49 DONNER RD - HOUSE DEMO CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
91 ATLANTIC BEACH, FL 32233
j INSPECTION PHONE LINE 247-5814
DEMO - COMPLETE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: DEM017-0007
Description: HOUSE DEMO
Estimated Value: 0
Issue Date: 6/2/2017
Expiration Date: 11/29/2017
PROPERTY ADDRESS:
Address: 49 DONNER RD
RE Number: 172064 0000
PROPERTY OWNER:
Name: LYLES TOMMY
Address: 13925 HUNTERWOOD RD
JACKSONVILLE, FL 32225-1905
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ELITE CUSTOM HOMES & RENOVATIONS INC
Address: 2304 Peach DR
JACKSONVILLE, FL 32246
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
r �r1i City of Atlantic Beach APPLICATION NUMBER
lJ.� Building Department
W '� 800 Seminole Road (To be assigned by the Building Department.)
pill, � Atlantic Beach, Florida 32233-5445 D F-1)\ i -7 — 0 OO'7
Phone(904)247-5826 • Fax(904)247-5845
01119~ E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Q
Property Address: It 6 UOmfock Pb Dg_padent review required Yes No
uildina
Applicant: EL-Cie--; C u�(Din 1-----6 ty\ C Planning &Zoning
Tree Administrator
Project:
iThE(Y\ --- �-C o OS C ublic Works
PublicUtilities
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: VApproved. EDenied.
(Circle one.) Comments:
BUILDING E—A. ?_K4 r1 O Te- S
PLANNING & ZONING (2.4
�Reviewed by: � - Date: 0
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I !Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
?a.m.,.V� City of Atlantic Beach , �� ,. APPLICATION NUMBER
�s Building Department -- "-"":= ` (To be assigned bythe BuildingDepartment.)
"4 t� 800 Seminole Road r ,1 g p )
is Atlantic Beach, Florida 32233-5445 'A ay 7 2017 1 D F i Y�o(-7 - V 007
Phone(904)247-5826 • Fax(904)247-5845
"�isi�� E-mail: building-dept@coab.us %i Date routed:
City web-site: http://www.coab.us ---- ---
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9, 61- 0mk)G-2._. Pb De ent review required Yes No
uildin
Applicant: — t_ 1(C C (D m 1____l Planning &Zoning
Tree Administrator
Project: .F m o -- -10 0 s C .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.
d.
(Circle one.) Comments: is �kit ( 4
BUILDING
PLANNING & ZONING Reviewed bye 40,K 6$Gey.- Date:rWl)
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
r -i_b'ri,, City of Atlantic Beach APPLICATION NUMBER
,i
'• Building Department (To be assigned by the Building Department.)
� 800 Seminole Road jF A° - 7 — O 00 7I yAtlantic Beach, Florida 32233 5445xLJ lJ / /Phone(904)247 5826 Fax(904) 7- `� �� /�.,
-_4r�sti� E-mail: building-dept@coab.us 1'+T 1 7 2017 Date routed: {'
City web-site: http://www.coab.us i
R!' _
APPLICATION REVIEW AND TRACKING FORM
Property Address: �, 4 �0��E� Pp Dee - + s ent review required Yes No
p Y :uildin•
Applicant: ELTE C U S(c7 M O m E S Planning &Zoning
Tree Administrator
Project: .E 0 -- N 0 0 C ,public Works
(ublic Utilities
Public Safety
Fire Services
Review fee $ ��, Dept Signature 1/- \
Review or Receipt
Other Agency Review or Permit Required 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:
APP CATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 1 XV----
4?/(Date: '
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
P
IORKS
Comments:
y /
BLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
Building Permit Application
f City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
` Phone:(904)247-5826 Fax:(904)247-5845
�I �ucrno��- ooa7
''i
Job Address: Permit Number:
Legal Description tor 7+-S loC)C I(, y,(x t 4p/0--11— RE# 1/Zo( -coon
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move •.ol Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residenti.
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes t N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal -h,,bMrf(to
Describe in detail the type of work to be performed:
Dew(c, Al S>.=�e.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: thbovve4 &t /.- `LC Address: 3S_� 1//4 S9x-ea '
City 4 ' - t324cA State FL Zip 32233 Phone fay-3t/S- ZRd3
E-Mail eh FIs d' E h vpS •F/ GrrYt
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: t�C-1 -L- G 564^ l�uQr—e5 (-Pe-4A,— qualifying Agent: S eS I�11e.
Address 2304 Urtve. City 374c-itrvtState L Zip 3L-ZL%
Office Phone Ra`-'fr�`b� 4$it lob Site/Contact Number `1v`t-636•-�{` 1 34"e ti
State Certification/Registration/# C6 (Z( Cay i'? E-Mail 'fit-Cv;v-7t'(v�,& r'&L(c A(- ch (nom
/✓/
Architect Name&Phone# ✓1-/
Engineer's Name&Phone# /VA RECEIV D
Workers Compensation eXec,,,rt
Exempt/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 perfc d tb!Seen standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.hn ',{,�Q
OWNER'S AFFIDAVIT:I certify that all the foregoing information ie cBuuraiifidt�R �dt done in compliance with all
applicable laws regulating construction and zoning. v' ofAtiantic Beach, FL
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.
(Signature of Owner or Agent including Contractor) (Signatu e of Contrac r)
Signed and sworn to(or affirmed)before me this l��day of ';n-. and sworn to(or affirmed)bef a me this t a day of
( ,by , c7C)n ,by
(Signa are o tary) Signal a of tary)
VIA ::AYE JENNIFER JOHNSTON
,�tt�„t��,. JENNIFER JOHNSTON ;.?q. '
ersonally Know ;QFC ;�,''X” MY COMMISSION#GG 042984 -Personally Known OR , •� i MY COMMISSION#GG 042984
[ ]Produced Identif Afro,. , EXPIRES:October 27,2020 [ ]Produced Identification ��-p EXPIRES:October 27,2020
Type of Identificatio "t,`• ,e Bonded Tlvu Notary Public Underwriters Type of Identification: �''P3,',t°'
Bonded T Notary Public underwr(ters
�:Ly. ATLANTIC BEACH BUILDING DEPT.
34 , DEMOLITION - PROPERTY OWNER
t,�
RELEASE FORM
Date: 610.10/
To Whom It May Concern:
I /We the current property owners of: Lot • 74'$
Block I
Legal Description of Property
AKA 461 De›. ?Ob have contracted with to have
(Address of Property)
E�tt-e— (0,56,0 sl- ( , r(,vs 9"t`o remove the �� Lc
(Company Name) (Single Farrlily,Duplex,Commercial,etc.)
Prior to the construction of : /L- tom,()I .Ps Ca
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked. V
2. Once house is removed, lot is to be graded and leveled. V
3. All construction debris is to be removed from the property. V
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.
Signature
Signature
THIS SPACE FOR RECORDER'S USE ONLY
OWNERz--,
Signed:C//f! Date: 6-"/747
Before me this 15 b day of 1''t 6.0 t in the County of D val, tate
?o::A= JENNIFER JOHNSTON Of Florida,has personally appeared ► L on �_ a` ;�. I.
:N: . _• MY COMMISSION N GO 042984 Notary Public at Large,State of Florida,County of Duval.
EXPIRES:October 27,2020 My commission expires:
•'•;, • Bonded Thru Notary Public Underwriters
� Personally Known: ✓ or
Produced Identification:
liy /Joe £J Pi 41 17-Ooc7
4Co+ 41'0 x /50,3 /9 cyK
4OQe ly Xofr = /D1'
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• TXX 10Z i ti ` i,10
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r �
TO: Dan Arlington
City of Atlantic Beach,Building Official
FROM: Chris Lambertson
DATE: May 15, 2017
SUBJECT: 49 Donner Street, Atlantic Beach, FL
Site Construction Management Plan for Demolition
1) Parking will be on the property as noted on the Construction Site Management
Plan (CSMP).
2) Location of chemical toilet is identified on CSMP and will be located on
owner's property with door facing construction project.
3) Dumpster location is on CSMP and an approved dumpster company will be
used.
4) Traffic control pattern is shown on the plan with entrance to property.
Adequate parking is available on property.
5) The site will be cleaned and picked up for all debris including construction
material and all other trash regularly.
6) Silt Fence is identified on CSMP.
7) Right of way will be restored to its original condition.
r , ';' CITY OF ATLANTIC BEACH
`^° A,1 "' SJ 800 SEMINOLE ROAD
!l
s) ATLANTIC BEACH, FL 32233
(904)247-5800
PERMIT NOTES
RESIDENTIAL DEMOLITION
May 24, 2017
49 Donner Road
BP # DEMO17-0007
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.
6. Protection of trees and vegetation during construction is required, per COAB Code
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 blog any part of the
Right-Of-Way. •,CF
0401_
TO: BamArlingten Sw it lA/tlti ',
City of Atlantic Beach, Building
FROM: Chris Lambertson
DATE: May 15, 2017
SUBJECT: 49 Donner Street, Atlantic Beach, FL
Site Construction Management Plan for Demolition
1) Parking will be on the property as noted on the Construction Site Management
Plan (CSMP).
2) Location of chemical toilet is identified on CSMP and will be located on
owner's property with door facing construction project.
3) Dumpster location is on CSMP and an approved dumpster company will be
used.
4) Traffic control pattern is shown on the plan with entrance to property.
Adequate parking is available on property.
5) The site will be cleaned and picked up for all debris including construction
material and all other trash regularly.
6) Silt Fence is identified on CSMP.
7) Right of way will be restored to its original condition.
'Y/1
co
,�y