1525 Beach Ave RES23-0148 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
DAVEY DONALD V TRUST 1525 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
DEAN RUSSELL CUSTOM
HOMES 438 OSCEOLA AVE JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170309 0010 ATLANTIC BCH HOTEL
RESER
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1525 BEACH AVE RESIDENTIAL ALTERATION
RESIDENTIAL
Remodel kitchen & family
room $182000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $726.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $363.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $16.34
STATE DCA SURCHARGE 455-0000-208-0600 0 $10.89
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: 8/2/2023
PERMIT NUMBER
RES23-0148
ISSUED: 8/2/2023
EXPIRES: 1/29/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $1,116.23
2 of 2Issued Date: 8/2/2023
PERMIT NUMBER
RES23-0148
ISSUED: 8/2/2023
EXPIRES: 1/29/2024
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
Remodel kitchen & family room
1525 BEACH AVE
DEAN RUSSELL CUSTOM HOMES
RES23-0148
y1=-U`, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
I" '
j City of Atlantic Beach Building Department PERMIT# 17.- 23 (,"(4.16
800 Seminole Road,Atlantic Beach, FL 32233
ALL information required to process
4 q'IPhone:(904)247-5826 Email: Building-Dept@coab.us
Job Address I SAS" ?)%01,\CIN A vca RE# (•.•1 030,— /
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Legal Description ler-/' Z (-09A/As /y"tc1 6/y
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Valuation of Work(Replacement Cost)/zre„ p, J Hea d/Cooled SF Non-Heated/Cooled SF A//j9,
Class of Work: New Addition ,Alteration Repair Move [Demo Pool Window/Door
Use of existing/proposed structure(s): ECommercial XResidential
If an existing structure,is a fire sprinkler system installed?: S Yes ENo
Will tree(s)be removed in association with proposed project? Eyes(Must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
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Florida Product Approval# ^7/R- . fr„.41f d, dy ty (For multiple products use Product Approval Information Sheet)
Property Owner Information Name s -y 7// ieja_et Phone 54 e.7_6 qe 8
Address A55.4"' (>2
f,...k.ii City,474)., 5 State Zip 5T.Z 2„,3:5,
Email cvAya etao
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Inforrff"atlon NaTr of company 71-f/ Qf-0,,ytion — P,Tone 24 / - 3,..53 ti
Address 6 (3SG$Q/G. fie. Cit y\ v c /_ Stater. Zip 3 T J
Qualifying Agent Q , f ) uF J/State-Ce'rttification/Registration# C.E3 c.„1x,5,5 4,e3 .z____.
Email/rr ce p /.f c'c tA4) },.1DIlSite Co umber 9Dl,L 314.5 z-.
rWoorrkkeer'
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OR ExemptmEl Expiration Date
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Engineer's Name 4
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Email `• ` Phone
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 fron,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.
WARNIN • OWNER:Y• ' AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE
FOR IMPR• EMEN • Y•UR PR••ERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECOR 1 ING YOU• NOTICE OF COMMENCEMENT.
V I f
3ignature of Owner or A.411
of Contractor) -
1t+
Signed and sworn to(or affirmed)before me is,t. day of Signed and sworn to(or affirmed)before me this
h
day of
k) .1 ,21214_by -PO n at s/ i v/ .aOZ.-2)/
by vf 4
Signature of Notary Signature of Notary
Personally Known OR [ )Produced Identification Personally Known OR [ ]Produced Identification
Type of Identification: Type of Identification:
i0 P `
s
TAMMI A.MILIKIN
MY COMMISSION#HH 252334 TAMMI A.MILIKIN
5:: MY COMMISSION#HH 252334EXPIRES:May 3,20281,01,:i,;°•'' 1.--.^.
17: ,/ EXPIRES:May 3,2026