356 10th St demo permit CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 16-DEMO-2562
Job Type: DEMOLITION
Description: demolition of existing home
Estimated Value: $4,500.00
Issue Date: 2/2/2017
Expiration Date: 8/11/20117
PROPERTY ADDRESS:
Address: 356 10TH ST
RE Number: 170043-0000
PROPERTYOWNER:
Name: PEROLOF, EZELIUS
Address: 356 10TH ST
GENERAL CONTRACTOR INFORMATION:
Name: LENDRY HOMES LLC
,CBC 12517"
Address: 4745 SUTTON PARK CT APT 501 QABRYANJAMES
LENDRY
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.
If on-site storage is required,a post construction topographic survey documenting proper construction
will be required. All water runoff must go to retention area and retention overflow must run to street.
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.
Strongly suggest thorough documentation of impervious areas be recorded.
Slab and driveway to be fully removed.
PERMIT IS APPROVED ONLY IN ACCORDANCE WTrH AII IDA
BUILDWG CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FEES:
STATE DCA SURCHARGE $2.00
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WM ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road Q be assigned by the Building Department.)
Atlantic Beach,Florida 32233-5445 _Dt/l/10 - a C�
Phone(904)247-5826 Fa�(904)247-5845 NOV 15 2
E-mail: building-dept@coab.us
City web-site: hftP:/Avww.coa1b.us erouted: ktlt,�-Ilfo
APPLICATION REVIEW AND TRACKING FORM
Property Address: :�T (0 [D I-" a De entrevi--0—A Yes No
'a
N
'b ic
ub ic M
Applicant: LLC uilding
PI nning &Zoning
T inistrator
Project: CLQM �) oV� LVI�:;b P I Works
P I Utilities
Public Safety
Fire Services
I—F
Review fee $_ Dept Signature
Review or Receipt
Other Agency Review or Permit Required rimit Verified B
1 of Pe Date
Florida Dept.of Environnnen I r tection
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
iOther I I
APPLICATION STATUS
rReviewing Department First EReview: [ZApproved. 01 11,111,sol
(Circle one.) Comments: jlwe 044d i�
BUILDING
PLANNING &ZONING
Reviewed by:__,,A� Date:
TREEADMIN. Second Review: ED]Apiproved as revised.
PUB.LIC WOR.KS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: DApproved as revised. DDemed.
Comments:
7 Reviewed by: Date:—
Revised OW14/09
City of Atlantic Beach APPLICATION NUMBER
Building Departntent (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 to -Db/140 @Zucl
Phone(904)247-5826 Fax(904)247-5945
E-mail: building-dept(§coalb.us Date routed
Cityweb-site http://�.�b.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (0 DepIrtirent review required Yes No
�__Buflding _-)
Applicant: Planning &Zoning
T mistrator
Pub,,,W,
Project:
Public-Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
__�t_.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Resta-u-mnts
Division of Alcoholic Beverages and Tobacco
Other. - 1 1 _J
APPLICATION STATUS
Reviewing Department First Review: b�kipproved. ElDenied.
(Circle one.) Comments: r- f- k-ET-k<_A�r-C) CA 0-T-4L-
BUILDING
PLANNING &ZONING Reviewed by: Date: "d),
TREEADMIN. Second Review: DApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date*
FIRE SERVICES Third Review: DApproved as revised. DDemed.
Comments:
Reviewed by: Date:
Revised 05114109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seirrinole Road,Atlantic Beach,Fl,32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 356 1 OTH ST ATLANTIC BEACH, FL -PermitNumber: 110-0tw-asoa
Legal Description 5-69 16-2S-29E ATLANTIC BEACH LOT 25 BLOCK 12 Parcel# 170043-0000
4 Floor 'iq_�Ih
Valuation of Work S �� _Prep jwd IVI.rk Sh%'ted/cooled non eated/cooled
Class of Work(circle one): New Addition Alteration Repair Mov<�pool/spa window/door
Useofexisting/pro osedstructure(s) circletme): Commercial Residential
If an existing strucriare,is a fire spriler system installed? (Circle one): Yes No N/A
Florida Product Agpioval#
For multiple pro nets use product approval form
Describe in detail the type of work to be performed: DEMO OF EXISTING HOME
Property Owner 1n]mrrngjL)ffi
Name: PER OLOF EZELIUS & MARITA EZELILIS Address: 35610THST
City ATALANTIC BEACH State FLZip 32233 Phone (704)231-9488
E-Mail or Fax 4 (Optional)
Contractor Information:
CompanyNarne:_ LENDRYHOMES, LLC —Qualifying Agent:
Address: 4745 SUTTON PARK rT SUITE 503 City JACKSONALLE State FL Zip 32224
Office Phone (904)992-2100 Job Site/—Contact Number (904)545�F!103 Fax# (gaiF992-2105
State Certification/Registration# C8C 126170CBC 12517"
Architect Name&Phone# JOHN ROWAN 904-759-7087
Engineer's Name&Phone# LOU PONTIGO 9�242-0908___
Fee Simple Title Holder Name and Address aAMEASOMER
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hemby made to obtain a M,,ndt to do bw�W-k and bmiallatunis us calicaled. lcc,1,fythaiUoam�ko,i...follal.....hav c amenrodmiorlado,
eniamoe of.parmn acattint,all a,* ill bery d to meet the standnod,q`,11 hm.,repontowcoo,oahm In itc.,,whydn,ima.
gaill if at any thneez"?
�wkoiomaqeoccd.
'Tinnits.ndAkCandbila.mm,eb,
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 YOM NOTICE OF
COMMENCEMENT.
/h7 ovionmr1h.."balan Allpo�hsio a and tadicance,g.,inap th,
`Uo
ope q wark nill be complied w ad is Pr ay'o v,
aw )ooh,,jfac ad harem �net. The g.,jap `a"ei-mit not pre,.Me g v u arity to violate or com,el tbe
,a "a
P,nW,dwa q/noy wherjede.4 a, .1 t ition.
Signature of Owner Signature of Contractor
Print Name Print Name Tll�?&_
-.......... ...............
SWOM and subscribed befo me Swo and subscribed befor vne
this—Da of this MDay of 20 f�
P B.mrzmm
Notary Public IXPIRIS -Not—ar—yTtuglid
It lilk
a MYCOM
YC
� _=E110M
n�
OWNEROS AV ROA-A-CEWNT
BRYANJLENDRY OR PEROLOFEZELIUS is hereby authorized to act on behalf of
MARITA EZELIUS , the owner(s) of those lands described
within the attached application, and as described in the attached deed or other such proof of ownership as may
be required, in applying to the City of Atlantic Beach, Florida, for'an application related to a Development
Permit or other action pursuant to:
Zoning Variance Comprehensive Pin Amendment
U`��y-Ej':= E] Zoning Map Amendment
Building Plat,Replat or Lot Division
Sign Tree Permit
BY:
Sig=of Owner
L 'C)Le�-
Print Name
Signature of Owner
Print Name
- 23 l -'j L P,8
Telephone Number Sone of FLORIDA
countyrof DUVAL
Signed and morn before me'on this at 20-L(e
By
Identificauon vaified: D
Oath swor.; yes —No 2-
NoGry Signatun,
VANESSA NELLY PIERRE My Commission expires:
at t 'Ly
N 'q 1�S
161=.
Ct".tras"'.
C FF=
sly
MY"m evires Jan.20,2D20
E--
OWNER'S AUT
BRYAN J LENDRY OR PER OLOF EZELIUS is hereby authorized to act on behalf of
MARITA EZELIUS the owner(s) of those Inds described
within the attached application, and as described in the attached deed or other such proof of ownership as may
be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development
Permit or other action pursuant to:
Zoning Variance Comprehensive Plan Amendment
Use-by-Exception Zoning Map Amendment
Building Permit Plot,Replat or Lot Division
Sign P Tree Permit
Other?%
Signature of Owner
VJ-OL4�
Name
Signature of Owner
Print Name
TeTephone--Nurn—be—r Show of -fteMA S�W4&s%
Coulayof
Signed and sworn before Me on thiS I 3thOCtday of,20 16
BY __Viixj6 , County of Kronoberg , Sweden.
Id.afificatim,wified: Drivers licence '4�
13 th of Octob r 6 im
Oath aware; yes y. No
Nowy Sj&Utur. i1g,
I,nln'�Nsterling, No
aobb oo'now l;"
myconnnnobionoxinno; Ju=ii�IA4j FVA i c e
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACII,FL 32233
(904)247-5800
PERMIT NOTES
RESIDENTIAL DEMOLITION
December 7, 2016
356 10" Street
BP # 16-DEMO-2562
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 23-2 1.
6. Protection of trees and vegetation during construction is required, per COAB Code
Of Ordinances, Section 23-32.
7. Prior permission from the Building Department is required before blocking any part of the
Right-Of-Way. OA
040b
)0*
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 356 10TH ST ATLANTIC BEACH, FL PermitNumber:
Legal Description 5-69 16-2S-29E ATLANTIC BEACH LOT 25 BLOCK 12 Parcel# 170043-0000
1 1 1 1 1
Valuation of Work$ I I I ME I 1 :11 Ft
Proposed Work heated/cooled_ Z'n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mo pool/spa window/door
Use of existing/p <��
ro used structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprinter system installed? (Circle one): Yes No N/A
Florida Product A
'groval#
For multiple pro acts use_Pr_0Jact7app_rov_aTTor—m
Describe in detail the type of work to be performed: DEMO OF EXISTING HOME
Prop"Owner Information:
Name: PER OLOF EZELIUS& MARITA EZELIUS Address: 356 1 OTH ST
City ETAjTNJTIC�BEACH �Strre�ILZp 32233 Phone (704)231-9488
E-Mail or Fax#(Optional
Coptractor Information:
CompanyName: LE�!-DRyHOM%,L3LC
AddreSS: 4746SUT-roNPAV— Qualifying Agent:
K CT SUITE City JACKSONVILLE State F Zip 32224
Office P Job Site/Contact Number _54�8 F L_ Zip
none (904)e27uo (96T) 03 P Sai) 2:2105
State Certification/Registration# cec 12517UCBC 12617" ax
Architect Name&Phone 4 J
Engineer's Name&Phone
Fee Simple Title Holder N
Bonding Company Name and Address
Mortgage Lender Name and Address
Applkwioa a-heIby made to abiale�p t M do ffi-we,*-ad fnxhal�qflmer.AndAmued mmm,a,,,jpra
waaaac�ap r1anddmos,vor*.tj &W i I to life
Xfoan.do,meet the woedard,qfdfam��Ioqng ~1 wthbja,�diofias. 11
ofsiv -al any time%w
Ikalamy.enced. jj,�noval
7aoks afta"11,candiflon're,de. Wort,, Plumbing,Slins, alls, Poor, araoces. Ite"er,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR E%1PR MENTS
Co O-VE
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING Or iff%T WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOi U1Qj0F
COMMENCEMENT.
Atjp,o�jsjoa .doldines",
type. vo,kiod] m, fled if he ,, glAvolma"dka.
Aal
ca
am,,ki."Ofmoy, the, e rat, or acet ed Iftlyin 0,601. The grandeg of a Permit dtoI oof orev.me' g,� U may 10 �eolo,3e 01�
tbe pofonenee ofmaremena. la-1
or
Signature of Owner Signature of Contractor
�,rint Name
Print Name
.........._. __..............
Iwo and subscribed before me Swor and subscrlbeci'V'beforc�e
his Day of r-vr� this ADayof 0
2
100 #FF2aXW
4otary Public If EXPIRES:Jay 19,MIS otary Pu I
P
ww==e AIA16.1
EXPJAES�j�jyjqnjq
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION — PROPERTY OWNER
CE RELEASE FORM
Date: 4�/ z7ozc,
To Whom It May Concern:
I/We the current property owners of: Lot PER OLOF EZELIUS 8,MARITA EZELIUS
Block 5-69 16-2S-29E ATLANTIC 13EACH LOT 25 BLOCK 12
Legal Dosunplion of Property—
AKA 356 10THI ST ATLANTIC BEACH, FIL 32233 have contracted with to have
(Mareas odf Property)
LENDRY HOMES, LLC to remove the EXISTING SINGLE FAMILY HOME
(Company Name) (Single Family.F�Pla- to)
Prior to the construction of: SINGLE FAMILY HOME
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 trol devices will be put in place and will remain in p^ntI1 grass
has a acted area or new structure is completed and I&XII&dpriiii is in
pla U4
Spgnatum
Signature 77
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed:--V a,,.
Before me thia T" day or 74PI"c' in I a ourayorDuvat,State
pl�:mdl appeared
01`R.rifthastma�.- ,,
booty,Public at Large.State offlorda, ountyoTfTvcI
My conamee t.ret
Produced
Pecon"'id lificatFw— P&MTZWLIS
EXPIRES July 19,mill
1 oth
, ST-REET - ------
—-—-—-—4 OF -jtW-0F_WNEY PAVED PUBLIC ROAD
.1.INNUT, 49 9R FIELD B
Noo", 50.00'
4
U4.—zOC wy
LOT 25 LLJ
:�A —Port-O-let >
MEN 1�1'SOL."T"
FORETENG DRIVEWAY I PARD IRT SOLD.FEET
FAVORS SE 1.
RUN RE T
UJI OCH q ipw
ZUR, D F
--1�ii
ALL."', So ARE Fig
MR,FEAR S'ODR I E SGUARE FEET 0 r 07 1 U)
ENSRNG 2 ST..DARATE SQUARE FEEL NEW <
TOTAL LOT UNKE 3 22S SQUARE JEFF STOW DENNIS 0
COV R SIT
%OF LOT COVERED 49,6% AE'A 7- E FIRM
NE,SE. c)
4wwi
7�T V)
LULL!
Lot Description: b
d ol 0 -
LOT 25.BLOCK 12,P_g No.1.SUELDEVISEM I C)
W, EAC .AS RECORDED IN FLAT Ell - cj T
DEEAWC 5 , 0
80 K 5.PAU 69 OF THE CURRENT PUBLIC RE JE m
RECORDS OF DUVAL COUNTY FLORIDA
LOT 23
LOT 27
ELI NOI
THIS 15 A BOUNDARY SURVEY
INTERIOR M�AS PER TESTED
T SURREY AS FOULOMIS:
7 4 A 91
10I
,,,,,,,",,TTTTTTTTTTTTl ............. B 89:45
W G T C 891
12 STOW FAREME F D 90-,E 29
GJAMEX NORTH ARNOW PROTERTLECTED FROM
LAT,
SurVey InfOrnnatiOn Provided BL, PC BUILDING RESTRICTION LINES PER
FLAT
`= M
KE, R 'o,No.LS 3295
uk ELI,MVpMg BI No.LB 3672 D C
ED Lil AT,
241 8550 �i
IHE PIRDERRY SHOVN HEREON APPEARS TIMM I Roal I bu uv A. IRA,
DUE OR,'Y 49.86 FIELD Ro�
IN'C�UAL WE IT.
THE 0-2%ANOD'CHANCtETMOD
AS DETE WINE.'FOR FEE RECTED
NSUFANCE WE WP COMMUNITY FAREL
No 12031ODUDSH REVISED JUNE 3. LOT 26 LOT 24
2013 FOR DUVAL COUNTY.FLORDA LOT 28
L C)
ERERY,EI SEERCT
z
pOq-O-Iet
SITE PLAN
SCALE I'-lCY
1 0-'--h STREET
46 RIGHT jF W�Y PAVCD PUBLIff ROAD
approximate EOP
7---------------------
49.99' FIELD,
FOUND 1/2'IRON PIPE,CAP
P I)PE. 50.001
FOUND 1\2"IRON PIPE. B ILLEGIBLE
NO CAP
0.2'
6C13-001'
U
LOT 25
LOT AREA CALCULATIONS
port-o-let v C.V-N 0
TOTAL LOT AREA 6,500 SQUARE FEET 0
0
3: 1 >
CH
NEV�,'COVERED POR n lin
NEW RESIDENCE 1375 SQUARE FEET 77 20'�n_g_[Qstrjctc) i
768 SQUARE FEET I
7_TE---11111L
EXISTING DRIVEWAY&PATIO
� i -17 r
PAVERS Ca) 50% T
263 SQUARE FEET
NEW FRONT PORCH 0 D E C 0 70,P L I A N
ROVIEWED FOR C
NEW REAR PORCH 169 SQUARE FEET - - - -----
ALL A/C PADS 30 SQUARE FEE I (D
-4
1 0.2'
NEW REAR STOOP 16 SQUARE FEET I- I --I . CITY OF ATLANTIC BEACH
EXISTING 2 STORY GARAGE 608 SQUARE FEET NEW TWO 4-4 1
SEE PERMITS FOR ADDITIONAL
STORY FRAME
TOTAL LOT COVERAGE 3,229 SQUARE FEET I
49.6% BP'jCy' RES REQUIREMENTS AND CONDITIONS
%OF LOT COVER17D IDENCE
IN 1101
No. 35 6 T ,
1 Li i I z'
REVIEWE
------- D BY: OATE%j
12 8-
LLJ
0
Lot Description: LLJ
0 4--
0
LOT 25, BLOC 00
K. 12, PLAT No. 1, SUBDIVISION
"A", ATLANTIC BEACH, AS RECORDED IN PLAT 0 —
r– 0
BOOK 5, PAGE 69 OF THE CURRENT PUBLIC new 0.
M M 10) 1" CY)
RECORDS OF DUVAL COUNTY, FLORIDA. C\j covered
Concrete
--r— stoop porch
LOT 23
'�OAK 4 4"OAK
LOT 27 0
0
0�
brick pavers
NOTES
THIS IS A BOUNDARY SURVEY
.2 0 INTERIOR ANGLES AS PER FIELD
0
SURVEY AS FOLLOWS:
A 90'1 I'l 0"
B 8 9'4 5'10"
EXISTING C 89*48'20"
7-
112-PALM 2 STORY FRAME D = 9 O'l 5'2 0
GARAGE T NORTH ARROW PROTRACTED FROM
PLAT.
Survey Information Provided By: NO BUILDING RESTRICTION LINES PER
PLAT.
Donn W. Boatwright, P.S.M.
Fla. Lic. Surveyor and Mapper No. LS 3295 1 0'buildin�,estncuo.,i�ffle C 0,8' 2
Fla. Lic. Surveying & Mapping Business No. LB 3672 D 0.91
Ph: 241-8550 C) 15 K"
FOUND 1\2'IRON PIPE,
THE PROPERTY SHOWN HEREON APPEARS &WOOD/ -5 0�.0-0'
FOUND 5\B"REB NO 0.3- 0.4" NO CAP
TO LIE IN FLOOD ZONE�'X"(AREA OUTSIDE CAP 7 49.85' FIELD
THE 0.2%ANNUAL CHANCE FLOOD PLAIN) I & I 6'WOOD
AS DETERMINED FROM THE FLOOD VI'A' we-f FENCE
INSURANCE RATE MAP COMMUNITY PANEL LOT 26 LOT 24
No. 12031 C0409H, REVISED JUNE 3,
2013 FOR DUVAL COUNTY, FLORIDA. LOT 2
L CD Vehicle Parking Space
X
port-o-let
ITE PLAN
U M[D Ste
SCALE 1 10' �7 1