1330 Ocean Boulevard DEMO PART PERMIT DEMO PERMIT PERMIT NUMBER
t CITY OF ATLANTIC BEACH DEM019-0004
800 SEMINOLE ROAD ISSUED: 2/5/2019
_U;19 ATLANTIC BEACH. FL 32233 EXPIRES: 8/4/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
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:
1330 OCEAN BLVD DEMO PARTIAL DEMO GARAGE ONLY $8000.00
TYPE OF BUILDING
• • GROUP:
171847 0000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
RJ ATLANTIC BUILDERS, 115 Florida BLVD NEPTUNE BEACH FL 32266
INC
• ADDRESS:
ROBERT EBENER 1330 OCEAN BLVD ATLANTIC BEACH FL 32233-5744
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.
wi 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: 2/5/2019 1 of 2
DEMO PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
DEM019-0004
�r 800 SEMINOLE ROAD ISSUED: 2/5/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 8/4/2019
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,JDog/Dennis Junk Removal). 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 DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
7 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking must be removed from job site by Contractor.
8 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.
9 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL
Notes:
Disconnect and cap water and sewer lines.
10 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.
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 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $129.00
Issued Date: 2/5/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
�s Y Building Department (To be assigned by the Building Department.)
J >0 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
;tl9%' E-mail: building-dept@coab.us Date routed: Z
Al
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: )LIQ Department review required Ye No
a
n
� �� � (�.�n7�(� 3 �[�
'Planning &Zoning
Applicant:
Tree Administrator
Project:
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
e�?X St. Johns River Water Management District
Army Corps of Engineers k-
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:
(BUIALDIN
PLANNING &ZONING
Reviewed by: 19i Date:
TREE ADMIN. Va
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
jt �,,+ Building Department (To be assigned by the Building Department.)
800 Seminole Road _ I -0004
Atlantic Beach, Florida 32233-5445 JAN �� jj' � `�✓
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us IL_Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l l� n CC=�A�V �-V-Q Department review required Yes No
uildin
Applicant: �� 1"'� (Lp'f0.(-(0 CLQ _ Planning &Zoning
Tree Administrator
Project: C) A A_A'G'g;;� _ orks
Public-Utilities
Public a e y
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
C�
Florida Dept.of Transportation Cys
L
St. Johns River Water Management District
Army Corps of Engineers U
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:
BUILDING
PLANNING &ZONING Reviewed b ate:
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
i'oLyj City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
G 800 Seminole Road /i
Atlantic Beach, Florida 32233-5445 �J 19
_ O,4
Phone(904)247-5826 Fax(904)247-5845 _
E-mail: building-dept@coab.us L Date routed: z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l �.� V CC{��V6 :�QuilclinqD
LIQ Department review required Yes No
z'
Applicant: F'A (L_hro-n e L(� , Planning &Zoning
Tree Administrator
Project: ublicUorks
tilities
Public a e y
Fire Services
Review fee $ Dept Signature r r
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers �
Division of Hotels and Restaurants 0%
Division of Alcoholic Beverages and Tobacco _ _1�0�
Other:
APPLICATION STATUS
Reviewing Department First Review: HApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments: RY�s Tho l e Y LcLs"die,
BUILDING
PLANNING &ZONING Reviewed by: "-"�2'oz�te:
TREE ADMIN. Second Review: ❑Approved as revis d. ❑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
Building Permit Application OFFICE COPYUpdated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1330 ocean Blvd. Permit Number: 0 L—k'Y\ 0 L9 - Mo
Legal Description 10-11 16-2s-29e mandalay lot 2 blk 54 RE#171647-0000
Valuation of Work(Replacement Cost)$8,000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ODemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial OResidential
• If an existing structure,is a fire sprinkler system installed?- ❑Yes ONo
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit ONo
Describe in detail the type of work to be performed:
Demo existing one car garage and apartment.
Florida Product Approval# for multiple products use product approvadorm
Property Owner Information Z to
Name Robert and Laura Ebener Address 7854 Monterey Bay Drive Q '_' Q Z
CityJacksonville State FL Zip 32256 Phone U' v Z F- ' b
E-mail f [�cr+ S�� r(ViL1� W O p
Owner or Agent(If Agent,Flower of Attorney or Agency Letter Required) Z Q
Contractor Information U_ O 0 G
UJ
Name of Company RJAtlantic Builders,inc. Qualifying Agent Robert Johnson Z
Address 7150avis Street CityNeplune Beach State FL Zip32266 ` Ql0 Q
Office Phone 4135-3520 Job Site Contact Number 904735-3520 N
State Certification/Registration#ccc 1511900 E-Mail RobbieCadatlantic corn Q E' Z
Architect Name&Phone# LL W
Engineer's Name&Phone# W LU
Q m
Workers Compensation Insurer If"PI OR Exempt o Expiration Date 10126/2019 LIJIW
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installat N W W
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulaRg CC W
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGWJ, E
WELLS,POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirement this Ir
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
RECORPINGYOUR NOTICE OF COMMENCEMENT.
`t /Iz-bi
(Signature of Owner or Agent) ( nat a of Contractor)
Signed and sworn to(or affirmed)before me his ?i day of Signed and sworn to(or affirmed)before me this 15 day of
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Expires June 14,2021 ;it
;Z;; ° Bonded Thru Troy Fain Insurance 8011-3 5-7019 :. Co'":i i 'ii;;%x U 009947
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rsonall Known OR "�L^'�` 801` .in!csurdnce80a8Er7018
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Type of Identification: J< < '� `� �""' Type of Identification: �'I- L
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=f,�p CITY OF ATLANTIC BEACH
OFFICE COPY 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
(904)247-5800
BULLETIN 4-18
To: All Permit Applicants.
From: Dan Arlington, CBO
City Building Official
Date: October 30, 2018
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:
1
vrriV,t uupy
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 for a Pre-Demolition Inspection, before demolition begins, and a Final
Inspection, when demolition is complete.
11/01/18
2