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253 ROYAL PALMS DR - COMM. INTERIOR DEMO rS1...Ai'%xDEMO PERMIT PERMIT NUMBER r" f CITY OF ATLANTIC BEACH DEMO18-0038 (J ;fr \ r `I ISSUED: 1/3/2019 PURI* 800 SEMINOLE ROAD EXPIRES: 7/2/2019 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 i 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. IJOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 253 ROYAL PALMS DR DEMO INTERIOR ONLY COMM. INTERIOR DEMO $15000.00 ONLY TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 177602 0060 SECTION LAND 1 COMPANY: ADDRESS: CITY: STATE: ZIP: STYLES CONSTRUCTION, JACKSONVILLE 1537 PENMAN RD SUITE A FL 32250 INC. BEACH 1 OWNER: ADDRESS: CITY: STATE: ZIP: 0 U R PROPERTIES INC PO BOX 330108 ATLANTIC BEACH FL 32233-0108 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 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT DEMOLITION 455-0000-322-1000 0 $100.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $104.00 Issued Date: 1/3/2019 1 of 2 0 w. odt DEMO PERMIT PERMIT NUMBER I► ' CITY OF ATLANTIC BEACH DEMO18-0038 '�_ 800 SEMINOLE ROAD ISSUED: 1/3/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 7/2/2019 I Issued Date: 1/3/2019 2 of 2 -S,ar.1:r,, City of Atlantic Beach APPLICATION NUMBER >` • )10,::. Building Department (To be assigned by the Building Department.) 800 Seminole Road11 EY\t) ( C1©_ CO Atlantic Beach, Florida 32233-5445 t �3-8 Phone(904)247-5826 • Fax(904)247-5845 l p -rt' E-mail: building-dept@coab.us Date routed: Z/ City web-site: http://www.coab.us rr APPLICATION REVIEW AND TRACKING FORM Property Address: O v74L IJA Len,_ De artment review required Yes No c uilding� Applicant: ( rining-&Zoning Tree Administrator Project: I Ny E-QC crz, L M C--) Public Works (P is ti i ie O L�--( Public Safety Fire Services teview ree 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:604 0_ 71ra c jo t 4T_, to r'N,„.S ' 2„ Se✓ ��rz._ BUILDING Ov Gro Car', PLANNING &ZONING Reviewed by: Date:/2. 26 u TREE ADMIN. Second Review: A roved as revised. De •. ❑ pp ❑ - ❑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 c3'S jik "4� Building Department (To be assigned by the Building Department.) .1l . 800 Seminole Road Atlantic Beach, Florida 32233 5 01 �` C038 2 Phone(904)247-5826 • Fax(91 247:5113,15 2018 9' E-mail: building-dept@coab.us RY Date routed: Z./ Z� City web-site: http://www.coab.rf� APPLICATION REVIEW AND TRACKING FORM Property Address: Ro V 74L. A LifYls Department review required Yes No uildinq� Applicant: ( `�L-�-S �f��,j fanning-&Zoning Tree Administrator Project: I N--E- &fak 01R, CI\ M Public Works cPublis Uti ND (_'--! Public Safety 11 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. of applicable (Circle one.) Comments: ' � '/ BUILDING ?lam s -too U.5 e \v1� Lasere"tC.`hc_. PLANNING &ZONING Reviewed by: �� Date: /Z 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 05119/2017 ,tr Building Permit Application Updated 10/9/18 f. City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY }4.,,,, Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: 253 ROYAL PALMS DRIVE Permit Number: pC VIC. ( s -00-35 Legal Description 1 38-2S-29E 1.862 CASTRO Y FERRER GRANT3 PT RECD O/R 10138-1777 RE# t ( Il, J L 1.._)'-At C) Valuation of Work(Replacement Cost)$ 1ri- 4'3)-4'' Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): Q✓ Commercial ['Residential • If an existing structure,is a fire sprinkler system installed?: ❑✓ Yes ❑No �o • Will tree(s) be removed in association with proposed proiect?®1'es(must submit separate Tree Removal Permit) bNo Describe in detail the type of work to be performed: 1 / 01/74 Florida Product Approval# for multiple products use product approval form Property Owner Information Name 0 U R PROPERTIES INC Address P.O. BOX 330448 City ATLANTIC BEACH State FL Zip 32233 Phone (904) 241-1151 E-Mail EHIONIDES@PETRAJAX.COM Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information) .:.°413I1/1/‘--1-"-4-' ,�f -., Name of Company 5)7;�`'i C�'►isI '�` ' �`! '�� Qualifying Agent ��/e)t rr /� G.. sm j�`l Address /c3 7 A.,/M1r�✓' City T.x6-/- State / -4', Zip 7.72 :CZ) Office Phone 9,0r95---`a/,1-7 Job Site Contact Number 9-'3' 5.-95--T/'-'1-2 State Certification/Registration# G'�G./ZS-sL.'I. E-Mail j e ''GVf 4//3/ 67 4e//f.w7/ .'r✓f Architect Name&Phone# /-71,5.4../ Cn✓fv/74/,✓.5 Engineer's Name&Phone# Workers Compensation Insurer A,.../l> ••s*/.1✓t-5 OR Exempt❑ Expiration Date 7/// 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 YOU • PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBJ IN F ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC•�' ©'' OUR ICE OF COMMENCEMENT. ^—~ -- X1 /' a„1,2./. — f-'".-7--e- (Signature (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirm d)before me this u day of Signed and sworn to(or affirmed)before me this l4)-kh day of II peC�,mbc, 2_01. by Um(13-411b n.aQ> 17�cem r ?.0r ,by �._ . / '14-1-N _ � - - Si:nature of Nota ) -------- ",re arotaq¢ .,Of? BSALCAN — — - �' Notary Public-StateofFlorida ersonall Known OR ""'L' STEFANI SERNA ersonally Known OR • Q commission:FF2295a5 (p}.P y ,`••r•��� �• �' Produced Identification ��;,=State of Florida-Notary Public ]Produced Identification :'��,�, My Comm.Expires May l t,2ot9 I •c Commission #GG 235032 Type of Identification: Type of Identification: ="t "= Ni CO ssion Expi es aiio July 04, 2022 'mina•