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272 3rd St - DEMO20-0011 _ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road D oM o a 0 _ 00 I J Atlantic Beach, Florida 32233-5445 a Phone(904)247-5826 • Fax(904)247-5845 T � E-mail: it in - Date routed: Z I�3 I( bI b a . bud g dept@coati us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: )-d- 3` S • Department review required Yes No )(k-- n nn ui ing Applicant: ^k-' i'0091.4- QSTl: - _u 11-�j, Planning &Zoning Tr Administrator Project: ('il.Q-,.c 0 \)043.- ublic Works Public 'tilities Public Safety __ Fire Services Review fee $ Dept Signature 4 c�'r Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation ` (7 St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants ./.)C / Division of Alcoholic Beverages and Tobacco Vq�\ Other: APPLICATION STATUS Reviewing Department First Review: 14Proved. I 'Denied. ❑Not applicable (Circle one.) Comments: BUILDING U -C S4 rvc-/v✓—Q On -reAr.4 -0--6-1/-, PLANNING &ZONING Reviewed by: Date: �' Y.0-0 TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 _ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road D oM o a 0 _ 00 I J Atlantic Beach, Florida 32233-5445 a Phone(904)247-5826 • Fax(904)247-5845 T � E-mail: it in - Date routed: Z I�3 I( bI b a . bud g dept@coati us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: )-d- 3` S • Department review required Yes No )(k-- n nn ui ing Applicant: ^k-' i'0091.4- QSTl: - _u 11-�j, Planning &Zoning Tr Administrator Project: ('il.Q-,.c 0 \)043.- ublic Works Public 'tilities Public Safety __ Fire Services Review fee $ Dept Signature 4 c�'r Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation ` (7 St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants ./.)C / Division of Alcoholic Beverages and Tobacco Vq�\ Other: APPLICATION STATUS Reviewing Department First Review: 14Proved. I 'Denied. ❑Not applicable (Circle one.) Comments: BUILDING U -C S4 rvc-/v✓—Q On -reAr.4 -0--6-1/-, PLANNING &ZONING Reviewed by: Date: �' Y.0-0 TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER jt Building Department ECE1 V E- (To be assigned by the Building Department.) A til` 800 Seminole Road DO40A10 ^ 00 . Atlantic Beach, Florida 32233-5445 f V v Phone(904)247-5826 • Fax(904)247 45 MAR 2 4 2020 I a \ >i E-mail: building-dept@coab.us Date routed: 3 la-Da City web-site: http://www.coab.us BY. APPLICATION REVIEW AND TRACKING FORM Property Address: i4 . Department review required Yes No (� A (lit) ur mgt Applicant: y---- Q�� ,Q S`� Ou s rk (li ). Planning &Zoning Tr-e Administrator Project: (Lt(ro hO t L 4.ub cVl/orks Public tilities Public Safety Fire Services �[ Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date �" of Permit Verified By V Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District b''� Army Corps of Engineers Division of Hotels and Restaurants vJC Division of Alcoholic Beverages and Tobacco Vt/k\_ Other: APPLICATION STATUS Reviewing Department First Review: VApproved. I (Denied. I INot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b : „ _ Iate:c1 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 City of Atlantic Beach APPLICATION NUMBER jt Building Department (To be assigned by the Building Department.) ri 800 Seminole Road _ Atlantic Beach, Florida 32233-5445 _ r �J�M O 0 (JO ( j Phone(904)247-5826 • Fax(904)247-5845 '? I3..3 In . �0 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4 S` • Department review required Yes No (� n � c uit ing) Applicant: yu- t .Q_.(-� �J� bus r1 IJ-R Planning &Zoning Tr e Administrator Project: 0,.1,(`\O \'1 ublic Works Public '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 v.)C (� Division of Alcoholic Beverages and Tobacco \A;\ / S Other: D APPLI TION STATUS Reviewing Department First Review: Approved. I 'Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING / Reviewed by: Date:3 [7 '20 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: 3- 2�- 20 Application II: 1.-X-410 . 20- 0 Project Address: 27Z sato s'T ChAPPUCATION TRACKING COMMENTS t c hecko Ada aim _ CoQ 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 p/ Utilities needed,call 247-5878. Meter Boxes Ensure all meter boxes,sewer cleanouts and valve covers are set to grade Sewer "Olt and visible. ❑ ❑ A sewer cleanout must be installed at the property line. Cleanout must be RT1 Sewer covered with an Rn concrete box with metal lid. Cleanout to be set to grade ❑ p 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 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,cali 247-5878 for backflow requirements. SOW At a minimum,will require a double check backflow preventer. ❑ ❑ Requirement Fire Une 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. ❑ O Disconnect 0 $Cap Disconnect and cap water and sewer lines. 13/ inspection Must call the Inspection Line at 247-5814 to request an inspection of the '/ Prior disconnected and capped water and sewer lines prior to demolition. O D ❑ ❑ o ❑ a 0 Building Permit Application OFFICE COPY Updated 10/9/18 1.--' " ;.•( City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY "-`!1-p IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us L b Job Address: 272 3rd St,Atlantic Beach,FL 32233 Permit Number: A EM 0 --©0 t Legal Description 15-34 16-2S-29E,ATLANTIC BEACH TERR S/D PT OF N1/2 LOTS 22,23 RE# 1 72 54 8-0000 Valuation of Work(Replacement Cost)$ $10,000.00 Heated/Cooled SF N/A Non-Heated/Cooled N/A • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move IFIDemo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial gResidential I,; n 2020 • If an existing structure,is a fire sprinkler system installed?: ❑Yes MNo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ININo rJ Describe in detail the type of work to be performed: 654)3(..t.:57:0-4/ or r,('_.,�Li- Stk'tcre.i > W U CO Florida Product Approval# ', Z pp for multiple products use product apprgyaori F- 1 Property Owner Information t LU r O ui Name Centerpoint Homes LLC Address 1144 Fruit Cove Rd V A O Q City Saint Johns State FL Zip 32259 Phone 904-704-3777 Ili U Q V f� E-mailCI 1 XLPROPJAX@AOL.COM (,I F CC z Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Mark Nugent 0 4 OLL a U I— ~ Contractor Information CC H Z Name of Company XL Properties&Custom Development LLC Qualifying Agent Mark Nugent o „_ 5 W Address 1144 Fruit Cove Rd city Saint Johns State FL Zip 32259 Q 0 li,u' w 5: Office Phone 904-704-3777 Job Site Contact Number 904-704-3777 L!t >" - m State Certification/Registration# CGC1513824 E-Mail-MailXLPROPJAX AOLCOM ?. h W 3 w Architect Name& Phone# W V VI W Engineer's Name&Phone# > cc 9 LLl Workers Compensation Insurer OR Exempt tel Expiration Date LL cc Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or 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 ATTORNEY BEFORE RECORDIN YO R NOTICE OF COMMENCEMENT. I.1: L _!�'_A.L .—I- ' L _.ems (Signage of Owner or Agent) (Signat /of Contractor) Si ned and sworn to(or affirmed)before me this/ day of Signed �and sworn to(or affirmed)before me this 'day of O , by /,/„.' .i.,,$4.t 1..,. / !•�aA , , by %i . . . .,. - • (Signa�bl �: 1 S`••N °i�e. ; (SignS. \ I c•tar4 0.",� s‘31 NpTARY Sj ;��';0 er a 9V.• S. r. [ I Personally Known OR E.E. Tue� = [ I Personally Known OR ��� 11O •40 1 [a-Produced Identification S ` (t.LProduced Identification _ �B��G Type of Identification: FL.1Y__. _i _ '40 .. Type of Identification:_J2DL S PV /iii„ \AO �i..`rl'yMf«biV..'.,• • `' ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 "'j,&a9>.• (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. 1. 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. c. Start a Construction Water Account. (See Items 7 - 10) 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: 1 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. NOTES. 1. A construction water account can be obtained at the Water Department in City Hall. 2. Any new residence using the original sewer tap will require a clean out at the property line with an RT-1 concrete cover to comply with current requirements. 11/01/18, 11/19/18 2 . --=-..—. .=M-...1.1........-,G-.35....===. )11.1. L_E G E IN C., EL. _...__.. - .__.-... ___ . _ E Mee.EE 7141E3 acs1030tEAWK r .,-.7.7..:;'—— 7----._.- -,-,.i7.-::577,TiZ—1 CC:NI:110,R 17.. ,CAP.'SEWER 134/EN-Et),E WE: ,3,1:M.::,f C.:Ne I.- Jrii 3EAR,Z., . ZNS'ANCF 1 0 CD ..... LL -eel. WAIl.IR BB nr... .. 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A "IPMI at: 6 1! .-:,:vir.,,, ft,3“73,3 eE er ct.33.,13•133,. 5......e, EvEler.•3 eecve CITY OF ATLANTIC BE v., , • ., , , , —E-} _ 50.2; l'.." retiei . 0 03 P.....r 1 E74,71w3 ::or Enre-, ',tee. : I ' ° (aw) E. --I Serve, 3 .," --.....3•;EE 313,1E-we,..y.,.,,e,-z;,...,WO 7,1',ere ,..cct-ilos SfE PERMITS FOR ADDITI• , , •:R‘i 78,.iFt ,. '.---: a 1:e-E,ee, •EsEee 'wee- ..•EEtrE .333,e,Ect oe-vele: stee t I Lu 'Ewe/AnOve Set.3,7e 33-3,e`eret3Ee W7,33 • ::: c., , or .r.,. - ,.7 .:0t,,,, .1,1,,,,'••.'.• , .V' ,.•,.:e.EE es :Eele..nee 0•-•,, i.,acer, REWIREMENTS AND CON' - ON* , a NORTH HALF OF 0 TIP;..; - , SE3Aes/W-te'egs 7re..E.:.-E.'-eceEt3 Ce-Ers N. 6 :. ,3...,,A,,,,,,,, ,,,C.S 7' .41147es e hi,:,. 1-3.4 .esobc,o3 ecet•3e.Es "'-' , L, LOTS 22 AND 23 i,..1b. .4 ...„.,, ..! EXISTING BLDG % 0 4 4..•,..,:le Eserr.-.v.. ee ,1..,4 0,...,.:1,1, .3-3 3.eEt 7,cS to cCilse, }npe,..., y REVI46 BY: fr\ - 1.-JATE:Zt.qqt )I ...,‘„,, —.... ,.„,kotWireeEteE3733,, cee enee.e,, 1e ty ,,et-.3wwEr.,Ett . 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Et, ,,, - 4,st,7,73.3,3, BEACH TERRACE, PLAT BOOK 15, PAGE 34 jackso ,,,e, FL 32233 Residential - Commercial - Environmental - Industrial I PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA Civil Engineering, Surveying & Mapping, Inspections Drown 9y. MR Field Survey Dote- 03/07/20j Scote l' .,-. 20 Feel Ts'••;;-:;7...-t•-.7.t;;:.; - -- ------------ VWVVVV.IMEGIVIL.COM iDrow: .-:/1Ele 4i022820.i Civil Engineering/Inspection Divisioni 904-460-5475 - '- - 4:-.i', EESEI•54',E3E.. PLOT PLAN SHOWING BOUNDARY SURVEY Surveying & Mapping Division. 904-429-7764 AND TOPOGRAPHIC AND TREE , .. .. . Licensed Survey Business ii.813 9 ...... .......--iii....--..........—. ..........m.iiii.iii................