1872 HICKORY LN RES19-0003 interior remodel permit � �r RESIDENTIAL PERMIT PERMIT NUMBER
A {t RES19-0003
J r CITY OF ATLANTIC BEACH ISSUED: 1/25/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/24/2019
MUST CALL INSPECTION • • 91 + ) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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: VALUE OF WORK:
1872 HICKORY LN RESIDENTIAL ALTERATION INTERIOR REMODEL $40000.00
RESIDENTIAL
TYPE OF
• • GROUP:
172020 1458 SELVA MARINA UNIT
12C R/P
COMPANY: ADDRESS:
FIRST COAST ENTERPRISES 920 9TH ST SUITE 20 JACKSONVILLE FL 32250
OF NE FLORIDA, I BEACH
• ADDRESS:
ROGER POSTLETHWAITE 1645 Selva Marina 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.
ST 0 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 455-0000-322-1000 0 $255.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $127.50
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $6.49
Issued Date: 1/25/2019 1 of 2
,rS-,'''Jf% RESIDENTIAL PERMIT PERMIT NUMBER
"J si1 RES19-0003
CITY OF ATLANTIC BEACH
~, 800 SEMINOLE ROAD ISSUED: 1/25/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/24/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.33
TOTAL: $443.32
Issued Date: 1/25/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road O�3
s' Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 Fax(904)247-5845 1
E-mail: building-dept@coab.us Date routed: l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l De artment review required Ye No
uildin
Applicant: SCS &Zoning
Tree Administrator
Project: _ '_ Ep=( Q=1\3 cl�) Public Works
Public Utilities
Public Safety
Fire Services O
Review fee $ Dept Signature che-4, O
n �L
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: []Approved. [Denied.
(Circle one.) Comments:
(:'BUILDING
PLANI &ZONING
Reviewed by: Date: / G7_/G
TREE ADMIN. Second Review: ®A roved as revised.
Pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:�"�y'/�
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
qL OFFICE COPY
Revision Request/Correction to Comments **HIGHLIALL HIGHLIGHTED
ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
y 800 Seminole Rd, Atlantic Beach, FL 32233
j '- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
El Revision to Issued Permit OR aCorrections to Comments Date: )
Project Address:
Contractor/Contact Name: A 'I
Contact Phone: % b 7 7 S 7 S �-� Email: ��iC/�r� <« s ' " �'`1• /��c
Description of Proposed Revision/Corrections:
o,16SSc rD
I X L affirm the revision/correction to comments is inclusive of the proposed changes. /
(printed name)
• Will posed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added:
Vv
• Wil oposed revision/corrections add additional increase ' wilding value to original submittal?
Wo []*Yes (additional increase in building value: ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
r (Office Use Only) t^
d Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
uiIding�
Planning&Zoning Reviewed By
Tree Administrator
Public Works p
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
s CITY OF ATLANTIC BEACH
! 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
OFFICE COPY (904) 247-5800
BUILDING REVIEW COMMENTS
Date: 1/9/2019
Permit#: RES19-0003 Site Address: 1872 HICKORY LN
Review Status: denied REM 172020 1458
Applicant: FIRST COAST ENTERPRISES OF NE FLORIDA, Property Owner: DANIEL & COREY PIEERSON
I
Email: firstcoastent@belIsouth.net Email: RFPR@AOL.COM
Phone: 9042420100 Phone: 9045345528
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:
1 . Submit existing floorplans and proposed floor plans. 2 copies.
1:2. Other review comments may be added after receiving the floor plans.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5 844
Email:mjones@coab.us
LPeo e w Co•r wl-o,ry L— a 01 Y,
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
Building Permit ApplicationCFFICE COPY 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 Email: Building-Dept@coab.us IS REQUIRED.Job Address: 1872 Hickory Lane Atlantic Bch,FL 32233 Permit Number: Re_�19 `0003
Legal Description 37-29 9-2S-29E Selva Marina Unit 12C Lot 28 RE# 172020-1458 W
Valuation of Work(Replacement Cost)$40,000.000 Heated/Coole"F Non-Heated/Cooled Z v
• Class of Work: ❑New ❑Addition VAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door J V Z O t
• Use of existing/proposed structure(s): ❑Commercial OResidential W 0 W
m
� 00 a
• If an existing structure,is a fire sprinkler system installed?: ❑Yes JANo V V 0 U O
Q
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal PerWit
Describe in detail the type of work to be performed: U LL Q
Kitchen & laundry remodel Q ~ w
Florida Product Approval# for multiple products use product a6pQvauf(gnIL
m
Property Owner Information rt, W W WName Roger�cci� PC's Yl�,AtiwU',+e— fC" Address 1872 Hickory Lane �III V N Q
City Atlantic Bch State FL Zip 32233 Phone 904-&2+-&3 534 6S# lijki XW
E-Mail rfpr@aol.com W W
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company First Coast Enterprises of NE FL, Inc. Qualifying Agent Francis Joura
Address 920-A 8th Avenue South City Jacksonville Bch State FL Zip 23350
Office Phone 904-242-0100 _Job Site Contact Number 904-465-4552
State Certification/Registration# CRC043801 E-Mail-firstcoastent@bellsouth.net
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer Lions Insurance OR Exempt❑ Expiration Date 01/01/2020
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 maybe 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 Y TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINA CI CONSULT WITH YOUR LENDER N ORNEY BEFORE
RECORDING YOU ICE O MMENCEMENT.
(Signature Owner or Agent) ( ignature of Contractor)
2��
Signed and sworn to(o of irm ) before me this 3 day of Si ned and sworn (or affirmed) before m this > day of
4N��� X19 } �f2 2�s-r� �la���T� �►+ 2ol by rq-e_:b
(Signature of Notary
[PRY PW!.i ALBE MOR;NO
�:: Notary Public-State of Florida aqv o JOSHUA DAVID HERSHEY
[ ]Personal) Known OR * • Commission#FF 239295 0 pmt Notary Public,State of Florida
y y ] Personally Known OR z
My Comm.Expires Jun 9,20191
Commission#GG 252584
Produced Identification '%For, .0, National Nary Assn.'6d Produced Identification
My comm.expires Aug.26,2022
B d thraigh
Type of Identification: Type of Identification:TA WLI
NOTICE OF COMMENCEMENT OFFICE COPY
POd-m � 9&1S / 9 -0003
State of Florida Tax Folio No.
County of Duval
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: 37-29 9-2S-29E Selva Marina Unit 12C Lot 28
Address of property being improved: 1872 Hickory Lane,Atlantic Bch FL 32233
General description of improvements: kitchen & laundry remodel
Owner: Roger Pes#awa 4e CGS-OA43 aAe- Address: 1872 Hickory Lane,Atlantic Bch FL 32233
Owner's interest in site of the improvement: owner
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Francis Joura-First Coast Enterprises of NE FL,Inc.
Address: 920-A 8th Avenue South,Jacksonville Bch FL 32250
Telephone No.: (904)242-0100 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:
co rn yc,'
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a differe dad N
specified):
N
U- � ci
W N j Z
CC W
THIS SPACE FOR RECORDER'S USE ONLY OWNER
LU
Signed: Date: r I✓� 9Q h
Before me this 3 day of �� 0414'y'clin the Count of Duv ,'5t9tef ePy s
Doc#2019001310,OR BK 18646 Page 853, u y
9 Of Florida,has personally appeared bGF�yL 57LfjJ .,�r�tTF D
Number Pages:1
Recorded 01/03/2019 10:24 AM, Notary Public at Large,State of floria,Count f I. m '
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: off,
COUNTY Personally Known:
RECORDING.$10,00 p'.�uuced Identification. e2,VA 1 '-' 4°
OFFICE COPY
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Kitchen and Utility Room - EXISTING PLAN
Postlethwaite residence
1872 Hickory Lane
OFFICE Copy
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BR 2
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BR 2 Closet - EXISTING PLAN
Postlethwaite residence
1872 Hickory Lane
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OFFICE COFy
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Kitchen and Utility Room - PROPOSED PLAN
Postlethwaite residence
1872 Hickory Lane
OFFICE COPY
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BR 2 Closet l
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BR 2 Closet - PROPOSED plan
Postlethwaite residence
1872 Hickory Lane
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All dimensions size designations This is an original design and must Designed: 12/11/2018
given are subject to verification on not be released or copied unless Printed: 1/3/2019
job site and adjustment to Rt job 202 applicable (cc has been paid or job
conditions. 1 order placed.
McBRIDGG RESIDENCE JAII Drawing#: 1 I No Scale.
---71 e"
21 "- - -- 33" 15"
38 4 w, 32 8 11
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Ll_ given are subject to verification on not be released or copied unless Printed: 1/3/2019
job site and adjustment to fit job applicable applicable fee has been paid or job
.L.
Lconditions. vl order placed.
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McBRIDGE RESIDENCE [R #: iEP KITCHEN A11 Drawing No Scale.
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tJCash Register. ReceiptNumber
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City
'J' r
ofAtlanticBeach • • •
DESCRIPTION
• QTY PAID
PermitTRAK $55.00
RES19-0003 Address: 1872 HICKORY LN APN: 172020 1458 $55.00
BUILDING FRAMING ROUGH 01/29/2019 RBE $55.00
BUILDING FRAMING ROUGH 01/29/2019 45500003221002 0 $55.00
RBE
TOTALPAID BY - • : . $55.00
Date Paid: Wednesday,January 30, 2019
Paid By: FIRST COAST ENTERPRISES OF NE FLORIDA, I
Cashier: CB
Pay Method: CREDIT CARD 78099
Printed:Wednesday,January 30,2019 8:47 AM 1 of 1 Tp
TWT