350 3RD ST - DEMO rLy f-i J
f1 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J1I1S?
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-1637
Job Type: DEMOLITION
Description: DEMO - HOUSE, GARAGE & POOL
Estimated Value: $18,000.00
Issue Date: 8/2/2016
Expiration Date: 1/29/2017
PROPERTY ADDRESS:
Address: 350 3RD ST
RE Number: 169784-0000
PROPERTY OWNER:
Name: MERENDINO, ROBERT D & JANET, *
Address: 350 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: REALCO RECYCLING
Address: 8707 SOMERS RD QA JERRY J DOHERTY
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing
activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start
of construction.
All silt must remain on-site during construction.
Roll off container company must be on City approved list and container cannot be placed on City Right-
of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shapell's, Sunshine Recycling and
Waste Pro).
Full right-of-way restoration, including sod, is required.
Suggest good documentation of impervious dimensions be recorded.
Slab and driveway to be fully removed.
Lot elevation cannot be raised.
FEES: �w
w:R\IIT j' AP VED ONLY IN ACCORDANCE$N1 H J .LL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
44641111
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-01-119
STATE DCA SURCHARGE $2.10
STATE DBPR SURCHARGE $2.10
Total Payments: $104.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A'1'LA\TIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
, ;:o..t .i City of Atlantic Beach APPLICATION NUMBER
CJs ' . � Building Department (To be assigned by the Building Department.)
t . a 800 Seminole Road �'� I FE
��� s Atlantic Beach, Florida 32233-5445 ' -�_7 , (3 7
Phone(904)247-5826 • Fax(904)247-58 lul 20 2016 /
�oni9%- E-mail: building-dept@coab.us J Date routed: -7 20(i Co
City web-site: http://www.coab.us `
BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: �j �Z .--1' ent review required Yes No
Buildin
Applicant: RGALcc) R 1:-_CycLI Planning &Zoning
Tree Administrator
Project: 't �/1/\, °I• is ►nor s
'u• u i i ies
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: 1pproved. ['Denied.
(Circle one.) Comments: ice /�r ai 4vilifeBUILDING
PLANNING &ZONING
Date:7/2.///
A
Reviewed by:
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 05/14/09
-
,,sLAI1/2 City of Atlantic Beach APPLICATION NUMBER
ti � Building Department (To be assigned by
i :'' 800 Seminole Road 9 the Building Department.)
-,� �r Atlantic Beach, Florida 32233-5445 ' �0 E r l - I G3 7
\�, Phone(904)247-5826 • Fax(904)247-5845tily /
\0;09%- E-mail: building-dept@coab.us Date routed: 1 2t�/ 1
City web-site: http://www.coab.us t
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3Sc Q ---; Dspa1fnnent review required Yes No
C13t. lin
Applicant: RcLec) REC1CJ&)
Planning&Zoning
Tree Administrator
Project: e----" E/IA.Q is or s
u is i i les
Public Safety
Fire Services
Review fee $ Dept Signature •
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: 11140‹.....-Droved. nDenied.
(Circle one.) Comments: �
BUILDING 5�-�- r` ��'~A. % T 14 a Tim s
PLANNING &ZONING
Reviewed by: Date: a(c)%[% O
TREE ADMIN.
Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [Approved as revised. nDenied.
Comments:
Reviewed by: Date:
tevised 05/14/09
i
1v,
JAS �'_ r �,
CITY OF ATLANTIC BEACH
!!ilk ` s) 800 SEMINOLE ROAD
J ti ;a ATLANTIC BEACH, FL 32233
(904) 247-5800
PERMIT NOTES
RESIDENTIAL DEMOLITION
August 1, 2016
350 3rd Street
BP # 16-DEMO-1637
1. It is the responsibility of the contractor to:
a. Contact JEA to disconnect electric power.
b. Disconnect and cap off water, sewer, and gas lines.
2. Silt fences must be in place and approved by Public Works before beginning
demolition.
3. All underground tanks, concrete slabs and foundations must be removed with the
buildings, unless otherwise approved by the City. The site should left graded and
clean for Final Inspection..
4. A water supply and hose may be required to control dust during demolition.
(Required for masonry structures and asbestos containing materials.)
5. Removal of any trees requires a separate Tree Removal Permit, per COAB Code
Of Ordinances, Section 23-21.
6. Protection of trees and vegetation during construction is required, per COAB Code
Of Ordinances, Section 23-32.
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 ) CO —b E m 0- 1 Co 7
Job Address: 350 3rd Street Permit Number:
Legal Description 5-69 16-2S-29E.482 ATLANTIC BEACH W 4OFT LOT 13,LOTS 15.17 BLK 4
P Parcel# 169784-0000
18,000 Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move(emolitio pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esiden
If an existing structure,is a fire sprinkler system installed?(Circle one): es No (a)
Florida Product iple p AppodUcts l# O
For multiple products use product approval form
VED
Describe in detail the type of work to be performed: Complete demolition of house, .-ks •'a^Irtmlii ti...
Property Owner Information: JUL t 9 2016
Name: Jacquoline A Henderson Address: 519 Midwa St
City Neptune Beach State FLZip 32266 Phone 904-609-3779
E-Mail or Fax#(Optional) •axh-n•-r •n C-i•m-ll. .
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# coin 0551 AR �.
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 certify that no work or installation has commenced prior to the
issuance?fa permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
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 f6)months at any time after
work is 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 hereb certify that!have readapplication and examined this plication and know the same to be true and correct. All provisions of laws and ord'ones governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to folate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner '/ Signature of Conti: . _ i/..
l /
Print Name \j a(. ay(in/ itendeve,e, Print Name Jerry a oherty
Swomo and subscri I-d r-fore me Sw r •o and subs f:bed b: ore me
t • ( Day of 20 7 this( Day o S. p
. � ,20 �l
r I ' . — •1 �,��'
Public Notary 'ublic
,., y 44444444 JANET K-WILLIAMS Revised 01.26.10
1 .?4P tNotary Public-State of Florida
• I Commission 0 FF 20358 'v"`r^e•; TOMGINOlESpERGER
Z VI�--- •' My Comm.Expires May 19,2019 1 z?' •�+ •tY MIMSSICN a FF 924951
1 P„r ow°° Elorcled through National Notary Assn 1 "-c EXPIRES:October 6.2019
•'�R1.1<•`' Bonded ihru Notary P16c Undeuvaftera
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ATLANTIC BEACH BUILDING DEPT.
it,,
DEMOLITION — PROPERTY OWNER
U I RELEASE FORM
ro
-afir—
Date: , I g, 2O l to
To Whom It May Concern:
I /We the current property owners of: Lot LOT 13,LOTS 15,17
Block BLK 4
Legal Description of Property
AKA 350 3rd Street have contracted with to have
(Address of Property)
Realco Recycling Co Inc to remove the single family home & pool
(Company Name) (Single Family,Duplex,Commercial,etc.)
Prior to the construction of : a new single family home
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
• :ce.
Sig i ur
I
,,,III/y�
�. JANET K.WILLIAMS
1 ?r?� '�` Notary Public-State of Florida `
Signature I � • MyCommission 0 FF 203534 '
.„1,,:-.....," Comm.Expires May 19,2019
�''%/?,■,,;t,•`` Banded
THIS SPACE FOR RECORDER'S USE ONLY Assn. 0
OWNER c
Signed: Date: ILI\f/ 1 o, �l
Before me is IF day of u_1k- in th ountyJoEnf`Duval,Stater ^ 1
Of Florida,has personally appeared c q lA G t!A Cl H - '.d.is v Q it ynit to r`)
.�v •"A l Notary Public at Large,Slap of Florida,Co t'y of uval.
a Q, My commission expires: (q 1 'AO (1
21 Personally Known: y.LS or
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