415 Seminole Rd RESO21-0087 Paver PatioOWNER:ADDRESS:CITY:STATE:ZIP:
JAMESON ROBERT ELLIOT 415 SEMINOLE RD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
River Stonework dba
International Stones 8638 Philips Highway Ste #5 Jacksonville FL 32256
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170410 0000 SALTAIR SEC 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
415 SEMINOLE RD
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
PAVER PATIO $8000.00
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.
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: 11/15/2021
PERMIT NUMBER
RESO21-0087
ISSUED: 11/15/2021
EXPIRES: 5/14/2022
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $146.64
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
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 REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 11/15/2021
PERMIT NUMBER
RESO21-0087
ISSUED: 11/15/2021
EXPIRES: 5/14/2022
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $51.64
RESO21-0087 Address: 415 SEMINOLE RD APN: 170410 0000 $51.64
BUILDING PLAN REVIEW $47.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE SURCHARGES $4.14
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R18038 $51.64
Printed: Monday, November 15, 2021 4:14 PM
Date Paid: Monday, November 15, 2021
Paid By: River Stonework dba International Stones
Pay Method: CREDIT CARD 546329504
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18038
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
Building Permit Application Updated 10/9/18
C. City of Atlantic Beach Building Department ALL INFORMATION
v
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email:Building-Dept@coab.us
Job Address: 4(7 S PG(1 -v (,C /Bo p+ iQ ( Ill j Permit Number: Rt._, -.--, ,.__ , c)08 - 7
Legal Description /0-ic / -Z -Z/ Ca Z rtnr4// Jot /S/ RE# I -U (-I/O -oaa0
Valuation of Work(ReplacementmCost)$- p/ 00 v Heated/Cooled SF Non-Heated/Cooled
Class of Work: I tQew Addition DAlteration Repair Move Demo Pool Window/Door
EUseofexisting/proposed structure(s): DCommercial Residential
If an existing structure,is a fire sprinkler system installed?: DYes No >v'A
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) No
Describe in detail t e type of wor o be perfor ed:
0-trl eel ,,-)
r-
cAciCyci\:c (/(
Florida Product Approval# for multiple products use product approval form
Property Owner Informationt-m77 7
Name A'e''-- Jct 0 TSU/`' SAddress1 f<!i'1,,•'7 f( 7c,/'//113 I-C )G(l2
City State Zip Phone
E-Mail r`JcnvAfc_) Z,C P Gwlat,"/ (0'x'1
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information__
Name of Company l -tve f i-)Alea/d//' Qualify-ng Agent ?(A-1 l t d- (1)
Address F6 f 3 P47-/47 //J
7
S City,/(,.i(,///'67(tState G Zip -527 ('
Office Phone 77 T— 7d Job Site Contact Number fa( 37 — ' -v 4-.7--
State Certification/Registration# Z/'0 .7(J' E-Mail p k i(I QrVCr 5%4,/e`.,lo//C S- ('o .-vi
Architect Name& Phone# N/#'
Engineer's Name&Phone# N(19
Workers Compensation Insurer (7 ss 5fs 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
RECORDING YOU • N•T CE •F COMMENCEMENT.
11.Mb... 0 ' A_..7"--
Sig ature of Ownerl Agent)Signature of Contractor)
Signed and sw9rn to(or a -
o-
d,before me this 3 day of Signed and sworn to(or affirmed) before me this day of
A)'Ji!eik1( , 2 b 41.a. A 1 e. imp by a \ .g '
C ,
sgna'r P
a'.r,(Signatur • tary)
4off\°L. AB NoISA Y E
Notary Public-State of Fonda;
e1= Commission#HH 110420
Personally Known OR 1)Personally Known OR My Comm.Expires May 25,2025
Produced Identification Jrr/'T,-Produced Identifica
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