"0,/f4
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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TO: Doug Layton,Director
City of Atlantic Beach,Public Works
FROM: James Kelley
Elite Custom Homes&Renovations Inc.
DATE: 4/28/16
SUBJECT: Construction Management Plan
1475 Main St
Atlantic Beach, FL
1) Parking will be on the property as noted on the Construction Site Management
Plan(CSMP).
2) There will not be a construction trailer on this site. The unloading and loading
area and material storage are identified on CSMP.
3) Location of chemical toilet is identified on CSMP and will be located on
owner's property with door facing construction project.
4) Dumpster location is on CSMP and an approved dumpster company will be
used.
5) Traffic control pattern is shown on the plan with entrance to property.
Adequate parking is available on the street.
6) The site will be cleaned and picked up for all debris including construction
material and all other trash regularly.
7) If a city inlet falls within the driveway,owner will adjust top of inlet at
owner's cost.
8) Right of way will be restored to its original condition.
ly
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845
Job Address: /y 75 '4 Permit Number:
II' '
Le g al Description p tion 10 1 Z1K 4/0 RE#
Valuation of Work(Replacement Cost)$ JilbOc) Heated/Cooled SF /(//4- Non-Heated/Cooled 14
• Class of Work(Circle one): New Addition Alteration Repair Move riar Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): ommercia Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes O'.■ N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed
c).Q- \�r��
Florida Product Approval # for multiple products use product approval fonn
Property Owner Information , /
Name: )GG �Qckr�e, l Address: 1370 -2 /Me �10.' Gf-
City 1-44.1i)bovto.% State r/Zip 3.222,.5 Phone 8342-8 19
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information: 11
Name of Company: P�i/t°Cub71 �'tI't 9 ksw:, ��Qualifying Agent: Sang` A%kilt y
Address: 23c ?Ecc,1•• •Ut; City State Zip /=/
Office Phone '(;.y— 233-y4 3p Job Site/Contact Number 9D11- 696 - y9/1?
State Certification/Registration # L(_5L 12604 2 Q E-Mail Z•Ktat*-ut-h8A 6'ct cat, laA.90.Gores
Architect Name & Phone# if/.4
Engineer's Name & Phone# //.q
Worker's Compensation
xernpt Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the wor in-7d-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 if work is not commenced within six(6)months, or if constriction or work is suspended or abandoned for a
period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc.
Signature of Property Owner. Signature of Contractor:
Before me n
this DR Day of �� Before me this g %Day of e
CEUNA DAVIS
y • �1 CELINA DAVIS
Notary Publi. S'� - ° ., : . , �,,;,. Notary Publi + t�►7
ry � � i ,ic,State of Florida
Commission%FF 916115 Commission*FF 916115
y comm.Qxpres Sept.7, 119 ii•n m.expires Sept.7,2019
I hereby cent that I have read a • t •• the same to be true and correct. ll sio ` • ,•
ordinances governing this type o wor-wi e comp ie• wit i w et ter specified herein or not. The grat oe.c not
presume to give authority to vio ate or cancel the provisions of any other federal, state, or local law regulating construction or the
performance of construction.
Rev.3/14/16
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I HEREBY CERTIFY THAT I HAVE SURVEYED TIE LANDS AS SHOWN IN THE ABOVE CAPTION
AND THERE ARE NO ENCROACHMENTS. H. A. DURDEN & ASSOCIATES
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