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1651 Coquina Pl DEMO21-0016 Demo HouseOWNER:ADDRESS:CITY:STATE:ZIP: KOIZUMI SCOTT TAKAYUKI 1651 1653 COQUINA PL ATLANTIC BEACH FL 32233-5426 COMPANY:ADDRESS:CITY:STATE:ZIP: MATHIEU BUILDERS 38 W 9TH ST ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169566 0000 OCEAN GROVE UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1651 COQUINA PL DEMO COMPLETE DEMO RESIDENCE $5000.00 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. 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. 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. 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. 1 of 3Issued Date: 7/20/2021 PERMIT NUMBER DEMO21-0016 ISSUED: 7/20/2021 EXPIRES: 1/16/2022 DEMO PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES 3 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 FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris must be removed from job site by Contractor. 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 WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: Storm drain on corner must have filter fabric installed during demolition. 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 DISCONNECT AND CAP INFORMATIONAL Notes: Disconnect and cap water and sewer lines. 13 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. 2 of 3Issued Date: 7/20/2021 PERMIT NUMBER DEMO21-0016 ISSUED: 7/20/2021 EXPIRES: 1/16/2022 DEMO PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 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 3 of 3Issued Date: 7/20/2021 PERMIT NUMBER DEMO21-0016 ISSUED: 7/20/2021 EXPIRES: 1/16/2022 DEMO PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $129.00 DEMO21-0016 Address: 1651 COQUINA PL APN: 169566 0000 $129.00 BUILDING $100.00 DEMOLITION 455-0000-322-1000 0 $100.00 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R16387 $129.00 Printed: Tuesday, July 20, 2021 4:56 PM Date Paid: Tuesday, July 20, 2021 Paid By: MATHIEU BUILDERS Pay Method: CREDIT CARD 484579440 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R16387 1 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. Please use the general Building Permit Application Form for Demo Permits and include a Site Management Plan, showing all structures to be demolished and to remain, erosion and sediment control plans with installation details, proposed use of the right-of-way and parking; a property survey; and the contractor’s documents needed to obtain a building permit. 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. The contractor must call to schedule an inspection of the disconnected and capped water and sewer lines prior to demolition. c. Start a Construction Water Account. (See Items 8 – 11 on Page 2) 2. The demolition contractor must provide written notice to the owners of all adjacent properties, not less than 10 Days prior to start of demolition, per FBC-EB, Section 1502. Adjacent properties must be protected from damage during excavation, demolition, and construction activities. 3. Silt fences must be in place and approved by Public Works before beginning demolition. 4. 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. 5. Removal of any trees requires a separate Tree Removal Permit, per COAB Code Of Ordinances, Section 23-21. 2 6. Protection of trees and vegetation during construction is required, per COAB Code Of Ordinances, Section 23-32. 7. Prior approval, 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: 8. At least two hoses, with nozzles, capable of reaching to all areas of the property must be on site with an adequate water supply. 9. The structure must be sprayed with water for one hour before demolition begins. 10. The hoses must be used continuously during demolition, wetting down the structure, the debris pile, and truck beds when being filled. ASBESTOS. 11. 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 building sewer piping shall be internally examined to verify correct size, slope, is not broken or obstructed, and a clean out at the property line with an RT-1 concrete cover is required to comply with current City requirements. 10/30/18, 12/28/18, 10/23/2020 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION r: t'ri - Building Permit Application Updated 10/9/18 i--, City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY 1 IS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 0 \ \fo5`3 Cc c tiv(10. 'PL , A,% .a Permit Number: E-IVIO Z 1 — C C= I Legal Description \S-8a. ©S—o1S —c7, \ 1 w earLXCscove 1 Sjt V`R# \fQ k (o(rrocc i 1 Cs.-e' S 1of-i of W 10F'C WU to Valuation of Work(Replacement Cost) $ 5o 0 0 , Heated/Cooled SF Non-Heated/Cooled Class of Work: DNew Addition Alteration DRepair Move XDemo Pool Window/Door Use of existing/proposed structure(s): DCommercial .•Residential If an existing structure, is a fire sprinkler system installed?: Yes RNo Will tree(s) be removed in association with proposed proiect? UYes(must submit separate Tree Removal Permit) ENo Describe in detail the type of work to be performed: De n.o tfarI,J V\Sf r-e.11,(7C--- Florida Product Approval# for multiple products use product approval form Property Owner Information Name KO1Zumt S& t' Ta1(e yt.06 Address \CA01SeV\\\a \ & . W• City st\oh}Cc C3e.aC1r, State FL_ Zip '3•A?: '3 Phone (-ib aa- V -\ E-Mail SCp-N-ICotlue\1 2rc&wL.\ .cor Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company ya k Q:f.„\ce4E-S Qualifying Agent ()LAS-WIN SCcL$(f'\ Address 2. Cl4' `j\. City ilt,FS State FL Zip `3'3x.3'3 Office Phone Spy • 913.366\ Job Site Contact Number State Certification/Registration# CAjc/25 7 5 IrG E-Mail Au.sltiv, ct Toc4.4c-W\ectkc,u?Ke Ts.cow Architect Name&Phone#AJE} Engineer's Name& Phone# AJ Workers Compensation Insurer OR Exempt Expiration Date 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 RECD SING YOUR NOTICE OF COMMENCEMENT. lllllll (Signature of ne gent) Signature of Contractor) yp0..• 0:ii4 1or.Nlill/I/y-. PS # or affirmed) before me this 7 hday of Signed and sworn to(or affirmed)before rr ir F ' ni., % UY or'Luwtii a Z1DZ( , byii:044S tCy:AO 884323 4. ` Signa e of Notary) Signat is fTlotary)4,• S si fj ' C .r ' h1I OR Personally Known OR 43e UMW.• 0 0` iation Produced Identification:Type Type oIdentification: I -C-Mo 2_ l - 00 I& 34.00 x 22. 00 n • 3GSC - LGs WCZ CsG as. p(et 1 C. CC Q t o MA t 'f%• A.-3 J Mir SCHEMATIC SITE wv COQUINA PLACE NeauNrnt Type:<not eodpned> 1, 5 / ( SGL K k p&-14-q,1D Aced eek ane. o W7, c( kdpi3co4.n . st.(rte K PGc Li ,6ti5-.4e. wL4.I-tr a 11A Lr J (Z-(C. tie-4 r1.5 C(E4lD