743 Sailfish Dr demo permit i'f y�,y fjr�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
u =" 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-3199
Job Type: DEMOLITION
Description: Demo existing house
Estimated Value: $4,500.00
Issue Date: 2/21/2017
Expiration Date: 8/20/2017
PROPERTY ADDRESS:
Address: 743 SAILFISH DR
RE Number: 171234-0000
PROPERTY OWNER:
Name: Property Properties LLC
Address: 1144 Fruit Cove Rd ST
GENERAL CONTRACTOR INFORMATION:
Name: XL PROPERTIES & CUSTOM
Mark R. Nugent,CGC1513824
Address: 1333 S HIDEAWAY DR MARK R NUGENT
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
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.
v i o to ion of utilities. mn
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Han I coordination is needed,ca241-5854.
FEES:
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
?tynr�� City of Atlantic Beach APPLICATION NUMBER
Building Department (io be assigned by the Building Department.)
i 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us " FEB O B 2017 Date mutetl: �!�/I7
Cityweb-site: hftp://w .Mab.us 14
APPLICATION REV19WANO-TRACKING FORM
Property Address: 793 Sai B{1 ir)f`• De artment review re uired Yes No
uil in
Applicant: Lp Cy,.
_t..'
s
LLC Plann g&Zoning
Tree dministrator
Project: 1 s1� ry 5$ n 1 o u lic Wor s
Public Safety
Fire Services
MBevemgm
ency Review or Permit Required
Review or Receipt Date
of Permit Verified B
pt.of Environmental Protection
pt.of Transportation
River Water Management District
ps of Engineers
f Hotels and Restaurants
f Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: RApproved. ❑D_enieed. k �17
(Circle one.) Comments: "�L
/.•
BUILDING
PLANNING&ZONING Reviewed by: Dat . O
TREE ADMIN. Second Review:
❑Approved as revised. ❑Dery
BLIC 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 7assigned
ON NUMBER
;Jt ern Building Department _ (To bee Building Department.)800 Seminole Road
Atlantic Beach, Florida 3223354450 0�(� �VL10-31`l�Phone(904)247-5828 - Fax(904) 247-5845E-mail: building-dept@coab.us Date !�/17
City web-site: httpl/www.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 743 $ai l{i-lt( Y`, D
epartment review re uired Yes No
Applicant: XL Pdn Edie5 � G to �\I )- LC oning
T.� � strator
Project: );S% tnasV'M a
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: °rte Date: 21* (7
TREEADMIN. Second Review:
❑Approved as revised. oDenied,
PUORKS Comments:
U IC UTI TIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised ea/i4/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH DATE
J
800 Seminole Road,Atlantic Beach FL 32233 ��
Office:(904)247-5826 • Fax:(904)247-5845
/A3GnnP�Job Address: ry4ric, Q
Permit Number: -3 9
Legal Description -6� l7 e23'�Rl��I./V /'/123y'aO°O
t
Valuation of Work(Replacement Cost)$ Wfeated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move em Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Reslden6a
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No /A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Florida Product Approval# for multiple products use product approval form
Property/Owner Information / n /
Name: I" L/.0 Address: 11 / �f loU KGT
City tri S State Zip '.LZ Phone YaY- 3.777
E-Mail 1- 60
OwnerorAgent (If Agent,Power ofAffomeyorAgency LetuvRequired)
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 Com at : K`"'�/� y"[slf/t Qualifying Agent: K Nu
Address: o-- - --- City J/►/NP' tat State Zi -Zi7
Office Phone O -3 Job Site/Contact Notable - O -
State Certification/Registration# E-Mail LoH
427
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation kPi 8
Exempt insurer ease Employees npt n ate
App(icafion is hereby made to obrain a permit to do the work and iaetallattans as indicated I ceH fy that na work or irutal/anon has commenced
pnor to rhe issuance ofa permit and Thal all work wi/!be performed to meet rhe standards of al!laws regulating conffrucfion in this jurisdiction.
]'his permit becomes mdl aaad void if work is not c mmenced within six(6 months, or ifcourrvetion or work es suspended or abaMoned for
period ofsix(6J months at any time after work it nmence . I vn Istathar separate permits must be secured for B[ectrl ai Work lamb'
Stgng WWells,PPools,Furnaces,BoJ anks A' C diAoners,etc
Signature of Property Owner. ''' Signature of Contractor: �7
Befor��pe
W
Ods 7' Day of � '1 _Before me this� l7 flICARC Mniiela a RICHARDMmrreLA i
V "
Fi NolarY Pehik 51ae of Nalary e-Scuv.of"I,I Pell
Notary Public: '" oauaicaiarr Fp gla�$ ublic: 2' .: _
IF91839a
I My Comm.Eapine Bep 15,215.2010 '%°xnq;.•• B r Comm.t9lm gap 15,2010
!hereby certify that I have read and • ' ' e to be true and rnrrettw}i6p aIMMryAWL
ordinances governing this type of work will be comp re v v herein or not. The granting ofa p n
presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the
Performance ofcons(ructiom
w
' CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 serrerey.Rood
r �* Allentic Beech,Florida 32233-5445 904-247-5800
Fax 904217-59405
PLEASE
I1SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMR#
Date os— &-,?o('y ISSUES BY THE QTY
Job Address 7y3 J'fkT[,P45// /)�Qy E-mail k ITT �Qrnl ®W9
Permitee:�(, �2t�FLn3r5 Telephone# 22V- 7J6/_ 3777
Permileee Address: 0&T a.
Requesfing Permission to Construct
Location:(Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both
aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No ( Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes( ) No( ) Date:
Comcast Yes( ) NO( Date:
2. Whenever necessary for the construction, repair,improvement, maintenance,safe and efficient operation,
alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public
Works,any or all of said poles,wires, pipes,Cables or other facilities and appurtenances authorized hereunder,
shall be immediately removed from said street or easement or reset or relocated hereon as required by the
Director of Public Works,and at the expense of the Permitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of (Contractor's Project Superintendent)
located at Telephone#:
4. All materials and equipment shall be subject to Inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical,in keeping with city specifications and
the manner satisfactory to the city.
6. A sketch of plans covering details of this installation,as well as,a copy of a recent survey shall be made a part of
this permit. Calculations showing any Increase in Impervious area on owner's lot or in the city Right of
Wav ere to be included with this application
7. This permittee shall commence actual construction in good faith with_days. If the beginning date is more
than 60 days from date of permit approval, then permittee must review the permit with the Director of Public
Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's
right,title and Interest in the land to be entered upon and used by the holder,and the Holder will,at all times,
assume all risk of and indemnify,defend,and save harmless the City of Atlantic Beach from and against any and
all loss, damage,and cost of expenses arising in any manner of the exercise or attempted exercises by the holder
of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-f again immediately
upon completion.
Notary Public.State of Florida
m
Comission#^FF 918399
OWNER 2'a My Comm.Exi lrn Sep 15.2019
aron#INYlassl Nolry
Signed. e. a ore me this day
of 7. t In the u_ry o Duval, State OF Florida, has personally appeared
f� Notary Public at Large, State of Florida, County of Duval. My
Mammas ex — — / -Personally Known:
Produced Identification:;`{.DC.,
Ravlaetl 7/29115
R.O.W.Permit Attachment of for
R.O.W.Permit# issued ,20 Atlantic Beach,FL 32233
Owner's Name:
'Property Address:
Subdivision: R.E.#:
REVOCABLE ENCROACHMENT PERAHT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this _ day of
20_, by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida,hereinafter referred to as "CITY"and
of Atlantic Beach,Florida,hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
/ Atlantic Beach Right-of-Way/Easement permit
numbers noted above(cop
ies attached).
This work is generally described as: CLN a!/�UlJF1 Qtr �ilo�Jsi
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
/ remains subject to relocation or removal on thirty(30)days notice by CITY to the USER, said notice to
J
U2 shall igiv_en by ce re mail, rej�rrn receiptre nested, to the following address:
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider.-
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
Codes,Land Development Code,and all other land use and code requirements of the CITY,including
City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be
replaced with other materials, but must be replaced with smooth concrete left natural in color so that it
matches the existing and adjoining sidewalks."
Page 1 of 2 -
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change
within thirty(30)days after the day of completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER
/ DATED and SIGNED this I- day of 1 20_V_�
\/ B*be
w msense 4,f the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 20\ persorialy appeared before me, a Notary
Public in and for said County EnidS�reWV the property owner of
G1- f-"� Atlantic each, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
tory Public in for�sald County and State t d.s 1ao'a^e
119Z'9t dog supx3'mwoa Ap ,M:66[916 A•uoiss�wwo�WON to gels 911Vnd xjeoa ,
WHO a
CITY OF ATLANTIC BEACH,FLORIDA,
a municipal corporation:
Approved:
Donald D. Sacobovitz,P.E.
Public Works Director
File: 12/12/16
Page of - - -
! I
Y
9 1
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vZana3'
Plan 34;lr*s .
DEC -,- C
FEB - 7 2017 D
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v v
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FOUND 1/2' �1 1 8" 56 4'$ 12' 7'
IRON IRONPIPE
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LOT 17 LOT 15
BLOCK 6 BLOCK 6
p NISH FL OR o Wynn o n xP
p ELEVATION 414.36
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N85`20'02'01' 378.50'
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6]SO N.MSLTIARY TRAII�SUACE im y
wPSSP mmE4cN.PL 33101 P BOUNOARYSURVEYO
ASS 743 SWLFISH DRIVE
SURVEYING ATANTiCBEACH,FL ffiT33
re.'1av PHONe:561.610.C8ro PA%:561.bb.OS14 MARKNUGENT