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Selva Marina-1600 (13-3475) DEMO1 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 322335445 _ Phone (904) 247-5826 Fax (904) 247-5845 E-mail: buMng-dept@coab.us Cityweb-site: f":/AVWW.coab.us APPLICATION NUMBER (To be assigned by the Bullding DeW Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address:� nt rev iew regu rBuIlWdIngApplicantPla Zonin Administrator Project: Lr%%7 Q �� / L . /) Public Works Public Utilities 06k477 Public Safety f-9 n C,n 6 S It -"-7D —PO6 Fire Services Review fee $ 8 Dept Signature APPLICATION STATUS Reviewing Department First Review: [$pproved. ❑Denied. (Circle one.) Comments. Ey BUILDING /Vw'J 1 PLANNING BZONING PW Cd % 7 5�3 9 Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. QDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by. Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised o5H4M BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Too SF -L -VA M4AI L4 N. Permit Number: Legal Description rioor urea or L-iq.ri. 5q.ri Valuation of Work $ /o Proposed Work heated/cooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)circle one): Commercial Residential If an existing structure, is a fire sprinlder system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name: city E -Mail or Fax d(Optional) _P14 LL 1 L 'P'p.�C-Z, U �4 � .,ei4 � "0 . Address: State ip . L2I 1 Phone !Ti 4 Z& .� - G A 1 D I't, Arp -i' Company Name: P L C 6 Cia* — C~4 Te.Q Address: 24& [.xv Office Phone _90 9 1 4 4 1 Job Site/ Contact State Certification/Re istration # l _E C. D4 D & g Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address ivl—Qualifying Agent: ikTa V—°t City Aftiz:z, ;.s-1 State umber Fax # r,� 4 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be per formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nul and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six16) months at any, time after work is commenced 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. 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 RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examine liceatlon and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compli whet/ r spec' d her in or not. The granting of a permit does not presume to gtv uthority to violate or cancel the provisions of any other federal, st t ,ior-(ltl la re ant r t' o�Lthe formance of construction. Signature of Owner f Signature of Contractor Print Name f........... �C....../ i"°cam` Print NameE?E�- ..................._................. Before me this 3-vz f Before me this lel onavE; V Revised 01.26.10 MY COMMISSION i ff EXPIRES: Maafi 25.=2D1 B0WW r!w WW PW4U *Mt2n ei���! 1g IEi ;t°�Y 3` g�r6ltt E9t�"E_ MOD #r#}�gf�Hgf(r;r° I(P& 1E'r` Ifa ,I�1 : ���rC r 3 `!E `}[�a P E 9 P}� of ! P E rp a}= t ! 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HeI,ULE RIBOMMtl-e¢BIpWlA101glEe TN�PRE1E�1110E R E V I9 O N S 'oil C\ _ Demo Ma nt. .. .l Demo Concrete Building farthest to •r �u� block restroom: Demo j1 the North) . • jr' .. by 3rd Tee ` House I , L.:,rcaE ti «" ' _ y {�AONUMENT :;„ro wn i ~ �r.w >„ac v a� oo Sao 6 ; O } O h n Demo Entire m z Ey; OO Clubhouse �E 3D �/ 1 e 5 _e •» �» Structure & <� Pool / o p < I ,.. ». :,.. �. ,» � r / \ •,e,» � �ry �`J} V � i� �}j1�� I� ®` � W 3 i LEI 3)4 Ott l O l/ ! I _ ` - �� °”` a,N'x"`� y §,� °,.w.w,. w,w.°„m i �...,,.,Q'°ory. �2 �- O `�• PIPE Er I �K°' ,,• ,. s'F i v s» ' i I-- "' rl xs i o e u N` i r�' 2 € 1 � d �.,.`�J .,,, "•5E7 !, 2" 9� LE €_ 1p PW BOOK 4 95. 654 § w . \ \ Q •• Q = (1-8 72).E. 30 _'-I_I • t C " w ' 1 111 �11 • �... » R N r > .e it 20' EASEMENT OFFiCIL RE RDS VOLUME 652, FACE 484 i OFFICIAL RECORDS r • t VOI UME 5810. PAGE' "' �' 1 "Ya ➢ m 2258 $ w . Demo All PARCEL NO.2 _ \ buildings, i _ qn; • ��" f�' tiT » I Tennis 62.6 Courts& • �v 1 s 3< 20' EASEMENT OFFICIAL _ i Fences 0 O RECORDS VOLUME 5810,< O \• PAGE 2258(PARCEL 3 m — �• "� Imo' �•1 Nc.a) All structures to be demolished shall have �``h `•� erosion control measures installed (per �' • D•1. SDMRRW attached details) prior to any demolition. - w « u Erosion Control measures shall be maintained daily Cj during demolition 50' E-AGEMENT 1 u„ .wd .ii EOR DRAINAGE. w Uili 17IF5 ANJ g SEWERS roUND 1/2-1 ON 20' EASEI.4ENT rya .mC,AP_e 5,& FOR DRAINAGE, - mrsT!m SEWER ANO �,w'„m%•.w, .p"w:, a»., ra,,. t� Demolition 0 REMOVE ASPHALT PAVEMENT ._- •,was PINI I"> _ Q REMOVE SURCONCRETE Q REMOVE E SIDflRAIM AND PADS _ OROAM UTRITYA10ir POLES ! RxTURES 0 O 5 REMOVE FENCE < - Q RFAWVE SAWrARY LFT ST41pN 4 11— \ ` X 1 Pmbcl MwMv pQ REMOVE STROM STRUCTURE j\ VS::..—� 1 . ° 06—SEL-001 Demo Maint. {.,. A y t ... TI '-x:A •. Budding (farthest to \ „.r g omk reost oom T Demo , INL'S h2 North) •x ;:: .. .,° °,. �.n ,,. — by 3rd T2es„ cu Hous2 "CojEn, mIL 1 .. � Tsai _ -rF � � �m i L, r,oao - 1- il� \ �� �� t.� i € P Z a Y •p . r d m •'EE C3 wi Demo Entire % ' , W 5� -704.. I "Clubhouse vE 3G I _ r.< 1Jfli ' ziR o , cn' t . 'R'e� �p _ � p Structure & ; i w ,� ° ;.. I , °o° T° 1 ° E "� p • ' i I 0. Pool �s Y ' vi000 zw¢�ie.$)' Q CJ S} v Up iR� - _ �`< -� _ - . , „..• a, w„R w. ”, � ° " \rte O ;t w,. = 1 PIPE a \ 'a'wSET , 2" • ' S,E,o, eAow,i'N,I s i'n v u,',.°..,2 € i 7 _� T IRON Poe 30 E*m TBI' I w PUT eoox a as esA 4 \ \ flQ O n w (LB 3 n) —151 J�1—�— 1 °E n w, \ St 20' EASEMENT OFFICI L RE RDS VOLUME 652, PAGE 484 OFFICIAL RECORDS w It. voLUME 5910, PAGE ` Demo All t! it 2258 , buildings, PARCEL NO.2 �. ennis% f s 1 aAen 2.8 Courts & S .,.w fences '"" —pp Q "` 20' EASEMENT OFF'IC'IAL _ RECORDS VOLUME 5810. <n �+== oo s _ PAGE 2258(PARCEL w •� -`t N0.3) All structures to be demolished shall have # _ ' >w 1 erosion control measures installed (per &*.*' attached details) prior to any demolition. °'• Erosion Control measures shall be -I I \ maintained daily during demolition Pt °P°s" °" \ ' W ` \ _ __------` 50' FOR °" UTI 'ITIfS AND SEVERS \ '� rOON o i/2' 1 ON 1',' K- 1 BTI3I ME4'.T PiP� CPP 5.2. �+ FOR DRAINAGE, gym•% M jIkLV °,v G A UTI\'. TIETS AND --,0 DemoONon REMOTE ASPHALT PAYfl1EMT .°ss.....�/ _ _ PIM CDo ROAM BURDMO ��� MOVE CONCRETE. SRIEWALR AND PADS 3h�E REMNu,M © REMOVE UTUTYA30Hi POLES t FlRMmS _— / I i �F C-010 Q REMOVE iENCE — '� �. 1 . l_' .I. N,.M� TAY �� 06—SEL-001 REMOVE SANIRUFT STATON �\+u 11. ° QQ RFYDVE STRDM STRUCTURE , — I�lu7 r• r Demo Maint. f.,. �DemoConcrete n „ - _ .� -,•._ - Budding (tarthest to -�- - '° Block restroom \;• I i W •� 1 - 3� \ 1 O • - �F. 4�v t ARiE�S • he North) by 3rd Tee lfj I NCRCTr Demo iD) - bN ^' Q House 1 Q - �a, w. ° #/l. 9 0 •\ ^'�J •� •'j��i`� ° , � 0 • , ° \ _ § Z 3o �' _ — � — ---5 � 6 �� N �� ow � � - � O � Ot7 � �\ � � ;• ~, , yCj feu � i it Demo Entire a too soo uj ` @` i y� Cb .,n• I �' Clubhouse IE. 3,0 _� n •:y - uw¢ •v =_-- �z�_•� o "E Q 4 Q 1 Structure & Pool •�� ,.. _ _ _ Y PIPE ` ., t " tti _ ..!.i°SET TH,cSFI vA t I II'D LINT z & d J^� /� q r �i F , , PIAT BOOK 4 95, BGA g { \ Y / t �2• 6 IRON !P()E JO '�" • l• �° IN !, 20' EASEMENT ---OFFiG L RE RDS VOLUME 652, PACE 484 :, .. OFFICIAL RECORDS S `"" } t ! a..• <q a i 1t VOI LIME 2258 ' PAGE — -- — 8 Demo All , J 1 r 6 ➢ [3 O p •„ m V $ PAR rCEL N0.2 a _ ; buildings, , t ' °-,•; �, V ti{ Tennis " tz'an 2.8 Courts 8t ��` S «..... • , .� .,. P 20' EASEM_NT OFr'cAL — I i Fences \. O O arb.,; 1 �� RECORCS VOLUME 3810, ,. • • PAGE 2258(PARCEL I D — °� �' •"'"'a�b z1 1 h •\ 6 Nc.$) All structures to be demolished shall have .� erosion control measures installed (per - ` �' ' ' -"' •�1 ' �� �•�. w attached details) prior to any demolition.•• Erosion Control measures shall be maintained daily during demolition s">° OpOS VOLUME 65 . °w\}u✓ yi ` tt¢ s0EASEMENT I �. $t� FOR DRAINAGE, AND —.-- „� UTILITIES SEWERS \ �i FOUND 1c/2" 1 ON 4 LO EASEMENT PTP cp- sa .y.R 1Y P hklm FOR DRAINAGE, y, �� ow",•,a y'a UTVL'?1E15 AND y�' a wm�.glim, — i SEWERS Q WOW ASPHALT PAYE 1p r _ f•— Plan oMOVE K&OW REMOIC CM MW- 9OEWALX IND PAW Q MOW WIL" IGHT POLES a FWnA0 sn..t Fa.An•. O C-010 ©aeuoa: sAMTARY uEr srAnoN � a 11. v;�\ � '' • t>.oM Numpr QQ tmtoN: smog smucnmE 06—SEL-001