523 SELVA LAKES CIR - ALTERATION, KITCHEN & BATH r,l\1\_,w S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
`_, ;i ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r/ c i'
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2336
Job Type: RESIDENTIAL ALTERATION
Description: kitchen bath remodel
Estimated Value: $25,000.00
Issue Date: 10/5/2015
Expiration Date: 4/2/2016
PROPERTY ADDRESS:
Address: 523 SELVA LAKES CIR
RE Number: 172027-5504
PROPERTY OWNER:
Name: Dewalt, Marcy
Address: 523 Selva Lakes CIR
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $175.00
STATE DCA SURCHARGE $2.63
STATE DBPR SURCHARGE $2.63
Total Payments: $180.26
1'I:RMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BI GILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: Z3 c21 (.V-es
Permit Number:
Legal Description Lek SLI SLhvt:. LaLeS I
-1-ZS-Z4Eparcel#_►l 2,027 �SSD�
Valuation of Work$ 251ao o Floor Area of Sq.Ft. Sq.F�t
Proposed Work heated/cooled IS go non-heated/cooled
Class of Work(circle one): New Addition ; _ .. Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: (`-kr.-l%-e->`
Property Owner Information:
Name: Mbcty Address: 523 Lcdces. Circles
City -16.. iL -5,"t ej, Stated-Zip 722-33 Phone QYO- 446.-_' - i q
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: City
Office Phone Job Site/Contact Number State Zip
State Certification/Registration# Fax#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address/mercy LAR-i-, S-Z3 5�1.,Weer cie, a,�.. Btw�.r 3 Z133
Bonding Company Name and Address
Mortgage Lender Name and Address;111.brieto,Tz 1406 N, &ekL 2,4 3$iid r cxa r t , ka,„a $,S'z"/
Application is hereby made to obtain a permit to do the work and installations as indicated I certifil that no work or installation has commenced prior to the
issuance?fa permit and 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 sus ended or abandoned for a�period of six(6)months at any time after
work is commenced I understand that separate permits must be secured for ElectricalpWork,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
I hereb cert that I have read and examined this a plication and know the same to be true and correct. All provisions of 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
9rovisions of any other fede al,state, or local law re: latin_ constr ti n or the performance of construction.
Signature of Owner II# ,
Signature of Contractor
Tint Name jko C/ 1-)EI &it Print Name
3efore me Before me
05441Day of 1 Ct )b€X ,20 I c> this Day of
ALA 54/1441 I \\
lotaty Public 1 F.': ��-; xla SMITH
-
,�� c Notary Public-State of Florida (lotary Public
�
i • My Comm.Expires Feb 9,2016 0 •
''44off Bess Commission#EE 168286 Revised 01.26.10
•
• Is, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
'r ATLANTIC BEACH, FL 32233
(904)247-5800
NOTICE
THE 5TH EDITION OF
THE FLORIDA BUILDING CODE
TAKES EFFECT
JUNE 30, 2015
ALL BUILDING PERMITS, APPLIED FOR, ON OR
AFTER JUNE 30, WILL BE REVIEWED AND
INSPECTED UNDER THE FBC, 5TH EDITION.
BUILDING PERMITS APPLIED FOR BEFORE JUNE
30, WILL BE REVIEWED AND INSPECTED UNDER
THE CURRENT 2010 FBC.
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
jr��1rJ
J �
ss\ 800 Seminole Road
Atlantic Beach, Florida 32233
Telephone(904)247-5800
FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code)as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan, showing access with dimensions,area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion &Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities,where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 5/2009
� > CITY OF ATLANTIC BEACH
' li%WNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "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 I,ICENSED
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. 'HIE 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
IT FOR SALE OR LEASE, WIIICII IS IN VIOLATION OF TIllS 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 RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; 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.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
ZS 1\-tc---U.-L$ Ct«At_, /46AV:ct,.Ck,Fl, 4o- b- -oq __7
ADDRESS 1V7. "> PHONE NUMBER
PRiNAITAr`/ .V� / 1 cfis
SIGNA -` DATE w
Before me this 5 day of O C 1 V 1CA-Y ,201 iin the county of
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of ckk .County of 1LA.Vo —
❑Personally Known I o`: N
ALEXIA SMITH
a Produced Identification-D h,L l Dr I U Wi' U r Q Ys,4 ,...
1 , ;∎ =
Notary Public:-State of Florida
I s r,�i 1 .. My Comm.Expires Feb 9,2016 I
�/� k_ (4 �'w '�•,, aI■ .•' Commission#EE 168286 I
Notary Signature: 'Ai
F tBIAXVOw„«-Builder Affadadt,RF'ISFD 4:162009
NOTICE OF COMMENCEMENT
State of 't" 1010 t County of Tax Folio No.
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: 1_eF S4, (Rl,c.eS O vLi4 T r such dvizia� u wrd:ti g
-lb t < taf tkere erP recAC44 S4 3oolc I tS /1)/0,6W, fig' iA -lie 9ecords OF btux,1
t re it A. L. FL 3ZZ3 3 CocAy
Address of property being improved: fjZ-S ��. Lc.� � C� iQ � /a�l'la �� p�.c �
General description of improvements: Q.e_oc I, M
Owner: /"pct�t ^psi L)o.11" Address: 15Z. Q-\dc. LA-1/-tS Cicc,`e
Owner's interest in site of the improvement: '6e4- S �•P\� FL sz .33
Fee Simple Titleholder(if other than owner):
Name:
Contractor: S a-At\.( 1_-
Address:
Telephone No.: Fax No:
Doc#2015227834,OR BK 17324 Page 867,
Surety(if any) Number Pages:1
Recorded 10/05/2015 at 10:59 AM,
Address: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Telephone No: Fax No: RECORDING$10.00
Name and address of any person making a loan for the construction of the iml
Name: 4AAC142,
Address: LieDO J1}. Scolice6.L ed, 58.60, Sc. 4I ha-121 AriGyr.,a 251
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 different date is
specified): -3/1 tOl t-
THIS SPACE FOR RECORDER'S USE ONLY OWNE / c I /
Signed: I / 4//L A . Date: /077/S
Before me is 5 I day of • C 'n the County of Duval,State
411.0116■■•■■•■■■■•■■•41■1116416"1461■101640 Of Florida,has personally appeared CtA' A.' n.Pl A +
ALEXIA SMITH Personall y Known: or
4%*`% .�: Produced Identificatio : o]' ►� , .1./
Notary Public-State of Florida
4 71 ii ,= My Comm.Expires Feb 9, 2016 Notary Public: ( ,S $1
( -'. 1;t`d`�' Commission #EE 168286 My commission expires: Rip • • t 1 to
2015216100, OR BK 17308 Page 668, Number Pages: 2, Recorded 09/21/203
04 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50
.00 ST $1442.00
by:
Law Group,P.A.
Jose Boulevard,Building A,Suite 200
ille,Florida 32217
ber: 15-0209DS
Sales Price: $206,000.00
General Warranty Deed
s September 21,2015 A.D.By Kyle Brown,a married man,whose address is: 1536 Tawny Marsh Court,St.Augustine,
■2092,hereinafter called the grantor,to Marcy DeWalt,a single woman, whose post office address is: 4029 Lionheart Driv,
ilk. Florida 32216,hereinafter called the grantee:
Vhenever used herein the term"grantor"and"gatuee"include all the parties to this instrument and the heirs,legal representatives and assigns of
Jividuals. and the successors and assigns ofeorporations)
Witnesseth,that the grantor,for and in consideration of the sum of Ten Dollars.($1 0.00)and other valuable consideratic
hereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the grantet
;rtain land situate in Duval County. Florida,viz:
LOT 54,SELVA LAKES UNIT TWO,a subdivision according to the plat thereof recorded at Plat Book 43,Pages 11
11A and 1111 in 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 neithe
Grantor(s)or any members of the household of Grantor(s)reside thereon.
Parcel ID Number: 172027-5504
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.
Subject to covenants,restrictions and easements of record,if any;however this reference shall not operate to reimpose san
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the gr
right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will de
against the lawful claims of all persons whomsoever: and that said land is free of all encumbrances except taxes acct
!nt to December 31,2014.
tentary Stamps in the amount of$1,442.00 have been paid.
ividual Warranty Deed-Legal on Face -