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377 7TH ST - DEMO DEMO PERMIT PERMIT NUMBER � DEMO18-0031 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/14/2018 ATLANTIC BEACH. FL 32233 EXPIRES: 5/13/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 377 7TH ST DEMO COMPLETE $0.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169944 0000 SHERRY TERRACE R/P COMPANY: ADDRESS: CITY: STATE: ZIP: Fox Signature Homes 2233 W Clovelly Lane St Augustine FL 32092 OWNER: I ADDRESS: CITY: STATE: ZIP: Jeff Newman 377 7TH ST ATLANTIC BEACH FL 32233-5433 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247 -5814)to request an Erosion and Sediment Control Inspection prior to start of construction. 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. Issued Date: 11/14/2018 1 of 2 11 IP fs. DEMO PERMIT PERMIT NUMBER �:,4' � DEM018-0031 �tvCITY OF ATLANTIC BEACH ISSUED: 11/14/2018 800 SEMINOLE ROAD rsr.) ATLANTIC BEACH. FL 32233 EXPIRES: 5/13/2019 3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers). Container cannot be placed on City right-of-way. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 5 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 6 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL Notes: Slab and driveway to be fully removed. 7 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed,call 247-5878. 8 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL Notes: Disconnect and cap water and sewer lines. 9 PUBLIC UTILITIES INSPECTION PRIOR TO DEMOLITION INFORMATIONAL Notes: Must call the Inspection Line at 247-5814 to request an inspection of the disconnected and capped water and sewer lines prior to demolition. `. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT DEMOLITION 455-0000-322-1000 0 $100.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $129.00 Issued Date: 11/14/2018 2 of 2 7. At least two hoses, with nozzles, capable of reaching to all areas of the property must be on site with an adequate water supply. 8. The structure must be sprayed with water for one hour before demolition begins. 9. The hoses must be used continuously during demolition, wetting down the structure, the debris pile, and truck beds when being filled. ASBESTOS. 10. All roofing and siding made from asbestos containing materials (ACM) are considered friable and must be removed from the structure, following NESHAP Guidelines, before demolition begins. This includes all commercial and one and two family residential dwellings. Please call fora Pre-Demolition Inspection, before demolition begins, and a Final Inspection, when demolition is complete. 11/01/18 2 I 01.-t cif),, City of Atlantic Beach CEDE APPLICATION NUMBER jS �, Building Department OCTTo be assigned by the Building Department.) -- ' i -� 800 Seminole Road 1 3 0 2018 M ¢ D-.,. r• Atlantic Beach, Florida 32233-5445 IeM 01 O+0051 Phone(904)247-5826 • Fax(904)24 45 rd J;31TYr E-mail: building-dept@coab.us Date routed: 161 b l City web-site: http://www.coab.us 11 APPLICATION REVIEW AND TRACKING FORM Property Address: --1 1 1 Department review required Yes No C R"-- 'I Applicant: 0 X Planning &Zoning Tree Administrator Project: (-10-ern l01iic Works Qublic Utilitie Public Safety Fire Services Review fee $ Dept Signature j 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. I Not applicable (Circle one.) Comments: BUILDING ` PLANNING &ZONING 471, Reviewed by:,f ,� Date: /4 TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ( 'Approved as revised. ❑Denied. I Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 I I l,i-mr,,, City of Atlantic Beach APPLICATION NUMBER :;S � Building Department (To be assigned by the Building Department.) r " 1-'I //�� `� 800 Seminole Road -., N ,, Atlantic Beach, Florida 32233-5445 �M o��'��� Phone(904)247-5826 • Fax(904)247-5845 �+ -1'./...0109%='• E-mail: building-dept@coab.us Date routed: t(�1 3 O ( I a City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 141 Property Address: 1 1 1 Department review required Yes No Applicant: rb x Planning &Zoning Tree Administrator Project: J M O ! iie Public Safety Fire Services Review fee $ Dept Signature j 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: APPLIC ION STATUS Reviewing Department First Review: I Approved. ❑Denied. nNot applicable (Circle one.) Comments: ( ;9 BUILDING PLANNING &ZONING Reviewed by: "" l.`/ZDate: //—Z—/ K- d TREE ADMIN. Second Review: Approved as revis d. ❑Denied. I INot 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 I r��,vf��� City of Atlantic Beach APPLICATION NUMBER + Building Department (To be assigned bythe BuildingDepartment.) 9 P ) it 800 Seminole Road M D:� Atlantic-r• Beach, Florida 32233 5445 e f l 01 8' 005( Phone (904)247-5826 • Fax(904)247-5845 + ::L J;31�r E-mail: building-dept@coab.us Date routed: 16 3 6 f a City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 11 1 Department review required Yes No Applicant: i o) Planning &Zoning Tree Administrator Project: tre,M 0 lic Wor< u is •tilitie Public Safety Fire Services Review fee $ Dept Signature j 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: a •pproved. Denied. nNot applicable (Circle one.) Comments: l � BUILDING •i '\ s 4 O -"M `J PLANNING &ZONING Reviewed by: Date: 1 k\OR V TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. nNot applicable Comments: • Reviewed by: Date: Revised 05/19/2017 t-cCl,C1 V CV 1, 2018 Building Permit Application Updated 10/9/18 .rj City of Atlantic Beach Building Department **ALL INFORMATION Buil• �fF,..;21 partmen 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY P e: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. City of Atlantic Beach, Job Address:377 7TH ST Atlantic Beach FL 32233 Permit Number:De`Y\O I 3O t Legal Description 20-45 16-2S-29E SHERRY TERRACE R/P LOT 1 RE# 169944-0000 Valuation of Work(Replacement Cost) $17,750 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ODemo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ElCommercial ['Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑✓ No • Will tree(s)be removed in association with proposed proiect?❑Yes(must submit separate Tree Removal Permit) IIINo Describe in detail the type of work to be performed: Demolition of Existing Home Florida Product Approval#N/A for multiple products use product approval form Property Owner Information Name Amanda and Jeff Newman Address 822 10th Ave South City Jax Beach State FL Zip 32250 Phone (305) 321 1914 E Mail jeffgnewman@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)n/a Contractor Information Name of Company Michael Fox Qualifying Agent Michael Fox Address2233 West Clovelly Lane CitySt Augustine State FL zip32092 Office Phone Michael Fox Job Site Contact Number(904) 838 1215 State Certification/Registration#CRC1330514 E-Mailfoxmhf@gmail.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt Ur Expiration Date 8/2019 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 regulating 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIK�U NOTICE OF COMMENCEMENT. Signature of Owner or Agent) Signature of Contractor) Signed and sworn to(or affirmed)before me this(---- day of 5igned and sworn to(or affirmed)before me t2tt day of ' e e ' . ' by •.v��.� C (,� ' ('5' ,by /11/1-( ( - Fi��("JC NOTARY P STATE OF FL• i_':ture .f Notary) Comm#FF9277 ot•ry Puaic SM•a Fbrid• 41'0E1;1' Expires 10/14/2019 • My Commss'�iF 1119902 [ ]Personally Known OR [ ]Personally Known OR w� Expires 01/14/201S [4-Produced Identification— / -24V-0 Produced Identification Type of Identification: I�. i°�l��a 17 Z? 'P2—2 t V-0 Type of Identification: /- 'L . C e v\ ► '1 .1: ��r rjv, riViia 1, :1 CITY OF ATLANTIC BEACH po 1) s) 800 SEMINOLE ROAD"la .5 11 ti ATLANTIC BEACH,FL 32233 (904)247-5800 .40331.0 BULLETIN 4-18 colOUN To: All Permit Applicants. E�FOR CO A�IC I3-,I From: Dan Arlington, CBO F�'11��-��{ Of ��Fo4t P's p,,Itols City Building Official � ""�t5 D C 6 S�LF`� ^�ZJT�aAN` �b�``v Date: October 30, 2018 RE:0;cE,v,c oQ-t,f .''�^Ft`s' 1\4 V Re: DEMOLITION OF STRUCTURES. 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. 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. Removal of any trees requires a separate Tree Removal Permit, per COAB Code Of Ordinances, Section 23-21. 5. Protection of trees and vegetation during construction is required, per COAB Code Of Ordinances, Section 23-32. 6. Prior permission from the Building Department is required before blocking any part of the right-of-way or side walk. Dust and wind-borne debris generated from the demolition of a structure is considered unsafe and a hazard to the public health, safety, and welfare of residents in the surrounding areas. When demolishing a structure, the following steps are required to ensure that the minimum dust and debris leaves the property: 0P FSC 1 FC Op', NOTICE OF COMMENCEMENT �/ l q (�(� - Q 00 0Doc#2018256520,OR BK 18579 Page 1733, State of Pk ivl -1 Number Pages:1 fax Folio No. ( 1 I ////11Recorded 10/29/2018 02:31 PM, County of W o✓u ( RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY To Whom It May Concern: RECORDING $10.00 The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information i stated in this N TICE OF COMMENCEMENT. 1_45Ito ; n- �3�T Legal Description of property being improved: 5 al _ l Address of property being improved: 3 7 7 7741 ..t ree I- A-b/-c-'c !3 e c,,C 4 FL 3 223? General description of improvements: Oe-r1 o I 1 Y ©(3 O Owner: JIFF 1-4,1.4 A 1Y<,,.n, Address: 72 2 I O Ave -Co v f n J4 c i) •n r L Owner's interest in site of the improvement: 3Z zJ a Fee Simple Titleholder(if other than owner): Name: Contractor: Mrc,6.4<< / A mil Address: 2 2 7 2 V✓ C L- U(2( J J A -- F l ow.Jl 3 2-01 Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: 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 OWNER Signed: `‘E— Date: )6( rl) Before me is 'L5 day of C. ✓ in the County of Du al,State JODY LAYNE Of Florida,has personally appeared sJ�_i-1 t >` n ,ApRY Notary Public at Large,State of Florida,County of Duval. • NOTARY PUBLIC My commission expires: l 0/ / '.l/ 9 7.‘ ._ 'STATE OF FLORIDA Personally Known: or �""iComm#FF927737 Produced Identification: lk 5 S--0q 27 - d — Z`f p— 44CE 1elv''�Expires 10/14/2019 1 e/2-c,