1781 SEA OATS DR - PERMIT RES18-0161 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 INFORMA77ON:
PERMIT NO: RES18-0161
Description: remove non-load bearing wall, kitchen remodel, door, window
Estimated Value: 45000
Issue Date: 5/18/2018
Expiration Date: 11/14/2018
PROPERTY ADDRESS:
Address: 1781 SEA OATS DR
RE Number: 1720200450
PROPERTY OWNER:
Name: ANDREWS SARAH B
Address: 1781 SEA OATS DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1'+46 t Se et 0"'( t S 0 Department review required Yes No
:0 d�Mp
Applicant: Planning &Zoning
Tree Administrator
Public Works
Project:
�AA C hx-') Public Utilities
Public Safety
A Ct L),Ji Fire Services
De t Siqnature- - -1
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: )5&,Lproved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
PLANNING &ZONING
Reviewed by: Date: CIO
TREE ADMIN. Second Review: []Approved as revised. []Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. E]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Fff VV
Building Permit Application il Updated 12/8/17
V
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11 —-
City of Atlantic Beach I "
800 Seminole Road,Atlantic Beach,FL 32233 1 MAY 2 201188
Phone:(904)247-5826 Fax:(904)247-5845
JobAddress: Permit Number:
Legal Description /,07' gF, A-10GAC 5hi-vid "IeVA U All 7' GY_RE#--
Valuation of Work(Replacement Cost)$4S I C)OV Heated/Cooled SF Non-Heated/Cooled
0 Class of W ork(Circle one): New Addition<���Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
105 ex-retwta.
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal WRjc(
Describe in detail the type of work to be performed: FAI�TI&L- A OD '1110 /r./C 4 0 J9,F_ /f gC_-14011#4 6%C'
IVO A.1-.4d.406,6011v4- w4L.,o Ivirw kAu'vilitcy, odm'
F& Poo P-4-4 R 6A X A//ivoo tA/
Florida Product Approval for 4ultiple products use product approval form
Property Owner'Information
Name: :5A#JhA AND&EyJ5 DARK Address: 1781 5,64 opms 10A
city -46 State ;rz- zip R13� Phone__!7'0!�
E-Mail �jAg, vA. A 0 A 6w 513 7 [4 A, L - C,0 A-A-
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:- Qualifying Agedi:
Address City
State Zip
Office Phone Job Site/Contact`�urrlber
State Certification/Registration# E-Mail 1Z
Architect Name&Phone# 7—
Engineer's Name&Phone# Z
Workers Compensation
ExemV1 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 i
T
Iwo
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will 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 PAY-ING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEF9,RE�
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
ed and swQrn to(or a I b=pre thi, �ay of Signed and sworn to(o affirmed)before me this day of
�6 eir c1l f��Xv
by
(Signatm-e-of Nta otary)
TONI GINDLE�PERGER
Y COMMISSION#FF 924951
]Personally Known OR Pers "kil own 4PIRES:October 6,2019
Produced Identification 0 Prod. I i OIUDWhru Wary Public Underwriters
'b G Z-0 pe of
Type of Identification: c) 4--Ty
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
(904)247-5800
PERMIT NOTES
May 18, 2018
Re: 1781 Sea Oats Dr.
Rennovation
Project approved, with the following conditions.
I. Please submit a Revision Form with Florida Product Approval Numbers and
installation instructions for new doors and windows before installation. FPA
Numbers should include decimal places to identify specific products.
2. Please schedule an In-Progress window/door inspection for the first day of
installation.
3. Please schedule a Preliminary Inspection before demolition.
COMPUA-t4ef-
Zoe TJC'BVP'CVi
se ry of: AMPLO T100L
Dan Arlington, CBO 07 e peRtVtS V:oln A.Dt),
904-247-5813 se 1V1VMetA'TS Atm cot.4D.1,11otAs
darlington@coab.us VIEW - - t��6)
C)AXE
COPY
EX.WINDOWS TO BE REMOVED AND BRICKED IN
15-10 1/2-- ITY
L
2' EXISTING TO BE REMOVED
Z6' PROPOSED WALL
KITCHEN
UNDR��IT4", EXISTING TO BE REPLACED
YGI I FAMILY
3 ('3 1/2;
Y8 314UG'
Y3" \I
Magi
GARAGE EX.WALLS TO BE REMOVED
V4"
DINING
TO REPLACE EX.WINDOW
LIVING
TO REPLACE EX. ENTRY DOOR
Ir7r
L2o
Ir
1781 SEA OATS DRIVE
RENNOVATION PLAN
MAY 2, 2018
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1781 SEA OATS DRIVE one
RENNOVATION PLAN
MAY 2, 2018
MAP SHOWING BOUNDARY SURVEY OF
LOT 9, BLOCK 15, SELVA MARINA UNIT No. 8, AS RECORDED IN PLAT BOOK 34,
PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CER11FIED TO:
49w�— SARAH B. ANDREWS
PONTE VEDRA TITLE, LLC 4
FIRST AMERICAN TITLE INSURANCE COMPANY
SEMINOLE ROAD
(100'RIGHT OF WAY)
S 00'08'20" W TRACT"C' 95.61' (PLAT)
E 95.AZ� EAS�IRED 0 - --PE
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PAD LOT 9
BLOCK 15 VINYL
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4 ONE STORY
t2 MASONRY
POSTED #1781
LOT 10 LOT 8
BLOCK 15 W 0�3!1
BLOCK 15
323' �: 3�:
—COVERED ENIR 20 :
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26.2"
............ ......
30'BUILDING RESTRICTION LINE
111,147"'PLAT)
.4 EASURED)
N 00'09'44" E 95.68' (MEASURED) iv
N 00*08'20" E 95.61' (PLAT)
SEA OATS DRIVE
(so-RIGHT OF WAY)
LEGEND:
0 SET 1/2-REBAR
STAMPED PSM#6146 PC POINT OF CURVATURE
FOUND 1/2-IRON PIPE PT POINT OF TANCENCY
NO IDENTIFICATION ) PRO POINT OF REVERSE
(UNLESS OTHERMSE NOTED CURVATURE
�ex4'CONCRETE MONUMENT PCC POINT OF COMPOUND
A/C AIR CONDITIONER CURVATU E
F.CE CONCRETE
I I I REVISIONS
I I I Ray Thompson
AM I I I SURVEYING, Inc. DATE DESCRIPTION
L
Going the DISTANCE for Yo
4613 Philips Highway,Suite 210 PONTEIVEDIR ITLE, L.L.C.
-MILL V I Jacksonville,Florida 32207
(Phone)904-448-5125
I " (Fax) 904-448-5178
JOB # 24393 DATE OF FIELD SURVEY: 4-15-2014 SCALE: 1" = 20'
NOTES: CERTIFICATE
1: BEARINGS ARE BASED ON THE PLAT BEARING OF I HEREBY CERTIFY ER MY RESPONSIBLE CHARGE
ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL AND MEETS THE MIN ET FORTH BY THE FLORIDA
'CARD OF PROFESSIQ"�i R HAPTER 611317-6,FLORIDA
2: BY GRAP�IC ZONE 'ADMINISTRATIVE C ANT TO SECTION 47 RIDA STATUTES.
X�LOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD
AS SHOWN ON THE NAT10NAL FLOOD INSURANCE MAP,
DATED: JUNE 3,2013, COMMUNITY NUMBER: 120075 PANEL 0407 H
3: THIS SURVEY REFLECTS ALL EASEMENTS&RIGHT OF WAY AS PER RECORDED
PLAT&/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO
OTHER TITLE VERIFICAT10N HAS BEEN PERFORMED BY THE UNDERSIGNED. AYMF?ffETROMP
4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SURV D M P PIE 6145 STATE OF FLORIDA
AND AUTHENTICATED ELECTRONIC SEAL. Ll 7469
C ......
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 — SUBDIVISIONS
NOTICE OF COMMENCEMENT
State of F-1,-OFA P A— TaxFolioNo05�1 '2-020- 0i4,5D
County of !Q RA(kie:
To Whom It May Concern:
The undersigned hereby inforins you that improvements will be made to certain rea rty, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF CO MENT.
Legal Description of property being improved:j 0T C1 - --- I C1:1. t - -A WJ IT 9
Address of property being improved:
General description of improvements: NzIlAftW" 1-D iWO-L. PtWoVAL Of OW
61 NL 12EI�l kif-Pdd
0 WIPM,.; PEW 1-hLAW QRY R00IN RC-PILW-Mr-KM CT V=MtOEW CAN LITT6 I&M'/ A &Y-WIV0043
Owner: 60 QA14 P'NOROxis DftV-V-- Address: 11%.1 C:6h- QAJS L)P-. hP, pL Z;ndaa)
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): I Mq>t
Name:
Contractor: 1,2�nMr-- WS Mwaa-
Address:
Telephone No.: Fax No:
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:
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
Doc#2018103733,OR BK 18372 Page 240, �Signed: Date: 21
Number Pages:I Before me-fh-is ::�L day of trV\a, in the Cmouny of D-Uval,State
C'
- -k
Recorded 05/02/2018 12:09 PM, Of Florida,has personally appeared
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Flori a, ounty 0 UD�tX.j
COUNTY 'My commission expires: I
RECORDING $10.00 Personally Known: �-4 ell', or
Produ
T NI 91 1��Pt
1781 SEA OATS DRIVE
ATLANTIC BEACH, Fl.
MAY 2, 2018
PERMIT SUBMITTAL PACKAGE
COAB Building Permit Application
COAB Owner/ Builder Affidavit
Rennovation Plan Project Area- Removals, Replacments, & Proposed
Rennovation Plan-Overall Floor Plan
Site Survey
00TICC- ()T CUMAAEWCE�AU�
Q A
CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDANO
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES�S-ART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDW LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIANATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERM[IT 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 IMTROVE A ONE—OR
TWO FAM[ILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
INTROVE 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
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TIES EXEIVITTION. 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.
11. 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(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
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.
1-7 51 56-A
ADDRESS PHONE NUMBER
�!WA 8 AV PA&V.5 AV%1<
P INT N
;4�g M-KV 2 20) 6
NATURE DATE
Before me this —z_day of f" CLS4 _.2J �8n the county of
Duval,State of Florida,has personally ippeare herin by himself/herself and affirms that
all statements and declarations are true and actrate. —,)ovcL.(
Notary Public at Large,State of ,County of
0 Person 'y '7AC
13 Produ.:d I=natwn- G ZiPf'\ �3 I
TONI GINDLESPERGER
MY COMMISSION#FF 924951
�/ A 6X� A ,
Notary Signature: EXPIRES-October 6,2019
Bondad Thru Notary Public Underw.riters
F:/I3LDG/0A�er-BWIdff Affadavit;REVISED:4/16t2009
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