381 SEMINOLE RD RESA24-0006 Application - Burgos
Bluewave Builders, Inc.
822 A1A N. Suite #310 Ponte Vedra Beach, FL 32082
904-248-0395
Cover Page
Date: 02/29/24
Project Name: Burgos Project
Project Address: 381 Seminole Rd., Atlantic Beach, FL 32233
Permit Number:
Scope of Work: SFR Renovation to include:
2nd story addition over garage, to include master bedroom, bathroom, closet
Interior remodeling
Paul Zebouni
CBC1262894
904-248-0395
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. ___________ _
State of Plortda -------------Tax Folio No.=----------------County of __ D_w_a1 _____________ _
To whom It may concern:
The undersigned hereby Informs you that Improvements wlll be made to certain real property, and In
accordance with Section 713 of the Florida Statutes, the followlng Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 10-15 16-2S-29E SALT AIR SEC 2 LOT 2 7 2
RE# 170433-0000
Address of property being improved: 381 Seminole Rd., Atlantic Beach, FL 32233
General description of improvements: 2nd story addition W /interior remodeling
Owner Daniel Burgos
Address 381 Seminole Rd., Atlantic Beach, FL 32233
Owner's interest in site of the improvement_F_ee_S_tm_p:...l_e __________________ _
Fee Simple Titleholder (if other than owner) ______________________ _
Name ----------------------------------Address _______________________________ _
Contractor Paul Zebouni -Bluewave Builders, Inc.
Address 822 AIA N. Suite 310, Ponte Vedra Beach, FL 32082
Phone No. _904-_2_48-_03_95 __________ Fax No. _______________ _
Surety (if any) _nl_a ______________________________ _
Address ___________________ .Amount of bond$. _______ _
Phone No. _____________ Fax No. _______________ _
Name and address of any person making a loan for the construction of the improvements.
Name n/a ----------------------------------Address _______________________________ _
Phone No. _____________ Fax No. ______________ _
Name of person within the State of Florida, other than himself or herself, designated by owner upon whom
notices or other documents may be served:
Name nla ----------------------------------Address _______________________________ _
Phone No. _____________ Fax No. _______________ _
In addition to himself or herself. owner designates the following person to 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 n/a ----------------------------------Address _______________________________ _
Phone 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): ___________________________ _
THIS SPACE FOR RECORDER'S USE ONLY ~;.ii rt fei'!'ER ---DATE :J,/4,/tf
Before meth~ __ dayof __________ In e
County of Duval, State of Florida, has pwsonally appeared
____________ ___,.__,...---,-_,.~he.rein by
hlmHff/ henelf and affirms that all stalllments and declarations herein
.,. true and accurate
Notary Public at Large. State of ___ _, County or ___ _
My commission expires: _____________ _
Pel"IOnally KnaNn...,.,..--_____________ or
Produced ldenllflcatlon _____________ _