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1644 PARK TER W - DEMO ,�� ` �� CITY OF ATLANTIC BEACH . � 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 C_'2.ost sf INSPECTION PHONE LINE 247-5814 DEMO - PARTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEMO18-0002 Description: DEMO SHED AND CARPORT Estimated Value: 0 Issue Date: 1/30/2018 Expiration Date: 7/29/2018 PROPERTY ADDRESS: Address: 1644 W PARK TER RE Number: 172020 0164 PROPERTY OWNER: Name: GRAMLING SCOTT R Address: 1644 W PARK TER ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MILLER CONSTRUCTION GROUP LLC Address: 265 CAROLINA JASMINE LN SAINT JOHNS, FL 32259 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 of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road O /, -ow; Atlantic Beach, Florida 32233-5445 ( EMS I� O OD Z Phone(904)247-5826 • Fax(904)247-5845 --;401w):- E-mail: building-dept@coab.us Date routed: I I l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM De ment review required Yes No Property Address: t244 � (-}fZ�- Cg-12 p (� Building Applicant: I V �,1 LLE{Z Q c -Planning &Zoning Tree Administrator Project: l_t " (tkP®p_-7 ublic Work is tihties� 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: V3Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: '4 Date:O I cit$[t TREE ADMIN. Second Review: Approved as revised. Denied. Not applicable PUBLIC WORKS 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 �; 1-m-ir, City of Atlantic Beach V APPLICATION NUMBER 0s 1 .1 Building Department o be assigned by the Building Department.) r, .. ,:` 800 Seminole Road p A � 79 ,.�� E.rv�,c�lc� ._000 z 1 �r Atlantic Beach, Florida 32233-5445 20 �'`:� Phone(904)247-5826 • Fax(904)247- c� tt \J.3 �,' E-mail: building-dept@coab.us •• Date routed: I 1 l p7City web-site: http://www.coab.us _` APPLICATION REVIEW AND TRACKING FORM Property Address: t 4 24 vJ PR-R_ ___ ' G-Ria Depaient review required Yes No Building Applicant: MI LLE{Z. 0 Oil..( Planning &Zoning Tree Administrator Project: -(\(\e-� (,-E F-( "$ C >pv.k_p0 -CFrublic Work) is i i ies 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. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by:��G0� �' YVq�� y Date:lo/Y.-ft TREE ADMIN. Second Review: Approved as revised. I 'Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. r (Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 -, �� J City of Atlantic Beach APPLICATION NUMBER S, Building Department '' '""�" (To be assigned by the Building Department.) s 2 800 Seminole Road "� """ " /-� ''- '' Atlantic Beach, Florida 32233-5445171 ��I D `v��2 ,� �� Phone(904)247-5826 • Fax(904)247-5845 JAN 19 2018 J,31l'' E-mail: building-dept@coab.us ale routed: I t (( P-7. City web-site: http://www.coab.us BYE APPLICATION REVIEW AND TRACKING FORM I ' De artment review required Yes No Property Address: �4 v� PR �� _ q - C uilding Applicant: I V\t LLL-jZ C �S.' Planning &Zoning p 9 1 Tree Administrator Project: (\i\(. l_�(,- . CRPo ublic Works') I ttrbTic J(ties:3) Public Safety Fire Services Review fee $ Dept Signature ) ---d^^. 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. [Not applicable (Circle one.) Comments: BUILDING / /�,, PLANNING &ZONING W 1/l/�—� o� Reviewed by: - Date: 1 d`� \O TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS 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 riW? Building Permit Application Updated 12/8/17 - A 2 City of Atlantic Beach VO• W 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845o 1--� 19 `" /� Job Address: /00 it"( Phase 76042466 W. /4f2 C $Cr,cL 3ZZ3Permit Number: ' E� 8 0 1 uch 3 Legal Description Sava N1,4,te/Akmr6/Itô€t6//or t6 RE# Valuation of Work(Replacement Cost)$ Heated/Cooled SF 2 57c( Non-Heated/Cooled 46 • Class of Work(Circle one): New Addition Alteration Repair Mov: Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial •esidentia • If an existing structure,is a fire sprinkler system installed?(Circle one : Yes 6) 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: D64110 o6 oexsrmig 3fled * Ma-Neil-ea 140R-r Florida Product Approval# A for multiple products use product approval form Property Owner Information Name: SG+7T VA?r7LIN�j Address: /6V'pA4C malice W City ATLRr f,4 r(C ati1 State ft- Zip 3 22 3 3 Phone 01' ) 9'- 33�oQ E-Mail 5Cotrq @,Me sli2oOO,y► • Owner or Agen (If Agent, Power of Attorney or Agency Letter Required) Contractor Information �J Name of Company: /'Yt ILC f/!- CDi5rAKCIrto.)giZdce//e1cQualifying Agent: /c Oijfie A. /1,11446e. Address 25 C14-zot(N44- \7AsM,14" GN City ,S f ,Trsii/JS l State `L_ Zip 3tZ5, Office Phone (goy) 2.34-0sp2 Job Site/Contact Number State Certification/Registration# CAC tzsg163 E-Mail reilleit nc, Jac.Cowl Architect Name&Phone# NQ Engineer's Name&Phone# rA Workers Compensation Exempt nsurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to e 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. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 ATTORN BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Ag-40 (Signatu of Contractor) (including contractor) Si ned and sworn to(or affirmed)b re me this - 641 ay of Signed and sworn to(or affirmed)before me this l 0 day of c a`''il 4.4?; REBECCA J.FITCHETTz-1l�` ,_ t✓I Notary Public -State of florid' a •. `_ r(Signature of Notary) nature of Ntary) Commission#FF 934464 I 1, � M_V Comm.Ex�,ppires 0 c 30,2019 i [ ]personally Known OR ':°�Pn k, MOHAMMED KANDEL �''F ,,... �Ch9b RpilY� atary Assn. i ;Commission#GG 114942 Produced Identification ► T e of Identification: e of Identification: xRire�s June 14,2021 Yp Yp "`f��f' "p( dThreTro,faininsurancem-385.7019 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 \ ,N (904)247-5800 PERMIT NOTES RESIDENTIAL DEMOLITION January 28, 2018 &CV' 1644 W Park tern Cl/ft ppR C BP # DEMO18-0002 sEE P °RATA DF co e responsibility of the contractor to: �3� � QUta 46-Airs F°Aqo e�C IANCF 1. It 1SahConta t JEA to disconnect electric power. v�EwEo ey, :11)coNr,°Nqy b. Locate and clearlymark all utilities. `D °NS ATE. c. Disconnect and cap off water, sewer, and gas lines. 2 0 c 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. Otp icF CO yl