725 ATLANTIC BLVD UNIT 1 - DEMO INTERIOR 1,/ f CITY OF ATLANTIC BEACH Iii
-4.n,,; r) 800 SEMINOLE ROAD
J ° _ - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-'-'40 331>%'
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-DEMO-2354
Job Type: DEMOLITION
Description: DEMO - INTERIOR
Estimated Value: $11,000.00
Issue Date: 10/6/2015
Expiration Date: 4/3/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 01
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: RPC GENERAL CONTRACTORS
Address: 248 LEVY RD QA PETER JOSEPH RODRIGUEZ
Phone: - -
PERMIT INFORMATION:
FEES: ---- - -
STATE DCA SURCHARGE $2.00
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. Iil3103- 0000
County of °Elva I
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: ) - 15g-a s - a q e 3.q 5 12oya I Palms Urn f .2 Pt-
Address of property being improved: 795 IIi-lctnti c 13)Vd.,Su i t, 1 , p d-1(,tr1}►L ey2CLGh Pt_ 333
General description of improvements: dtm011416n }r.YlGUI Ott I- -for Pe+ (I I ins c
Owner: john Gire,e-n Address: 5161 A4-4 anfic i1vd, /r luni,� °l achf FL 3x;33
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: p(! &1.eneraI !c-rtyo c4-t?y S
Address: a1IR Ltiy. 2d •, PH-lanfiic (3each, FL 35x33
Telephone No.: t Oq. au 1- tit, Fax No: qOq
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Doc#2015229083,OR BK 17326 Page 197,
Name and address of any person making a loan for the construction of the impro Number Pages:1
Name: Recorded 10/06/2015 at 10:48 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Address: COUNTY
RECORDING$10.00
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified): Jant&j r'j 3 I 1 x01!O
THIS SPACE FOR RECORDER'S USE ONLY OWNER C(�\
Signed: &V.!/L.�1/l� Date: /0- 5-/5
Before this 5 day of b4luber- 215' in the County of Duval,State
Of Flori a,has personally appeared ,John 67reLe
Notary Public at Large,State of Florida,County of Duval.
My commission expires: A-t44uSJ 03, ,PC 1-1
Personally Known: X AN.FER SNOW or
Produced Identification: ,. • , • _ y
• n •?My Comm.Expires Aug I3,2017
ey Commission r►FF 10101
Bonded Through Wised
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 t 5 —0 EMo-Z35 4-
Job Address: `195 A+1 ar►he Blvd., Suite 1 Permit Number:
Legal Description 31-1 55"as "x`16 3-et 5 emial Pttms ti-+1'f AA" Parcel # 11 13(4-00 0 0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ /I i 000 Proposed Work heated/cooled a,a00 non-heated/cooled 0
Class of Work(circle one): New Addition Alteration Repair Move Cb7molition pool/spa window/door
Use of existing/proposed structure(s) (circle one):. Commercial Residential
If an existing structure,is a fire sprinkler system mstalleaT(Circ e one): Yes (No) N /A
Florida Product Approval # N/ 4
For multiple products use product approva form
Describe in detail the type of work to be performed: Dernola4-■on o4f exis-hn.5 lion- S-hue+-oval wa►ls,
•
be0-itrtsorns, 410or11 * Cei 11 -},le
Property Owner Information:
Name: 7ohr\ Green Address: 519 PtA-I ('r - f"Av d
City Al-lartt-'c Beach State ft,Zip 3.3,33 Phone goy- Toy- ei 0,5 q
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 1PC General Cbvi*ra&Gbwc t 'Inc . Qualifying Agent: panic.I c . laodr�rcj ta'S
Address: , tag Levy eA. City prklw i-t c 602 eh State t�- Zip 30 33
Office Phone '104- O44/-1.1q1 to Job Site/Contact Number qou- 0(41- 1.1141E, Fax# qoq- x41- 4u 2-7
State Certification/Registration# 0,610, 1 5x3403
Architect Name& Phone# N/A
Engineer's Name& Phone# N/A
Fee Simple Title Holder Name and Address N/A
Bonding Company Name and Address Mi/k
Mortgage Lender Name and Address N)P}
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 for ElectricalWork, 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 hereby certify!hat I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work 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 federal,state, or local law regulating construction or the performance of construction.
Signature of �� Signature of Contractor �'�•
GVV^
Print Name 11 'f `j , l'kedi& Print Name Darii C1 3. 12061,13tLeS
,
Sworn to and subscribed before me Sworn to and subscribed before me
this 5* Day of m , r ,20 15 this 01 Day of 0 e . . ,20 /5
/ , i / / / /
/_ .��. ii
s y , a,rbl—
Revised 01.26.10
' JNN.p,„_ JENNIFER SNOW „
irli-', Notary publlic�(-Stale aMFloe* .-......... ...•
,'._ JENNIFER WOW
• • My Comm.iMm w 23. t ,. ,O,,ii
( Co ssion#FF MOS —� Notary P .> 01 Florida
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0 ' 4; Nal Tti iO NINMM NINA Allll -. •� My COmm.HIMN Aug n.2017
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