2233 SEMINOLE RD 8 RES22-0128 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SILVERMAN LANCE 1544 GREER LANE SIGNAL MOUNTAIN TN 37377
COMPANY:ADDRESS:CITY:STATE:ZIP:
A TO Z REMODELING &
HOME REPAIR INC 753 Rembrandt Avenue PONTE VEDRA
BEACH FL 32081
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169519 0116 OCEAN VILLAGE ONE
CONDO
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2233 SEMINOLE RD UNIT 8 RESIDENTIAL ALTERATION
RESIDENTIAL REPLACE BALCONY $8000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BLDG 3RD PLAN REVIEW FEE 455-0000-322-1006 0 $75.00
BLDG 4TH PLAN REVIEW FEE 455-0000-322-1006 0 $150.00
BUILDING PERMIT 455-0000-322-1000 0 $95.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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: 7/13/2022
PERMIT NUMBER
RES22-0128
ISSUED: 7/13/2022
EXPIRES: 1/9/2023
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.26
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.18
TOTAL: $427.94
2 of 2Issued Date: 7/13/2022
PERMIT NUMBER
RES22-0128
ISSUED: 7/13/2022
EXPIRES: 1/9/2023
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: _______________________________________________________ Permit Number: ____________________________
Legal Description ________________________________________________________________ RE# _________________________
Valuation of Work (Replacement Cost) $_________________ Heated/Cooled SF ___________ Non- Heated/Cooled_____________
Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door
Use of existing/proposed structure(s): □Commercial □Residential
If an existing structure, is a fire sprinkler system installed?: □Yes □No
Will tree(s) be removed in association with proposed project? □Yes (must submit separate Tree Removal Permit) □No
Describe in detail the type of work to be performed:
Florida Product Approval #______________________________________________ for multiple products use product approval form
Property Owner Information
Name ______________________________________________ Address _________________________________________________
City ____________________________________ State _______ Zip _______________ Phone ________________________________
E-Mail ______________________________________________________________________________________________________
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 Number _______________________________________
State Certification/Registration # ____________________ E-Mail_______________________________________________________
Architect Name & Phone # ______________________________________________________________________________________
Engineer’s Name & Phone # _____________________________________________________________________________________
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
___________________________________________________
(Signature of Owner or Agent)
Signed and sworn to (or affirmed) before me this ____ day of
___________, ________, by ____________________________
________________________________
(Signature of Notary)
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification: ______________________________________
___________________________________________________
(Signature of Contractor)
Signed and sworn to (or affirmed) before me this ____ day of
___________, ________, by ____________________________
________________________________
(Signature of Notary)
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification: ______________________________________
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Replace/repair a balcony on the second floor of the unit. Original balcony had to be torn off so the HOA could fix stucco behind. Using Licensed contractor for the work and following detailed specifications provided by the HOA, will attach with permit request. Will use stainless Steel Screw and follow all guidelines for installation.
2233 Seminole Road Unit 8, Atlantic Beach, FL 32233
09-2S-29E - OCEAN VILLAGE ONE-CONDOMINIUM - DWELLING UNIT 8 - O/R BK 4314-867 169519-0116
8000
Lance and Hannah Silverman 1544 Greer Lane
Signal Mountain TN 37377 423-413-4562
silvermanhd@gmail.com
A to Z remodeling & Home Repair Marlon Dean Thompson
735 Rembrandt Avenue Ponte Vedra FL 32081
904-813-6192 904-813-6192
CBC1252144 remodelingatoz@gmail.com
02/11/2024
RES22-0128
By Mike Jones at 3:48 pm, May 12, 2022
REVIEWED FOR CODE COMPLIANCE
NOTICE OF COMMENCEMENT
State of _F_lo_nd_a __________ _ Tax Folio No. 169519-0116
County of _D_u_va_r _________ _
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 staled in this NOTICE OF COMMENCEMENT Legal Description of property being improved· _____________________________ _
_99-2S-29E -OCEAN VILLAGE ONE-CONDOMINIUM -DWELLING UNIT 8 -0/R BK 4314-867
Address of property being improved· 2233 Sem nole Road, Unit 8, AUanhc Beach, FL 32233
General description of improvements: Replacing existing balcony on second floor of unit 8
Owner: Lance S1lvennan Address: 515 Gentlemens Ridge, Signal Mountain, TN 37377
Owner's interest in site of the improvement: ...:Ow:...:.:..:.ne=....r ___________________________ _
Fee Simple Titleholder (if other than owner): _____________________________ _
Name: _______________________________________ _
Contractor: ________________________________________ _
Address: ______________________________________ _
Telephone No.: _________ _ Fax No: ------------
Surety (if any) ______________________________________ _
Address: _______________________ Amount of Bond$ _________ _
Telephone No. __________ _ Fax No: ___________ _
Name and address of any person making a loan for the construction of the Improvements
Name·----------------------------------------
Address: ______________________________________ _
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 add1t1on 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) -----,-,-,--------------------------------------,,,,, 11,,, ,,,
THIS SPACE,l'OR ��fR'S 1J.SE ONLY ...... .·· •• ... ... ' .· , ... .· , , • STATE -
OF TBoNESSEE NOTARV
Te n se , Count Hamilton
Date: (J7 /2 7/z..z, in the County oiiamilton,
My comm1ss1on expires: '3 j 1.7. I 201J.DPersonally Known. l D...DC R 5 I\ v(V: l'.Y:>,0.,.,1 :') Produced ldent1f1cat1on: or
A to Z Remodeling
904-813-6192
Marlon Dean Thompson
735 Rembrandt Avenue, Ponte Vedre, FL 32081
735 Rembrandt Avenue, Pont Vedre, FL 32081
904-813-6192
Hannah Silverman
515 Gentlemens Ridge, Signal Mountain, TN 37377
423-413-4562
07/27.23
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ 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?
No *Yes (additional increase in building value: $____________________) (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
RES22-0128
06/15/2022
2233 Seminole Road Unit 8, Atlantic Beach, FL 32233
A to Z Remodeling
(423) 413-4562 remodelingatoz@gmail.com
Resubmitting the engineer architectural plans with knee brace corrections.
A to Z Remodeling
4
4
4
By Toni Gindlesperger at 4:46 pm, Jun 15, 2022
By Mike Jones at 2:08 pm, Jun 27, 2022
75.00X
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ 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?
No *Yes (additional increase in building value: $____________________) (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
RES22-0128
05/25/2022
2233 Seminole Road, Atlantic Beach, FL 32233
Remodeling A to Z & Home Repair
(904) 813-6192 remodelingatoz@gmail.com
Following with an email of the engineer specs for balcony replacement with the requested seal.
Contractor coming in person to complete cover page.
Remodeling A to Z & Home Repair
4
4
4
By Jennifer Johnston at 3:49 pm, May 27, 2022
50.00
By Mike Jones at 2:02 pm, Jun 27, 2022
X
Missing information on drawings.