335 10th St demo permit s �1L L
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
lob ID: 16-DEMO-2429
lob Type: DEMOLITION
Description: complete house demolition
Estimated Value: $6,900.00
Issue Date: 11/8/2016
Expiration Date: 5(7/2017
PROPERTY ADDRESS:
Address: 335 10TH ST
RE Number: 170075-0000
PROPERTY OWNER:
Name: AFAB VENTURE LLC
Address: 800 -C 3 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: REALCO RECYCLING
,CGC055166
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 runoff 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 Recycling, Republic Services,Shapell's,Sunshine
Recycling and Waste Pro).
Full right-of-way restoration,including sod, is required.
All runoff must remain on-site. Cannot raise lot elevation.
Strongly suggest thorough documentation of impervious areas be recorded.
Slab and driveway to be fully removed.
Full site to be grassed.
A
BER=G CODES.
tl '
A CITY OF ATLANTIC BEACH
A 800 SENHNOLE ROAD
3 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
f:y
Demolition Fee $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
JS-=1`lyj„ City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
k
800 Seminole Road ECIE��B'..
.. s Atlantic Beach,Florida 32233-5445 g.. {Ip'( iMtY a�ldcl
Phone(904)247-5826 Fax(904)31-5aCT 2 8 2U18
E-mail: building-dept@wab.us @ Date routed:
Cityweb-site: httpaMww.wab.us By
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33 S I On 5+ . Deld
Aarlment review required Yes No
oo ee ''.. a .,,,
Applicant: F� t cD 4 � n� Planning&Zoning
,1 Tree ' ' for
Project: nmpl at hblm L ublic Wo
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection of Permit Verified B
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 ,,nn
Reviewing Department First Review: [Approved. [—]Denied..
(Circle one.) Comments: see ^4Q _
BUILDING
PLANNING&ZONING Reviewed by: Date: �� 3
TREEADMIN. Second Review:
❑Approved as revised. ❑De d.
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
City of Atlantic Beach APPLICATION NUMBER
�.. Building Department (To be assigned by the Building Department.)
860 Seminole Road 11/ ObADa-Q4.Wl
y - Atlantic Beach, Florida 322335445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
City web-site: hdp:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33 S t oln `5j . De rtment review required Ye No
� ,r 1 it i
Applicant: Yv-tt`ccl Planning &Zoning
,t ,r,n Tree for
Project: CDMAILI�C� hJaJ� lAH•.� Public Wo
Public Utilities
Public Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verifietl B
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: MApproved. ❑Denied.
one. Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date: 10—_1k'16
TREE ADMIN. second Review:
❑Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 06/14/09
BUILDING PERMIT APPLICATION C� y
FILE COPY
'
CITY OF ATLANTIC BEACd r FG v f
810 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Faa(904)247-5845
Job Address: 335 10th Street Peron Number. 1 b—()V"d—a4 a'C1
Legal Description 569162S-29E ATLANTIC eFACf1 LOT 19611(13 Parcel# 17(#L{D000 {vgbV-Mapp 0
Poor a — q't
Valuation of Work 5 6' Prepoaed Work heated/caold 16]6 non-0eated/arookni 169
Class d lNork(urele one): New Addition Alteration Repaic Move emu riw pool/spa window/door
Useofexisdog/prop Zjnt ocmre(s (aireheone): Commercial
If an existing eurudurq 6 a fire sp�nkler sy#em imlJled?(Circle one): es b N/A
Florida Product Approval# ala
For multiple produces rise pr oat approv orm
Describe in detail the type of work to be perfomred: COmpiete house demolition
Preterite,Owrier lrifermatloe: R [/4 tlfG ��
Name: d9ll%a=A e1). �rs33S /O St.
Ciry aIf 7
SutFL7apm=1:Mrc - -
liMail F #(Od' n /' /9_e,AODf Caryl
Coetraetor loformalioo:
Company NanaS' Realm ReWding Co Inc Qualifying AgentJelty Doherty
Address:8707 .mars Ciry Jackson nile State zip
Off.Phoce 757-7411 Jab Site/Correct Number 955-3581 Fax# 751-0811
SmteCMificadon/Regisnadan# r&CASSIRR
Architect Name&Phone# n1a
Engineer's Name&Phone# n/a
Fee Siample Tide Holder Name and Add. Na
Loading Con4mny Name and Address Na
Mongage Lender Name and Address Na
APpI. M F ad Mia Pr dud .F nd IW d' <d I mnfj M1a work )v 11 Iw' ed Prior m lM1e
luperm rvW F /(wM /I aepey mM Ne. darc4 fu//I" sryeegWaHgrovhud NP"e.jnurW TF" per Ixeomer/mA/
M is�o�mened I wd .e d rhW s Adie permi4 mail M envredJ PAeeemN Wena,w My.5yn4 Weer,r �F�wrv,aellm.IHs#ra.
TsnbWAir Cwtiumer4 M.
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 bereM1vrsr(hMtl Ame rmdarW e+umineJ tM1i.rgPliratlon and Mow tFe eamero he bue old eunu2 A(Ipmvielry af(mve aM ardimn e..govemi^8�Fn
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p.,,el:me,fm�.v nme.freerd.,mrr.o.mralla�aKalmmKrar..m�nianw rpr7.aa+rae frnmirarnna.
Signatureof Owner y'"Al &ASignature ofCont av�
PriorN— Vef0i .e.n 1A). F04-IS Met Name Jerry Doll"
Sewn Isort subsarled before Sw t and subs ddb ore nae
thisDayof CC(o19e1�` .2611° this sy 2
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Nottaryy ubtic Notary Public
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MYCgkN13510N/FF211&1 EXPIRES:June 23.Nth
�'... WIRES:Aupial 1.M19 ,`,2ALls'f an,p llnm Nmarv✓ari°o^°nreae�e lit
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ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
1` RELEASE FORM
Date: lD - I �- IG
To Whom It May Concern:
I / We the current property owners of: Lot 28
Block 13
ETpe iAAm
TIC BEACH LOT 28 BLK 13
AKA 335 10th Street have Contracted with to have
(Address of Property)
Realco Recycling Co Inc to remove the single family residence
(Company Name) , / / (Single Family,Duplex,Commercial,etc.)
Prior to the construction of : /V PJB h m
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked. OFFICE COPY2. 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
� /fpllace. C d L M �J FL, �/7A REVIEWED FOR CODE COMPLIANCE
Signature CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
s4netum
REQUIREMENTS AND CONDITIONS
RENEWED SY: DATE: /0 -,,2 I6
THIS SPACE FOR RECORDER'S USE ONLY /
OWNER I/ (bi^A At /.t J� / //✓,) I.///tel )me: (d9— o2D-16p
Before me this 20114 day of MI Q&qP I in the County of Duval,State
OfFlonda,has personally appeared l:q' t0. pcu'g1N
Notary Public at Large,State of FI ride,C.a of Du
My commission expires:_ 1 -
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educed ldewification s'ta '"i% yGOw.USSICWrccarmur
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OFFICE COPY
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