1710 BEACH AVE - DEMO ' '. ``= � , CITY OF ATLANTIC BEACH
lc,
s . ,. J 800 SEMINOLE ROAD
''' 'r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-1.-1.0.219'''
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-1569
Job Type: DEMOLITION
Description: DEMO - HOUSE
Estimated Value: $17,000.00
Issue Date: 7/29/2016
Expiration Date: 1/25/2017
PROPERTY ADDRESS:
Address: 1710 BEACH AVE
RE Number: 169592-0000
PROPERTY OWNER:
Name: WAUGH, CHRISTOPHER R
Address: 1710 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: LOCKWOOD QUALITY DEMOLITION
Address: 2116 W BEAVER ST
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.
Strongly suggest good documentation of impervious areas for rebuild credits.
Lot elevation cannot be raised.
FEES:
STATE DCA SURCHARGE $2.03
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ri +* CITY OF ATLANTIC BEACH
SA
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1.2,01119
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.03
Total Payments: $104.06
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PERMIT IS APPROVED ONLY IN ACCORDANCE WIi'II ALL CITY OF A I.ANTIC BEACH ORDINANCES AND 771E FLORIDA
RE ILDING CODES.
,i1J- : City of Atlantic Beach APPLICATION NUMBER
£!s r#• � Building Department (To be assigned by the Building Department.)
r " - "'r Ai r) 800 Seminole Road � "a-ANC)y� S��
��" ''s� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
�r o E-mail: building-dept@coab.us Date routed: 7/ 1 ji,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 710 IER �
LH C—
yDepartment review required Yes No
•i din,
• '
Applicant: LOC��WOo lib .U C t, � arming &Zoning
Tre Administrator
Project: 140 vS C— CC l.Q ,Public 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: 1►: A •'roved. ❑Denied.
(Circle one.) Comments:
BUILDING -- - .-0 eat. �crt_ C/
.-04L1g-e-'r $t.-Ae } fw.-t-01\TioA tj
PLANNING &ZONING Reviewed by: E S K Date: 1 1211k Ij
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
s:->ui City of Atlantic Beach APPLICATION NUMBER
vs r l BuildingDepartment
J'\ p (To be assigned by the Building Department.)
- � 800 Seminole Road
4 - ,,
Atlantic Beach, Florida 32233-5445 ) G -D C 56cl
Phone(904)247-5826 • Fax(904) e,'
\ / E-mail: building-dept@coab.us CEIV._--i% Date routed: 71 It
City web-site: http://www.coab.us
JUL 132016
APPLICATION REV W AND TRACKING FORM
Property Address: 1 .7 I 0 BE. -1 l \VG- Department review required Yes No
'Kling)
Applicant: LOC_KL000 a u G L w ,,; al nnfng &Zoning
Tree_Administrator
Project: 1"--400 ._— C--(N/L( 6blic 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: 1 4pproved. ❑Denied. . f/
(Circle one.) Comments:
fie
4"J 42#14/G�,C
BUILDING
0 PLANNING &ZONING c
Reviewed by: / .../ ?` ( 7i Dat / 6
TREE ADMIN. Second Review: QApproved as revised. ❑D- ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
2evised 05/14/09
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 j Co _b Ern CD` icoc)'
Job Address: 1 1 10 (X0Y.ri 4vi &6 AIL 131O-4 32333PermitNumber:
Legal Description Lot 1 0111,1 I2. gLp ', 4 C--09 ()19t. Parcel # I S 9 2. -0000
()(J Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 1 1,00U t Proposed Work heated/cooled 21 1 1 non-heated/cooled a O 0
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 'e is- tial '
If an existing structure,is a fire sprinkler system installed? (Circle one): W , o N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: J U()i.( S�'2 ,tk,i Itz_c b y1 (U 1.i -ri 04
Property Owner Information:
Name: C I-lr2IS keicte irk Address: !f oc.ajJaeaZE ,d 2
City 411,AFitt, d A-L4t• Stater/.Zip32Z33 Phone Tog-4/0-zr
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 1.O�IC14)O & 0UtU T1 tiCIU l ityi 1 Jr` Quali ing Agent:
Address:2.11 b L , f3cR Viii yALJLSOi fCtrvi State 1 r
. Zip 3220 ci
Office Phone C+�oy --M I -' ' 3 3 Job Site/Contact Number Vila; -23'7- •110 •. . - a
State Certificatton/Registration # n r E I
Architect Name & Phone# "`Z�.A�'-, IN1
11 M in
Engineer's Name& Phone# (Ji HMI
Fee Simple Title Holder Name and Address
Bonding Company Name and Address � ��i
Mortgage Lender Name and Address I t v
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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•rr ilrrsftrr rachc-non. rias permrr D2 comer hull
and void iwork 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 is commenced. 1 understand that separate permits must be secured for Electrical!York, Plumbing,Signs, Wells, Pools, 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 certify that 1 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 be complied with whether specified herein or not. P—: . f a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating constructs.• o414 j•: mance of construction.
4
Signature of Owner SN':1,;,„;:�'' 'ignature of Contractor •
1 A L
•Print Name ''. ' ,o= • r' •
C. Y1S �r� 11� < 3 D rent Name i r ( 1 W4 • ,) . 4 '�,
30 3.mI ,.`4,)1 ,OTAi . ctt
Sworn to and subscrib-s b-fore me .° 3 y -i wor to and subscribed before mg '
this r' ay of / ,20 /O m 3 o m! ' iOt`Day of ZIU�;L z Mr COMM Ex'
dI_ . ' / .h. r/ - j T m 111 /1;' ,11e .
to
Comm.* ;
Votary Pus/ c D > of l Public 14
s's�d+> PURL G r/
3 oa m ''��'4r• nioN°
H w.o Revise'&R,jt IWO
NOTICE OF COMMENCEMENT /
State of rU51141.) Tax Folio No. 1 6 � S 12 O O0 0
County of DUVIA'L,
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE O COMMENCEMENT.
Legal Description of property being improved: LO101 1 1 12 15tr6u&.' O(.J-5u 3 (012-011:45
Address of property being improved: 1110 13 00,44 Alfm,G' L2_33
General description of improvements:
tAJ(4(XX S`ritu ,iia,t- C smut i)GA
Owner: C/fjS 6;4ffo-A Address: 5 I Dtibt J8e /lamAG, Arloi trk IL r1i33
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Lo ttGJooi dote- c I_1f�1 Qu T i o/J r L
Address:7 11(0 &J R6,ucsvt 4-ra6 r --SrAck_ Z,2 CS
Telephone No.:-104 Z 31 0) 1 t) Fax No: qoy "79 I �7 0
Surety(if any)
Address: Amount of Bo
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the im
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself,designated
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a c
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from a of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: c... t1 Date: 7—
Before me this *77/4 day .vslJ� in the County of Duval,State
HALEY ELISE BAKER
Of Florida,has personally appeared /it✓:'5 �;,it-
ll ••q„ .= Commission M FF 989863
,:;i�;.. My Commission Expires Notary Public at Large,State of Florida,County of Duval.
tI %•f«,,-o;A, ission xpires: uv,2D2D
, may 2020 'ersonallyKnown. or
Pro'uce• •entification:
5��., ;, ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
l� . i...1,,,-=:,Yr"x'11 RELEASE FORM
Gi -'5
Date: 715' 6
To Whom It May Concern:
I /We the current property owners of: Lot 10 ) 111 i Z
Block 43 OC, ts1612-0V t_%
A
Legal Description of Property
AKA 11 10 f MA V/ have contracted with to have
(Address of Property)
LAY.-11-()00 Qy(Acy Dt-iv OL4-r,O�I to remove the single
;��gli . 4vioi(Company Name) Fmily,
Duplex,C6mmercial,etc.)
Prior to the construction of: otr 6,---A./ .Sf,
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 _ ea or n-w structure is completed and landscaping is in
place. / /
„ ,,,41A...,:,,,,ii
Signature
/ iial /
Sig . .
THIS SPACE FOR RECORD •'S USE ONLY
OWNER(.14:
Si ed: —3 -IC
,t "", HALEY ELISE BAKER Dhte! .,�.�*�u;'o, Before me this�. „ day o �� in the Coun y of Duval,State
ii Commission# FF 989863 Of Florida,has personallyappeared /.. c .i--,
'I ?�� `', My Commission Expires Notary Public at Large,State�of Florida,County of Duval.
il %�`,;;,;`,°.� May 08, 2020 M fires: 1JM1 1/43-6t 202C)
ersonally Knowvn: or
Produc edification: