Loading...
425 Atlantic Blvd DEMO19-0012 Removal of Asphalt/Sidewalks ;:. ,_. %'%s. DEMO PERMIT PERMIT NUMBER ,.," , , ,1x - , DEMO19-0012 j�.A, : :_ �, CITY OF ATLANTIC BEACH ISSUED: 9/27/2019 �_ // 800 SEMINOLE ROAD f7 -°sock/ ATLANTIC BEACH. FL 32233 EXPIRES: 3/25/2020 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 425 ATLANTIC BLVD DEMO PARTIAL REMOVAL OF ASPHALT AND $6000.00 SIDEWALKS TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170696 0000 SALTAIR SEC 03 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: BEACH HOSPITALITY 1520 REPUBLIC DR ATLANTIC BEACH FL 32233-4021 SERVICES 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. 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: 9/27/2019 1 of 2 rJ:Ly City of Atlantic Beach APPLICATION NUMBERs � Building Department (To be assigned by the Building Department.) .-, ri 800 Seminole Road (C� Atlantic Beach, Florida 32233-5445 �1 1 I r��` Phone(904)247-5826 Fax(904)247-5845 (LI--.,o;1 �r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4 Z5 f\'T“MYTi(? 6L{(,D Department review required Ye/ No .[Building • Applicant: I'<AL( \OOTC)0g. LkeiA VA/Ic;�il�nning &Zoning 'Tree Administrator Project: l' E(Y\ p V GG t4S P f4A-{—`r <Piiblic Works' (Public Utilities_. c... S (uE CO R(.4." . 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 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: pproved. ❑Denied. Not applicable (Circle one.) Comments: No c :UILDINI PLANNING &ZONING L1. 9./9 Reviewed by: Date: 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 3/28/2019 Fwd: Demo permit ,.r;;;.. . Building Permit Application llpdowdw/9/18 IJ ofDepartment City Atlantic Beach Building **ALL INFORMATION /'1 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Deptta�coab.us ISREQt1lRED. Job Address: 11As n k;i} 'C ,6fvi Permit Number: (�EA 01Ic1-- 001 Z Legal Description /c-IS f$3 l-S3 7 001 g. 0 'c 3: S,,,ji-,4:if- _REr 170696'63000 Valuation of Work(Replacement Cost)$ (E7( Heated/Cooled SF Non-Heated/Cooled • Class of Work: I-Mew ❑Addition iLIAlteration ORepair [Wove liDemo ElPool OWindow/Door • Use of existing/proposed structure(s): iCommercial DResidentiai • If an existing structure,is a fire sprinkler system installed?: LIIYes UNo • Will tree(s)be removed in association with proposed project?fYes(must submit separate Tree Removal Permit) fiNo Describe in detail the type of work to be performed: Q6IiU`:ci r o-F 0,/dia$phG/51c v7c/ S% C'�'�/1$ `l. e.ir.-a — '1 Florida Product Approval# for multiple products use product approval form Property Owner Information Name /(y/t S't Address ic24 I tepgblc /)f City 7,/c:/�SSopi✓�lI" welch State FL Zip 3.7;250 Phone (leg 333 55 97 E-Mail S-ki1<' /S a) 9:4c4,q,tem Owner or Agent(If Agent,Power of Attorney or Agency Letter Required, Contractor Information. Name of Company &)/ V DUfw� x AU[ `aua fyi Agent Ay V o�TOtL12--+ Address l 2337 l,/et- Ei/ O � Iw City State P.-- zip 3 _ ,S7 Office Phone 0(1.- 5 l./ J- 521 b Job Site Contact Number iSQ-i--ne- StateCertification/Registration!! -n 1r1 E-Mail`BfkCk--FOE. kA/ ®GC_Ot_:,Lblfl Architect Name&Phone# y- J a- Engineer's Name&Phone# r' l at-- Workers t-Workers Compensation Insurer A trlTe t.S7 Awe )M2.6/q' OR Exempt o Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation na: 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,PW MBING,SIGNS, WENS,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 A TTORIILE-" EcORE RECORRyf YOUR NOS F COMMENCEMENT. • - A,..,__ ,,dr---"/ ------\,,..._,„ (Signature of Owner or Agent) (Signature of Contractor) k Signed and sworn to(or affirmed)before e th' 'day of Signed and sworn to(or affirmed)before me his day 01‘&1/14___,2,01_q_,by 7'___d. 1 V 0' [`(l 1;�1 7-0)1 ,b' Y fi)tf- Q` % � EVL/ / (Signature of .•• ••. • (Signature• r otary) Q N // ( S Notary) _� 4 gr j ojalliKnou• rOR l (`Personal t.fail.OP M� Threl�&dSdA i at n • r Ai d.-ficItio j� 1 ,� i '/ S N ofIde i >I� n� \cv, v- �� S Lit'.t'.n 4 At $n: (iV\dk , y e S L-lVev e_ • o.Gf�a- Vit ': Y , — N GG • i c, ♦ o. Q.: iisttttet https://mail.aol.com/webmail-std/en-us/PrintMessage 2/4 v...A6r City of Atlantic Beach APPLICATION NUMBER r �" (To be assigned bythe BuildingDepartment.) t) 40�, -�� Building Department 9 P ) I I ri 800 Seminole Road C� ,�.� �� Atlantic Beach, Florida 32233-5445CATION 1 raR� Phone(904)247-5826 • Fax(904)247-5845 /i /t (i. cj ���; gl E-mail: building-dept@coab.us Date routed: "T City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4 Zs ( `rt- ..TtQ f LVD Department review required Yes No \ ilding y Applicant: -RW-1VWL( o o`rooK kc vA_Tt(). nning &Zoning ree Administrator Project: R E---M_o V- ASP t-lfq-(.'Ireblic Works) crublic Utilities 1 ... S (06 CO R l\ 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 St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco • Other: APP ATION STATUS Reviewing Department First Review: Approved. I 'Denied. Not applicable (Circle one.) Comments: BUILDING / PLANNING &ZONING Reviewed by: state: ' Z— t f - — TREE ADMIN. Second Review: Approved as rev'_ed. ['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 PUBLIC UTILITIES PLAN REVIEW COMMENTS c, Date: 172-11 Application#: Den) Project Address: Z 5 p\---r L "1 C B1 vD 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 Sewer Cleanout and visible. 0 0 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 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 ❑ ❑ 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 0 0 Meter must be tested by a certified tester and a copy of the results sent to Public Utilities.Fire Backflowpkler If fire sprinkler system is provided, call 247-5878 for backflow requirements. 0 0 Requirement 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 ❑ ❑ Meter than 2" must be installed in a vault as noted in JEA specifications. Utility Map See attached Utility Map. 17 7 Disconnect &Cap Disconnect and cap water and sewer lines. 0 0 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 ❑ ❑ O 0 01,A,vf City of Atlantic Beach APPLICATION NUMBER ,S Building Department ��� (To be assigned by the Building Department.) 'i 800 Seminole Road a .' Atlantic Beach, Florida 32233-54 ' APR01 2019 ) ` JF/y�Oi. -a01 Phone(904)247-5826 • Fax(9045. 7-5845 41j r E-mail: building-dept@coab.us /� /ing-dept@coab.us Date routed: ' i. City web-site: http://www.coab.us • APPLICATION REVIEW AND TRACKING FORM Property Address: 4 ZE fkjLD Department review required Yes No \ � wilding Applicant: RRL( V Oo-rcUg.c v 4-rc c4Dnning &Zoning ree Administrator RProject: E---{YL©J C. Aspi_kg_cr ublic Worts= clic Utilities S (OE Gv R L(S 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 lJ— St.Johns River Water Management District Army Corps of Engineers Division of Hotels and RestaurantstSC° Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bys,/, ,(,40;,GDate: TREE ADMIN. Second Review: ❑Approved as revised. I (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 3/28/2019 Fwd: Demo permit T MAP SHOWING BOUNDARY SURVEY OF 1 LOTS 834-837 AND 850. SECTION t10. 3, SALT AIR, AS RECORD..." IN P..AI SCUD( 10. PATE 16, OF 7HE CURRENT PUBLIC RECORDS OF DIJVAL COUNTY. FLORIDA. CERI1RED TQ BEACH HOSPITALITY SRV:CES AT!.ANTIC. CAPITAI RANK, N.A., :.,AO.A/ATIILIA FOGEL LAW GROUP 'RS7 AMERICAN TITLE ISURANCE COMPANY iN 89'5717' ELAKEVIEW AVENUE ...c.-- -'•FC.1 Of WAiI 64.05' (MEASURED) rem-4 ~ •ot:o7,PA .,..,.4.0`)- W i9.G5'IWCAS.LD) _. _ , An i{Iar.Hon I0I 1150 V; " :0T 851 at-17,"•1 re A.' i. A?NM T II,01114104, • LOT 85^ LO'849 a C' !ii ',53 17ws R15ER AIS i7 TWO$TOR" Ti --- C_i WAIN . MASONRY „ IA PAD - _ so g \..• "r•' LOT 854 .J' aso. Wr 4'•7 . ai 1 1 . §16 Ii - ONE SICRY1•' ( 17•'-'• 7 MASONRY j• I .• I pr" 62i LCT 850 LG: 3.55 F1 L'; 4 ll /' • • ` • i p 1 + I,.7 4.-.4,....T Pr •1• MMI/ . I, J I h-I LOT 857 S I.1 1 Z II ,Ta -1 \,_1.1I Vi 1 'v -1 .s LOT 858 • -i as'- ',e' iso _ N 90'00'00' W 108.73' (MEASURED) (F67 V0: - TaKc ATLANTIC BOULEVARD I A y- CO3.e lY • POT PJGIT tT.: _ -a,•,Y 924'7¶-nef-1 r-agt Id •...(r.'.:lit 166+1 pot•.3.0'17—;A'1 to •- :.•61N4:1cU1 01.06.0V0 PC P0,0•7'LFiN'A3.•PE F:Y. - E'50:i a'r6V.prS ar...A JR A/C . AO COOT-GO PI - PONT 0 SA74NLY TCC . POI T Or:monk f!"v:.,,'f J :ICI IES: 1. !FARriG5 Alf NAsrn oN T-IE A;,.3-I/ED E.EA5T,r,;Cr, ri_4:.99:91 _,�_ALUM:THE T'77"4 BCN,HOARY IIAE OP^,lg crT'4cr 1.1.tt,l`11UN Z Yr GTI YNN;PLOITNc.ONLY r-E CAPIYJ'.ET LA'IDS UE Y -9N ftv':.O ZONE •x• •AS 5d0'ATJ CO THE - - - ❑POA"SIIR OT`f NATIONAL i_OCO T,SLRANCE YAP 05-1D J1:11,E S,2013.COUVJIATY,,UNI9R'10077.PA:9l Liu,; 3, CMS$u?4fY hrr,ll%IS ALL LA_LMLNTS&RICA1T5 OP WAY AS PER PECOPM)FEAT 8/00 TITLE COINeT7inT Cr. OTHEP OOC1.IAFNTS PROVENO NT r._I-:I,.N supPULD.ISLETS OPIErniSE STATE.HO OTHER TILE:LU,c,Pnu •'AS OLEN PERFORMED 3Y•PE I:1:ER:Y:I:30. 4 HIS'.t•R•,EY IS.OT VAUD W.T405'A4 A.5I141•.:T'L5,EAE•:P'TI C S NIATUFE 90.1,AUn.EI13.1Ali.0 f 1 ., — I JO0 Ik 903- A j )'.ATF CF "i-1 ii YARN/71-r 10-01-01 I - -r 30' H I_— L-- Ray Thompson CEP.'F,r_ATE SURVEYING, Inc, uq Men TI: 1LICArL f. • ..y ^, 1M F_O?OA MARO a•fRn,T•x CAPTA n.:-•7.rtcAnA _1 ' Going fhe DISTANCE for You •w»s•a.•I,r.c r. .,.r I�.Vie ,...• . ' GCA 51A1,11:5 vi 1_ I 1825 Ln vars ty Boulevard NMst 4� I' Jacksonville Forida32217 w ,,..,.. (Phone)9261 448-5T? 5 P,�c.i,- t2,; -o;.:V,:Ir :;TAT:"..- (Fax) 504-i.48-51/8 - - -' ��+ LAND SURVEYS 0 CONSTRUCTION SURVEYS 1-,,,,,,,,•. BDiVISIONS https://mail.aol.com/webmail-std/en-us/PrintMessage 3/4 .., ,y, 4,0't_7#,-;:,:',-,7. FT' , '1 :. • w +p, is ,$,I;:.:‘‘ , . . i r A y • rnM 1 Vii, i. . I>ik' s.. . ,', 6' water main ' I ;. ,.w N•VniiiMir.110X1400011181MORMI at.- 4 -- — — ATLANTIC BV - "{01 ,��; +'7.7 "'> k„i 4' w..:...._..,. .v. a,,. i _ _ . _ .... q I'410.1041111111111.1W4 It.41 _ R lib I+: m.:m ;, ; ' `iii - .. primortmi i r 14 J I . _ - ,,