334 OCEANWALK DR S TRANSFER PERMIT RESA19-0023 S' Lys RESIDENTIAL ADDITION PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH RESA19-0023
�� 800 SEMINOLE ROAD
ISSUED: 1/3/2020
\`''` ?)/ ATLANTIC BEACH. FL 32233 EXPIRES: 3/30/2022
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:
RESIDENTIAL ADDITION SINGLE ADDITION AND FIRE
334 S OCEANWALK DR OR TWO FAMILY RESIDENTIAL DAMMAGE REPAIR - EXTEND $185000.00
ADDITION per FBC 105.4.1.3
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0518 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
TANSY MOON AND 10 10th ST C14 ATLANTIC BEACH FL 32233
MICHAEL MUNN
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 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL
Notes:
All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from edge of pavement to the property line.Reinforcing rods or mesh are
not allowed in the City right-of-way.
2 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.
Issued Date:1/3/2020 1 of 2
C
RESIDENTIAL ADDITION PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RESA19-0023
800 SEMINOLE ROADISSUED: 1/3/2020
t-.) ATLANTIC BEACH, FL 32233 EXPIRES: 3/30/2022
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
4 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.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
6 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
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.
FEES aiiimiiiiMEL
-, Avairaismairi6
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $59.00
BUILDING PERMIT 455-0000-322-1000 0 $735.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $367.50
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $17.29
STATE DCA SURCHARGE 455-0000-208-0600 0 $11.53
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL:$1,440.32
Issued Date: 1/3/2020 2 of 2
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Building Permit Application updated 10/9/18
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City of Atlantic Beach Building Department 1219/a I **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 t HIGHLIGHTED IN GRAY
�`''; / IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 331 ®1 'AJ cL 4 VR 5Permit Number: • �`i�j A .9 -00-z3
Legal Description 47.-15di7 -216— OccrQ#(t4Au., df-1_(7- 1 fiO•f S RE# IVI4lu-,,-c..,,►0
Valuation of Work(Replacement Cost)$ c ocs Heated/Cooled SF -71(rpj Non-Heated/Cooled (,c
• Class of Work: ❑New .a'Addition V teration ❑Repair DMove// [Memo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial L Kesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes I;ytvo
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) L No
Describe in detail the type of work to be performed: 6 4czrt, Z , -"71;2( . -)t tT-7Z .
/1.44\ j E(T Z!OR Pit!141-K-,5 0( IST.tT-7*14
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name P'{ 4/4c {Jhtt-1 4t ¶4t4',1 KC,42/I. Address ( O 1,211- St G(-
City A4 & -60.44 ' State K Zip ' 2'73-3 Phone q c4 '305 -674 1
E-Mail jv( 10-0444.44.0-/ .1c.._1,24 g6.144a..to,M
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company OW ki.,-FL... Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number _
State Certification/Registration# E-Mail
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt o 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
RECCORDI,NG YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
0
Sined and sworn to(or affirmed)before me thTs e day of Sig ed and sw rn to(or affirmed)before me this day of
g , we) ,by�.N L Pi - 4. 7 ' ,by CR (� U.,411.,Nk
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;i" 4.. TERRY HENDRY igna - o otary) (Signature of Notary)
r l Notary Public State of Florida 'e'a .ma. Am..
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•9- Commission 4 HH 188544 :'i+R"'�e' TERRY HENDRY
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irov 30,2025 : Naar,.t.o,ic-State of Florida
/.. p#rs'Ax�afl�" tiMeb� [ ]Personally Known OR y-
... .- i a o [i]'�roduced Identification ( ` commission 4 HH 188544
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Type of Identification: Type of Identification:- "5 D
Doc # 2021322947 , OR BK 20046 Page 1157 , Number Pages : 1 ,
Recorded 12/07/2021 09:58 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT.
legal Description of property being improved: 42-130925-29E Oceanwalk Unit 2 Lot 8
Address of property being improved: 334 Oceanwalk Dr S,Atlantic Beach,FL 32233
General description of improvements: Front Addition and interior finishes
Owner: Michael Munn and Tansy Moon Address: 10 10th St C14 Atlantic Beach,FL 32233
Owner's interest in site of the improvement: 100
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Michael Munn(Owner!Contractor)
Address: 2305 Marsh Point Road,Neptune Beach,FL 32266
Telephone No.: Fax No:
Surety(if any) NIA
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: TODD J.COLLINS and GLYNNIS B.COLLINS
Address: 1510 Harrington Park Drive,Jacksonville,Florida 32225
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date Is
specified):
IS SPACE FOR RECORDER'S USE ONLY
ZOWNER �----+ /1
Signed: t Date:/�1 3 02
�J`-' Before me this �i day of in the County of Duval,State
Of Florida,has personally appeared ;C1wI -1iJ.nfl aru-t i"C,r.St( NUOt'1 i
Notary Public at large,State of Florida,County of Duval.
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Wy?� aMycommissionexpires:
� Co s+W. ionlos/0p2 Personally Known: or
�aw� expire 12/09r2022 Produced Identification:
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Owner Builder Affidavit **ALL INFORMATION
HIGHLIGHTED IN
irr. City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
°S (904) 247-5826 Email: Buildin -Det coab.us PERMIT#:
Phone: � p @
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: . "7-7 � �f}'L(L- ( �j -7� �i vz.464, 32233
Owner Name: 1qlliiifitt- lq(44/Q Phone Number: €* ,305- 741
Mailing Address: H) l 0l r C 14- City: 4-7'1,401 L x'61 State: -_- Zip: '3Z-133
Notarized Signature of Owner I/11C /a*e. L/1 v�J,
The foregoing strument was acknowledged before me this day ofA4G .t%bQ(", 20D , in the State of Florida, County
ofrR),1i„uC
Signature of Notary Pub1014 -
Notary Public state of Randa onally Known OR [ ] Produced Identification
�� PersKristen W.Arranz
My Commission OG 261067
' io, ii Expires 12/0112022 Type of Identification:
Updated 10/24/18