527 PELICAN KEY -RES18-0049 A'NJ.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0049
Description: kitchen remodel
Estimated Value: 15000
Issue Date: 2/15/2018
Expiration Date: 8/14/2018
PROPERTY ADDRESS:
Address: 527 PELICAN KEY
RE Number: 1720275590
PROPERTY OWNER:
Name: DAILEY BROOKE
Address: 527 PELICAN KY
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TIMBERLINE CONSTRUCTION LLC
Address: 523 SELVA LAKES CIRCLE
ATLANTIC BEACH, FL 32233
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.
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.
* 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.
' 7
City of Atlantic Beach
-BUilding-D'60
Building Department beassign6d,byJ116
800 Seminole Road
At
lantic Beach, Florida 32233-5445
Fax(904)247-5845
Phone(904)247-5826
�7 ,
E-mail: building-dept@coab.us d
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address. sc�� W,�Uco-,) Department review required Yes 'No
Applicant: Tkin (\-t '�Iannin�g &Zoning
I ree Administrator
Public Works
Project: Public Utilities
Public Safety
Fire Services
lltwievv fbe $ De t Sig nature
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 Depa rtment First Review: []Approved. X[benied. [:]Not applicable
(Circle one.) Co ments:
0
PLANNING &ZONING Reviewed by: Date: S--,p 0/J
TREE ADMIN.
Second Review: ArA—pproved as revised. Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:2-
Oq
FIRE SERVICES Third Review: ElApproved as revised. F]Denied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
TLANTIC BEACH
800 Seminole Road
'ic Beach,Florida 32233
FEB
2013
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date 2— —0 0-f
Revision to Issued Permit Corrections to Comments V/'Pennit
Project Addr'ess—SZ,7 Pe�ca_v\' '�Z7�3
Contractor/Contact Name lin k')'A-e 6�4"A�, 4,z_ c--7/-f
Phone 7 Email
Description of Proposed Revision Corrections: Permit Fee D(e 0 Dd
Additional Increase in Building Value $ X Additional S.F.
By signing below,I //. a/56 affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature oP1eont'r`actor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
De�,rttm,,ent Review Required:
Id
dZ
eviewed By
Pl—an—n-ing Zoning
Tree Administrator
Public Works
Public Utilities Sr
Public Safety Date
Fire Services
CITY OF ATLANTIC-BEACH
800 SEMINOLE ROAD
OFFICE COPY
01r,", -7 Z� ATLANTIC BEACH,FL 32233
(904)247-5800
BUILDING REVIEW COMMENTS
Dkt=e- Z�/y/4677n
Perm it*-RES�L8L-0074? �Site—A-ddress:-5-27-PELIt-AITI�(EY---�
Review Status:A��Vn-e RE#: 172027 5590
Applicant: TIWERLINE CONSTRUCTION LLC Property Owner: DAILEY BROOKE
Email: GN5757@YAHOO.COM Email:
Phone: 9042386775 Phone: 9044245103
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
11,7UPPRowslinaffln,"ot We= i,-tTe'dru7n,.t-.i�IFA�LILW'deaaum,—ent,-sin,aueleomblUfe-dififfei rgs1,ee_tJ ie
1,5 1 a ni_s F i ug mi,i f-ed I Ill._W Q Wel EJArQ N infreptTE'te,510 S-7ub-,Mii.'Ea�j5ff.jna�irLesp
I W _�e ..n
I n,Q It. 11, pine ,
_ 0
I c e,Me p r,r, ip-nagg in s i I 1150,146.elae
J -a p
Correction Comments:
u e e
h ha
1. Submit pies of the existing and proposed floor plan to show changes.
Su
d side f the page S1.01 Please b
2� n, he structural drawings submitted is missing parts of the left hand side of the page S1.01. Please sub itthesecond
c mpleted copy.
2 oi
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5844
Email:mjones@coab.us
C1 )-eel Pl %h fZfL/1-ev r
ar
Resubmittal Notes:
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which
a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with
revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left
within the set of drawings. Complete new sets of drawi.ngs will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
OFFICE COPY
JA�P�
t9d:1
Building Permit Application-
City of Atlantic Beach
ct`ft 81,0,0 Seminole Road,Atlantic Beach,FIL 32233
Phone:,(904 247-5826 Fax:(904)247-5845
lob Address: IAAtA-,�7SzJ,\&S W) Permit NLimbeno;�Sgaj�i�__-
- I�%�_ I W -1
Le U11,,q-,�1 LkNA 'Z- LeA )_7 RE# Z-0 ��S 0
gal Description
Valuation of Work(Replacement Cost)$ /_5") OOC-) Heated/Cooled SF Non-Heated/Cool6d
• Class of Work(Circle one): New Addition Repair Move Demo Pool Window/Door
• Use of existirig/proposed structure(s)(Circle one): Commerci< R�es i d e nn�tfi�01 ,
• if an existing structure,is a fire sprinkler system installed?(Circle one): Yes LN�) N/A
• Submit a Tree Removal Permit Applicati.on.if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: C,
t4 fc. e-11
Florida Product Approval# for multi e pr ucts use product approval,fo rm
pl.. r&d
Property Owner Information
Name:P��L,,J -�s 9e7(--0v-0_ Address: SE-7 �LVtav,,KLY
city /TA-�c,- ,,7 �tate VL_ Zip 3-._-2_3!S Phone YOV'
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
.Name ofCompany: �i&e_ co,�Jra Albn- LLJC� Qualifying Agent: -61ea)ory 4. kk&0.V_v
Address '7(-(.0 �b V.5�,At. S -City. -a4"/ 0,�,ViVe, State FL Zip 3V_57�
Office Phone Job Sit.e/Contact Number !�LOLI
S_7' -7 0 s
State Cettification/Registraiion 9 E-Mail[A�J S; YcLk Oi I-,C�b
Architect Name.&Phone#
tngineer'sName'&Phone#,61��,�- qb q-2-L)I eOl Q
Workers Compensation P_
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 instal lation has
commenced prior to the issuance of a permit and that all work will be performed tomeet 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.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 thi's County,and
there may be additional permits required frorn 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
app!icable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY
'RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE R AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
SM2� R SX_—
(Signature of Owne
,tQr Age nt) (Signature of C�ntractor)
(including it ctor)
Signed and sworn to(or affirnied)befare me this L(L_day of Signedand sworn to(or affirme,"A-f—1-wg �QLAI�f-
4" ,�[O I by Broott-42. De,% I if-4 -%a *0 by I ARRYWALIER
J_ e of Florida
Commk6nn A M 140597]
BRYANNAH FORD -fA 0 1
my COMMISSION#GG 14683U4 (Signatu're of�otary) C, No mm.Expires Sep 4,2021
IRES;SeRte ber 2�8, 1
rs n ]Personally Known OR
A 'Irp
Produced Identification
Type of Identification: -LA_N�—%s Uy--,:-,(I Type of Identification:
? - OFFICE COPY
r a, ' / '� -,'
NOTICE OF COMMENCEMENT
'State;of—riond'a Tax Fol'ioNo. F72027-:5590-
Qounty of Duval
To'Whorn it May Concern:
The undersigned hereby informs you that impTovementg will be made-to certain real property,and in accordance with Section 713 of
the.Florida Statutes,.thefbIlowina information is stated in this NO-TICE OF COMMENCEMENT.
Legal.Description of property being improved: 43-11 17 2S�298,-Selva Lakes Unit 2,Lot 97
Address o�f property being im. roved- 527 Pelican Key-,Atlantic Beach,FL 3 M3�
P - 6— . .
General description.of improvements,—Kitchen Remodel
Owner:—Mathew J and Brooke Dai ley-
Address: 52.7 Pelican Key,Atlantic Bea:ch,F.L 32233
Qwner's interest in site of the irriprovement: Fec Simple
Fee Simple Titleholder(if other th.an owner):
Name-
Contracior: Timberline Construction LLC
Address.: 7660 Phillips Hwy"Suite 5,)acksonville,FL 32256
Telephone No.: Fax No:
Surety(if any)
Address- Amount of Bond$
Telephone'No:. F a x No.-
Name and address of any person making a loan for the construction ofthe improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than hjmsqIf, designated b owner u ori whorij gotices or other document may be
y p
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: f2�—jW L-Ar Date: 11(q/
Before.me this - 19 4y of Ja-Lan 0 Win the County oF Duval.State
Of Florida,has personally appeared BMIX-e,
Doc#2018022691,OR BK 18266 Page 1251, Notary-Public at Large,*State of Florida County
Number Pages:1 My commission expires: q lak W a I
Recorded 01/30/2018 09:52 AM, Personally Known: or
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Produced Identification: i\"%Vf5 i C LzV-,-C
COUNTY
RECORDING $10.00 - - - ---
BRYANNAH FORD
My GOMMISSION#GG 1468M
i7%F$ Bmw Ttmu Notary Public Un�erwlt
af EXPIRES:September 28 2021
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t43W4.11A U N 369
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OFFICE COPY
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