1555 Selva Marina Dr RES19-0248 Int Demo -ellDEMO PERMIT PERMIT NUMBER
RES19-0248
CITY OF ATLANTIC BEACH
Vr 800 SEMINOLE ROAD ISSUED: 8/13/2019
19r ATLANTIC BEACH. FL 32233MUST EXPIRES: 2/9/2020
CALL INSPECTION • • • 1 a 247—S814 BY 4 PM FORaINSPECTION.
ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' a BUILDING
CODE, NEC, IPMC, AND CITYOF ATLANTIC ; a CODE OF ORDINANCES .
ALL • • OF PERMIT a • • 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:
1555 SELVA MARINA DR DEMO INTERIOR ONLY INTERIOR DEMO $2000.00
TYPE OF
• • GROUP:
171946 0000 SELVA MARINA UNIT 02
COMPANY: ADDRESS: '
ADDRESS: STATE:
ARTHUR RICHARD
1555 Selva Marina Dr Atlantic Beach FL 32233
WORSHAM
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.
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 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $101.50
Issued Date: 8/13/2019 1 of 1
Ai f City of Atlantic Beach APPLICATION NUMBER
Building Department (To be ass i ned by the Building Department.)
' - 800 Seminole Road G S ' r 0a
Atlantic Beach, Florida 32233-5445 FFF---
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: u
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l SSS SgkUG{ t/,AQ �r . D ent review required Yes No
uildi
Applicant: OW R Planning &Zoning
Tree Administrator
Project: k(� � Public Works
a R �� Q 1 V1 r(�l�/ Public Utilities
1 Public Safety
antZM O Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
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
ate:FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
x> 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 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1555 Selva Marina Drive Atlantic Beach FI 32233 Permit Number: F,6S l cl — 0 Z'�,f
Legal Description 27-6 16-2S-29E SELVA MARINA UNIT 2 LOT 12 BLK 3 RE# 171946-0000
Valuation of Work(Replacement Cost)$ $2000 Heated/Cooled SF 2604 Non-Heated/Cooled 484
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move XDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial gResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ®No ci O
• Will trees be removed in association with Proposed ro'ect? ❑Yes must submit separate Tree Removal Permit N
Describe in detail the type of work to be performed:Demo of kitchen and 3 baths.Separate plumbing/electrical, permit will be
submitted when reinstalling plumbing,electric,etc.For this Permit,Demo and removal, In Kitchen,removal of Wall and Base Cabinets,
Tile Floors,sink,In Bathrooms, removal of Sink,toilet,cabinets&Tile Floors. Donovan 20 Yrd Dumpster to be used.
Florida Product Approval# _/ for multiple products use product approval form
Property Owner Information
Name Richard Arthur Address 1555 Selva Marina Drive
City Atlantic Beach State F—Zip 32233 Phone 904 422 7424
E-Mail richardwarthur@gmail.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information RECEIVED-
Address
Name of Company Qualifying Agent City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail }(} ^ 2 2019
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Ex
Application is hereby made to obtain a permit to do the work and installations as indicated.I i y Nq j{�' R�Q7r�J�{ r' ncommenced prior to the issuance of a permit and that all work will be performed to meet th I� dI'BTrTr1E =rL
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
RECORDIN UR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Si ned and sworn to(or affirmed) fore met s day of Signed and sworn to(or affirmed)before me this day of
by
(Si ature of of ry) (Signature of Notary)
D. RENE ANGERS
[ Personally Known MY COMMISSION#GG228701 [ ]Personally Known OR
[ ]Produced Identifica o . EXPIRES July 28.2022 [ ]Produced Identification
Type of Identification: Type of Identification:
Owner Builder Affidavit "ALL INFORMATION
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#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/ BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING ATA COST OF $25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
IL INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 1555 Selva Marina Drive, Atlantic Beach, FL, 32233
Owner Name:Richard Arthur Phone Number:
Mailing Address: 304 3rd Street Suite 7 .� City: Neptune Beach State: FL Zip: 32266
Notarized Signature of Owner 00 Iq
The fo going instrument was acknowledged before me thKA' day o 20ain the State of Florida, County
of
Signature of Notary Pub l c
D. RENE ANGERS [''Personally Known OR [ ] Produced Identification
MY comMISSION#GG228i01
EXPIRES.July 28,2022
Type of Identification:
Updated 10124118
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MAP SHOWING SURVEY OF t
LOT 12, BLOCK 3.SELVA MARINA UNIT No.2 AS RECORDED IN PLAT BOOK 27.
PAGES 6 AND 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
16th 5 ME'mwc ROAD
s0'RICHT or wnr _ -
IMPERVIOUS CALCULATIONS
LOT AREA .20.123 salve het +
RESIDENCE AREA -1.936 pave Ieet
UTILITY 80011 AREA 135 e9uare W
ALL CONCRETE MEA BSB pum bet
WOOD DECKING AREA = 251 pave het
( WALIS R A/C PAU MEA 50 eWars•eel
1 TOTAL IMPERVIOUS AREA 32Hp—f t
15.12
0 10 2D AD
f SCALE: 1'.20' t
1
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LOT 11
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1 NOTES
1
I. THIS IS A BOIINDMY AND TOPOGRAPHIC SURVEY WITH TREE LOCATION.
2 BEMINGS ARE BASED ON THE SOIITI LINE OE LOT 12.BOCK 3 BEING
SOLITI 7893'10'WEST,AS PER PLAT.
3. b'BUILDING RE5 CPON UNE SHOWN AS PER PUT.
.. BENCH MARK USED IS A FOUND VAGINAL!DISK(LBM72)IN THE
SIDEVAX AT 1{B{SELINOLE ROAD ESTABLISHED BY WS
OBSERVATIONS ON NOVEMBER 29.2018 BY THISELEVF1RY.
SET SITEA BENCH MMKNAS SHOMNBHEREON.
S FFE DENOTES FINISHED ROOK ELEVATION.
THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONE I
'X'(AREA OF MINIMAL FLOOD HAZARD)AS WELL AS ft
CAN BE DETERMINED FROM THE FLOOD INSURANCE
RATE MAP No. 12C31CO409J,REVISED NOVEMBER 2, THIS SURVEY WAS MADE FOR THE BENEFI-X
2018 FOR DUVAL COUNTY,FLORIDA. RICHARD WORSHAM ARTHUR&EDITH KAI'> A J&ARTHUR; HANCOCK WHITNEY BANK; GIBF:A Al
TITLE SERVICES LLS; and OLD REPUBIJC
NATIONAL TITLE INSURANCE COMPANY.
i
'No T VAUD WITHOUT THE SIGNATURE AND THE STTTHEN W' CREWS. P.S.M.
ORIGINAL RAISED SEAL OF A FLORIDA LICENSEG FLORIDA UC.SURVEYOR and MAPPER Na.L i i9i.
SERVE AND YAPPER' FLORIDA LIC.SJRVEYNG A MAPPING BLSINESS':�.LE N
PCHIDI 209 DRAW eY B� BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241—BS50 aTE.ANE s.z0•.9 _
m® sET_
Prepared By:
Gibraltar Title Services, LLC
4190 Belfort Rd., Suite 475
Jacksonville, FL 32216
Return To:
Gibraltar Title Services, LLC
4190 Belfort Road, Suite 475
Jacksonville, FL 32216
Order No.: GTS-1950679
Property Appraiser's Parcel I.D. (folio) Number:
171946-0000
SPECIAL WARRANTY DEED
THIS SPECIAL WARRANTY DEED dated July 29, 2019, by Mary Belle Heath Aldridge, as Trustee of The
Mary Belle Heath Aldridge Revocable Living Trust dated June 24, 1997, as amended, whose post office
address is PO Box 61496, Durham, North Carolina 27715 (the"Grantor"), to Richard Worsham Arthur and
Edith Kavanaugh Arthur, whose post office address is 1555 Selva Marina Drive, Atlantic Beach, Florida,
32233 (the"Grantee").
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and the
heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations)
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten And No/100 Dollars ($10.00)
and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys, and confirms unto the Grantee, all that certain land situated in County
of Duval, State of Florida, viz:
Lot 12, Block 3, Selva Marina Unit No. 2, a subdivision according to the plat thereof recorded in Plat Book
27, Pages 6 and 6A, of the Public Records of Duval County, Florida.
Property is not the homestead of the Grantor(s).
Subject to easements, restrictions, reservations and limitations of record, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD the same in Fee Simple forever.
AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee
simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor
hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons
claiming by, through or under Grantor; and that said land is free of all encumbrances, except taxes
accruing subsequent to: 2018.
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first
above written.
Sig ed, sealed and delivered in presence of:
The Mary Belle Heath Aldridge Revocable Livingv
Trust dated June 24, 1997, as amended �Witness Signature
Mary B le Heath Aldridge,trustee �,, � Pri ted Name of First Witness
Grantor Address: Witness Signature
PO Box 61496
Durham, NC 27715 Lk 5`� (11�e
Printed Name of Second Witness
State of Florida
County of Duval
THE FOREGOING instrument was acknowledged before me this C&-�! day of July, 2019, by Mary Belle
Heath Aldridge, as Trustee of The Mary Belle Heath Aldridge Revocable Qving Trust dated June 24, 1997,
amended, who is personally known to me or who ( produced LTC S Z-t C t�Z as
id ntification.
Notary Public:
My Commission Expires:
[SEAL]
Notary Public State of Florida
Kristen W.Arranz
+�c My Commission GG 2131097
a Expires 12/09!2022