150 2ND ST - PERMIT RES18-0193 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0193
Description: Interior Completion of Earlier Demo Work
Estimated Value: 30000
Issue Date: 6/8/2018
Expiration Date: 12/5/2018
PROPERTY ADDRESS:
Address: 150 2ND ST
RE Number: 170211 0000
PROPERTY OWNER:
Name: 194 Beach Avenue LLC
Address: 1541 Shipsview Road
Anapolis, MD 21409
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SONSHINE CONSTRUCTION, INC.
Address: 447 ATLANTIC BLVD 05#5
ATLANTIC BEACH, FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 14sc) 2 De nt review required Y7es No
-Iff-u i I d i n q,.)
Applicant: Co A$bud[m ��anninq & Zoning
I ree Administrator
Qublic Utilities
Project: MV�' Or CbMA Ot iw� ublic Works
Public Safety
Fire Services
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: FlApproved. [:]Denied. [:]Not applicable
(Circle one.) Comments: 0
(��BUILDING
PLANNING &ZONING Reviewed by: Date: 6' 7 dolk_
TREE ADMIN. Second Review: E]Approved as revised. F]Dend F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ODenied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/1912017
E-1- (D
Copyilding Permit Applicatiorl
0 Uft 11 1
OFFICE M Ay:3
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: /�o Zo Permit Number,
Legal Description �4 7 14—Zl' 47 Ir AIWIIlel , �41'5� 1641k RE# tWZ11—IM1014
Valuation of Work(Replacement Cost) 1P � Heated/Cooled SIF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
J -V I —
Describe in detail the type of work to be performed-,,,* K1Ad*A) DW171131" Je
I. /
fllo� K 17,0f-Iff
Florida Product Approval# for multiple products use product approval form
Propertv Owner Information
Nam IqU On r1A A-1914UL
I" Address:
City OM�4&06 S te AAY) -zip 2_L_�Eo Pho'ne' 6&k)!7Z.J?3 17ZS; '2
E mail /zU H4 G< 3
blX 1044
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
0
Name of Compan i_,41JR_A1JW
,y: 44&SI-01-111, Qualifying Agen
Y, 6,v5r, ze& t:
Address 90 bve-V C i t y 1H4n1-1,_&AIA State r-4- Zip
Office Phone Y#y 6;W 75-46 3 Job Site/Contact Number &V!9T± 7J-45
State Certification/Registration#Ldc,=W/�E E-Mail e—W P,4(.( -
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
�M /Insurer/Lease Employees/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 regulationg
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
RECORDING Y F COMMENCEMENT.
i47
(S7ig%ure of Owner or Agent) (Signature of Contractor)
(including contractor) "I/ 'I
Si and sworn to(or affirmed)before f Signed and sworn to(or affirmed)before me day of
VOC
M&^h,9�I)f ,b_yJ Y?IVTW—,�............
of Notar
aLry
r8TATE1 OF FLORIDA
rsonally Known OR [M Personally Known 0
CW"OW12743
1—produced Identification 0 Produced Identificati EXPkft 4r=022
poc�,
Type of Identification: Type of Identification:
RU
.....
4R
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
OFFICE COPY.0- ow
Application Number . . . . . 14-00000429 Date 3/20/14
Property Address . . . . . . 1SO 2ND ST
Application type description DEMOLITION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
---------------------------------------------------------------------------
Application desc
interior demo
---------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
WOOLVERTON DERICK R OWNER
3761 109 AVE NW
PONTE VEDRA BEACH FL 32004
---------------------------------------------------------------------------
Permit . . . . . . DEMOLITION PERMIT
Additional desc . -
Permit Fee . . . . 100 . 00 Plan Check Fee or
Issue Date . . . . Valuation . . . .
Expiration Date . . 9/16/14
------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 0
Plan Check Total . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total 104 . 00 104 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
W'..'JL-& JL -----800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
OFFICE COPY
Application Number 14-00000583 Date 4/16/14
Property Address 150 2ND ST
Application type description ELECTRIC ONLY
RES SF DISTRICT
Property Zoning 0 -------
Application valuation ------------------------
-------------------------------------------
Application desc ---------------
repairs ----------------------------------
---------------------------
Contractor
owner ----------
------------- OWNER
WOOLVERTON, DERICK R
3761 log AVE NW
PONTE VEDRA BEACH FL 32004 ------------------------
- - - --------
------------------- - - - - - --ELECTRICAL PERMIT
Permit . . . . 00
Additional desc 65 .40 plan Check Fee 0
Permit Fee Valuation
Issue Date jo/13/14 -----------------
Expiration Date - - --------------------------------- 2 . 00
------------------
-------- STATE ELEC DCA SURCHARGE 2 . 00
other Fees STATE ELEC DBPR SURCHARGE ---
---- --------
-----------------------------------paid Credited Due
---- Fee summary Charged ---------- ---------- ----------
----------------- ---------- 65 .40 . 00 . 00
Permit Fee Total 65 .40 . 00 . 00 . 00
Plan Check Total . 00 4 . 00 . 00 . 00
other Fee Total 4 . 00 69 .40 . 00 . 00
Grand Total 69 .40
806
ATLANTIC BE.
OFFICE COPY INSPECTION PHONE Li-
Application Number . . . . . 14-00000584 Date 4/16/14
Property Address . . . . . . 150 2ND ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
8 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WOOLVERTON, DERICK R OWNER
3761 109 AVE NW
PONTE VEDRA BEACH FL 32004
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc
Permit Fee . . . . 111 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/13/14
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 111 . 00 111 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 115 . 00 115 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County -D�
0 -L
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 statedin thi NOTICE OF COMMENCEMENT.
, da -Y
Legal Description of property being improved:
Address of property being improved:
rt
General description of improvements:
Owner: eaC� AVP,VjL4L Address:
Owner's interest in site of the improvement:
X 0;0;0 z 0
Fee Simple Titleholder(if other than owner): moom a 0
oc:zlo 3 1
Name: ozzau, *
Fn M A r0Q
CL-0
Cn g)
ontractor:
W
M
Address: V17 A4;0n�4c &s— t3rwz
0 0 CO 0
Telephone No.:?e�L,-W Fax No: A10 r-0 X
M(0
X 6 co
Surety(if any) 7,Cn
0>
Address: Amount of Bond$ ;5-�: E
0 cn
C
Telephone No: Fax No: =i
0
0
Name and address of any person making a loan for the construction of the improvements C
;0 N
-q
Name: 0
C:
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 RECORD S WNER
I d: Date:
06
me this ayof
intheCla��,
"ary ate
0 *0 has rsonally appeared
0
0 Public at Large,State o Elo County of Duval.
0 ;:�.
\\ :�: - Missio exp
0 pto
ally Known-
r ced Identitication: