1249 Beach Ave DEMO18-0006 house demo permit I!.-L'L
CITY OF ATLANTIC BEACH
;-.;t4,7,, ,,,,.,i
' 800 SEMINOLE ROAD
7.:!, - �� ATLANTIC BEACH, FL 32233
'.--'1,!..)169',- INSPECTION PHONE LINE 247-5814
DEMO - COMPLETE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: DEMO18-0006
Description: demo existing structure
Estimated Value: 0
Issue Date: 3/29/2018
Expiration Date: 9/25/2018
PROPERTY ADDRESS:
Address: 1249 BEACH AVE
RE Number: 170292 0000
PROPERTY OWNER:
Name: BOENEKE DEMORY
Address: 7093 OX BOW RD
TALLAHASSEE, FL 32312
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: GRIDER CONSTRUCTION INC
Address: 2057 VELA NORTE QA GARY C GRIDER
ATLANTIC BEACH, FL 32233
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.
�� it _, Permit Conditions
City of Atlantic Beach
4r A T.) *
Permit Number: DEMO18-0006 Description: demo existing structure
Applied:3/8/2018 Approved:3/14/2018 Site Address: 1249 BEACH AVE
Issued: 3/29/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233
Status: ISSUED Applicant: <NONE>
Parent Permit: Owner: BOENEKE DEMORY
Parent Project: Contractor: <NONE>
Details:
LIST OF CONDITIONS
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 3/14/2018 DISCONNECT AND CAP INFORMATIONAL
PUBLIC WORKS Kayle Moore
Notes:
Disconnect and cap water and sewer lines.
I 2 3/14/2018 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.
3 3/14/2018 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
4 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.
5 3/14/2018 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required. I
Printed:Thursday, 29 March, 2018 1 of 2 0
r1 S.APIr/r
m' 4" 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 3/14/2018 DOCUMENT IMPERVIOUS AREA I INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
Printed:Thursday, 29 March,2018 2 of 2 '
1'
C,:Ly City of Atlantic Beach APPLICATION NUMBER
� Building Department (To be assigned by the Building Department.)
800 Seminole Road (\ �n �06
\/^
Atlantic Beach, Florida 32233-5445 I J /" UYCJ
J� Phone(904)247-5826 • Fax(904)247-58MAR 0 9 2013 3 I �'I I Q
�;� �� E-mail: building-dept@coab.us Date routed: Ig
-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: \ -L-k tr kitLtl /k1Q • De artment review required Yes No
1 uildin
Applicant: (1�(1 aS4 C.0OS 4 a D!1 Planning &Zoning
Tree Administrator
Project: at. (Y) O -Uy iS- J SVvt04L VOIVIM •
Pulic 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: Approved. I 'Denied. ❑Not applicable
(Circle one.) Comments: 1
BUILDING -* r I�S �0 \c ' -1-oev- cI e,
PLANNING &ZONING
Reviewed byt; Date: ,1/1749
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. III Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
( j'Jp
Building Department " (To be assigned by the Building Department.)
800 Seminole Road (D L Av1 o., & -oco
It_ a- sr Atlantic Beach, Florida 32233-5445 N /"��V I I 1C�
K:,,,,,, Phone(904)247-5826 • Fax(904) 247-58MAR 09 2O1i3 g'
a;31»r E-mail: building-dept@coab.us Date routed: U
City web-site: http://www.coab.us
t,t
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 kGl &Ltrk AQ • De•artment review required Yes No
:uildin•
Applicant: CA 1 L-( e.01)S tin Planning &Zoning
Tree Administrator
Project: al in Q 4.)1C.tS�iNb SVM.A-LLL • • • forks
' •lic Utilities
Public Safety
Fire Services
Review fee $ ,2-5-'- Dept Signature Xe't'\
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
i
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APP TION STATUS
Reviewing Department First Review: FKApproved. I (Denied. Not applicable
(Circle one.) Comments: r_ II
BUILDING -Plcos ibo Ia�je +6 I �C�,v-kale
PLANNING &ZONING Reviewed by:_? Ai, --- Date: 113 I
TREE ADMIN.
Second Review: Approved as revised. Denied. ['Not applicabl
PUB,/WORK Comments:
BLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
.,:/la yr City of Atlantic Beach APPLICATION NUMBER
4' ilk at.1 Building Department (To be assigned by the Building Department.)
800 Seminole Road (\ nnD 1 & ^Ow! _,' r Atlantic Beach, Florida 32233-5445 LJ /' Sp
Phone(904)247-5826 - Fax(904)247-5845 I rt I Q
J,31�`' E-mail: building-dept@coab.us Date routed: U
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 aL-k_Gl Lln AA • De artment review required Yes No
uilding
Applicant: CV- CUL( COnSUAC*Dr1 Planning &Zoning
Tree Administrator
Project: In 0 `Q'i iSt!1 J SV t cLc L - • . Arks
•lic 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
i
St.Johns River Water Management District t
Army Corps of Engineers V
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [ pproved. I (Denied. ❑Not applicable
(Circle one.) Comments: Ja!vC_ o 4
BUILDIN
PLANNING & ZONING
Reviewed by: / Date: ?//2/2o Lk'
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
OFFICE COPY RECEIVED
.4, Building Permit Application Updated 12/8/17
-7°F44. City of Atlantic Beach MAR - 8 2018
Aa .s 800 Seminole Road,Atlantic Beach,FL 32233
^ j� , a Phone:(904)247-5826 Fax:(904)247-5845 IP-a-rt0m0en°7
Job Address: lazicz- pL '_c'A 4kC PerrmmitNumber: BuildingDe
Legal Description Oafs 4 44 ��o0k6l /9 -)c& Ac &a L �d/1 RE I�`Y ofAtlantic Beach FL
Valuation of Work(Replacement Cost)$ Heated/Cooled SF ' 47 on-Heated/Cooled Pi SC,ri
• Class of Work(Circle one): Ne Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 'esidential
• 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:
,/ao 5 f/&, te-09 1 OA % i;17_ ,w to
Florida Product Approval# for multiple products use product agprval form
Property Owner Information
Name: DelflO'r 13Oeieike Address: 7083 OX pu w Rd
City 7a//2hI56ed State/ Zip 32a 12 Phone
E-Mail dGJnorysb 30 Q01.GOJt1
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information L Jam,
Name of Company: G�', Gr Co, I C 7Ae' �G._ Qualifyin A ent: ( 1fj�6-/
Address •20 7 V&/Q' ./c C/P City, fe AawcA State Fl zip 3 22x3
Office Phone go 4- x:.4{4- 3 4 44 Job Site/Contact Number. r
State Certification/Registration#CR G 9.6$3`f6 2 E-Mail gtIddf C 55YutiJ, i;tde S yahoo .COM
Architect Name&Phone# Tar)es ikddF 6464 " Lag- L57C
Engineer's Name&Phone# Chris e $O$-v2/)' 4 707
Workers Compensation 6 sein,o{-
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 FINAN NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO' NG Yr ' OTICE OF COMMENCEMENT. ...4,
X (I ! /• /---0/ - -GKX
/6' g ature of Owner or Agent) (Signature of Contractor)
(including contractor)
' ed and sworn to(or affirm-d)before me this day of Signed and sworn to(or affirmed)before me this ' day of
2D(Sc,by �� .. .�_ I►l A ;X)1(3 , by (gip / Cl -c 61-s —
i
dL CQ �' ;/ siarunuapuD 3iIgnd/uetoN ru41 PaPuo0 t f�►Q►,!�f i
v . :nature of Notary) OZOZ'LZJegoio:S3bIdX3 '•°.`''r."'' rt of Notary) C
686Zb0 00#NOISSIW►NO0 AW t,�� S
['Personally nowra •' [ ] Perso gYlhr 0R ,;? tit?.
STACEY HUNTER
[ ]Produced I `'• Notary Public-State of Florida /
Type of Identi ca ••••1 Commission#GG 1605.1Type of Identification: f L OCt SLS.
,--, � 'o�i' My Comm.Expires Jan 8,2022
.•'-,O`"` Bonded:hrough Nasona Notary Assn.
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION - PROPERTY OWNER
°` RELEASE FORM
v
,,
st ,v. OFFICE COP\
Date: a' i' ig
To Whom It May Concern:
I /We the current property owners of: Lot 4,644
Block S/ hikicireG Sec , Fl 32 L33
Legal Description of Property
AKA i21-(9 �U/ 14/6 have contracted with to have
(Address of Property) '_/
GI/jet' COIdOe i�U :2 ,C to remove the S/ e , lir K ec
(Company Name) (Single Family,Duplex,C mmercial,etc.)
Prior to the construction of : Neo 5 fig
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 affe ted area or new structure is completed and landscaping is in
oce. I
ateA / ,A,
Signature eV
Signature
THIS SPACE FOR RECORDER'S USE ONLY
OWNER tiagLe.--
''Signed: Date: g 3 -(a
Before me this Z. 1 day of . 2.0 fin the County o I tate
Of Florida,has personal' appeared
• L - / f>"Cj
Notary Public at Large,State of i lori a,County of . :1. ( -25
My commission expires: //k� !I'ZZ
Personally Known: or
Produced Identification:
ail 4)- --
/ I ,2Q• .u¢^• STACEY HUNTER
0 . _ Notary Public-State of Florida
., •�" •,• Commission#GG 160560 I
(:"�jP My Comm.Expires Jan 8,2022 P
•'•",, Fr.,'
Bonded mrough Nations Notary Assn.
Perm I- D6M / - occ3G
NOTICE OF COMMENCEMENT
State of Fia,d - OFFICE COPY'Folio No.
County of DV/Qt r
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in is ►O IC OF COMME T. ,, r�
Legal Description of property being improved: „ ' i a % l 41761e ata► 32
2,13
Address of property being improved: p
General description of improvements: R a>► oc)e,,74 .5-AA0,0,eGbit fiie.A.- 4ceilii/ SPA
Owner: Dego/" c.ii eiFe. 99 Address: 7693 OX 29604 /41�/1Gaew � 325/2
h
Owner's interest in site of the improvement: 9 F
Fee Simple Titleholder(if other than owner):
Name:
C tractor: G/Id0 er CD /eektt+11/c•
�
Address: .ZcD 1 frela l ✓eJ t Vl
Telephone No.:Toy-2 tier 714a Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax N.•
Name and address of any person making a loan for the construct: of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florid. ether than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, o er designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida S • es. (Fill in at Owner's option)
Name:
Address.
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified): 3 'I ' goad.
-
THIS SPACE FOR RECORDER'S USE ONLY OWNER Ai
/ �l
Signed:X/►' ' Date: d —a? g
Before me this 2day of C in the County of Duval,State
Doc#2018055131,OR BK 18308 Page 919, �Of Florida,has personally appeared ( (ko/
Number Pages:1Notary Public at Large,State of lorida,County or-Penal. �5 c)F-1`"
Recorded 03/08/2018 11:25 AM, My commission expire / JI Z
BONNIE FUSSELL CLERK CIRCUIT COURT DUVALPersonally STACEY HUNTER or
Known:
COUNTY • i
RECORDING $10.00 Producedldentificati� • �IJ 0..o,ry ,�—acateo,.-
�11`•`�s Comm.Expires Jan 8,2022
' 441V,WTMed through Nauona Notary assn.