63 Coral St RES22-0054 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
COLLINS PEGGY L 63 CORAL ST ATLANTIC BEACH FL 32233-5815
COMPANY:ADDRESS:CITY:STATE:ZIP:
TRI-H CONSTRUCTION LLC PO BOX 331118 ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169594 0170 OCEAN GROVE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
63 CORAL ST RESIDENTIAL ALTERATION
RESIDENTIAL
REMOVE FIREPLACE -
Renewed $2700.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $15.17
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.21
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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: 3/21/2022
PERMIT NUMBER
RES22-0054
ISSUED: 3/21/2022
EXPIRES: 2/12/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $166.88
2 of 2Issued Date: 3/21/2022
PERMIT NUMBER
RES22-0054
ISSUED: 3/21/2022
EXPIRES: 2/12/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Permit Number: RES22-0054
Site Address: 63 CORAL ST
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 2/17/2022 Approved:
Issued:
Parent Permit:
Parent Project:
Applicant: <NONE>
Owner: COLLINS PEGGY L
Contractor: <NONE>
Description: REMOVE FIREPLACE
Finaled:
Status: AWAITING REVISION
Details:
LIST OF REVIEWS
SENT DATE RETURNED
DATE DUE DATE TYPE CONTACT STATUS REMARKS
Review Group: AUTO
2/17/2022 2/17/2022 SUBMITTAL
COMPLETENESS Permit Tech APPROVED
Notes:
ONE ATTACHMENT
2/17/2022 2/24/2022 3/4/2022 BUILDING Building DENIED
Notes:
1. The Building Permit Application has 2 required spaces to be filled in left blank, making the application incomplete. Please resubmit the application
with the State Certification/Registration# filled in; and the email address filled in.
2. Resubmittals may generate other review comments.
3. The link to the revision/correction form is : http://coab.us/DocumentCenter/View/10495/Revision-Request-Correction-to-Comments-Route-Sheet-
v20181017?bidId=
4. The email address to send resubmittals is : Building-dept@coab.us
Printed: Friday, 25 February, 2022 1 of 1
Permit Reviews
City of Atlantic Beach
ALL
Revision Request/Correction to Comments
HIGHLI HIED I
ON
s
rt y rlr. HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
VIII:800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 52Z^ &)°5
4v2 Revision to Issued Permit OR Corrections to Comments Date:
Project Address: Gc 3 cc9,4( 9t
Contractor/Contact Name: TO —f1 CPAS`T' L1,6 G( o Tour G4-4SL
Contact Phone: CO 4 _ I 7g
Email: 7' nJ`` a
Description of Proposed Revision/Corrections:
F''''`'IC 46"59c011 / -le 4
rc ,- -1:i cidoil°
I affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
ill proposed revision/corrections add additional square footage to original submittal?r144 o Yes (additional s.f.to be added:
ill proposed revision/corrections add additional increase in building value to original submittal?
Frit4 o *Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
c
Signature of Contractor/Agent: i
N
1
4,1,9, lig-,A2A'
Ff9,--)
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
C AL''?
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department L INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
ws Pr
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 63 Coral Street Permit Number: R\ C z_ 0 054
Legal Description 15-82 09 2S-29E OCEAN GROVE UNIT NO 1 S/D PT LOT 7 E20FT LOT 17 BLK 8 RE# 169594- 0170
Valuation of Work(Replacement Cost) $2.700.00 Heated/Cooled SF N/A Non- Heated/Cooled_
Class of Work: New Addition VAlteration -Repair HMove II Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial ElResidential
If an existing structure, is a fire sprinkler system installed?: Yes No
Will tree(s) be removed in association with proposed project? Lilies(must submit separate Tree Removal Permit) LiNo
Describe in detail the type of work to be performed: Remove and dispose existing firplace. Install finished opening for new Owner provided
electric fireplace. Install Owner provided wall tile for surround. Install TV Bracket. Re-route TV cables.
i-CU o-c e r 4 c . I
pe
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name Peggy L Collins Address 63 Coral Street
City Atlantic Beach State Florida Zip 32233 Phone 904-372-3895
E-mail plc.atlanticbeach@gmail.corn
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Tri-H Construction LLC Qualifying Agent Anton Harasz III
Address P.O. Box 331118 City Atlantic Beach State FLORIDA Zip 32233
Office Phone 904-545-9978 Job Site Contact Numb r 904-545-9978
State Certification/Registration# G O
ZZZC)(
E-Mail -11).-1,T"i,Je •C@ 1.-'
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer Exempt OR Exempt VI Expiration Date 3-22-2022
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 ATTORN Y BEFORE
REC• ' x 1G •UR NOTICE OF COMMENCEMENT. r(__
7y '',, , ) %fir
Signature of Owner or Agent)Signature of Contractor) '' //
Si ned and sworn to(or affir ed)before me this 11 day of S ned and sworn to(or of rmed)before me this(_ c9ay ofned
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Type of Identification: i-' 51-141 "C YP
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rS"''''.''-' Building Permit Application Updated 10/9/18
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City of Atlantic Beach Building Department ALL INFORMATION
1 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
soli v- IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
4
Job Address: 63 Coral Street Permit Number: R Z - o 05
Legal Description 15-82 09 2S-29E OCEAN GROVE UNIT NO 1 S/D PT LOT 7 E2OFT LOT 17 BLK 8 RE# 169594-0170
Valuation of Work(Replacement Cost)$2,700.00 Heated/Cooled SF N/A Non-Heated/Cooled
Class of Work: New Addition igAlteration Repair Move IZIDemo 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: Remove and dispose existing firplace. Install finished opening for new Owner provided
electric fireplace. Install Owner provided wall tile for surround. Install TV Bracket. Re-route TV cables.
r(:)04 P:
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Peggy L Collins Address 63 Coral Street
City Atlantic Beach State Florida Zip 32233 Phone 904-372-3895
E-Mail Plc.atlanticbeach@gmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Tri-H Construction LLC Qualifying Agent Anton Harasz Ill
Address P.O.Box 331118 City Atlantic Beach State FLORIDA Zip 32233
Office Phone 904-545-9978 Job Site Contact Number 904-545-9978
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer Exempt OR Exempt V Expiration Date 3-22-2022
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 ATTORN Y BEFORE
REC GI UR NOTICE OF COMMENCEMENT. (;<—
Signature of Owner or Agent)Signature of Contractor)
Si ned and sworn to(or affirmed)before me this 1 day of Signed and sworn to(or a rme.)before me this y of
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Type of Identification: AA .4S` vWfiv50 Type of Identificatio ---'A•g.s..
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NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No. 169594-0170
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: 15-82 09-2S-29E OCEAN GROVE UNIT NO 1 S/D PT LOT 7
E 20FT LOT 17 BLK 8
Address of property being improved: 63 Coral Street,Atlantic beach,Florida 32233
General description of improvements: Remove existing fireplace. Re-frame new opening for electric fireplace in same area.
Owner: Peggy L Collins Address: 63 Coral Street,Atlantic Beach, Florida 32233
Owner's interest in site of the improvement: Fee Simple Owner-Occcupant
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Tri-H Construction LLC C/O Tony Harasz
Address: P. O. Box 331118,Atlantic Beach, Florida 32233
Telephone No.: (904)545-9978 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 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 differe'it date is
specified): o
U
N m
THIS SPACE FOR RECORDER'S USE ONLY OWNER w o
Signed: Date: 2,0 -dd °r
Doc#2022045106,OR BK 20150 Page 277,Before me this \1 day of l/OYUCAA -1 in the County of Duvs,eak<t
Number Pages: 1 Of Florida,has personally appeared afjl{ C61 Z E ;v
Recorded 02/1412022 04:02 PM, Notary Public at Large,State o (i..,County o D al.w o x c
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
My commission expires: 1 -
J w
CCOOUNTDING $10.00
TY Personally Known:
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Produced Identification: a OLC S