361 Ahern St RES19-0099 New Drywall/Kitchen Remodel w' 7 RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0099
800 SEMINOLE ROAD ISSUED: 5/2/2019
EXPIRES: 10/29/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONr OF • • • . BUILDING
CODE, NEC, IPIVIC, 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: DESCRIPTION: OF WORK:
361 AHERN ST RESIDENTIAL ALTERATION install new drywall & kitchen $32090.00
RESIDENTIAL remodel
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
VIA MARE
169726 1005 CONDOMINIUM
COMPANY: ADDRESS:
KOEHLER HOMES INC 5538 S COASTAL LN JACKSONVILLE FL 32258
• ADDRESS:
COHEN GREGORY M 184 TUSCANY BEND ST DAYTONA BEACH FL 32117
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 NS215.00BUILDING PUN CHECK 455-0006322-IDOS D STATE DBPR SURCHARGE 4550000-208-0700 0
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.23
TOTAL:$330.57
Issued Date:5/2/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
�> 800 Seminole Road �&S dt —004C,
i.; Atlantic Beach, Florida 32233-5445
/ Phone(904)247-5826 Fax(904)247-5645 5!d l
E-mail: building-dept@web.us Date routed: y
Cityweb-site: hftip ll vwccoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 to I A ukR- R Sf Jrtment review r uired Yes No
//�� p �� Building
Applicant: 08 l- 5t Ii(l.LL"h,)A C')�0an Planning B Zoning
�I A p I I Tree Administrator
Project: (n51✓l�I '/� Apj W4{ jl q'YIfT.Ktn Public Works
(L J Public Utilities
Public Safety
Fire Services
Review fee $ Dept'
c.o/1 JL
Other Agency Review or Permit Required oReview,or Receipt Date
If Permit VedRed (,g nQ
B `^l
Florida Dept.of Environmental Protection C L
Florida Dept.of Transportation )
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants O 1�
Division of Alwholic Beverages and Tobawo
Other.
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. [Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: PdApproved as revised. ❑Denie . ❑Not applicable
PUBLIC WORKS Comments: D
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: y'
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017 6 tl l 0 S
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, Fl-32233
Phone: (904) 247-5826 Email: Building-Dept@coaLus PERMIT#: RE519-0099
❑Revision to Issued Permit OR M Corrections to Comments Date:
Project Address: 361 Ahern St.
Contractor/Contact Name: Koehler Homes, Inc
Contact Phone: 239-825-6820 Email: nwagner@jwbcompanies.com
Description of Proposed Revision/Corrections:
received revised permit application via email showing Koehler Homes as new contractor
I Koehler Homes,Inc. affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
[:]No '❑Yes(additional s.f.to be added: )
-6
,IJ-WC-(Iill proposed revision/corrections add additional increase in building value to original submittal?
No [D*Yes increase in building value:$ j(contractor man sign increase In valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved U Denied ❑ Not Applicable to Department Permit Fee Due$ SO. OO
Revision/Plan Review Comments
Depadment Review Required:
Buildin
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services updo ea J 01171M
OFFICE COPY
Building Permit Application updnWd 1019/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904)247-5826 Email: Building-Dept@coatims n 15 REQUIRED.
Job Address *1 Awn stlkKlt5.A11aoik Beech,FL 300 Permit Number. V_eS(ot —U0 `�7
Legal Description•1146kBE;VIAl CONDOMINIUMS PHASE 1;OAR 1 TW746 REN twr�*tbioi
Valuation of Work(Replacement Cost)Sa4DIR00 Heated/Cooled 3F 1,414-00 Non-Heated/Coded 141c
• Classof Work: ONew, OAddition OAlteratlon grRepair OMove []Demo OPool DWindow/Door
• Use ofexisting/proposed structure(s): PJCommerdal ❑Residential
• If an existing structure,is a fire sprinkler system Installed?: Dyes 9No
• Will trees be removed in association with Proposed ro'ect?Dyes mustsubmitse arate Tree Removal Permit ONo
Describe in detail the type of work to be performed:
Install new drywall throughout, new kitchen cabinets and countertops. NO LAYOUT CHANGE.
Florida Product Approval It for multiple products use product approval form
Property Owrter Information
Name'Gmgg Cden Address 1UT...zF7Send sS
Oty.Daytona BeachState Fi_�.Zip 54117 Phone
E-mail gregigibtcomponles.con, - - --
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Named Company._hWIjLjER 0017E'Z !� Qualifying Agent L6'3 Kb�li h
Address r - — QM 1. LA C r State Pte. .Zip 3�P_SS
Office Phone Job Site Contact Ntt mber . r /Z W
State CertiRcetion/RegistrationIf - E-Mail r7 L.]q(i?/Fl2 lal 'SNA p�yRtr�l� Con �I
Architect Name&Phone# N cb
Engineer's Name&Phone# —a Z
O
Workers Compensation insurer. OR Exempt Explratlon Date OF- J.
Application is hereby made to obtain a permit to do the work and installations as In icated.I certify that no work orinstallati f _ Z H
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulB6 O O Q
construction In this Jurisdiction.l understand that a separate permit must he secured for ELECTRICAL WORK,PLUMBING,SIG%— q U O
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirementsl3f 16 m Z
permit,there may be additional restrictions applicable to this property that may be found in the public records of this count nlK
there may be additional permits required from other governmental entitles such as water management districts,state agent s,0
federal agencies. CCQ t m
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance withtl O w W
applicable laws regulating construction and zoning. W a tC m
Lu
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA U ai u01
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN7bND ¢ W
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE [t
w
REC 1NG 0 NOTICE OF COMMENCEMENT,_
(SignatureofOwnera Agem) ($igiature of CommUor)
Signed and sworn to(or affirmed)before me this SA� ay of Signed and morn to for affirmed)before me this 21Nday of
�,�(�r,h Jril 7DIq by l -�,1(c Kt.ehlr- r
l
1911—naure of
ner�cmll,
PersonallyKnown OR E1PIRKnown ORalnIREII uced ldenfdication - auea1Producedldenugcation -�
Type of Idemiflutlon: Type of Identification:
I
I
JWBIA
OFFICE COPY
CONSTRUCTION GROUP
Date:3/26/2019
I, Gregg Cohen,owner of the property located at 361 Ahern St,Atlantic Beach, FL 32233, -
authorize Alex 51fakis to fill out and sign all Building Permit Applications on my behalf for all
work scheduled to be completed at the property mentioned above.
Sincerely,
Gregg Cohen
%eMLW$drh Wepa,11�4j
MiU
EVIeL
UM�M �
le
JWB CONSTRUCTION GROUP
7563 Philips Highway,Ste.208
Jacksonville, FL 32256
Office:(904)677-6777 Fax:(904)677-6777
wwwjwbrealestatecapital.com