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Beach Ave 2126 L-43,44 T ' JJ\ � NOTICE OF COMMENCEMENT Permit No. Tax Folio No. Book 11884 Page 1912 -� State of Florida County of St. Johns The undersigned hereby informs all concerned that improvements �'t Q will be made to certain real property and in accordance with section Q R \� 713-13 of the Florida Statutes(revised 10-1-96),the following Information is stated: t go1:211842401233 Owner's name(print) o�, 1�r Page: 191882 f, Filed d Recorded � Address 0 t N� �� �L 06/21/2004 01:06:56 PM JIM FULLER Owner interest in property ,%?—j ' �a CLERK DUR(VAL ING CCIRCUIT COURT General description of improvement �� t/1 `� S N.LIRUSTDFUND f 1.00 � REC ADDITIONAL f 4.00 Legal description of property_t W4 t Fee simple title holder(if other than owner): Name(print) A, address QContractor Name(print) 1 t!� L. Phone( ��d" ` Address �gL� A LA ��— � ��SFax Surety(if any)(print) Amount of Bond S Address Phone(_) --Fax( Person or lender making a loan for construction of improvement Name(print) Phone(_)_ Address Fax Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Statutes: Name(print) Phone(_j Addreess Fax(_ _ In addition to himself,owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(h),Florida Statutes(fill in at ow tier's option): Name(print) Phone Addreess_ Fax�) /[1t-tib ilk Ae �—Owner's Signature ` Date Signed Owner's Name(print) In county Named Of State POST A COPY OF RECORDED NOTICE AT JOB SITE. . L STATE OF FLORIDA COUNTY OF ST.JOHNS THIS INSTRUMENT WAS CKNOWLEDGE BEFORE ME THIS __day of V ��� not Known Personally Or Identification Type of Identifica ' Notary Public (Name of Notary,typed or printed) (Commission Number and Expiration Date) „mss UO information Systems 247-5845 p• 1 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: C)q Job Address: R, 'kc� Owner of Property: Address: l7 J. °� Telephone: Contractor: State License Number: �. Contractor's Address: ��t )LY , ��k Telephone:_ l�' Fax: c�• vY S-A-Sq-7 Scope of Work: fy\ v� r Deck Slope: la Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example:Timberline): U Manufacturer(Example:GAF): ASTM Designation(s): V bz)... Required Inspections: Sheathing and Final Signature of Owner: '�� �� Date: f �' Signature of,Contcactor: W Date: AS TO OWNER: l �� Sworn to and subscribed before me this_ ! day of ��— 200/ State of Florida,County of Duval l No tar s Si ature: Y Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of V -y��e 0 State of Florida,County of Duval ��/! _ „ ` Notary's Signature: i �/7 Personally known Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5415 Telephone: (904)247-5800 Fax: (904)247-5845 •bttp:ltwww.eiatlantic-beach.ti.us Page I Revised 221/03 CITY OF ATLANTIC BEACH Co: BUILDING / ZONING DEPARTMENT i s 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 '$!J (904)247-5845 Fax JU N PLAN REVIEW COMMENTS Permit Application # cY4 - z8s Property Address: �Q_ G 1 �y Applicant: Project: 1 This permit application has been: Approved E:1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L# Date: '%� 1.1PJ CITY OF ATLANTIC BEACH r ' s PERMIT CALCULATION SHEET Date (� 1 • oc-� Address l 002 cG �i ME Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ $35.00 1st $1000.00 $ $35.00 Total Valuation $ $ Remaining Value Per thousand or portion thereof: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 6'0 ZONING: + V2 Filing Fee $ 25; FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SURCHARGE $ OTHER $ GRAND TOTAL DUE $ � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 04-00028512 Date 6/21/04 Property Address . . . . . . 1002 BIG PINE KEY Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3700 Owner Contractor ------------------------ ------------------------ MILLER, MARJORIE WHITES ROOFING CO INC 1002 BIG PINE KEY 181 PRINDLE DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3700 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PE T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C E BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 1010-1002 BIG PINE EFy PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY LICENSE NUMBERS MP145 State RF0037503 OWNER BUILDING CONTRACTOR Tzr TYPE OF BUILDING nTTT T FX 2 SINKS _SHOWERS g LAVATORY _WATER HEATERS 2 BATH TUBS ,2-DISHWASHERS URINALS 2_DISPOSALS 6 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 29 TOTAL FIXTURE COUNT X-3. 50 + $10. 00 D tTE3 19/ 87 ICTAL A IOUP:m III So INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: July 14, 1987 Building Contractor: 12eyhani,Inc. Building Permit Number: 8305 Address: 1002-1010 Big Pine Key Legal Description: Lots 53 & 53 Unit II Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Dural ex Lowest Floor Elevation: 13.5 ---------- ---!A' i-- ---------- required as built n/a Sales Tax Certificate: ---- --------- --------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief 7/14/87_-__- _- _--_ Public Works ----7L14187 22__ _ C --- Planning Director 7/14/87 Building Inspector __ 7/13/87 CITY OF >�t�rtic �'e��cl - �wrida 716 OCEAN BOULEVARD -------- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 June 26, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit # 5349----1002 Big Pine Key Permit issued to Adkins Electric Company Sincerely, lRenelrsDevelopment Director cc; building file RA/te MAP SHOWING SURVEY OF LOT 32, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. R�l•� G� VA 5 4,y10 � o•�/� 232 0�. ���,�. 03. N 33 � N �D 171' s.�,ew �.vQ� s�.+P✓may � � �/��'or roP • ��s is .q ���� sc���Y r�1� !uH/Cts iS TZ/F �4EA �F �/vi��AL �Gocva���� cwwruv y .�E. ,vo.:/zc�75 a'z�i c• �-Af�'t.! cLE✓QT�Gyc✓5 SHC7N/�/ Tf�u5'04-/B)f�EFE/2 NOTICE OF COMMENCEMENT State of l"IWAT.4 Tax Folio No. Countyof To Whom It May Concern: The undersigned hereby infmw 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: Address of property being improved: /010 /31S J9/4-C f t cU A*1�wa�1Z &C, fC 22 General description of improvements: /7-G- 2 O o Owner._Z2&AA. o-&&,. &-rl',ca. Address: /b(D 44!5 A14-f- Jt c ti Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: /Z.L. kA.I If,ties /L 0We/It 5, L L<'- Address: ?2 Telephone No.: 76P-3JW- r•yo 8 FaxNo: 1-W- 231 - 12-73 iArety(if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of any person making a loan for the construction of the in Doc#2008263345,OR BK 14670 Page 275,Number Pages:1 Recorded 10/15/2008 at 12.46 PM, Name: JIM FULLER 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 6i owner upon whom notices or other documents may served: Name: A u.ydn /ZUswrtj Address: 223,E Diet.. ozL d Telephone No: Vu1-34'1—lfo F Fax No: Y6-7-31't-�Qo3 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): THIS SPACE FOR RECORDER'S`USE.ONLY OWNER/ _ a rsass�acsnzseasassrzssaassis Signed• AlvDate: 3 CXR KATHi.EEN AKIN CASEY Before me this day of in the County of Duval,State P � Com�#pD0676201 Of Florida,has personaDy appeared �6444te • - �`" Eyeplres 9N312011 ? Notary Public at Large,State of Florida,County of Duval. My commission expires:J_�r4", CIBO-O G I Florida Notary Assn:.Inc Personally Known: or TG-Ts+nsrssesesossssnsrvsssnsa�nss�gsn+ssue —"0 Produced Identification: I CITY OF ATLANTIC BEACH 0Q ` . 8W SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 V „*;• t OFFICE(904)247.5026•FAX NO:(904)247-SB45 ! i SUILOINCi•DEPTOCOA9.US ' BUILDING PERMIT APPLICATION DUVAL COUNTY 71 , nn z LI &14— .', 0 NEW BUILDING 0 DEMOLITION 11 RESIDENTIAL LOT—BLOCK_SUB DIVISION 13 ADDITION 0 CONVERTING USE l3 COMMERCIAL F,. 10ALTERATION ❑ACCESSORYBLDG. '1 - ^' ter, n 0REPAIR 0 POOL I SPA ❑YES WA 13MOVE ❑OTHER 0 NO i7- 7T1 9.NAME: 15.COMPANY NAM 23.COMPANY NAME: /3s1�ba.t,•� A.L. 4.«t kokPit5 W.NAME 24.LICENSEE NAME: ,0& a.. 21 Ch w n al 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO 26.STATE OF FLORIDA LICENSE NO.. „ {�C Ccc o.11 Gs 1010 'J�g /�I A aG l4 ley 18 ADORESS Z 2 3 S M e C jU,- ,It. 20.ADDRESS tCa t' Aek, -L aull p2L41 -L 1240'A I t OFFICE PHONE: 12.FAX NO.: III,,OFFICIPI-O Ea a 0 2.FAX NO. 27.OFFICE PH9NE' 28.FAX NO,: 50s 11 3 -Isr�J 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 1Zl- 1o1- /1?1 14 EMAILADDRESS: 22,ENWADDRESS: 30.EMAIL ADDRESS: ,FE IM ttFo SUNt)1j CCIhANYs # ltT1 GNDEf 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34 ADDRESS 36.ADDRESS-. Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 Electrical Work,PlumblnZ Signs,Welts,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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.I will not occupy or use the referenced building or any part therof,until all inspections are Maled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** 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 COMMENCEMENTCONT . Signed: 7 bbate: /0 d Signe Date: 6 Before me this day"of ©(�r �Da, n the county of Before me this, „day of r .3B97in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared ,t;i4e6p,deA TP-ri:AJ A lel AAQ L.. 9 4t M S herin by himself I herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of &n .- Notary Public at Large,State or 'County of 0 Personally Known rJ� _ 70_ rJ_t'`� �Persona!ly Known Produced Identification-t-i(--Y1P_NS 0 5 3-TWT ❑Produced Identification Notary Signature: __ ___ _ Notary Signature: pill,.e ®e _ eeeeeeesaeememeememm+eaaaemeeeeee KATHLEEN FCA7FiLEEIV AIVIV UASEY oU!�+fir Comm#DD0676201 0ca6lolrtm#DD0676201 Expires 911312011 _� ^= Expires 9113/2011 coABFORMatocmol: r s : Y%r`nFr�.`' FIDIidallotaryAssn.,Inc e �'��i Florida Notary Assn.,Inc ^r{7trot"' s �rkflttNt� .............. re ameeeeeme eeeeme mm em maemeeemeeemeeeeseeeeeeeel0 txnenueuuee: ueeeaueeeaeenee�