332 4th ST - DEMO o' ° .;� CITY OF ATLANTIC BEACH
;;;tib 800 SEMINOLE ROAD
j ` - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
013)9''.
,
1 DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-DEMO-3732
Job Type: DEMOLITION
Description: demo house
Estimated Value: $7,000.00
Issue Date: 4/26/2017
Expiration Date: 10/23/2017
PROPERTY ADDRESS:
Address: 332 4TH ST
RE Number: 169816-0000
PROPERTY OWNER:
Name: Joost, Stephen
Address: 332 4Th ST
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
, CBC1250212
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
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.
Sf=Lyfff, City of Atlantic Beach APPLICATION NUMBER
r; P i t, Building Department (To be assigned by the Building Department.)
si
1 r 800 Semmole Road ECEV 11--D&
n,,
Iii
,�� �� Atlantic Beach, Florida 32233-5445 Cii CEJ"t I� 3�
Phone(904)247 5826 Fax(904) 7-5 5
Azon19 E-mail: building-dept@coab.us APR 1 3 2017 Date routed: OH l l ( 13D II-
City web-site: http://www.coab.us
APPLICATION REVIEIWAND TRACKING FORM
Property Address: 330 4 S+ . - Deprtment review required Yes No
Q,,, (Building
Applicant: €xJSLio rJ�i\c t(1G- Cori ittutv(S Planning &Zoning
J Tree Administrator
Project: 4-EAY1 o 01-!1_.12Public Wor-ks�
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
Reviewing Department First Review: ['Approved. ❑Denied. &y../1/'In
(Circle one.) Comments: lee
##A4 /�40
BUILDING '�/i W
PLANNING &ZONING '..
Reviewed . • , i�/l/ , , Date: X 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 05/14/09
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Sr:a,‘�� City of Atlantic Beach APPLICATION NUMBER
-s'141,
t lJ.; Building Department (To be assigned by the Building Department.)
800 Seminole Road ( —��!"t O_ 3
,� r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 f
�arilsA' E-mail: building-dept@coab.us Date routed: D LI I I ( I ao i4-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33d Li b S- . Deertment review required Yes No
,� (uilding
aC
Applicant: JS(-l0 ?JL1t\di:L Ilt 611-k(ttC,{U( S Planning &Zoning
J Tree Administrator
Project: dcterlD \I 0k S.QublicWorks�
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
Reviewing Department First Review: 7:•proved. ❑Denied.
(Circle one.) Comments:
BUILDING
S.c. tc. V L A •t t4v T e. ',
PLANNING &ZONING
Reviewed by: Date: 4 2._6_1"...
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 05/14/09
ATLANTIC BEACH BUILDING DEPT.
• DEMOLITION - PROPERTY OWNER
,' RELEASE FORM
�p v
Date: t hilik 077 0/7
To Whom It May Concern:
I I We the current property owners of: Lot `or//i$- LOT/'3 ,
Block O// /77'1/ - .5-f18 4/KC
/ �J
Legal Description of Property
3?
AKA 3. 0 J�� Azauf..,L / ,9 //, 1333 have contracted with to have
(Address of Property)
AY-0 / 6O•l�Til rol,5 to remove the :7 ,4 L1
(Company Name) (Single Family,Duplex,Commercial,etc.)
Prior to the construction of : I Gbro4 , 14.k,/,1 4*Z/ /Iiy1E"
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked.
2. Once house is removed, lot is to be graded and leveled.
3. All construction debris is to be removed from the property.
4. Affected area is to have grass or seed in place.
5. Erosion control devices will be put in place and will remain in place until grass
has covered affected area or new structure is completed and landscaping is in
pl/ ..
,dvP
(,) tA)fl'Zr
Signature
Signature 00<A
THIS SPACE FOR RECORDER'S USE ONLY 0,&^
OWNER C)
Denise A.Ennis Signe ��r Date: `I {)1 ��
NOTARY PUBIJC Before me day of 4 in the County of Duval,State
ii01 STATE OF FLORIDA Of Florida, ••. .ersonally appc•
! ; Cosset t FF966428 Notary Public at Large 'rL"" orida,County of Duval.
• Expires 3P1/2020 My commission expires:
Personally Known: or
Produced Identification:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: 33R ø ' - r //rad-co --d iz '�3._, Permit Number: n ,M O~31-'3a
Legal Description 5‘9 /6"a7,5 "age--X75 f } %/ Parcel# /04.
b 9 16 `moo
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 7CGh' o Proposed Work heated/cooled non-heated/cooled
z/5, f//,O7'or/3 leeD o// i 77,7,-.5w az/5-
,
Class of Work(circle o' •)- New Ad.' ion Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed st I 1 re(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form r
Describe in detail the type of work to be performed: / ?1o/f ui ojJ kg .(1 6U.1 .,,,i
446
Property Owner
Information: �J
Name: 1%E /J 1 Address: 332 T 5r. f4TC,�.th'rG & t/
City gib Rl/I State -,Zip 3..q2,,,Phone >cn3- G9W�
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: 0 • A0,t)L'J / _Lii, Qualif ing Agent: ii2AW `i _•
Address: o?/ ' ' "o' 'O/9D City 4 -0 u13�' State L Zip 3V3,
Office Phone 0_05/ RV/-OVO Job Site/Contact Number 90Y o? Z-55-460 Fax# i , %-i o?
State Certification/Registration# GGt' aSOaRI.
Architect Name& Phone#
Engineer's Name&Phone# _ �: �
ID
Fee Simple Title Holder Name and Address L� G L� i- p'!
Bonding Company Name and Address 4
Mortgage Lender Name and Address l. -, , !. t
i
''' ')1 AFR 1 0 2017
• Application is hereby made to obtain a permit to do the work and installations as; incited. I certify that no woo.'f(or.installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all aws regulating-c nstructiauS,n dusjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work . spended 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, Heaters,
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.
41
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be compile. 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 st, •, o ocal law regulating construction or the performance of construction.
// //
Signature of Owne - -AO Signature of Con actor /A tee./
Print Name 1\4..(20,,k- 1 - r Print Name .._7060 pl. , 'C j C)
Sworn to and subscribed before mp Sworn to and subscribed before me
this 1 Day of ,' 1 , 20k-1 this -"1 Day of �P f k ,2011
�.✓��� � �
Notary Public '' '`i NOTARY PUBUC Notary Public
Ito( 1_STATE OF FLORIDA Denise A Ennis Revised 0].26.10
r 7.444,..-31' Conn FF966426 ;r'.• )ii NOTARY PUBLIC
9 ' Expires 3/1/2020Itii
• STATE OF FLORIDA
.101111&i: Cann*FF966426
Styr
�� ? Jv°?, CITY OF ATLANTIC BEACH
r. ,., "�3 J 800 SEMINOLE ROAD
T► n ,� ���r ATLANTIC BEACH, FL 32233
(904) 247-5800
-0F319'�
PERMIT NOTES
RESIDENTIAL DEMOLITION
April 26, 2017
332 4th Street
BP # 17-DEMO-3732DE
REVIEWED �A ANTIC BEACH COMPLIANCE
CITY
SEE PERMITS FOR ADDITIONAL
1. It is the responsibility of the contractor to: REQUIREMENTS AND CONDITIONS
a. Contact JEA to disconnect electric power.
REVIEWED BY:
b. Locate and clearly mark all utilities.
DATE: 2 6 '1
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 Permi ; COAB Code
Of Ordinances, Section 23-21. OF
0
6. Protection of trees and vegetation during construction is required, per COQ ode
Of Ordinances, Section 23-32.
7. Adding fill dirt to the lot is prohibited, until approved by Public Works.
8. Prior permission from the Building Department is required before blocking any part of the
Right-Of-Way.
1
NOTICE OF COMMENCEMENT
State of gaN Tax Folio No.
County of .a
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 5'6'? /6',2-5- 6-•/7S /9-tath:r ./ad
Gor !/, ,r Zo-r 43 kCLD 0/, /77a/ 51€� //e .S
Address of property being improved: 332 5/% if ,TZd),r eaK—/7 C2 37,23_3
General description of improvements: 44C2Cz i ff �(i ./1/r/() i/b/I/E6YeD ,J ie) /D i t 3 � ,6 ve
Owner: L �/ ,() 'r Address: •33a /77/ , 4-axiir-nfe-he, fr: 733
Owner's interest in site of the improvement: ,,G+(lZ7l 1'2„fig,'(
Fee Simple Titleholder(if other than owner):
U X07/71Z0
`C Name: Mob 8 3g
q ' ntractor: 2-t„6. N
��� �� n � o{� d=ucr o
I\3?o
Address: A5-1 %✓��r tCUAD �T( iftG L`� /'�- .` 33o y al 00
Telephone No.: 11P# , 1-0 20 Fax No: / 0076. o m�0 A
8 % a
Surety(if any) m 7]
n O u7
Address: Amount of Bond$ o o J
Telephone No: Fax No: --13 8
Name and address of any person making a loan for the construction of the improvements o
xl--I
m
Name: 0 C 0
91
Address: D
r
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
7I3.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No: O/(1
Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of record nless a different date is
specified):
C®
THIS SPACE FOR RECORDER'S USE ONLY OWNER
1ky ! '
�
(
.,__.
Signed: � Date:
Before me this --1 day of _ AprI ` in the County of uval,State
Of Florida,has personally appeared Ntc(A� ,o05'#-
Notary Public at Large,State of Florida,County of Duval.
My commission expire
Personally Known: or
Denise A.Ennis Produced Identification: ,,�, \
-C + SATE OFFFLO S `L"�' .a 5 j Asc
M' ` STATE FLORIDA
-.°41:".1.:,"„- Demi,FF966426
Expires 3/1/2020