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358 PLAZA DR DEMO HOUSE, SHED, DRIVEWAY CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DEMO - COMPLETE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEM018-0007 Description: DEMO HOUSE, SHED & DRIVEWAY Estimated Value: 8500 Issue Date: 3/20/2018 Expiration Date: 9/16/2018 PROPERTY ADDRESS: Address: 358 PLAZA RE Number: 169971 0000 PROPERTY OWNER: Name: SUMMER REIGN INC Address: 2107 HENDRICKS AVE JACKSONVILLE, FL 32207 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: JEWEL HOMES LLC Address: 112 Greenbriar Estates DR JACKSONVILLE, 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. 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. * 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. Permit Conditions City of Atlantic Beach -D' _N Permit Number: DEM018-0007 Description: DEMO HOUSE,SHED& DRIVEWAY Applied: 3/9/2018 Approved:3/15/2018 Site Address: 358 PLAZA Issued: 3/20/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner:SUMMER REIGN INC Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS E SATISFY DATE TYPE STATUS SEQ NO ADDED DATE REQUIRED DAT7 DEPARTMENT CONTACT REMARKS 1 1 3/14/2018 1 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247- 5814)to request an Erosion and Sediment Control Inspection prior to start of construction. 2 1 3/14/2018 1 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 3 1 3/14/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 4 1 3/14/2018 1 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 5 3/14/2018 CONSTRUCTION SITE INFORMATIONAL I MANAGEMENT PUBLIC WORKS Scott Williams Notes: Provide construction site management plan,including location of silt fence,clumpster,portable toilet. Right-of-Way Permit is required if using right- of-way for construction parking. Printed:Tuesday, 20 March, 2018 1 of 2 0010 -1.11- Permit Conditions City of Atlantic Beach 6 3/14/2018 RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site. Cannot raise lot elevation. 7 1 3/14/2018 1 DOCUMENT IMPERVIOUS AREA INFORMATIONAL PUBLIC WORKS + Scott Williams Notes: Strongly suggest thorough documentation of impervious areas be recorded. 8 _F 3/14/2018 SLAB DRIVEWAY REMOVAL INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Slab and driveway to be fully removed. 9 3/15/2018 UNDERGROUND WATER SEWT�_F INFORMATIONAL UTILITIES PUBLIC WORKS 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 247-5834. 10 3/15/2018 DISCONNECT AND CAP INFORMATIONAL PUBLIC WORKS Kayle Moore Notes: Disconnect and cap water and sewer lines. Printed:Tuesday, 20 March, 2018 2 of 2 000, -I- I I City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 4_1 800 Seminole Road Atlantic Beach, Florida 32233-5445 ciysc) IF) -- (-)00*7 Phone(904)247-5826 - Fax(904)247-5845 MAR 12 201 q-13 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 2 C:� C�> Property Address: L R-XA Department review required Yes No Applicant: C7,VU i;z-:-:_C_ C) 6'��C Vlanning &Zoning Tree Administrator Project: c� C_ IN_bI i c—U—t nii-i-el,— Public IF__ _ Fire Services Review fee 2 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: APPL)CATION STATUS Reviewing Department First Review: I(Approved. FIDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: L_ TREE ADMIN. Second Review: []Approved as revised. F]Denied. []Not applicable PUIPB;XWORK Comments: X'BLI16 UTILITIE_� 3-13-1 r PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. F]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 lantic Beach, Florida 32233-5445 Dczmc) IP) - 0007 A MAR 12 2018 P one (904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (-A x Department review required Yes No Applicant: li�_L H ci-n A -"Planning &Zoning Tree Administrator Project: c> c- ��Iic OF�me S, -Public 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: 4KApproved. [:]Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by.- Z4611zzz� Date:J_Z� vu� vo, -&,w 4vt oa e2l TREE ADMIN. Second Review: FlApproved as revised. RDenied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date.- FIRE SERVICES Third Review: ElApproved as revised. E]Denied. [:]Not 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 cjys c) 0'7 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us I I APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Applicant: ri7_(_ H aaq c- "Rla,nning &Zoning Tree Administrator Project: F--N\ C:) (D-s- C- 4p�� (.��Iic Uti�me Public zret7__. —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: YA'-pproved. [:]Denied. [:]Not applicable (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 2ol TREE ADMIN. V Second Review: FlApproved as revised. E]Denied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. F]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Updated 12/8/17 Building Permit Application City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Etyx 0 Job Address: 358 Plaza Atlantic beach, FL 32233 Permit Number: D 19-0097 Legal Description Lot 27 block 10. RE#1 69971-0000 RE# 169971-0000 Valuation of Work(Replacement Cost)$ Heated/Cooled SIF Non-Heated/Cooled_ • Class of Work(Circle one): New Addition Alteration Repair Movd�Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial �� 41 If an existing structure,is a fire sprinkler system installed?(Circle one): Yes G:)N/A 0 Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail t to be performed: ost .9 11" 1::,! Zi d, ie 4v;le-�-AuJed, he type of wor , 1,11 1:1 !:!Xunp�cr will[ q dfA0'.'A3 4.1 ey�54 4�;daAwl eOA0-cit- dir"Ve Florida Product Approval f for multiple products use product approval form Pro e�rty Owner Information 2107 Hendricks Ave. Suite 202 Name: Summer Reign Inc. Address: State FL Zip 32207 Phone (904)891-5002 City Jacksonville — E-Mail neewaftellsouthmet Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information dvty� LLL Qualifying Agent: I FV-1t'-f---:5VL'Vk Name of Company: t ;W Address I(X(y es 4C city 61 �TCLA-A5 State FC Office Phone qyq- JII- Job Site/Contact Number State Certification/Registrati n# C (12 35-7 3 E-Mail e RP,-f l COA Architect Name&Phone# Engineer's Name&Phone# Workers Compensation le�(PA11 4-: 1() 15119 rip— I Exeml!It/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. 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 othcr governmental entitit— tich 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (N W.L. Nutter nature of Owner or Agent) (Signature of Contractor) (including contractor) 4L �h Signed and sworn to(or affirmed)before me this 8th dayof Signed and sworn to(or affirmed)before me t I his-T day of March 2018 ,by by T(ALe (Signature of Notary) (Signature of Notary) r an Me ney W Gwen MC I Personally Known OR N Personally Kn n OR lnisliion I GGMQ1 ow COT iific I Produced Identification Nvemkr 7,2020 NEED 1V M'v '0' Produced Ident .1tion Type of Identification: Type of Identification: 0.F Bondedthru &n ATLANTIC BEACH BUILDING DEPT. DEMOLITION — PROPERTY OWNER RELEASE FORM Date: 2-21-18 To Whom It May Concern: I /We the current property owners of: Lot 27 Block 10 RE #169971-0000 Legal Description of Property AKA— 358 Plaza Atlantic Beach, FL 32233 have contracted with to have (Address of Properly) Jewel Homes to remove the Single Family House (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of New Single Family House 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. I Signature L,3. Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: Before me this d 0 i1;14Ao4#&4,f in the Cou &*,6 Notary Public Stem of Fkwsdo //ty o�buval,STate Neewa JiR Phe" Of Florida,has personally appe ed I MY Commission FF 170504 Notary Public at Large,State of Florida,County of Duval. Expires 10/21/2018 My commission expires: 24 OF IV Personally Known: L---- or Produced Identification: MAP WiA7 G BOUNDARY ----�' URVEY -0 LOT ,?7, BLOCK .10, PUT No. 1, SUBDIWSION "A" ATUNTIC BEACH, ACCORDINC To THE PLAT F THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 69 , OF ME CURRENT PUBLIC RECORDS OF DUVAL COUNTY FLORIDA 0* 5' --lo, 20, 40' GRAPf*C SCALE AfOIM- SCALE 1'.20' 1 &rARWGS SWWV AVVEGN AlW ASRAW 2 HEAWX OF N 80 57*13r OF R-AZA hTW RAW. J MD NOW 10-23-17 PLAZA (80'RIW) 50.00 PLA r FOUM 1/27.P. N89' 07'COUP41,rED 57*13'F S,)- NO CAP, Mool F-OVW 1/21.p. NO CAP. io'EAtmoAcHmsvr FWW 112'Lp. No cow CONOWIT J0'DVa?0ACHWN)' 10.70' OAR 12.60' 60' -e-ro- 0-40 96 N ol moo, t-z. LOT 25 LOT 29 (AALV, R F3 LOT 27 00 B L 0 C 10 -*7544, 0.10' �o S89 79'JO"W 49.85COMPU 7ED FOUAV 1121p. FOUAV 1/27.P. NO CAP. 50-00 PLA T NO CAP. LOT 30 LOT 28 LOT 26 7749 NORMANDY BOULEVARD #145-305 SYMBOLS; JACKSONVILLE, FLORIDA 32221 —,—CHnCelK ANTHONY PAUL O' NEIL PHONE (904)-624-3399 ROONEYSONSOAOLCOM —-—WOOD FV*m I HEREBY CERTIFY TO w—VARE FENCE —E—ELEC7Ric uNE OLD AMWC NA n&A4t n?W WSIMANCE-COWANY 7AWO?HrP. ATUYP.A CIL UTILM POLE