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51 FORRESTAL CIR - DEMO r�S ' CITY OF ATLANTIC BEACH ss ,' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �1;i>%' INSPECTION PHONE LINE 247-5814 DEMO - COMPLETE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEMO18-0005 Description: DEMO HOUSE - FIRE DAMAGE Estimated Value: 6000 Issue Date: 3/7/2018 Expiration Date: 9/3/2018 PROPERTY ADDRESS: Address: 51 FORRESTAL CIR RE Number: 171738 0000 PROPERTY OWNER: Name: CHAMBLISS ROBERT L Address: 22 OAKS DR JACKSONVILLE BEACH, FL 32250-2675 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ALL AMERICAN DEBRIS Address: P 0 BOX 24071 JACKSONVILLE, FL 32241 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. ro..A��r,. City of Atlantic Beach APPLICATION NUMBER r `j.S� Building Department (To be assigned by the Building Department.) 800 Seminole Road I ^/"'�0G, C mss' �� C—_Mo t lJ CJ—� -- - -�� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 1119;" E-mail: building-dept@coab.us Date routed: Z-12-3 /I g Z-12-3ty web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -S I Department review required Yes- No 1B in ►/ Applicant: 'LL AIY\ Q.A-i'-' Dc2 - P nning &Zoning Tree Administrator Project: r-(R_E- E V\C is ors > u is ti 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 PLICATION STATUS fReviewing Department First Review: I" (Approved. ❑Denied. ['Not applicable (Circle one.) Comments: (UILDING_) PLANNING & ZONING Reviewed by: //VI l Date: 3-/ "(9O18- 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 4 rT w Cityof Atlantic Beach '" APPLICATION NUMBER �� Building Department (To be assigned by the Building Department.) 800 Seminole Road FEB ? ? C-1...11A I Q-f')OW ",. Atlantic Beach, Florida 32233-5445 2O�g J it/ Phone(904)247-5826 • Fax(904)2;5845 �j z o;31�r/ Email: building-dept@coab.us �—_.� /Date routed: a /( p City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -S i -1—.6 R R (A L Department review required Yes No `B ' in Applicant: ' t_ __. M F-2.(0.47.... ��'P�f' (S P nning &Zoning } Tree Administrator Project: I t a.�.. o, tic Works u is ti i ie 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 Date: 0,1i9fc4 TREE ADMIN. Second Review: Approved as revised. [1Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: ./ /`O FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 yL�\. City of Atlantic Beach APPLICATION NUMBER (� itAii1� Building Department (To be assigned by the Building Department.) .y 800 Seminole Road FEB 2 3 2018 , -) Atlantic Beach, Florida 32233 5445 D CRMO L O.-010as Phone(904)247-5826 • Fax(904)247-5845FEB '� 0�3 �r E-mail: building-dept@coab.us Date routed: a/z3 /1 P City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -S i C3 IZ R (;*L,., Department review required Yes No Applicant: -(,,L RA e t: j� oc_(),e_( S P nning &Zoning Tree Administrator Project: I isors I?.E {Y C7 u is ti i ies Public Safety _ Fire Services Review fee $ 2-s Dept Signature % ---4-1- 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 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: BUILDING PLANNING &ZONING Reviewed by: ' `1" ' w—_ Date:3/.1vf___ TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. I 'Not applicable PU:401ORKS) Com encs: PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ,, e i0 CITY OF ATLANTIC BEACH �S f` Department of Public Works J r? 1200 Sandpiper Lane ..,.____/: Atlantic Beach, FL 32233 :'-`i...-4'Ji3!9r (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 3/1/18 Applicant: All American Debris & Wrecking Permit#: DEMO18-0005 (DENIED Demo) Address: 4118 Cransley Place Site Address: 51 Forrestal Jacksonville, FL 32257 Atlantic Beach, FL 32233 Email: demobids@gmail.com , PUBLIC WORKS CORRECTION ITEMS `����/0 rV (Submit the following to the Public Works Department in order for us to approve your application) • Provide erosion and sediment control plans with installation details. • All runoff must remain on-site. Cannot raise elevation. • Provide a floor plan survey for pervious credits on rebuild. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • Full erosion control measures must be installed an 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. • All runoff must remain on-site during construction. • 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. • Full right-of-way restoration, including sod, is required. • All runoff must remain on-site. Cannot raise elevation. • Strongly suggest thorough documentation of impervious areas be recorded. • Slab and driveway to be fully removed. Scott Williams, Director of Public Works swilliams(a)coab.us /904-247-5834 Page 1 of 2 THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Any plan change must be submitted as a Revision to the Building Department at 800 Seminole Road. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 2 of 2 . OFFICE CrLiBuilding Permit Application Updated 12/8/17 City of Atlantic Beach • ; , % 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 �nn O 8 ' �S Job Address: S I FCS-CSPA•c, ein-et-C Sch.tw Permit Number: r v Legal Description 30-541 le-2 '2 e A Tut.,TIC C3C.4CN ✓►ugGin,rl eAT)° / RE# 1711 38 -oOOO Valuation of Work(Replacement Cost)$ (0000 Heated/Cooled SF 9 7-5- Non-Heated/Cooled /48 • Class of Work(Circle one): New Addition Alteration Repair Mov• Demo •ool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial Residential • 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: Dtow -A re- otkmmed Ik s:c eAce. Florida Product Approval# for multiple products use product approval form Property Owner Information Name: IZ-o ISra-T L. CI4prN.4 S.S Address: 2-2- 0,4445 bM.t/C City '5A4ouao.4✓.0 a t3&Aso State FL Zip 1- O- 247.5- Phone 9cAf-CSS 208 E-Mail go(3CA4Art 9L-tSS ATT.N Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: %U-4,4'vut 14.4^1 b & srt N+t{.tkn,,G;Gtr<.Qualifying Agent: J 0-4 C.avck Address 'gill Cit ,-.StCi PL City 341'-Sv"11/14i.c State P-(-- Zip 32.20'7 Office Phone '1Oci-262--9Goo Job Site/Contact Number 94-262-54e0 State Certification/Registration# E-Mail bCnao (ii DS t Sm L . Architect Name&Phone# N(A Engineer's Name&Phone# ,JIA Workers Compensation 4-t-0-€t-4 r.41 _ 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. 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 ATTORNEY BEFORE RECORDING YOUR NOT CE OF COMMENCEMENT. ( airedAA (Signature of Owner or Agent) (Signature of Contractor) (including contractor) /� . Sipped and swor t or affirm-•)befppre me this {� day of Sig?ed 0 nd sworn to( ,2 affirm-d)before me his .ay o LL r. , ,by _,pct /Aim/7'055 1��i , �D by Ag %ft N1 00 s° rfigturs. (Signature o otary) _ III Jr My Commission GG 164351 q U w [ )Personally Known OR +aaExpires 11/30/2021 1 t p sonally Known OR ] 1 Produced Identificatio [ roduced Identificationt ype of Identification: , Type of Identification: • �' �,,;;, . ATLANTIC BEACH BUILDING DEPT. .. rj r�"' DEMOLITION — PROPERTY OWNER .} y,rte, , 1 RELEASE FORM :J v Date: °Z4°Cl2,IS To Whom It May Concern: 30-510 S8^2-S"2-cte I /We the current property owners of: Lot /!ITLA,JTI C iR t4t N VILLA un I T 1 Block Lu T /0 t3e.-u 1 Legal Description of Property AKA 5 1 Fo 2£S%4L- C 12ctE Saar H have contracted with to have (Address of Property) r,.,^ Yk I444C4-I01r1 D«SrLLS 4 Waea4/ J6,acto remove the 5t N1Ic FAA,icH har>h-f.. (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : . 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. X47c--tiitiw' s Signature odY"y,. Notary Public State of Florida Signature a y ; John Musser My Commission GG 164351 4.0r v Expires 11/30/2021 THIS SPACE FOR RECORDER'S USE ONLY OWNER I i R Signed: Date: l V ( V Befe me this - day of ' ,oar in the ounty of Duval,State Of Florida,has personally appeared ' '-r I c r,(t,5j Notary Public at Large,State o Flori a,Countyof Duval. My commission expires: I\ 3��--/47 Z Personally Known: or Produced Identification: 1:%L— D(,- 12' 240u,„ fu+.v SU S r —.411111111110., 1 3Es4►S ""1"..1.111.1.1 d moi► BAS (32-s C mt.„ FCP 00,51: , 31 c.� 61as 51 FORRESTAL CIRCLE Permit # DEMO18-0005 Z i ►2� 'l_d1w Z-Li/Lu io Duval Property Map PROPERTIES _ 44 Q • 468elr \ i____4_,....„---i------- - t \- t 462 \ i t g 9 E\ 45 6 --.-_- • . 450 \ .,,,, \ ' 1 ,., . ,,. / ///./.0,(.000.07//1/ / `'.11/ 1 -' 55 - \ / 3 71738 00 - ----__ t -,_ i j .,�� 432 l 426 39 ,.�� 1 \k---\ ,i. �.Ey 42C / ' } 47 1 be/rt 0LITI 0 F 0 = DetnO G Si FF 04CS7ac.. (ln.ct� 1��' S;14-/►n u,. http/%maps.coj.netlDuvalPropertyl?RE=171738-0000 1/1