Permit 1654 Coquina Pl 4c, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
"te.it
Application Number . . . . . 04-00027729 Pate 2/18/04
Property Address . . . . . . 1654 COQUINA PL
Tenant nbr, name . . . . . . 2 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
- --- ---- -- - -- - - - -- -- - --- - - -- - - - - -- - ------- - - -- - -
WILLIFORD, DEBORAH ATLANTIC COAST PLUMBING & TILE
1654 COQUINA PLACE 323 9TH AVENUE NORTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 249-5381
---- ---------- - -- - - - - ----- - -- - --- - --- - - -- - - -- - - -- -- - - - - - - -- - - --- -- - - --- -----
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 49 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation 0
Fee summary Charged Paid Credited Due
----- ---- --- - ---- - --- - - - --- -- - - - - - - - - - - - - - - -- - - - - --- -- ---
Permit Fee Total 49 . 00 49 . 00 . 00 . 00
. Plan Check Total . 00 . 00 . 00 . 00
Grand Total 49 . 00 49 . 00 . 0,0 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT INTHE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHIC~PART OF THIS PERNgIT ANDRUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Y?6
C�Date: 1j.1
Property Address: A 541 Ci' LL t A
n
Owner: r-L a:() Telephone
Contractor: f-V
Telephone#: 3V
NhContractor Address:-3 K#
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therem.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
• New list the building permit number:
• Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total F ixtures:
X$7.00 + $35.00
800 Seminole Road-Atlan tic Beach, Florida 32233-5445
Phone: (904) 247-5800- Fax: (904)247-5845- http://www.cl.atiantic-boach.fl.us
,St CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00025918 Date 4/21/03
Property Address . . . . . . 1654 COQUINA PL
Tenant nbr, name . . . . . . REPLACE RAFTERS & DECKING
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
Owner Contractor
------------------------ ------------------------
WILLIFORD, DEBORAH OWNER
1654 COQUINA PLACE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 .00 35.00 . 00 . 00
Plan Check Total 17.50 17.50 . 00 . 00
Grand Total 52 .50 52 .50 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- �FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW,
BUILDING OFFICIAL
4
95
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
(ALTERATIONS/ADDITIONS)
Date: �h_'7_
Job Address: A R_A 6 6 471-AeJac &�Itdl- AL
Owner of Prope
e rs rZ.41J1_1i1__ 1%�Telephone: o�11'75197
Address: ;JA
Legal Description: Block Number: 7 /Lot Number: Zoning District:
Contractor: A� State License Number: dA
Contractor's Address:
Telephone: Fax- Aj
Describe proposed use and work to be done: Arx 0 e. J .,56 , 9 1 r o R4C,,0k_A C E
ko-—ITCA ROOF -f- A)e"F_A. 6r-i'_-J56ALi-
Present use of land or building(s): J�i' i�& Y 14VIA6
Valuation of proposed construction: 000- 0 C)
What are the dimensions of the added space: -19- feet x --GL- feet
Will the added area be heated and cooled? 1�0 New electrical or increase in service?
New plumbing fixtures? New fireplace? New eating/air conditioning?
Is approval of Homeowner's Association or other private entity required? 20, If yes,please submit with this application.
Will t is project involve changes in elevation,site grade or any use of rill material or the removal of any trees?
�9, NO. Applicant certifies that no change in site grade or rill material will be used on this project.
F-1 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
;9NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us
Page I Rcvised 1/14/03
hi addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify that all information provided with this is correct.
Signature of owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: 4!�&AA14 ;::r- tJ I 4,t4-0r:0"
Mailing Address: &&uj�A -, -�
Telephone: a24 )-5�1 Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this _dayof_ �20
HWARY 06DAL
State of F 40 1(!*tyjW&=ftff rKwD6
COMMUMNLUBM
C 7 =
COMM Notary's Signature:
-r, MYOOMMMMOSM
OF F JAN,15,2—M
F� )K_+ersonally known
Produced identification
Type of identification produced
AS TO CONTRACT R:
Sworn to and subscribed be me this_day of 20_.
State of Florida,County of Duval
Is Signature:
El Persimal own
Pro fuced identi ion
Type of identification uced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 1/14/03
NOTICE OF COMMENCEMENT
State of 1�.�.-otibA Tax Folio No.
County of /)a 0 4 L-
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.
AlLegal d scription of property being improved: 1-0'r Oe e-.4,4) 0 E- o x) i r
Address of property being improved: 16 54 M0,L,-�A A crlo Art-"77r- j6e,,444, F1
General description of improvements: fC1noVe- +- Koeh-AcZ )CC,irTU PooF 7�7T64
1)15 f,j4 A,�; A)6"a - Atfl/d--7AI-L-
6wner: / 0 1� —Ir W- U-4,F044
Address: //.maO,'j�A
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): Qk)J 6k
Name:
Address:
Contractor: A)1A
Address: I
Phone No: Fax No:
Surety(if any): ;T4
Address: Amount of Bond$
Phone No: Fax No:
Name and addr of any person making a loan for the construction of the improvements.
Name: A
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 e rved:
Name:
Address:
Phone 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: - Al Z4
Address:
Phone 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):
TFUS SPACE FOR RECORDER'S USE ONLY W R'
Signed:,/ ;tg-�ate: 'YIP710-6
Before m is ALtV day of '4164d inthe eoun
of DZ�,AState of Flo, has pe nftappfared nfj)fia h A 11140rd
%� ,r
IA.
W :r
Notary Public at Large,-h1ate ot 1,11ij;�tounlyof Duval.
My commission expires.
Personally Known:_ or
Produced Identification: t1gy ptl� 0FROALNOTARYSM
SMAWN FM KO
COMMMION NLUBER
ccogm
MY 00MMS"OWES
OF 0-0 -JAN.15�2005 , I
CITY OF ATLANTIC BEACH
FLOOD PLAIN DEVELOPMENT INFORMATION
Location:
Type of Development:
Flood Zone�
Required Lowest Floor Elevation:
If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB
HAS BEEN POURED,,.certifying that the LOWEST FLOOR ELEV ION is equal to or above
- � d
the base flood elevation e blished for that zone.
No final inspection will be made d no Ceftrtificate of Occup will be issued until the survey
is on file with the Building Departm t.
COMMENTS:
X
Z
Applicant Acknowledgement: I understand the issuance of is permit is contingent upon
t 1
the above information being correct and t t the plans and support data have been or shall be
�y 11 .
I h a
provided as required. I agree to com/nplyith all applicable provision f Ordinance No. 25-7-11
and all other laws or ordinances affect* g the proposed development.
Applicant's Signature: Date:
e of *s per ut is co'
support Za ve I
provision of 0 dinai
elopment.
D t .
a e.
Department Use:
Required lowest floor elev/afin:
As built lowest floor elev ion:
Survey filed with Building Department:
Building Department Representative
Revised 1/17/03
CITY OF ATLANTIC BEACH
TREE REMOVAL APPLICATION
All applications must be submitted with seven (7) copies and received by 5 PM on the Fridav ten
(10) days prior to the scheduled meeting in order to be placed on the agenda.
*INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT
BE PRQCESSED.
APPLICANT NAME ADDRESS TELEPHONE
2.
ADDRESS OR,LEGAL DESCRIPTION OF TREE VAL SITE
3. REASON FOR PRO�OSED TREE REMOVAL:
4. HAS THIS SITE BEENTO TH�\-EKEE BO BEFORE? YFS NO NOT SURE
5. PROPERTY ZONING: RESI4 IAL COMMERCIAL
6. LIST TREES PROPOSED FOR REM
SPECIES DUM:ETER M,111�TION OFFICE U.SE ONLY
INT.. EXT,
-T
*Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk
circumference and divide by 3.14. Diameter of muld-trunked trees is determined by adding together the diameter of each
trunk as measured immediately above the forks.
See attached dia-ram for determination of imterior and exteriorzonm
IrFREE SUMTY indicatina:
7. SITE FL_kN
a) Location of lopography features such as 1-iill
b) Existing and proposed structures.
C) Location of all trees with Diameter at Breast Height,7� incheFo,r more.,
d) Tree species and sizes,
e) to be removed should beclearly marked with an
6 to be preserved on-site for mitigation m d marked withbrackets
g) Locat�6�size and species of any proposed ne' replacement trets marked with a
circle "0
h) Location of ut 'ties and easenients as applic It.
1). Location of trees be preserved on-site wi barricading noted.
8. ON-SITE REQUIREMENTS:
All trees ideatified for.re o�,aIMU be marked on-site by RED flagging,
paint or tape.
b) AJI trees to be preserved.on-sit r mitigation MUST be marked with BLUE
f -19 r tape.
lag ing,paint o
c) The front property corners must e-m d by stakes or paint indicating the Lot
9. INICOM-PLETE APPLICATION OR,.I-NTAC TELY NIARKED SITES
WILL NOT BE PROCESSED.
I HEREBY AGREE TO CONIPLY W ALL PROVISIONS 0 CHAPTER 23, ARTICLE 13�
So SCHAPI
-_O �
TREE PROTECTION, AND ALLJ-OR APPLICABLE CODES ORDINANCES...OF
F
THE CODE.OF ORDINANCES OF. TLANnC,'.BEACH.
Applicant's Signa=e Date
�Owncr's Signature Date
CITY USE ONLY:
Tme,Constrvation Board Chairperson Date
TREE PROTECTION
PROPERTY LINE
PRIVATE
PROTECTED
TREE
20.DO'
8 JHF��OR MORE
PRIVATE
PROTECTED
TREE
PRIVATE PROTECTED TREE PROPERTY
LINE
0 IS H OF 20- OR MORE Li
0
PROPERTY (D
8 H OF 10- OR.MDRE IN
LINE ' _L<�
COMMERCIAL & INDUSTRIAL PRIVATE
PROPERTY)
PROTECTED
TREE
-7.50'
PRIVATE PROTECTED TREE
D_5 H OF'6' OR MORE - wT.
20.00'
PROPERTY
LINE
C)o
PROPERTY LINE
SIDEWALK SIDEWALK
PUBLIC PROTECTED TREE
D B H �OF 5- OR MORE
(PUBUC STREET) (PUBUC STREET)
A. PRIVATE PROTECTED TREE
1. ANY TREE WTH A D B H OF:
SIX (S) INCHES OR MORE LOCATED ON ANY L07 WITHIN -TWENTY .(20) FEET OF A STREET
RIGHT-OF-WAY OR REAR PROPER7Y LINE.
SIX (6) INCHES OR MORE WITHIN SEVEN AND A HALF (7.5) FEET OF ANY OTHER PRIVATE
PROPERTY LINE AND
TWENTY -(20) INCHES "THIN ANY OTHER PORTION OF THE -LOT. (EXCEPT 10- FOR COMMER-
CIAL * INDUSTRIAL PROPERTY)
2. -ANY .CHAMPION TREE SO DESIGNATED BY THE FLORIDA DIVISION OF FORES7RY,' C�ARTmENT
OF AGRICULTURE.
B. PUBLIC PROTECTED TREE
SAME AS PRIVATE PROTECTED TREE PLUS ANY TREE SI X (5) INCHES OR LARGER W)TKN
C17Y RIGHT-OF-WAY.
C. EXCEP71ONAL SPECIMEN TREE
ANY TREE ON PRIVATE OR PUBLIC LAND DESIGNATED BY THE CITY COUNCIL AS A SPECIMEN
TREE.
CITY OF ATLANTIC BEACH
OWNEWBUILDER AFFIDAVIT
Date:
Job Address: 16 54 44-"
CHAPTER 489,FLORIDA STATUTES,PART I "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 rr 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 RESPONS1131LITY TO MAKE SURE TTIAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT TEE OWNER. 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.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). 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.
TELEPHONE THE BUll-DING DEPARTMENT(247-5826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WrM ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
PR��OWNER/VILDER
SWORN TO AND SUBSCRI13ED BEFORE ME TTUS ADA F_ 20bb
VtY P& OFRCIAL NCRARY SEAL
SHAVMRAEMNO
W_0 I
e !<. 03
0 COMMUIONMNKR T pt Rill
NOT Pufn�n'
L
p
q� myoomm=a4Evm
NOTE: P OF FVO p4ma"amyr. MY COMMISSION EIPIRES:
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
Florida's Construction Lien Law
Protect Yourself and Your Investment
IRI:%,LHm According to Florida law,those who work on your property or provide materials, and are not
Now paid-in-full, have a right to enforce their claim for payment against your property.This claim
is known as a construction lien.
Job Bush If your contractor fails to pay subcontractors or material suppliers or neglects to make other
Governor legally required payments,the people who are owed money may look to your property for
Kim Binkley-Seyer payment, even if you have paid your contractor in full.
Seaelary
This means if a lien is filed against your property, it could be sold against your will to pay for
Customer Contact Center labor, materials or other services which your contractor may have failed to pay.
1"0 North Monme street This document explains Florida Statute 713, Part 1, as it pertains to home construction and
Tallahassee,Florida remodeling, and provides tips on how you can avoid construction liens on your property.
32399-1027 Protecting Yourself
If you hire a contractor and the improvements cost more than $2,500, you should know the
VOICE following:
860.487.1395 0 You may be liable if you pay your contractor and he then fails to pay his suppliers or
FAX contractors. There is a way to protect yourself:A Release of Lien is a written statement
850.488.8748 that removes your property from the threat of lien. Before you make any payment, be
sure you receive this waiver from suppliers and subcontractors covering the materials
EMAIL used and work performed.
CallCenter@
dbpr.state.fl.us 0 Request from the contractor, via certified or registered mail, a list of all subcontractors
INTERNET and suppliers who have a contract with the contractor to provide services or materials to
www.MyFlorida.com your property.
• If your contract calls for partial payments before the work is completed, get a Partial
Release of Lien covering all workers and materials used to that point.
• Before you make the last payment to your contractor,obtain an affidavit that specifies
all unpaid parties who performed labor, services or provided materials to your property.
Make sure that your contractor obtains releases from these parties before you make the
final payment.
• Always file a Notice of Commencement before beginning a home construction or
remodeling project.The local authority that issues building permits is required to provide
this form.You must record the form with the Clerk of the Circuit Court in the county
where the property being improved is located.Also post a certified copy at the job site.
(in lieu of a certified copy, you may post an affidavit stating that a Notice of
Commencement has been recorded.Attach a copy of the Notice of Commencement to
the affidavit.)
0 In addition, the building department is prohibited from performing the first inspection if
the Notice of Commencement is not also filed with the building department. You can
also supply a notarized statement that the Notice has been filed, with a copy attached.
The Notice of Commencement notes the intent to begin improvements,the location of the property,
description of the work and the amount of bond (if any). It also identifies the property owner,contractor,
surety, lender and other pertinent information. Failure to record a Notice of Commencement or incorrect
information on the Notice could contribute to your having to pay twice for the same work or materials.
Whose Responsibility Is It To Get These Releases?
You can stipulate in the agreement with your contractor that he must provide all releases of lien. If it is not
a part of the contract, however, or you act as your own contractor, YOU must get the releases.
If you borrow money to pay for the improvements and the lender pays the contractor(s)directly, instruct
the lender to get releases before making any payments. If your lender then falls to follow the legal
requirements, the lending institution may be responsible to you for any loss.
What Can Happen If I Don't Get Releases Of Lien?
You will not be able to sell your property unless all outstanding liens are paid. Sometimes a landowner
can even be forced to sell his property to satisfy a lien.
Who Can Claim A Lien On My Property?
Contractors, laborers, material suppliers, subcontractors and professionals such as architects, landscape
architects, interior designers, engineers or land surveyors all have the right to file a claim of lien for work
or materials.Always get a release of lien from anyone who does work on your home.
Additional Tips On Home Construction
0 Verify that your contractor is properly licensed. Information regarding licensing can be found below.
0 If you intend to get financing, consult with your lender or an attorney before recording your Notice of
Commencement.
0 Insist that the contractor/remodeler secures a building permit and adheres to all building codes and
ordinances.
Information All Construction Contracts Should Contain
• The contractor's name, address,telephone number and contractors license number.
• A precise description of work and materials to be supplied. The contract should specify the grade of
construction,flooring and trim materials to be used. Don't accept the phrase"or equivalent";the
contract should specify appliance models and alternates for models not available.
• A beginning date.
• A completion date.
• A complete list of companies or individuals supplying the contractor with labor or materials. Be sure
they are insured so you are protected against theft or damage to their supplies or work.
• Financing information and the payment schedule.
• Ail necessary building permits or licenses.
• Agreement regarding site clean-up and debris disposal.
• All warranty agreements.
Ask for explanations and clarifications of legal terms or confusing language. Be sure you understand
completely what you are signing: Remember, promises are difficult to enforce unless they are in writing.
Even for small jobs, have a written contract spelling out the details. Be wary of anyone who says, "We
don't need to bother putting it in writing."
u4l,�4/,�UVJ Ub.'4( VAX OU4247884U lit 002/002
y
SHOWING SUF Y OF
54 . 60
',�'AST 49 FIVLT OP LOT 4 , P,�XCEVT THE SOUTH PX'F.T,' sxcrwr �PHE NORTH
8 .0 �EET OF ri�u WEST 19 .0 FEET, BLOCK 7, OCEAN GROVE UNIT NO. 1. As RECORI)ED
IN PLAT lif)OK 15 P,%GE 82 OP THE CURRENT PUBLIC REXORDS OF DUVAL COUNTI , FLORIDA
TOGETHER WI'J'lf THAT CERTAIN GjRANT OF EASEMENT, PRIVII,FI)GF. AND USE AS RECORI)Eo
UNUKH Cld.NK.S # \82--23119",0F TIJE CURRENT PUBLIC RECORDS Of- IDUVAI, COUNTY, FLORIDA
CORAL STREET
(PAVED) 40' R/ W
OUNIPSTER FNDI/Z"I.p
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NOTES-
1. ANGLE AS PER PLAT
2. NO B.A.L AS PER PLAT
LOT 6 LOT 5
L Hf�*IWOY C�.RTIFY TAhT THE. PROPERTY SHOWN HEREON LIES IN FLO00 ZONE -C- AS
SHOWN ONT I-IN' FLOOD FAVARD ROONDARY MAP FOR THE CITY OF JACKSONVI'A.6, FLORIDA.
[ HER13BY CERTIFY To NOAll 4- AND DEBORA�l J. WIIJ,070RD, COMMONWEALIJIN t.AND TITLE
CORPORATION AND CAMl-_;R;JN BROWN COMPANY THAT I RVAE: SURVEYED THE LANUS AS SHOWN
iN THK Al.Wvy; CAPT11 ,N hND Tuwr Tus MAP 4S A TRUE AND CORRECT RE?R;-.*SF.NTA,r1k)N
()I,, 'rqj,r -SlJRVrY AN') i'dA,r THE -SLJRVEY RFPRES8NTED HEREON ME.FTS THE MINTMUM
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM: 852-5800
http://ci.atlantic-beach.fl.us
CUM PLAN REVIEW COMMENTS
Permit Application # r-Dz!) — z SCI I E�
Applicant: 'DeLJ3C) R-i'A0 J LJIL-L-lFcY�3-Q
Address: I I �� 0 (�,J P� —P
Project: 'Rc��IL--AC-G-- -RocE-7 'PIAEFE2�- 1-)t�,CJ" I tJG
/Your application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed b 49 �0-Z-),
Signed- Date
Contractor Notified Date
7197
g�RTMIENTOFIRUIWW
C OF ATLANTIC 13VACH
INFORMATION
LOCATILON
bOr'* 71 cldres's' 1664 ' CoQu I NA
ATLANTIC BEACH, FLOR I'DA 32233
UTI I
1�� SGAL DESCRIPTION
L
I ock
"C' t - 006 RAME t ot 0
FAKIrty RNG r.
C tubdivisiont
ode
-00'.00
d
ip v
-:$2420-00
T
&2.0' 0
3
IVA T- i;�:� Z�2 5-4�
Vol r D,6,4 WATER I SEvk ANbCf'#NVCT TO CITY SEWER
k
ION APPLICATION FEES
FORD PERK 0
"01F
d, �
0p, I V
PLACE
4114 EE
�C F L OR I
WATO METER S45 :00
-00
R.S.
AS
RADON 0
0
CO' , -10---0,
)RUAT I r-4;77-717-7 .-,RA DO'N�-p
IN
ENT
VATER TAi ,, $440 -00
PM7rC
SEWER T"
H
R PRAIULIC' S ARE
TAL;IJAPROVE. 51, 00,
Type 0 CAPI
tT
QU;R 90 .00
NOTICE,-�ALL CONCRETE FORMS,AIND FOOTINGS MUST 13E INSPECTED,BEFORE POURING
0
PERMIT VOID SIX MONTHS AFTERPATE F ISSUEL
MATERIAL,RUBBISH,AND DLEBRI'S FROM THISWORK,MUST.NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
W
ED UP AND HAULED AWAY BY EITHER CONTRACTOR OF;0 NER
;14-'P,,
URETO-COMPLY,WITH TH E'�'M CHANICS LWN LAW CAN RESULT IN
PERTY OWKERPAYING TWICE FOR LDIN,G IMPROVEMENTS.
�KIDATIOK
''ISSUEDACCORDING TO APPROVED WHICH ARE PART OF THWPERM'IT AND SUBJECT 1.0
'Vot AITI N 00 ABLE PROVISIONS Oft LAW.
T(fffL
APPLIC
mwm
J11
RUIPT
ENT
y
7,3
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF 14ATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY 14ATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) 0 WATER CLOSET
WATER CLOSET, TANK OPERATED (4) q VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER READ (3) FLOOR DRAIN (1)
.(D—SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
—L—WASHING MACHINE (3) POT, SCULLERY SINK (4)
0—DISHWASHER (2) - WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) —COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY TICE I MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) —i—ORINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS @ $20.00 EACH $ 3 2c) , no
JOB INFORMATION 00 / A) 4+-
1-9
3 00
7265
DiEPARTMIENT01F,80
ILDING
CITY OF ATLANTIC�PJEACH '
JON ------ j2gAT�8ff INFORMATION
rjtm,;;T, I-NFORMAT -------
r J Lddr'ess. , 4 QUINA PLACE,
.'Permit. �Typi: UTILITIES
' ATLANTIC BEACH, FLORIDA 32233
� 01�4ss : of Work: NEW
....... LEGAL DESCRIPTION ----------
Type,: N/A lot : B 1 ock,: Section:
Use,: SINGLE FAMILY Tc4nthip: RNG: 0
0',
1 C'ode Subdivision':
angs :
ed ,Value: $0 .00
Improv
Cost : �$0.00
$500 . 25
$5-00 25
C)
TION
APPLICATION FEES ----
N
RD $0 .00
PLACE
WAT K ACT,: EE 0
FLORI
E
97 �
Rho
RAD
C ON GAS H.R.S.
00
ORMATI ------- RADON OAS .- 5%
$0 .00
N 'aw Ll ' RK P
DE
09WER TAP
$500 - 25
HY DRAU Ll C SHARE $0,.00
Licen
Type* 0
CAPITAL- IMPR6VE. '
'IMPACT
SEC FEE
06TE$.
NOTICE.—ALL CONCRETE FORMS AND FOOTIM
GS MUST BE INSPECTEO BEFORE POURING
PERMIT VOID,SIX MONTHSAFTER DATE OF JSSUE'
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WO
RK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED,UP AND HAULED,AWAY BY EITHEWCONTRACTOR OR OWNER
. FAILURE TO COMPLY WIT H THE.MECHANIC, S'�LIEN LAW CAN RES I ULT.IN
THE PROPERTY OWNER PAYING TWICE F61§43UILDING IMPROVEMENTS.
16SUEDACCOADI NG TO APPROVED PLANS
WHICH ARE PART OF THIS_Pg#MIT AND SUBJqakTO REVW'TAPf#R
'OLATION OF APPL4CABLE PROVISIONS OF LAW.
T,
ACKBUILDIN ETkRTMENT
NTIC
7266
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------ WCATION� INFORMATION ---------
ermi
t� Numb-or: 7266 Iddress:: 1654 COQUINA PLACE
emit, T"e: PLUMBING ATLANTIC BEACH, FLORIDA 32233
LEGAL DESCRIPTIOX—
.9 s, of �4ork',- NEW
tri. �Type�* N/A
Aot Block# Sectio ,
n
Propos'ed Use: UTILITY
bv", Townthipt. RNG, 0
InVrs: 1 Code:, 0 )ubdivision:
Estimated Value:
Improv. Cost : $0 .00
Tot a F
$22 .00
Amount-, $22.00
Date 3193
ITY WATER AND SEWER
T ION ---f" APPLICATION FEES
N
PERMIT' $22 .00
Aadre A PLACE PA'T FEE $0 .00
M C
FLORID
00
P 0
h
RADON GAS-H.R.S. $0 .00
RADON GAS - 5%
' CotORMAT19A .90
AN T PLUM*. TILC OATER TAP
57
UIR–SOUTA...............
SIT ER AP � 0 .00
JACKS , LE BEACH, PL 32250 HYDRAULIC SHARE $0 ,00
Li.cens.ol-" 21 T 0 CAPITALlMPROVE.
ype
SEC-H IMPACT FEE SO 0
NOTE$-
NOTICE ALL CONCRETE FORM$AND FOOTINGS MUST
13E INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ,
BUILDING MATERIAL,RUBBISH A 'E
NO D, BRIS FROM THIS WORK MUST NOTSE PLACED IN PUBLIC SPACE AND MUST BE
CLEARED UP AND HAULED AWAY BY,EITHER CONTRACTOR OR OWNER
'UR,E T- COMP
LY WITH THE MECHANJCS' LIEN LAW CAN RESULT IN,,f,
PROPERTY OWNER PAYING TWICE:FOKOUILDING IMPROVEMENTs.99
DMI 091OV93
)�A
ORDING TO APPROVED PLANS WHICH ARE PARTOF THIS PER SUBJEBRiftfi#b
ISSUEO�
MIT
�V'OLATriQ' FA ATION FOR
N'0 PPLCABLE PROVISIONS OF LAW.
VOW,
F777
104M
A'T� fC,13
JLANt' EACH BUILDING DEPAfgMENT
47 0, N Ali
law'*
0
CITY OF ATLANTIC BEACli
APPLICATION FOR PLUIMBINC,
JOB LOCATION
PLUMBING CONTRACTOR
4-t777
LICENSE NUMBERS
OWNER
BUILDING CONTRACTOR
TYPE OF BUILDING-
--.---SINKS
--LAVATORY HEATERS
----BATH TUBS SHWASHERS
URINALS ---------DISPOSALS
CLOSETS --Tv`ASHING MACHINE
---FLOOR DRAINS ---V' 0THER
uj'�-
'5'e Cie
----TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD Pl,l:,�"JBING CODE. .
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000494 Date 4/14/08
Property Address . . . . . . 1654 COQUINA PL
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
9 fixtures
--------------------- -------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WILLIFORD, DEBORAH ATLANTIC COAST PLUMBING CORP.
1654 COQUINA PLACE DBA:ATLANTIC COAST PLUMB. &TILE
ATLANTIC BEACH FL 32233 Q/A: PARRISH, NICHOLAS
JACKSONVILLE FL 32224
(904) 249-5381
--------------------- -------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 98 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/11/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 98 . 00 98 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 98 . 00 98 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
[Property Address:
Owner: Telephone #:
V -Z
Contractor: G'4w .4v "/V _—n ;
Telephone M. I
q�513( 3
Contractor Address. Fax 9':
In oonsiderittion of perm�it given for doing the work as describca in the above statement,%ve hereby aLarec to pertorm t,�d work in
accordanot with the allched pl" aad specificutions which art a pun hereof and irt u4xordimcc with the Cic-- 0,'Atlan64 Beach
ordinanex and�t�mdards-of goW pru-tice l6ted therein.
Installat;on of plumbing and fixPares mwst be bi aceordancc with the most recent edirion of the Southern Standard Plumbing
Code,
Plumbing Type: If other construction is being done on this building or site.
C] list the building perTnit numbe"I':
Number of Fixtures:
Bath Tubs Showcrs
7-- Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Z- Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: S35-00
Total Fixtures: X S7.00 + S35-00-
800 Seminole Road - Atlantic Beach, Flori a 2233-5445
Phone: (SU) 247-5800 - Fax: (904) 247-5845 # http:ilwww.ci.atiantic-boach.fl.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPEC-flON EMAIL REQUEST:
Building-dept(&,coq us
Application Number . . . . . 08-00000303 Date 3/04/08
Property Address . . . . . . 65 CORAL ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------------------------------------------------------
Application desc
1 FIXTURE
-----------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
KERNEN, MATTHEW SEAN WILLIAMS PLUMBING
65 CORAL STREET 7011 MC NEIL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244
(904) 772-8377
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/31/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42. 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00, 42 . 00 . 00 .00
PERMIT,IS-"PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 08
r, OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
fill PLUMBING PERMIT APPLICATION DUVAL COUNTY
'MY lj�
W T H!&A S U Of B IWIMI, 7
w"111TIM 'Ji7
OA
P440
0 YES PERMITM 0
1 _05111i' 77777�
0 1 4a
5, 'PROPM1111,0"ERve %0�
11'�"Iiri MR,
r4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
939 -qNoci
F!4 N 0 1 ON TPA,1 TV!0 1 i!11"i!!!11177 111 us F-,,I
7 NAME OF COMPANY: 8.ADDRESS..,
S 0 1 1("Oks P1!thb1^j -7011 lqcAl�edl
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.:
C-1pe- 1qR(AVA. b,(- qa,(_ qqo<Z - 71 t(
2.EMAIL ADDRESS: 13.0171:!IqE�PHONE: 14.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIGNATL14�, �
NATURE,0F,WlOAK 00
4 7-100,�_�11M:0411_460J
13 NEW 0'06 FLORIDA BUILDING CODE-
El RE-PIPE PLUMBING
0 OTHER:
Na'ww""!WT U 'kiiiII72 7771 70 llw""R�11 lfilZ" NO,
""W'Es 11 77 7112, 7741110,7 g i 0111'
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER(SPECIFY):
ROOF DRAIN
14P ERM
�p, 20;,PLUMS1 P
PERMIT ISSUING FEE: $35.00
TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00
COAB FORM BLDG03:REVISED:1/10/2008