900 Seminole Rd ACRS23-0176 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
JASON LEBLANC 900 SEMINOLE RD ATLANTIC BEACH FL 32233-5456
COMPANY:ADDRESS:CITY:STATE:ZIP:
WILLMAN AIR LLC 13140 Tamarisk CT JACKSONVILLE FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171971 0000 SELVA MARINA UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
900 SEMINOLE RD MECHANICAL RESIDENTIAL
HVAC
1 AHU - 5.0 Tons & 10K BTU,
Duct 2000 CFM $15000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 10000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 5/3/2023
PERMIT NUMBER
ACRS23-0176
ISSUED: 5/3/2023
EXPIRES: 10/30/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $143.09
2 of 2Issued Date: 5/3/2023
PERMIT NUMBER
ACRS23-0176
ISSUED: 5/3/2023
EXPIRES: 10/30/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
NOTICE OF COMMENCEMENT
State of /
C/0ri'd4 Tax Folio No.
County of D U VA /
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTI E CCOMMENCEMENT.
1LegalDescriptionofpropertybeingimproved: E # i 71 971 - 00
Code el9 e /Jsc_ RtssPoioI Lol .?- 7/
J1/•;/
s Ar- -c
Address of property being improved: v WI;n 0 te , O1• OM 1j`c zeas-I , PL -3ZZ3?
General description of improvements: NfiAG /'%O t4.41/i1`9 n ec,) --S-464 A eS/Duo,," S ....r/ , •
Owner: GS o) G RC1‹.,z Address: 3 C3° L-rU1.fV/tir /P/. 5 7-C: 3 0202-1V
Owner's interest in site of the improvement: /L c /2eS, . /
Fee Simple Titleholder(if other than owner):
Name:
mpOXc aContractor: G{////plat" k/, LLL m c o 2 R
13/1te Tam..,,,ye Ga; Juz k50.1 h , rL ,.??2,-,6 oz-<,7, 2- '*
Address:
61-3-68-
a ,,
Telephone No.: 737/ Fax No:
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N N W
Vi (nO_;J
Surety(if any) o C 88
8
Address: Amount of Bond$ 73-, x
Telephone No: Fax No: oC)K v
Name and address of any person making a loan for the construction of the improvements
o
Name:
0d
c a,
Address: o
c
Phone No:Fax No: D
r
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other docurr
be served: Name: /Gc./,'v,'.+q L Q a/4., (-
Address: 3.5.--,-30 r,- rJ /•e ' p,--
Telephone rTelephoneNo: .a/ gg' S---4‘.1--- 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): 77Z 672 y
THIS SPACE FOR RECORDER'S USE ONLY OWNER ----1.7
i1
F/-61 JSigned' ,; Date:
B: o • s / day of J, Il4 2023 n the CounDuval,State
4.4-7.
4i,,, KASEYKING I. ida,has personally appeared j l,e bY\ 1 7'ahL_
E MYCOMMISSION MHH352750 Notary Public at Large,State of Florida,Count of Duval.
l
oe'` EXP{RES:January 23,2027 I My commission expires: jotn(A0 M 7.3 / ib2^7
Personally Known: or
c
Produced Identification: MO 14 d . QO ,Y (A(W.