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743 SAILFISH DR - PERMIT 17-DEMO-3199 City of Atlantic Beach '�:APPLICATION NUMBER Building Department p: e assigne y th e- Buildi fig Department) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7q3 Sal Department review required Yes No B 7M=rd(0�A; Applicant: Y L Pc!��t es CL�_—s�rn P_1an­ri­in�g &Zoning Tree Administrator Project: Woff) Qublic Ufi—liffa� Public Safety Fire Services 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: V�Approved. E]Denied. (Circle one.) - Comments: PLeNI'NG 8,MZONING Reviewed by: Date: TREE ADMIN.. Second Review: FlApproved as revised. FlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. FlDenied. Comments: Reviewed by: Date: Revised 05/14/09 en BuILDING PERMIT APPLICATION W, CITY OF ATLANTIC BEACH DATE 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 9 Fax: (904)247-5845 Job Address: W3 h� 041� Permit Number: Legal Description 20 Valuation of Work(Replacement Cost) $ V, exileated/Cooled SF Non-Heated/Cooled Class of Work(Circle'one): New Addition Alteration Repair Move 'e __ Pool Window/Door in in __R ti Use of existing/proposed structure(s) (Circle one): Commercial <,_:�es:ii:i!en t i��a If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No (L5D-/-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: &wvk AyAc 6o' L/ Florida Product Approval# for multiple products use product approval form Property Owner Information Name: N�Ad &�ft x Z-Ze� A d d r,e s s: AIV-71 fiva; W city ;ih %4- State Ft-Zip _1�2 2!�? Phone E-Mail xi- CqL( Owner or Agent (if�gent,Power of Attorney or Agency Letter Required) 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 NOTffE OF COMMENCEMENT. Contractor Information: lav ZeO4-4ualifying Agent: k/t� Name of�Cxajny: Address: 6itv State Zip 'PZ' 3��3:2 OfficePhone '70�170Y-3777 Job Site/Contact Number- '70Y-- 7_0'y--52- 77 State Certification/Registration# 1!�-6 3 RA L/ E-Mail-,V/- A0 Architect Name &Phone# Engineer's Name &Phone# Worker's Compensation Exempt / Insurer / Lease Employees / h jZ stallations as indicated. I certify that no work or installation has commenced d to ineet the standards of all,laws regulating construch.on i.n this jUrisdiction. in six(6) months, or if construction or work is suspended or aban one or a stand that separate permits must be securearfor Electri al Work um itioners,etc. Sianature of Contractor Befor e �r /- this V%v of Before me this $tell RIC,IA.j9U . RICHARD mo-rTp,A MOTIOLA Notary pj.-t�jc - Stale 01 Notarypti)tic.,sta Notary Publi ublic: TP-0i Fiu, 399 # IF MY COMM.Expires Sep 15,2019 M Y COMM-Expires Sep 15,2019 Botidedtim noes governing.this 0�pve of w r 7ill b7coRfi[Ted-w Tv ern :herein or not. '�qf 0 P r I hereby certify that I have read and ------- e to be true and correcr_* ordina The granting of ap�r presume to give authorio)to WoKate oil ance.ltliepi-ovisionsofan.�othei-fedei-al, state, or local law regulating construction or the peiforniance of construction. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5800 (904) 247 PERMIT NOTES RESIDENTIAL DEMOLITION February 27, 2017 R"1-Vd'E1,,',,JED FOR CODE CONIPUA,'�4CE CITY OFATLANT-C BEACH 743 Sailfish Dr. SEE PERMITS FOR ZDITIONAL BP 17-DEMO-3199 REQUIREMENTS AND CONDITIONS REVIEWED BY:��, DATE:e>ZA2_ 1. It is the responsibility of the contractor to: a. Contact JEA to disconnect electric po�Wer. b. Disconnect and cap off water, sewer, and gas lines. 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 f6r masonry structures and asbestos-containing materials.) 5. R, emoval of any trees requires a separate Tree Rem6val Permit, per COAB Code Of Ordinances, Section 23-21. 16. Protection of trees and vegetation during construction is required, per COAB Code Of Ordinances, Section 23-32. 7. Prior permission from the Building Department is required before blockitl6ypanrt of the Right-Of-Way. EE-CF, k k B 2017 2 0 0 10 2 r0RIGINATION BENCHMARK I GRAPHIC SCALE (In Feet) I inch 20 ft. NATIONAL GEODETIC SURVEY MONUMENT7 688" V4V0.1999EIPIATION-12,59 20'R/W FOR ROAD(PLAT) FLOODZONEX 14— COMMUNITY NUMBER:120075 5'WALk( PANEL:0408 LLJ SUFFIX.-H 2-010-2" E2[� �, L-1 h� Ly SEM NT 51 TOI&D 112- — IROMPIPE -Z:z Q �D --) uj 5 FOUN-11 cz i� !-� :�t LOCATIONMAP Cm LOT 17 0.b, IRONPIpE ccc Cc BLOCK 6 zz LOT 16 T LOT 15 LEGAL DESCRIPTION: BL CK 6 -NO ca 28.1 BLOCK 6 LOT 16,BLOCK 6,ROYAL PALMS,UNIT 1,ACCORD PLAT 27 8' 24 Cl) THEREOFAS RECORDED IN PLAT BOOK 30,6PA . THE .!BUILDING CD PUBLIC RECORDS OF DUVAL COUNTY, Lu #743 0. E 93 -ka Q- NN*. Lu Aga m 0� 86 Cn 00 0 lal�. FINISH 0 0 17.9'1 1* t�u:62 1 ELEVA = 6' - "b-14502 stwt 0 7.9 A-0 C,� ABBREVIATION DESCRIPTION: 12-19-2016 ul Npl - - �---7- i AIC AIR CONDITIONER 25-BUILDING CENTERLIME b SE ME I.D. IDENTIFICATION 1=1 10-0 LB LICENSED BUSINESS 9 MAVD. NORTH AMERICAN VERTICAL DATUM MG.VD. NATIONAL GEODETIC VERTICAL DATUM P�j ap� OHL OVERHEAD UTILITIES METEk P.C. POINTOF CURVATURE IRONRO- ft 4B#7463 502010211W 80.65' P-K PARKERKYLONNAIL U UTILITY TILITY PSM PROFESSIONAL SURVEYOR MAPPER POLE SITE RENCH i�RK ft 518 .0 .4 PEVATIONW;12.46"0 PIPE RIW RIGHTOFWAY IS RI SAN17ARY ANNHOLE q CD SA-Ulsli N85'20'02'W 378 60' �?RIVE EAST Nf� (BEARNG 8ASEj 60'Rl---_ V�RO W FOUND P-K C NOTES. 0 1. LEGAL DESCRIPTION PROVIDED BY CLIENT z NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE Kenneth J.Osborne PSM#6415 3. NO SUBSURFA CE IMPRO VEMENTS WERE L 0 CA TED AS PAR T OF THIS 5 UR VEY THIS SURVEY IS NOT VALID WITHOUT 4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BO TH RECORD AND MEASURED UNLESS OTHERWISE NOTED THE SIGMA TURE AND THE ORIGINAL RA ISED SEAL 5. EL E VA TIONS SHO WN HEREON ARE BA SED ON N.G.V.D.1988 DA TUM,UNL ESS 0 THER WISE NO TED OFA FLORIDA LICENSED SURVEYORAND MAPPER 6. THE BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF SAILFISH DRIVE EAST,ASSUMED TO BEAR N85-20'02-W CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 PERMIT NOTES RESIDENTIAL DEMOLITION February 27, 2017 FOR COI)e COAjPLj,4t4CiZ C"ry OF-4TLAIVTIC S=E PERA41TS FOR ADD EIEAC�j 743 Sailfish Dr. REQUIREA4Z- ITIOAIAL. iNTS ANI)COIVI),TIOIVS BP # 17-DEMO-3199 DAI*6.1 1. It is the responsibility of the contractor to: a. Contact JEA to disconnect electric power. b. Disconnect and cap off water, sewer, and gas lines. p 'beginning 2. Silt fences must be in place and 4p roved by Public Works before 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 h6se 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 e -it per COAB Code Of Ordinances, Section 23-21. (- .o TA' 6. Protection of trees and vegetation during construct/* e,,i,` e�,`bet�tOAB Code q Of Ordinances, Section 23-32. Z 7. Prior permission from the Building Department is _'�efdre' blocking any paft of the Right-Of-Way. 17 I I B 0 GRAPHIC SCALE (I Feet) ORIGINATIONBENCHMA I I in I :4zt S� inch 20 ft. nTIONAL GEODETIC SURVEY 0,-A YQ�UMENT-P 688- NA.VD.1988 ELEVATION=f2.59 Rc TE. —————— Dlrlrier lij 20'RIW FOR ROAD(PLA7� �;777-7 _7 FLOODZONE.-X , WALK COMMUNITY NUMBER.,120075 .7i -nl wl LL L PANEL:0408 � 1. - a olllt�q u .6 -H M SUFFIX. FO pinz� 112" 4 LQL Lu 2y) C/3 IJ w Z:l Li- �k 0" 17 L 0 CA rION A4A P -4 Q., -cj C BUR,6 LOT 16 ,.- 0- LEGAL DESCRIPTION: BLOCK6 LOT 15 BLOCK 6 cc :!s CD .- I 27.8' LOT 16,BLOCK 6,ROYAL PALMS,UNIT 1,ACCORDING TO PLAT Cn V, THEREOFAS RECORDED IN PLAT BOOK 30,PAGE 60 OF THE q, C� PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA Lu t Z,. co 0 EZE... NN",1 7.91 so m E310 tr IT56Aaa2�f- rp�*�-14502 sh"f 17.6' 7.91 17 Tall ON. 12-19-2016 -b ABBREVIATION DESCRIPTI —,ev AIG AIR CONDITIONER 26BUILDING CENTERLINE q NE d� LD. IDENTIFICATION 8 % LB LICENSED BUSINESS N.A.VD, NORTH AMERICAN VERTICAL DATUM J 7,5 N.G.V.D. NATIONAL GEODETIC VERTICAL DATUM SET 112- ME OHL OVERHEAD UTILITIES 17� IRON 0 2 P.C. POINTOF CURVATURE �2 80 65' P-K PARKER KYLON NAIL 0. 4B#7463 Ur"Irr SIT�— UTILITY POLE SIT�SEN, .1 E zb MARK ym- 5181, PSM PROFESSIONAL SURVEYOR MAPPER 0 EL EVA TION=12.46"0 >-�� . RfW RIGHT OF WA Y IS RIM) SAN17ARY > PIPE MANHOLE vf,�;b, E, SAM FISH) 60',�� E N85'20'02'W 378 60' 15> 0�(IMPR kl� MEARING BASEj VtD) Q FOUND P-K P.C. NOTES: 34 1. LEGAL DESCRIPTION PROVIDED BY CLIENT I WAS PERFORMED BY THIS OFFICE Kenneth J.Osborne PSM#6415 2 NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING T ILE 3. NO S UBSURFA CE IMPRO VEMENTs WERE L OCA TED AS PAR T OF THIS S UR VEY THIS SURVEY IS NOT VALID WITHOUT' 4. A L L ANGL ES AND DIS TANCES SHO WN HEREON ARE B 0 TH REC ORD A NO MEA SURED UNLESS 0 THER WISE No TED THESIGNATUREAND THE ORIGINAL RAISED SEAL V 5. ELEVATIONS SHOWN HEREONARE BA§ED'oN N.G.VD.1988 DATUM,UNLESS OTHERWISENOTED OFA FLORIDA LICENSED SURVEYOR AND MAPPER 6. THE BEARINGS SHOWN HEREONAREBASED ON THE CENTERLINE oFsAILFISH DRIVE EAST ASSUMED TO BEAR N85*20'02'W Del JTM Color MFP S2825cdn Fax Activity Report Date/Time: 03/14/2017 11:58 Fax Number Page:l Fax Header Name *** Send *** No. Job# Remote Station Start Time Dura. Pages Mode Contents Result 001 0911 92413745 03/08/2017 14 56 0'4 8 2/ 2 ECM Done 002 0914 918883135663 03/09/2017 07:26 1"6" 5/ 5 ECM Done 003 0922 918883135663 03/10/2017 07:18 0119. 1/ 1 ECM Done 004 0938 918883135663 03/13/2017 06:41 0-22- 1/ 1 ECM Done 005 0944 97228687 03/13/2017 10:14 1-11- 3/ 3 SG3 Done 006 0945 97228687 03/13/2017 10:17 0-33" l/ I SG3 Done 007 0951 98239995 03/13/2017 15:0 8 2-21" 6/ 6 SCM Done Total 19 Received No. Job# Remote Station Start Time Dura. Pages Mode Contents Result 001 0903 9043532700 03/07/2017 09:57 0'34" 1 G3 Receive Again 002 0904 8507474750 03/07/2017 10:56 013311 1 SG3 Done 003 0905 (888)683-8009 03/07/2017 12:28 012811 1 SG3 Done 004 0906 714-814-4579 03/07/2017 14:00 0,19., 1 SG3' Done 005 0907 904 2490703 03/07/2017 14:38 0-41- 1 ECM Done 006 - INTERFAX 03/07/2017 14:53 0-53" 0 ECM Receive Again 007 0909 INTERFAX 03/07/2017 14:59 1-13- 1 ECM Done 008 0910 ECM 03/08/2017 13:30 0-471- 2 ECM Done 009 0912 ECM 03/08/2017 15:23 0'58" 2 ECM Done 010 0913 7861984 03/08/2017 15:33 0"6" 1 ECM Done Oil 0915 RCM 03/09/2017 07:38 0'47" 2 ECM Done 012 0916 8888415557 03/09/2017 09:47 0'36" 1 SG3 Done 013 0917 ECM 03/09/2017 10:56 011211 1 ECM Done 014 0918 Fax 03/09/2017 11:05 0-40" 1 SG3 Done 015 0919 9042727229 03/09/2017 11:39 013811 1 SG3 Done 016 0920 904-423-8577 03/09/2017 16:21 1-07" 2 SG3 Done 017 0921 ECM 03/09/2017 17:27 0.50., 2 BCM Done ois - 03/10/2017 0 8:2 4 3-0911 0 G3 Receive Again 019 0924 3961136 03/10/2017 08:29 0-3111 1 SG3 Done 020 0925 3961136 03/10/2017 08:30 0-3311 1 ECM Done 021 0926 8888415557 03/10/2017 0 8:5 3 0-3211 1 SG3 Done 022 - 03/10/2017 10:05 1-33" 0 G3 Receive Again 023 03/10/2017 10:09 1-32'- 0 (33 Receive Again 024 03/10/2017 10:12 0.50., 0 G3 Receive Again 025 0930 9047213350 03/10/2017 11:21 0.3", 1 ECM Done 026 0931 ECM 03/10/2017 11:42 0-33- 1 9CM Done 027 0932 9047213350 03/10/2017 13:13 1-31" 1 ECM Done 028 - 03/10/2017 13:36 0-49- 0 G3 Receive Again 029 0934 8888415557 03/10/2017 13:52 0-511- 2 SG3 Done Dell' is a trademark of Dell Inc. Del JTM Color MFP S2825cdn Fax Activity Report Date/Time: 03/14/2017 11:58 Page:2(Last Page) No. Job# Remote Station Start Time Dura. Pages Mode Contents Result 030 0935 INTERFAX 03/10/2017 13:59 1,16., 1 ECM Done 031 0936 3961136 03/10/2017 14:17 1-40" 1 RCM Done 032 0937 SG3 03/10/2017 14:32 0-35- 2 SG3 Done 033 0939 9048239995 03/13/2017 0 8 2 9 "'0., 3 SG3 Done 034 0940 SG3 03/13/2017 0 8 4 8 1-07" 3 SG3 Done 035 0941 9048239995 03/13/2017 09:38 1-28- 3 SG3 Done 036 - 03/13/2017 10:08 1132- 0 G3 Receive Again 037 03/13/2017 10:12 V32" 0 G3 Receive Again 038 03/13/2017 10:20 V321- 0 G3 Receive Again 039 03/13/2017 11:00 0"0., 0 G3 Receive Again 040 0948 9042498949 03/13/2017 11:03 0'36" 2 SG3 Done 041 - 03/13/2017 13:35 0'501- 0 G3 Receive Again 042 0950 ECM 03/13/2017 14:59 0-48" 2 ECM Done 043 0952 9044006440 03/14/2017 11:57 1.06., 1 ECM Print Queue Total 47 Dell' is a trademark of Dell Inc.