226 1st St RES23-0184 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MCCRARY PAMELA B
TRUST C/O PAMELA B MCCRARY POSR ATLANTIC BEACH FL 32233-5244
COMPANY:ADDRESS:CITY:STATE:ZIP:
Built by Fletch 513 NAUTICAL BLVD N ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172537 0000 ATLANTIC BEACH
TERRACE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
226 1ST ST RESIDENTIAL ALTERATION
RESIDENTIAL
Wood rot repair, remove
garage window, frame out
stud wall
$6000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
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: 10/23/2023
PERMIT NUMBER
RES23-0184
ISSUED: 10/23/2023
EXPIRES: 4/20/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.66
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $182.16
2 of 2Issued Date: 10/23/2023
PERMIT NUMBER
RES23-0184
ISSUED: 10/23/2023
EXPIRES: 4/20/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TS-L -,-,
0 BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
c City of Atlantic Beach Building Department j l-
fL
s, PERMIT# I SZ (
1 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
as:'" Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address ZZ1i- s+r- c'4-, ,l+1,,, ' h2, 86...,,1_, , 32233 RE# 1723g1 0000
Legal Description )5 334.1 Z1 _ 2,5 — 2c1 .0
Valuation of Work(Replacement Cost) a, od n Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition IONAlteration oepair Move EDemo Pool Window/Door
Use of existing/proposed structure(s): ECommercial 1=1 Residential
If an existing structure,is a fire sprinkler system installed?: Yes N(No
Will tree(s) be removed in association with proposed project? El Yes(Must submit separate Tree Removal Permit) avo
Describe in detail the type of work to be performed:
wo66 r-0 - re p,-,;r- /
1
RrIalspeb-40-i*Thri. ogrio w..e. (-u' n 54-1i1 Uct l(
t n e Lc e a F' (-4 :'XS o w , 1G`.4j b c-n x.11 1 re,5)^U r i - 11 I tr\e
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name Pok/11 e te, M G-C-re,rzi Phone L
Address Z2,67 l -f- 54- / 4(5 3223 3 City State FL Zip 322
Email Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company JLe Bu : (3 es-5 Phone qoc/ -4l 5 3103
Address 57 3 .ni -ti 6 Zc, ( B 1 v j City ,q-Y3 State F/.._ Zip 322 3 3
Qualifying Agent C.9“..k,^' F) e42.1.,_ei- State Certification/Registration# GR . )3331 /3
Email ,(?jv„,4-- 0 •F107h e.>'hJ;0, ,cowl Job Site Contact Number
Worker's Compensation Insurer 0 Exemp K Expiration Date 5-'8U ( Z'-f
Architect's Name Email Phone
Engineer's Name Email Phone
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.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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.
101/
f-ZIXlt_le. C-t1L4,t.p/
e of Owner or gent) Si of Contractor)
Si ned and sworn rmed)bef re4fie this ` I day of Signed and sworn to(or affirmed)before me this 1- qday of
v Qt , 1140(1. by I n'a.(4 (V\cCrc--CLI 5 by -61,04- k- 1-c-e r(..kt
Signature of Notary Signature of Nota k_ \t1&)'
j Personally Known ORA (
J
Produced-Identification j Personally Known OR [A, roduced Identification
Typ o Identification: Type of Identification: ' (- 0 L'
X4,, LEANNE DONOHUE
4 : : Commission#GG 943250 LEANNE DONOHUE
HL;o7 Expires April 28,2024 A+ :.= Commission#GG 943250
r,,P`°P Bonded Thru Troy Fain Insurance 800.385-7019 tl ry"ra<, Expires April 28,2024
F,f ' Bonded Thin Troy Fain Insurance 800.385.7019
4
JOB COPY
NOTICE OF COMMENCEMENT
State of - J(r ILD(\ Tax Folio No.
County of Duvi.1
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: {r 6 Zo -fo® (Jvy, 'J pt3— / (
4 3 L 2 I - Z5 -2 h 2 Pe,..c:L Teri- 67 Pr oc-I LedT
Address of property being improved: ZZ(e 1:54- 541--y9_64 i3 B 322 3 3
General description of improvements: re,v c AC_. 5 6,r-al L 1 o el.<1 c.)„ G.,In
n(L.) L4 1 I Q t iv, I•-t s•7 , Lk'nUU,-./ / •i l I Si e`,s1 rvvi'e/J•ia r- U 1
Owner: Pc
v
L f Address: 22c. 154- 3f'/e l7Tl•h-A /5ev.01.7 32Z-3'5
Owner's interest in site of the improvement: (U C') '6
Fee Simple Titleholder(if other than owner):
Name:
y q-Contractor: G ci.w - t'1.e J- i-,
Address: 517) AJ.,u 4--alk I -B Iv /0, 413 32 Z3
Telephone No.:164-1 - 'ti 3 f'7 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:
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 d tee '•'•.4;
specified): FV
THIS SPACE FOR RECORDER'S USE ONLY OWNER gm a m
3
Doc#2023184642,OR BK 20800 Page 1896, Signed: C ` ate: y N'
Number Pages:1 Before me this 'K^ dayof `%isf( ?n o v
Recorded 09/07/2023 11.11 AM,
e Co ty of uval,S t N z
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Of Florida,has personally appeared • C Ia
COUNTY NotaryPublic at Large,Sta of o4iid9C^oknt of Duval. og `
k b 1 3 LRECORDING $10.00 My commission expires: a w
Personally Known:
0
r
Produced Identification:
By vangers at 12:20 pm, Sep 28, 2023
By Mike Jones at 10:54 am, Oct 04, 2023
50.00
Engineering documents to be submitted.
By Toni Gindlesperger at 10:21 am, Oct 18, 2023
JOB COPY
By Toni Gindlesperger at 10:22 am, Oct 18, 2023
Reviewed for code
compliance
CEP BU1699
10/23/2023 7:26:50 AM
By Toni Gindlesperger at 10:22 am, Oct 18, 2023
Reviewed for code
compliance
CEP BU1699
10/23/2023 7:26:46 AM