381 5th St demo permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2806
Job Type: DEMOLITION
Description: DEMO HOUSE AND POOL
Estimated Value: $8,200.00
Issue Date: 12/21/2016
Expiration Date: 6/19/2017
PROPERTY ADDRESS:
Address: 381 5TH ST
RE Number: 169878-0000
PROPERTYOWNER:
Name: MORRISSEY, MELISSA
Address: 381 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: PREFERRED BUILDERS OF IN F
,CGC1514978
Address: KEVIN KEVIN GREEN
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing
activities. Contact the inspection Line(247-5814)to request an inspection from Public Works 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 an City approved list(Advanced Disposal and Realco Recycling).
Container cannot be placed on City Right-of-Way.
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.
FFAIM.IS APPROVED ONLY IN ACCORDANCE MITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
STATE DCA SURCHARGE $2.00
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND WE FLORIDA
BUILDING CODES.
City of Atlantic Beach
'C;EU
Building Department "z
800 Seminole Road
Atlantic Beach,Florida 3223 5UtL 15 Z:16
Phone(904)247-5826 - Fa )247-5845
E-mail: building W"
-dept@coab.us
City web-site: hftP:/Avww.wat5.X.A."�
APPLICATION REVIEW AND TRACKING FORM
Property Address: :3 8 S�Lk &� , De rtment review re uired Yes No
Applicant: P C-_F f--E7p_p�r= C) 13 larming &Zoning
Tree Admims ra or
Project: L)C—w-) -(:�OLISC F blic Work
ublic Will is
Pc)c) L_ Public Safety
Fire*Sewices
Review fee $ 2_T Dept Signature
Other Agency Review or Permit Required Review r Receipt
of Permit erifl a Date
Florida Dept.of Environmental Pictectim
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other,
APPLICATION STATI 11A
Reviewing Department First Review: [frApproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
TREEADMIN. Reviewed by: Date:.1:2(f 7 r
Second Review: ElApproved as revised. ElDenied.
I C WWOR Comments:
IT
ITIES
Pd2 -
SLIZ
BLI� !*FEI* Reviewed by: Date
F s
I�RIE SERVICES Third Review: ElApproved as revised. [-]Denied.
Comments:
Reviewed by: Date
Rftised 0&14109
Vir, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
F 800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247 5845
E-mail: building-depi Date routed:
City web-site: hftp:1/www.coab us
APPLICATION REVIEW AND TRACKING FORM
� B � S�Lk � No
Property Address: Department review required Y
Applicant: �Ialnln
p &Zen
Project: f--)EMC) — (-�Ous'r_ Tree Admini-sTraTo—r
P(�o L_ Public Safety
Fire Services
Review fee $
Review=P.'y Data
Other Agency Review or Permit Required Of Pennit
Florida Dept.of Environmental Protection
F�Iorida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
DMIsion of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: M/Approved. E]Denied.
(Circle one.) Comments;
Q�)
PLANNING &ZONING Reviewed by: 17111e� Datei�&_/6
TREEADMIN. Second Review: DApproved as revised. E]De V
hied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date
FIRE SERVICES Third Review: DApproved as revised. [:]Denied.
Comments:
Reviewed by: —Date:—
RJZ�iad 0511V09
CRY of Atlantic Beach
Building Department
800 Seminole Road E C E I V,-EJ
Atlantic Beach, Florida 32233-5
Phone(904)247-5826 Fax 2OWt 5 2016
E-mail: building-dept@mab.us
City web-site: http://v�.mab.
BY:—
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 B � '5�Lk &� ' nt review re ulred Yes No
Applicant: P Rc--Ff-- r= 6 —
fanning&Zonincf'�,
T eA minis or
Project: L)emr) — aoasc F— u lic Work
ublic,Utili ie
PC)U Pub Lic Safety
"re Sewices
Review fee Dept Signature � % jr�j �7 � i
Other Agency Review or Permit Required Review Or Receipt
Of permit Verffied B Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
rReviewing Department Frill Review: VApproved. Denied. lof_14�_4
(Circle one.) Comments: Joe
BUILDING
PLANNING&ZONING ... Date:
DM
TREEADMIN. Second Review: EDIApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: F]Approved as revised. ElDenied.
Comments:
Reviewed by: Date
Revised 05114109
City of Atlantic Beach
Building Department
Boo Seminole Road
Atiantic,Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail building-dept@mab.us
City welb-site: http:/A�.Walbus
APPLICATION REVIEW AND TRACKING FORM
Property Address: 38, � De artmen review re uired Yes No
Applicant: I nning&zoning
T AdMmIs or
Project: L)emr) — a0u.&C P— u lic Wo
u III;Ub Ile
_PQ)U II.— Public Safe
Fire Se ices
Review fee $__ Dept Signature � e� r � � 0 � d �
Other Agency Review or Permit Required Review or Receipt
Of Permit Verified B 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: I?Approved, E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by-,110�( �"Date::
TREEADMIN. Second Review: DApproved as revised. E]Dnled.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. DDenled.
Comments:
Reviewed by: Date
Revised 0511WOS
MAP SHOWNG SURVEY OF
LOT 36. BLOCJ< 7, SUBDIVISION 'A' AMANTC BEACH AS RECORDED IN PLAT 8
5. PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COIJNTY. FLORIDA.
- I.DO LET
-SH
.A. DO-
LOT 38 0
7 STORY LOT 34
BLOCK 0
RESIDENCE
NUMBER 381
LLJ
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Lu R
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1, MIS IS A SOLNDARY W�
No RE "Nd �S FDU_6�, 40'MGFT OF WAY
00 SWUS FIFTH ST.
WS AS PER FLAT
3: MTERIDfl A-GUE5% I PAVED PUBUC ROAD
A 9012-26'
S SE.:,r
c .3v
D RRW D.
LOW PRMACTED FROM PLAT.
THE PROPERTY SHO. HEREON LIES IN FLOOD ZONE 'X"
(AREA OUTSDE THE 0.2% ANNUAL CHANCE FLOOOPLAIN)
AS KILL AS CAN BE DETERMINED FROM TIE FLOOD
INSURANCE RATE MAP NUMBER 12031CO409H. REVISED
JUNE 3. 2013 FOR DUVAL COUNTY. FLORIDA.
a SGRA�.ARD OWN W. 90AZRTT, P.S.M.
NOT�ALID WWOUT WE
WE DRIQN�PASO) SEAL OF A FLORIDA FLORIDA U� YOR
LIDENSED SUFAYOR MD MAPPER.' and MAPPER LS 3M
FLORIDA JC. SW�ONNG&LAPPING BUMNESS N� R 3672
CHEC*OED Br.
DRAM Br.. P]
2 [[::;BOA GH URVEYORS, INC DAM.
, ROMVE' MARCH 1. 1016
FIIUE�' 2011 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLMD 241- SHEET-I OF 1
DEC-21-2016 11:22 From:9047516600 paqe:111
TREE & VEGETATION AFRDAVIT
City of Atlantic Beach
DepartMent of CormMunity Development
Planning&Zoning Division
8005eminoleRoad Adantiegeatkiti- 3223.3
(P)9D4Z47-S= (F)904247�WS PVmT#
SECTION I-APPUCANT INFORMATION r owneos) r- Legal AuthadzedAgent-
NAMEUf APPLICANT
NAMEOFCOMPANY pe�p� j3uNLb%" OF tJA%M FiJA444
Y-4-
ArIvioisswcommw 23,n varim Ave zi-Axtri— su'le
f"ONE cjbq.Wl-3S$j CELL q04-2,31-ol,11-7 MAIL eMjC_4*6j_ 0_
CONTFACTOR CERTIFICATION NUMBER aCje- 15-114970
AnBCH BUSINESS TAX RECEIPT NUMBER
SECTION 11-SITE INFORMATION
SIREETADDRESSOFIRROPERTY 3J61 54-3 Sr. Ar&4oric
LEGAL DESCRIPTION
LOT BLOCK 47L4ortr SUSONISION
REAL ESTATE NUMBER LOT OR PARCEL M- SCIFT AC
RESIDENTIAL 00� COMMERCIAL OTM(SPECIFY)
I afflm OW I 1wa mw*wW t1w provIsiom of Ctpqpr4r 24 VmterrAon of Tme;and Nothwe VeWadon'of ft Moklod)code of
OrNmysm fiv the City ofAdotk Beach,FL walAw I have portkoated In 4 p"piaFkadan verting Milt the Administmrw ofthose
,equIplo.s. Subsequently,Iaftm fttnoregialatialuee, de"yedotdibriw"Med
SIGNAWOFOWNER0 SIGNATURE OF OWNER
Sioned and�bdoremonthts�j dayuf 16w,by State of
Commyof 1 )[ )VZNE:
'"Cation vedw,
Idenv
Oath swom r--Y;, r- N
Alm IA��-
;Ar�=..P.-
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: -381 54 .57W f ATIANT 16 Fa(� FL- 33W'S Permit Number:
Legal Description 541 116 -2S-2115 AMA�Tff_ SOO 1A31414-1parcel# 4k?A78-06V
&(�:>o Ploor area of ziq.tt. Sq.Ft
Valuation of Work$ C) _ Proposed Work heated/cooled non-heated/cooled_
Class of Work(eircle one): New Addition Alteration Repair Move(6e_m_o1i_tio_.) po.1/sp. window/door
Use of existingtp=sed structure(s) �chrcle one): Commercial esiden ' 0 N/A
If an existing stru um,is a fire Spain er system installed? (Circle onelo;;ili�is
Florida Product Approval#
For multiple products use product approval form 40P-14
Describe in detail the type of work to be performed: PrM0L4TtaoJ CW- VX%SrjACg V41S4DVJC9 4-boo0woute-
Property Owner Information:
Name: AWW MOW —Address: 361 5'd Sr.
City ATLharic. SaVC0 Statef%,Zip ?U13 Phone
E-Mail or Fax#(Optional
Contractor Information:
Company Name: abets or J")6"Wj"806% Qualifying Agent: KNIO GIA&TO
Address: Z"Z- "Vio, City aftesemIrl"r State rt- zip 3%7'IS
Office Phone %K-75 1-aSg I Job Site/Contact Number.go4- LI-1-04.41 Fax#
State Certification/Registration III &AC- 111714"s
Architect Name&Phone It
Enginmr's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address 6 epo tj I LIS I F_
Mortgage Under Name and Address
Application is hereby made to obtain apeounit to do the work and installations as indicated. [cerrify that an worker installation has commewcedirrior to the
issuance of a permit and that all work will beper io . hi permit becomes null
formed to meet the standards of all laws regulating construction in thisjurisdict a T s .
work is am c...ced within so (6)months,or if construction or work is s:urhded or abandoned for a4eriad of sixp5)months at any time
work is ced. I understand that separate permits must be secured for Elecari Nork,Plumbing,Silins, '11sPools, a ;Lfter
=m assures,Boilers,He rs,
Tanks andAIr 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 kcre�cerilly,that I have mad and esmained this liention maikon.they..at be true and correct Allprovisions of laws and ordmances,governing this
work will be coniplied with whether sgecired herein or not. The granting of a permit does not presume to give authority to violate or cancel the
gushers of any mherjedera4 state,or local w regulating construction or theperformance of construction.
Signature of Owner�% e,- Signature of Contractor
PrintNamc M Qr..c A,- Print Name
.............................................................-.............
Swoo and S.Ufl= e one mt Sworn to and subs. d be%e me
,Is _ toom e ,- _7 Day of
this __Kof 20 A this 1:� .201U
4;Aor.14 Y4-)
Yary Public
AEW'L' Revised 01.26.10
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KATHRYN W SR L
MY COMMISSION ES 4 40 ON fuea,PuNic SWO m Floryla
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