Loading...
835 ATLANTIC BLVD - PARTIAL DEMO .q y1Pl r JS t�. lam.} sJ CITY OF ATLANTIC BEACH `.p r) 800 SEMINOLE ROAD T..)1/ yr ATLANTIC BEACH, FL 32233 " 0,359%' INSPECTION PHONE LINE 247-5814 DEMO - PARTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEMO18-0019 Description: SELECTIVE DEMO Estimated Value: 7500 Issue Date: 8/8/2018 Expiration Date: 2/4/2019 PROPERTY ADDRESS: Address: 835 ATLANTIC BLVD RE Number: 177602 0010 PROPERTY OWNER: Name: FEIGLEY LESLIE LYON Address: 724 S WASHINGTON AVE GREENVILLE, MS 38701-5831 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: THE ANGELO GROUP Address: 11363 SAN JOSE BLVD BUILDING 300 JACKSONVILLE, FL 32223 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. i.:.�. -rif, City of Atlantic Beach APPLICATION NUMBER 1s� Building Department t (To be assigned by the Building Department.) 800 Seminole Road \ E.ry C I Q_ _ CO 9 40 Atlantic Beach, Florida 32233-5445 JUL O 5 ;018 ►, ) I V l lJ (� IJIJ Phone(904)247-5826 • Fax(904) 247-5845 7/5/i � 011 �s• E-mail: building-dept@coab.us D routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ©35 A T Llw‘l"lQ 6,,,n,. .),rtment review required Yes No T\- E Building,) Applicant: oceLa C7---- facx.)-16)' Planning &Zoning Tree Administrator Project: ,SE LEC`t I f FIL CD ublic Works'� _ Public Utilities Public Safety Fire Services Review fee $ 2—S Dept SignaturewN._ Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By - --Aorida Dept.cif-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: APP ICATION STATUS Reviewing Department First Review: WiApproved. ❑Denied. fNot applicable (Circle one.) Comments: I f BUILDING 1 `O1Yls -foo [cvy, {t, LGtcw- d'Ie- PLANNING &ZONING a 1--��ate: ?/0/, Reviewed by: TREE ADMIN. Second Review: ❑Approved as revised. Denied. I 'Not applicable PU:4, ORKS Comments: .: CC PUBLIC'S/e Elc1 Reviewed by: Date: FIRE SERVICES Third Review: I lApproved as revised. [Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 - ATLANTIC BEACH BUILDING DEPT. DEMOLITION - PROPERTY OWNER RELEASE FORM Date: 6— 217- To Whom It May Concern: I /We the current property owners of: Lot Block Ser 4mtOi U L&6AL D ESCR to rt oN Legal Description of Property AKA SS ,'r LA Mf C. 13 LA U• have contracted with to have (Address of Property) TFIc' tteitGeLo GRovP to remove the SELUGTiVC pe---A401-177061 (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : 6 if(.r6jePsTl a"+S • 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. Signatur ropp Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date:_Su.L 3, lo t Before me this Z}reI day of , i '.the County of Duval,State Of Florida,has personally appeared !'N, Notary Public at Large,State of Florio a,Conn. of I uval. My commission expires: A 1 Personally Known: I / j j tr or Produced Identification: 4 6,0 a Notary Public State of Florida Terra S Thrasher My Commission FF 953917 ?of tz0 Expires 01/25/2020 A part of the Castro Y Ferrer Grant, Section 38, Township 2 South, Range 29 East, in the City of Atlantic Beach, Duval County, Florida more particularly described as follows: For a point of reference commence at the intersection of the Westerly right of way line of Royal Palms Drive, as now established as a 60 foot right of way, with the Northerly right of way line of Atlantic Boulevard, as now established as a 100 foot right of way; thence run South 89 degrees 18 minutes 38 seconds West along said Northerly right of way line of Atlantic Boulevard, a distance of 265 feet for the POINT OF BEGINNING; thence continue South 89 degrees 18 minutes 38 seconds West along said Northerly right of way line of Atlantic Boulevard, a distance of 175 feet; thence run North 0 degrees 41 minutes 22 seconds West, a distance of 160 feet; thence run North 89 degrees 18 minutes 38 seconds East, parallel to said Atlantic Boulevard, a distance of 175 feet; thence run South 0 degrees 41 minutes 22 seconds East, a distance of 160 feet to the POINT OF BEGINNING. 01..Lyfi, City of Atlantic Beach APPLICATION NUMBER �' ' Building Departmentit. (To be assigned by the Building Department.) 1� 800 Seminole Road \ Gr o I e - C� ;�.1 r) Atlantic Beach, Florida 32233-5445 � ) + V l coIJIJ l Phone(904)247-5826 • Fax(904)247-5845 -y J c� l' ��j? E-mail: building-dept@coab.us Date routed: / ` / 27 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: jE '1"-L P 1\ T10 b L0 Dena�ent review required Yes o Buildinq__..) Applicant: ' ViC- l- lJG.ei_c) (-----r2_009 Planning &Zoning iJfl..c2Tree Administrator Project: SE E-C'TI kfrcublic Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Ronda 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 ATION STATUS Reviewing Department First Review: I ti4Approved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: -1/1Date: 7. /6'Oa r TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. nNot 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 Building Permit Application Updated 12/8/17 it City of Atlantic Beach ' 800 Seminole Road,Atlantic Beach,FL 32233 An„„ Phone:(904)247-5826 Fax:(904)247-5845 j' �{ `00(�( Job Address: e94--- AT�4NT cc. 13 LV p. Permit Number: 1L m 0 I `� I c) Legal Description SEC ATro4 WEDC RE# 1917 602- o 1 o Valuation of Work(Replacement Cost)$ 7500 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Pool Window/Door • Use of existing/proposed structure(s)(Circle one): CEommercia Residential • 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: 664.CGrtvc: pdµotlrlOfJ Florida Product Approval# for multiple products use product approval form Property Owner Information L.CL Name: ut;3LES All-AfTir- I✓AcPiZESs WAS+(' Address: 101 04 k- POINOr AVEUV� City T(pro if State 6A. Zip 31'794 Phone 229 —6 Zo - 22.4 r E-Mail1 U(i(LDEs.sils45 .&MAIC. , cowl Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) 1()p Mx/J./ea. Contractor Information Name of Company:17tE 4/J 6E1,O 6020u P Qualifying Agent: Address //363 .54,4 Tose BLVD. ac.D6. 3OD City TAck.5OwVIN-E State IL Zip 3 ZZ2.3 Office Phone /04/— ZG S- 22'' '7 Job Site/Contact Number 90y-5-WS— N q el State Certification/Registration# E-Mail Architect Name&Phone# CRAl4 5 444tC.Ks gOCj-249—O6 ?s Engineer's Name&Phone# CgAlok 0Mot oy — Z%.l y — 069 g Workers Compensation 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. j It_ 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 REC I YOUR NOTICE OF COMMENCEMENT 4 --------;__j (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this day ofsigned and swor�}n,�to(for affirmed)before met s ay of July , 2OC(4'�,by 1 OM 13U L -YU( 1..q , !/U ( ),byL�--\1 S • in ; 'IA/LSI-10) (Signature of Notary) :ilia ptIcature Notaof Notary) V Personally Known R 1 n,, Notary Public State of Florida 'Ip ,s s `/"ersonally Known OR ►Y Public State of Florida [ ]Produced Identifi le Terra S Thrasher Produced Identification Terra S Thrasher "-•(-- ' a My Commission FF 953917 [ ] 17 My Commission FF 953917 Type of Identification - . _ _ _ , I Type of Identification: •. tl' . Of V,.. ATLANTIC BEACH BUILDING DEPT. DEMOLITION — PROPERTY OWNER RELEASE FORM / /, Date: 6'— Zr7— /e To Whom It May Concern: I /We the current property owners of: Lot Block Ser 477t0tel) LL COAL. DC 5o?(PT101J Legal Description of Property AKA S3 ' Af A Mrc c. 13(._V . have contracted with to have (Address of Property) /7/4": 4ttIC Lo Ggoo' o remove the iX 1'i VC PCnlo[.!no ' (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : 5U/L.D/^16 AC-T6,RA T-I 014S 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. 09 & d67a :: : - THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date:JU.k3; LO(.3 Before me this 3rq day of , i '• the County of Duval,State _ Of Florida,has personally appeared " V 1 Notary Public at Large,State of Florida,Coun of D uval. My commission expires: A Personally Known: 'T / ;U ' Or or Produced Identification: „ J, .,1. °‘lis I.UB rotary public State of Florida 5 i ' Terra S Thrasher o` My Commission FF 953917 r, �'c a9 Expires 01125/2020 A part of the Castro Y Ferrer Grant, Section 38, Township 2 South, Range 29 East, in the City of Atlantic Beach, Duval County, Florida more particularly described as follows: For a point of reference commence at the intersection of the Westerly right of way line of Royal Palms Drive, as now established as a 60 foot right of way, with the Northerly right of way line of Atlantic Boulevard, as now established as a 100 foot right of way; thence run South 89 degrees 18 minutes 38 seconds West along said Northerly right of way line of Atlantic Boulevard, a distance of 265 feet for the POINT OF BEGINNING; thence continue South 89 degrees 18 minutes 38 seconds West along said Northerly right of way line of Atlantic Boulevard, a distance of 175 feet; thence run North 0 degrees 41 minutes 22 seconds West, a distance of 160 feet; thence run North 89 degrees 18 minutes 38 seconds East, parallel to said Atlantic Boulevard, a distance of 175 feet; thence run South 0 degrees 41 minutes 22 seconds East, a distance of 160 feet to the POINT OF BEGINNING. c '''�'�i�, TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY `� City of Atlantic Beach`iPERMIT# �� Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 � o,t �" (P)904-247-5800 SITE INFORMATION ADDRESS o yS A (Lj t rl c Tk v-D. SUBDIVISION BLOCK LOT RE# /rI(7 60 -- 0 0 10 ❑ RESIDENTIAL A OMMERCIAL ❑ OTHER APPLICANT INFORMATION NAME PC C�/ S f/ 4/. r 49 y 6E-,...0 ,_Q PHONE# goy`,s �f s �{939 ADDRESS /f36ll3 ;SQA ry !('I/). 1LOc 3701:::. CELL# CITY �J AaC-521/4 V[LL L a- STATE FL_ ZIP CODE 3 2-22-3 EMAIL 12t C.tl.q - /r L(l ets061200P. CO/VM E OWNER Ef-tiGAL AUTHORIZED AGENT I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre- application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described property and/or adjacent properties including right-of-way. I HEREBY CE• FY • •LL I ORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent r S 5P/111/2-C IP '7 3 --/8 S 'ATURE OF APPLICAN PRINT OR TYPE NAME DATE SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME Q DATE Signed and sworn before me on this 3 _day of 0L .?00 ( U by State of F I nt .f 1901‘Q__ ( Identification verified: J ( rJ z " 7 7 - 6 S- 4 z 41- Oath Sworn: ❑ Yes ❑ Ngo*.�,,,,,,,,�, _ F! -- TONT GINDLESPERGER A f. MY COMMISSION It FF 924951 Notary Signature , i so"" EXPIRES:October 6,2019 IF�;,o?' Bended Thru Notary Public Undenrtiters "`-,.,,,,; My Commission expires 04 TREE AND VEGETATION AFFIDAVIT 03.01.2018 OFFICE COPY Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 n 4Phone:(904)247-5826 Fax:(904)247-5845 ALAID. � �� Job Address: g3� AT - 13 L ID. Permit Number: i L m� 8 ` 1 c) Legal Description 5E ATrA C HE�7D RE# 19r/602— Oo(O Valuation of Work(Replacement Cost)$ /5 Q0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move et Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Ce;mmeT:c7D Residential • 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: 6 .E(-1 µoLlrLorI Florida Product Approval# for multiple products use product approval form Property Owner Information 1,LL Name: C.RUa3LES A-TL,AUTIG EieIZES WASW Address: 10( 04k if4r \VCU OC City T',Pi-0 1.4 State G A Zip 311194 Phone Z Z f - 2.0 - 2.2.4 E-MairrouzAczcsi ,454.&RAIL , '(,DM Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) 'rbp p radju 16(Z. Contractor Information Name of Company:-.--.. AN(sELO &Roo P Qualifying Agent: Address //363 54r.iSOsc BLVD. l3C.D6. '30a City TAUc5owVl.u,E State �(' Zip 3ZZ2.3 Office Phone qa',l— ZG 8- ZZY 7 Job Site/Contact Number 9oq-SyS- N 43 e State Certification/Registration# Ce-G Os-3 630 E-Mail reRlln S{/o G vv v�, C d Architect Name&Phone# e,2Al4 goA4Fg$ Oi(—VV4 —O69'S _ Engineer's Name&Phone# etc,A tc, 5ot44 $ 'Dy 2.t19 — 0698 Workers Compensation 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. JUL - 3 2018 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 REC I YOUR NOTICE OF COMMENCEMENT s ----:_ (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed) before me this day of igned and sworn to(or affirmed)before me this ay of , 7,006,by'-Todd 13uck-VU( L'-f , I by g.(GI- S 's i (Signature of Notary) (Si ature of Notary) Personally KnownOR os,,¢v Po, Notary Public State of Florida personally Known OR �.��s* Notary Public State of Florida [ ]Produced Identific'ftien, , Terra S Thrasher [/]Produced Identification �, Terra S Thrasher Type of Identification;:: ' o My Commission FF, 953917 Type of Identification: �� ' My Commission FF 953917 SFor�� ErN;rc 01!25 2 yP ri"''''t'i TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY J City of Atlantic Beach PERMIT# 0 Community Development Department �, r 800 Seminole Road Atlantic Beach,FL 32233 Qv;ti�9% (P)904-247-5800 OFFICE COPY SITE INFORMATION ADDRESS 0 74:16-4-�f ri c VL 1). SUBDIVISION BLOCK LOT RE# /rig 60z 0 0 10 ❑ RESIDENTIAL all OMMERCIAL ❑ OTHER APPLICANT INFORMATION NAME /� 1 -Cif Sell-it-5' , f//-iisI /1-N GC C-c (,20,,,, PHONE# goy--.S y+--Lt,3c) ADDRESS //36 54,u 327.5c- 13t-✓J. /3LO6 -3 C-1" ` CELL# CITY �Fl S Dl1P V C cc L I-z- STATE FL. ZIP CODE 3 Z223 EMAIL l?i(—Li a A-.tCc�10642OJp., COM ❑ OWNER Ef*CrGAL AUTHORIZED AGENT I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre- application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described property and/or adjacent properties including right-of-way. I HEREBY CE• FY- ' ALL I ORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent S ATURE 0 F APPLICANT PRINT OR TYPE NAME DATE SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE Signed and sworn before me on this 3 day of S 0 1 1 :2® ( 8 by State of F . nt •f D U f Q-- Identification verified: (S'z-- 7 -?�7 - G. 4 Z q- Oath Sworn: ❑ Yes ❑ CW 4 cTMYcM #Fr924951 Notary Signature . t` EXPIRES:October 6,2019 a ';. =���,`.-' BondedThruNotaryPublicUndervmters My Commission expires 04 TREE AND VEGETATION AFFIDAVIT 03.01.2018 CITY OF ATLANTIC BEACH r \SS1 800 SEMINOLE ROAD —gaATLANTIC BEACH,FL 32233 (904)247-5800 \LOinC r' PERMIT NOTES DEMOLITION Date; 7/16/18 Address: 835 Atlantic Blvd. BP # DEMO18-0019 1. It is the responsibility of the contractor to: a. Contact JEA to disconnect electric power. b. Locate and clearly mark all utilities. c. 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 for masonry structures and asbestos-containing materials.) 5. Removal of any trees requires a separate Tree Removal Permit, per COAB Code Of Ordinances, Section 23-21. 6. Protection of trees and vegetation during construction is required, per COAB Code Of Ordinances, Section 23-32. 0A• 7. Adding fill dirt to the lot is prohibited, until approved by Public Worl& /NO 8. Prior permission from the Building Department is required before blocking any pahe Right-Of-Way. 1 ��;� ATLANTIC BEACH BUILDING DEPT. 1 DEMOLITION - PROPERTY OWNER *,.; rC RELEASE FORM OFFICE COM' ,-r , Date: &— Cr7— !e To Whom It May Concern: I /We the current property owners of: Lot Block Ser A'f40M) L�CzAL DC -1 Legal Description of Property AKA 8 3‘ A ILA An C, 13 L-V P. have contracted with to have (Address of Property) i7i 4'IC L.o GRovf to remove the sEt TC1 iVC Pe-70404./77 01'4 (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : 9U![.0/N6 A-Lr e,AXIaMS . 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. .)-?„.........„ 74/71) RClet Signatur -J 4 ())'------------Th 72-5PP gde eitile-e- Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date:i la.t1/44 3/ l- )03 Before me this 3 a day of , ► l• .. the County of Duval,State Of Florida,has personally appeared jW 'MI Notary Public at Large,State of Florida,Coun of uval. My commission expires: .�1i ' 1?i0 1/) PersonallyKnown: o4 �tr or Produced Identification: Nr _�,.f,..�,;:�.. "fie,may.'1"r'''` `',•--1 k p ! �� ,pP'°V� Notary Public State of Flon a ,c0' Tetra S Thrasher I. N c o My Commission FF 953917 ?or moo° Expires 01125/2020 A part of the Castro Y Ferrer Grant, Section 38, Township 2 South, Range 29 East, in the City of Atlantic Beach, Duval County, Florida more particularly described as follows: For a point of reference commence at the intersection of the Westerly right of way line of Royal Palms Drive, as now established as a 60 foot right of way, with the Northerly right of way line of Atlantic Boulevard, as now established as a 100 foot right of way; thence run South 89 degrees 18 minutes 38 seconds West along said Northerly right of way line of Atlantic Boulevard, a distance of 265 feet for the POINT OF BEGINNING; thence continue South 89 degrees 18 minutes 38 seconds West along said Northerly right of way line of Atlantic Boulevard, a distance of 175 feet; thence run North 0 degrees 41 minutes 22 seconds West, a distance of 160 feet; thence run North 89 degrees 18 minutes 38 seconds East, parallel to said Atlantic Boulevard, a distance of 175 feet; thence run South 0 degrees 41 minutes 22 seconds East, a distance of 160 feet to the POINT OF BEGINNING. 4+,:n-rit, City of Atlantic Beach `" "Mr+r'r-r.pr.T4 APPLICATION NUMBER Al 1� Building Department c , (To be assigned by the Building Department.) A 800 Seminole Road ,D / .� C1 �� Atlantic Beach, Florida 32233-5445 JUL 0 5 2018 ' E Y `O 1 s - W ( t ., Phone(904)247-5826 Fax(904)247-58451.i c.� Q t3 �? E-mail: building-dept@coab.usY: Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3J Tl.f�iv�t*(�% ,�LVU Department review required Yes No `n Buildin Applicant: ` KL ����� (�vf' Planning &Zoning Tree Administrator Project: SELECT i V& ‘ /Yk. csgablic Works 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: VApproved. Denied ❑Not applicable (Circle one.) Comments: BUILDING PlQtils oo last? Las-€4c,1'1.& PLANNING &ZONINGs41Reviewed by. Date: /��/✓14P 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