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1800 W SEVILLA BLVD - DEMO GUARD HOUSE rs`w-';.;, DEMO PERMIT PERMIT NUMBER r�,' DEMO18-0035 \Jv. _r CITY OF ATLANTIC BEACH ISSUED: 11/28/2018 800 SEMINOLE ROAD o.;_i EXPIRES: 5/27/2019 ATLANTIC BEACH. FL 32233 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: 1800 W SEVILLA BLVD DEMO COMPLETE GUARD SHACK $8000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169399 0400 SEVILLA CONDOMINIUM 01 COMPANY: ADDRESS: CITY: STATE: i ZIP: FERGUSON BUILDERS INC. 317 3RD STREET ATLANTIC BEACH FL 32233 OWNER: ADDRESS: CITY: I STATE: ; ZIP: SEVILLA DEVELOPMENT 1800 SEVILLA BLVD ATLANTIC BEACH FL 32233-5622 CORP INC 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: 11/28/2018 1 of 2 1 5 ,. DEMO PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH DEM018-0035 -0 ISSUED: 11/28/2018 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019 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 DOCUMENT IMPERVIOUS AREA INFORMATIONAL Notes: Strongly suggest thorough documentation of impervious areas be recorded. 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: 11/28/2018 2 of 2 City of Atlantic Beach APPLICATION NUMBER if BuildingDepartment (To be assigned by the Building Department.) � " Grnol8 - � 800 Seminole Road C ,. Atlantic Beach, Florida 32233-5445 �� Phone (904)247-5826 • Fax(904)247-5845 Q� o;; 9%' E-mail: building-dept@coab.us Date routed: I l t. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM i V� Property Address: 1moo S 6LvQ Department review required Ye No rRi Applicant: I ✓ ays°N3 V< -�CS Planning &Zoning Tree Administrator Project: iI E o G o c &toi()_l ublic Works ublic Utilitie�j 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: Approved. ( 'Denied. ❑Not applicable (Circle one.) Comments: UILDIN PLANNING &ZONING Reviewed by: _ Date: 1/ aO"/ 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 City of Atlantic Beach APPLICATION NUMBER In / Building Department fir+w (To be assigned by the Building Department.) / ' 800 Seminole Roadrj y \ �M O L Q C� _/ter-, C" Atlantic Beach, Florida 32233-5445 ' v0 Phone(904)247-5826 • Fax(904)247-5 9 •,/1)1 111119%' v E-mail: building-dept@coab.us Date routed: I t t. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM tA.) Property Address: (moo S EY'it—LA 6L-VO Department review required Yes No -� `Rui!ding Applicant: F &RaLS0 U<a) Planning &Zoning f-"N Tree Administrator Project: V€3Y o – G 0 c ei &A�l� ublic Works, ublic Utilitie 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: Vj pproved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b „Date: 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 J45,v., ''-%, Building Permit Application Updated 10/9/18 r s, City c ach Dm ** M800of SemAtlantiinole RoaBed,AtlanticBuilding Beach, FL 32233epartent HIGHLIGHTEDALLINFORINATION GRAY ,,`'''�s „ Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: 16960 `r'Ti- ki2LLf-- cir 1-.Y4, (N Permit Number: 'bEMUt& -0035 Legal Description TICHD i" Kop 1e60 kj, 1L RE# 1 Co 9 399 - (--)400 Valuation of Work(Replacement Cost)( DO ,e-a• Heated/Cooled SF Non-Heated/Cooled w U • Class of Work: ❑New ❑Addition [Alteration ❑Repair ❑Move Demo ❑Pool ❑Window/Door Z N • Use of existing/proposed structure(s): ❑Commercial ❑Residential J = Q O • If an existing structure, is a fire sprinkler system installed?: ❑Yes Xlo ❑N/A O- d O 0 . 1 � W � � • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit No Tree Removal 51 m Z ti.i Describe in detail the type of work to be performed: 0 08 8 p fN. -o - L0M1 .SkAC..AK p _ _ z 0 < 0Q Florida Product Approval# for multiple products use product aporcidal rwi Property Owner Informat'on $R ;- '..TD q 0 Lt. 2 Ui Name 0�� /kk � f. )°14C-,...,;,. Address ) l3? 6� «'4R Si-AtP. W. O w W CityVAA � p &' j9Phone �'D 8� c IZ'j- °' % mCitT(G StateL ZiE-M41 04. @ �bL, GOA r ! t�u� Q w Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Ucc W Contractor Infortea, / ,p LU w Name of Co anySAti1 (/(1/i,,�Df 3 rj(f c Qualifying Agent R�� Crf/s N Address '6 �-n1 iAvp City 4 . Y State s _Zip�=�r3_3 Office Phone q /9/5— Job Site Contact Number ?.� -r- State Certification/Registration#t .Z(I(3 E-Mail _ail-_c `-_it�.2 — ( 1 ar 1. .L;a Architect Name& Phone# Engineer's Name&Phone# ../.'--- Workers Workers Compensation Insurer (.51)' �O/ � 'DKr OR Exempt4Expiration Date o }` ,-IZDg_a 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 RECORDING YOUR NOTICE 7OF COMMENCEMENT. per--h A i q nG+i-vv o 'F' -r1.-e- Pero.r .i k (o c -E'er Qfc„ ----Wielkk-e") ."1- (Signature of Owner or Agent) (Signature of Contractor) C---enc-e PQrw\ ✓r l l•1c-1.4 SignedWnd sworn to(or affirmed)before me this day of ig e and wan,.to( f irmey� befor- m- is( 9..y of , , by , O1 0 . i tc ., f-c ► . ),.._. (Signature of Notary) of ' " ill TONT G!NDLE�PER;ER m-'" 4 [ ]Personally Known OR 11 '`; [ ]PersonallyKnowr�fbR '._. "�= t+1YCGMPA.ISSION#FF924951 [ ]Produced Identification [ ]Produced Identifi ' t] `?;;' EXPIRES:actoberu,2019 E c.,,-,4;,., &ended Tau�,otary Public Underm.ers Type of Identification: Type of Identificatior -=�..,,,,__,. NOTICE OF COMMENCEMENT /� (PREPARE IN DUPLICATE) Permit No. �Je/77 0/e -00 Tax Folio No. 169399-0503 State of Florida 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 OF COMMENCEMENT. Legal description of property being improved: 08-2S-29E SEVILLA CONDOMINIUM #I COMMON ELEMENT PARCEL 0/R 3770-413 Address of property being improved: 0 SEVILLA BLVD ATLANTIC BEACH, FL 32233 General description of improvements: DEMOLITION OF ENTRANCE GUARD SHACK Owner SEVILLA CONDOMINIUM ASSOCIATION INC Address 7400 BAYMEADOWS WAY STE 317 JACKSONVILLE,FL 32256 Owner's interest in site of the improvement OWNER Fee Simple Titleholder(if other than owner) N/A Name N/A Address N/A Nl ontractor ALL AMERICAN DEBRIS & WRECKING Address P.O. BOX 24071 JACKSONVILLE, FL 32241 Phone No. 904-'262-9600 Fax N0. 904-379-2498 Surety(if any) N/A Address N/A Amount of bond$ N/A Phone No. N/A Fax No. N/A Name and address of any person making a loan for the construction of the improvements. Name N/A Address N/A Phone No. N/A Fax No. N/A 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 Phone 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 Statutes.(Fill in at Owner's option). Name Address Phone 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 or AGENT If• •nttP.we • • • ey• ••ency Letter Required) Sign•. i�<.2,,4 �. Date: Before m• his itailday of it,„,.�;.,J in the County of Duval,State of Florida, as personally appeared ')t 0114 k 4SS herein by himself/herself and affirms that all st ments are true and accurate. /l Notary Public at Large,State of County of K v /� Doc#2018271170,OR BK 18599 Page 1851, My commission expires: /4-.2 Number Pag / ersonally Known Produced Identification 1Tara Ramos Recorded 11/16/2018 11:51 AM Notary Public-State of Florida RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Commission No.GG 143025 COUNTY My Commission Expires Sept.14,2021 RECORDING $10.00 ATLANTIC BEACH BUILDING DEPT. DEMOLITION — PROPERTY OWNER 5 s; RELEASE FORM OFFICE L, Date: 2 i To Whom It May Concern: I / We the current property owners of: Lot O ' Z S •Z9 2 .2d Block P r,, L<< c, -7 70 Legal Description of Property AKA I GU `JSL Lei tkc., c;,c.v'd) Vkc,&s- have contracted with to have (Address of Property) to remove the trtc\'id) 01.45 e. (Company Name) (Single Family,Duplex,Commercial,etc.) Prior to the construction of : QkS itc . L IA c ` kt C L 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. Affecteo area is to have grass or seed in place. 5. Erosio control devices will be put in place and will remain in place until grass has c• ered affected area or new structure is completed and landscaping is in place. Signatu c Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date ( Before me this I " lay of o J ?© I in the County of Duval„State Of Florida,has personally appearedp • /'1 ttli cf 14fl — ed,3 05 /i r Notary Public at Large,State of Florida,County of Duval. My commission expirr : PersonallyKnown: Michael Hiilep.+s �/ Not—y a..pue tit-te of rlvrisJo or Produced Identification: Ccmmloolon FF179002 My Co•oroleion Eso.a.oe N.,v.28,lO18 • goLANrie, OFFICE COMP ITY OF ATLANTIC BEACH I1 ' 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 (904)247-5800 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. 7. Adding fill dirt to the lot is prohibited, until approved by Public Works. 8. Prior permission from the Building Department is required before blocking any part of the Right-Of-Way. 1