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380 11th St demo permit ri y"L�Jri ; CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD 's 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-2640 Job Type: DEMOLITION Description: DEMO FOR A POOL Estimated Value: $6,800.00 Issue Date: 12/14/2016 Expiration Date: 6/12/2017 PROPERTY ADDRESS: Address: 380 11TH ST RE Number: 170090-0000 PROPERTY OWNER: Name: WOOD, THOMAS C & FAYE M, Address: 380 11TH ST GENERAL CONTRACTOR INFORMATION: Name: ARMOUR CONSTRUCTION, LLC ,CBC 1253489 Address: 353 Manson LN Phone: 904-472-6464 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. Must have property owner's permission to use vacant lot. All Right-of-Way areas must be restored with sod. FEES: STATE DCA SURCHARGE $2.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH 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 3) em1 i ion ee 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. City of Atlantic Beach ECE1VfE= ___ _NOV 2.6 2016 ;a�ssigned�by TION NUMBER----- - -800 Seminole Read - (To bethe Building Department.)800 Seminole Road /iAtlantic Beach,Flodda 32233-5445yOPhone(904)2475826 - Fax(904)247-5845 E-mail: building-dept@mab.usDate ZJ Cityweb-site: hhp.-Mry .ma.b.us APPLICATION R.IEVIEW AND TRACKING FORM Property Address: 380 t r I h "TFT ant review re wired Yes No Applicant: (Z p(�i ZoningDnistratorProject: �./1 _ Vu I tiestys Review fee $ Dept Signature lRiver gency Review or Permit Required Review oMRecelpt of Permit ept.of Environmental Protection ept.of Transportation River Water Management Districtrps of Engineersof Hotels and Restaurantsf Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: N TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. 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 City of Atlantic Beach APPLICATION NUMBER A Building Department (ro he assigned by the Building Department.) 800 Seminole Road /' �. r1 Atlantic Beach,Florida 32233-5445 - -z "'lo Phone(904)2475826 - Fax(904)247-5845 -riruv� E-mail: building-dept@wab.us Date routed: ZJ City web-site: http://www.coab.us APPLICATIOIN REVIEW AND TRACKING FORM Property Address: {. ��" ant review re uired Yes No Buildin Applicant: N Rrn Planning&Zoning Tree Administrator Project: D /1/��— W I 1V�tA ` Ou Ic or ublic Utilities Public Safety Fire Services Review fee$ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Flodda 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: YAPproved. ❑Denied. (Circle one.) Comments: r fVLor<ye, ?'R-00 C' OF Nd�tzrcc-U-c BUILDING fE.� 1�-m�.c-Ar�v FSeTIi PLANNING &ZONING Reviewed by: Date: t2 <e /6 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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 CITY OF ATLANTIC BEACH 7 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 'r�Ji3 )a PERMIT NOTES RESIDENTIAL DEMOLITION December 10, 2016 REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH 380 11th Street SEE PERMITS FOR ADDITIONAL BP # 16-DEMO-2640 REQUIREMENTS AND CONDITIONS EN RFVIEN:ED BY: _LLSDATE: L '� k' � 6 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. O 7. Prior permission from the Building Department is required before blockingFart of the Right-Of-Way. 00A 8. All workers on site must be covered by Workers' Compensation Policy. 1 MAP SHOWING BOUNDARY SURVEY OF LOT 37 AND THE EAST 1/2 OF LOT 39, BLOCK 13 +AACCORDING TO THE PLAT OF A U LANTIC MACH AS RECORDED IN PLAT BOOK 5 PAGE(S) 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: THOMAS C. WOOD., FAME M. WOOD, STEWART TITLE OF JACKSONVILLE, INC., WELLS FARGO HOME MORTGAGE, INC. AND WATSON S OSEORNF., P.A. -x A )Q `k lll idSm6tS ELEVENTH STREET1- 40' R/W 74.79' (V) 11 IP I O+ 75.00' (R) 1 re LB tab No cw 23 ' (R) 25.00' (R) 9b,00' (R) 1,. '14 mW (RIM) �9 N. 0OND n O I BRU ` S1 / E.T 239' 4 23't' Y EOWRED y 11.9 7.9' CONC. COWNrO 0 I BRIM t STORY FRAME CONI N N 2Y RESNEMCE N.. 390 CONC it ` M A/C PM }/-0-9– `.f BA' 21s' 'ZA ZK I v q N. EDT 41 I 1 G 3' I 'u sed LOT 35 BLOCK 13 I 1 C2 AS0 LOTT 391 ( N s�•. ` 4 o g BLOCK 13 BLOCK 13 cco� j_x WEST 1I � _:A FEON LNE 5 9 LLpp77 39 � \ . : ON LINE \GONG � t IBLACK 11 .1 etc7' a�', I c 11 ' I '1: R BL313 I RSC h r0!✓� I � wt: 1 S r- ah-F \ I ryb1�� &07314. I 2100,(R) �2Spa' (R) _aad (R) Q" VQ ,A/� pb z• 0 1/T IP CON REAO/ANOT 75.00' (R) E,N NO CAP 0 74.91' (E1) ON UNE r LOT a LOT 40 LOT 38 LOT 36 BLOCK 13 BLOCK 13 BLOCK 13 BLOCK 13 V�� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 ICo - DErwo-z�40 Job Address:-80 1'vid S' 2 m-t Permit Number: Legal Description RE# �'�C7�Q d OO Valuation of Work(Replacement Cost)$ RLb Ileated/Cooled SF Non-Heated/Coaled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees me to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: D.... P00 L 4 FSC L W) Qt.C� Florida Product Approval# for multiple products use product approval form ProPerty Owner Information Name: �M4S WIoks Address: 370 l l�^ Si-e.ee-1- E�Mail tib—StateZrp V } phone v.lou9 �1�� Gwner OL Agent (NAM PowerofAaorn wAgwcy Inner RequirNl 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 NOTIC7E OF COMMENCEMENT. Contractor Information: Name of Company:—ARb2a UK (20'574.'-rZMj Ct�ualifying Agent: Address: rf Cit rAckSo•tun_��-State Zi 3 22 26 Office Phone 7 �{ Job Site/Contact Number gh at, a(?2. cF(c r-( State Certification/Registmtion# -CISC t2S3uR9 E-Mail ']"Art (aA ©uArAgr Conn Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation CX EAwPT / —1O —!8 nsua usse EmptoymIxpimhon ate Application if hereby made to obtoirz a permit to do the work and insm(latiom as indicated !cerdfy That no work or inrm(lalian hof commenced pear to the issuance oja permit aM that al(xark will be performed to meet the standards of a!!laws reguladng conshuction in this jurisdiction. %%tis permit becomes null and void if urosk it not rnmmertced within six(6 months, or if canslrucHon or work is susppeended or abandoned//o'r a penodofsix(6)mon[hf at any time ajler work is commenced IartdenNthaf separate permits must be securedfor Bte[hkd Work,P1um3ing, Signe, ffll''eiG;PPoofs,Furnaces,BoAers,Beaten,Tanks ondAir CondfNof rs,efe, w R Signature oFProperty Owner Signature oFContractor: g: m BefojJ�j��gg Z� ihisQ�MDay of Before me this ay �• Notary Public: i k'� off Fyrye ��¢� .expyes A Notary It 1c: 'S c8. f0,20fo I hereby certify that I have read and examined this application a the same to be true and correct. A(1 provisions off ws and , ordinances governing this type of work will be complied with whether specified herein or not The granting of ape rmff does not pr&uame to give authority to violate or cancel the provisions of any other federal, stale, or local law regufa[I construction or the performance ofconsimction. Rev.3/14/16 TREE & VEGETATION AFFIDAVIT_______ City of Atlantic Beach Department of Community Development Planning&Zoning Division - 0;n9p 800 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 (F)904247-5845 (- SECTION I-APPLICANT INFORMATION r Owners R I,� IX Legal Authorized Agent- NAME OF APPLICANT NAMEOFCOMPANY /'-)12 ADDRESSOFCOMPANY 7�S I'1'IA 2 L 3Z�(j PHONE C/.a 1lL �7Z jyC�C�CELL s'A7Mt:- EMAIL �A Rw�ou2e Ott Vi4SCt CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESSTAX RECEIPT NUMBER i SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY dm adJress aasnotdeen oni9rsedfonrhpsoyeny,rontatttheABBuiltingaepnnmmtat ryWJ NISBM ro rcgnesran aderes LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SOFT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that I how reviewed the provisions of Chapter 23, Tmtection of Trees and Native Vegemtlon'of the Munldpol Code of Ordinances for the City ofAtlandc Beach,FL and/or I have participated In a pre-appBcadon meeting with the Administrator of those regulations. Subsequently,I afibm that no regulated trees and no regulated vegetation will be damaged,destroyed and/m removed from theabove- eribedoradjacentproperlies inconjunction with thlsproject. SI ATURE OF(3NB1@R �rNescsz;ta pb ea„r SIGNATURE OF OWNER Signed and mom before meon 011051ayof �� 'Z10 Stateof County of VC?- IdentificitLvedfiled: L C S Oath swYes r No 16r''••;�• =REI IAGEBi'� .. IFF 924851} xrfi,2D19 NOtdly$IgnatureIT '- o U�tlawilen_ My Commission expires: