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307 4th St DEMO19-0024 Duplex A DEMO PERMIT PERMIT NUMBER DEM019-0024 CITY OF ATLANTIC BEACH ISSUED: 7/23/2019 7' 800 SEMINOLE ROAD EXPIRES: 1/19/2020 ATLANTIC BEACH. FIL 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 307 4TH ST DEMO COMPLETE demo existing duplex $2350.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1698290000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: JAX DIRTWORKS INC 310 Mealy Dr Atlantic Beach FL 32233 ADDRESS: CITY: STATE: ZIP: Fletcher William D 101 Bent Pine Ct Ponte Vedra Beach FL 32082 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 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. 2 PUBLIC UTILITIES UTILITY MAP L INFORMATIONAL Notes: See attached utility map. Issued Date: 7/23/2019 1of2 DEMO PERMIT PERMIT NUMBER DEM019-0024 CITY OF ATLANTIC BEACH ISSUED: 7/23/2019 800 SEMINOLE ROAD OR 9' ATLANTIC BEACH. FL 32233 EXPIRES: 1/19/2020 3 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL Notes: Disconnect and cap water and sewer lines. 4 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. 5 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONA1 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. 6 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 7 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,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. 8 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 9 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 10 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL Notes: Strongly suggest thorough documentation of impervious areas be recorded. I PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL Slab and driveway to be fully removed. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT DEMOLITION 4SS-0000-322-1000 0 $100.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00 STATE OCA SURCHARGE 4SS-0000-208-0600 0 $2.00 TOTAL:$129.00 Issued Date:7/23/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 0 t 0 01) (1 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date E-mail: building-dept@coab.us routed: Cityweb-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De[)artment review required No OgDldlinT) Applicant: Planning &Zoning Tree Administrator Project: akn U d—F-u—blic Utilitie+5--) 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: RrA/pproved. ElDenied. E]Not applicable (Circle one.) Comments: &Ile "_y\ 7'--4 CA 40 PP f n\ ', BUILDING C� PLANNING &ZONING Reviewed by: Date:_4 /7,/g r TREE ADMIN. Second Review: ElApproved as revised. DDenieav ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApprovedas revised. E]Denied. E]Not applicable Comments: Reviewed by.- Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the B Building Department El rz uilding Department.) I V 800 Seminole Road 1_0 PLM /.t –C)C)�) (I 0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)241*511 2019 rom 9' E-mail: building-dept@coab.us Date routed'. Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM J Property Address: Depgrtment review required Yes No ,,Tuilding�) Applicant: �Itk� Planning &Zoning Tree Administrator Project: �—Pubric utiiLte.!3___-) r5—ubric 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: APPLJCATION STATUS Reviewing Department First Review: WA/pproved. []Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed 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 APPLICATION NUMBER City of Atlantic Beach Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 41 Cfi o t 61 —C)o3 (I Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Depart ent review required Yes No- ,115_uildinq_�) Applicant: lv� F15—nning &Zoning Tree Administrator Project: (n ��4 < Public Utilitips__-) PTu—bric 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: APPLI STATUS Reviewing Department First Review: Approved. []Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bv-. "'zz--'ate: 7-/77t� TREE ADMIN. Second Review: FlApproved as revis/d. [:]Denied. DNot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. E]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 05119/2017 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: 7 // 7 //9 Application#: 6 OZ Project Address: b__1 �A Check Box Check APPLICATION TRACKING COMMENTS to Add Box to Comment// 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 Utilities needed, call 247-5878. Meter Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade 0 0 Sewer Cleanout 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 13 0 Cleanout 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 0 0 Backflow 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 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 backflow requirements. Backflow At a minimum,will require a double check backflow preventer. Requirement Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger [33 Meter than 2" must be installed in a vault as noted in JEA specifications. Utility Map See attached Utility Map. ET__/ 1Z7 Disconnect Disconnect and cap water and sewer lines. &Cap 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. 0 [3 Building Permit Application Updated 1019118 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. Ir- Job Address: . �)-7/-_�0 cl 5/ Permit Number: o tci — 0 Legal Description 5'1ff;4-,?S--X6 44b,*SaqJ7 W410rr,(.,,1:Ke_bFTz.A6 64( .1 RE#IF9�?A-C'OCO Valuation of Work(Replacement Cost)$ Heated/Cooled SF Cted JeV M E V • ClassofWork: E]New OAddition OAlteration DRepair ElMove priemo DPool []Window/Door • Use of existing/proposed structure(s): ElCommercial KResidential a J U L 10 2019 If an existing structure, is a fire sprinkler system installed?: Dyes YNO Will tree(s)be removed in association with proposed promect?)!IYes(must submit separate Tree Removal Permit) E]No Describe in detail the type of work to be performed: 11/nc) 0-�- Duele-K 0/y/ tjVtg�d E),opartment _Sc/rcol- City of Atlantic Beach, FL Florida Product Approval# for multiple products use product approval form PropertV Owner Information N a rn e Address City o 1-e State ;Fj— Zip Phone Z-�;-,�; '3'eCll E-Mail Owner or Agent(If Agent,Power of Attorney or Agency L�tter Required) Contractor Information NameofCornpany _3C1KDi(46-y1^1br Qualifying Agent Address 3/0 ,1-7ee17 n City f" 01, C_ State Zip Z22..CT Office Phone-4e 3, 14;'el Job Site Contact N er /y-7 State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer _J51qV& Cerri k1n ORExempt[i ExpirationDate Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no worLr 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 �TIORJI�EY BEFORE RECORDING Y,0P TICE OF-COMMENCEMENT. gnature of Owner or Agent) Tsign�ture of Contractor) Signqda,p.dswor9to(o ffirm be Rre me h' day of Si �d and sw ffirmey)before/me thi ay of C— -J ( t/by hv(/ le&m .71 Y �Z_vjz��J&I Lm1ftt,-te_ j7T!� J (Signature�f Notary) _--j!�ii-nature of Ko6ry) DAW .00v,?, ,V 1 1, DAWN LEMIRE */,ersonally Known OR ,__*11 TI-Qersonally Known OR N LEMIRE MY COMMISSION#GG318950 Produced Identification Produced Identification My COMMISSION#GG318950 Type of Identification: lux EXPIRES:April 2,2023 Type of Identification: EXPIRES:Ap011 2,2023 114W,io- bonded WFCW55—refF u CAN Surety MAP SHOWING BOUNDA-RY SURVEY OF THE WEST 40�O FEET OF LOT 4 AND THE EAST �Q-O FEET OF LOT 6, BLOCK 6 ATLANTIC BEACH. AS RECORDED IN PLAT BOOK 5, p '(, A E 69, OF Ti-jE CURRENT PUBLIC RECORDS OF 6UVAL COUNTY, FLORIDA. JOHN DAVID PESTERFIELD CERTIFIED TO, Co & TONI TODD PESTCRFIELb MARK HERLYN MMUNIT`� FIRST CREDIT UNI' DEBRA L-&E )IERLyN AMERtCA'S &101 ON OF RORIDA CC TITLE COMPANY STEWART TITLE INSURANCE COMPANY LOT 7 LOT 5 B�bci; 5, BLOCK 6 LOT 3 BLOCK 6 LOT I BLOCK a 'U-00' (PI AT) N 83-51'13" E 70..36' '(MEASURED) 0.0'30-00'(DIKED) .BE "100' DO, (DEED) 0-4' 10�00- (DEED) LOT LOT 6 4 r r, LOT 4 BLOCK 6 a0C B OCK Ld 3.6") 10�9' Li V) Qf :D < (n < Lj U1 w6 1 A E '6 05, 0, An j ONE St L07 a MASONR OR� ELOCK 6 .16, 26 Y 0'SHED LOT 2 BLOCK AIC 0,2. 1 A/C' PAD .9 2. ONE �TORY MASONRY LLJ 0 POSTED POSTED #309 0307 . :. f 1A 2' 00 IID ...r cf) 0 V) moa' Lj 20.06(DEED) mxw(DECO) 40.00-(DEED) -j(DECO), 0.00'(DEED) BLOCK S 83*41'28" W 60'0'1 (,MEASURED) CORNER 70.2C (MEASURED) 70.00' (PLAT) 4th STREET (40'RIQiT OF WA�.q .N LEGEND: 0 SET 1/2-REDAR STAMPED PSM061-6 PC POW?OF CURVA 1URE 0 FOUND 1/2-[RON PIPE P T. POINT OF T-CENCY (LN NO IDENTIFiCATIC04 Piw POINT OF REv:R,,E LESS OISERVASE NOTED) CURVATURE a. 4',4'cokcKtr MONUMENT Rite POINT OFCOMPOUND A/C - AIR C(XIDIIIONER .00VATURE X— FENCE CONCRETE Ray Thompson REIASIONS DATE DE SURVEYING, Inc, IGOIng the DISTANCE for dilmert 01 cas Ch 56 4613 Philips Highway,Suite 210 TITLE COMPANY Jacksonville,Florida 32207 (Phone)904448-512-5 ul (Fax) 904-448-5178 JOB # 17099 DA JRVEY! 12-22- SCALE: 1 ==30' CERTIFICATE r NOTCS: I HEREBY CERTIFY T14AI 11,11 JNDER My RESPONSIBLE CHARGE AND M 1: BEARINGS ARE BASED ON THE 6E5.VM�Q BEARING 01' --- EETS THE.MINIMUM ii L ITA 0 SE I FORTH By THE FLORIDA ALONG THE EASTERLY BOUNDARY LINE OF SUBJECT PARCEL BOARD OF PROFtS510 VEY0146 AHQ§MAPF I CHAPTER 61017-6.FLORIDA By CRAP�IC F�EOTTING ONLY THE CAPTIONED LANDS LIE WITHIN F ODD ZONE ADMINISTRATIVE C R UANr TO SECTION 47 LORIDA STATUTES, AS SHOWN ON THE NATIONAL FLOOD INSEIRANCF MAP. IS�u A11ILR1 7. 1989. COMMUNI rY PANEL NUMBER: 120075 -a=-(I RVEY EFLECfS ALL EASEMENTS & RIGHT OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED.UNLESS OnqfRMSE STATED,NO AYMONDePROMP OTIJER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 6146 STATE OF 4: THIS SUR VEY IS NOT VALID WITHOU T AN AUTHENTICATED CLECTRONIC SIONATURC. RCGSTER[O SUR 00 MAP . FLORIDA AND AUTHENTICATED ELECTRONIC SCAL. LIC , _-I . 7469 1 AILIM — O-SUBDI\ASION-q