2009 Selva Madera Ct RES21-0332 Int Remodel, StuccoOWNER:ADDRESS:CITY:STATE:ZIP:
STEWART IAN ALEXANDER 2009 SELVA MADERA CT ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169506 1654 SELVA NORTE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2009 SELVA MADERA CT RESIDENTIAL ALTERATION
RESIDENTIAL
INTERIOR REMODEL AND
STUCCO $61797.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 3RD PLAN REVIEW FEE 455-0000-322-1006 0 $75.00
BUILDING PERMIT 455-0000-322-1000 0 $328.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $164.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING STUCCO SCRATCH-COAT INSPECTION INFORMATIONAL
Notes:
A SCRATCH-COAT INSPECTION IS REQUIRED FOR STUCCO WORK. IF YOU INTED TO APPLY A DOUBLE-UP BROWN COAT, PLEASE CALL THE BUILDING
DEPARTMENT TO SCHEDULE A SAME-DAY SCRATCH-COAT INSPECTION.
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 2Issued Date: 11/10/2021
PERMIT NUMBER
RES21-0332
ISSUED: 11/10/2021
EXPIRES: 5/9/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $10.16
STATE DCA SURCHARGE 455-0000-208-0600 0 $6.77
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL: $693.93
2 of 2Issued Date: 11/10/2021
PERMIT NUMBER
RES21-0332
ISSUED: 11/10/2021
EXPIRES: 5/9/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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
1'r Building Permit Application Updated 10/9/18
Ali-ig City of Atlantic Beach Building Department ALL INFORMATION
v
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
on yr
IS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us (
Job Address: 2670 SFLL'14 if'14(7EjZ4 Cr- Permit Number: ' `GS z a _ (-2)3 3 a
Legal Description Gj0 37 04 - ZS Z1'E (ELVA- NoP-TE tin/Tr Z ca 811TE# (c61c04, — (6S4
Valuation of Work(Replacement Cost)$ 61 , 71 7 Heated/Cooled SF 2.737 Non-Heated/Cooled a—
Class of Work: New Addition 4lteration Repairer Move Demo Pool Window/Door
QRUseofexisting/proposed structure(s): Commercial esidential
If an existing structure,is a fire sprinkler system installed?: Yes IYNo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) 2/No
Describe in detail the type of work to be performed:C7Describe C-C_G k/J t 0 c..)
S. 141rACH E D S Co(?E o i- v-i2-r—i&R-L ( R.c 1v..o c3 E i% ,
OW C--42_ lJfliV
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name AtEX cE Address 2005' SELYA /1447E Cr
City ITLAIVDC 7!•;f1-C}-t State F:---L— Zip 727.43 Phone /70 R?!.. - 75Z7
E-MailStEi•viariri 6''Qil—v 1 • GOA^
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Nu.•.-r
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt D Expiration Date
Application is hereby made to obtain a permit t. •o the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permi : d 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
RECO G YOU' NOS • • MENCEMENT.
ilk.`
Signature of Owner or Agent)Signature of Contractor)
Signed and sworn to(or
affz•)
before me this 27 day of Signed and sworn to(or affirmed)b=-• e me this day of
OCT" , 20E.4 b• 'fes.:* Ar T by
lli
I!?, a%eV , y) Signature of Notary)
4: TONT GINDLES SER [(-, PersonallyKnown ORPersonallyKnownOR ..: .*: MY COMMISSION#GG 353178 ' Produced IdentificationProducedIdentification .y.o,:
lm',;' dCop' EXPIRES:October 6,2023 e of Identification:Type of Identification: , P
is in,eNiters ,
10/27/21
Alex Stewart
2009 Selva Madera Court
Atlantic Beach, FL 32233
Scope of Work
Note: there will be no additions or modifications to the footprint/layout of the house
Renovations include:
Replace existing title floors with new floors
Replace cabinets (same footprint as previous cabinets)
New counter tops
New sinks and faucets (using existing plumbing hookups)
New paint
Resurfacing of showers and tubs with new tile & Schluter waterproofing system
New toilets in existing locations
Replace appliances in existing locations
Resurface exterior stucco with new synthetic stucco; repair buckled stucco on South
wall by garage and resurface with synthetic stucco
i=m.i'iOwner Builder Affidavit
ALL INFORMATION
HIGHLIGHTED IN
Jr "'
City of Atlantic Beach Building Department GRAY IS REQUIRED.
4 n 800 Seminole Rd, Atlantic Beach, FL 32233
DR9.,Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address:SZOO`i El.f; IL A•MgA Cr—
Owner Name: AteC 57e r Phone Number: 776_g7g- '3-Z7
Mailing Address: Zan IE-uA /471X Cr City: i-Tj nC REnC rI State: rt. Zip: 3 ZZ3 3
Notarized Signature of Owner -141—Ct 1C
Theo oing instru ent was acknowledged before me this ay of di 20Z (n the State of Florida, County
of rIlk(
Signature of Notary Public
Personally Known OR [ ] Produced Identification
ss
T seof!dent' ' ',•,.V- ' -
o., TONI GINDLESPER ER
i c,
MY COMMISSION#GG 353178 Updated 10/24/18
vy ' EXPIRES:October 6,2023
pBonded Thru Notary Public Underwriters
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
nq3Pi
Project Address: `l\' Dt 1 ' -' Permit#: !\ E S z ( _3 3 7.
Owner/Project Name: Aft) ci i v'1 1
As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding.org.
I Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4. Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1.Single hung
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6.Awning
7. Pass-through
8. Projected
9. Mullion
10.Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated 06/21/21
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C. PANEL WALL
1.Siding
2.Soffits
3. EIFS
4.Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane
9. Greenhouse
10.Synthetic stucco L/MIX f1 MX -700 5;31=
11. Other
D. ROOFING PRODUCTS
1.Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7.Single ply roofing
8. Roofing tiles
9. Roofing insulation
10.Waterproofing
11.Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive
coats
15. Roof tile adhesive
16.Spray applied
polyurethane roof
17. Other
Page 2 of 4 Updated 06/21/21
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
Ike6TLv *Contractor Name (Print Name): C91 Contractor Signature: %4
Company Name:
MailingAddress: 7005 SELosi /144Ot - C7
city: AnA1V7)C ) CH State:l - Zip Code: 7123 3
Telephone Number: 77(3 .g7 75Z7 E-mail Address: 7 4 G14141 L. (a`-
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 06/21/21
RES21-0332
RES21-0332
RES21-0332
Revision Request/Correction to Comments ALL INFORMATION
q%` HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
1111.)
1
800 Seminole Rd, Atlantic Beach, FL 32233
C,Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RE_S Z - o33Z
Revision to Issued Permit OR FO Corrections to Comments Date: Hi i Zi
Project Address: Z'? '/ CUL VA /WI PCM CT-
Contractor/Contact TContractor/Contact Name: AtEA, c1tivair)I
Contact Phone: 77C' S 7 " S Z 7 Email: SltwiLLri}6U / 1(_ _ C od '—
Description of Proposed Revision/Corrections:
vU j c,%o Fut,Ifn re.) 1 Z pv(i L/rr
A C iZ-4C 1Zr 2(N i TC C rLAz4-L r=o,ti;si t S - it c i TEX S/S—
C SC/11/ v.r - Dtt-7f Co,..Arm Fi-'(i?Q' v)
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:
Will proposed revision/corrections add additional increase in building value to original submittal?
1RINo *Yes (additional increase in building val :$ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18