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1600 PARK TER W - DEMO 0 st, CITY OF ATLANTIC BEACH s800 SEMINOLE ROAD j wg 4.0) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ''��J;119� DEMOLITION PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-DEMO-3314 Job Type: DEMOLITION Description: whole structure demolition Estimated Value: $12,000.00 Issue Date: 4/6/2017 Expiration Date: 10/3/2017 PROPERTY ADDRESS: Address: 1600 W PARK TER RE Number: 171966-0000 PROPERTY OWNER: Name: STREIT, JILL & THOMAS J, * Address: 848 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: LOCKWOOD QUALITY DEMOLITION , DEM8 SPECIALITY Address: 2116 W BEAVER ST PERMIT - - T 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. plaw14,,Elgthvgmi LgitIV i' ixrpf h§Fa1Rmi pRMa,, AO vatied.�ut.A�tvoartmePit ORDINANCES AND THE FLORIDA III II I)IN( CODES. , ' ,� �, CITY OF ATLANTIC BEACH A J 800 SEMINOLE ROAD isr) j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 FEES: Demolition Fee $100.00 Total Payments: $100.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �S� a City of Atlantic Beach APPLICATION NUMBER { •' t) Building Department (To be assigned by the Building Department.) 800 Seminole Road —r Atlantic Beach, Florida 32233-5445 n 06A1 33 Phone(904)247-5826 • Fax(904)247-5845 FED 2 7 2017 Da- lay ) I E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us e4v, APPLICATION REVIEW AND TRACKING FORM Property Address: I(4 00 (J • po- L1 item_ Department review required Yes No cer—Ading'Th Applicant: LOC L-, 0 y (Dujt,L 'N t 0 Planning &Zoning Tree Administrator Project: Ot --Jlc7 l�{S,L blic Work Public Utilities Public Safety Fire Services Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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 AI ,c,, Reviewing Department First Review: [(pproved. ['Denied. I Denied. ��, ''.Z-1'/ (Circle one.) Comments: / j� BUILDING see �` 4wept PLANNING & ZONING 7' Reviewed by: ��� L� Date 7/ TREE ADMIN. Second Review: ['Approved as revised. ❑ pp ❑De 'ed. � 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 COTe / 7 leem© tø /y- _. --./. z err i( hP„r .02 '7/a2Zr aye i6 x 1 = / Yil 1i4J'x 7 Jh 1 l 33 2(J SC 17 �3 I i97 g iO,V 1i i �� r41 z- VS3 $ ""yy Jt 0 st 41‘ 1/c'x 3 35 1176 i��- .� x- 1/0 ,;S!_-V1ri, City of Atlantic Beach APPLICATION NUMBER J' •ii\ Building Department (To be assigned by the Building Department.) 800 Seminole Road -- , Atlantic Beach, Florida 32233-5445 19 OE, a -33 I y Phone (904)247-5826 Fax(904)247-5845 oa f a� - ,j;t>>r E-mail: building-dept@coab.us Date routed: ` City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: )(0U() hJ • Pa L to Iwo De ent review required Yes No uilding Applicant: Loa )O Od @kitGt,L Am QP..(Y10 Planning &Zoning Tree Administrator Project: At-0A c 0,t ,,,__ �2.t_iblic Work Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By 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: \Approved. ❑Denied. (Circle one.) Comments: BUILDING 5�E.- �,...A. v -r—ic_ 5 PLANNING &ZONING Reviewed by: Date: (3c4c1 TREE ADMIN. Second Review: ElApproved 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 05/14/09 J BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904) 247-5845 ('}—Ot<M b _-3 3 1 Job Address: 14:,OO (4 . _Art.1C- tJ2./-( ' Permit Number: VP P I7 (o G 0000 Legal Description LAT 2. 1' I Oc( (p AtcWA Aruevw Parcel# Floor Area of Sq. t. Sq.Ft Valuation of Work$ 121000.00 Proposed Work heated/cooled 2 2.0 Li non-heated/cooled ]Q Le b Class of Work(circle one): New Addition Alteration Repair Move Demolition pooVspa window/door Use of existing/proposed structures)(circle one): Commercial t -sidentia! If an existing structure ,is a fire sprinkler system installed?(Circle one): 'es I* N/A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed:L.)l-1(yl,,r _. 1-111k.--T 02 6 0 r M OUT/C:4 Property Owner Information: n Name• • . 1._ ,-- 1-1- Address: l b C.70Ppn_t. TL? t (" c1S-T City /. i,r £ilii State Zip 32233 Phone SOY ti$3 Li i 00 E-Mail or Fax#(Optional) Contractor Information: Company NameLoLic. C(.v U[ 4 uT 1.)6mvi4-t/04//e.Qualif ' Agent:_ Address:? 1 IL. L.1 , 1 V tfL i/2. 7 City a c-k 50v 4-1-44-V .State Zip_ Office Phone I O`j 7q( 4t3 3 Job Site/Contact Number eft- •tir # State Certification/Registration# i, r - _ Architect Name&Phone# I i Engineer's Name&Phone# ` )i+ FEB 2 2 L�1 I Fee Simple Title Holder Name and Address Bonding Company Name and Address -. L.1 ' Mortgage Lender Name and Address - ----- Application is hereby made to obtain a permit to do the work and installations as indicated. I certify tarn work or Installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six f6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Healers, Tanks and Air 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 hereby certify that I have read and examined thus a lication and know the sante to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal.state.or local aw regulating construction or the performance of construction. Signature of Owne 411111/ILA Signature of Contractor / —1,4--;; �6 :.-� Punt Name , ., c€. C Print Name 1...1_r!^.._....w( (LQ.. 0 Sworn t• and subs ':'d before me . . cribed before m this Ammi__ lay of rilf.!.� _ .i ,».., NtcotdtdOL:1.SI9 f _t t. 'a i.milt 20 Sta of f oitda mrA /i ''� waiks"ii My C,mm: 'i Ztil 01,Mita, N' 111, - '� ' .1 � ` Co 1- ' .. y"''4,?ri: ' Banded Through •Ional Wary Assn. poaic State of Honda Revised 01.26.10 V` Jessica Jones �t My COmmisswn FF 017006 ''1 o ,d Expires 05113/2017 .. ,ti a • a. i �,S+��rh�c ATLANTIC BEACH BUILDING DEPT. ,, .} DEMOLITION — PROPERTY OWNER .0., r, RELEASE FORM 7J, :•.• Date: \i‘‘t),0,g,...._ \1 ,efib t•7 To Whom It May Concern: I /We the current property owners of: Lot Q Block b -T1-(o I!n • as - a9 € "� Legal Description of Property AKA I t.CC, 't D, 4\ 1 e_rs-cc•Q �..�,0 s_ have contracted with to have (Address of Property) 6y ct"\ C,i_.y.\ h.0,100,.d\ to remove the 1,r,,,„,\,,,‘ (Company Name) wl (in Family.DupCommercial.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 place. -.. /.----.4..,7) \-,A,iq Signature Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER 'i-Th -� ` Signed: c - Date: 1 l U 111 Before me this t0 L7day of moi,,.. , n the County of Duval,State Of Florida,has all appeared ' IIISITC/M• r, i-- Notary 'Notary Public at arge,State of Florida,C ty of P uval. My commission expires: Personally Known: or Produced Identification: z Notary Public State of Ronda .lessica Jones es • My Commisswn FF 017006 ,,, , Expires 05!132017 S 1J-Vi-j-.4., �� 1-; CITY OF ATLANTIC BEACH S A ;Ss 800 SEMINOLE ROAD app .5). ATLANTIC BEACH, FL 32233 (904) 247-5800 4J131 PERMIT NOTES RESIDENTIAL DEMOLITION �COMpL1ANC� March 30, 2017 FOR CoD C BEACH V' WED AT1�,r1�1 p�T10NAL 1600 Park Terrace W. asCl E of trs f°Rp„amm0t BP # 17-DEMO-3314 see EN►ENTs c aEQvIa pAre: A1E 1. It is the responsibility of the contractor to: a. Contact JEA to disconnect electric power. b. Locate and clearly mark all utilities. c. 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 be 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. OP 6. Protection of trees and vegetation during construction is required, per '16 : ode Of Ordinances, Section 23-32. X0/0 Y 7. Prior permission from the Building Department is required before blocking any part of the Right-Of-Way. 1 01 ~ W< C7-- Ja. o tOa>H<p,�O $Rli6 I.L O ZM� ZS <i 0 z0ZO� �^~ VI9S O ace O m� $^G ci• '6� Om< o piy k'b' W QwzQO r y 'd �q5 �o <ati,:I. '? WFr� o H V. d'Jw 'a 3 8 < yy V Y ® CLN,. n D dna d , {{ P. a I boy 3(�'� ZN>nco ifspgWKEW3d3 �p[',-y� Si<AiriyW; S 9f o� r$y[&� QZ< ��r4$'{ ]J f W�aVj8 S2.00 a< 4r47Q� Wli111 niJ! 6 rl Rp 0 z d�.3gxa !o VI45g- S mto WW g` ZK a O I>.O 1 O.0 S O <nKS4 , '� <e_000 r Jia 6 n0o¢o n g oJamd = 1 N Ny < 60§1-02,CI- ictio'c IJ 5 2 Z a v1 v .o a^ Y a %B ISga 1 t,€said €€:4_,31,,8 PARK TERRACE WEST ...m4Ar • g g"§'' gird d 3 �.E WEST . (40' RIGHT OF WAY) tXsgl � ¢ .. g�8 be PARK SERB OF wnY) N AS PER PLAT re X 3 :52.< x rbi g i (60 RIGS PIAT 5'+ n oM L ' > Q¢ 4 a X ASP v N � _ •9a� \�,. +P I .° 9X $ 5 *4 2 x YI f 50Q gi . . `a as i £ ; !! k'� $ NUS/ - - .• . i €5J—' ' . •'B4 c„, el ,E1141 1 2_44 . e .! a'4."4.l€iig'4m_3 L o l .�' URj >� v ,eI �s a� • l ° oo m . , __ y4 .. - 3BR54 _ Ipt ^ m � to .:, . , ,- pyo_ t, >f �i c z d k - %. ,?i• W a Y •.;pg= • I € J i ' W cF N. ea tn ar 1a , a' w wi'0 $ Jkiia •;€ � rJ 5Y , 0V r`O za = y It wW .,_._I0tar 06 84 W t § 13312' I IZ o 0 I U I • 9 C ml °x N to R d N zN OO 41 st �I r N :0 3 ..-J -I I '-3- o �7 O(7 ~ o? .7 ¢ m o r„ ¢Cl. 4: m I N U Y 2 Q M of°S.,' k!R t I r J �A \W� J CII Wl.•_l a' R-.4-Z N W [� k J j a i r of"'� N11.56'50.1-!• l 125.'!J' R f F J W O_ a ton<j