2255 W Oceanwalk Dr RES21-0261 Kitchen RemodelOWNER:ADDRESS:CITY:STATE:ZIP:
JORDAN CLARK and
ANDREW CLARK 2255 W OCEANWALK DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169463 1040 OCEANWALK UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2255 W OCEANWALK DR RESIDENTIAL ALTERATION
RESIDENTIAL KITCHEN REMODEL $18000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $145.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $72.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.01
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.68
TOTAL: $274.19
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: 9/15/2021
PERMIT NUMBER
RES21-0261
ISSUED: 9/15/2021
EXPIRES: 3/14/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 9/15/2021
PERMIT NUMBER
RES21-0261
ISSUED: 9/15/2021
EXPIRES: 3/14/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $274.19
RES21-0261 Address: 2255 W OCEANWALK DR APN: 169463 1040 $274.19
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING $145.00
BUILDING PERMIT 455-0000-322-1000 0 $145.00
BUILDING PLAN REVIEW $72.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $72.50
STATE SURCHARGES $6.69
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.01
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.68
TOTAL FEES PAID BY RECEIPT: R17143 $274.19
Printed: Wednesday, September 15, 2021 11:05 AM
Date Paid: Wednesday, September 15, 2021
Paid By: JORDAN CLARK
Pay Method: CREDIT CARD 512573252
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17143
~+; CENTRALSQUARE
1
IMPORTANT
PERMIT AND INSPECTION NOTES
BUILDING.
1. The City Sea Turtle Protection Ordinance applies where land either has frontage on Beach Avenue, the
Cloister Condominium, or is located eastward of Seminole Road from 20th Street northward to the City Limits.
2. No fill dirt can be delivered without prior approval from Public Works. Per COAB, 24-68.
3. The bottom of all foundation footings must be minimum 12 inches below existing grade, per COAB, 24-68
and FBC-B, Section 403.1.4. Site conditions may require footings to be deeper or higher above finished grade.
Please review COAB Bulletin 1-16 to ensure minimum Finished Floor Elevation (FFE).
4. Fill dirt inside foundation walls must be compacted in 8-inch lifts, per FBC-R506.2.1. Please submit
compaction tests, from a third-party testing agency, for every 16 inches of fill or fraction thereof.
5. At Final Inspection, a 6-inch clearance between exterior wall coverings and final grade (top of sod or mulch)
will be required, per FBC-R318.7. Please plan FFE and lot grading accordingly.
6. Where questionable soils are found, during inspection, soil and compaction tests may be required, per FBC-
R401.
7. Please provide a form-board or stem wall elevation form, from a licensed surveyor, for slab inspection.
8. Please review COAB Bulletin 2-18 to determine if a survey with setbacks and dimensions to property lines is
required for slab inspection.
9. The placement and protection of steel reinforcement (Rebar) must comply with FBC-R606 (Masonry) and
R608 (Concrete), including required Standard Hooks at top and bottom of vertical rebar.
10. Inspections:
a. In-Progress Inspections are required for Exterior Siding and Window and Door Inspections and
should be scheduled for the first day of work.
b. A Scratch-Coat Inspection is required for stucco work. If you intend to apply a double-up, brown-
coat, please call the Building Department to schedule a same-day Scratch-Coat Inspection.
c. All roofing projects require an In-Progress Inspection, Residential and Commercial.
d. The roof must be complete and the building dried in before scheduling rough trades inspections.
11. The joint tape for ZIP Board products is considered the dry-in or House Wrap for the building and must be
inspected before covering over. All holes and penetrations in the sheathing and overdriven nails must be
sealed.
12. Please post the building permit documents in a conspicuous location, before start of construction,
including the Building Permit, Notice Of Commencement (NOC), and Construction Site Management Plan. The
Police Department may review the management plan for compliance and parking.
13. Blocking any sidewalk or street is prohibited without prior approval from the Police Department and City
Manager.
2
14. All work must match the approved plans. All changes to the approved plans must be re-submitted for plan
review and approved before it can be inspected. Building inspectors are not authorized to approve changes to
the approved plans in the field. (See Mechanical)
15. Where excavation is required for new construction, the provisions of FBC-B, Section 3307 will apply,
including a 10-Day prior notice to adjoining property owners and protection of adjoining properties. Where
the excavation exceeds 24 inches, temporary retaining walls must designed by the Engineer Of Record (EOR)
and installed during or immediately after excavation.
EXISTING BUILDINGS – REMODELS, RENOVATIONS, ADDITIONS, CHANGE OF OCCUPANCY.
1. Existing buildings are reviewed and permitted under the Florida Building Code-Existing Buildings (FBC-
EB). The applicant must specify the method of compliance, per FBC-EB 301.1, and include that
information on the plans, with the Design Criteria and Code Analysis.
2. The requirements for the method specified will be found in the corresponding FBC-EB Chapter.
3. When it is discovered during construction that the Compliance Method is not correct, or the project
has expanded into another Compliance Method, revised plans will be required to update the Permit.
No inspections will be conducted until the approved revisions are on site.
4. Any wall opened by removing interior or exterior wall coverings is considered a Work Area, and current
provisions for Energy Conservation, including weatherproofing and insulation will apply.
5. Building inspectors are not authorized to approve changes to the approved plans in the field.
ROOFING.
a. The roof sheathing for all new construction must remain uncovered until the Roof Sheathing
Inspection is approved.
b. All roofing projects require an In-Progress Inspection.
c. Sheathing installation and replacement guidelines per APA.
d. Underlayment must conform to FBC-R Table 905.1.1
e. Shingles must conform to ASTM D3161 G or H, or ASTM D7158 F
ELECTRICAL.
1. Electrical work must comply with the provisions of the 2014 NEC.
2. Anti-Oxidant Compound is required on all exterior aluminum wiring connections, unless the Listing
Approval Documents for the conductors and the termination points, at each end, specifically allow
connection without the compound. (Three documents will be required)
PLUMBING.
1. Water supply and drain pipes must be insulated outside of conditioned areas, per FBC-R, P2603.5.
2. Where the entire sanitary drainage system is replaced, the existing building drain and building sewer
3
must be internally examined to verify proper size and slope and that piping is not broken or obstructed,
per FBC-R, P2502.1.
3. COAB requires an additional sewer cleanout near the sewer tap with a T-1 concrete box for protection.
4. Water service piping must be properly supported and covered by a minimum of 12 inches of soil, per
FBC-R, P2604.3.
MECHANICAL.
1. All equipment and duct work must match the approved plans and Energy Sheets.
The Manual S is the approved duct plan, and the as-built duct work must match the approved plans, or
a revised Manual S or equivalent must be submitted for review. An equivalent must include duct and
trunk layout and sizes, available static pressure, actual air flow, and total effective length, signed by the
Mechanical Contractor with State License Number.
FUEL GAS.
1. Fuel gas systems from the regulator to the appliances must comply with the FBC-Gas.
2. LP gas storage systems and outside piping must comply with NFPA 58.
3. All underground gas piping and tubing must be buried with 12-inches of cover.
4. CSST gas piping must comply with the manufacturer’s installation instructions and terms of approval.
4
01/23/20, 02/13/20
Building Permit Application
2 City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Updated 10/9/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Job Address: d~ ss Ocecrn\NoJ¥--'\')y w. Permit Number: K E,S 2. l -0 2G::> \
LegalDescription 4?-11..\-'!,J-a _dqf 0CttO)WGl,\i Un,t3 \,,ow RE# 1G,94&3-l o40
Valuation of Work (Replacement Cost) $ \ f) 1000 · 00 Heated/Cooled SF 3, :S \.9C\ Non-Heated/Cooled. ____ _
• Class of Work: □New □Addition r/Aiteration □Repair □Move □Demo □Pool □Window/Door
• Use of existing/proposed structure(s): □Commercial ~Residential
• If an existing structure, is a fire sprinkler system installed{, □Yes ¥o
No
Describe in detail the type of work to be performed :
¥--\ivt\tY\ unovWoN1
Florida Product Approval# __________________ for multiple products use product approval form
Property Owner Information
Name J ovtlan Clav~
c~ ' ~
Address dJ 55 Olt.an vva,/r-D t . w.
State [l Zip 3~=>33 Phone 'QS])-9,\~ -lav\ R \
E-Mail-.,..J~""--L.l.!.....!.....i=-::+-:..:.....:..:::.!...!...1.~"-!..!.J'-----------------------------__!
Owner o rney or Agency Letter Required) __________________ _
Contractor Information
Name of Company __________________ Qualifying Agent ______________ _
Address City _______ State ___ Zip _____ _
Office Phone Job Site Contact Number ______________ _
State Certification/Registration# E-Mail ____________________ ----'
Architect Name & Phone# ____ ..,,.._ ___________________________ _
Engineer's Name & Phone# ________________________________ _
Workers Compensation Insurer ______________ OR Exempt o Expiration Date ______ _
Application is hereby made to obtain a permit to do the work an d 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 cou ty, and
there may be additional permits required from other governmental entities such as water management districts, state encies, or
federal agencies .
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
applicable laws regulating construction and zoning .
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO
RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR P
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A
Signed and sworn to (or affirmed) before me this __ day of
___ __, __ __,by __________ _
(Signature of Notary)
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 FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BU ILDING 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 UNLICENSED 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
REQUIRED 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 LICENSE " 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 BUILD ING -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:;):255 OCc'.a h \Ntll\i: ])y_ vv , A:tl@%7L &cub, h $d d"33
Owner Name : .Jovda n C/a v K:--Phone Number: 8$])-5l/S:-lt4RI
Mailing Address : _( .... a .... m~u _________ City : ________ State: ____ Zi p: ____ _
the State of Florida , County
[ ] Personally Known OR [ ] Produced Identification
Type of Identification : __ D_~ __ ._L ______________ _
_..-;,ff~,;~---TO NI GINDLESPERGER
[.( ~. ··:•~ MY COMM ISSION # GG 3531 78
:.~{-~--~-' EXPI RES: Octo ber 6, 2023
0 <~~¥,f~~t-· Bonded Thru Notary Public Underwriters
Up dated 10/24/18
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American L an d Title Associatio n
Gibraltar Title S e rvic e s , LLC
ALTA Universal ID:
4190 Belfort Rd ., Suite 475
Jacksonville , FL 32216
File No ./Escrow No. : GTS-218 1228
P rint D ate & Time: A ugust 23 , 2021 4:11 pm
Officer/Escrow Officer : Marie Boero
Settl ement L ocation : 4190 B elfort Rd ., S uite 4 75
Jackso nville , FL 3221 6
Property Address: 2255 O cea nwalk Drive West
A t la ntic Beach , FL 32233 -4576
B uyer: J ordan Baldwin Cl ark an d And r ew Richard Clark
255
Pi n e S treet
Atlantic Beach, FL 32233 -4576
Sel l er: James R. G riffith s a /k/a James R. Griffiths , Sr .
4600 M iddleto n Park Ci rcle East, Ap t A619
J acksonv il le, FL 32224
Lender:
Settl ement D a t e:
D is bur semen t D a t e:
A u gus t 24 , 202 1
Aug u st 24 , 202 1
Sell e r
Debit Cre dit
1 ,025 ,000 .00
254.66
4,033.84
420.00
Copyright 2015 Ameri can Land Title Associatio n
All rights r eserved
Description
Financial
Sale Price of Propert y
D eposit
Prorations /Adju stments
Homeowner's Associa tion Du es
08/24 /2 1-1 2/31 /2 1
County Ta xes
0 1/01/2 1 -08/24/2 1
Other Lo a n Charges
Survey t o Exa cta Land Su rve y o rs LLC
Titl e Charges and Escrow/Settlement Charges
De live r/Handling/Wire/Couri er (Bu ye r) t o G ibraltar
Ti tl e Se rvices, LLC
Page 1 of 3
ALTA S e ttlement State m e nt -Ca sh
Adopte d 0 5 -01-2 01 5
•-
Buyer
Debit Credit
1,025 ,0 00 .00
25 ,000 .00
2 5 4.66
4 ,033 .84
50 .0 0
File# GTS -2 181228 / 31
Printed on 08/23/21 at 4 :11 :10PM by mboe ro
Acknowledgement
We/I have careful ly reviewed the A LT A Settlement Statemen t and find it to be a true and acc urate stateme nt of all rece ipts
and disbursements made on my accou nt o r by me in the transaction and further certify that I have received a copy of the
A LTA Settl ement Statement. We/I a uthori zed Gibra ltar T itle Services, LLC to cause the funds to be d isbursed in accordance
with this statement.
Buyer
J o rd naldwin Clark
An~L~~
Seller
es R . Griffiths
a James R. Griffiths, Sr.
Closing Officer
. ·--·--...... --.......... --, _.__ .................. _._ ............ --HIGHLIGHTED IN -
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab .us
0 Revision to Issued Permit OR D Corrections to Comments
Project Address: 2255 Oceanwalk Dr W, Atlantic Beach 32233
·-GRAY IS-REQUIRED.
....,
j
Contractor/Contact Name: Jord8n Clark -·r----,-----.-.•~ ---.-........ ·------! --------------------------------
Contact Phone: (850) 545-6481 "'1 Email: jbc3417@gmail.com -----'------------
Description of Proposed Revision/ Corrections:
'Floorplan has been adjusted to show alterations as requestecl with "clouding"/revision sequence ·number/date. The --~
alteration level proposed is 2. If plumbing or electric are rquired, we will use a state licensed mechanical contractor, an dl
:Will pull their pennits under our license for all inspections.
r
l_~o_r_dan_-_C_l_a-_rk _________ " 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?
,_... lNo D Yes (additional s.f. to be added: ____________ _,
•,j04ill proposed revision~c.orrec~ions ad~ add'.ti~nal increase in building value to original submittal?
~No □•ves (add1t1onal increase In build mg value: $ _________ ) (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
Reviewed By
Date
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