358 11th St DEMO21-0006 Demo House and Pool DEMO PERMIT PERMIT NUMBER
' r DEM021-0006
4 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 4/7/2021
D1119r ATLANTIC BEACH. FL 32233 EXPIRES: 10/4/2021
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:
358 11TH ST DEMO COMPLETE demo house and pool $5000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170083 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
MATHIEU BUILDERS 38 W 9TH ST ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
Atlantic Beach Builders LLC 960 Paradise Cir Atlantic Beach FL 32233
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 PERMIT TECHNICIAN NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
2 PERMIT TECHNICIAN Missing Permit Information PRIOR TO ISSUANCE
Notes:
Proof of ownership required prior to permit issuance
settlement document submitted as proof of ownership
Issued Date:4/7/2021 1 of 3
'`L'''�i- DEMO
PIEw
rtPERMIT PERMIT NUMBER
O
CITY OF ATLANTIC BEACH DEM021-0006
Ir 800 SEMINOLE ROAD ISSUED: 4/7/2021
�'_j ATLANTIC BEACH, FL 32233 EXPIRES: 10/4/2021
3 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.
4 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
5 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.
6 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
7 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
R PUBLIC WORKS TOPO SURVEY INFORMATIONAL
Notes:
Must provide a topographic(TOPO)survey with water retention for final C.O.Inspection.
9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
10 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
With this demo permit,the circular driveway will not be allowed to remain on the property. Circular driveways must have 100 feet frontage.
11 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.
12 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible.
13 PUBLIC UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL
Notes:
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade
and visible.
Issued Date:4/7/2021 2 of 3
o„1•Ai-iy,, DEMO PERMIT PERMIT NUMBER
DEM021-0006
, CITY OF ATLANTIC BEACH ISSUED: 4 2021
�/ 800 SEMINOLE ROAD / /
--cm 9'/ ATLANTIC BEACH, FL 32233 EXPIRES: 10/4/2021
14 PUBLIC UTILITIES RPZ BACKFLOW INFORMATIONAL
Notes:
A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow
preventer must be tested by a certified tester and a copy of the results sent to Public Utilities.
15 PUBLIC UTILITIES DISCONNECT AND CAP INFORMATIONAL
Notes:
Disconnect and cap water and sewer lines.
16 PUBLIC UTILITIES INSPECTION PRIOR TO DEMOLITION INFORMATIONAL
Notes:
MUST CALL 247-5814 FOR A PRE DEMO 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
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$129.00
Issued Date:4/7/2021 3 of 3
Building Permit Application J 0 B COPY RECEIVED
By Jennifer Johnston at 10:45 am,Mar 31,2021
City of Atlantic Beach Building DepartmentXiA42. J "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept( coab.us IS REQUIRED.
Job Address: 3S'g 11 5irtk. t t ;'114AP-16 1-7ej1 r L Permit Number: DEM 021-0006
Legal Description for 7 east 3•1 reorc( /tet o2`) SLID ,q !{Ff.y,.,fic • i4\ REtt t 7008-3 r-'c4-G
Valuation of Work(Replacement Cost)$ Sou' .,,! .c l$1lAc4eated/Cooled SF Non-Heated/Cooled
7.1e.00 / //
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move Eat)emo ❑Pool DWindow/Door
• Use of existing/proposed structure(s): DCommercial OResidential
• If an existing structure, is a fire sprinkler system installed?: DYes ❑No
• Will tree(s)be removed in association with proposed project? es(must submit separate Tree Removal Permit) LJNo
Describe in detail the type of work to be performed:
tDe.,1c hwt.)yc 17W
Florida Product Approval# N/•4 for multiple products use product approval form
Property Owner Information
Name Ai<(4-"f"- 1343 .Cl- l -��1 5 LLL Address Wt? CrA:
City .4ii,t#-, 'x State FL Zip 33g 33 Phone ye74 -3'6 •
E-Mail C)-t , c,? e�l x 2s c' 1v,.-
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company tYln.I.A,,e., ( (f, ,- Zvi Qualifying Agent L`7.)
Address 3`X liJ -1N;6t -Zt City .4f-P4-4A-7` :fid\ State FL Zip 3x333
Office Phone Job Site Contact Number O-,st,,•• Cy• crit 3 3i
State Certification/Registration#t CO C- 13 S6 SS-1 E-Mail Do t, a ,14A 4 i e b u,j- e-t•> ,
Architect Name&Phone q .4/7i
Engineer's Name&Phone ti N/1
Workers Compensation Insurer OR Exempt /Expiration Date I (2 5 (ZC"'"1-
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
`11111111111111 f���
\ � �• + �, j(or affirmed)before me this <,H day of Signed and sworn to(or affirm•d before me t 11N/4,
?•'.• ,b rb 0,41 n 13'1.4r'r.G'N , ,9QJ( .by �• r 6 d �. •f�f O
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i ..`, R ersonally Known OR ' vA �•• .- • cation ( i Produced Identification ��'PJ- "mac une• •Tpom$M4I cation: Type of Identification: �/i/a4/C pTV-r`0���
-40001111110"-
__ RECEIVED
By Jennifer Johnston at 10:49 am,Mar 31,2021
40' RIGHT OF WAY PAVED PUBUC ROAD
*8.07 4.07 DEM021-0006
BENCH MARK: SET MAGNA& & =7.90
*7.67 *7.98 JOB COPY
DISK (l 83672)
ELEVATION - 8.16 N.A.VD. 1988
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LOT 30 I
JOB COPY By Jennifer Johnston at 12:13 pm,Mar 31,2021 RECEIVED
DocuSign Envelope ID:30175D42-D631-4668-A9F2-CD1F381A55D0 vv
DEMO21-0006
Landmark Title.LLC ALTA Combined hcttlement Statement
4540 Southside Boulevard
Suite 202
Jacksonville,FL 32216
(904)998-9733
File C: 21-359 Property 358 11th Street Settlement Date 02/26/2021
Prepared: 02/26/2021 Atlantic Beach,FL 32233 Disbursement Date 02/26/2021
Closer: Johnni Nicole Causey Buyer Atlantic Beach Builder,LLC
960 Paradise Circle
Atlantic Beach,FL 32233
Seller Robert C.Hamilton and
Ethel R.Hamilton
Lender CASH TRANSACTION
•
Seller
Buyer
Debit Credit Debit Credit
Primary Charges&Credits
$750,000.00 Sales Price of Property $750,000.00
Deposit
$5,000.00
Prorations/Adjustments
$553.13 County Taxes 01/01/2021 to 02/26/2021 $553 13
Loan Charges —Survey Fee to Boatwr•ght Land Surveyors.Inc. $600.00
Payoffs/Payments
5442,419.71 Payoff to BBVA —
Principal:$442.248.35
Additional Interest:$171.36
Government Recording and Transfer Charges
Recording Fees
$27.00
---Deed:$27.00
Documentary Stamp Tax(State Deed Taxes)to Landmark Title Recordings
Account $5,250.00
Commissions
Selling Agent Commission to Oceanside Real Estate 52000 00' -
Title Charges
—
Title-E-Recording Fees to Landmark Title Recordings Account $4.50
Title-Title Search Fee to Old Republic National Title Insurance Company $85.00
Title-Ownet's Title Policy to Old Republic National Title Insurance
Company $3,825.00
Miscellaneous Charges
Atlantic Beach Lien Letter to City of Atlantic Beach $10.00
Broker Transaction Fee to Oceanside Real Estate $30000
Seller ;
_ Buyer
Debit Credit Debit Credit
$442,972.84 $750,000.00 Subtotals
$762,101.50 55,553.13
Due from Buyer $756,548.37
$307,027.16 Due to Seller
$750,000.00 $750,000.00 Totals $762,101.50 $762,101.50
Proeuced by landmark Title,UC
Using Qwha Page 1 0'2
21-359
Printed on 02/26/2021
DocuSign Envelope ID:30179D42-D631-4668-A9F2-CD1F3B1A55D0 J o B COPY
See signature addendum
Produced by landmark Title.11C
Vsurg Qualia Paw 2 eA 2 21-359
Printed or.02/26/2021
DocuSign Envelope ID:30179D42-D631-4668-A9F2-CD 1 F3B 1 A55DO
Signature Addendum JOB COPY
Acknowledgement
We/I have carefully reviewed the Settlement Statement and find it to be a true and accurate statement of all receipts and disbursements made on my
account or by me in this transaction and further certify that I have received a copy of the Settlement Statement.
Well authorize Landmark Title.LLC to cause the funds to be disbursed In accordance with this statement.
Atlantic Beach Builder.LLC,a Florida Limited Liability Company
. —OocuSigned by:
_A-.4"
2/26/2021 Robert C.ilamihon
�r-•� sfoP(�.c,r V. (,a.wtbu�sb,,t, bate
carr I F 't5On,Manage' Date
Ethel R.liami!ton Date
Settlement Agent
Date
Pi adored by landnv,k 7itic,LLC
Using Qualiia
21.359
Printed on 02/26/2021
S
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
(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.
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.
11/01/18
2