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390 PLAZA - DEMO ,, r.�S y „j>rJ . CITY OF ATLANTIC BEACH "°- 1 `^> 800 SEMINOLE ROAD 1511::-:::,:y,`z ATLANTIC BEACH, FL 32233 -401119,- INSPECTION PHONE LINE 247-5814 DEMO - COMPLETE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEMO17-0023 Description: DEMO HOUSE Estimated Value: 10000 Issue Date: 11/30/2017 Expiration Date: 5/29/2018 PROPERTY ADDRESS: Address: 390 PLAZA RE Number: 169981 0000 PROPERTY OWNER: Name: WEBER JULIEANN E Address: 387 8TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SHAPELL'S, INC. Address: 8511 STOCKS RD Q/A: GUY LACHAPELLE JACKSONVILLE, FL 32220 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. City o At antic : eac Permit Number: DEM017-0023 Description: DEMO HOUSE Applied:11/16/2017 Approved:11/28/2017 Site Address:390 PLAZA _ , Issued:11/30/2017 Finaled: City,State Zip Code;Atlantic Beach,Fl 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner:WEBER JULIEANN E Parent Project: Contractor:<NONE> Details: LIST OF CONDITIONS SQ NO .'.ADDED,DATE. ' REQUIRED DATE ::;'SATISFY DATE TYPE STATUS DEPARTMENT = CONTACT' ..' . :; REMARKS. 1 11/17/2017 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Full erosion control measures`must be installed and'approved prior to beginning;anyeartl disturbing activities:=Contact the Inspection Line(247- 5814)to•request an Erosion and Sediment Control Inspection prior to start of construction • 2 11/17/2017 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes • ` All runoff must remain onsite during construction 3 11/17/2017 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes Roll off container company must beon City approved list•(Advanced Disposal,Realco Recycling,Shapell's,Inc.;Republic{Services).. Container cannot be placed on City`riight of way: - 4 11/17/2017 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes Full right'of-way restoration,including,sod,is'required- ` 5 11/17/2017 RUNOFF INFORMATIONAL • PUBLIC WORKS Scott Williams Note:" 'ef• 3 - All runoff must remain onsite. Cannot raise lot elevation - Printed:Thursday,30 November,2017 1 of 2 �� f Permit Conditions f.i ' City of Atlantic Beach -- 6 11/17/2017 DOCUMENT IMPERVIOUS AREA INFORMATIONAL PUBLIC WORKS Scott Williams Notes . Strongly suggest thorough documentation,of impervious area's be recorded .. , - 7 11/17/2017 SLAB DRIVEWAY REMOVAL INFORMATIONAL PUBLIC WORKS Scott Williams Notes.' Slab and driveway tobe,fullyremoved.= . • 8 11/17/2017 GRASS INFORMATIONAL PUBLIC WORKS Scott Williams Notes , -. " - Full site to be grassed _ ,'-% 9 11/27/2017 UNDERGROUND WATER SEWER INFORMATIONAL UTILITIES PUBLIC UTILITIES Kayle Moore Notes.'' _ . . Avoid`damage to underground water and;sewer utilities. Verify vertical and horizontal location of.utilities.-•Hand dig if necessary. If field coordination is needed,call 247-58'84.-:_ • ° , 10 11/27/2017 UTILITY MAP INFORMATIONAL PUBLIC UTILITIES Kayle Moore Notes See attachedUtility Map. 11 11/27/2017 DISCONNECT AND CAP INFORMATIONAL PUBLIC UTILITIES Kayle Moore Notes. Disconnect and cap water and sewer lines.L - Printed:Thursday,30 November,2017 2 of 2 IP St1.mh , City of Atlantic Beach APPLICATION NUMBER' - ,-- el -c` 1 Building Department :(To be�assigned by the Building Department): 1, 800 Seminole Road -6yrlC t 7—0 23 ill.'- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 ar E-mail: building-dept@coab.us Date routed:,- l t .,G7 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 390 p Liock, Department review required Yes -No i _ire Applicant: S t4 R-P CU S I p C -Planning &Zoning Tree Administrator Project: i t---- (\a 0 HO L) S E •ub' A ark .blic Utilitie 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: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: PBUILDiN j PLANNING &ZONING Reviewed by: 1 ---- Date: //a- P-7 7 TREE ADMIN. Second Review: ['Approved as revised. nDenied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. nDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 s1,.,u r City of Atlantic Beach APPLICATION NUMBER 41-1.t7,:':'..? -,. Building Department ( (To be assigned by the Building Department.) t„ 00 1-.?;,, 800 Seminole Road y T,i,44 1 Atlantic Beach, Florida 32233-5445 C) (7-0023 Phone(904)247-5826 • Fax(904)247-5845 NOV • r3 2017 1 l i t f t 7 afJ ! �'-13,'0. E-mail: building-dept@coab.us ; i1 ' )• Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 390 p LiAcick. Department review required Yes No j Building Applicant: S I (.4 P �� S l � C Planning &Zoning Tree Administrator Project: C=,1Vi �tO 0 .415-ii :iPt-lblic-lJtilities+ . Public Safety`— Fire Services rRevi:ew:fee'$ ._ 2._5-7 .. _ Dept Signature . __.1 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 L . Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: CV P1/‘-- -Date: 11 2( l9 TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable P ORKS Comments: .40. ICiUTILITE51 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/1912017 r ?.Sr�`i;;1i�� City of Atlantic Beach APPLICATION NUMBER Vii"1: -,''-�\st� Building Department :To be ea-signed by the Building Department.) z .1 fJk ,y 800 Seminole Road Atlantic Beach, Florida 32233-5445 17'1-17 .-.� ,_ . [I 0023 : -: Phone(904)247-5826 • Fax(904)247-584.5 -- — "!,,x;;19? E-mail: building-dept@coab.us I• j Date routed: ) I ( 7 City web-site: http://www.coab.us NOV 2017 ISI; APPLICATION REVIEW-AND TRACKING FORM Property Address: S90 pLA:k_ick. Department review required Yes No C i m Applicant: S t4 t -p eLLf J ( p Planning &Zoning Tree Administrator Project: ('--' NI, 0 NO u S E 'e'of- _ blic Utilitie Public Safety Fire Services eileWfoe $_"_. _ :. - Deptt Sigt ature:_v_ - _ - - Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 5 • Florida Dept. of Environmental Protection �, Florida Dept.of Transportation �/ St.Johns River Water Management District (c i� Army Corps of Engineers "+ Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco • Other: APPLICATION STATUS Reviewing Department First Review: 71Approved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING /fr/7 /7 Reviewed b : Date: TREE ADMIN. Second Review: ['Approved as revised. ['Denied. Not applicable {fit7;BLG.C_V101,_ Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: - Date: Revised 05/19/2017 OFFICE COPY .• Building Permit Application City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 017- �O 3�0 CILa�A �TLA1J/IC_13EP�-w, FL— Permit Number, D G Job Address: � / Legal Description r--(.0� r -0/4e .ZMO ic-�ge°� a= 4V f/2-L ( l Valuation of Work(Replacement Cost)$ I t /00°Heated/Cooled SF_ Non-Heated/Cooled_ • Class of Work(Circle one): New Addition Alteration Repair Move Dem. Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esl en a • If an existing structure,is a fire sprinkler system Installed?(Circle one): Yes ®° 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: P epnp OF Ek IS-no - HoP , RsVm.. c:, - p��S , 6-Rek.-D(IJ k7-4_l eda..l� r Florida Product Approval# _for multiple products use product approval form Property Owner Information 4 (g•riot ST _ Name: `1t"uE trN 0 e •WE L Address: 12 City An-atJrC- b 'r CU ^ _State f_ZIp_7-33 Phone 04' 3t2.4l42 E-Mail_ AtntA Eitcss N LA VS • Go N Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractorinformation .`p�J,�r,�, t.A�tt,kArp6ll.E Name of Company: S I-4A PE US,, l*i L Qualifying Agent: Y Address-%6 Srbu4s 1-0,6-0 _____CItyJ JirtU.Q State FL_Zip 72...1-2o Office Phone 04••:486. 553 _lob Site/Contact Number State Certification/Registration# E-Mall Architect Name&Phone# Engineer's Name&Phone# Workers Compensation --- 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 performed to meet the 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. . OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done to 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 LENDR AN ATTORNEY BEFORE RECORDING YO , NOTICE OF COMMENCEMENT. ! (, —I gnatura of Owner or Agent Including Contractor) (Signature of Contractor) . and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me 1?thisday of 1.1()J ,oZ011 by I CCY1YW\ANrOt(4111ker X017,by � C qo(„a lc-N-0-1 of Notary ...ea.....s BRYNJ$*H 1 (Signature of Notary) (Signature' '.. .. .:_. ... iy: y'c_ IIYCOIiI118810N#�I4ij <,,„y. `, LOIS K.NELSON F�(PCRES%BgPiMMrIN fir } ..t MY COMMISSION#GG 033328 • g Personally Known OR :.; t,w• :*; d I t "`cat O Produced Identification :i :** EXPIRES:October 30,2020 • ( Produced Iden ca •n' / ` ;into ' Bonded Thru Notary Public Underwriters Type of Identification:��t V i S 1 (�'`n<� Type of Identification: _"L .1:ta P311. . • :: '.+.• ., i I. _•`' a •. I ,' ® _.. r at + r� '''r''. - r . 0,1 -�. B t •i t __a JT r , i kP ; ,:� 414 , T I tI .1 �' . - '�; 1t 1 ,....P410.1% + �, .......... i ',T 'ter- y...•• 0. ` , .1 . �./ �, .. • �r ��' • - T� ���� • Ra. • .. a , A� , fir ,. -: 7.v, - , - (.1`4 may.. oirstrt-1 , 11 I v o -.' i•- 003%.,11'fr •.•A•.''' • + •► a liar •. _J A• `, � i 14 slitg '---- ....k i 4th• i - Qf- .r. •` Ge a • . i • 1Pr''' . I $ r •1 J .1 MP i 4,.'i, , ,7 . • 9 Dirr •%••;1 .. - B 4/. ' i it I • • .1 .. 1 4 . 4 Nt • i b 1 _ - 1a H ' ,rte . i• s (41 . 1r . ... .... 1 ) I .1 -\'1,1 r• .. It it' IC i.IP I • ..6 vt- . dill .. 4s _ - - - 4r 4 -_ B MAP SHOWING SURVEY OF LOT 41, THE EAST 10 FEET OF LOT U, AND THE WE,aT ONE.•HALF OF LOT .39, BLOCK 10, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECOHI)d OF DUVAL COUNTY, FLORIDA. /57,-: / WfL MER AKA a E • (800//rv) • •• FodNey2"/KaN-r 8 5 ."-FOLINO /Z"//20-N 1------1.0 i va' ...711"-----reirrirr- 1 z 5, • q, Ns. RI isr) 1-\ I ,W :�I,i N. QIP ol ,. "' 1`' (V l) w a �'' 414 I �:/'e1 r,,. fr..,Ni .Z, o I ' h iliI• 25.5• an✓I4� r�1 30 _ V v � l;'I � FRAME 13. I � h O I : I ti SPL/T-LEVEL:, I h k I d RNa 3 9�E N v • ft) .u•e /f./' I o,4' Ni a p N ;! J� l 1,S �`ri ri—� ,� • I t43 13�-� �� '\: s lea-sr r 1._. I • \ Q M Q . P KT/oN N O + I N V '�' Cf NC:t�L/ties` .9' I h I .k 1 .v - .' ..:.4 f, 5' 1I Q v I ,� ��. :"',J • I /'� W • k, .I\ eO Ail A IV I. I ; -,4,'CNA••••/. I/NK FQNG IF I 2 jN I N1 \) — —4 ___._ 40' _. x l:�_,. -„ I 25",Y e5' • I 56T •/moa./ I 6 5' 1, f0!/ND �2"%KON I Qa I ti I . I • I I a I l I • . I. .x I 0 0� �� v y �t C2� • , 1 , Ic . o( c., e")) a l "..,a-\ia a a. • • • . nt _ 11/14/2017 Property Appraiser-Property Details WEBER]IJLYTANN E : Primary Site Address Official Record Book/Page Tile# 387 8TH ST 390 PLAZA 17284-01861 9416 ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 WEBER THOMAS A 390 PLAZA Property Detail Value Summary RE# 169981-0000 _ __ (_2017 Certified 2018 In Progress Tax District I USD3 — — Value Method I CAMA CAMA Property Use J 0100 Single Family Total Building Value $1,977.00 $1,977.00 #of Buildings i 1 _ Extra Feature Value $2.00 _ $2.00 For full legal description see Land Value(Market) $340,000.00 $340,000.00 i Legal Desc. Land&Legal section below Land Value LAgric.) $0.00 $0.00 i Subdivision 03101 ATLANTIC BEACH Just(Market)Value $341,979.00 $341,979.00 Total Area 11092 Assessed Value $341,979.00 $341,979.00 The sale of this property may result in higher property taxes.For more information go to Save — Cap Diff/Portability Amt $0.00/$0.00 $0.00/$0.00 — Our Homes and our Property Tax Estimator.'In Progress'property values,exemptions and Exemptions $0.00 See below other supporting information on this page are part of the working tax roll and are subject to — change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value $341,979.00 See below include any official changes made after certification Learn how the Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress It J • If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions • Sales History Book/Page I Sale Date I Sale Price Deed Instrument Type Code (Qualified/Unqualified Vacant/Improved 17284-01861 18/14/2015 I$415,000.00 WD-Warranty Deed Qualified Improved 1 16271-01765 I 2/6/2013 I$100.00 SW-Special Warranty Unqualified • Improved ,01769-00339 11/1/1899 I$0.00 -Unknown Unqualified .Improved • .,• Extra Features • J LN I Feature Code I Feature Description 1 Bldg. I Length I Width I Total Units I Value 11 I FPPR7 I Fireplace Prefab 11 10 10 11.00 I$2.00 Land &Legal -J Land _ Legal LN I Code I Use Description I Zoning I Front I Depth I Category I Land Units I Land Type Land Value I I LN I Legal Description 1 �0100 I RES LD 3-7 UNITS PER AC I ARS-2 185.00 1130.00 I Common 11.00 I Lot I$340,000.00 I 1 5-69 16-2S-29E.250 2 ATLANTIC BEACH 3 LOT 41,E 10FT LOT 43,W1/2 LOT 39 4 BLK 10 Buildings Building 1 . Building 1 Site Address ElementCode Detail 390 PLAZA Unit I .-.- - - I. I -...._ Atlantic Beach FL 32233 Exterior Wall 14 14 Wood Shingle \ ^I Exterior Wall 6 6 Vertical Sheet cl—' I . „t n �z Building Type 0103-SFR SPLIT-LEVEL Roof Struct 3 3 Gable or Hip H AOT I�j :,-r Year Built 1954 Roofing Cover 3 3 Asph/Comp Shng �'—)L r j Building Value 1 977.00 �, FUA L1 9 $ � Interior Wall 3 3 Plastered 1 � I_� j Int Flooring 12 12 Hardwood BAS ,7 e I Gross Heated Effective I Int Flooring 7 7 Cork/Vnyl Tile L�- —yp I Area Area Area Heating Fuel 4 4 Electric Addition 557 557 501 I Heating Type 4 4 Forced-Ducted J Finished upper 558 558 530 • Air Cond 3 3 Central story 1 Finished Open Porch 166 0 50 I Element I Code I ._. Finished Open 108 0 32 Stories 2.000 IPorch Bedrooms 4.000 Unfinished 52 0 21 Baths 1.500 I 'Storage • Base Area 1204 1204 1204 Rooms/Units 1.000 Finished Open 65 0 20 'Porch !Total 2710 2319 2358 http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1699810000 1/2 11/14/2017 Property Appraiser-Property Details 2017 Notice,of Proposed Property Taxes Notice(TRIM Notice) TaxingDistrict I Assessed Value I Exemptions I Taxable Value 7 Last Year I Proposed I Rolled-back Gen Govt Beaches I$341,979.00 $0.00 I$341,979.00 $2,786.41 $2,787.54 $2,644.32 I Public Schools:By State Law 1$341,979.00 $0.00 $341,979.00 $1,556.74 $1,448.97 $1,476.84 _i By Local Board ($3_,979.09 $0 00 $341,979 60 I$768 46 $766_77 $779 III FL Inland Navigation Dist. I$341,979.00 $0.00 $341,979.00 I$10.94 $10.94 $10.26 Atlantic Beach I$341,979.00 $0.00 $341,979.00 $1,103.63 $1,104.08 $1,049.26 Water Mgmt Dist.SJRWMD $341,979.00 $0.00 $341,979.00 $98.62 $93.16 $93.16 •Gen Gov Voted $341,979.00 $0.00 $341,979.00 $0.00 $0.00 $0.00 'School Board Voted $341,979.00 $0.00 $341,979.00 $0.00 $0.00 $0.00 Urban Service Dist3 $341,979.00 $0.00 $341,979.00 $0.00 $0.00 $0.00 Totals $6,324.80 $6,213.46 $6,002.87 _ Just Value Assessed Value Exemptions Taxable Value Last Year $341,841.00 $341,841.00 $0.00 $341,841.00 i Current Year $341,979.00 $0.00 $341,979.00 I $341,979.00 2017 TRIM Property Record Card(PRC) This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM Notices)in August. • Property Record Card (PRC) The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed. 2017 2016 2015 2014 •To obtain a historic Property Record Card (PRC)from the Property Appraiser's Office,submit your request here: .!j_..1 More Information :ontact Us I Parcel Tax Record I GIS Map I Map this property on Google Maps I City Fees Record • • • http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1699810000 2/2 .;;—; ;:; ,� TREE E & VEGETATIONAFFIDAVIT ' 7;;1= .. - a. Cllty of A1Oanttic Beach h __., Department of Community Development - 2-' � Planning ing&Coning Division ;, ;-_ << 800 Seminole Road Atlantic Beach,FL 32233 • (P) 904 247-5800 (F) 904 247-5845 PERMIT# . SECTII N I- ,'APPLLICANT INFORMATION f Owner(s) legal Authorized Agent* NAME OF APPLICANT ..S 4-5-oy, .S�inirc/ NAME OF COMPANY S/,QJ J/ S j 'e)C v ADDRESS OF COMPANY �SC1 5/o4j Rat -3-c),d ?A ,?1210 PHONE 990tj-75 -J fQ3 CELL EMAIL 5 //s 0 Odis-044",, ._ ii/.4- CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATI•N STREET ADDRESS OF PROPERTY 3e/..0 fig IA ..5,- 44! F/ , ?%i 4 If an address has not been assigned to this pro perty,contacttherAB'BuildingDepartmentat(904)247-5826 to request an address. i LEGAL DESCRIPTION X- G.> H"-ZS' 2- C 25-& 144-4,1i.,— P `G LOT el! BLOCK 6/k /k? SUBDIVISION • • REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT .2 1S AC ' RESIDENTIAL / COMMERCIAL OTHER(SPECIFY) • • • I affirm that 1 have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,1 affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above-described or ad' - t properties in conjunction with this project. G�t/L i NATURE OF OWNER • NATURE OF OWNER 7 • • Signed and sworn before me on this/yday of f` , • ,�-� ,by State of ' ( • ' County of 7)UV Q--,.( I Identification verified: :S 3 — 24 7 illeitak • Oath sworn: r Yes f No-.:r r-9); `=:;'.(14 ��'. /`= �'�'v"`� +"radr_.p • \ ;N , rl:•k1'. 2019TatarySignature r;' ., f� vC. " u ?tt= i;obar 6, t �•_= PJ Oh1PJIiSSION FF9 'i,:,'. ., - , 24951 • �.�~� ublicUnder�><�ter � -.�� EXPIRES: October G,2D19 , .'!.y.,-,Ty _ Gcn�ed Thru P.o - S y Commission expires: i�.!i‘...::::;(1-:;,:-.'-'- . taryPubGcUndery 9L, 1..7 l: , ATLANTIC BEACH BUILDING DEPT. �`. 4' • :4. DEMOLITION— PROPERTY OWNER RELEASE FORM Date: I t• 1W• k To Whom It May Concern: r I/We the current property owners of: Lot 4\I EAST 1O "-P Lar` ' I 1/Z t4T 39 Block t d A-' NI•nc_ Ce IA-paseNtsl,aa t'Ar" Legal Description of Property AKA 3 9 0 Lis4%/ ` have contracted with to have (Address of Property) SiVer eu:s 1 g c • to remove the S 10(rteF1''. AL L' (Company Nome) (Single Family.Duplex,Commercial.etc.) Prier to the construction of: St 0'r- rA`"`t c'( • - 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 place. - U L.I.e pt-NI J E, 1,AJ-t3-eYL Signature Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: i 1 /i 1 1 I - Berore me this 1 _day of Is MO "I in the Con of Duval,State ' �RAD Of Florida,has personally appeared V<Y t ' Notary Public at Large,State v Floridan Coun of Duval. .�, ;i'. IIY001<iiRSSpN#GG 1188yt My commission expires: C / � 1 �= B MWS:September 28,2021 Personally Known: or ' ,,,,arf Bonded'Mu Notary PUbland l an I Produced Identification: 1 i 7 a_