472 E Sailfish Dr DEMO20-0015 Int DemoOWNER:ADDRESS:CITY:STATE:ZIP:
Stinson Charles and
Chelsea 472 E. Sailfish Dr Atlantic Beach FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171402 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
472 E SAILFISH DR DEMO INTERIOR ONLY interior demo $2000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $59.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date:
PERMIT NUMBER
DEMO20-0015
ISSUED:
EXPIRES:
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: L-tJ '2--\ tD S.Y\ :s:>,r • C Permit Number:
Updated 10/9/18
••ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
-----------
LegalDescription ~\-\\/ \7--Z,.C,-'2,J'l,t ,?:\r o~ZI ~\ J>,.\ms."-"t\f'RE# tw:\0'1--0000
Valuation of Work (Replacement Cost)$ ______ Heated/Cooled SF ____ Non-Heated/Cooled ____ _
• Oass of Work: ~mo
• Use of existing/proposed structure(s): [;;Hfesidential
• If an existing structure, is a fire sprinkler system installed?:
• Will treelsl be removed in association with orooosed oroiect? !must submit seoarate Tree Removal Permit) 01'ilo
Describe in detail the type of work to be performed:
\V\Wl'W dJytv:)
Florida Product Approval It V\\I'\ for multiple products use product approval form Prop -."""--1,r-~--------------
Name
City
Address H'.:J"'l. f.A1\~c;~
:2-"'l-'2-~ Phone "\o4 '::{c;,3, .S~"ff
E-Mail...,..'---'-=..,'""""'.z....::=...>..!:....:=.,c,___:.::::...i..~~F-=--JIO..l.~~~.:.._ __________________ _
Owner or Agent (If Agent, Power of Attorney or
Contractor Information
Name of Company ~v\Q v (9:t o\~ A~~·) Qualifying Agent ______________ _
Address __________________ City _______ State ___ Zip _____ _
Office Phone ______________ JobSiteContact Number ______________ _
State Certification/Registration# ________ E-Mail ____________________ _
Architect Name & Phone# _______________________________ _
Engineer's Name & Phone# _______________________________ _
Workers Compensation lnsurer ______________ OR Exempt o 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 CONDmONERS, etc. N OTICE: 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 perm its [l!(luired from other governmental entities such as water mana~ment districts, state agencies, Olj
federal agenci~
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 JN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC~~R N~OMMENCEMEN_r. ____________ _
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to (or affirmed) before me this __ day of Signed and sworn to (or affirmed) before me this __ day of
___ _, __ _,by __________ _ ___ _, __ _,by __________ _
(Signature of Notary) (Signature of Notary)
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification: ____________ _
[ I Personally Known OR
[ ) Produced Identification
Type of Identification: ____________ _
Owner Builder Affidavit
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: {904) 247-5826 Email: Building-Dept@coab .us
••All INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
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 FAM/LY RES/DENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A 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 UNUCENSEP 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
RE UIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED ..
Ill. 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 LICENSEn 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.
JobAddress: ':\:7"2-G,A,\.64,'\ ::P£:· E.
OwnerName:CWv\l~ -t CJAt\~ 6\1~t>r'\ Phone Number: 11?::f ':f:O~ 59'1':f
Mailing Address: * 4"71--~1\~<.V\ 'P( t City: ~C--State: Pt Zip : "3,"2.-"2 .. :~.3
NotarizedSignatureo/Owner
The foregoing instrument was acknowledged before me this __ day of ___ 20__, in the State of Florida, County
of _____ _
Signature of Notary Public _________________ _
[ ] Personally Known OR [ ] Produced Identification
Type of Identification: __________________ _
Updated 10/24/18
Sheffield & Boatright Title Services, LLC
6101 Gazebo Park Place North, Suite 101
Jacksonville, Florida 32257
Phone: 904-733-7900
Fax: 904-730-2488
April 29 , 2020
Charles E . Stinson and Chelsea Elizabeth Stinson
472 Sailfish Drive E.
Atlantic Beach, Florida 32233
Dear Mr. and Mrs. Stinson:
Enclosed herewith are copies of your closing documents.
The deed to your property is being recorded in the public records at the Courthouse and will be
returned to you within approximately thirty days. Keep your deed in a safe place, as you will
need it as proof of ownership when you apply for homestead exemption. May we remind you
again that this must be done no later than February 28 at the Property Appraiser's Office at the
Courthouse.
We enjoyed being of service to you, and we invite you to call us if you have any questions
concerning this transaction.
Very truly yours,
Sheffield . .
Kiann . Lewis
File No.: 2020-577
Document Enclosure Letter