1668 MARITIME OAK DR - NEW HOME PERMIT -1 a' \r
j B
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J li r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SFR-2626
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME/DRIVEWAY
Estimated Value: $336,497.00
Issue Date: 12/2/2015
Expiration Date: 5/30/2016
PROPERTY ADDRESS:
Address: 1668 MARITIME OAK DR
RE Number: None
i.
GENERAL CONTRACTOR INFORMATION:
Name: TOLL BROS.,INC
Address: 250 GIBRALTAR RD STEVEN R MERTEN
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $594.75
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,189.49
WATER CONNECT/TAP & METER $370.00
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
MATE ID C( IBIS RCHAR GEACCORDANCI iT!8411.I. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Cl \ CITY OF ATLANTIC BEACH
r n.
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
STATE DBPR SURCHARGE $17.84
SEWER SDC-SYSTEM DEV CHG $4,050.00
Total Payments: $7,579.92
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
, 01-iiir .. City of Atlantic Beach
s ' ,,� Building Department APPLICATION NUM
,� 800 Seminole Road
NUMBER
Dui f `�` 0 I �F V T (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233 5445 FLJ
Phone(904)247 5826 p ment.)
o;t .9 E-mail: buildin de t Fax(904)2 7-584#0� 0 5 — Z Z
City web-site: http:www.c ab.us 8 2015
• Date routed: #
APPLICATION REVIEW AND
TRACKING FORM
Property Address:/a Ll f 0A/4
Department review required No
Applicant: D G _�_• _
— 4 Planning & on'. -
Project: ' _ _ Tree Administrator _�
� � �'ublic A • . -
_�
,d 'ublic Utili '-
MIMI
Public Safety
Fire Services �-
Review fee $ -S`O
Dept Signature
-_-_.__ —
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified B Date
11111 _11 _II _1111.111111111111111111
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
I IIIIII I 111111111 11111111111...M I IIIIIIIIIIIIIIIIIINIIIIMIIIIIIIIIII IIII 1111
Division of Alcoholic Beverages and Tobacco
Other:
MUM
APPLICATION STATUS
Reviewing Department First Review: A.
pproved. ❑Denied.
(Circle one.)
Comments:
BUILDING
PLANNING &ZONING
TREE ADMIN. Reviewed by: 4✓, L��
Second Review: Date: ( <,r
DApproved as revised. ODenied.
A WORKS Corn, ents:
V
•BLIC TILITIES
aII: SAFETY . ,
Reviewed by:
FIRE SERVICES Third Review: Date:
Approved as revised. Denied.
Comments:
Reviewed by:
Date:
used 07/27/90
:0--A;'%;/;.\ City of Atlantic Beach �
c' i �� Building Department , �""�- ` APPLICATION
5.-_.'r,' ¢' �le 800 Seminole Road / TIe Building NUMBER
�� (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233 445 NO Q
Phone(904)247-5826 • Fax y Jr 2015 ' 2
`'o;t �� E-mail: buildin de t coab.0 r 47-5845 _. 6
9 p@
City web-site: http://www.coab.us Date routed: #
APPLICATION REVIEW AND TRACKING
FORM
Property Address:/o' j L! /.f I Ot
Department review required MI No
r.�
Applicant: D /j G '�' n_ita ��
_A Planning &Zon .: _�
Project: •, _ Tree Administrator
MEN
od 'ublic Utili _=
Public Safety --
Fire Services
MEN
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: L1L1�,-,((
(Circle one.) Approved. E7---Denied.
Comments: / f#,44tG",1�'�" /�"�'' 4
BUILDING ✓�
PLANNING &ZONING l
Reviewed by: f✓V/'
��-
TREE ADMIN. Date: 04 / 5
Second Review: QApproved as revised. ❑Denied.
PUBLIC WO�RK_ Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: DApproved Date:
pproved as revised. ODenied.
Comments:
Reviewed by:
Date:
used 07/27/10 ---
i
.w�
P ' l r i tmj 0,iA /J'-fcie Z4.2.6
Q X -.r ::.r/ 170
..1 r t. 9
'Tr XI :z < .Z9r
lie tie . Yf' /y0d
60111 H.20 X /V 3490
roe,4 ! 3 X 3 z air
40,7,447i I X/ .zru
603
reuh, Lpky
f��� k 2 3 ��
_ H -6
4.
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: %I1 //-/1 '1 Sr
Development Size
Habitable Space 3/96 5,FF Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group . -3
Type of Construction V 13
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
NOTICE OF COMMENCEMENT OFFICE COPY
State of: FLORIDA Tax Folio No. 169505-1915
County of: DUVAL
To Whom It May Concern: � r m y /5- SFR-p ‘? G
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: Lot 124 Atlantic Beach Country Club Unit 2.67-132 08-2S-29E
Address of property being improved: 1668 MARITIME OAK DRIVE,ATLANTIC BEACH,FL 32233
General description of improvements: NEW HOME CONSTRUCTION
Owner:TOLL FL VI LIMITED PARTNERSHIP Address: 250 GIBRALTAR RD. HORSHAM,PA 19044
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner):
Name: . •
Contractor: TOLL BROS.,INC.
Address: 160 CAPE MAY AVE.PONTE VEDRA,FL 32081
Telephone No: 904-217-3852 Fax No: 904-460-2683
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: STEVE MERTEN
Address: 160 CAPE MAY AVE.PONTE VEDRA,FL 32081
Telephone No: 904-217-3852 Fax No: 904-460-2683
In addition to himself, owner designates the followtltig 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 expi.ation date is one(1)year from the date of recording unless a different date is
specified): 06/30/17
THIS SPACE FOR RECORDER'S USE ONLY OWNER
`'igned: Date: A i LI, 7015
Doc#2015190035,OR BK 17273 Page 821, afore me is 44 day of the County Or Duval,State
Number Pages:1 f Florida, as persona ly appeared sue/e rY1ZY•}�.tn
Recorded 08/18/2015 at 03:29 PM, otary Public at Large,State of Florida,County of Du al.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY ly commission expires:_ �$!I 7
RECORDING$10.00 =r so II •K o` : or
ur Uwl);ilic:lion:
CYNTHIA wwry
—
.� ,
'i °4 Notary Public -State of Florida •
iri My Comm.Expires Feb 5,2017
1;omission#EE 870496
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1668 Maritime Oak Drive: Atlantic Beach, FL 32233 Permit Number:
Legal Description Lot 124 Atlantic Beach Country Club Unit 2 Parcel_67-132-08-2S-29E
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 336,497 Proposed Work heated/cooled 2,946 non-heated/cooled 461
Class of Work(circle one): 420 Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential)
If an existing structure,is a fire sprinkler system installed? (Circle one): No N /A
Florida Product Approval # See attached
For multiple products use product approval form
0 V E
Describe in detail the type of work to be performed: New Residential Construction
Property Owner Information: i, N y ?91S
Name: TOLL FL VI LIMITED PARTNERSHIP Address: 160 Cape May Avenue U
City Ponte Vedra State FL Zip 32081 Phone 904 217-0739
E-Mail or Fax#(Optional)arogers @tollbrothers.com
Contractor Information: CONTRACTOR EMAIL ADDRESS: arogers(,tollbrothers.com
Company Name: Toll Bros., Inc. Qualifying Agent: Steven R. Merten
Address: 160 Cape May Avenue City Ponte Vedra State FL Zip 32081
Office Phone 904 217-0739 Job Site/Contact Number 904 386-6472 Fax#
State Certification/Registration# CGC 1510225
Architect Name& Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
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 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. I understand that separate permits must be secured for Electrical Work, 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 hereby certify that I have read and examined this application 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
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner ��� Signature of Contractor
Print Name Steven R. erten, Division Sr.Vice President Print Name Steven R. Merten
Before me..- Before r e
this 12th !'y o October , 2015 this_I t Day of October ,2015
(494,Notary ' 4111 Notary in blic
_o�PpYp MELISRMAN Revised 01.26.10
AAY COMMISSION SA LIEBE#FF055605
September 18.2017
.-�• �``.' EXPIRES Sop ,..�anrn�e•.,.
=2� MELISSA LIE8ERMAN
IC7)-39f1:01 Service corn =
o53 Florldallotary MY COMMISSION rFF055605
EXPIRES September 78.2017
(407)390.0153 FloridallotarySnrvicu.corn
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1668 Maritime Oak Drive; Atlantic Beach, FL 32233 Permit Number: / 5 ^ S FT- 1626
Legal Description Lot 124 Atlantic Beach Country Club Unit 2 Parcel 67-132-08-2S-29E
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 336,497 Proposed Work heated/cooled 2,946 non-heated/cooled 461
Class of Work(circle one): 4110 Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): G� No N/A
Florida Product Approval# See attached
For multiple products use product.approval form •� r rt l\n r
=:; U V LC
Describe in detail the type of work to be performed: New Residential Construction I
I
Property Owner Information: I I! 1 NC �J15
Name: TOLL FL VI LIMITED PARTNERSHIP Address: 160 Cape May Avenue u L.
City Ponte Vedra State FL Zip 32081 Phone 904 217-0739 '
E-Mail or Fax# (Optional)arogers @tollbrothers.com
Contractor Information: CONTRACTOR EMAIL ADDRESS: arogersna tollbrothers.com
Company Name: Toll Bros., Inc. Qualifying Agent: Steven R. Merten
Address: 160 Cape May Avenue City Ponte Vedra State FL Zip 32081
Office Phone 904 217-0739 Job Site/Contact Number 904 386-6472 Fax#
State Certification/Registration#CGC 1510225
Architect Name& Phone#
Engineer's Name &Phone#
Fee Simple Title Holder Name and
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
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 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. I understand that separate permits must be secured for Electrical Work, 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 hereby certify that I have read and examined this ap lication 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 speed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name Steven R.
Ie
erten, Division Sr.Vice President Print Name Steven R. Merten
Before me Before r e
this 12th r(y o October , 2015 this 12t , Day of October 2015
(/7.! /1
Notary ' la Notary ''l blic
::;ppY AVb
,�,, tnE_ssA LI�Sc;{iJiA Revised 01.26.10
MY COMMISSION#iFF055605
yj
\''.:1'..:.< oc:.i
EXPIRES September 18.2017 ,,,,,,•
'•°'?� MELISSA ,(ti8cVAV(407)390.0153 FlorldallotarySorvica.com
MY COMMISSION#FF055o05
-;FOF,„e.` EXPIRES September 18.2017
(407)390.0153 FlorldaNOtarySorvloc,.com