345 10th St garage demo permit A
AIM is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
611 9' INSPECTION PHONE LINE 247-5814
DEMO - COMPLETE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: DEM017-0019
Description: DEMO GARAGE
Estimated Value: 0
Issue Date: 10/13/2017
Expiration Date: 4/11/2018
PROPERTY ADDRESS:
Address: 345 10TH ST
RE Number: 1700790010
PROPERTY OWNER:
Name: LAMAR DAVID CHARLES
Address: 345 10TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see aftached 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$7,500.
.-t I I .
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be ned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 &mc) 1-7- 0 c�
Phone(904)247-5826 - Fax(904)247-5845
routed: 0
E-mail: building-dept@coab.us Date
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: DewrLment review required Yes No
4f 211 --
Planning &Zoning�?
Applicant: JR'/' L) (QXU0QZK__S
e XdMinis—trator
Project: M CD G-' P,C'cz: �–F5_ubfic W��
ublic Utilities
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [9A*pproved. ElDenied. E]Not applicable
(Circle one.) Comments:
lk�
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: F]Approved as revised. F]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
4r
Building Permit Application Updated 5/5/17
City of Atlantic Beach OFFICE COPY
800 Seminole Road,Atlantic Beach, FIL 32233
V Phone: (904) 247-5826 Fax: (904) 247-5845
JobAddress: �16 atl-1 9-r�&f- Permit Number: —C C)/
Legal Description —RE#
Valuation of Work(Replacement Cost)$ W(I-Y Heated/Cooled SF WJ - —Non-Heated/Cooled
14
0
• Class of Work(Circle one): New Addition Alteration Repair Mo Demo ool Window/Door
• Use of exi sti ng/pro posed structure(s)(Circle one): Commercial e s 4iie n t
• 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 the type of work to be performed:
R90 !� �/vq�'
Florida Product ApprovaRt for multiple products use product approval form
Provertv Owner Information
1,11%rt61 I, I V
Name: i0v Adclr�gs
Zi
P h
Cit He� P one
y State
E-M a i Ally) 41TWY-21 7 9 1�74�'"4 Wrl
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
NameofCompany: Ja,1_T)I dw-o cy,-, )n( Qual'ifvinR Agent: [16ke�m i v,,
31 L __ A& �i St� Zal)-a3
Address City State Zip
ontact, mTber -4 L) —73—n k,1
Office Phone Job Site/�
State Certification/Registration# ("k19 E-Mail
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation*ffiEaif�����
Exempt/Insurer/Lease Employees/Expiration Date OCT 4 2017
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-repulationg
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.
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/913TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
R RDING YOUR NOT"2r_\OF COMMENCEMENT.
(Signature'o-f"Ywner or Agent) \7�(�ijndt6r`e kContractor)
(including contractor)
d d rnto(o iffir%=remethis L'�clay,f S orn to Lor affirmed)before me this L
//Aclay of
C'V J by X)-� by kiwt6f -4114,IwLA
0-
A-
(Si(n+ure ofv&Try)- 1(�I_gn_44 of Nota�y)
MARCY STRICKLANO
MARCYSTRICKLAND
My COMMISSION#FF 183661
MY COMMISSION#FF 183661
71.. Z- EXPIRES:January 23.2019
EXPIRES:January 23
Personally Known OR 2019 Xpersonally Known OR onded Thru NOWY Public Undarwrftem
Wroduced Identification -Borided Thru Notary Public un�er`Writers Produced Identification rs
Type of Identification: Type of Identification:
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be ned by the Building Department.)
800 Seminole Road
t n -7
lantic Beach, Florida 32233-5445 E-mc) 00 � C�
Phone(904)247-5826 - Fax(904)247-5845 ) 0
E-mail: building-dept@coab.us Date routed: /4
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
DepAftment review required Yes No
Property Address: 0 S11
uildi
Planning &Zo�in_g
Applicant: T-ree Administrator
Project: fy�CD C,c: �-Tru_blic WorKs�
ublic 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: -]Not applicable
'IlApproved. []Denied. F
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 17
TREE ADMIN. Second Review: F]Approved as revised. F]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [:]Approved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
ORDERED BY-
The'Law.offices of Schloth
2181-1-Thirt-St'
Jacksonvitte Bch, Ft 12250
9"3. -93.51
77-1. .
beach@rod�-(a,mtem
PROPERTY ADDRESS:345 10TH SREET BEACH,FLORIDA 32233 NUMBER-1307.1057
- m
FIELD WORK DATE.7/1WD13 REMSION DATE*.mo m6=3)
FL 1307-1057 LOT 19
LOT 21 Eim 13
BOUNDARY SURVEY LOT 25 5L�'13 TABLE.
DUVAL COUNTY LOT 25 51A.13
5tr,13 L-1 5 85'02'07'W 338.10'(M)
%909 7 31 L-7 L-2 5 85*OOW W I 00,0(Y(P)
5 84055?SG*W 99.991
L-3 5 85'OOW W 50.0(y(P)
0�2! G.W.F. 5 84*56'14*W 50.1 2'(MW
OFf L-4 5 a5*OOX)O'W 50.00'(P*M)
5 85*OOW W 49.SW(M)
L-5 5 85*00%)Ol W 50.00'IT)
5 85*OOW W 49.94'(C)
L-6 N 85'OOW E 50.00F(P)
N 85"12'0 1'E 50.05,(M)
24 (po L-7 N 85*00`00'E 50.00r(FI)
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FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING (FlN)GARAGE ENCROACHES OVER LOT LJNE.0 CONCRETE PA-no
MUNICIPALITY OR WWW.FEMAGaV,THE PROPERTY APPEARS TO BE CROACHES OVER LOT LINE
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMWfT`Y NUMBER 120075,DATED OW03A3.
[CLIENT NUMBER:BILL DATE:7116r2013 AFFILIATE
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CERTIFIED TO: EXACTA
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pfflm%mm�y
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be ned by the Building Department.)
800 Seminole Road tz
Atlantic Beach, Florida 32233-5445 1-7-
Phone(904)247-5826 - Fax(904)247-5845 L ate route 0 /4 -7
E-mail- building-dept@coab.us OCT 0 2017 d:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Depgriment review required Yes No
Property Address: 0
Applicant: Rl U00(<7�_K_S �--Planning &zonin—g�:>
Tree Administrator
C-15—ublic Wo��s
Project: G-� P, F, Cc:L
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 En-vironmental 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: [ZApproved. E]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
0
TREE ADMIN. Second Review: FlApproved as revised. F]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. [:]Denied. ONot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845 -7
E-mail: building-dept@coab.us Date routed� 1 /41 (
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
'__J4__
Property Address: 0 'S'T DepAftment review required Yes No
XfCQ1�di __.___
Applicant: jp�y e�r UO 0 L K-S, Planning &Zonin�_>
Tr6e—Administrator
Project: fyA CD P, a C'cz C-T5-u—b Iii c W2E:�
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: ErApproved. E]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:_)_1�76 Datel-0 ur-
IV
TREE ADMIN. Second Review: [—]Approved as revised. ElDenied. F]Not applicable
41�;'WO Comments:
v .'---I-
'LZ'e
RUB�LIC UTILITIES
/0 - '� — /_7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. F]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017