Permit Pool Bathroom 1085 Atlantic Blvd 2012 - 1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001406 Date 10/03/12
Property Address . . . . . . 1085 ATLANTIC BLVD
Tenant nbr, name . . . . . . POOL BATHROOM
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16984
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Application desc
pool bathroom
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Owner Contractor
------------------------ ------------------------
1085 ATLANTIC LLC WHYRICK BUILDERS INC
5118 N 56TH ST 4242 LEXINGTON AVE
TAMPA FL 33610 JACKSONVILLE FL 32210
(904) 226-3434
--- Structure Information 000 000 BATHROOM REMODEL
Occupancy Type . . . . . . BUSINESS
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Permit . . . . . . COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 135 . 00 Plan Check Fee 67 . 50
Issue Date . . . . Valuation . . . . 16984
Expiration Date . . 4/01/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 03
STATE DBPR SURCHARGE 2 . 03
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total 67 . 50 67 . 50 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 206 . 56 206 . 56 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
10110/2012 02:36 9043847675 WHYRICK BUILDERFR PAGE 01/01
Doc # 2012222246, OR BK 16100 page 536, Number Pages: 1, Recorded 10/10/2012
at 02:07 8M, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10,00
NOTICE OF COMMENCEMENT
{PREPARE IN OUPLICATE'.
Pettit N4. '1 Z•1 0E7
State of r•1A1t11)n lax Folio No. 1 77;3431,0000
County of auvaL
To whom it may concern!
The underslgnod hereby informs you that Improvements will be made to certain roan property,and in
agcordance with inaction 713 of the Florida Statutes,the following Information is stated to this NOTIce OF
COMMENCEMENT,
Lepi description of property being,improved; 38-2S-29F 6.374 B UI CASTRO Y FFR.RER GRANT
Address of property tieing improved: 1085 ATLANTIC BLVD.BLDG 10
ATLANNTIC BEACH,F•1,32233
General6cstxiptlo� of improvements:B+JTLD OUT OF P001„HATHF001,1
Owner AVESTA HOMM 1,I,(;
Address 511$N,56T1•i STRFBT,TAMPA,FL 38680
Owner's interest in site of the improvement FEE SIMPLE
Fee Simple Titleholder(if other than owner)
NAme
Address
Contlraec,KFNNE*Jj 11.WHYRICK•VA4YRWK NNI.pF,RS.rrtr..
Address 4242 LEXINGTON AVC,1ACKSONVIL.11,rt.322 W
Phone No.9o4-r28ae54 Fax No.
Swety(d any)
Address Amount of bond S_ _
Phone No. Fax No.
Name and eddies%of any person making q 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 oy owner upon whom notices or other
documents may ac served:
NarAe
Address
Phone No._ Fax No.
In addition to himself,owner designates the following person to receive a copy of the r,ienor's Notice as proyideo in
Section 713.p6 l2)(o),Florida Statutes,lFill in at Owner's option).
Name
Address
Phone No,___ _ Fax No,
Expiration date of No6ca of Commencement(the expiration date is one(1)year from the data of recor4ling unless a
different date is specified):
THIS SPACE FOR RECORE)ER'S USE ONLY
S�gnetl _ DATE
9.ra•w in — day of In ma
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KATRECE M.GIBSON-BAILEY
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Commission!e EE 7271113
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH COPY
800 Seminole Road,Atlantic Beach, FL, 3223FILE
3
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Office(904)247-5826 Fax(904)247-5845
Job Address: `G ck . Permit Num,;Ver:• c�Vt7 4�
Legal Description
Valuation of Work Soor rea o q. T t
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition A atian Repair Move Demolition pool/spa window/door
Use of existing/proposed structures){circle one): Commercaa Residential
If an existing structure,is a fire sprinkler system instaCZ,- ?'Z�rcle one): Yes No N/A
Florida Product Approval#
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: ��, _���t �� } _
Property Owner Information• 1
Name: LLJCl Address:_
City StatetUip
E-Mail or Fax#(Opti nal) _
Contractor Information:
Company e: lr ,bou Qualifying A ent: V\ ti
Address: ��
Ci to Zip
Office Phon J ite/Con act Nu ber Fax#
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address PERMITS FOR ADDITI
ONAI
Mortgage Lender Name and Address _XEQUIREMENTS. CONDITIONS
application is hereby made to obtain a permit to do the work and Inst Tg !o-�a-(2
issuance of'a permit and that all work will be performed to meet the stn a) 1 aw17—s reya to t t at no work /atton has commence prior to the
and void f work is not commenced within six(6)months, or if constru A 1� ►remit eramer null
work is commenced. I understand that separate permits must be securedfor F,lectric Work, Plumbing,Signs, ells, tw s urnaccc, of ey,t me fte
ranks and Air Conditioners,etre
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 YOUR NOTICE OF
COMMENCEMENT.
l hereby certify that I have read and examined this a plication and know the same to be true and correct. Al!provisions of'laws and ordinances governing this
npe of work will be complied with whether sppeeci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulatin truction or the performance of construction.
Signature of Owrae Signature of Contractor
Print Name .. ��._�... ..........��....... . .�. .._ Print Name
Sw9m,to and subscr' d efore Swot l subscribed before me
thisp Day of �ry�rr��, '' 20 t this Day of %�, 20
Notary tublic Notary 111.1511c \
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City of Atlantic Beach APPLICATION NUMBER
' Building Department )
,s (To be assigned by the Building Departrnerrt
y 800 Seminole Road n
Atlantic Beach. Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 06/ `07
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ��( 4�4 �a'n-17 C j1CI Department review re uired Ye No
B1 -/ (-Building
Applicant: n / //!Jr nning&Zoning
/�) / Tree Administrator
Project: ��/Cl o�CT �� 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 B
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: MApproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING&ZONING Reviewed by: Date: /Q
TREE ADMIN.
Second Review: QApproved as revised. ❑Dens d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110