1345 Ocean Blvd RESO21-0089 Repair deck boards s`'I rif RESIDENTIAL OTHER PERMIT PERMIT NUMBER
1.
RESO21-0089
1CCITY OF ATLANTIC BEACH ISSUED: 11/29/2021
800 SEMINOLE ROAD
`'� o;ti9r EXPIRES: 5/28/2022
ATLANTIC BEACH, FL 32233
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
RESIDENTIAL OTHER SINGLE OR
1345 OCEAN BLVD TWO FAMILY RESIDENTIAL repair front deck boards $4000.00
OTHER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171841 0010 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
ELITE CUSTOM HOMES &
RENOVATIONS INC 2304 PEACH DRIVE JACKSONVILLE FL 32246
OWNER: ADDRESS: CITY: STATE: ZIP:
SCHWORER TRUST 1345 OCEAN BLVD ATLANTIC BEACH FL 32233
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 U $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2 00
Issued Date: 11/29/2021 1 of 2
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
A '4 CITY OF ATLANTIC BEACH RESO21-0089
V-.4. :-
::0,1 800 SEMINOLE ROAD ISSUED: 11/29/2021
ATLANTIC BEACH, FL 32233 EXPIRES: 5/28/2022
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 I a $100.00
TOTAL:$216.50
Issued Date: 11/29/2021 2 of 2
r
dna City - . .
of Atlantic Beach Building Department , `•ALLINfORMATt•
„tc �! 800 Seminole Road, Atlantic Beach, FL 32233HIGHuGI•nm1 """ItY•. '
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 1 3 y j 0 c c, , U t v c4-i,..”fi C,.....1 (-L .7.2235 Permit Number:
Legal Description 0 -' : ..Z ' .2 '-( C I C-3 IAA-.c--L.t,. ; t 7 (fl) 53 RE# i 7 t k LI t- (U C t 0
Valuation of Work(Replacement Cost)$ 4 e�)L - J L, Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ONew ❑Addition OAlteration []Repair ❑Move [-Memo CiPool LiWindow/Door
• Use of existing/proposed structure(s): ❑Commercial Presidential -ao .
• If an existing structure, is a fire sprinkler system installed?: DYes 124o �/
• Will tree s be removed in association with aro.osed .ro'ect?DYes must submit se.arate Tree Removal Permit 1:13‹-o
Describe in detail the type of work to be performed: /4 ._„✓e _ "f, i,._c Iz--_,-..._..,,, t- I e c IL b,` t,.-- -D" "y
Florida Product Approval# _ for multiple products use product approval form
Property Owner Information )
Name L i,1,4,r_•,, A. cc.> ti r Address i3`i5 o cea,. InV, Pri-6-J (. i'3e4.c J cL. G�z.3?�f
City 4-1 I.,n 4-:7; r3 c ,-c k State FL L Zip 3 7 -3 3 Phone
E-Mail li., ,_ c ; k,a,,a:;,-(c,5.,.., i .c.w n,.
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company C---:t t-I-c L V.S. . r.c s 4- lee......w.,1-1....,, Qualifying Agent :,.".e ss A, k.e_ at eye`
Address 3 u y ftr�c.l.. ),, r' - City�t--c-u.s o,.✓, t j- State c i Zip 3 2 2 Li 6-
Office Phone 9 t:t- — i X,. —'-1 1 c< Job Site Contact Number '
State Certification/Registration# CAI t3.(; 0 4 -21. E-Mail ..,)t( (v r\s 4-r..c A--; .- t 4 a, yr--l•.)77. .� .-
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer6.4"r(,,etc, - ` .. - 4`c-(-4 11,.cc Co OR Exempt Er Expiration Date S-/ ti6 i o.2 3
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.
DWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
ippicable 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 INANCING, CONSULT WITH YOUR LENDER OR A' -ATTORNEY BEFOAIE
RECOR= • " YOUR NOTt !F COMMENCEMENT.
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( day of Sign•• : sworn to(or affirmed) before me this LO day of
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NOTICE OF COMMENCEMENT
State of FLORIDA _ Tax Folio No. 171841-0010
County of DUVAL _______ - _
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 information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 10-11 16 2S-29E .153 MANDALAY LOT 7 BLK 53 _
Address of property being improved: 1345 OCEAN BLVD ATLANTIC BEACH,FL 32233
3eneral description of improvements: REMOVAL AND REPLACEMENT OF FRONT DECK
wner: LINDSAY A SCHWORER Address: 1345 OCEAN BLVD ATLANTIC BEACH,FL 32233
vner's interest in site of the improvement: TITLEHOLDER
z Simple Titleholder(if other than owner): _.._____________
--- ------------_
Name: - - -- -- -.ontractor: JAMES A KELLEY 1 ELITE CUSTOM HOMES&RENOVATIONS,INC --
Address:2304 PEACH DR JACKSONVILLE,FL 32246
Telephone No.: (904)6864818 Fax No:___
Surety(if any) — _--- —
Address: Amount of Bond$
Telephone No: _ Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
lame of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
e served: Name:
Address:
Telephone No:_ _ - Fax No:___ _ _ ___
• -
addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
.3.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: - - Fax No:
xpiration date of Notice of Commencement (the expiration date is one(1)year from the date of recording unless a different . .PCP IS
pecified): ---___-_-
___.
'1415 SPACE FOR RECORDER'S USE ONLY OWNER I
--6A-.,-:cza., ite--4272- /c)/Z 5
Signed: ��� ' C ate. ._� �' t•
Before me this day of •r w ifithe Cou ty of Duval, ' • 4 #?
1
Of Florida,has personally appeared ' ' SG,..j 4 )(1WJ V .
Notary Public at Large,Stateof F o icja,C9ugty of Duval. g 11
—
My commission expires: �1L
Personally Known: __ ,.
Produced Identification: t L L�14S�,C-��tl1t�} '