335 2nd St RES19-0370 Int Remodel i'-L ,,, RESIDENTIAL PERMIT PERMIT NUMBER
, RES19-0370
CITY OF ATLANTIC BEACH
010 800 SEMINOLE ROAD ISSUED: 1/14/2020
—On`'> ATLANTIC BEACH. FL 32233 EXPIRES: 7/12/2020
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: DESCRIPTION: I VALUE OF WORK:
335 2ND ST RESIDENTIAL ALTERATION INTERIOR REMODEL $17000.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: .` 'I NUMBER: GROUP:
169783 0020 ATLANTIC BEACH
COMPANY: , ADDRESS: CITY: STATE: ZIP:
HOM SPACE 116 13TH AVE N ATLANTIC BEACH FL 32233
OWNER: , ADDRESS: CITY: STATE: ZIP:
HALL BRIAN L 335 2ND ST 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.
1Roll 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 $140.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $70.00
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.90
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.60
TOTAL: $266.50
Issued Date 1/14/2020 1 of 2
CaLr'o%� RESIDENTIAL PERMIT PERMIT NUMBER
“ RES19-0370
s, CITY OF ATLANTIC BEACH=" ISSUED: 1/14/2020
800 SEMINOLE ROAD
':'',0;ss>r ATLANTIC BEACH. FL 32233 EXPIRES: 7/12/2020
Issued Date: 1/14/2020 2 of 2
-,, City of Atlantic Beach APPLICATION NUMBER
(r.v..:-InWA Building Department (To be assigned by the Buildingg-�Department.)
r, 800 Seminole Road E I 1, -03 7 0
• Atlantic Beach, Florida 32233-5445
; 1 Phone(904)247-5826 • Fax(904)247-5845 / p
u;t yr E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a3 S
Zg\CA Department review required Yes No
uildin
Applicant: 17-4 0 ,RA ( (\D Planning &Zoning
Tree Administrator
Project: I N c E121 0 2 R_G--liKvO_Q_C _ Public Works
Public Utilities
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: ❑Approved. Kbenied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: y __Date: ia' .2 3 19
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
,s': r,, ',, Building Permit Application COPY Updated 10/9/18
S OFFICE
1 City of Atlantic Beach Building Department **ALL INFORMATION
y 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
~��;��" IS REQUIRED.
Phone:� (904)0247-5826 Email: Building-Dept@coab.us j� 1('� 2 -7
Job Address: 3 fir. Permit Number: `, `�Sl` l -, �J `
Legal Description69 (t 'Z.5— Lei L , 2,4 RE# /64-"7 -S 60 2 IV
Valuation of Work(Replacement Cost)$ (7 , ?OO Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New Addition V(Alteration ❑Repair//❑Move ❑Demo ❑Pool ❑Window/Door L�R
• Use of existing/proposed structure(s): ❑Commercial esidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes Rio
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit se arate Tree Removal Permit) ❑No
(Liar-I-16-
in detail the type of work to be p rformed: f + ��
Jvt+i L- ISkhC,4 l6-r ,��DC�Iill,tt, I S,'`Itor pG i tA,� {S 7' •�ICbr JV1i?r'f
J
Florida Product Approval# for multiple products use product approval form
PropertjOwner Information
Name l7rle:bk L (-3-A Address 835 2 OL S4-.
City AA-LA-He sG1,, F State Zip .3 2-Z33 Phone C1 7 6.vi .3g-4 7
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) -.
Contractor Information
Name of Company i4-C. IAA. ;f9A.Ce µL Qualifying Agent . , `�)viyt„ {/J PS(• e'.
Address I I 13+i. 4V e kg,,--H, City 0-(,23 J ()..., State �L.- ip /2250 E
Office Phone 4.I'64 4-7z 16,4 4 Job Site Contact Number ..,,C,1 IA" eL! cs 1 4e r
State Certification/Registration#Ct C 17.- ii-i.51 E-Mail ho1MSf& e.q ,4- v ttT 1 _ Ce"N U
Architect Name&Phone# 0 c
Engineer's Name&Phone# 7
Workers Compensation Insurer OR Exempt Expiration Date I( ( 0 a 0 C
r, H ss
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work r inst la�5r ,aQ �j
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reguOir 11- Z }
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIOSQ p 8 c
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremen> oI-hig
permit,there may be additional restrictions applicable to this property that may be found in the public records of this count O Q
there may be additional permits required from other governmental entities such as water management districts,state agentit N U
federal agencies. 0 Q I- W
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wittial� c
applicable laws regulating construction and zoning. 0 a 12 0
—
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M/ V N w kJ
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN$ND cc _
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND R OR A A O' EY BEFORE cctt o
RE ORDING YOUR NOTICE OF COMMENCEMENT.
IT 1I IJ (Signature of Owner or Agent) (Si:•. ure of :ntractor)
wAi i ed and sworn to(or affirmed)before me this I2 day of ' . d and sworn T r:ffirmird)befo -Ane this/=day of
3 3 1 p ( , Z01 9 ,by AA) L# ` . , 4 y SE'S t( _ -at 1
RIS =
RI i2, 0 . g (Signe ota ) ianatur o
g$
Personally Known OR ��•
Personally Known OR Yo TONtGINDLESPERGER
°j;:g Produced Identification [ I Produced Identification =i4'` '`-t5e
_,-!.:,Si° : " 1,1 MY COMMISSION#GG 353178
!Is 1 �•ie of Identification:f/O(W,l p*I 't L/s i)5� Type of Identification: ,�,�
o :4,, EXPIRES: ectocto: I �0�2�3,y
#'„s a.R• •FOF flop: Bonded Thru Notary Pubic�n derwriers
i
Jfl
; �ei; , CITY OF ATLANTIC BEACH
J 800SEMINOLE ROAD
s-) ATLANTIC BEACH, FL 32233
(904) 247-5800
—01119
BUILDING REVIEW COMMENTS
Date: 12/23/2019
Permit#: RES19-0370 Site Address: 335 2ND ST
Review Status: Denied RE#: 169783 0020
Applicant: HOM SPACE Property Owner: HALL BRIAN L
Email: homspace66@gmail.com Email:
Phone: 9043059626 Phone: 6176998847
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. Please submit 2 copies of kitchen floor plans, existing and proposed. Show whether the island will have
sink, cooking devices and where receptacles will be located.
2. Countertop receptacles shall be compliant with E3901.4.2 and E3901.4.5-exception.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 247-5844
Email:mjones@coab.us
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
within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
Revision Request/Correction to Comments * ALL INFORMATION
S1 HIGHLIGHTED IN
`111 City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 tt
} �-oj Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: IAC`. ( `.- + - _-
Revision to Issued Permit OR Corrections to Comments Date: /Z/L7///'
Project Address: 335 4ec.chiOC .
Contractor/Contact Name: ti-I9e file.... Will/40, �/ 51ttcy* 90 f7Z TGsi"
Contact Phone: T 17 l/ir Email: AaPit 1 ce Of 9 q/, e-il'v"-
Description of Proposed Revision/Corrections: !l
re�fes /S/Aal a; hielevt iwlu�YPr de(oc. &
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• W. proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• W' proposed revision/corrections add additional incr•ase in building value to • iginal submittal?
L"JNo ❑*yes (additional increase in building va A: / / ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: i � IIIM/IK
/ ,
�✓ V • iiiihol
(6 fice Use Only)
l Approved ❑ Denied ❑ Not Applicable to Department Permit Fee D e$ SO. •0
Revision/Plan Review Comments 6.434,,i--
r,
De artment Review Required:
Building ril
Planning&Zoning / Reviewed By
Tree Administrator
Public Works
Public Utilities / - Z' P-O
Public Safety Date
Fire Services Updated 10/17/18
Perm., 71. R sA9 -0 370 OFFICE COPY
NOTICE OF COMMENCEMENT
State of ��tC� ' Tax Folio No.
County of (a VokA
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. p ��
Legal Description of property being improved: 5- 1 (6 2.S ,Z�i 2_' IVfj'/
Z i, V - ie - (4 Cox S a c- tyit 15114 SCYZ,VA4-, P)14-
Address of property being improved: 3 21101 Si, c airs �jck ! � 22-3 5
General description of improvements: rel GY'i� _ j�C P 4 IS �G ("�'m'' Cro.Aa
ic e ,P1O �vt) l�,F ,ct,-4 - .� Icor) ff.i t, �- 14- FI
er r IA' VI 0 r
Owner: lg Y IG'�.iin. �t l✓11=-(( Address: .33 'ZJ 54... A1.4e k fiG get
s. ?72zT:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: 1-4-0)" c cA Ce I fru--
Address:
tivAddress: 1'3 +k 4tieVtute, I'JA ,GC.-k- to 0i I(P 156i, 4L
Telephone No.464-47l 6'1( 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:
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: ge-7 (2-//2-11
°(
Doc#2019284677,OR BK 19036 Page 446, Q Date:
Number Pages:1 Before me this 11-44,‘ day of D cc e,,„I Io e(2 11n the County of Duval,State
Recorded 12/13/2019 09:09 AM, Of Florida,has personally appeared 114/0611 air'Vila
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,County of Duval.
COUNTY My commission expires: 0'? I&/2023 ; TANGELAJEU
RECORDING $10.00 Personally Known: _ ;
Produced Identification:fl4fiQrt ''/Vf, j G' 1: MY COMMISSION#GG 913686
EXPIRES:September 16,2023
..tdi 6°V Banded Tlxu Notary Public Underwriters
;SI-
X(�ICE
ES I G� fel F. P.
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A-l.L E�XISTINC�
CAO1 N 'ETi2-Y;
NO CRA Nq ES
OFFICE COPY
REVISION
BP# 651 -C>370
DATE__�l Z I Z o
ig as -is
ig removed
RA l -L
pEMo P1,� N
122Co.
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OFFICE COPY
REVISION
BP#jf !. f - D 370
DATE I / Z 1,2o
SIIGNED
y\J
j
r�� CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
m, 800 SEMINOLE ROAD
D;;��; ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RES19-0370
RESIDENTIAL ALTERATION RESIDENTIAL
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
335 2ND ST 169783 0020
DESCRIPTION OF WORK:
INTERIOR REMODEL
OWNER: CONTRACTOR:
HALL BRIAN L HOM SPACE
335 2ND ST 116 13TH AVE N
ATLANTIC BEACH, FL 32233 ATLANTIC BEACH, FL 32233
APPROVED: Dik--4....‘Atec--6A
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL