198 Poinsettia St DEMO20-0005 Townhouse DEMO PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DEM020-0005
3r ISSUED: 2/14/2020
Jji,� 800 SEMINOLE ROAD EXPIRES: 8/12/2020
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, 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:
198 POINSETTIA ST DEMO COMPLETE TOWNHOUSE DEMO $7500.00
}
TYPE OF REAL ESTATE j ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170636 0510 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
ELEV8 LAND CLEARING & 745 PLAZA JACKSONVILLE FL 32233
DEMOLITION
OWNER: ADDRESS: CITY: I STATE: ZIP:
WELLS FARGO BANK N A C/O WELLS FARGO HOME EQUITY DES MOINES IA 50328-0001
GROUP
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 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: 2/14/2020 1 of 3
DEMO PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DEMO20-0005
800 SEMINOLE ROAD ISSUED: 2/14/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2020
3 i PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off 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 RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
7 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Slab and driveway to be fully removed.
8 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
10 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.
11 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL
Notes:
Disconnect and cap water and sewer lines.
12 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.
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
Issued Date:2/14/2020 2 of 3
,, --.p.irt, DEMO PERMIT PERMIT NUMBER
rN. '
CITY OF ATLANTIC BEACH DEMO20-0005
'° 800 SEMINOLE ROAD ISSUED: 2/14/2020
`m19',' ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $129.00
Issued Date: 2/14/2020 3 of 3
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road DE ono
Z O -0
ODS
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 7
A�01119' Z
E-mail: building-dept@coab.us Date routed: Z. _ Z 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t ( E RD 1 Departm review required Yes No
idin
Applicant: Qv8LQC1CL Cttr Planning &Zoning
Tree Administrator
Project: ub'cwor
ublic Utilities"5
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: teApproved. ❑Denied. 1Not applicable
(Circle one.) Comments:
BUILDINGp-A0 �.��-c_t_Tt•� lk"t<t C 4�
PLANNING &ZONING Reviewed by: Date:O S[7czc7
TREE
ADMIN. Second Review: Approved as revised. Denied. ❑Not applicablebl
PUBLIC WORKS Comments:
PUBLIC UTILITIES
04
PUBLIC SAFETY Reviewed by: / Date!0f�✓Z'd
FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
„ , Building Permit Application Updated 10/9/18
j�; City of Atlantic Beach Building Department "ALL Ii•iFORMATION'
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: r q jly"}"�I � Permit Number:
(�e f)(\0 O-000.5
:t_ lto 21-Z.5 -VIC DAt,t-Att tx:c 3 LOT- 4.54 r,OLaate o to
Legal Description "ga'1"tre„. 4 •)FF„c ___RE# t-,oio-di..4, 01L-0 C3
” ' �'-'1' Non-Heated/Cooled ''
Valuation of Work(Replacement Cost)$ E`�•tit.� Heated/Cooled SrSE
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move etirmo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial E1Rgidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes f91f6
• Will trees be removed in association with roIosed .ro'ect?Ile •___ — • • '-xiit ❑No
Describe in detail the type of work to be performed7D44 f S)1 t4-t Oft d'F'-, ire- e• u(L
t, i;Prr1o\)CA.1 t %C A'Z•C Sd t.� pt,nc %re¢. 10 coLetd eq-5+ 3 lac o -hOci ,
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name U-)8\ 5 F (A 7 _ _ Address x Z.305 - b4 t• I"O(a st,Ca,-�-- 43City T.,4� (Y101 0 S State. Zip 5t.O 32 5 Phone 0 i l5 - 9$ -may!
E-Mail k.X1iCill\a- . fi - 5Ccok ( -- .. 1::'\ :'.4 O4i . t001
Owner or Agent If Agent,Power of Attorney or Agency Litter Regii(r d)
Contractor lnfcrmation /� n
Name of Company ELM LAN>CUIiii-L!Z ? /AA:LL'i.XL Ai Qualifying Agent /�L,t.t PThT 'H'ALIC:K.
Address --pi t N-.A Z A Ai City ATL 1Z L PrrAck State ?1-- Zip:3 i;..2.3 3
Office Phone Q(A- x7-1.4 17t'.,c( Job Site Contact Number $ori' b 2 • 17611
State Certification/Registration# C.L L I52g31s E-Mail l uii aro TAX c 6D/Y)
Architect Name&Phone# /1,
Engineer's Name&Phone# , /
Workers Compensation Insurer LXGA/S:G V.ytif'.A!14L CV OR Exempt o Expiration Date //i/ 2.0Z i
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or imtallation 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 pet mit must be secured for ELECTRICAL WORK,PLUMBIN i,SIGNS,
WELLS,POOLS,FURNACES, b3ILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the require tents of this
permit,th are ma/au additional restrictions applicable to this prop•�rty that may be found in the public records of this r ounty,and
there may be additional permits requited from other governmental entities such as water management districts,.state agencies,or
federal agencies.
OWNER'S AFFIDAVIT:I cert':fy that al i .:-foregoing r.icollation is accurate and:hat all work will be done in complianc!with all
applicabl_laws regulating construction and zoning.
WARNING TO OWNER:YOU• ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN Y•�1 R PAYING T ICE OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN ' i'I CIN , C"'NSU WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING ` tyI IC: O- OMMENCEMENT. a..,_,-...x -
—
—
a rc of tiwn,lr r Anent) (Signature of Contractor)
-.
::ed and stand sti_Fret to(or cffir 4rt),;r• or -,-' :hir dal nl S:;ned and sworn to(or affirmed)befor`mc this_v_day of
- CL,_._ - t �.t_,_J ,J i ,by O.t t VA-,�‘4;._an\,i_td
I ,
�� . ���. .. -___I _ (Sianat:.:eorWc4ary
~PiDL.
1l; 4 PtULL !A I r7il3#,JR,
iiiesighboamw
JOANNE BASSI ersonzl! Known OR IteCOM133304110011601
r1.-•,j Ir^;1 . 6fOTAR:::101nCEx0p4FreNsEW y ` EXPZRE` De nt a lr01i
r iJuced tae i0nca '.on 1ERSEY 1,I'roduoati Identification „� •:' liibiti i e: 9�yPat
TyDeulicientitiL-IF„, _ __ Type of Identification'C .e.rr3 $3?/30/207.3
NOTICE OF COMMENC:MIEi iT
�
�
State of r C f�t1\4- Tax Folio No. -
_
County of AMA-2-
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accords nce w:.i Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: it,"--;.4.42 2.i.•-'t>;' , - ,_t."- ,� .erik1Q. ;
tk `12..WI-
10-1 �+
Address of property being improved: 19 p•n S. 4+t 4.
Genera!description of improvements: :-Wif5(lb I 41 PD()
Owner:�,,e--\ -r--u __ I -- Addres!,
Owner's interest in site of the improvement: / l
Fee Simple Titleholder(if other than owner). "r"
Name:
Contractor:
Address:
Telephone No.: Fax No:
Surety(if eny).
Address:_ _ Amount of Bond$__.
Telephone No: Fax No:
Name and address of any person maks.-g a loan for toe construction of the improvements
N]me:
Ari d j E's•.:
Phone No: Fax No:
Name of person within the State of Florida,other tht:n himself,designated by owner upon whom notices or other docu nents may
be served:Name:
Address:
Telephone No: _ Fax No:
In addition to lrmself, owner designates the following person to receive a copy of the lienor's Notice as prov d •d in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)y ar from the date ecording unless a dif"event date is
specified):-_— __ - - - -
THIS SPACE FOR RECORDER'S USE ONLY G:.I:LF: 140jen ' i , Z17/ez
Signed:__- Date:—_ -
[lefore me this./.'!"-, ___day of_ - I • in the C t riw ui.t.leet state
Of /14.1 ,has personally appeared '3r'eOnviti_ ,,i ,rt Lu-! _
Notary
Notary Public at Large,State 9f Ay ,County of
My commission expires:_7/30 7E
Personally Known:_'EO DILL.- ___ __ _._ _._ . - . or
I%nduied Idrulificatio::
If 1 "' " BASSI
•
•TA' PUBLIC OF NEW JERSEY
omm. # 2436793
My Commission Expires 7/30/2023
rECEIVE
FEB 13
ysl,yr,' City of Atlantic Beach 2020 APPLICATION NUMBER
r'�jBuilding Department (To be assigned by the Building Department.)
�Y'
v 800 Seminole Road 7 /'— (�' Atlantic Beach, Florida 32233-5445 �E (�G GG r00O5/ Phone(904)247-5826- Fax(904)247-58457l /u;sl/ E-mail: building-dept@coab.us Date routed: Z-t 3/ 2- O
City web-site: http://www.coab.us !
APPLICATION REVIEW AND TRACKING FORM
Property Address: t 9e) c Department review required Yes No
E i dingy
Applicant: L P_v P) l—QK(t1 C- t- Planning &Zoning
J Tree Administrator
Project: Ho
; C-�NA. Cryubli�c WorTs ' •
ublic Utilities--3
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. I 'Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
•
PLANNING&ZONING Reviewed bye �; AL _ , ,. _ . Date;, 73 2O
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 WORKS PLAN REVIEW COMMENTS
Date: 7-13-20 Application#: DEMo E V 0 20 -0oo 5
Project Address: I q g Poi ase--I--h O.
CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box
to Select
All concrete driveway aprons must be 5" thick,4000 psi,with fibermesh from edge of pavement
Driveway to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. 0
Apron
(Commercial driveways—6"thick).
Full erosion control measures must be installed and approved prior to beginning any earth
Erosion disturbing activities. Contact the Inspection Line (247-5814)to request an Erosion and Sediment
Control
Control Inspection prior to start of construction. _ J
Onsite All runoff must remain on-site during construction.
Runoff
Post Const. If on-site storage is required,a post construction topographic survey documenting proper
TOPO construction will be required. All water runoff must go to retention area and retention overflow ❑
Survey must run to street.
Pool Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from street or drainage
0
Wellpoint feature(swale,structure or lagoon).
Roll off Roll off container company must be on City approved list. List can be obtained at the Building
Container Department at City Hall. Roll off container cannot be placed on City right-of-way.
ROW ^/
Restoration Full right-of-way restoration, including sod, is required. yI
Utility Any utility cuts in the road must be repaired using CO1 Standard Detail Case X and must be overlaid
0
Road Cut 10'in each direction from the center of the cut. Repair must be shown on the plans.
Construction Provide construction site management plan, including location of silt fence, dumpster, portable
0
Site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking.
Runoff All runoff must remain on-site. Cannot raise lot elevation. 13/
Document Strongly suggest thorough documentation of impervious areas be recorded. 02(
Impervious
Slab Slab and driveway to be fully removed.
Driveway
Maximum
!Maximum driveway width within the City right-of-way is 20'. 0
Driveway
Circular Maximum circular driveway width within the City right-of-way is 12'. 0
Driveway
Grass Full site to be grassed. 0
TOPO Must provide a topographic (TOPO)survey with water retention for final CO Inspection. 0
Survey
Revision Any plan change must be submitted as a Revision to the Building Department. 0
Fencing All old fencing and debris must be removed from job site by Contractor. 0
Removed
Decking All old decking and debris must be removed from job site by Contractor.
Removed
Infra Any damage done to infrastructure must be repaired by Contractor.
structure
0
Revised 12/16/19