229 PINE ST - DEMO ikA
CITY OF ATLANTIC BEACH
; �y ) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
•P-4.011 9'' INSPECTION PHONE LINE 247-5814
DEMO - COMPLETE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: DEMO18-0024
Description: DEMO HOME - LEAVING EXISTING SLAB
Estimated Value: 0
Issue Date: 8/14/2018
Expiration Date: 2/10/2019
PROPERTY ADDRESS:
Address: 229 PINE ST
RE Number: 170563 0010
PROPERTY OWNER:
Name: RUBIN DENISE P LIFE ESTATE
Address: 229 PINE ST
ATLANTIC BEACH, FL 32233-4013
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JBL Development Group, Inc.
Address: 1028 Lauriston Drive ST
JACKSONVILLE, FL 32259
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$7,500.
r
9:. Building Permit Application Updated 12/8/17
c 4 1 ii:UG - fin(' City of Atlantic Beach DEMO 18-00 z
•'', ,,,,,;.� 800 Seminole Road,Atlantic Beach,FL 32233 4
Phone:(904)247-5826 Fax:(904)247-5845 p
f i
Job Address: t q I`',t"?i`.. e 141-1( ,4-1 C'Cltl 2 er" mitNumber:
Legal Description LA-- 'j SAR i(` -el ,3 RE# 170%3 – ) -
Valuation of Work(Replacement Cost)$ + 4G4,G }G'' Heated/Cooled SF Non-Heated/Cooled 051 —
• Class of Work(Circle one): New Addition Alteration Repair Move Dmo`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 Ilo,;. 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: ;614, C='1C1-1-4y r-' h r ciGtma-' L i `�
�'-�- i-� , l l7 - _ . - - .
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: r-ti lz, )? SL.1 i.I'� Address:.: _;.iji kn.g S4-.
City A' 't r E"tc-t c.. 4tx.c?.'11'1 State ri.... Zip 3 3.-.i •, Phone q40•4 -- 41.03--s OJ 36
E-Mail 4 ruhin13e Gji'Z11 I . CG i"Y'`ti
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
J,
Name of Company: 41 i., 12 :v<-'\(.: 41k.�ti\ (=,r� i.,,.:' Qualifyin ent: AN.1\ S •• I-.1 ,'L
Address %a‘te Lti ,rr74ztm TA--. City5i, 0,otNO.'i State PL._. Zip '. 3Y34..'
Office Phone 4 GSI 4c,:) - "1 1-x21 Job Site/Cont.ct Number e `L 6 T 7./0-7
State Certification/Registration# 4 la' '_c:r:7 _-" E-Mail ---? . A s 1 , (, .'\
Architect Name&Phone# " , N • A r„�.-' .-7�\ -CI • C(3 �'-
Engineer's Name&Phone# e{nrt? `,.t;..V3,,;�..z"', i A .oct .= 1.�n `t`'='4� --6 '5 — )e.) 3Workers Compensation . ,.-,_- • ' _ I -- e'i-t�y
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 MA E
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT; D 1
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE N N §
- _ 7.ECORDING YO NOTICE OF COMMENCEMENT. I
. 1 i ; D.-----,-, 2--(_____ 4t -g
qtvo's ,.())) /40 ____________ ;: ;:
w 0 . (Signature of Owner or Agent) (Signature of Contractor) zz
T (including contractor) r� o w
� :
a.
S � � Signed and sworn to(or affirmed)before me this L4 day of Signed and sworn to(or affirmed)before me this Di d. of,•.;.;;,,,
z (22 511 ��r<� . 20\� ,by�e.ro.i-A.. ,..v�.r. ./un..c , a0/V,by __�: :
c--- -----)7j4,,d ., , ,,,,:%..i;':•••
E3 } t
(Signature of Notary) (S g ature of Notary)
' •,� V--` ( ]Personally Known OR [ I Personally Known OR
a. 1=(e?i broduced Identification ( Produced identification ,-/
.";:5,:.:,.,,, .` 1 Type of Identification: -�t-‘J-e-rs \.\,ce--c—'-- Type of Identification: -War/r/ Q'iL �J C.
s"'''>>l,; TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY
01 1411411
r
\III City of Atlantic Beach PERMIT#
r :'If-1, Community Development Department
app
800 Seminole Road Atlantic Beach,FL 32233
-'1/..01119',- (P) 904-247-5800
SITE 4 INFORMATION
� M \
ADDRESS a'"�y{ r l�'1�J . (Aim-Vv.;.; -&G._elm
SUBDIVISION BLOCK LOT
RE# ❑ RESIDENTIAL ❑ COMMERCIAL ❑ OTHER
APPLICANT INFORMATION.
NAME ,J`N-\ Lc)' PHONE#
ADDRESS r(0,)4 LA 1-t.f 15' n "Di CELL#6164_ 616 a _72_ ._.7
CITY hn5 • STATE C,-- ZIP CODE 3 asq
EMAIL `h V.A rn,ei\-4-- L24U561AN .0.2.3" El OWNER ❑ LEGAL 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 CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
v
.I��S_ L\1 ‘-1- 3"-i
SIG ATURE APPLI ANT PRINT OR TYPE NAME DATE
SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE
ON N--
t8 by State of r (
Signed and sworn before me on this ) day of'---S (
County of Doti C�
C
Identification verified: L 31- 0 -a 5 7- 4 - 3 3
Oath Sworn: ❑ Yes El No —WIlL°14
�. I 11
,;,;' ". TON!GINDLESPERGER
' . MY COMMISSION#FF 924951 Notary Signature
''a= EXPIRES:October 6,2019
" , 'f°
r: '''` Bonded Tirru Notary Public Underwrters My Commission expires
04 TREE AND VEGETATION AFFIDAVIT 03.01.2018
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION - PROPERTY OWNER
• M RELEASE FORM
,. 1319
Date: (0 - ILI-1b
To Whom It May Concern:
r--
I /We the current property owners of: Lot
Block 10-Re 1U _ J i r d w" , e. 3
Legal Description of Property
AKA '1 ; S f44 l h I` , -liag have contracted with to have
(Address of Property) C
1,Y i. �'ar lc '`�`— pd- , x,►« , to remove thet-\+e 4 y 1 kletxv
(Company Name) (Single amity,Duplex,Comnfercial,etc.)
Prior to the construction of: ), J t�t.11
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.
Signature
4
tPrec L tcv
Stature
ature
THIS SPACE FOR RECORDER'S USE ONLY
O
Signe Date:
Before me this I y � day of ,,,,,. vA-in the County of Duval,State
s DIANNAM.LAWRENCE Of Florida,has personally appeared —
�, ;: MY COMMISSION SI GG 065045 Notary Public at Large,State of Florida,County of Duval.fi
My commission expires: =�r� • t---
:; EXPIRES:May 21,2021 �.�,..- ..__.� �_ cy
•'•a a o;.• Thru NotaiY P,bio thieemiiters Personally Known: or
Produced Identification: F _ n,,�,-•� \ ce
MAP SHOWING BOUNDARY SURVEY OF
LOT 63it BLOCK ' AS SHOWN ON MAP OF
5g.. on' /V0. 3 51ek-r,4,,?
AS RECORDED IN PLA T BOOK JP__PAGES /0 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED FOR:_k E_> . V,; 57' '17 %.r-L Q �rti �f ca�r.t,2_ ' 2 eve.;
ovrE ii '4 .�riv,;Q` A44YZ_ WArs c ) &wN'g P4, _______
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10 v z RefiZegegtS 14e-I4
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op
31,
—x x 550.00' 0 5 x x\
"t'5TAd-II4FrA�IIo►s 2,1'75 5..F. )( S
I
THE FLOOD ZONE TTA TA DENO(Sn yERECW IS
SHOW AS A COOh'If.:SY ONLY AND DOES NOT
CONS TT TiU FE A CEI 115/CA 1/ON or TT TE SAME
VOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED
THE PROPERTY SHOWN HEREON APPEARS TO LIE W17H1N FLDOD HAZARD ZONE A _._AS SCALED FROM FLOOD
INSURANCE RA TF MAP OW/ FORT LAND THE Cl rY OF 41-44o-it Bey.,FLORIDA,- `V
DATED /1-S9
TRI—STATE SUR V.�i YORS, INC.
8411 BAYMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235
LEGfNO
I HEREBY CERTIFY THAT THE ABO'vt LANDS WERE SURVEYED UNDER MY
' `x'4fG """' RESPONSIBILE SUPERVISION AND DIRECTION, THA T THERE ARE NO
• iPON CC'` ENCROACHMENTS EXCEPT AS SHOW,' AND THAT THE SURVEY SHOWN
on-Wfl CAP f LS 4144) HEREON MEETS INE MINIMUM TECH 'CAL STANDARDS SET FORTH BY
k FENCE THE FLORIDA BOARD OF LAND SL MORS PURSUANT TO SECTION
°"'O"' (FOUND)
472.02Z FLORIDA STATUTES .
0 CROSS cvr
9L OtatiNC RLSAL'w ay LbE
ES1t7 £AstlruNr - G. LBO Y, P.L. Nc'. 4144
!VW Nat r-cir-sur i// /
r,
ucu vs a ARRA SCALE: / '26 7 ( /� -
€ CeIR WAxrt7ttrrc
-'.G"'
A/C AIR rw ' /II'..,' ;:T- Pr-URVEYO`P-S2,;7A �:F r",L).-?1::.‘A
(R) RADIAL wsl.4r cz DATE. 9-7-9 5
_.._
7,1 CcWQ )L
MAP SHOWING BOUNDARY SURVEY OF
LOT 534 BLOCK *
AS SHOWN ON MAP OF
SECTION NO. 3 SALTAIR
AS RECORDED IN PLAT BOOK 10 PAGES 16 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
( CERTIFIED FOR: DENISE RUBIN: COMMUNITY FIRST CREDIT UNION,
�
tt�� ,T5 ± --b PINE STREET -5-bb ?"-/ - /71 ?-7-1-
(50
7 ?-7.1-
(50 FOOT R/W) /a n ts-e rn-P n F
6.61 • 6.63 6.62 • 6.63 p l a v-N
BENCHMARK
88 DATUM i--+ � " COPY 6 , a, •� 18'C&G s
s3 A��• S,l,�- t •,. "T
150..000' N20'30'0 ' ' 50.00' 6 9 ?A e•
Lu
Z, m e 'tl --1'-,rhe'
1•R \ ox
( 5,(4-ene-e-
l \ , 6.8
7.4 7.3 x120.3' 7.0
CL 3' GONG' 0.2'
5'/iii GARAGE
F.F.E. = ?85
LOT 535 ' , .. LOT 533
o.z' I I dO
-0;1-4.8'l 12.8' s`'. pO NOTES::
..i I I : ALL CORNERS FOUND
7.5 1 5 1.3' 7.6 7".1
1/2" IP'S NO ID.
• 0 ° fA
2 STORY WOOD
05 ALL MEASUREMENTS TO
,'0ditali,..,,,.1 ltd PROPERTY LINE FROM
d N 2ND FLOOR F.F.E. = 18.41 05 HOUSEE ARE TO THE
FOUNDA 770N.
t0 ALL FENCES ARE 6'
,(gillee.----
7.6 1:131.8' 7 5' WOOD.
,,,.6.0' - ., ELEVA 770NS ARE BASED
" ON NA VD 88 DATUM.
0
WOOD In
DECK o
N
12.5'
t.3 0.5'
0.5520'30'01 'r e50.00' f
LOT 547 LOT 546 LOT 545 `D c-al n45(L...
TOPOGRAPHIC & SET F.F.E.; W.O. #2018-457; 7-26-18
THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE_2L_AS SCALED FROM FLOOD
INSURANCE RATE MAP 409 FOR DUVAL COUNTY, FLORIDA, DATED 6-03-2013 . AND
IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CER77FCA 770N OF SAME.
TRI—STATE LAND--SURVEYORS INC.
5875 MINING TERRACE #209, JACKSONVILLE, FLORIDA 32257 (904) 880-2535
LEGEND BEARINGS BASED ON R/W LINE AS SHOWN.
CM CONC. MON
IP IRON PIPE
RB REBAR THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
—
R/W RIGHT-of-WAY NOT VALID WITHOUT 7HE_ SIGNATURE AND THE ORIGINAL RAISED SEAL '.
S/W SIDEWALK OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ' ii 1
D/W DRIVEWAY
COV. COVERED AREA 77-11S SURVEY BASED UPON DESCRIPT70N AS FURNISHED, AND WITHOUT
¢ CENTERLINE BENEFIT OF A 717-LE BINDER/ABSTRACT OF 777LF_ AMD OR DEED•RESEARCH.
A/C AIR CONDITIONING PAD
(R) RADIAL DISTANCE
CONC. CONCRETE SCALE: 1"=20' GLENN . BROADST , 5814
ESA/'T EASEMENT .JCA_
B.R.L. BUILDING RESTRICTION � r,.
UNE FIELD WORK DATE: 7-16-2018 EGIS7ERED SURVEYOR AND MAPPER,
PC POINT OF CURVE SIGNATURE DATE: 7-1 7-201 8 PT POINT OFFTANGENCY STATE OF FLORIDA (LB #4921)
F.B. • PG. • CDF:• 95-3655 ORDER NO. ('JI M
NOTICE OF COMMENCEMENT
State Florida Tax Folio No. 1 JL ^4,-.
County of Duval
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 this NOTICE gF COMMENCEMENT.
Legal Description of property being improved: p} 531 —a i.1-- e r�j
Address of property being improved: ' „ 0 - t _�, , _ ,., i
General description of improvements: m h wi a., Wit, Skill _ VA J I 1 ``
P • li10;1.1r 1.
Owner: _ )` T. i i j Address: ` Q -"Pi rY ..Ar ;ut ok I Et - - 3
Owner's interest in site of the improvement: �r,t fv-NA_,,---/
- N Oto
Fee Simple Titleholder(if other than owner):
Name:
Contractor. '4 L.- A 4. ' 'W. . le,., -'. e- '• 0 .,,,,..
Address: (G./�2' ,yt.f 1 S- i-I lr- S-1, i-14-11\5, r -
, Telephone No.: 44.4-qc.2- -ix)7 Fax No:
` } iSurety(if any) 1N 0
Address: Amount of Bond$
Telephone No: Fax No:
Doc#201 81 9481 3,OR BK 18496 Page 826,
Name and address of any person making a loan for the construction of the improvements Number Pages. 1
Name: Recorded 08/17/2018 12:13 PM,
— RONNIE FUSSELL CLERK CIRCUIT COURT DUVAI
Address: COUNTY
— RECORDING $10.00
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (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):
THIS SPACE FOR RECORDER'S USE ONLY 0g
Sined: _ Date: C- ' Y-!
Beforeme this t Lk day of , ,,., J� in the County of Duval,State
4.0••: