1811 Selva Grande Dr RES21-0029 Kitchen RemodelOWNER:ADDRESS:CITY:STATE:ZIP:
MALIE DOUGLAS R 1811 SELVA GRANDE DR ATLANTIC BEACH FL 32233-4526
COMPANY:ADDRESS:CITY:STATE:ZIP:
Artium Company Building 13826 Weeping Willow Wat Jacksonville Fl 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169542 5042 SELVA TIERRA
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1811 SELVA GRANDE DR RESIDENTIAL ALTERATION
RESIDENTIAL KITCHEN REMODEL $20000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $155.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33
TOTAL: $238.32
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: 2/18/2021
PERMIT NUMBER
RES21-0029
ISSUED: 2/18/2021
EXPIRES: 8/17/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/18/2021
PERMIT NUMBER
RES21-0029
ISSUED: 2/18/2021
EXPIRES: 8/17/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $238.32
RES21-0029 Address: 1811 SELVA GRANDE DR APN: 169542 5042 $238.32
BUILDING $155.00
BUILDING PERMIT 455-0000-322-1000 0 $155.00
BUILDING PLAN REVIEW $77.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50
STATE SURCHARGES $5.82
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33
TOTAL FEES PAID BY RECEIPT: R14935 $238.32
Printed: Thursday, February 18, 2021 1:15 PM
Date Paid: Thursday, February 18, 2021
Paid By: Artium Company Building
Pay Method: CREDIT CARD 424882511
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14935
Building Permit Application Updated 10/9/18
1 City of Atlantic Beach Building Department ALL INFORMATION
A--
01119,-
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: / I/ (19)1.14. 6rrrS1tSe Ara ]'/. ,Qok Permit Number: RCSZ ( O O Z ci
Legal Description 3 °01,1'O4t.. )J .a 9e- J1v-a b tcc( Lc.11 a/RE# `6?,4-!4 -3o
Valuation of Work(Replacement Cost)$ 620/c..)00 Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition 111 teration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial C esidential
If an existing structure, is a fire sprinkler system installed?: Yes La11 o
Will tree(s) be removed in association with proposed project? EIYes(must submit separate Tree Removal Permit) 1A--o
Describe in detail the type of work/ to be performed: /
k.-BABA Geyn e! DQe%l ioft1 7/ ) s P.
Florida Product Approval# /l/ for multiple products use product approval form
Property Owner Informatio
II
Name xt42s /ntsIi e -/l*/ e
use
FL, Zip 3.3.a-43 3 Phone ?041. ri e2f7 Cr
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
fc r/
Name of Company /p''','Vin any_ &,1L!i1,LLC Qualifying Agent '7"ocJc1 /J//oa cy
Addressl3 8a26/le, 4).)low W cy]Fe{ City Sites State IL Ap 3,p,p.71/
Office Phone ?j01(• 6 6a Job Site Contact Number ,014 I • c2 S4/5
State Certification/Registration take Ara 6;6'3A E-Mail 7Ic, a Cir •lurrrc'c . e da?
Architect Name& Phone# CO
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt pi-Expiration Date `0/7/a/
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 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 BEFQRE
RECs : NG Y! R OTJCE OF COMMENCEMENT. ( t / , /i//
L-141(.0-e(!)
Signature of Owner or Agent)Signature of Contractor)
Signed and sworn to(or affirmed)before me-this I`I day of Signed and sworn to(or affirmed)before me this I 1 day of
join Luke) , 2o21 by Do.,I..s M..t;C.JG(11it-ti ,"14)
Signature of Notary) Sign-tu .q
SHANNA L THOMPSON
NotaryPublic•State of FloridaPersonallyKnownORPersonallyKnownNotaryPublicStateofFloridatCommission#GG 985912
roduced Identification t+rr4 '`I Produced'dent& io Sarah A.Callaway N'
44
Comm.Expires Jul 1,2024
Type of Identification. MY Commiasron GG 987945 Type of Identification: r I t t I
x0iros tM1t3
v:.Rawicinn RPrii1PCt/rnrrp tion to CnmmPntC ALL INFORMATION
r I1IbtlLlt3t11 W IN
r.)City of Atlantic Beach Building Department GRAY IS REQUIRED.
r
800 Seminole Rd, Atlantic Beach, FL 32233o
7J';'r
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
Revision to Issued Permit OR El Corrections to Comments Date:02/02/2021
Project Address: 1811 Selva Grande Drive,Atlantic Beach, FL 32233
Ji
Contractor/Contact Name: Todd Holloway y , .,I, L, ,/c . 71 21_0/" y
Contact Phone: (904)662-2845 Email: todd@artiumco.com
V E IVE
1 FEB 0 2 2021 1)Description of Proposed Revision/Corrections:
BY:
wails are not being movea or aaaea. mem, piumo ana eiec systems are not being movea or aaaea. vve will Instar new
fixtures. Floor plan will remain as is. This is a cosmetic upgrade. A new island will be installed where the current kitchen
island is located.
Todd Holloway affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Will proposed revision/corrections add additional square footage to original submittal?
vu 1 1 eco (auui;.wisa: J.I. w LIG auucu.
Will proposed revision/corrections add additional increase in building value to original submittal?
ONo *Yes (additional increase in buildin lue: $ contractormustsignifincreaseinvaluation)
dici4/767Le
Office Use Only)
C Approved C Denied I Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
hpnartmpnt Rpvipui Rpm uirprI•
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
1,..4,1, V411,1,4
Public Safety Date
Fire Services Updated 10/17/ 18
RES21-0029
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Cit of Atlantic Beach
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Applied: 1/26/2021 Approved: Site Address:1811 SELVA GRANDE DR
Issued: Finaled: City,State Zip Code:Atlantic Beach,Fl 32233
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Parent Permit: Owner:MAUL DOUGLAS R
Parent Project: Contractor:<NONE>
Details:
LIST OF REVIEWS
SENT DATE
RETURNED
DUE DATE TYPE CONTACT STATUS REMARKS
DATE
Review Group:AUTO
I I I I SIIRMITTAI I I I I
1/LO/LUL11/LD/LUL1 rermit l ecn AI'rtSUUVLIIICOMPLETENESS
Notes:
ONE ATTACHMENT
1/)Ar)nr1 I 1/11 hn71 I 1/4/7rrn I RI III MINA I RniIriina I nrNirn I
I I I I I
Notes:
Correction Comments:
1.Please submit a cover page for your project.A pdf will be attached with some basic guidelines for information to provide. Not all requested
information will apply.
2.Please expand on the'Describe on the detail of work to be performed'as asked on the building permit application.
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4.The removal of structural load bearing walls will require engineered drawings to show the re-support of supporting walls removed.
5.Will any system,electrical,plumbing,hvac,gas be moved or extended in any way?
6.Will the existing floor plan be changed/altered?
7.Will a kitchen island be introduced as a new kitchen facility or if existing,be moved or removed.
8.Please be familiar with the existing building codes that request builders to call out the construction compliance method/alteration level and to place
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Please add the cover page pdf to the review attachments to be sent to contractor.
Printed: Monday,01 February,2021 1 of 1 i CENTRALSQUARE
Cover Page:
1. Contractor’s Business name, Certificate/License #, address, phone contact, email address.
2. Address of project
3. Occupancy Class: For One & Two Family Dwellings
4. Applicable Codes and their currently used editions; building, plumbing, electrical, mechanical,
fire prevention and COAB Code of Ordinances.
5. Energy forms as required by the Florida Energy Code.
6. Index of all drawings & attachments and all pages numbered.
7. Dimensions of all new additions, or internal reconfigurations and their new dimensions.
8. Elevations of the building that shows the affected changes areas.
9. Printed name, contact info, date and signature of person responsible for the design of the
structure.