518 SELVA LAKES CIR RES18-0390 KITCHEN REMODEL PERMIT RESIDENTIAL PERMIT PERMIT NUMBER
RES18-0390
CITY OF ATLANTIC BEACH
ISSUED: 1/10/2019
800 SEMINOLE ROAD
cni 19 ATLANTIC BEACH. FIL 32233 EXPIRES: 7/9/2019
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 BUILDING
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 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: PERMIT TYPE: DESCRIPTION: OF WORK:
518 SELVA LAKES CIR RESIDENTIAL ALTERATION Kitchen Remodel with Wall $21500.00
RESIDENTIAL Removal
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720275600 SELVA LAKES UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
RADON PROFESSIONAL 336 14TH AVE JACKSONVILLE FIL 32250
SERVICES BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
Ta ra Harris Josephs 518 SELVA LAKES CIR ATLANTIC BEACH FIL 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 4S5-0000-322-1000 0 $160.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $80.00
BUILDING PLAN REVIEW RESUBMITTAL SECOND 4S5-0000-322-1006 0 $50.00
455-0000-322-1006 $75.00
BUILDING PLAN REVIEW RESUBMITTAL THIRD 0
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $S.48
Issued Date: 1/10/2019 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
-0390
RES18
CITY OF ATLANTIC BEACH
ISSUED: 1/10/2019
800 SEMINOLE ROAD EXPIRES:
ATLANTIC BEACH. FL 32233 7/9/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.65
TOTAL: $374.13
Issued Date: 1/10/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
A ntic Beach, Florida 32233-5445 lcesig-o(3u
tla
......... Phone(904)247-5826 - Fax(904)247-5845 Z-7
E-mail: building-dept@coab.us Date routed:
City web-site: http:/twww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Se(VCL COLk 'f-boartment review required Yes No
Property Address: 'OS' V
Builclin22��
Applicant: POL(Aon —Prof. Svcs Planning &Zoning
Tree Administrator
Project: Kddeb 9-e-model via// Public Works
Public Utilities
ReTnr,�VL1 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: FlApproved. [aDenied. ONot applicable
(Circle one.) Comments:
LDfN
G�
PLAN &ZONING Reviewed by: MAI Date:_z2-
TREE ADMIN. Second Review: RIA—pproved as revised. DDenieW ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RrApproved as revised. F-IlDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/1912017
"ALL INFORMATION
Revision Request/Correction to Comments HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
Revision to Issued Permit OR Corrections to Comments Date:-
Project Address: SkX)oo, LaLs Cmclk A+IaYAL, -Beo--c-k.
Contractor/Contact Name: I-Clnw DCL V r-YA p�'V-�-
Contact Phone: (100 Ij�-co'9-70 Email: f-6LcAC
rn-Cl QM ck-\ C C�-
J
Description of Proposed Revision/Corrections:
8 SQr\e�QA 0-a
or i a', nQL(W S:Ea-v�q�CA acyad S(�jrvd
J 3 J
1—melAl-an4 C-�0't'\r-\C'9 affirm the revision/correction to comments is inclusive of the proposed changes.
(printed'name)
Vproposed revision/corrections add additional square footage to original submittal?
N 0 El Yes (additional s.f. to be added:
,�4 proposed revision/corrections add additional increase in building value to original submittal?
10No []*Yes (additional increase in building value:$ (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
NrApproved El Denied El Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
D9ftPWtM'R�t Review Required:
(Buildin�
P i
—�ing&Zoning Reviewed By
Prann ng 8, 611
Tree Administrator
Public Works
Public Utilities 1- 9-19
Public Safety Date
Fire Services Updoted10117118
OFFICECOPY **ALL INFORMATION
Revision Request/Correction to Comments HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
0 800 Seminole Rd, Atlantic Beach, FL 32233
Or Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 390
/001
Revision to Issued Permit OR Corrections to Comments Date:
Project Address:
Contractor/Contact Nwne;
-,7 11(o 7 0 E m a i 1: �k�6/0
Contact Phone: /17)Orb
Description of Proposed Revision Corrections:
-BL'X� O'NryA C&-n ryve,47�
�'J
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will prop9sed revision/corrections add additional square footage to original submittal?
E]No Yes(additional s.f.to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
No r7*Yes (additional increase in building value: (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
2rApproved Denied Not Applicable to Department Permit Fee Due$ 5-01
Revision/Plan Review Comments
Department Review Required:
Building
'--P��ning Reviewed By
::ee Administrator
Public rks
Public Utilities /-2-717
Public Safety Date
Fire Services Updated10117118
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
........... ATLANTIC BEACH, FL 32233
OFFICE COPY (904) 247-5800
BUILDING REVIEW COMMENTS
Date: 12/5/2018
Permit#: RES18-0390 Site Address: 518 SELVA LAKES CIR
Review Status: denied REM 172027 5600
Applicant: RADON PROFESSIONAL SERVICES Property Owner: Tara Harris Josephs
Email: radonprofl@gmail.com Email: tarajosephs@mac.com
Phone: 9042468970 Phone: 9049947220
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
", bmit a eo-vcr1xW to accompany your project documents. I will send a file with information that is
Ott
requested for cover page. Not all 8 items will be needed, only what pertains to this project. This will be
expected with all permit applications in the City of Atlantic Beach. Thank you.
2. Ffom-thu-20i-7-fl3T-'- Existing Building, choose a method of construction compliance/alteration level.
Place this information on pager A-1, under Design Criteria. 2 revised copies needed.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5844
Email:rnj ones@coab.us
/e 0/ P-P V'I e 0 /1 J", 5,
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
OFFICE COPY
i T.
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 518 Selva Lakes Circle PermitNumber: �,eSIY-6310
Legal Description 11 /7 2,5- 2 q 10 5elilA Lhke-< goi-r Ll Z07/02REtt f 726 2-7 - S6e>o
Valuation of Work(Replacement Cost)$21.500.00 _Heated/CooledSF 'J46r+@'- Non-Heated/Cooled _4z��
• ClassofWork: E]New DAddition VIAlteration E]Repair DMove EIDemo OPool E]Window/Door
• Use of existing/proposed structure(s): Kommercial [ErResidential '
If an existing structure,is a fire sprinkler system installed'): RY7[MEINo
Will tree(s) be removed in association with proposed pro e submit separate Tree Removal Permit)
Describe in detail the type of work to be performed: Reftioth
Florida Product Approval tt for multiple products use product approval form
Propertv Owner Information
Name T-6 KA 14- 170se Address
City 1+7t4tJ7r? l3eAc'4 State P L- Zip Phone 4f
E-Mail-URCAS 05&VIA s Q Mac-com
Owner or Agent(If Agent!Power of Attorney or Agency Letter Required) n/a
Contractor Information
NameofCompany Rqdofo pn6ia slepeL11're- -Qualifying Agent W _r DAV&-eJedAT
Address 23& lql',h AV- t4l - CityT&),. t9,2ACA State r--/- Zip 3 22-S�4
Office Phone E - me) Job Site Contact Number VP S�a/- 1
State Certification/Registration# raC OS17 qS E-Mail A 0 Pt 6 r-4 0 0�.nt A I L
Architect Name&Phone# Aq &,e,9,4 C)e!5,*PJS 2 262; Y �Wj_,R e 11AA htZA
Engineer's Name&Phone#
Workers Compensation Insurer&,� AJ Stff A dC c-. OR Exempt Ei 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 regulating
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 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 UR NOTICE OF COMMENCEMENT.
—7— ibignature%f Owner or Agent) (Signatur4 of Contractor)
Signed and sworn to(or affirmed)before me this Z& day of Signed and sworn to(or affirmed)before me this dayof
IV:, J , -U ig by/7A A-4 3viS-41:�g rJo 2-0 lY, b W,
(Signature of Notary)
NOTARY PUBILIC Sandm Elaine Day
STATE OF FLORIDA NOTARY PUBLIC
STATE OF FLORIDA
[tol Personally Known OR Canin FF913471 [loKPersonally Known OR
[ I Produced Identification Expires 8/2712019 [ J Produced Identification Comm#FF913471
Type of Identificatiow Type of Identification: Expires 8/27/2019
NOTICE OF COMMENCEMENT
State of Tax Folio No. t 70 ?,-7 175�&O
County of VLJ V A
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:
17 -15, 2-16 6
Address of property being improved: G7 -Set0l t4eec C ijec t e-
General description of improvements: A-%, rc X (2 Aj P- C M 0 e(e-
Owner: TA Ah Address: S / 8- 5eL4r.4 14kee- e t"jee e-
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: kadlaij 5eellf Ce!i t4dt<77
Address:-3,3 1C, 7X 4 61 IAJ ck r— Z-7-19- 6
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#2018276737,OR E3K 18607 Page-1392,
Name and address of any person making a loan for the construction of the i� Number Pages: 1
Recorded 11/26/2018 03:32 PM, OURT DUVAL
Name: AJZA RONNIE FUSSELL CLERK CIRCUIT C
COUNTY
Address: RECORDING $10-00
Phone No: z 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: z 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: �j 4
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: Date: 11124d—,4
10 Sandra EWne Day Before me this day of v in the County of Duval,State
NOTARY PUBUC Of Florida,has personally appeared jA-1C4-, --V,6-cgpjg -
sTATE OF FLORIDA Notary Public at Large,State of Florida,County of Duval. Sandra tam Day
Cann*FF913471 My commission expires: lei -�Wk NOTARY PUBLIC
Expires 8/27/2019 Personally Known: t.-' 5 1 ATEDFTL(PIDA
Produced Identification: %I 1-1-V164f I
r-XP-i-ro-s-B7277201 9
OFFICE COPY
Construction Site Management Plan Checklist
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
A construction site management plan conforming to the City of Atlantic Beach Code of Ordinances Sec. 6-
18 must be included with every permit. An approved Construction Site Management Plan must be posted
on the job site and available for review.
The Construction Site Management Plan must include the following information:
1. Parking plan: Parking plan showing how site will be accessed and all onsite and abutting street
parking areas. ONLY 7�J-D j� , 5;, e
;1 4_f �dA
ly"—
t`tl r,t.3 7 e r' 0,e e iJA Y
2. Location of construction trailers, loading/u n loading area, and material stora�e area.
Oii-l- 4ee(ettVeiee/ el,4iLy —tJ6Ae 577,ee,�'
3. Location of chemical toilet area: Chemical toilets must be kept out of the City right-of-way and not
further than 15 feet from structure under construction. CL;e,47' 110-ir .617
Y-2- 4,+7A i)eisiJ �,-74�4-c — AJO &1,i�7i7e r&vte_r-
4. Location of clumpster: Dumpster must be from a City-approved waste company, in accordance
with Chapter 16 of the City of Atlantic Beach Code of Ordinances. Dumpsters are to have tarp
covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate
of Occupancy or Certificate of Completion. jib L)jf^05�7ee kJ'ILZ- &(L
letApvtoel Ae7'
Lr
5. Traffic control plan, showing access with dimensions, area to be 9 abilized, narrative on phasing of
construction with adequate parking and delivery of materials.
PIA
1P
6. Site cleanliness: Contractor must have the entire construction site cleaned by Friday of each week.
This means removal of scrap lumber, concrete remnants and other such construction debris
including cans, metal, plastic, and paper. /1 t4- A)7ee1,V0,'-0 Lj,0A-1r —WJ-L 42z 61e,14-o-f6'
7. Erosion and Sediment Control: Contractor must mai tain all elements of the approved Erosion &
Sediment Control Plan (silt fence, catch basin filters, etc.) until sod or other stabilization has been
placed and approved by Public Works. t4
8. Other activities, where special conditions are identified by the Building Official.
Failure to comply with the Construction Site Management Ordinance may
result in a Stop Work Order being issued in accordance with City of Atlantic
Beach Code of Ordinances Sec. 6-17 (b)(3).
2, 1
Updated 1019118
A a I a -T Z; RADON OFFICE COPY
PROFESSIONAL
SERVICES, INC.
TO: Atlantic Beach Building Department
Property Address: 518 Selva Lakes Cir. Atlantic Beach, FL 32233
Permit # RES18-0390
Occupancy Class: For single family dwelling.
Architects: Barbera Design License No. 8757
110 Sanchez Dr. W.
Ponte Vedra Beach, FL 32082
904-686-1693
Vinc,eda rbera79@comcast.net
7
Vincent Barbera
Contractor: Tony Davenport License CGC057793
- Z;T" �'
Tony Davdnport V-
8LOZ 6 L 030
336 FOURTEENTH AVE.NORTH*JACKSONVILLE BEACH,FL 32250-7335 (904)246-8970 WATS:800-525-7236 o FAX:(904)246-3846