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362 Plaza demo permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DEMO - COMPLETE MUST CALL BY 4PM FOR NEXr DAY INSPEMON: 247-5814 PERMIT INFORMATION: PERMIT NO: DEM017-0012 Description: demo of existing house&driveway Estimated Value: 7000 Issue Date: 7/18/2017 Expiration Date: 1/14/2018 PROPERTY ADDRESS: Address: 362 PLAZA RENumber: 1699720005 PROPERTYOWNER: Name: MERRIAM RICHARD A Address: 4451 MENDENHALL DR DALLAS, TX 75244 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CBI CONSTRUCTION, INC. Address: 5472 FIRST COAST HWY SUITE 6 FERNANDINA BEACH, FIL 32034 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 RVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5845 E-mail: building-dept@wab.us City web-site: hftp:/I~.mab,us APPLICATION REVIEW AND TRACKING FORM Property Address: Cogg Degartment review to uired Yes No Applicant: Planning &Zoning Tree Administrator Project: d4rilo ublic W u ic Utill I Public Safety Fire Services WM Review fee Dept$ignature Other Agency Review or Permit Required Review or Receipt of Permit Verified IS 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 Tabs= Other. APPLICATION STATUS FReviewing Department First Review: MAPproved. E]Denied. E]Not applicable (Circle one.) Comments: BUILDING r_.F_ T'A' � t-k 0-c- PLANNING &ZONING Reviewed by:_ —Cyril— Date: 6 L2Q TREEADMIN. Second Review: ]Approved as revised. DDened. ' . 6[oApiprrmecl re eyd EID E]Not applicable PUBLIC WORKS Comments; PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: ElApproved as revised. ElDenied. E]Not applicable Comments: Reviewed by: Date Revised 0511912017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road O&MQ11-00a Atlantic Beach,Florida 32233-5445 Phone(904)247-5826- Fax(904)2��,�5845 E-mail: building-dept@coab.us Datemuted: City welb-site: hftpJ/ww%v.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Due Waent review required Yes No Applicant: 0-6-j- cwlsutuo Planning &Zoning Tree Administrator Project: �04t�*&;V ublic W U =I I*%—k ic Uti� Public Safety Fire Services Re law Other Agency Review or Permit Required of Pv. or.Rece'Pty it V .r,.d_. Data Florida Dept.of Environmental Protection Florida Dept.of Transportation 9tJohns River Water Management District Amy Corps of Engineers Division at Hotels and Restaurants Mvision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: VApproved. [-]Denied. E]Not applicable (Circle one.) Comments: i-re SkAd 6W4044- BUILDING PLANNING&ZONING Reviewed Date:,k� TREEADMIN. Second Review: [:]Approved as revised. [-]Denied. ONot applicable PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. FIDenied. E]Not applicable Comments: Reviewed by: Date:— Revised0511912017 5_A'V?-) City of Atlantic Beach % B ildi Department su n,g 80 lose.n.l.Road Atlantic Beach, Florida 32233 5445 Phone(904)247-5826- Fax(904�247-5845 !19� E-mail: building-dept@wab.us CRYweb-sfte: hftp:/t~.wab.us - APPLICATION REVIEW AND TRACKING FORM Property Address: Department review re uIred Yes No �_!ut Applicant: C-Isl- Uo'S-kf'ta.)4 I Planning &Zo n Project: dtil"10 ublic W nist fco)ar 4FFublic Utlliflgr,�, -Public Safety Fire Services VR Review fee$ Dept Signature '5�" Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept,of Environmental Protection 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 MOther APPLICATION STATUS Reviewing Department First Review: pproved. [-]Denied. ONot applicable (Circle one.) Comments: Rev'ew (C un D 'rc e 0 g n p a 0 rtment G 1 F7: a BUILDING PLANNING &ZONING Reviewed by: Date: E) TREE AD N. MI Second Review: ElApproved as revised. E]Denied. ONot applicable ORKS Comm nts: C UTILITIES PA31 1 I�C SAFETY Reviewed by: Date: ---------------------------------- FIRE SERVICES Third Review: OAPProved as revised. DDemed. E]Not applicable Comments: Reviewed by: Date: Revised 0&1912017 Building Permit Application Updated 5/5/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL32233 f�, Phone:(904) 247-5826 Fax:(904)247-5845 Job Address: flq Zq go Permit Number: Legal Description RE# 14 ?972 -0cZe Heated/Cooled Valuation of work(Replacement Cost)$ SIP Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool WIndow,/Do& • 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 Describe in detail th t e of work to be performed: _Demo o7ext_s4l, hov_,�,f A1'V-CZJq Florida Product At roval# —for multiple products uxproduct approval form Pro ent Ow rinformation -2 101,q 7cl, r_, q Name Addre Z' t.t E-M'all aaJ, M pr�z a6v all zte!�/� ?Phone— all e ./ owner or Agent(if Agent,Power of AttannEvy—or Agency Letter Req ui red)� Contractor I riformatilln NameofCompa Z_� Agent, 6511e AcldressZ�11_46-1_1 —0 C) zip J4.m State Certific;tion/Registratio Architect Name&Phone# 4 Engineer's Name&Phone If Workers Compensation Exempt/I Lease Employees/Upiration Application is hereby made to obtain a permit to do the wor nstal0a ap itSifed fV that no work or installation has commenced prior to the issuance of a permit an( e or edtomeett s clards of all the laws regulationg construction in this jurisdiction.I understand that a separato it must be secur I L WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing informationlis accurate and t at 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 MRDING YOUR N... e E-emp'l' fy -rk or'nstaliat.n has clet b a emon to do the_`r that no w rs�.00 t.n. P r at. r Eg.lat'.ng e e nut and th 11 W' da ds of all the laws r -pc of Ep L W 81 NG,SIGNS ch_U.n I underst.nd that zsEp.rat! ITIONER etc I ORK,PLU M CS,Bol LERS,HEATERS,TANKS,and I RCOND S' th.1 1 a rat,and t at a 11 work will be d ni n compliance w, (Signature of owner or Agent) (Signature at Contractor) (including contractor) Signed and sworn to(or affirmed)before me thisIR-1-day of Signed and sworn to(or affirmed)beforeC NsPt�day of Z4AL 2kO t* by 09aUL C11.4 JiAft-t 210CA by-DA oMotary) i atureofNotary) �r(Stg*o �re Wt�ry) TOal JENNIFER JOFMTM JEluNIFELRJ"STQN MIMI. Oliea� WcommissIONNOW30,12984 cosaml slot, 04295s EXPIRES UpInES.0�21.2= Personally Known 0 F -anae"m- Known M, PW Produced IdentificauP K Produced ldertrfi� �nq L I ype of Identification: Type of Identification: [ I Personally R ATLANTIC BEACH BUILDING DEPT. DEMOLITION — PROPERTY OWNER # RELEASE FORM Date: 612/2017 To"Mom It May Concern: I I We the cUment property owners of. Lot 29 Block 10 Legiii Dewipeon a Property AKA 362 Minna,Atlantic Beach, Flonda, 32233 have contracted with (Md.of Property) Cole Builders to remove the Single Family Home 7�- Wyhxi--) —(&ngW Family,Diophinx.Cornmessiol.o1c.) Prior to the construction of Single Family Home As a condition of issuing the permit we agree to the following: I. 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. JUAN CARLOS CAMINO My Commission Expires sompidere April 9.2018 THIS SPACE FOR RECOPMER'S USE ONLY OWNER CA rO .d j�� 11�0 one Sill der f U Ber me We day of V in one 0 Z'7L AiIP7.I V)P P&6Ws_ Neese,Public a Less,Swc or M'coormissionex,mes: � ' on �— perseco.11,"'M Pm,dumd lddcrmfiixman�: ('40 OWNER'S AUTHORIZATION FOR AGENT Dale Cole is hereby authorized to act on behalf of Richard Merriam 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 Plan Amendment Use-by-Exception Zoning Map Amendment Building Permit El Plat,Replat or Lot Division Sign Permit Tree Permit other BY: —YLi�kL�- --Richard Merriam Print Name Signal=of 0"" Print Name 469-964-3326 ;Felophone Nmm—ber stata of Countyof Wday;�f Signed and swom befon,me on this JMN CARLOS CAYTUIR BYA=!'�HW)LD AUF-ij I My Commission Expires' (9 Apdl 9.2018 Identifloation vedfi.d: T)� -9L �-x 02-) It — — — ——— Oath s"m: ---Y. rb Notwy Sig.aiiin: My Commission expires: bila 0-#MI 319� OR 3K I 6Q5 Page 456 NUMW Pagm 2 R.�W124MI 3�W X AM, Rome F�I CLERK CIRC UIT COURT DUVAL THIS INSTRUMENT PREPARED BY COUNTY RECORDING$18 W AND SHOULD BE RETURNED TO: DEED DOC ST MJM I W. Robinson Frazier, Esquire 1515 Riverside Avenue, Suite A Jacksonville, Florida 32204 (904) 353-5616 WJkRANTY DERD THIS WJULANTY DZED made as of the 26" day of June, A.D. 2013 by Shepherd Real Property Investments, LLC, a Florida limited liability company, hereinafter called the grantor, whose post office address is 1335 Beach Avenue, Atlantic Beach, Florida 32233, to Richard A. Merriam and Nancy V. Merriam, his wife, whose post office address is 4451 Mendenhall Drive, Dallas, Texas 75244, hereinafter called the grantee. (Wherever used herein the terms "grantor" and "grantee" include all the Parties in this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations. ) WITNESSZ : That the grantor, for and in consideration of the sum of Ten and No/100 Dollars ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Duval County, Florida, the property appraiser's identification number of which is 169972-0005, viz: Lot 29, Block 20, PLAT NO. I SUBDIVISION "A' ATLANTIC BEACH, according to the meP Or Plat thereof an recorded in Plat Book S, Page 69, Public Records of Duval County, Florida. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOIJ), the same in fee simple forever. AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except easements, covenants and restrictions of record and ad valorem taxes accruing subsequent to December 31, 2012. Paq. 1 f 2 IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered SHEPHERD REAL PROPERTY in the presence of: INVESTMENTS, LLC � - A - By: w. hooinson tr r 4::�-�- - a M. 6neph 4ra.ag.r By: lores anaffl�r Susan �. Shepherd, Manager ' Witnesses as to both parties STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was acknowledged before me this 26 th day of June, 2013, by JAMES M. SHEPHERD, JR. and SUSAN S. SHEPHERD, as Managers of Shepherd Real Property Investments, LLC, a Florida limited liability company, both of whom are personally known to me. D "�z — el��e. B. nanagrif)C__-- Notary Public, State of Florida My Commission Expires: (SFAL) % DELORES B,HANAGFUFF C-"m-i-#CE 131992 Page 2 of 2 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ("4)247-5800 PERMIT NOTES RESIDENTIAL DEMOLITION June 27, 2017 362 Plaza BP # DEMO 17-0012 REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL 1. It is the responsibility of the contractor to: REOUIREMENTS AND CONDITIONS a. Contact JEA to disconnect electric power. ATE: ik, Lo b. Locate and clearly mark all utilities. REVIEWED BY:_I�_0 - -r—k 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 blocking any part of the Right-Of-Way. OPP, ZC4�_Cb '0 k P.2 MAP OF BOUNDARY SURVEY DESCRIPTION. LOT 2a BLOCK 10. PLAT NO 1, SUBDIVISION W ATLANTIC BEACH ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1, PA6E 59, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CIL�YL�snw W. W" A, N SCALE. 1 30 ILAF W. I.OWL", % Alal. w1ra. mll� Malmv- A. 11. W% —'yWW%" � 2 IAT A� A IMM,M&OffW= o W W�-m A 0---,o k 6- -V A OEM& A� m FIELD SURVEY DATE FIRST COAST D 1�:-�P�CTI��Trm SURVEYING I INC. cl A 7�2862 PAX IS%), P-Vm�-- 016 RED !rgwg�.' M� By, VAN um P.2 MAP OF BOUNDARY SURVEY OESCRXPrjCN. LOT 29, BLOCK 10, PLAT No 1. SUBDIVISrON 'A ATLANTIC BEACH ACCORDING THEREOF AS RECORDED IN PLAT Bow 5, PA6E 69. OF TO THE PLAT OF DUVAL CWNTY, ,oRIDATHE CURRENT PUBLIC RECORDS WR SCALE 1 30, WAM wzw 2n, pp.-W. m W M F . U-0 J =iar 1A FIELD SM DA E FIR OA D su NG, INC. V, �-AQIA�5� AM.V,,,U,& . AN C r" tw"; M MN, OA u Xs� �CKW 8�. VAN