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535 ATLANTIC BLVD DEMO PLAN w .� CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD 14,:;, ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 .1.2.J331�� DEMOLITION PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-DEMO-1182 Job Type: DEMOLITION Description: DEMO OF EXISTING STRUCTURE Estimated Value: $75,000.00 Issue Date: 6/14/2016 Expiration Date: 12/11/2016 PROPERTY ADDRESS: Address: 535 ATLANTIC BLVD RE Number: 170684-0000 PROPERTY OWNER: Name: LSREF CHALK REO LLC Address: 2711 N HASKELL AVE SUITE 1800 GENERAL CONTRACTOR INFORMATION: Name: REALCO RECYCLING Address: 8707 SOMERS RD QA JERRY J DOHERTY Phone: - - PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS: PLANNING AND ZONING: Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. 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. 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 and Waste Pro). 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. Tenant Parking: The Order Confirming Approval Of Site Development Plan, 15-CVPR- 2411 With Modifications dated May 18`" 2016 requires that 30 parking spaces shall be dedicated for use by the tenant for the operation of a restaurant located at 501 Atlantic Boulevard. While the existing parking area along Atlantic Boulevard is to be maintained PERM rriAlliP l i;,cF1P4sPir144 4k Asliff is,+ la 11Pc MailiaPicrfPri{)q(rcAWAIRIlt ail k GRID% BUILDING CODES. 0:. _'' . f'4 CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD lari t,. r ,ATLANTIC BEACH, FL 32233 J 9, INSPECTION PHONE LINE 247-5814 FEES: Demolition Fee $100.00 STATE DCA SURCHARGE $5.70 STATE DBPR SURCHARGE $5.70 Total Payments: $111.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. tf- rL��lJJ,` ZONING REVIEW COMMENTS / >. /401r- ss. City of Atlantic Beach Cr? Building and Zoning Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 /* r.) 1'I" Phone: (904) 270-1605 Fax: (904) 247-5845 Email: dreeves@coab.us Date: 6/10/16 Permit: 16-DEMO-1182 Applicant: Realco Recycling Co Review: 1st Address: 8707 Somers Rd, Jacksonville,FL 32226 Site Address: 535 Atlantic Blvd Phone: (904) 757-3581 RE#: 170684-0000 Email: N/A Informational Comments 1. Tenant Parking: The Order Confirming Approval Of Site Development Plan, 15-CVPR-2411 With Modifications dated May 18th 2016 requires that 30 parking spaces shall be dedicated for use by the tenant for the operation of a restaurant located at 501 Atlantic Boulevard. While the existing parking area along Atlantic Boulevard is to be maintained under this permit,please note that 30 spaces shall he available for the restaurant at all times. Derek W. Reeves Planner dreeves@coab.us fi ',ir,. City of Atlantic Beach APPLICATION NUMBER ^�$ j- a, Building Department (To be assigned by the Building Department.) " " `"•Y`P 8tla Beac Road IG- [E a q--i 1 bz. ��';r' Atlantic Beach, Florida 32233-5445 \v. Phone(904) 247-5826 • Fax(904)247-5845 oho- E-mail: building-dept@coab.us Date routed: 5/23/ 1G City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: v�v ZC_F}NT l C Department review required Yes No Building Applicant: RP LG C _ mg&' orn -- Tree Administrator Project: D E-_-/V\ ,Public Works u is ti ities — Public e y 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: Lf/44 _ /.4/ ee� /, /� ` fir- J:G /� BUILDING �(/ ^ p" `T �4 PLANNING &ZONING Reviewed by: rig-� // (.....----v Date: VI OM TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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 • nk—ECI rs� i,:, City of Atlantic Beach 7,1VEiAPPLICATION NUMBER ,� Building Department MAY �, ; (To be assigned by the Building Department.) r .4.1.`� 800 Seminole Road 2 LU Ib , f' Atlantic Beach, Florida 32233 5445 , (�— —� t �Z Phone(904)247-5826 - Fax(904)24 �wr► ��: r E-mail: building-dept@coab.us ---- , Date routed: 5/23 ) (Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: v�v TLI}NT't Q Department review required Yes No Building Applicant: R ,Pt LC,0 cElanning &Zornr Tree Administrator Project: D Gam\ 0 -- Public Works ub is tilities Public bate y Fire Services Review fee $ / Dept Signature 49/-_ 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: BUILDING PLANNING &ZONINGS // (//‘ Reviewed by: Date: r TRE ADMIN. I Second Review: ❑Approved as revised. ❑Denied. L: C WORG`.6.-` �ments: "UB UTILI'E��S PUBLIC S FETY/`� Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 K•, • City of Atlantic Beach R8CEIVEr sr. APPLICATION NUMBER i.)1‘ ; Building Department MAY (To be assigned by the Building Department.) � 800 Seminole Road 2 4 2016 f' Atlantic Beach, Florida 32233-5445,E� I Co- E52. Phone(904)247-5826 • Fax(904)24715845 C��� E-mail: buildin de t coab.us ` J '�on�'��� 9- p @ =�-:1 Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM c -2 c- Property Address: ••-)‘_.)v TLF}/OTt Q Department review required Yes No Building Applicant: R Lc° <Planning &Zones Tree Administrator Project: G., © Public Works u is Utilities Public bare y 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: •AZ ki K ,- t/ BUILDING ,- PLANNING &ZONING / / / /f/6 Reviewed by: Date: TREE ADMIN. Second Review: , ['Approved as revised. ❑Deni-d. 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: 535 Atlantic Blvd Permit Number: 10-8 21-2S-29E 1.SALTAIR SEC 1 LOTS 788 TO 796,804 TO 809 Legal Description Parcel# 170684-0000 Floor Area of Sq.Ft. Sq.l-t Valuation of Work$ 75.000 Proposed Work heated/cooled 20691 non-heated/cooled 1100 Class of Work(circle one): New Addition Alteration Repair Move Ilemolition pool/spa window/door Use of existing/proposed structure(s)(circle one): , ommerci.' Residential If an existing structure,is a fire sprinkler system installe . ircle one): Yes ®o N/A Florida Product Approval 4 For multiple products use product approval form Describe in detail the type of work to be performed: Complete demolition of existing structure Property Owner Information: . Name: Gate Petroleum Company Address: 9540 San Jose Blvd . City Jacksonville State FLZip 32257 Phone 237-6718 E-Mail or Fax#(Optional) Contractor Information: Company Name: Realco Recycling Co Inc Qualifying Agent: Jerry Doherty Address:8707 Somers Rd City Jacksonville State FL Zip _ 32226 Office Phone 757-7311 Job Site/Contact Number 955-3581 Fax# 751-6611 State Certification/Registration# CGC 0551f6 Architect Name&Phone# n/a Engineer's Name&Phone# n/a Fee Simple Title Holder Name and Address n/a Bonding Company Name and Address n/a Mortgage Lender Name and Address n/a 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 issuance o 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 work is not commenced within six(6f onths,or if construction or work is.suspended or abandoned fora period of six(6)months at any thee after work is commenced. I understand that separate permits must he.secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Healers, Tanks and Air Conditioners,eta 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 herebycertify that I have read and examined this a plication and know the.same to be true and correct. All provisions of laws and ordinances governing this type of work will he complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other leder ..tate,or local law regulating construction or the performance of construction. / / Signature of Owner 41-11-1:7/39") Signature of Contractor Print Name cal Print Name Jerry Doherty 0 Swot to and subscribed before me Swor to and subscr' �d�gfore me this�S Day of y�lG�4 .20�� this l' Day of rW• _ .20 f� �� AO kf , N ry lie any P lie RlkeiN0IG4.YAIENKINS "" ""' MAFNED.TAILEY Notary Public,State of Florida .: ,. MY COMMISSIONS/EE 860925 `��_ My Comm.Expires May 28,2016 l,,; Bonded Not April lie nde Commission No.EE 187847 • p, , Notary Public Underwriters Y.: LECI QVE -. MAY 2i 2016 / r _ ili S�L,,r ATLANTIC BEACH BUILDING DEPT. ,S r '" DEMOLITION - PROPERTY OWNER ,' v10 RELEASE FORM J r' J � -.;1,,.. •4.-.0;1,19~ Date: 1/27/16 To Whom It May Concern: I /We the current property owners of: Lot 10-8 21-2S-29E 1.2 SALTAIR SEC 1 LOTS 788 TO 796,804 TO 809 Block Legal Description of Property AKA 535 Atlantic Blvd have contracted with to have (Address of Property) Realco Recycling Co Inc to remove the Commercial retail center 0 (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : 'L tUSLe.- ti ._ �0: 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. II Adir 4.,..4,. .e.' - Sig,-•'re Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER ,/ Signed: iai(�l Date: Before clay of .0.e�u�� in the County of Duval,State Of Florida,has personally appeared afe.- l5�f,2 /47,✓ Notary Public at Large,State of Flo ida,C uhty of Duval. My commission expires: o 5J2 G/ Personally Known: r/ or Produced Identification: iliFinik. MARLENE D.TALLEY ;.i .•" 14 MY COMMISSION t EE 880925 V ;4k 4' EXPIRES:April 27,2017 pj,• Bonded Thru Notary Public Underwriters ..—L In tir J�\j i \V • 7,7-:.141 `%-...1,---".1.. '� .r� . .. . " .,,,,./...e.......1.0,4,,,c..:-/y..... ,-'31.4"..^. ._.: i--..'''••• ee,S.,.e'e..',." ,,,,,,.4...___ �.1 i � �i�v'' l` '4,-fib -Tl -Ti , :.---1 la_., it..., I J.,....tr....i :_,-..g; 0 :a CV =j mmL 71 r--i- J0 al C7 _ r A 1.7.1 C ill r A..n nrn r, m r-