2215 Alicia Ln siding 2014 (2) ,J CITY OF ATLANTIC BEACH
r ) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�Ji3 �
Application Number . . . . . 14-00000083 Date 1/23/14
Property Address . . . . . . 2215 ALICIA LN
Application type description SIDING PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 3500
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Application desc
stucco replacement
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Owner Contractor
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LEWIS DENISE KLETT LIVING TRST BARNETTE CONSTRUCTION INC.
335 W 107TH STREET 3167 ST JOHNS BLUFF RD S
CARMEL IN 460329587 STE 106
ATLANTIC BEACH FL 32233
(904) 249-9839
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 7/22/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION bi
CITY OF ATLANTIC BEACH T
800 Seminole Road, Atlantic Beach FL 32233 11LE
Office (904) 247-5826 Fax (904) 247-5845 ,�,r,,.;,. ; ; .BFI
, ,
Job Address: `?_q k.5— o, Permit Number: Al- ou 3
Legal Description !-(G, �;y or - _ <<` f,�� n., b Parcel#
door Area o t. �t
Valuation of Work$ 3 Z SU. Proposed Work heated/cooled non heated/cooled
Class of Work(circle one): New Addition Alteratione a' Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial l
If an existing structure ,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
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Property Owner Information•
Name:_I.,¢w,, V12,,o;� led 1_,i,�l� T�4ee Address: a A (s— 44 i.,�.
State F7 Zip-3•�a�� Phone
E-Mail or Fax#(optional) I—Q
Contractor Information: CONTRACTOR EMAIL ADDRESS: a � t}e t , �s f es c elnP F
Company Name: &r-naf�c L_,„5 zh,— j r?r Qualifying Agent:__ �Q__ ;7`(
Address: 3 7 S %,L,nS gill, 2�' S �u,/�/rte City`Jucl� «,tom State Zi
dWK
Office Phone �/ - y 5 Job Site/Contact Number p l�
?? �l ' r,S!T Fax#
State Certification/Registration
Architect Name&Phone# ,r✓,9
Engineer's Name&Phone# iv a
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured or Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
I herebYcertify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojwork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federa tate, or local law regulating construction or the performance of construction.
Signature of Owners I -, Signature of Contractor �liL�
Print Name .................rJ.t. i.. ......K.`.'�,,. . .........l..C�+)..�'S Print Name ���
......... ..../..0........... ......................
Before me B
this .21 Day of .�0.Hua v�y 20 1 N s 20
IF
Notary Pu Y
STEPHEN T.PUTNAM *c
� am `. . "1t+P .'9brUary 4,201
AM Notary Public,State of Florida j o +iondad fhru Nnrary Public Uncle ers
Commission#DD998148 „; evised 01.26.10
My comm.expires July 20,2014
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NOTICE ®F COMMENCEM STILCOPY
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. rr�+, rslF c:rszrs '
State of f__i,. :_ _L(cz
County of �} r
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 informattr<:,is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: t;_
Address of property being improved:
General description of improvements:
Owner
n
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name A,
Address 3
Contractor —
�,/
`Address
Phone No. r• '� r"�.�e�c j
Fax No.
Surety(if any) A,1
Address l
$
Phone No_
Fax No. Amount of bond
Name and address of any person making a 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 by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
in addition to himself,owner designates the following person to receive a copy of the Lfennr's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the da of recording unless a o N
different date Is specified):
. m
THIS SPACE FOR RECORDER'S USE ONLY y
® Z
ER
F 0 Z'
SignedLDuva1,Sfa,FFeofFIadda,,
a m 00
DOC#20140.15315,OR 1310"16tit3n' Page 1890, Before this— ay of .�yTE 0/—Z v
Number Pages:1 County asparse allyappeared n the Z 0 o'Q,Recorded 01/22/2014 at 10:46 AM, —Q�^ U w_•y x
himself/herself and affirms that all statements find declarations herein
by = L.E
Ronnie Fussell CLERK CiRCUIT COURT DUVAL are true and accurate Lu° E E
COUNTY E— e,S E
RECORDING$10.00 — o v 8
Notary Public at Large,State of a County
My commission expires: p — —
Personally Known y
Produced Iden tification�,vp; 1701 �A - ��y•` or Weillt¢
NOTICF, OF
(PREPARE IN DUPLICATE)
Permit No. �...,�
State of__ / ._ s, Tax Folio No,
County of
To whore It may concern: x
The undersigned hereby informs you that improvements will be mads to cerrafn real roe i £ 1
accordance with Section 713 of the Florida Statutes,the following information Fs stated ill this Property,
and n
COMMENCEMENT. ',• �� +iii fft
Legal description of property being improved;
•'�ter.. !J li � �_ 1� Pi "1rn ....s l
Address of property being improved: 4
f
General description of improvements:
t�v
Owner �o f
Address
Owner's interest in site of the improvement ! j
i
Fee Simple Titleholder(if other than owner)
Name A,G�JL y r
Address
ntractor /
ddress
one No. Fax �._z•: ?- r��'./�[J
Surety of any) ax No.
Address N
�� z ;
Phone No. N
Amount of bond$
Fax No. �9
Rte' �� �
Name and address of any person making a loan for the construction of the improvements.
Name '' t G FU.-, A
Address
Phone No.
Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other i1
documents may be served:
Name , *
Address ) a
Phone No. fWQ
., O
Fax No. yy � 00
In addition to himself,owner designates the following person fio receive a copy of the Lienor s Notice as provided in
Section 713.06(2)(b),Florida Statutes,(Fill in at Owner's option).
Name a
Address _
Phone No.
Fax No.
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Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a a
v
different date is specified):
ae
THIS SPACE FOR RECORDER'S USE ONLY m
D ER
t— o rn?
Signed: ✓ 'p
Do iF2Ut4U"15 15, OR S1K"16666 Page 1850, Before athls DATE_ a��z�-�� Q --
Number Pages: 1 ZLc_ ay of w �/4 in the 4' G m
of D�Duval,State of Florida, asperse ally appeared
Recorded 01;2212014 at 10:46 AM, K, t..c. `' o.Q
w — 75 X
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are truemsew andnera fandafllmrsthatall5talemenis End declarations herein In by 0-CL._
COUNTY are(me and accurate w ° E E
RECORDING$10.000o 0 8
-
Nofary Public at Large,Slate of D a AIX
My commission exptie, County of urv__ _a t— JEEI
4
Personally Known r
ProducedldenGticalion 2wp.�, bry �!
City of Atlantic Beach APPLICATION NUMBER
�- Building Department (To be assigned b the Building Department.)
800 Seminole Road
'j Atlantic Beach, Florida 32233-5445
/ Phone (904)247-5826 Fax(904) 247-5845
E-mail: building-dept@coab.us Date routed: 12
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
z/� /� C/ Z--,nepartent review required Yes
Property Address: No
�rBuilding
Applicant: � arming &Zoning
Tree Administrator
Project: 2� —A 0 d 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: M /Approved. []Denied.
(Circle one.) Comments:
BUILDING>
PLANNING &ZONING Reviewed by: Date: - Z
TREE ADMIN.
� Second Review: ❑Approved as revised. ❑Deni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09