2325 Beachcomber. PPI22-0001 ApplicationPPI22-0001
Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, Fl 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Updated 10/9/18
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Valuation of Work (Replacement Cost) $_3_~6_}1 ...... 20_· ·""",, ......... ......,._... ..... Heated/Cooled SF _29_9_5 ___ Non-Heated/Cooled_9_64 ___ _
• Class of Work: 0New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door
• Use of existing/proposed structure(s): □Commercial 0Residential
• If an existing structure, is a fire sprinkler system installed?: □Yes liZ!No
• Will tr
Florida Product Approval # __________________ for multiple products use product approval form
Prope
Nam
City
E-M
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ___________________ _
Contractor Information
~~~~;..;,;i.~~--' Qualifying Agent ;,;;T4!i!Jlil-'. ~~~~ ........ ~~~~!!!'-~,----!--
-----------City S'ftutJilffflt~ ' ... State ~Ft Zip 32~ 2' t. i, '
Office Phone .• Job Site Contact Number 904-591-794f
State Certification/Registration# CGC §5211® E-Mail ~filflri!sft~·._,.· ... ,-"."'=·~""".,·=,"Ii""',"'/""'·.· .. ;--,. t,2,...,' .-. """'·00$=•-· ,""', -+ ... =;,-•J.M.,..,•··""".·"""O)'""'i.= ...... ,...,,4_7i-••· .... l».tilr}-. ,-C. ,.
Architect Name & Phone# r 1
Engineer's Name & Phone# J~$5C. .:r: Tqnn(i::+F~ •-qDc+-Ww-~.</:QI
Workers Compensation Insurer ln$1~~~ricttpf~allnc.{ ,. · .. ~ ~ ·•~ ; OR Exempt~ Fxpiraf:iop Date t11'~~~1· fi : ,~
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, PO.OL~, F~RN~CES'.~OILE~S, ~EATERS, TANKS, and AIR CONDITIONERS,, et~. ND\Jci! • .7't:1tso,ftffis
P~flrl~1, enfrnafbe,fddifonJ're,~t~n• ·s,prpJ>;erf t nfay tie.fo6n'a th. ft "Wi{~nd
tl~r~,. ie.i~aijohal permits requir,~d f f~jt~ i~i,j~~r.~na,gem~nt dJstri¢s, ~at~,age~crhs/dr f€der~1 · · · ·
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 PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
R~;o;~~;'VO~R ~OTICE OF COMrv1~~CEMEN_T. _ __;.,._...;,__~-··_ .... _.;..;· .. · ,.,...· ··_. ----"'......,••·} . ....,.;f1_'.~ i;_4il;-; ~·r=ii;j,"-'-•. 't,...;..;?_
(Signature of Owner or Agent) (Signature of Contractor)
f Identification: FL-1) L-
SMed a~d sworn t~ (o. r affirmed) be~ore me this ~ay of I
t.! ll{ecJJ:: ,~, by . . • .· i
Voersonally Known OR
.fi'i;roduced Identification
Type of Identification: _____________ _
By Mike Jones at 11:02 am, Apr 20, 2022
REVIEWED FOR CODE COMPLIANCE
PPI22-0001
Ee UNIVERSAL ENGINEERING SCIENCE, INC.
5561 Florida Mining Blvd
Jacksonville, FL 32257
904-296-0757 -Fax:904-296-0748
V
NOTICE TO BUILDING OFFICIAL-USE OF PRIVATE PROVIDER
Project Name: ~:!aq .. Be11c/1Mbee. ·:n:.A-:, / Plans Rw.-ew~ Both
Parcel Tax 1.0 ( (i} 4(123 -l) I 5"Q Circle one
Note: If the notice applies to either private plan review or private inspection services the Building Official may require, at his or her
discretion, the private provider to be used for both services pursuant to Section 553.791{2} F!orlda Statt.'te.
Dana Buchaca I,--,-___ ....,,... ________________ __,.. __________________ _
the fee owner. affirm I have entered into a contract with the Private Provider Indicated below to conduct the services indicated above.
Private Provider Firm: Universal Engineering Sciences, Inc. FL, UQM$e. Registration or~ No.P.s. 3870.5
Private Provider: Richard G. Kushner. P.E.
Address: 5561 Florida Mining Blvd. Jacksonvlffe, EL 322§1 Phone: 904-296-0757 Fax: 904::296-0748
I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the
subject of the enclosed pennit applk:ation, as authorized by s.553.791, Florida Statutes. I understand that the local building official may not
review the pians Submitted or pet'foon the required building inspections to determine compiiance with the appiicabie codes, except to the
extent specified In said law. Instead, plans nwiew and/or required building inspections will be performed by licensed or certified personnel
identified In the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more
insurance to protect my interests. By executing this form, I acknowledge that I have made Inquiry regarding the competence of the licensed or
certified personnel and the level of their insurance and am satisfied that my interests are adequately protecred. I agree to indemnify, defend,
and hold harmless the local ~ the local buldlng official, and their buHdlng ood!il enforcement per$0nne! from any and al! claims
arising from my use of these licensed or certified personnel to perfonn building code inspection services with respect to the building that is the
subject of the enclosed permit applk:ation.
I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or
her charge pursuant to the standards established by s.553. 791, Florida Statutes. If I make any changes to the listed private providers or the
services to be provided by those private providers, I shall, Within 1 business day after any change, update this notice to reflect such changes.
The building plans review and/or inspection services provided by the private provider ls limited to building code compliance and does not
include review for fire code land use environmental or other codes.
INDIVIDUAL CORPORA110N PARTNERSHIP
Print :::al Name
By:. ___ ~ ....... =-------------
(signature)
Print
Name: Dana Buchaca
Address1809 1 ST ST N UNIT 502
nv1 c 5
Tele~
No: 904--477-7699
Please use appropriate notary block.
STATE OF FLOR...-iDlf-
COUNTY OF Ol' j/lfC..
lndlvldual
BefOJ1,me, th~ 2tvJ day of l!lCiiF-CIF: , 20 '2.L.. •
personally appeared who executed the foregoing
instrument, and acknowledged before me that
same was executed for the purposes therein
expressed.
Print Corporation Name
By:, __________ _
(signature) I I
Print Name:. ________ _
Its: / , Address: ________ _
Telephone No.: __________ _
Corporation
Before me, this ____ day of
,----------~~_,20 __ ,a
Corpontlion, on behalf of the state
corporation who executed the foregoing
instrument, and acknov,iedged before me
that same was executed for the purposes
therein expressed.
Print Partnership Name
By:, __________ _
(signature)
Print Name:. ________ _
its: Address:. _________ _
Telephone
No.:-----------
Partnership
Before me, this _____ day of _______ _,20 __ _
personally appeared Partner/agent on behalf of, _____ a_ partnership,
who executed the foregoing Instrument,
and acknowledged before me that same
was executed for the purposes therein ·x· expressed.
uced identification ____,,.__,,..__ Type of identification produced E L-l) L. I
Print Name
Notary Public: NOTARY STAMP BELOW
3/3/22, 2:51 PM Gmail - ARC Request - Buchaca Lot 73, Oceanwalk Unit 1, 2325 Beachcomber Trail
https://mail.google.com/mail/u/0/?ik=d65eab04c1&view=pt&search=all&permmsgid=msg-f%3A1725659334027747352&simpl=msg-f%3A1725659334…1/2
Alex Buchaca <abuchaca@gmail.com>
ARC Request - Buchaca Lot 73, Oceanwalk Unit 1, 2325 Beachcomber Trail
Julie Hammond <jahammond60@gmail.com>Thu, Feb 24, 2022 at 10:36 AM
To: Alex Buchaca <abuchaca@gmail.com>, Dana Buchaca <dmbuchaca@gmail.com>
Cc: Michele Richey Martin <michelericheymartin@comcast.net>, Julie Hammond <Jahammond60@gmail.com>
Dana and Alex,
The ARC Commi ee has approved your ARC Request to build a house on Lot 73, Oceanwalk Unit One, 2325
Beachcomber Trail, Atlan c Beach, FL 32233 as stated in your ARC Request a ached.
1. Lot Coverage: House - 26%; Total Lot Coverage with Driveway/Front walk - 34%. Setbacks for the house
on the lot comply with Oceanwalk C&Rs.
2. Exterior house colors: Shingles - Pris ne Black; Eve Brackets - Amber Pine MW 433; Siding and Trim -
Alabaster SW7008; Front Door/Garage Door - Fawn Brindle SW 7640; Driveway/Front Walk - Cement
Bordered with - Pavers in Glacier; Windows/Slider Doors - White; Soffit/Fascia - White.
3. Loca on + Screen Fence of house Equipment (HVAC) in horizontal wood painted the same color as house.
4. Tree Removal: All trees on Arborist's report are approved to be removed. Please submit an update on
tree removal a er Tree Permit is approved by the City of Atlan c Beach.
5. Landscape Plan: Please submit a revised plan before installing the landscape. The plan should show only
trees staying and any new planted trees, all names of plants to be planted and loca on, grass areas and
mulched areas.
6. This approval does not cover an erosion control solu on to the lake edge of your property, that will
require a separate ARC Request to the ARC Commi ee for approval.
If there are any changes/modifica ons to the above approved items, you will need to submit an ARC
Request as soon as possible to the ARC Commi ee. The ARC Commi ee will expedite the ARC Request as
fast as possible.
Therefore, this email is the approval for your ARC Request.
Please respond to this email when all work has been completed, so the ARC Commi ee can inspect, in
accordance with Oceanwalk C&Rs and Sec on 2.03 of the Architectural Standard and Guidelines effec ve
May, 2020.
If you have any ques ons please let me know.
Regards,
Julie Hammond
ARC Chair
Oceanwalk HOA
PPI2-0001M Gmail
3/3/22, 2:51 PM Gmail - ARC Request - Buchaca Lot 73, Oceanwalk Unit 1, 2325 Beachcomber Trail
https://mail.google.com/mail/u/0/?ik=d65eab04c1&view=pt&search=all&permmsgid=msg-f%3A1725659334027747352&simpl=msg-f%3A1725659334…2/2
Julie Hammond
Email: jahammond60@gmail.com
Cell: 703-585-4054
268 - Buchaca 2325 Beachcomber Trail - New Build Revised.pdf
10196K
PPI22-0001
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, Fl 32233
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Permit Number __________ _
Contractor Information
ArchitectJesse J. Jannette Phone(904) 886-2401 Email _________ _
Enginee~~ Engi~z-111111..,honelB,1-Email.,...M;..,t_,~~ .... i ..... f• ..... > ________ _
Workers Compensation lnsurerc::ll:fflllllMl'✓"IWf-~11111 OR ExemptE]Expiration Date~
• Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial
and underground and the accurate locations are shown on the sketches.
• Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or
relocation of all, or any portion of said street or easement as determined by the Public Works Director, any or all said poles,
wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the
Permittee unless reimbursement is authorized.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of
with (Company Name)
• All materials and equipment shall be subject to inspection by the Public Works Director.
• All city property shall be restored to its original condition as far as practical, in keeping with City specifications and the
manner satisfactory to the City.
• A sketch of plans covering details of this installation, as well as a copy of a rec;ent survey shall be made a part of this permit.
Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with
this application.
• The permittee shall commence actual construction in good faith within itlllt days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
• It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder, and the holder will, at all times, assume all risk of
and indemnify, defend and save harmless the City of Atlantic Beach from and against any and all loss, damage and cost of
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
• The Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion.
&i&ilUlflllll~&>···. /g~;:~t~~'i,i~~,:1w~:"~~~.~f1r~:t'.:· . . •·· · ' · .· .. · r·t Dateiii39Fi~
Permittee (signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL 11
The foregoing instrument was acknowledged this · · "'2./vl,/_ day of
by l~i/ltf,jJ/i)fl/fJlti·~#~loullfla,CQ..... ·.
(printed name of Permlttee)
\ acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. ·
•,
[ ] Personally Kno'°'...;.'.N....,.,...N..,,_'.Y~'!tt-r-fVl~•
~reduced Iden ·-
H:\Appllcations & Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date: 10/1/18
---.. -----·----, ----------· --":::J-----, ... _ ... ___ --':I'--"' -,
Recorded 03/24/2021 04:08 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50 DEED DOC ST $3185.00
Prepared By:
Gibraltar Title Services, LLC
4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
Return To:
Gibraltar Title Services, LLC
4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
Order No.: GTS-20121825-2
Property Appraiser's Parcel 1.0. (folio) Number:
169463-0150
WARRANTY DEED
THIS WARRANTY DEED dated March 18, 2021, by Carey M. Cornelius and Jacquelyn H. Cornelius,
husband and wife, whose post office address is 1478 Riverplace Blvd. Apt 1606, Jacksonville, Florida
32207 {the "Grantor"), to Alejandro Buchaca and Dana M. Buchaca, husband and wife, whose post office
address is 1809 1st Street N., Unit 502, Jacksonville Beach, FL 32250 (the "Grantee").
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and the
heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations)
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten And No/100 Dollars ($10.00)
and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys, and confirms unto the Grantee, all that certain land situated in County
of Duval, State of Florida, viz:
Lot 73, Oceanwalk Unit One, according to the map or plat thereof, as recorded in Plat Book 42, Page(s) 1
and 1A through 1F, of the Public Records of Duval County, Florida.
Said property is not the homestead of the Grantor(s) under the laws and Constitution of the State of
Florida in that neither Grantor(s) or any members of the household of Grantor(s) reside thereon.
Subject to easements, restrictions, reservations and limitations of record, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD the same in Fee Simple forever.
AND the Grantor hereby covenants with said Grantee.that the Grantor is lawfully seized of said land in fee
simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor
hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons
whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to: 2020.
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first
above written.
C
·. ~
Ja uelyn . Cornelius
State of FLORIDA
County of DUVAL
Signed, sealed and delivered in presence of:
Second Witness
,·
THE FOREGOING instrument was acknowledged before me by means of (yj physical presence or L)
online notarization, this 17th day of March, 2021, by Carey M. Cornelius and Jacquelyn H. Cornelius,
husband and wife, who is personally known to me or who ~ produced'"Z?iit,~~ t,, c::cr;c_, ~
as identification.
[SEAL]