Permit 893 Amberjack Lane CITY O-F
APPLICATION AOR PLG? IhTG P: l
JB LCCAT ON:
OWNER OF P?OPER':Y:
pr LT`t_TIT' CONTRACTOR
IE LICENSE 'F Tn
H(:ia MA 4-Y OF THE FOLLOWING FIXTURES INSTAT_,LED
S'PTV,5 _ — SHOWERS
LAVATORY^ v
_ _ __ EATER HEATERS
SAT _UaS EIS::.rP_ HERS
_ ..RIiiALS rrC .
�_�FOSa :S
CLOSETS WAS:ITNG Kzf'CHINE
FLOOR DRAINS
S:OWER PFLVS
SEWER WATER
. ._REP:PE OTHE ,
TOTA-L FIX^UR.ES: x $3.SC 4- 515. r.o
MINIM!UZl PERMIT FEE - $25. 00
SIGNATURE 0= OWNER:
SIGNATURE OF ZGNT T
INSTALLATION OF PLT,lfMING AND FIXTURES MUST BE IN ACCCRDANCE WITH
IHE MOST RECENT EDITION OF THE SOUTHERN STANDPRD PLUN13ING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247--:;8x---
SEWER CONNECTIONS MUST BE CALLED INTO PZ_BLIC WORKS FC)R INSPECTION:
PRIOR TO COVERING UP - (904) 247-5834
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
.� a; a�„ � ..<< � ��� �`�k�"`
Permit Number: 19681 E
Address: 893 AMBERJACK LANE
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYAL PALMS
Est. Value: 2,745.00 Parcel Number:
Improv. Cost:
Date Issued: 3/07/2000 Name: BULL, GLADYS �L
Total Fees: 25.00 Address: 893 AMBERJACK LANE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/07/2000
__. y____ Phone: (000)000-0000
Work Desc: REPLACE WATER HEATER - --._ _ _ . __ ___. ___. _ _
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LARRY TEAGUE AND SONS PERMIT 25.00
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INAL�11F
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"`
I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. j
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325.00 1�
Date: 3/07/00 01
Receipt: 00383
� ATLANTIC BEACH BUILDING D CHECKS 8277100315
.-------�-_- N 00100@03221000
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,Fl 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORWIATION LOCATION INFORMATION
Permit Number. 18483 Address: 893 AMBERJACK LANE
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYAL PALMS
Est.Value: 2,745.00 Parcel Number:
Improv. Cost: 2,745.00 OWNER INFORMATION
Date Issued: 7/09/1999 Name: BULL, GLADYS
Total Fees: 25.00 Address: 893 AMBERJACK LANE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/09/1999 Phone: (000)000-0000
Work Desc: REPLACE WINDOWS
CONTRACTORS APPUCATTON FEES
FRANK WISNISKI PERMIT 25.00
Irl ctlons Rea uir4d
FINAL BUILDING
NOTICE.-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY QY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.2814
ATLANTI EACH UI INFGD ECHECKS 7� 12�99 ®i Receipt: 8878534
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
MOVING,DMfOL I TIONS
Owner(s)
Address: /, 1
Phone:
U
-0 _
Lot # Block or Unit # Subdivision:
Contractor:( (QM k 'V V��� ��1� EAts
State License
Address:`0160)L `j'ZZZ ( � Phone No:�
S & 4<
City ,ani o-0 State
Ziw Code
CDescribe work to be done:A q1 OtL�' �K'Je. �
Q
/ 7t
V l:1 Cly X .
01 Va r
;truction: f���Y j
Pr
Ism - If yes, what are the dimensions of the added
sp` ft. Will the added area be heated and
(�. cooled? New elect (or increase) ?
New plumbing fixtures? New fireplace? eweat
SUBMIT TTIR= (CoMdMCIAL) TWO (RESIDENTIAL) COI.1pLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF C0MAMVCEMIIVT, AND
OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date: k rA
Signature CONTRA OR-
"N�NNNNIN14yy
Sworn to and subscr' d this p of ) 190
O i'� EXPIRES
Of 10 �. N Y PUBL C STA of RIDA AT LARGE
Ms•K'�529 � Q
'ah, NaoinfNN�a
11•G4 JRKSONALLE 0119043995516 P.02
TMs nnekwmw Amb yr;
Nsmw SPRAV.TECN•INC.
P_O.Box 622M
tONMV000,FL 32M2-2M
NOTICE OFCOMM14CFME14T Book 9334 Pg 2245
stagy: ?2 C
County
1 Bks 9334
T U hmby gives notice that irnprovemm wUl Dock 92243be 0
ode to oLnam teal property, and in atxordanee with Filed b Recorded
Chapter 713.Florida Statutes,the following information is 06/28/99
provided in this Notice of Corm WMInemx. 01:13:47 P.M.
HENRY W. COOK
CLERKCIRCUIT COURT
DUVRL COUNTY, FL
1. Description of property (legal description of REC. f 6.00
Property.and atttxt xs ifavailable) h
2. Getetai description of imProvemerns:
3. Owner information
L Name and sddass:
b Inm est in property: ^�
C. Name and
adrgess of roe simple titktrddnx(f outer than owners
4• Coraractoe(name tit address) SEARS' EXTUPFD COATING&SIDING
3 Stuoty P.O.BOX 322290,LONGWOOD,FL 32752-2290
a Name and address:
b Anxxn of bond S�
d• Lender: (name R addtecs)
7. Persons within the State of Florida designated by Owner upon wham notices or other docum ma may be
served as Provided by Section 71-1.13(1xa)7.Florida Statutes: (name and address)
8. Inovideaddition to l im$
elf,Owner designates the following persons)to receive a copy Of the Iienoes Notice m
prd in Section 713.13(1)(b),Florida Statutes:(name and address)
ABOVE NAMED CONTRACTOR
9. Expiration date of Notice of Commencen,e
different date is specs d} pt(the expiration date i$I year from the date of recording unless
(S lie of
vets License
Owner's Name:
Owntts Address:
All Information must be typed cx printed legitty to comply with recording requitemenrs.
STATE OF FLORI
COUNTY OF
_
The fOM90 ng WMUMetx was acknowledged before tree this�� 1i l C� .y C o . ��
who is pet MSIIy ImOwn to me m who hoot Produced as identification
not)take an oath. R
1 Q�t��•,'�'Ap't'gjQ�•�y,�
,(,.� G i►.A (1�1 (Signatt m ofrn►trMlatatt+a i0
Petaon taking acYrawkdtiaBent) Jlti�I LM
(Name of officer taking acknowledgement.typed. UL�lilata.,je
Mae or rank) j�••.«.., O`
(Serial number.if any)