1729 Ocean Grove Dr. RES19-0100 Remodel 4,17-4-1440, RESIDENTIAL PERMIT PERMIT NUMBER
( il:it al' CITY OF ATLANTIC BEACH RES19-0100
4,4 800 SEMINOLE ROAD ISSUED: 4/10/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/7/2019
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: i DESCRIPTION: VALUE OF WORK:
1729 OCEAN GROVE DR RESIDENTIAL ALTERATION interior bathroom remodel &
RESIDENTIAL stairs reconfiguration $60000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169610 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
KLT CONSTRUCTION, INC 1951 OCEAN DR S#1A JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
LALIBERTE JOHN A 14370 MANCHESTER DR NAPLES FL 34114-8626
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.
FEES -: �.. , ,- _ . ,.
Ammar
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $320.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $160.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $7.20
STATE DCA SURCHARGE 455-0000-208-0600 0 $4.80
TOTAL: $492.00
Issued Date:4/10/2019 1 of 2
rl!..Ai"f RESIDENTIAL PERMIT PERMIT NUMBER
J si
1 .`" CITY OF ATLANTIC BEACH RES19-0100
,� ISSUED: 4/10/2019
800 SEMINOLE ROAD
�u"v�~ v ATLANTIC BEACH. FL 32233 EXPIRES: 10/7/2019
Issued Date:4/10/2019 2 of 2
,S1.n,.J City of Atlantic Beach APPLICATION NUMBER
ofi *. Building Department (To be assigned by the Building Department.)
800 Seminole Road e_e.s lc') _0 1 -DC
, -� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
"'40;t1>'' E-mail: building-dept@coab.us Date routed: 3/3- GJ'15
City web-site: http://www.coab.us i
APPLICATION REVIEW AND TRACKING FORM
Property Address: fl C7 Lac ea() e-/ .f 01 . • Department review required Yew No
/�'�n C 7 �� (Building )
�/
Applicant: L T l 0 Si�A(�fi Y) .-'V ( Planrnng&Zoning
Tree Administrator
Project: t n-t-e-(lD ( :Y,1 V\(00ff\ ( Q rn di._ I Public Works
Public Utilities
SiCtstIS ( 2C()n i l 6,4 fa--"q 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: F pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING4/Reviewed by: Date:% 'c2oiq
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 05/19/2017
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OFFICE COPY
„,;,,,,-..9,,•,..\ Buildin Permit Application
- -- `-,. Cityof Atlantic Beach BuildingDepartment
Updated 10/9/18
**ALL INFORMATION
_ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
15 REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us `` 0 /
Job Address: 1-7 2..l (t CSN F;�a'%E DFL,ft i_ U 'tc. f 9u_ci Permit Number:_I`- L 1ci - 100
Legal Description is le OR 2S-29 C OCca1r. f Ja UN,r Nc 2 ry Y2_ L-t IS- RE# t.t O tl()o‹.
Valuation of Work(Replacement Cost)$(v0 V----- Heated/Cooled SF Non=,Heated/Cooled
• Class of Work: ❑New DAddition yiAlteration ❑Repair DMove ❑Demo ❑Pool 'OWindow/Door
• Use of existing/proposed structure(s): ❑Commercial ,Residential MAR 2 9 2019
• If an existing structure,is a fire sprinkler system installed?: DYes KNo
• Will tree(s)be removed in association with proposed project?DYes(must submit separate Tree Removal Permit) „ INo
Describe in detail the tXpe of work to be performed: Ti fe.r- or• g<4}t,/-c);.rc, / lr r'Rl' e,‘ rq_.,.,v ( ( -0I
new iku,q�.tn3 � \"' Te.+CtL� -at rp)1,�,� ` �re,� 1.t�t f'c c�AoDi ,. f`e}IIS cz.ifl
Florida Product Approval# _ for multiple products use product approval form
Property Owner Information
Name YOH 14 LA LI ber i Address 17 Z9 C'--6*W 06-4 J-' fD
City AlLAIV l4-- 3 .4I State -ft- .Zip -31'I.._33 Phone 9'0'i-cr-3 —47 e
E-Mail w i fiC.t^e_c IT ( V@(V✓, i 71/Y' -
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) _
Contractor Information
Name of Company KL:1 C&J.S"iSNQ1t,J—>{ -1C• Qualifying Agent -tNJ '.•••1 1r,• 1-41\15L4--.'\-(3
Address I T-' I 0C.O.v AL 5 I (I Cit J4( &91,-.L' State Zip 2-2-5")
Office Phone ^ 11-5iV- o1C i 3 Job Site Contact Number �i
State Certification/Registration# CEe I25 5-2-5- E-Mail IcItconytr„ctof C' •C'11,,•1st_-+
Architect Name&Phone if
Engineer's Name&Phone#_
Workers Compensation Insurer OR Exempt Expiration Date11/019 n
Application is hereby made to obtain a permit to do the work and installations as indic d.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
RECOR i i i: i YQUR OT�,CF O�OMMENCEMENT. •
(SignatZ Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me Ojs d'/-,day of Signed and sworn to(or affirmed)before e this d9 day of
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USAWLUAMS =N: ' EXPIRES:October 27,2020
ATF °4. lull'�'\o•oi
r. Notary Pubic-State of=i•r'r a :'rF0r cvse Bonded Thru Notary Public Underwriters
[ )Personally Known OR •. Commss,on,GC.:22454 I J Personally Known OR
J 4Produced Identification -''` = :. MyComm.Expires Sta2.202' [Vroduced Identification , e
Type of Identification: L. * it)-5':°- $ r'''r Type of Identification: f- L c rt �1 J �tL. ii
Ft. NOTICE OF COMMENCEMENT
State of T C C ' l DA Tax Folio No.
County of Du 01.
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: 2,-,�n (3'7 S 2_9C O&4`71N a-4 (1N r oto
o i-
tv LtJ /C
Address of property being improved: 1 Tri r) r^ i r`J . (Lc de 'Jit- A al)s`'1 C 1.3 '42_3 3
General description of improvements: .—kV "�^6'{vC+ �/1 `e 1.1i�.il�r�' r -Lei NI "t..b
Owner:,IorLPJ i--ALi 8g'-h- Address:_i 7 i oun?.•) 66.4)✓C O^_ /OZV i1C /t>rL-
Owner's interest in site of the improvement: L Ot7 L r+ _ S"« 3 S
Fee Simple Titleholder(if other than owner):
Name: _
Contractor: (,'` ( v:J�Tl�Ui�? vt� �t C . - 1C.2V r r1 bJ• I'IL SLC --
Address: let\L �C'8-411.'/ 7a.' c i \-f:13•17'"/..t)4
Telephone No 7c) 'f-`613 14.. 13 13 Fax No:_
Surety(if any)
Address: Amount of Bond$
Telephone No: - F Doc#2019070389,OR BK 18735 Page 1096,
Number Pages:1
Name and address of any person making a loan for the constru Recorded 03/29/2019 01:45 PM,
Name: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
/// COUNTY
Address: RECORDING $10.00
Phone 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 /
Signed. Date: ••/f/�
Before me this Ste' day of —�01 in the county of D aT tate
LISAWILLIAMSD o/
• Of Florida,has personally appeared 7i�ti� t���P
Nota Public-State of Florida
Notary Notary Public at Large,State of Florida,county of .CO Sot—
' i Commission=GG 122654
• /! My Comm.Expires Sep 2.2021 My commission expires: _Sept- ,,2-002-]I
� � `•' acrdedthough hatleralncl>_ykw. Personally Known: _or
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ENLA'iA,G'lp,D LANDING
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JOIST ® 16" O.C., TYPICAL
NEW SIMPSON HU28
JOIST HANGER INSTALLED
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-- MATCH EXIST. FFE
2ND FLOOR
NEW 2X8 SYP OR BETTER
JOIST ® 16" O.C., TYPICAL
NEW SIMPSON HU28
JOIST HANGER INSTALLED
PER MNFR. SPECIFICATION
PERMIT AGENCY: ATLANTIC BEACH BUILDING DEPARTMENT
NOTE TO REVIEWER:
1.) NO EXISTING EGRESS OPENINGS AND/OR PATH TO EXIT(S) ARE AFFECTED.
2.) ALL EXISTING APPROVED LIFE SAFETY DISTANCES TO REMAIN UNDISTURBED.
3.) THE SCOPE OF THIS PROJECT IS INFILL AN EXISTING 2ND FLOOR OPENING
(TO COMPLETE NEW FLOOR AREA OF ±4' WIDE x ±10' LONG).
4.) NO EXISTING STRUCTURAL COMPONENTS ARE BEING CUT, ALTERED, NOR REMOVED.
PROJECT LOCATION
1729 OCEAN GROVE DRIVE
ATLANTIC BEACH, FL 32233
PROJECT LOCATION MAP
PROJECT LOCATED IN THE 125 MPH ZONE
NOT TO SCALE
ECTUREAL SITE IPLAN NORTH
KLT
CONSTRUCTION
N C O R P O R A T E D
1300 SHETTER AVE #1102
JACKSONVILLE BEACH,
FLORIDA 32250'
(904) 81 3-8699 OFFICE
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ENLA'iA,G'lp,D LANDING
IN --FILL �'L0aR PLAN
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NEW 2X8 SYP OR BETTER
JOIST ® 16" O.C., TYPICAL
NEW SIMPSON HU28
JOIST HANGER INSTALLED
PER MNFR. SPECIFICATION
-- MATCH EXIST. FFE
2ND FLOOR
NEW 2X8 SYP OR BETTER
JOIST ® 16" O.C., TYPICAL
NEW SIMPSON HU28
JOIST HANGER INSTALLED
PER MNFR. SPECIFICATION
PERMIT AGENCY: ATLANTIC BEACH BUILDING DEPARTMENT
NOTE TO REVIEWER:
1.) NO EXISTING EGRESS OPENINGS AND/OR PATH TO EXIT(S) ARE AFFECTED.
2.) ALL EXISTING APPROVED LIFE SAFETY DISTANCES TO REMAIN UNDISTURBED.
3.) THE SCOPE OF THIS PROJECT IS INFILL AN EXISTING 2ND FLOOR OPENING
(TO COMPLETE NEW FLOOR AREA OF ±4' WIDE x ±10' LONG).
4.) NO EXISTING STRUCTURAL COMPONENTS ARE BEING CUT, ALTERED, NOR REMOVED.
PROJECT LOCATION
1729 OCEAN GROVE DRIVE
ATLANTIC BEACH, FL 32233
PROJECT LOCATION MAP
PROJECT LOCATED IN THE 125 MPH ZONE
NOT TO SCALE
ECTUREAL SITE IPLAN NORTH
KLT
CONSTRUCTION
N C O R P O R A T E D
1300 SHETTER AVE #1102
JACKSONVILLE BEACH,
FLORIDA 32250'
(904) 81 3-8699 OFFICE
KLTCONSTRUCTION@ATT.NET
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Project Number
P190130
REVISIONS
Permit/Bid Issue
1 XX/X/XX
Construction Issue
Date
01/30/19
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COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS
FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
REVIEWED BY: DATE: Gg
Project Number
P190130
REVISIONS
Permit/Bid Issue
1 XX/X/XX
Construction Issue
Date
01/30/19
Sheet
Am 1