522 PLAZA 0 INTERIOR DEMO ✓r,
\Ss\\ CITY OF ATLANTIC BEACH
(;1;', .f-----
f 800 SEMINOLE ROAD
Y r ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
.0.219f'
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-DEMO-3773
Job Type: DEMOLITION
Description: interior demolition
Estimated Value: $100,000.00
Issue Date: 4/27/2017
Expiration Date: 10/24/2017
PROPERTY ADDRESS:
Address: 522 Plaza
RE Number: 170703-0204
PROPERTY OWNER:
Name: KUDER, DANIEL T
Address: 522 PLAZA
GENERAL CONTRACTOR INFORMATION:
Name: COASTLINE SERVICES OF PVB, LLC
, RR282811651
Address: 200 IRONWOOD DR QA WILLIAM J. BRYAN
Phone: - -
PERMIT INFORMATION:
FEES:
Demolition Fee $100.00
STATE DCA SURCHARGE $7.20
STATE DBPR SURCHARGE $7.20
Total Payments: $114.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
ri1,yrje., City of Atlantic Beach APPLICATION NUMBER
',• Building Department (To be assigned by the Building Department.)
j800 Seminole Road 19_ OL�tO_ 3113
Atlantic Beach, Florida 32233-5445 L\� Phone(904)247-5826 • Fax(904)247-5845 +%uE-mail: building-dept@coab.us Date routed: by ` l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S .4-a P A ctly Department review required Yes No
C Building
Applicant: C0uS1 t iq.S SV -S• vF i1/14-i Planning &Zoning
[� 1
i- Tree Administrator
Project: krl -tl of (Xe.0,1(�kki Public Works
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.
(Circle one.) Comments: _
2 a. ?c_ 4
AN4 1 .a s
BUILDING .--.��
PLANNING &ZONING Reviewed by: =� ' • Date: 4 \2.6 1t1
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
i# el
J�
-`E ':` CITY OF ATLANTIC BEACH
,- At s) 800 SEMINOLE ROAD
73. ATLANTIC BEACH, FL 32233
ia (904) 247-5800
tJ;37��
PERMIT NOTES
RESIDENTIAL DEMOLITION
April 26, 2017
REVIEWED FOR CODE COMPLIANCE
522 Plaza CITY OF ATLANTIC BEACH
BP # 17-DEMO-3773 SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
REVIEWED BY: — DATE: 4 Zt'i g1
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. A water supply and hose may be required to control dust during demolition.
(Required for masonry structures and asbestos-containing materials.)
4. Removal of any trees requires a separate Tree Removal Permit, per COAB Code
Of Ordinances, Section 23-21.
5. Protection of trees and vegetation during construction is required, per COAB Code
Of Ordinances, Section 23-32.
6. Adding fill dirt to the lot is prohibited, until approved by Public Works.
7. Prior permission from the Building Department is required before bloc,,) ing any part of the
Right-Of-Way. 1%
0
kt
OiN
.oy
1
Al
Doc # 2017087226, OR BK 17947 Page 525, Number Pages: 1, Recorded 04/14/2017
at 03:07 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No.
County of ATT.ANTTC RF.AC:H
To Whom It May Concern:
The undersigned!hereby informsyou that improvements will bemade to certainreal property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:_
35-64 17-2S-29E SEASP RAY LOT 2 BLTC 1
I
•
Address of property being improved: 522 PLAZA STREET ATLANTIC BEACH,FL 32233
General description of improvements: REMODEL OF INTERIOR,ADDITION TO REAR,
Owner:DAN AND VANESSA KUDER Address:522 PLAZA-STREET ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement: p•E 'TIM P4,
Fee Simple Titleholder(if other than owner);
Name:
C.,,,,•rector: COASTLINE SERVICES OF PVB.LLC
�\l Address: 200 TRON'w OOD DRIVE 4226 PONTE VEDRA BEACH,FL 32082
f3 Q\ Telephone No,;9D46.51 869 Fax No: I
Surety(if any) f p'
• ''', I
Address: Amount of Bond$
Telephone No: • Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: .+
Address: AZ/4
Phone No: G 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: At7744
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
713A)6(2)(b),Florida Statues, (F. in at Owner's option)
Name: / .
Address:
Telephone No: Fax No: O;,
Expiration date of Notice of Commencement(the expiration date is one(1)year from the(M4 of recording unless a different date is
Spebif ed); , S
THIS SPACE FOR CORDER'S USE ONLY OWNER `O
Signed: te:
, I�
C�
Before me thisI Le day of *I ._a in the County of al, tate •
Of Florida,has personally appeared.. .pr cL._ . _/C O „.,.F.,,�... . .,
Notary Public at Large,State of on ,Coun •o€Duval.
My commission expires: O$I (b� j
or
z:.1 ,:. ' lelt ficatio,: antrI!'_11)1417fr>R 2
y { ;amu o:61.
�V Con f b► Safe of Florida
sslondlFF149302 - �i
Y comm.expires Aug,t0,@010;
FILE NATE: \\Folearvr\TarraHv011 400041089\19001-!4000\1..10E.pre
r+`U� 4 1 I I•M f 1 non z
�.jf'
rYi � fl'I �� iil6 �i�aAl,�,f...1)10...4: `IFe� ? ,`Gt I 0�{1I,
r y i
r1.•Y•110111
, ),. ••.,!!:1!•
ril
w \ ii>
111y4rurErtrwrlw.° � 10yi, "S'a
1 1 i,':;:;e"7.a., 'sl'?•
it
��x}ee�yr I I 1 IN 1-15 9 i'l41.{*,: )fi�2 N�
1'ie:�%eovs I '� r7 illi, t
4 ss (I r` k
11111111 1 Ea
PIES I 1 $L k to x@ fibi EA
I y Af .! 1.1 1, M;tt
i1 to 1 I , .1,1,fl
F y
I i� S\li:
`.Ros3y 1 y .. 7�—. _��— rN, Ir li tj%
3� 11 Z .y;€. 1 h
Z x N I . 1 — y 1,'111• til
!i; I i4 gi;iAl 1 !IilI'
—II 1 • I S:;!I�r 1st.V -VI
I � i..r Ili !3
4
11 I ''I ky 'I1i
i �iEi I 1 ; >iyii 1.
.e 110 ' X19
l*•'.n1 .-g i i I N�'J Iia 91
k� ��i I i ;�ii� �•is .•Lhl4J��i.� 3W'
a I ,
1»• 1 liq �)1 1- t'9
T� 1°) ` 100,0010)Y.
,{1 141k4.?00,ilis• (
1 '� aH0-�' i i Ili 1.1,'1 ill
i. i151
I 1 X m Qli YPJ� $li,
�
114
4 t: I _ �:. I i�
if 1 s:;�
c y _. 1 \-.4i.
� vk?`. to{'';I� �.
A y 1 ;;,rti,,s i;? ,St i 'jrt
V t y 9
rn i 1 _;rrl. F
F I ` la
�.
1 .,----- ':a'� INA
1
l I t"a I. ti 1
m F Ir
i s14d 1
T - I sorrow t00�0 07 t. .• �.:'
Y. ra0.sl' RD w y i $i,f i nI r,
lig I�� I I RN . :, 1., ..
yX '11 tx I is I I 1 7I '..'i a l
i C 1 l I J ' 3}f?"t
Lpp1a
`Ig�ogY�t <l J rte` qa4 ~ 6° 7�5. gN
T X 0op„ � i'i?' o! 4 4 1 111 T i !ip l 11F'! 1 ~G
-qk Z 63 , ��- -I- it-N - i, 1 >� a 41 z -R 8 ;l
P RS
Pi% 1 -`1 :a aq4 41 r ix 149 ° GI CD
a
\... •a ...) li q (::.. .1,ii • 1 Mt 1! !i; ki f 2 "C/,‘
Y 4 yycc C", A; 634 14' o DZ • � A j (^,
4 S4 `:L1 -� O naAggxJ"fi g r 11 E g q �IO
vEt
y .t . .
o y
....)
.J A.a.L.a. I .
e,_.irii,c--a_--_7j-_".-_,
�. Building Permit Application
'1 City of Atlantic Beach
800 Serniiiole Road,Atlantic Beach, FL 32233
• ` :� Phone: (904)247-5826 Fax:(904)247-5845•
n
Job Address: ,5 2 /7442 A Permit Number. \10 EM 0 3313
Legal Description 3S-04 9 /7- 2.S-i9 0 s'epA.$®e•ty Ap/z 6c.t a RE#
Valuation of Work(Replacement Cost)$ AM 000.0V Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
* Use of existing/proposed structure(s)(Circle one): Commercial Residential
- If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
iDescribe_in devil the type ofwotitto be performed!;
I.__ AP` i i -617 I K\,-1(. . 2102 ���F CSC-- C7I0 11I
I
Florida Product Approu for mut:;ply products.uv productapproval form
Property Owner Information
Name:0441/6L lew)ex Address: SZ 2- PLAY 4
City /44C 44114 d deA State fidL Zip 3 22.33 Phone90if-ZJ - BrAS/.
C_Mgil I'(8)emeak 9 adreq/G, GOA
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Q
Name of Company:c de�1L. $ 4*/ff�r 01 Pita`UCQualifying Agent: ll e et-•'o 404/
Address 200 ,view 'do At 02,,ZG City P(18 State Fe Zip 32 08 Z
Office Phone £Oj LS/- r10 Job Site/Contact Number 9Off-(,S/-r?L9
State Certification/Registration# Zee.222'9//ZS/ E-Mail Coi1sT, sig-.e d e 00--;••-e 4-..‘ 1-°--., .JET
Architect Nellie&Plione#
Engineer's Name&Phone#
Workers Compensation ,4.'tQtrcm+) jc/,i, zs /41.f Ocrof t4"/ate IritArc/7-10Vr✓(46-
Exempt f Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no 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 the laws regulationg
cunsiiucuun in this jutisdir:iiuri.1 understand ilial.a separaie perrnii must be setured fur ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
SQL--- t- -----/ t-,- ___--- l -
(Signature of Owner or Agent including Contractor) (Signature of Contractor) /�'t,
Signed and sworn to(or affirme before`m-e this, `J ,day of Signed and sworn to(or affirmed)before me this `7 day of
1 17 c i , , 7 C ( - by ��C.S So 1. L , of �`�(` i. , 2u1 ,by VII.I \ ,�, (A vl
i i -, _ C_ <
j, �3�.�e iureui40 G
y WE .err
_ �; p.r:''^ ALEX N.POWERS
q State o1 Florida �` MY COMMISSION a FF 59i944
, _ ., "' ;,r1 FF149302 '''11.4;,::;;:..0.
•, ~ EXPIRES:July 12,2019
"S ,_ 10 ''"''f o ;td 0. Bonded Thu Notary Pub1t Underwriters
e[ ]P sonally Known OR 2018 [ I Personally Known OR
duced Identification . f,, •, Identification
Type of Identification: ./.----k...--4-t'Gr_ ///7/NT'/Ce/'7 fG� Type of Identification: 'tL-T) L-_