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1661 E Park Ter DEMO19-0027 House rt'='''r%„, DEMO PERMIT PERMIT NUMBER 2--,. z,... '!:,\ CITY OF ATLANTIC BEACH DEMO19-0027 v�� ISSUED: 10/17/2019 v, 800 SEMINOLE ROAD ' �J ~ ATLANTIC BEACH. FL 32233 EXPIRES: 4/14/2020 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: 1662 E PARK TER DEMO COMPLETE DEMO HOUSE $10000.00 TYPE OF REAL ESTATE j ZONING: 3 BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 0312 SELVA MARINA UNIT 07 COMPANY: ADDRESS: CITY: STATE: ZIP: Vargas Construction Group 4495-304 Roosevelt Blvd STE 315 Jacksonville Fl 32210 OWNER: I ADDRESS: CITY: STATE: I ZIP: ROWLAND DAVID R 12784 S CATTAIL POND CIR JACKSONVILLE FL 32224 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 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 DISCONNECT AND CAP INFORMATIONAL Notes: Disconnect and cap water and sewer lines. Issued Date: 10/17/2019 1 of 2 ,,,LA. ,.,0 DEMO PERMIT PERMIT NUMBER Jfifi S. t'� DEM019-0027 :� CITY OF ATLANTIC BEACH 5� ISSUED: 10/17/2019 v,,; 1')' 800 SEMINOLE ROAD EXPIRES:4/14/2020 ATLANTIC BEACH. FL 32233 3 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. 4 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. 5 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 6 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. 7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 8 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 9 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL Notes: Slab and driveway to be fully removed. 10 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. FEES 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 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$129.00 Issued Date: 10/17/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER }� Building Department (To be assigned by the Building Department.) 800 Seminole Road E m 0 L9 _O0Z7 0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 1 0/ E-mail: building-dept@coab.us Date routed: c ] City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No �o�oZCaRK. � G22 E, _ p q Building j Applicant: VOt- G,:i2k-S �(�� 7 Planning & Zoning Tree Administrator Project: 1400 S E Q ublic Worcs 7 Publi Jtilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: UILDI PLANNING &ZONING Reviewed by: Date: JC,-/c;'/, 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 „ .�:�,.,� Building Permit Application OFFICE- COPY . ::. uilding Application tipal v28 City of Atlantic Beach Building Department . 800 Seminole Road,Atlantic Beach, Fl.32233 r •' tt:+$Ri -- Phone: (904) 247-5826 Email: Building- QeQt@coala.us '4- .._ Job Address \Co G Z--?Ai3:Y Itta k.. ; - (1 I C -/ Legal Des Uon L.A� 5, Brae S�ttA t✓t i ;lk t -}:., -- : ......:.. : Valuation of work(ReplacementCost)Si a. ' :: ::. kidSF.1.1.2.6 rN011.•Hutted/Coo • Gass of Work: ❑New °Addition ❑Aitetation (Repair C7Move Alamo OPool DW)ndow/Door • Use of existing/proposed structure(s): °Commercialdentia! • if an existing structure,is a fire sprinkler system installed?: (Yes }i(No Describe Wig treeLskbe owed in pf000set es,jpwstsbrpitsfaoarate Tree Remo aI Permit) KNo ' {10-1- TY2l�-":14#:.: stti4j :',101-:.-14. .01.44.404 -'. = St1.t,44,” •o s*=--04:. ►3 -.,Y .. .. ;. Florida Fmduct Approval# j for multiple products use produetappesvel form I Name 4 Avi �.�t .:1- . ':. t'''' r--` _.....,•.- .1+ ",r-;-- ":, Address . # ; ': .. .;; CO _ _ • - 91at+e_.: i � # ., phone •.'i` '• i. •:ti;..•: Owner or Agent(If Agent,Power. or ,. otJvrtq Letter Required) Contractor informs oq Name of Company ' y . '* „- ►' ..vim ,'• J — a,attfii� ::�glf >s::. �. ' 2 x ;-. • . AddressIrk15-3o "R , 4 i '�Y ,,, Job Site 'City Kai iimr t `,-= Z °3 . Office , • ContacNumber 94- 4State Certification/Registration# C.tS'a 1/90 .f. v: :` "••::::;--.'-'---k,•'-'-•.---------; Architect Name&Phone# Engineer's Name&Phone it LUIN Workers Compensation Insurer ;� : ...•, . ;. • v , OR Exempt Expiration nate - CO Application is hereby made to obtain a permit to do the work and installations as indicated. certify that no work or installation hki I J Z commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating I. U z Q constriction In this jurisdiction.(understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, , : 1,5,1 0 — WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDmONERS,etc. NOTICE:In addition to the requirements of 0,4LaH Z V! permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,an&) V d U G there may be additional permits required from other governmental entities such as water management districts,state agencies,qe1 p Q O federal agencies. OWNER'S AFFiOAVTT:I certify that all the foregoing information is accurate and that all work will be,done in compliance with all V j N Q. applicable laws regulating morauctior,and zoning. WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY o12 u-_4 W OwW r RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTENI3� n:: m TO OBTAINFINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ,. u 3 C3`• ::w o RECOR YOUR NOTICE OF ?MMENCEMENT, s �� ,� w V �' � cc ILI (Signature of Owner or Agent) W W (Signature of rnntrecv rl 22 CC Signed and sworn to(or affirmed)before me this day of S ned a s n to(or affirmed)before me this ..?cay of y ISA:-f . - fc by L.)e'i:.4 Rf‘ts)t, r~r) by CLO ysilbt#tEETEx 11� t AO' 'g.,,•- s• :;Cowmihiml it OG14043 }a Personally Known OR :3....—‘•' ' 11NWtAl: Expires i el ill.2021 I • X1 1{If1JILi1* Persort=ly Knowe^,R ¢•:• 1. 6EN�M INDORN i Produced Identifies [ IPruducec�'ce�ttti_z:ien #'' •••ifi*1 i�COLIMMOMNE� # -;p^-'=. -3:...P,. Type of iOKfIT tali n: ,. •�w/ wav City of Atlantic Beach APPLICATION NUMBER rjs t Building Department (To be assigned by the Building Department.)//� tmnt7 "� i 800 Seminole Road -oo C� 7 Atlantic Beach, Florida 32233-5445 V'41# 1:)' Phone(904)247-5826 • Fax(904)247-5845 O/ tCI 7? E-mail: building-dept@coab.us Date routed: G ( 1. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: i (06Z PagK, G-22 E Department review required Yes No (Building Applicant: Vpr1.G14Pt-S Qc�S 7 Planning &Zoning Tree Administrator Project: 1.400S E �� Public or s •' tilities - 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: APPLIC N STATUS Reviewing Department First Review: Approved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: �i✓ ate: /O�� 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 PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: l 01 l5 l Application#: O L l-O O Z 7 Project Address: Z Ta(K Te r ra-c e I 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 0 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 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 Sprinkler If fire sprinkler system is provided, call 247-5878 for backflow requirements. Backflow 0 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 ❑ ❑ Meter than 2" must be installed in a vault as noted in JEA specifications. Utility Map See attached Utility Map. ❑ ❑ 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. ❑ 0 ❑ ❑ ❑ ❑ O 0 rsr.v City of Atlantic Beach APPLICATION NUMBER (--- 10* Building DepartmentIECEIVIE be assigned by the Building Department.) r. . 800 Seminole Road q -e Atlantic Beach, Florida 32233-5445 it I. `J m O( I �� Phone(904)247-5826 • Fax(904)247-5845` OCT 14 209 `�e;t 91- E-mail: building-dept@coab.us ©ate routed: I 0/ < < i CI City web-site: http://www.coab.us tiY; _ APPLICATION REVIEW AND TRACKING FORM Property Address: I G1Ca ASK, ( 6-22 E Department review required Yes No wilding Applicant: VA-kGAS o p S 7 Planning &Zoning Tree Administrator Project: 1400 S E C C.Public\Nor s C—PuhkcUtilities 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 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: Ipproved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b .A► Date: 70-1-b-/y - - A - 'IP iP'Iv' 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 MAP SHOWING BOUNDARY SURVEY OF: LOT 5, BLOCK 12, SELVA MARINA UNIT NO. 7, AS RECORDED IN PLAT BOOK 34, N PAGE 52 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA LOT 7 FOUNO PIPE 'NO IDENIIFICATIDN / a 0 N O O I • LOT 6 ILOUND 1I2 Job Duration:One Day (, I - — - INON�DENTIyT(gPON JobsiLe 10"E 140.00' a Parking No need for temporary 11 35' toilets FOUNDX N83'� IRON NO IOODW>GTKYL .;.=---- _,l�E,.1-_ �rs D 0 ED Y:VI..I a r' m z c, xi c, ,, ,STONY BRICK za � NO S o CD v. k woo°FRAME LT- --i 13 nj RESIDENCE/1862 w B. fT1 10 AT CJ1 .. U 7. YMa a Y S .r..++ .6.1.o .IY••, _ P. •ncrAte O .Y..W • - .I • CO StIO Y.AW •.IW.. SET 1/2 6696 •II,P" 140.00' pURDEN L.B./ 383'35'10"W TODND 1/2. Silt Fence IRON PIPE LOT 4 - 0 L.B./6250 nT 8 Z -1 1A WON PIPE2• LOT 4 ND IDF11nEICJ•nON. LOT 3 • N :-I J Z 1-1 • ACTEt D, THIS PROPERTY LIES IN FLOOD ZONE Z'PER FLOOD INSURANCE RATE LAP(FARM),RENAL COUNTY,COMMAHAFY No. 120075,Orr J OF ATLANTIC BEACH.MAP/PANEL No. 12031C-0109-J.REUSED NOVEMBER 2,2018 BEARINGS BASED ON THE WEST RIGHT-OF--WAY LINE OF PARK TERRACE EAST AS BEING S 0624'50"E - - - SO'BUILDING RESTRICTION UNE MAL)BY PLAT I HEREBY GRATIFY THAT THIS SURVEY WETS THE MINIUM TECHNICAL STANDARDS AS SET KRIM BY --- BUILDING RESTRKTON LINE(B.R.L)BY ZONE THE FLORIDA BOARD OF LAND SURVEYORS.PURSUANT FRONT h REAR 20' SECTION 172 T A STAN 01 SIDES'-E' D U R DEN "'T TILE N.T.S.DENOTES NOT TO SCALE CERTIFIED TO: SURVEYING AND NAPPING.INC. ;` J ALL LOTS SHOWN HEREON UE WITHIN BLOCK 12 1825-B MD STREET NORTH —//—DENOTES 6'WOOD FENCE EXCEPT AS NOTED DAVID ROWLAND JACKSONVILLE 004)613-92 22 FLORBA]22511 FAX n� x a NNv.ffA •707 THERE MAY BE ADODIONAL RESTRICTIONS THAT ARE NOT SHOWN ON (9ULLFNSED BUSINESS 60.6 25 TH5 SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF 1 RUA.LL p1711222 A 22/ VENAL COUNTY,FLORIDA. KNE I CAD FLEW.I-S 6-R-1906.51 PNM Ii.MNs TT n52 \\ NOM(AKA NIMKR AST FL,KINSER C717111.THIS SURVEY NOT%WM UNLESS THIS PRINT IS FAI IMED TTN TIE SEAL DF TIE TONED.