472 E Sailfish Dr RES20-0118 Interior Remodel (2)OWNER: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 RESIDENTIAL ALTERATION
RESIDENTIAL interior remodel $10000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $161.86
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 2Issued Date: 6/17/2020
PERMIT NUMBER
RES20-0118
ISSUED: 6/17/2020
EXPIRES: 12/14/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/17/2020
PERMIT NUMBER
RES20-0118
ISSUED: 6/17/2020
EXPIRES: 12/14/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $220.86
DEMO20-0015 Address: 472 E SAILFISH DR APN: 171402 0000 $59.00
BUILDING $55.00
DEMOLITION 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
RES20-0118 Address: 472 E SAILFISH DR APN: 171402 0000 $161.86
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN REVIEW $52.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE SURCHARGES $4.36
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12115 $220.86
Printed: Wednesday, June 17, 2020 10:31 AM
Date Paid: Tuesday, June 16, 2020
Paid By: Stinson Charles and Chelsea
Pay Method: CHECK 1157
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12115
;: ,;,i~\:1;,~·.?' Building Permit Application
€ •~ City of Atlantic Beach Building Department
. "'-u.t ,;·,:// 800 Seminole Road, Atlantic Be ach, FL 32233
---Phone: {904) 247-5826 Email: Building Dept(cDcua b.us
Updated 10/9/18
0 ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED .
Job Address : L\'1'1.-Si?\.\\ r°\~V\ \)v • t Permit Number: _________ _
LegalDescription l,\-\\.f \1-1.S '"'2-4£, f-~ vf yt ~\:]'.>11\W\~ lA~1tA RE# \:1\'-\o--z_..-oooo
Valuation of Work (Replacement Cost) $ \O1QX) Heated/Cooled SF ____ Non-Heated/Cooled ____ _
• Class of Work: □New □Addition ~teration □Repair □Move l!l'6emo □Pool □Window/Door
• Use of existing/proposed structure(s): □Commercial 12:!f{esidential
• If an existing structure, is a fire sprinkler system installed?: □Yes □No
• WiU tree s be removed in associa t ion with ro osed ro·ect ? □Yes mu st submit se arate Tree Removal Perm it ~o
Describe In detail the type of work to be performed: 'fttc,\,\.t.V\ 1 WV\~ ~ 1 ~t;.\-\t;,I\~ v..tAMt:Olu{ -
-f\cov v,l.-{\V\\4,V-\~·(~ot( ~') .{N\~vN. ck:ov~i/\1 c,J,,.~ lw\/cto;l.+ .-nll11Av-f. ~ol ':...) I . G. :.J YU\I\OVP.
Florida Product Approval # __ ~..__.,...,_ ______________ for multiple products use product approval for m
Property Owner Information
Name !:Me-v\.ts SbY¼<;;Y\ ( 't cw\S(A ') Address ---141~'1---.,.,SR.L:.>.J\\_,_-n..!.:<.::..;..Yl __ k'-'-----"e.~--:--:--r--.--:-;:-~
City ~ '.B,(N h State f=°l Zip :31:·2:'3.3 Phone "3\'fA'1-~\.R I (10'-f -L{oz-GS1•
E-Ma i I CW \ ~'.!W\So,('\ IO <? ~Vll\0-,\. C.CW'\
Owner or Agent {If Agent, Power ofAttdrney or Agency Letter Required) _________________ _
Contractor Information
Name of Company 'QJJ,(\.LV lr;:.u ~ ~\d,lv AH=-.) QuaJifying Agent ______________ _
Address __________________ City _______ State ___ Zip _____ _
Office Phone Job Site Conta ct Number ______________ _
State Certification/Registration# E-Mail ____________________ _
Architect Name & Phone# _______________________________ _
Engineer's Name & Phone# ________________________________ _
Workers Compensation Insurer ______________ OR Exempt □ 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 ha s
commenced prior to the issuance of a permi t and that all work will be performed to meet the standards of all the l aws regulati ng
construction in this jurisdiction . I understand that a separate permit must be secu red for ELECTRICAL WORK , PLUMBING, SIGN S,
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 'Z.Oning.
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
RECO(:~R NOTl~ENCEMENT.
(Signa~ Owner or Agent) -------(S-ig-na-t-ur-e-of_C_o_nt-ra-ct-o-r) _____ _
Signed and sworn to (or affirmed) before me this __ day of
---~--__,by _________ _
{ ) Personally Known OR
[ I Produced Identification
Type of Identification :
(Signature of Notary)
Signed and sworn to (or affir med) befor e m e this __ da y of
---~--~by __________ _
(Signature of Notary)
l ) 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
Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
~:vision to Issued Permit OR @corrections to Comments
Project Address: it) 1.-~\\ Tu . t::
.. ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT#: ______ _
Contractor/Contact Name: -.1.C~w~...i.lSt....a...'.//\.~___:?!1::::..:....~~i~~.:.....!.----------------
Contact Phone: L\O~ SS':'\'1: Email: Ck\,l!W\~V'GOf'\~~\l.
Description of Proposed Revision / Corrections:
J.rov:w~ -'?v P'-V!V%Y ~-jN. d,\Pf: 1< cY' q... 1/\0f\-\o~~\I\~
½JP\\\ 1 1<W t&i.y-a,A: --\? IA c,\P'2(±-\'-'L I)..'& vpOMQ~ 4:.\]:l. of
-1½:t-c.lb¾:\: ::\:o 1f0:1.Rf:,(_ 4-N-clcn½N0~ V" ·
I C 1/uA~ f;:t\ V\~ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name}
•_jyjll proposed revision/corrections add additional square footage to original submittal?
ILJNo ~es (additional s.f. to be added: V'\~ ) ""'
•~ proposed revision/corrections add additional increase in building value to original submittal?
~No ~es (additional increase in building value: $ 11\.by'\P < ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: ___________________ _
(Office Use Only)
D Approved D Denied D Not Applicable to Department Permit Fee Due$ _____ _
Revision/Plan Review Comments _________________________ _
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18
RES20-0118