331 19th RES18-0352 RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES18-0352
800 SEMINOLE ROAD ISSUED: 10/18/2018
ATLANTIC BEACH. FIL 32233 EXPIRES:4/16/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUI
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE:In addition to the requirements of this permit,there maybe additional restrictions applicable to this property
thatmaybefound in the public records of thiscountyand them maybe additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWORK:
331 19TH ST RESIDENTIAL ALTERATION 6 Windows $4760,00
RESIDENTIAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720201210 SELVA MARINA UNIT 12
COMPANY: ADDRESS: CITY: STATE: ZIP:
THE HOME DEPOT 9208 Florida Palm Drive TAMPA FL 33619
OWNER: ADDRESS: CITY: STATE: ZIP:
FLYNN HOMES
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 ORAN
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-00D0-322 ID00 0 $75GO
BUILDING PLAN CHECK 455 OD00,322-1001 0 $37.50
STATE DGPR SURCHARGE 455�208-D700 0 $2.00
STATE DCA SURCHARGE 455�208-0500 0 $2.W
TOTAL:$116.50
issued Date:10/18/2018 10f2
RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH RES18-0352
800 SEMINOLE ROAD ISSUED: 10/18/2018
ATLANTIC BEACH. FL 32233
EXPIRES:4/16/2019
Issued Date:10/18/2018 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department To be ag�7
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coalbus Date routed:
City wela-site: http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ep:nent review requimcl Y No
a, – �5 —
B Id,
Applicant: Home PlanhnZg &Zoning
Tree Administrator
Project: I n-p6ws Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature,
Other Agency Review or Permit Required Review=lBy Date
of Permit
Florida Dept of Environmental Protection
R–orida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: PApproved. E]Denied. [–]Not appricable
(Circle one.) Comments:
(!9
PLANNING&ZONING Reviewed by:— Ml� Date:/6-16-/Jo
TREE ADMIN. Second Review: F]Approved as revised. oDenk�. [–]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ODenied. F]Not applicable
Comments:
Reviewed by: Date*
Revised 05/1912017
06-Y. /v 7
fq,pqkup7v_w7_B4w Building Permit Application 17
City of Atlantic Beach OFFICE CCrr
800 Seminole Road,Atlantic Beach,Fl.32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 331 t f 11 51- Permit Number:PE51L�
LegaiDescription 36-6134:917 5elva nr,;. Uri—, IA RE# 17,1626-112
Valuation of Work(Replacement Cost)$ Lf7900 Heated/Cooled SF Non-Heated/Cooled Z
EL Z -r-
• Class of Work(CIrche one): New Additio Alt Id POOIQ!�� 2 U
O.:ra on Repair M
• Use of existing/proposed structure(s)(a e ): Commercial ��Resldentdal 0 M I= 12
a 0 4c
QU a
• If an existing structure,is a fire sprinkler system installed?(Circle one): es No Lut 4
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Z -M Z
'va 25
Describe in detail the type of work to be performed'. 5
0
M
S S 17� SI-36' 0 u.1
-/6? L
Florida Product Approval# 5 - 1( for multiple products use product a;&r a pgro:p
property Owner Information LILI
3: - lu
uj in w
Name: '9,A34rr M-X 0 —Address: �-y /,?
city A-ff#,T,� Vc.�% State r I zip 1 2;l.71 Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor InIcinnation
Name of Company:. f Qualifying Agent: tq(111r Ff.,;j
Address 9-;,ok �TrRVA , City:j§-P�0. State P I zip
Office Phone Job Site/Contact Number
State Certification/Reeistration# ( (41' 66164 1 E-Mail 11� -0 1A.i, o,n,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation tv6rcc, V54 /�l 1?6"I,� 3/09
. amipt/imurer/UnseErnployees/axnaloncate
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.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 coun tv,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 COMMENCEMENT.
'(Signature of Owner or Agent) (Signat of Collitfector)
(including contractor) UP'
Signed and sworn to(or affirmed)before me this -2� day of Signedpicl sworn to(or affirmed)before me this day of
Ct R&P,,k r.2b Kiby r,d -,l' tTFa cue �w8 by Art�r
IS klINEAMY q_)5Zo7,% (Signature of Notary)
tire
IN=TARY PUBLIC
LUEY
Personally Known OR a STATE OF FLORIDA I Personally I�e�o�ca);R --—---- R OMA-1117
ISSIONIIGG 135
My=
EXPIRES:Aug
ust 7,2021
Produced Identification Comirmil(;;I 4L139907,);,:, tion EXPIR
12 Produced Ic
e of Identification.
F�Qdentlficatiwn:. pist 7,2021
N
ree
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Doc 1 2018240587, OR EK 18557 Page 2484, Number Pages: 1,
Recorded 10/09/2018 02:46 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
OFFICE COPY
THIS 1�ldlm FIREPARED BY:
More: The I'llonnI DeW
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NOTICE OF COMMENCEMENT
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COMIDERED HAMPER PAWENM UNDER CHAPTER 713,PART 1,SECMN 71313,RUMIDA STATUMS,MD�RESULT IN YOUR
PAMGWlICE FOR TO YOUR FFON��A NOTICE OF COMENCEIVENT 111UST BE RFOORDIR)MD POSTED ON THE
,108 SIM BEFORE TKE FIRST INISTS"ON.IF YOU RIMAID M OBIAtH FINANCING,ODNOULT�YOUR UENDER OR AN A�DRNFf
BEFORE 00100KINCING WOW OR RECORDING YOM NoRCE OF CO�WcAZNT.
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Doc # 2018225134 , OR BK 18536 Page 1596, Number Pages: 1,
Recorded 09/21/2018 08: 18 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00 DEED DOC ST $3003. 00
Evaer,Ronnon'no.P.&
191"Blending wvd
jaekzorwn�lloruis 32210
fd.N�. Mll�
General Warranty Deed
7t8AD..By Flynn HeenveLMA
372ll)�ro&&Urn0S.J.dsonA1nF1rrnJa
rqrnner—�-onnd
on orne,ell Ron reode lood oftel.in Do.)Conner,Hyena,vin
W 4,SELVA MARINA UNIT NO.12,arnording to the map or plat thereof as retarded In
]let Book 36,Pap 63,Public Reford,of Daval County,Florida.
See p000n,n on,on oneeneon,of on on,e,on kno no, of an S.of Flonjr ne on,rendwe Grenor nor MY
Itnel In Nolown,.17202o1210
T-lieftleor nnad,aln oneoneen,hoonnioneene,ono opp.doore.annor.onlortna or in anyoun w--Rg
To Have and to Hold, don none in fie novel-finera
And no roon hereby oo�vron end ovenne dont Orr new n WeaNY Winne Of"W Ron W on noWC Fee'Re
Forlorn W Bonn,rab,no,k,,o,no,rode,w.11 on,oy.W Rod..Ron an lion roadd IW and MR
onone Re nere.,ever don henifiol olveonzf.0 ornon.nd000n000�,ond don add�in Her-fefl onoolnerne noonnea
rubeo,eevo.Donan�31,2017.
in Whom Whereof, �ond sWW-dundoi� oneonne,0,o dnlnrd�firne�noore,
Signed,senindarlddelowd M onrineyene,
Flynn Hoeye,LLC,
LI.Iltifty Company
Ty—w.&perowke
to-melri,mr
,,,n 3721 Dnone,S.bnoo S J�000evaor.Flonda 32217
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