825 Sherry Dr demo permit ?S�s
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: 17-DEMO-3215
lob Type: DEMOLITION
Description: demo house
Estimated Value: $6,500.00
Issue Date: 2/16/2017
Expiration Date: 8/15/2017
PROPERTY ADDRESS:
Address: 825 SHERRY DR
RE Number: 169983-0000
PROPERTY OWNER:
Name: Gray, Adam
Address: 825 Sherry DR
GENERAL CONTRACTOR INFORMATION:
Name: REALCO RECYCLING
,CGCOSS166
Address: 8707 SOMERS RD CA 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 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 on City approved list(Advanced Disposal, Realco Recycling,
Shapell's Inc.). 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.
p eREACHANTICQR�RIDA
Aim k' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
D ,
INSPECTION PHONE LINE 247-5814
FEES:
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
City of Atlantic Beach APPLICATION APPLICATION NUMBER
o Building Department (To be assigned by the Building Department.)
800 Seminole Road S FSB g 2017 <
'o Atlantic Beach, Florida 32233-5445 'I
Phone(904)247-5826 Fax(904)24"y—845 %J
E-mail: building-dept@coab.us Date routed:
City web-site: hhp:/Away.00ab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: pas SINat c, J-r( . D nt review re uired Yes No
p pp � Building
Applicant: 1LP.Q.1 F-c_C4( ) Planning &Zoning
T istrator
Project: 1� �'10u1SQ Public Works
Pub Ic I I les
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 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: Approved. ❑Denied. /l
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:Z �O
TREEADMIN. Second Review:
❑Approved as revised. Der�6
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
6
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r �
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 l�- O�/t4Q- 3315
Phone(904)247-5826 Fax(904)247-5845
E-mail: builtling-dept@ccab.us Date muted:
CByweb-site: httpJAN .wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Oaks SUNY I DifD nt review required Yes No
pp I 11 _Building
q
Applicant: 1—W C-4_
to L, LVL n(7 W Planning &Zoning
ist
,,,,iI 1�I.�,,.MT T ' rator
Project: (7L L) howw Public Works
Public lues
Public Safety
Fire Services
Other Agency Review or Permit Required Review
of Permit Verified B or Receipt Data
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Arany Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: VQ4proved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 102 it O
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 05114/09
\i YL�f/lJl
, CITY OF ATLANTIC BEACH
rj 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
(904)247-5800
PERMIT NOTES
RESIDENTIAL DEMOLITION
February 11, 2017 REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
825 Sherry Drive SEE PERMITS FOR ADDITIONAL
BP # 17-DEMO-3215 REGUIREMENTS AND CONDITIONS"
DATE:_0
REVIEWED BY,
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. w
7. Prior permission from the Building Department is required before b, y part of the
Right-Of-Way.
1
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`RECORDS OF DWAL THEY, FLORIDA, AND TOGETHER WITH THE WEST 1/2 OF LOT BLOCK 10, PIAT No. 1 SUBDIVISION •A'
ACCORDING TOO THE PLAT RECORDED IN PUT BOOK 5, PAGE 89, OF THE CURRENT PUOLIC RECORDS OF DWAL COUNTY
PARCEL 2:
E FAST 1/2 OF LOT 44, BLOCK 10, PLAT No. I SUBDIVISION W ATLANTIC BEACH, ACCORDING TO THE PUT THEREOF, RECORDI
PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DWAL COUNTY, FLORIDA, LESS AND EXCEPT THE EAST 15 FEET OF SAID L01
PLAZA
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t� ATLANTIC BEACH BUILDING DEPT.
;1", DEMOLITION — PROPERTY OWNER
RELEASE FORM
Date: 21;?12017
To Whom It May Concern:
I /We the current property owners of: Lot 43/44
Block 10("916-2S-29E.29 ATLAWIC BEACH
16 QTRIP�PIGW
Legal Desvl �1 •p)
AKA 825 Sherry Dr have contracted with to have
(Address of Property)
Realco Recycling Co Inc to remove the Single Family
(Company Name) (Single Family,Duplex,Commercial,etc.)
Prior to the construction of
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
pla ,
- Aj 6
naWre
SignaWre
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
S'grad. I Date: 4-711-7
"...2 RAVLA MICHELLE BUGBEE Beforem s dyof rLIO is the Coun oDuval,Santa
i` eR Nolary PUEIIc-SIeIe M FloriGa Of Florida,ha pwsonally a egad 0.
Commission F FF 923996 Notary Public atLwge,Smocof Florida,CountyofDuyal.
' My Comm.Explrss Oct 4,2619 My commission expires: Ob{. LIti7r T O7 9
BoMedtlxwyl Natbnal Nolary0.ssn. Peaonally Known: ,/
or
„•'1111„ Produced Identification:
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
rf RELEASE FORM
..j 0
Date: 2//2017
To Whom It May Concern:
I /We the current property owners of: Lot 43144
(5E91G2S-29E.29 ATLANTIC BEACH
Block 10
Legal �f FBLI(lG)
AKA 825 SherryDr have contracted with to have
(Address of Property)
Realco Recycling Co Inc to remove the Single Family
(Company Name) (Single Family,Duplax,Commercial,etc.)
Prior to the construction of: AVr u l /1 A tr _ .f. ..Lc� �r. .l c/A-'
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
pla
-
nature
Signature
'DDS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed: 61diAlLid lb Dere: -1
KAYLA MICHELLE BUGBEE Before M6 s _Ay of t L an me Cow o Duval,State
_eF
Notary Pupllc-State of Florida Of Florida,h personally eared 0.
Commission♦FF 923998 Notary Public at Large,State of Florida,County of Duval.
+ My Comm.Expires Oct a,2019 My commission expires: OC4. LIM, 2,019
BmM thagl Nalaal NpNy Asan. Personally Knonm: ✓ or
Produced Identification:
• BUILDING PERMIT APPLICATIO
CITY OF ATLANTIC BE----- Va
800 Seminole Road,Atlantic Beech,FL 32233
Office(904)247-5826 Four(904)247-5845
Job Address: 825 Sherry Dr. Permit Number:
nesse a An asncewnrrtoru toT te.saiatnacw
Legal Description amemor six 10 Parcel# 't9/3. 0000
Foorl eTa of� �q.Ft
Valuation of Work S 6500 Proposed Work heated/eooled 1023 non-heated/rookd 343
Class of Work(Circle one): New Addition Alteration Repair Move Devnlitio poollspa window/door
Use of eristing/proyyused strueture(sL( rete one): Commercial essden'Zit
Ilan existing sum ,re,it a fire sprinlder system inrtaRed?(Circle one):
"GOPD, N/A
Florida Product A proval#
For multiple pro acts use product apo pprov�orm
Describe in detail the type of work to he performed: Complete house demoliiton
ProverN Owner Information:
Name: 144 Address:
City I /. A2_.. .ti State�Y Zio -Phone 9W- s - n_Ay
E-Manor Fes#(Ootionap war�aC � P �...... LW
Contractor Information:
Company Fluor. Realm Recycling Co Inc Qualifying AgmmJerry Doherty
Address;8707 bomem Ka City Jacksonville sttaFL zip
M229—
Office Phone 757-7311 Job Site/Contact Number 955-3581 Fax# 751-6611
State Catification/Registration# Cf:C059166
Arehitect Name&Phone# n/a
Engineer's Name&Phone# Na
Fee Simple Title Holder Name and Address Ne
Bolling Company Name and Address n/a
Mortgage Lender Name and Address We
APpllmeion Itenify thaw work oriwmllalion hat ramme—apnor to lbe
//ogrr and that all work will he rm die mee(IAesaMagx ojall Nwx regulan�y maaualond MaJurlMiMon ]Aayermiebecoma nWl
and.wie#xmrku
notco andwithnsa((
NGroaaenred elmNk iMM bddlM lu l6)e�N,vBaaerareqn,Ham
mo,laMaandAL
NndWaaey ea
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.
/h eeni W'har/Aaae MaM inM FU pll flaxa Aro Aema robe 1— .. Ailpow va/(awx Med' -saws Wu
type of work (Ib eomy(ii wiadwk Me I h a net Asp Nie la pem�i don al pr uvneta8eveawgaip(iO�violas rmaellAe
prowl laranerlM I,x arlatat we.tsWa#ns ma man MeN sera re fcataxta \
Signature of OW1Kr Signature of Contac
Print Name ai Prim Name Jany Doherty
Sworn and mbscr' ed befog are Sworn su before me
this Dayof tbis /Davef L///)// .70/1
a to DASCl/f�4Ai ^ �i/ NNWlllbgpj
Notary : yCAgI�B,S� cr xfp No�81iC `�p, —pI .w'-y",
�•� .pWey2�q/'••.F Raviaed 01.21 t x1 0Q 4,- e
2 -- MOTION g• 1rFl1n1N.O.
N///4OFjoII1t�:tl�•PPii
FEB - 8 2017