875 Sailfish RESO18-0057 RESIDENTIAL OTHER PERMIT PERMIT NUMBER
"
CITY OF ATLANTIC BEACH RES018-0057
800 SEMINOLE ROAD
ISSUED: 11/8/2018
ATLANTIC BEACH. FL 32233 EXPIRES:5/7/2019
INSPECTIONMUST CALL • • r • FOR NEXT DAY INSPECTION.
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
RESIDENTIAL OTHER SINGLE OR
875 SAILFISH DR TWO FAMILY RESIDENTIAL 8x10 Shed &Concrete Patio $3000.00
OTHER
ZONING:TYPE OF REALIESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
171248 0000 ROYAL PALMS UNIT O1
COMPANY: ADDRESS:
RKR ENTERPRISES INC 1285 OCEAN SHORE BLVD ORMOND BEACH FL 32176
• ADDRESS:
Shawn Shanahan 875 SAILFISH DR ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers). Containercannot be placed on City right-of-way.
Issued Date: 11/8/2018 1 of 2
Fs
RESIDENTIAL OTHER PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH
cg
RES018-0057
800 SEMINOLE ROADISSUED: 11/8/2018
��o`°�� ATLANTIC BEACH. FL 32233 EXPIRES: 5/7/2019
3 PUBLICWORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,Is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes: "
All old fencing must be removed from job site by Contractor.
5 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field
coordination is needed,call 247-5878.
6 PUBLIC UTILITIES UTILITY MAP INFORMATIONAL
Nates:
See attached Utility Map.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $7000
BUILDING PLAN CHECK 455-0000322-1001 0 $35.00
STATE DBPR SURCHARGE 655-00D02080)Do 0 $2.00
STATE DCA SURCHARGE 455-0000H208-0600 0 $2.00
ZONING REVIEW SINGLE AND Two FAMILY USES 001-000P329-1003 0 $50.00
TOTAL:$159.00
Issued Date: 11/8/2018 2 of 2
as City of Atlantic Beach APPLICATION NUMBER
Building Department CCE (To be assigned by the Building Department.)
800 Seminole Road C
Atlantic Beach,Florida 32233=)5
5445 IC js LJ
Phone(904)247-5828- Fax(904)247-5845 QC T
q? E-mail: building-dept@mab.us 22 201ate routed: (O ZZ-
Citywebsite: hup://w .mab.us
BY••__
APPLICATIONc REVIEW AND TRAC ING FORM
Property Address: 0 Is J0. ( V� S _Department review required Yes No
RK
//77 - Build'
Applicant: R K tom. _—V C P y 1 S�—_ S J.PLanning &Zoning
ff � 74410
IIT dministra or
Project: ShE'Q � C_bncf4 74410
ITuutilic Utilitie
Pu Ic aety
Fire Services
Reyjew,feeJJ - 25017w : Dept Signature
Other Agency Review or Permit Required Review
rmit Verified or Receipt Date
B
of Pe / nCy
Florida Dept.of Environmental Protection
Florida Dept.of Transportation Il/,
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants v\f
Division of Alcoholic Beverages and Tobacco
Other:
APPLI TION STATUS
Reviewing Department First Review: Approved. [-]Denied. ❑Not applicable
(Circle one.) Comments: �QC�
BUILDING 7 -
PLANNING 8 ZONING Reviewed by: L-4___-Oate: —/
TREE ADMIN. Second Review: ❑Approved as revis ❑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 05/79/2017
FO_�v City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road �O _ ���
�� Atlantic Beach, Florida 322335445 R A VJPhone(904)247-5826 Fax(904)247-5845 [O ZZty E-mail: building-dept(Mooabms Date routed:
City web-site: http:/hvww.coab.us
APPLICATION REVIEW
W AND TRACKING FORM
SProperty Address: S a( ITl S rtment review required Yes o
n r� _ Build'
Applicant: Y1'fCf/'l�[,I �S nning&Zoning
dmmistre or
Project: SheQ t �AhC,rt. e- rI 410
u lic Utilitie
P uF lic TaTety
Fire Services
Rev lew:.fee,..
Other Agency Review or Permit Required Review=P.,,t Date ej
Of Permit
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: ?Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
ILDING
PLANNING &ZONING
Reviewed by: Date:—/9/—>9 /
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni . []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
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
r1 rte,
(904)247-5826 Fax:(90,1)247-5945 p� p
Job Address: � Int T� _LX-. 3437 Permit Number: Kt5N —06S_7
Legal Description tY 17 -2,5 -Ole 0ryk PnutS &(Tj_- LaT 3O 61k ROE# 17/Ayt-6d04)
Valuation of Work(Replacement Cost)$ 0W, po Heated/Cooled SF Non-Heated/Cooled 3(0
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commerc r M�e
• Van existing structure,is afire sprinkler system Installed?(Circle 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 curtail he type of work to beertormed: l- t r
t Igce- c7 �� ckIAkil ked WA Sxi 3he�
(Z <-dt at
Florida Product Approval# for mu iple products use product approval form
Property Owner Information ��,yp ,r�
Name:�' 1 (.p ry)artltlGl�cidres'sy: � �I cl 5'i, � .�14X y.M �dyo
City 'L State Zip .Yr�.ST) Phone L0 0M LP:4 ,
E-Mail a .- -, � a 0
Owner or Agent(I ent,Power of Attorney or Agency Letter Required)
Contractor Info It, n
Name of Company: 1 t Qualifying Agent: I��4 Lzr�
AddNW�2. <o4a e�le , C1q Stet, /" Zip N
Office Phone ".�t_o 4��� 7g lab Site/ tart Number Tllp dl4 7�
State Certification/Registration# Ar_-0C'Sf111 E-Mail kl? Ph pin QM
Architect Name&Phone# V
Engineer's Name at Phone#
Workers Compensation
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.l 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 this county,and
there may be additional permits required from 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
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 OMMENCEMENT.
(Slgn iture of GWrear or Agent) (Signature of Contactor)
(Includingcontractor)
�igpe and sworn t� D rob rn )beforem is of Signe( and sworn to(ora by tbef re aGtM day of
t 1 NesheYa MCDG ! (t
CommissmB f
en QKplfgS_ May j, 2D20(Sigmture of Notary) ax (5igna[ure of Notary)
n lag—�N o Personally Known OR l ��"1py, MELINDA UEBEL
*oduredldentmication `1 j `l t,^pp [ ]Produced ldentfication �'t°' 'T MYCOMMISSION#GG 52026
Type of Identification: l_T"�`r^✓ "•��"�WW�4 "`""""'���/// Type of iden[ffiation:
l /
/ NOTICE OF COMMENCEMENT OFFICE COPY
State of - Tax Folio No. 1
County of J
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: —(p(1 �'� as"—c77�f �oYf� �. �tt�Ld,( (/N21Y2
p r' �
Address of property being improved: rS' /S 5A
General description of improvements:-f2?YY bve ad Mp 1 ar h /D b h72�
D ck
Owner: P42_ Address: X y
„UPJ I Owner's interest in site of the improvement,ce Simple Titleholder(if other than owner):
A
Name:
Contractor: L
Address: l SSS Qty ,Chot eL 7tp
Telephone No.: �S'tP- �^ 'Z f�S� F.No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of my person making a loan for the construction of the improvements
Name:
Address:
O.#2018247999,OR EIK 18558 Page 23,
Phone No: Fax No: Number Pages:1
Name of person within the State of Florida, other than himself,design Recorded 10118/2018 09:26 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
served: Name: COUNTY
RECORDING $10.00
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(2x6),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)yew from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE
Signed: Date: b /
Before me this aay of id the Comty of Du al,State
v Of Florida,has Wally appeared Q
Notary Public at Largq Sta?�ofFlorida,,Coun of Duval.
i✓ NAnYN HIGN10WER My cornndssion expires: W 1GY 3 l �1�
ftS NOtary PdblicState aibdW Personally Known:
A CON#Iac1M N GG 242916 Produced Identification: FLUL _
.n� MY COmm.ENplrn Nar 30,2019 -
Raided thrm*National Notary AMP. -
avr City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
?5fi1` 800 Seminole Road R�o ) A - OC7
?� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
City web-site: hap:/Mww.coab.us
APPLICATION
cREVIEW
(AND TRACKING FORM
Property Address: Is SOL'i 1T1 S I'1, rtment review required Yes No
Build
Applicant: RKtt. C 1`LCjlDV1S nning &Zoning
dministrator
Project: �I1E'Q L-lJ�L\ �0.�C10
-Public Utilitie
Pu Ic a ety
Fire Services
Review f
Other Agency Review or Permit Required Review or Receipt Data
of Pernik Verified
Florida Dept.of Environmental Protection ` �0
Florida Dept.of Transportation v
St.Johns River Water Management District -
Army Corps of Engineers \ r t\
Division of Hotels and Restaurants �.lv
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. [-]Denied. ❑Notapplicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: ,//�/J —Date: (0123/),Y
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. ❑Notapplicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Ly, City of Atlantic Beach rr C[� t
PLICATION NUMBER
+` Building Department EC;E1igned by the Building Department.)
G
800 Seminole Road OCT 2 2 � A _Atlantic Beach,Florida 32233-5445Phone(904)247-5826 Fax(904)247-5845 (O ZZE-mail: building-dept@coab.us By, ed:
City web-site: hap:1Mww.00ab.uS
APPLICATION
cREVIEW AND TRACKING FORM
Property Address: 0 15 SOL' ( Lel S rtment review required Yes No
(7 � � � Build'
Applicant: R K IZ G 1'�'CD I �S nning&Zoning
(( t ff T dministra or
s
Project: ShE'Q C�hCr X110
- u tic Utilitie
Pu is a ety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date ,Y�
of Permit Verified By
Ice,
Florida Dept.
Florida Dept.of Environmental Protection 1 /
of Transportation " \
St.Johns River Water Management District
Army Corps of Engineers ` ` r
Division of Hotels and Restaurants V
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. []Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by Date:
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 05/19/2019
FSHOWING BOUNDARY SURVEY OF
6, Poat P,tu. UIIII OIE• s6 PEr J b II: PU-( M1Y 'n
, JP THE r PPE1R FIELIr PE{ry0: S LPIALr"pw ED Yi;:1HQP R. 6AW
fiP.K r W INR, Ally TPI)ST
PUTT[ 9E(RA BILE. ur
LD PEPpBR MAMMAL IJILE III'aVPAII:E COWAllf
DOIIIIFP POAD
o-wux•.r 5 Mli0Y E 6055' (PLA 11
S 85'&2(r E 80.77 (MEASURED)
v e
LOT 30 I
/r' BLOLY. 6
C. jEVA
I i Ic
I IQ
•.,"N n' I I
r Iaa
tJi 31 eel r -, I i Im LOT 39
BLOL6 6 i OUESTMT I I BLOIY. 6
.x Po;rEp d6Ts I I
w'
�"� - - - _ .c•'. - -K£SE9.`a ._ ._ _ + I Ing A
i I iN
I Iflw
N 80.70' (MEASURED)
v al7w e W M65 (PLA I)
SMLL FGH YPIVE
��.I.wrG.��rvw•uwN'owNrvN7,Nr'l,"re��rLwNE.:G
NEr N.aDK:
v
wn RL'6a(gw�6
sI;e'N'u,r,NU
V1T
DEVELOP
OVE pyE
N1
RayThompson
SURVEYING. Ir
TIWr Y •-)NM
_ �i•Nr...: w•µ,.+r-:.r PONTE VEDfl TITLE, L.L.C.
XIB d 149]4-A •r N DA tf !d fY'IU S»n.E"I I1-1]-]II,J Sr
_ PLL: I yp'
NOTES CERi9]CAtE
r.e�..wssu wvp.ryTv_M --x"a'Wl---
livw[n_urowss vc, 'u� e++�+,n» .rivA Nt ti •�µ�m
_ NTllu aN A Nl.(YNMa�+W O�NG N r w��Y wn. Wo-mr�•MG�i i n�•os•
rn5'M//NLLNaa�Rq[vrpu V•1MnR.ePrWa r4
MINaIp'xin.t rN�ivrlYM1rI5WhN4 ,. uPe•r anc iN -
MI•rRup[gyY.dluuClu�NO
:v^u0 r5 wr vMo ninr u wrNnM•r141r[cnrwC mnwwlt MWrtMO'JPv vl}•4 u a 9e4 Q nOM1w
ul HNr(/r1N pP.R✓K'1N LiL
ro LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 „SUBDIVISIONS
ail % x - 8 �9 �P Eox8800$
a8F b � r gr'6To o ,�A
� ® «s"rR��'°$
@N� abp°ODOVOC� O ZlilOD
m
L
mbp� ��q�Tjg68
C5� 2
Ln
A aZAOF IAO 9 cNn 1. .
41S
"�d a a € F�€�Dr�R"-1R8 ?m
s Ng
Mn
Zm y � CCO
m aaYi" g 2s ^' y0a
e wnu�wHr > m 3+ -n O
Zy [� 9
SS9 o O
°me g� z 2
� aP R� fig" vn0
�� m O
0000
Iz.
&" z °—° WO
m °v _� O D
Sol � � mz F E� 0!271 mr =ep , Vl (1 ms m 3 P i" 9 _ flig
3 ma � cw90 4N �O yN
Vs F o Do F #oa P gA8 -4--1
E Ag �q § im �mo4 00
8 $ 4 V N
"s
0
f+a MOM 61- 3�3= ams mg$ 2T to
�^
3t( 5�t �4iA y I I g yagp� ° Z Y'n
i A ox x �asg 18 yai mo §SAB g �M or
F �" Eg � 4 0 _S
{ a z N
� O
§ § °• - O '
G)
r L^ emx�{o w�N y0
6 iz s
µ $ y p n0� z4c90 yr
Zi o
z
g t c
b
229�o O NO
� m.y smgA UM
€50
Pi's 'sm RR
tn
0 Am£gi ¢ ®p ell € m
5 ° 'z
o s
� 8 R
—
R �B is gw
g6 � wc _ AEE
0 Pon
.I2 p L"'gmmoogq.9°ado o m y¢9s=E 9� rEw m
5z F �. 3 m �$gs £ !Mgs °€ 0000Poz
WN -e ieih 3,E °r-p § g$ $ N g we °a j 308
[6[ [s wmNzo £� "o�0°�06 ¢¢¢¢ �9P � m�
!!F s Y :s €m`� m e°
F f z
E D
PB oma r
iF fF 4G mG)
3f '` M4 4Q QQ m mm Z N�i`4994944990 E $'o
o $C
RK PIP,aSS SJ 8gS Sa' BffBg%888888�
€£€€ €€€ €€€ €€€€€€€€€€€� m c om
GGGm GGG Gw6 a &6G&6GGGG6G� m $z ew-1 =
4:4: ;aye ,y>a �W®�®�tEt N M ,
$ o000 ¢oo 000000. Fo0000o oo oopF i E €`;
p
w 9 Y �4 a 4444494949�nm 77
F
_ € ;;
RNep 9 A _944 4 - m� Rk'9Qaaaaa" io
oR
DA Wo ° Do
tA
°mN �z-9y m
ms m 8
fwd ; � maa ° ° o y o
'� �$m � g
� c D
� x
-m1 0'MIN
O
1 � gA8 ° x� o
y z� ?
5 .Y ° 9 88ca: s$ =off ne'Nd
wp;q OMO�;V
°slo�G'R v4 a4mmai�o �T v 9AZNMA nnoly
g8a�aEax z: Hm m o ^x APngg�g�O
�o §i2SP gy€ � G'a gagvmmrn g• m 8�Kg5> oN a ��..
g pin
2 INK
YZ
g Fp r 'cw
:n or B
Z C p
_Q� m aneN
R O 2 H
y c Oppm
aur
7 fid
z :m sn '" 0.pSH
+ilt m 9o #
° °wA pya¢p�c
i € D z p
t g
Sm
e[ S o m F o
b' 3 soewuLgig
xa :
Un
M� i h,
�
WHO
IN .11
1 10
s w lip, R
B)l
,[ "s k= g �gmo saa
€�9mw C tai 1a sa
® n u oA Vm m.. m5$ ,p- xsre• nnne•
N gg Nc 6 zsre•
N2 q� L" N
FF D
0
m v =n rn 6
O
EF '
.. e � . v' zs/e• nit are•
x sre•
o�
TIIq'4 p= re
m 2 xa ��R
� i g
4
A p° §
191 � m
oe �
w � s m re S
IgFo
91 !it
� a € _ 0,Co o R
m�
Oz
HIPa
y �z �Y
o S of 44
R oZ $�Z
a 44 Ag
�m