1745 Beach Ave DEMO19-0016 demo permit DEMO PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DEM019-0016
ISSUED: 5/29/2019
800 SEMINOLE ROAD EXPIRES: 11/25/2019
ATLANTIC BEACH. FL 32233
Z 11111 111 ,
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA EIUII-Ufflr�
CODE, NEC, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FNOTICE: 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 entitie�s such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
DEMO HOUSE - NEED PROOF $24000.00
1745 BEACH AVE DEMO COMPLETE OF NEW OWNERSHIP
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
1696700000 UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
LOCKWOOD QUALITY 2116 W BEAVER ST JACKSONVILLE FL 32209
DEMOLITION
OWNER: ADDRESS: CITY: STATE: ZIP:
--1745 BEACH AVENUE LLC 4667 ORTEGA BLVD JACKSONVILLE FL 32210
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.
EROSION CONTROL INSTAL ATION INFORMATIONAL
`UBLIC WORKS
Notes:
tact the Inspection Line(904-247
to .I s
Full erosion control rreasures must be Installed and approved prior to beginning any earth disturbing activities. Con
'.s' ."s-re '
'87
, e't.
-581411.request an Erosion and Sediment Control Inspection prior to start of construct! n.
Issued Date:5/29/2019 1 of 2
DEMO PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH DEM019-0016
ISSUED:S/29/2019
800 SEMINOLE ROAD EXPIRES: 11/25/2019
ATLANTIC BEACH. FL 32233
PUBLICWORKS ONS111F XI INFORMATIONAL
All'��Ws Be during construction.
3 PUBLICWORKS 11"IOLLIF'I CONTAINER ORMATIONAL
'M
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Se,,icas,I.n-van
_it,
Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on( "right 11
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,IncludiIng sod,is required.
P BLICWORKS SLAB DRIVEWAY REMOV F NFOIMITIIIIL
Notes:
Slab and driveway to be fully removed.
6 P BLICWORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
7 P IONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
Any damage done to Infrastructure must be repaired by Contractor.
8 1 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 1 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL
Notes:
Disconnect and cap Ewaterand sewer lEines.
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 priorto demolition.
FEES
---- ---------
DESCR
DEMOLITION 455 0000-322-1000 0 $100.00
PW REVIEW BUILDING MOD OR ROW 00 - 329-1004 0 $25.03
STATE DuPR SURCHARGE 45 - 2084700 0 52M
STATEDCASURCHARGE 455�208-oad(l 0
TOTAL:$129.00
Issued Date: 5/29/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be.assigned by the Building Department.)
8GO Seminole Road LJC_DLQ�0
Allarift Beach, Flonda 32233-5445 J -ADD(
Phone(904)247-5826 Fax(904)247-5&45 Daterouled:
E-mail: building-dept@coab.us
City welb-site: mp:1tvwvvvcoalb us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1-7q S V De rtmentreviewr uIred e -N—o]
uildinu
Applicant: Planning&Zoning
;tnator
Project: _`�ryi c) e - - ;::>
Public Utilitles--�
blic Safety
Fire Services
Review or Recal Date
Other Agency Review or P it squired of Permit Verified"itty
Florida Dept.�_f_E�nwnmental PwtB on
Florida Dept.of Transportation A
St,Johns River Water Management Disbict 0
AWy_C.1pS.fEngm--
Division of Hotels and Restaurants tkt��Q"
Division of Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: [?Approved. E]Dened. E]Not applicable
(Circle one.) Comments:
�PUIL�M
PLANNING&ZONING Reviewed by:— moef�:: Date:
TREEADMIN. Second Review: E]Approved as revised. E]Denied.v E]Not applicable
PUBLIC WORKS Comments:
A nc Re squired fR;v,1Z orR It
ItV r
R fled IS
t R
him t
0 v avy r Penn
;eEn nm�on on
or g y
t 0
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nice P I nspo bon
St Johns R ve W M agement D strict
A y Corps of g sers
im; En r;
other.
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: E]Approved as revised, ElDenied. E]Notappllcabie
Comments:
Reviewed by: Date:—
Revised 05119/2017
11-�ECEIVED
Building Permit Application Updated 12/8/17
City of Atlantic Beach
900 Seminole Road,Atlactic Beach,FL 32233 MAY 1 2019
Phone:(904)247-5826 Fax:(904)247-5845 -C>EM0t9 _ oo (C2
Job Address: 1745 Beach Ave., Atlantic Beach, FIL 32233 Permit Number: D 'I I'
Legal Description 15-10 09-25-29E N ATLANTIC BEACH UNIT NO 1 PT LOT 30
Valuation of Work(Replacement Cost)$ Heated/Cooled SIF 2-%?1 Non.Heat
• ClassofWork Circleone): New Addition Alteration Repair Move (Dent.) Pool Window/Door
• Use ofexistingliproposed structure(s)(Circle one): Commercial 'esidentia OFFICE COPY
• If an existing structure,is afire sprinkler system installed?(Circle on&:�.s (& N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
7�the type of work to be performed: Complete demolition of house at mentioned property.
Florida Product Approwl# for multiple products use product approval form
Property Owner Information
Name: 1745 Beach Avenue ULC Address: 4667 Drees Blvd.
City Jacksonville State FIL Zip 32210 Phone(904) 281-6204
E-Mail Poppyclem0acil.con,
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Lock.00d Quality Demolition, Inc. Qualifying Agent:0 iz r&kxnAft1 Drn�par.'J -A j:c")
Adchess2116 West Beaver SL —CityJacksonville State FIL Zip 32209
Office Phone(904) 791-8833 —Job Site/Contact Number (904) 237-0110 —
State Certific egistration# IS I I 5Z 13-7 E-Mail mike@lockwooddemo.com .M eig JA)r.7rifiFJLhJC.,-T')tJ
Architect Name&Phone# N�*L
Engineer's Name&Phone# 'qn,
Workers Compensation 0_1
Exempt/Insurer/Lease Employees I Expirition Date
Application is hereby made to obtain a permittodotheworkand installations as indicated.I certify that no work or ingliation has "I"
commenced prior to the issuance ofa permit and that all work will be performed to meet the standards of all the aws2ligulatiorijill V�'
construction in this jurisdiction.I understandthata separate permit must be secured for ELECTRICAL WORK,PUUMBIN4SJCNS,7_'
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirebents oft�s 4'�
permit there maybe additional restrictions applicable to this property that maybe found in the public records of this lounty,And aj
there maybe additional permits required from other governmental entities such as water management districts,stadte��encieih
federal agencies.
OWNER's AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in corcnjplianc�wth aq
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
to
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE PLUS a
5 W a W
RECORDING YOUR NOTICE OF COMMENCEMENT.
Ll
�(Sgnawraof Owner or Agent) (Sigrature;'Contractor)
(including contractor)
=a,nd sworn to,;r affirm d)before me this day of Signed and sworn to Cora rmed)before me this I day of
0 Ey
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(Signature of Noc. &±E TIM 1_00*13"of Notary)
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14`p�er orally Known OIR Nx�7 v�'IWO [44m.n.fly KnW%W Public,State of Florida
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112124
Produced lidentification 'o, or cl,2023 Produced ldeA*fiQmm. Expires 03/14/2023
xxio h itiftprin No 111111 17nA
Type of lidentificatior . ,is
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.
I. 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:
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
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
:� C,
1 800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 � ,Ay 03 2019 Date routed:
11,11)'�� E-mail: building-dept@coab.us
City"th-site: http://�.coab us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1-74S V& fjue a ant review required Yes No
i!
Id:
4 i�
Applicant: Lou<�000f�) Qt-)ALCr�K Planning &Zoning
Tree Administrator
Project: t—to (D's e, P U In;W.,rk
Public-Utili'ea:�
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept of Environmental Protection of Permit Verified By
Florida Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
I Mar: I
APPLICATION STATUS
Reviewing Department First Review: g?rApproved. E]Denied. EJNot applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed *-4z&
TREE ADMIN. Second Review: E]Approved as revised. ElDenied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY, Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ElDenied. ONot applicable
Comments:
Reviewed by: Date
Revised 05119120V
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(9414)247-5826 Fax(904)247-5845
E-mail: building-dept@coa1b.us Date routed: Sim
City web-site: http://�.coab.us =�
APPLICATION REVIEW AND TRACKING FORM
Property Address: 174 S Rep,,a4 vc- Eegartment review reguired Yes No
u Idin
4
Applicant: Loo_k<_k)ooc) Qt)A,-, ,ry Planning&Zoning
:�:�(�A C � (D' ,C jree,,jdm,,yk,1Sst.tr
[0
e
PT
Project: u c Wor
Public Utilitie—s-2,
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Rav're"! ty Date
of Pe ri
Flodda Dept.of Environmental Protection
Flodda Dept.of Transportation
St Johns Rmr Water Management Distinct
Any Corps of Engineers
Division of Hotels and Restaurants
Division ofAlcoli Beverages and Tobacco
Other:
APPILIPA KION STATUS
Reviewing Department First Review: M�pproved. E]Denled. E]Not applicable
(Circle one.) Comments: CCI-tt
BUILDING w��_Jer At s,-. LAjer
PLANNING&ZONING '?y"(r'y' 'Jib al:�M%,edby:�Z- 4��-Date: �F-�7-1
TREE ADMIN. Second Review: DApproved as revised. F]Denied. RNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. E]Denied, E]Not applicable
Comments:
Reviewed by: Date:
R�ised OW1912017
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: 5
Z3,111 Application#:
Project Addrm: -tr,.A �Ve__
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment Print
Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is Id/
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Utilities needed,call 247-5878.
Meter Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade 0 Ell
Sewer Cleanoul and visible.
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 C! 13
Cleamout 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. Backflow preventer
Bacidlow 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. Backflow preventer Cl 0
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinider
:ckflow If fire sprinkler system is provided,call 247-5878 for backflow requirements.
quirement At a minimum,will require a double check backflow preventer.
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger Cl 0
Meter than 2" must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map. Ell 0
Disconnect
&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.
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