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801 Begonia St DEMO19-0015 DEMO PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH DEM019-0015 ISSUED: 5/9/2019 800 SEMINOLE ROAD EXPIRES: 11/5/2019 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, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. the requirements of this permit,there may be additional restrictions applicable to this property he public recordsof this county,and there may be additional permits required from other such as water management districts,state agencies,or federal agencies. JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 801 BEGONIA ST DEMO COMPLETE DEMO HOUSE $2500.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1709271030 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: JAX DIRTWORKS INC 334 PEREGRINE CT JACKSONVILLE FL 32225 OWNER: ADDRESS: CITY: STATE: ZIP: BEATY MARVIN M 801 BEGONIA ST ATLANTIC BEACH FL 32233-1711 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 ORAN 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. 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 priorto start of construction. 2 PUBLIC WORKS ON SITE RUNOFF MATIONAL Notes: All runoff must remain on-site during construction. issued Date:S/9/2019 1 of 3 DEMO PERMIT PERMIT NUMBER DEM019-0015 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 5/9/2019 EXPIRES:11/5/2019 ATLANTIC BEACH. FIL 32233 3 PUBLIC WORKS ROLL OFF CONTAINER ATIONAL Notes: Roll IT container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). 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 CONSTRUCTION SITE MANAGEMENT INFORMATIONAL Notes: Provide construction site management plan,including location of slit fence,clummster,portable toilet. Right-of-Way Permit is required If using right- of-way for construction parking. 6 PUBLICWORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 7 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL Notes: Slab and driveway to be fully removed. 8 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Any damage done to Infrastructure must be repaired by Contractor. 9 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Any damage done to street must be repaired by Contractor. 10 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Street must be kept free of din and mud debris. 11 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. 12 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL Notes: Disconnect and cap water and sewer lines. 13 PUBLIC UTILITIES INSPECTION PRIOR TO DEMOLITION INFORMATIONAL Notes: Issued Date:5/9/2019 2 of 3 DEMO PERMIT PERMITNUMBER CITY OF ATLANTIC BEACH DEM019-0015 ISSUED: 5/9/2019 800 SEMINOLE ROAD EXPIRES: 11/5/2019 ATLANTIC BEACH. Fl.32233 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT DEMOLITION 1 455 0000 117 1000 1 0 $loo.00 PW REVIEW BUILDING MOD OR ROW 001-0000 329-IM4 1 0 $25m 52.00 STATE DBPR SURCHARGE 4S5 DODD STATED�SURCHARGE 45�208-0600 1 $2.00 TOTAL:$129.00 Imed Date:519/2019 3 of 3 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 7= Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@caalb.us )R 29 K� Date routed: City web-site NIP/1www coato us APPLICATION REVIEW AND TRACKING FORM Property Address: c—_Gow (A S-r Dee2rhmerithavi,lnfl,reguired Yes No Applicant: �Poc rbtQ_ra-)r)y_K_5, -Pf�- &Zoning Tree Administrator Project: _ �Aot�&G Public Safety Fire Services Review fee $_ Dept Signature Review or Receipt of Permit Verified By Other Agency Review or Permit Required Florida Dept.of Environmental Protection e/ Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 43�pproved. E]Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed byi Date: TREE ADMIN. second Revisiv: E]Approved as revised. DIDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:- FIRESERVICES Third Review: E]Approved as revised. E]Denied. ONot applicable Comments: Reviewed by: Date:- R.,naedl 0511T2017 City of Atlantic Beach APPLICATION NUMBER jw'�' Building Department.) F Building Department (To be assigned by the 800 Seminole Road Atlantic Beach,Florida 32233-5445 Disivi ,QO�5 Phone(904)247-5826 Fu(904)247-5845 Date routed: 417-011[9 E-mail: building-dept@coatous City welb-site: http:/Aw�wcoab us APPLICATION REVIEW AND TRACKING FORM Property Address: 80 1 IZSEC�iom( RST artmentrevievvire uIre 4.!,LId,nr)7 -Parming&Zoning Applicant: 1�P� y �L Tree Administrator Project: — kooSE; Public Safety T�tre Services UJ Re# �ee $_ DeptSignature _ > —Review or—Receipt Otlm&Agency Review or Permit Required of Permit Verified By Date UJFlor * t.of Environmental Protection FI'lon 32,.of Tuansportation S, 1-0 wrWater Management District UJ Aim a of Engineers Division Hotels and Restaurants Division o Alcoholic Beverages and Tobacco Other. APPLI91116TION STATUS Reviewing Department First Review: R�pproved. E]Denied. ONotapplicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by TREEADMIN. Second Review: ElApproved as nsvii DDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: E]Approved as revised. []Denied. E]Not applicable Comments: Reviewed by: Date:— Revised OWIW2017 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date; C5 lir 1, /I I Application#: C)01's Project Address; qzo( jg!�()n 1 0%. Check Box Check APPLICATION TRACKING COMMENTS toAdd Boxto Com Print Underground Avoid damage to underground water and sewer utilities. Verify vertical and Water Sewer horizontal location of utilities. Hand dig If necessary. If field coordination Is I Utilities needed,call 247-5878. Meter Boxes Ensure all meter boxes,sewer cleanouts and valve covers are set to grade Sewer Cleanoul and visible. [3 E3 A sewer cleanout must be Installed at the property line. Cleanout must be RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade 0 [3 Cleanout I and Visible. A reduced pressure zone backflow preventer must be installed if Irrigation will RPZ be provided or If there is a private well on the property. Backfiow preventer C3 C11 Bacleflow must be tested by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change,any fire line Sensus Installed must be metered with a Sensus touch-read meter In a properly sized Touch-Read vault and an appropriate backflow preventer Installed. Backfiow preventer Cl 0 Meter must be tested by a certified tester and a copy of the results sent to Public Utilities. Fire Sprinkler If fire sprinkler system is provided,call 247-5878 for backfiow requirements. Backiflow, Requirement At a minimum,will require a double check backfiow preventer. Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger E3 Cl Meter than 2�must be installed in a vault as noted in JEA specifications. Utility Map See attached Utility Map. Cl Cl Disconnect 0/7 ;7 &Cap Disconnect and cap water and sewer lines. Inspection Must call the Inspection Line at 247-5814 to request an inspection of the Prior disconnected and capped water and sewer lines prior to demolition. 13 0 13 13 �'J��j' city of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Read Adantic Beach, Florda 32233-5445 Phone(904)247-5826 Fax(904)247-5845 Date muted: E-mail: bu1ldingAept@Coab.us City web-site: hftp:1f�-coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Sol BG'�OMLAS-r De artmentreVievvre uired Y No *77 ulidin Applicant: 1� x-) . &Zoning Tres Administrator Project: tie Public Safety Fire Services Review fee Dept Signature.... Other Agency Review or Permit Required Review or Receipt Date Flonda Dept.of Environmental Protection of Permit Verified Ely M me on Florida Dept.of Transportation anag.ment Dstnct P tsura7 .gas rd Tobacco DW — St.Johns RiverWater Management Distict Amy Corps of Engineers Division of 1-12els and Restaurants Division of Alcoholic Beverages-W lba- 0 t khar: APPLICATION STATUS Reviewing Department First Review: [Rrpproved. E]Denied. E]Not applicable (Circle one.) Comments: g2,,,kc/ r-cA4rac-4vt 4, i2eao14'&e 1301diw% a _eZ CIBU�l L:D�l Sl-*pW +o +P�,e bocl- 0-f 4R-P Hoir^-4- J\ PLANNING&ZONING Reviewed by: Date:el. TREE ADMIN. nDenied. V of a Second Review: ElApproved as revised. El [:]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: E]Approved as revised. ElDemed. E]Not applicable Comments: Reviewed by: Date:— Revised 05/191207 Updaled 1019118 Building Permit Application OFFICE COPY 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@coatims IS REQUIRED. Job Address: &0 1 &!X� __�)EMC)19 PIQ S�t A"&T-1h P tN b L NIS Legal Description/41YI 3�45-Af SfC- 0 _4t"A&ch _5q00 E# /7 Valuation of Work(Replacement Cost)$ 7—'::;00 W_ Heated/Cooled SF Ila No.-Hearted/C. led • ClassofWork: ONew DAddifion DAlteration ORepair DMove Ocenno L]Pool ElWmdow/Door • Use of existing/proposed structure(s): DCommerclal 1— 0 /SiResidential Z • If an existing structure,is a fire sprinkler system installed?: Dyes 0 _i Z 1* < 0 • Will treels)be removed in association with proposed Pro ect?W�es(must submit separate Tree Remo Per Describe in detail the type of work to be performed- 9 I= Z 00 0%Vb114,'f, aJ- -v Vi 0 LU 4 5k, Am;� h0pe-l(r, Ct , - e - 4 Florida Product Approval If for multiple products use product a lib,4 property Owner Information != Z Name Address ewe_a 1�7 — C ty� I — YW- olqcf-Wi,�6 --4&0& State FZ Zip I.D-75 Phon3� E-Mail ��&Av (HA gem!t�gXAJ?e'e Owner wer of Attorney or Agency Letter Required) Ou "A , Contractor Information Name of Company QualifyingAgent �1?� Address 710,1"�RAP713'1w�� City 44g2&& 6eW_1-, State fl� Zip �O_V-5-3 Office Phone 9W/ - 6,fr 3-3Y4 Job Site Contact Number State Certification/Registration#_ CMOqa�56 E-Mair ydt-� ebrn Architect Name&Phone# Engineer0s Name&Phone# Workers Compensation Insurer Rank MIJAIhA�Q4111 OR Exempt a Expiration Date ARIA�09 Application is hereby made to obtain a permit to do the work and inst7allatlons 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. OWNEWS 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 ATT EFORE REq9RDINGYQURNOTI EOF MMENCEMENT. 4�j� (Signature of Owner or A)gent) (Signature of Contractor) ;Rgned and sworn to(or affirmed)before melhi day of SI ed. d sworn to(or affirmed)before me thi day of 1r)dVV1VI 9! L, r wl, X.O.-R) Notarv) DAWN LEMIRE DAWN LEMIRE kt My COMMISSION#11133111950 S:Apn12,2OZ3 I�Personally Known OR EXPIRES:April 2,2023 MF=SSKHN#GG318950 i<Personaly Know i OR PRE [ ]Producedidentificatlon 1wdedth.CMSwt# I Produoed Identification B,,Wd thn.CAN S..tY Type of Identification: Type of Identification: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD OFFICE COPY 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: OFFICE COPY 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