0 SEMINOLE RD - DECK REPAIR ACROSS FROM 131 OCEANWALK f r\,y r�,.3
r) r it
!A CITY OF ATLANTIC BEACH
° > 800 SEMINOLE ROAD
\,„,.__vv� ATLANTIC BEACH, FL 32233
"L 013 s) INSPECTION PHONE LINE 247-5814
COMMERCIAL - ALTERATION COMMERCIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: COMM17-0031
Description: repair wood decking across from 131 S. Oceanwalk Dr.
Estimated Value: 28400
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 0 SEMINOLE RD
RE Number: 168340 0100
PROPERTY OWNER:
Name: OCEANWALK ASSOCIATION INC
Address: PO BOX 331188
ATLANTIC BEACH, FL 32233-1188
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Hoffman Commercial Construction LLC
Address: 101 Marketside Avenue
Ponte Vedra, FL 32081
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
S1iyrJCity of Atlantic Beach APPLICATION NUMBER
�sk Building Department (To be assigned by the Building Department.)
iii
r� 800 Seminole Road COM A�1 �'� — Ar, i
Atlantic Beach, Florida 32233-5445
1. 1 l•` �lJ r
Phone(904)247-5826 • Fax(904)247-5845 I 1
-"�o;;��s V E-mail: building-dept@coab.us Date routed: 1.� l �p I 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
at; it . t ul, IL-to- oto 0 3 Jem\ i f\o i c Rd
Property Address: -0.Ct1 ti.C(_ej1S ft(JOSS40Th D- •►-s - t review required Ye/ No
t 3 t Noel OLQnt„� ct k k-- 0( , Building I/
Applicant: ►1 m lfd AW (►rl(1� iC pct C04444(. 31 ' - • Zoning
r Tree Administrator
Project: (-1 P a-.{ O0f1 (iQ C,lt-, f 4'.t-(oSS tYal`rl Public Works
Public Utilities
OL GAJ Ga i c Li. CsV1(>4‘ 12-- Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
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: [pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments: 6
(3 u,LD119
PLANNING &ZONING
Reviewed by: /1i Date: /a'/c 17
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. [Denied. [Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY
ifJ2 Building Permit Application
City of Atlantic Beach ?I.
800 Seminole Road,Atlantic Beach,FL 32233 0 E C - 6 2017
Phone:(904)247-5826 Fax:(904)247-5845
Oceanwalk Beach Accessway. Seminole Road —~
Job Address: Across from 131 Oceanwalk Dr. S. Permit Number: e_o JK i+( i l -04)31
_
Legal Description Ocean Side Plat book 44, Page 34 NO0'00'03E 20.38' RE*
Valuation of Work(Replacement Cost)$ 41111..90040*14eated/Cooled SF Non-Heated/Cooled C
• Class of Work(Circle one): New Addition AiteratioRepair Move Demo Pool Window/Door
• Use of existing/proposed structures}(Circle one): Commercial Residentia
• If an existing structure,is a fire sprinkler system installed?(Circh one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Replace wood decking with Trex boards. No structural changes to be made.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: C.'4fYstnj,.:•.:k(*. 'AS,C.; `tic=� uric: Address: /c' 5:r•-•Avrt t�bnlli L36I-A ?noxa" Kti
City J : .5o•iv;Ile t3e«i_t. State 1^-t- Zip 3'1..Z.//`��. Phone tic tf �+i 17- 14�3 c
E-Mail auc..ia,lam :S•t�i�i (A1v ete.c�, [��yi .t r-1 -1 lcl' Ctv /[li�' f�C_4'
•
Owner or Agent(If Agent,Powdr of Attorney or Agency Letter Required) l•
Contractor Information rr
Name of Company: 40 .id„ (a.,•itotirr,("4 &I-61'11c i:c Ter \v I.i-C Qualifying Agent: Ke'ti t chc-n
Address 101 "(cit-ke_j5 Anis {-30 City ?moi k Vail:, State '1^r Zip 3 LD f?
Office Phone C(0*- 75-Y) - ";,Z 1 i Job Site/Contact Number 'IC/// -7 c`i— 31 tl `')e`}-3:I' e 7 '1
State Certification/Registration# C4L iSi 4 V}t) E-Mail ?Ile YY\� �� its Y��YZ G�..iiF�'c`}a( • Cra-t
Architect Name&Phone tt A7 A
Engineer's Name&Phone ft >J e1
Workers Compensation the fij4.) 41j( / wi cI 6,)Ie ?Jct.-12c t��c �'
Exempt/Insurer/Lease'Employees/Expiration Date
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 regulationg
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.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work wilt 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 ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.`RA- 1Q
(Signature of Owner or Agent include tractor) ( ' tura of Can tor) I St-
Signed and sworn to r aff med)befor me this 'V day of Signed and sworn to(or ,a rmed) or- - this day of
`3t 'tiitC' ,by -s m.ta.o - LQ,(D n Wv, 1 'CIU f I
pipcillnoir
etkaktA- laWMIWill AIF__40—
r '•' lei MY t OMMEISION 4 FF807525 gnature of Notary) Notary Public-State of-71,i,t e of Notary)
MIRES:*ember a 2012 �1•'`
amodTau Nom NAG U.i.. Ann 4. Commission#GG 159008
vj „Or My Comm.Expires Nov 24.2021
Bonded:hro,igh Naaona'Notary Assn.
! I Personally Known OR [ •ersona y 'nown 0•
roduced identification K [ Produced Identification 2
Type of identification: 1�.-D, _• Type of Identification:{,(i 2 j3.0 vJ 10(202-0
` T
•
REVIEWED FOR CODE COMPL.l44-, \ .
OFFICE C O PY CITY OI= IATLANTIC
AD BADDITIONAL SEE PERMITS FOR ADDITIONAL
TREQUIREMENTS AND CONDITIONS
REVIEWED BY: DATE: /L'1 Z1'7/*"\\. 1
c./-, 0 3\\ 0
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OCEAN SIDE 'I _.,. ,-y-}1
1 PLAT BOOK 44, PAGE 34 1 1
FOUND l'S9'5rE 680'# i CAPS N 9'SCAP �
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7/ BOCK 16311, PA 151 / EU LOT 20 E�Li f
PELICA RDUNE I` Boa 'c a o ale I 1 Tr
Boat 6696,PAGE 1016
• MAP SHOWING SURVEY OF
BEACH ACCESSWAY / t
OF PROPERTY PER DEED, A PORTION OF LOT 1, DIVISION 3 OF THE ANDREW DEWEES GRANT, SECTION 37 IP
TOWNSHIP 2 SOUTH, RANGE 29 EAST, BEING MORE PARTICULARLY DESCRIBED AS
OF OCEAN SIDE, AS
, AND 34A OF THE FOLLOWS: COMMENCE AT THE NORTHWEST CORNER OF LOT 80A, NORTH ATLANTIC
RUNTY, FLORIDA. BEACH, UNIT NO. 3, RCBS CORPORATION, ACCORDING TO THE PLAT RECORDED IN
PLAT BOOK 15, PAGE 93 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
FLORIDA; THENCE NORTH 00'00'03' EAST, ALONG THE EASTERLY RIGHT—OF—WAY
LINE OF SEMINOLE BEACH ROAD (A 100 FOOT RIGHT—OF—WAY AS NOW
ESTABLISHED) 1430.00 FEET TO THE NORTHWESTERLY CORNER OF THOSE LANDS
DESCRIBED AND RECORDED IN OFFICIAL RECORDS VOLUME 3884, PAGE 532 OF
II SAID CURRENT PUBLIC RECORDS, ALSO BEING THE POINT OF BEGINNING; THENCE
I CONTINUE NORTH 00'00'03" EAST, ALONG SAID EASTERLY RIGHT—OF—WAY LINE OF
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S1I OCEAN SIDE I .I
PLA)' BOOK 44, PAGE 34 1
r Faunyr IRON LOT 11 FOUND 1/2'IRON57 E 680± t PIPE. NO CAP N TK'Da'E 49.a5' (IRON TO IRON) Pry No CAP IAT 10
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i PEUCAN DUNES / OFFICIAL RECORDS
/ OFFICIAL RECORDS ROOK eeae,PAGE tote
ROOK BOK PAGE iota /
MAP SHOWING SURVEY OF
BEACH ACCESSWAY 4) r eg.".
PROPERTY PER DEED, A PORTION OF LOT 1, DIVISION 3 OF THE ANDREW DEWEES GRANT, SECTION 37 ,•, ,
F OCEAN SIDE, AS TOWNSHIP 2 SOUTH, RANGE 29 EAST, BEING MORE PARTICULARLY DESCRIBED AS q
NO 34A OF THE FOLLOWS: COMMENCE AT THE NORTHWEST CORNER OF LOT 80A, NORTH ATLANTIC V'
4TY, FLORIDA. BEACH, UNIT NO. 3, RCBS CORPORATION, ACCORDING TO THE PLAT RECORDED IN 7
PLAT BOOK 15, PAGE 93 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
FLORIDA; THENCE NORTH 00'00'03" EAST, ALONG THE EASTERLY RIGHT-OF-WAY
LINE OF SEMINOLE BEACH ROAD (A 100 FOOT RIGHT-OF-WAY AS NOW
ESTABLISHED) 1430.00 FEET TO THE NORTHWESTERLY CORNER OF THOSE LANDS
DESCRIBED AND RECORDED IN OFFICIAL RECORDS VOLUME 3884, PAGE 532 OF
+ SAID CURRENT PUBLIC RECORDS, ALSO BEING THE POINT OF BEGINNING; THENCE
I I CONTINUE NORTH 00'00'03" EAST, ALONG SAID EASTERLY RIGHT-OF-WAY LINE OF
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S Cash Register Receipt Receipt Number
Cityof Atlantic Beach R3781
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $299.82
COMM17-0031 Address: 0 SEMINOLE RD APN: 168340 0100 $299.82
BUILDING $195.00
BUILDING PERMIT 455-0000-322-1000 0 $195.00
BUILDING PLAN REVIEW $97.50
BUILDING PLAN CHECK 1 455-0000-322-1001 0 $97.50
STATE SURCHARGES $7.32
STATE DBPR SURCHARGE . I 455-0000-208-0600 0 $4.39
STATE DCA SURCHARGE 45500002080700 0 $2.93
TOTAL FEES PAID BY RECEIPT: R3781 $299.82
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
12,'28/2017 08:18:18
CREDIT CARD
VISA SALE
Card# XXXX)O(XXXXXX3489
SEQ#: 1
Batch#: 511
INVOICE 1
Approval Code: 04554G
Entry Method: Manual
, Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $209,82
CUSTOMER COPY
Date Paid:Thursday, December 28, 2017
Paid By: OCEANWALK ASSOCIATION INC
Cashier: BA
Pay Method: CREDIT CARD 1
Printed:Thursday, December 28,2017 8:24 AM 1 of 1 1
TwuUT
•
1PTA Cash Register Receipt Receipt Number
City of Atlantic Beach R3775
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $299.82
COMM17-0031 Address: 0 SEMINOLE RD APN: 168340 0100 $299.82
BUILDING $195.00
BUILDING PERMIT 455-0000-322-1000 0 $195.00
BUILDING PLAN REVIEW $97.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $97.50
STATE SURCHARGES $7.32
STATE DBPR SURCHARGE 455-0000-208-0600 0 $4.39
STATE DCA SURCHARGE 45500002080700 0 $2.93
TOTAL FEES PAID BY RECEIPT: R3775 $299.82
L `« -
p rn e-A-k- kJ') ;dPd
aka_ k ca.skt i
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Date Paid: Wednesday, December 27, 2017
Paid By: Hoffman Commercial Constructio
Cashier: LE
Pay Method: CREDIT CARD 67
Printed:Wednesday, December 27,2017 2:41 PM 1 of 1
TGYGT
CD Se,n t '\O Imo. 1?5L
�3 11.. ,; INVOICE #
"' �, City of Atlantic Beach INV-2400
� 800 Seminole Road Date Due: 1/12/2018
�. Atlantic Beach, FL, 32233
Invoice Date:12/13/2017
Record# Record Type Fee Group Fee Description Quantity Amount
COMM17-0031 COMMERCIAL BUILDING BUILDING PERMIT 0 $195.00
BUILDING PLAN REVIEW BUILDING PLAN CHECK 0 $97.50
STATE SURCHARGES STATE DBPR SURCHARGE 0 $4.39
STATE DCA SURCHARGE 0 $2.93
$299.82
Invoice Total:$299.82
Please send your payment to this address:
.040
Printed:Wednesday,December 13,2017 8:25 AM 1 of 1 i"
il'