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317 8TH ST - DEMO yLy ��, CITY OF ATLANTIC BEACH Af s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DEMOLITION PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-DEMO-1214 Job Type: DEMOLITION Description: DEMO - SINGLE FAMILY HOME Estimated Value: $8,500.00 Issue Date: 6/9/2016 Expiration Date: 12/6/2016 PROPERTY ADDRESS: Address: 317 8TH ST RE Number: 169956-0100 PROPERTY OWNER: Name: RUSSELL LIFE ESTATE, EDWARD L, * Address: 317 8TH ST GENERAL CONTRACTOR INFORMATION: Name: BUILDING UNLIMITED ROOFING & SOLAR Address: 12620-3 BEACH BLVD# 181 JACKSONVILLE, FL 32246 Phone: 954-235-8307 PERMIT INFORMATION: PUBLIC WORKS: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. All silt must remain on-site during construction. Roll off container company must be on City approved list and container cannot be placed on City Right- of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shapell's, Sunshine Recycling and Waste Pro). Full right-of-way restoration, including sod, is required. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. Suggest good documentation of impervious areas be recorded. Slab and driveway to be fully removed. Full site to be grassed. PF.Ra11T IS APPROVED ONLY IN ACCORDANCE WI ni ALL CITY OF ATLANTIC BEACH ORDINANCES AND THF: FLORIDA BUILDING CODES. :�al ';, lop) i j CITY OF ATLANTIC BEACH s)I 800 SEMINOLE ROAD ;--K,,...., f- ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Lot elevation cannot be raised. FEES: Demolition Fee $100.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.00 I I PERMIT IS APPROVED ONLY IN ACCORDANCE MFIII ALL CITY OF ATLANTIC 13EACII ORDINANCES AND TIIE FLORIDA BUILDING CODES. rs4%; City of Atlantic Beach RECE. V APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road MAY S 7 26 Atlantic Beach, Florida 32233-5445 Co 1 -b ('4 O_ f Z1 4 Phone(904)247-5826 • Fax(904)247-58 E-mail: buildin -de t coab.us �' -•��rt �r 9 P @ � -- --- _ Date routed: 5 /Z-67/� (O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: so Department review required Yes No / , Building Applicant: 1 ,(m(£((v(; Vk) U jy c-r irD Planning &Zoning Tree Administrator Project: — vvorxs'- Public 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: IVApproved. ❑Denied. (Circle one.) Comments: BUILDING �L.Q �, 4� PLANNING &ZONING Reviewed by: Gx4.-) Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 167- O 0 _ 1 . (L{- Job Address: 317 8th Street Atlantic Beach, FL 32233 Permit Number: Legal Description 44-44-4/12 &$-'h 101- e &g l0 Parcel# /(q // S-r©tor _ Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ Pp, 5730- Proposed Work heated/cooled /Z q non-heated/cooled 610 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures) (circle one): Commercial Residential If an existing strucure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: aawc Gi )A.i IE i k le F --;7-� i--- Property Owner Information: Name: One Kings Road LLC,as Trustee of the 317 8th St AB Land Trust Address:10743 Waverly Bluff Way City Jacksonville State FL Zip 32223 Phone (904)993-6942 E-Mail or Fax#(Optional) Contractor Information: £ SDt� J, Si . Company Name: 8�� AA U/V-1vt /z4 Qualifying Agent: IG&it&i Wi/3' Address: Z-35 4b 5E 1 7 4� - 11 J City i-fnv A-d State rd-- Zip 3v3 5--_ Office Phone 4-g/-2 3 g',n`7 Job Site/Contact Number cl SN 2.35 e 1,---, Fax# 'i 0'f 3 7' 6 37g, State Certification/Registration ion/Registration# C G ( 0 f 4D / Architect Name& Phone# Engineer's Name& Phone# __ _ Fee Simple Title Holder Name and Address pr.CEOVE Bonding Company Name and Address Mortgage Lender Name and Address MAY 2 6 2016 Application is hereby made to obtain a permit to do the work and installations as indicated. I ceN t no pork nr invallminn hqg commce end prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatit g construction in this jurisdiction. This p?mit becomes null and void f work is not commenced within six(6)months, or if construction or work is sus ended nr abandoned fora eriod of six(6)month at any time after work is commenced. I understand that separate permits must be secured for ElectricalpWork, Boilers, Heaters, Tanks and Air Conditioners,etc. 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. /hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to olate or cancel the provisions of any other federal, te, or local law regulating construction or the performance of construction. 111111.111111.. Signature of Owner Signature of Conti/auto�' _ Print Name: Nicole Joost Comet Sy L, J S 4- Print Name I r ' VA j,,ti r5'/'r Sworn to and subscribed before me Sw•,. • and bsc,•:• bef•re me this Z1 Pa of M M' 20L / b this Irg Da •'r AL •,, 20 y ommi..... I....._ lam/ /1,;;gei JAKEY Ci MOSS ..7i ;ar T,. N°r l Notary Pur•V 4 ,r 1'M MY COMMISSION#FF188775 No".— ';'.4� 1. •. I y'�t'`;..#' EXPIRES March 20,2019 V as EXPIRES: tob. os V'•,,a,%% Bended Thu *Ai--- -1.26.10 (407)306.0163 FbrldallotaryServlae.eotn ATLANTIC BEACH BUILDING DEPT. } 4, DEMOLITION — PROPERTY OWNER RELEASE FORM Date: To Whom It May Concern: I / We the current property owners of: Lot Block / �' '1W4P1!j c i3- d1 , Be S Legal Description of Property 1,4 l e.-G"a/14 L .� 3 AKA 3 17 ' - — - IA4/.401-11e 15e ,.€A, Ft ;, ha3ve contracted with to haver4°gy1) (Address of Property) 6u1144Wi �J'n�L�t,,,,� i�' ""`5 d 544 V to remove the �-v^'3 (eompany Name) (Single Famly,Duplex, Commercial,etC.) Prior to the construction of : A -w S, „i< 4 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 pl ce. Signature O it/ Signature THIS SPACE FOR RECORDER'S USE ONLY OWNS'' �✓ I JAKEY G MOSS 'igned: .r: 1. `1/ Date: c1 Z31((o .efore me t l is I day of,IVA 1� Z C1 k4, in the County of Duval,State f• St7:•) MY COMMISSION#FF186775 f Florida,has personally appeared &,,,.' EXPIRES March 20,2019 Wary Public at Large,State of Florida,County of Duval. (407)398-0153 FloridallotaryService.com y commission expires: Personally Known: or Produced Identification: 0 L— t 160‘ o '*- I / -('47 4-'ac /Void Jr // _ __137 Yit 7 to op y re .fi X / ' 11V ‘,a --r-427 /4 I I I co:, - - - 1. '.ir. ir,+r.(•r it:•Hri . fr_,:.. r'.c MAP SHOWING SURVEY OF AS RECORDED IN PLAT DOOK 5 ..PAGE G9 —.OI= PUBLIC RECORDS OF DUVAL CO.. FI.A. FOR..805.`;.GJ.7 7.�r:/C.I-Itch' .GO. hi 6 ti CQ / . bt- \ 1t 18-e /2e",.-0,-4, e‘:(2:4\i' .2' tJ LI I 0 d%/ . '' I Ni ts Q h, ti 1\" iiiC. A" 317 i 's..,:.• Q � . ¢�q,�^^r t l fir p 7.4' ''v� UI' i, K trl Yy `6,.. E i 1- ,- .". Fri F.4.7: \'''\ :,I e� (If 2000 _ l\-i' i Cityof Atlantic Beach! s„.' 4.,,-s _ I Building and Zoning I I\ ,-,' \. /50' o .t. -I ,cac,e....ecw.,rc,'P3,/96/-fO 3.�owWin•'/ •.. ✓...y• 41. A. ‘20,4.-"0-0.4/ Ci.scr-'ed//!r,:s.F.e-„/.rnY C.;-ripn_-d/c .106c1•f4•,'A/l.7.,FS.0%L7'IISs0G;.7rc$ < G•. u5) i eregr .______ ....... T.1. .s% ,e" J.L_`;.,.:-._�..:� •�"`'r!!/1.r.LC ._- SEp1 199 h 41:0,siw/a:0'..2.7v':✓r•✓t�.),,.y 7. . n Jr -- - --- U►iding and Zoni --' — I- HEREBY CERTIFY THAT I HAVE SURVEYED THE: LANDS A:+ SHOWN IN THE ABOVE CAPTIO' AND THERE ARE NO ENCROACHMENTS. N./5'.Da 'OEt/ •SIGNED_i.L.�IJu'/c __/ir.__-19&.--.. � ' 1 �... . SCALEI.f (1._. • ='--. . --``:. — -..��_ .._.___..— .. .._.. _ . . ntrr.•rc n+r• 9uu yr vnn r.•••:, -•w