Permit 955 Amberjack LaneCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 09-00001341 Date 9/29/09
Property Address 955 AMBERJACK LN
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation 0
----------------------------------------------------------------------------
Application desc
REPLACE 2 6X8' SECTIONS OF FENCE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WOOD, KENNETH OWNER
955 AMBERJACK LANE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit FENCE PERMIT
Additional desc .
Permit Fee 35.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 3/28/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS.
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'p Y V
' ft~1;~~,3 City of Atlantic Beach
t~. - ~~ Building Department
r ~ 800 Seminole Road
., - _ -,, Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
~~~ ~%~ E-mail: building-dept(a~COab.us
City web-site: httpJ/www.coab.us
APPUCATIt?N NUMBER
(To be assigned bythe Building Departrnent.)
o~-t3~{~
Date routed: ~~ - ~ ~ , D
APPLICATION REVIEW AIVD TRACKING FORM
Properly Address• ~'1"SS ~ ~(' ~ /}~~ LrJ
Applicant: ~ W~1E C- ~~
Project: t~-e~J~~ oZ- ~ yc, cif Pal. 4t` S
-11C.~~
-~- A ~ ~ r ~ ~~ ~ ~;~
ent review uired Yes No
Building
Tree A mmrstrator
Public Works
Public Utilities
Public Safety
Fire Services
Review fee. $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept of Environmental Protection
Florida Dept of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurarrts
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: pproved. ^Denied.
(Circle one.) Comments:
BUI!_DING
P N1NG 8 ZONING Reviewed by: ~~'" Date: ~~~Z ~ ~
TREE ADMIN. Second Review:
Approved as revised.
^Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ^Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
s-~ CITY OF ATUINTIC BEACH
=~~ ~`~s 800 SEMINOLE ROAD, ATLAN7IG BEACH, FL 32233
r r OFFICE: (904)247-5826 • FAX NO.:(904)247-5845
BUILDING-DEPT~COAB.US
~'-r,~~~:. BUILDING PERMIT APPLICATION
..
09- ". I- ~ ~ _ ~ ~
DUVAL COUNTY
1: JOB'ADDRE$§: < 2. VALUATION OF WORK' 3: 50. FT: UNDER ROOF-?
' ~ ~ V C ('~ J ~'r
~'
A LEGAL DE5G PTION:'-, 5_ CLA$5 OF WORKS 6.USE OF STRUGTUftE
^ NEW BUILDING ^ DEMOLITION ^ RESIDENTIAL
BLOCK_ SUB Dlvi;iGN
L07 ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL
_
bTSi";FtIPT10PJ OF WORK: ^ ALTERATION ^ ACCESSORY BLDG. 8: FIRE 5F'RINb-ER:-
J~ i yy''/~ /~/
~
~"~
~ ~
~
~ ^ REPAIR ^ POOL l SPA ^ YES ^ N/A
1 (%
/,
`
-~ /
C' ~ L ^ MOVE ^ OTHER ^ NO
,,,,,, PROPERTY OWNER: " CONTRgC_ OR: >' :ARCHITECT 1 ENGINEER:
9. NAM
E: 15. COMPANY NAME: 23. COMPANY NAME:
/ p ~ ~
~
18. NAME: 24. LICENSEE NAME:
10. ADDRESS: ~^~~ fs / ~y J
Cass ~~'B ~~IJ(~I ~-/~ ~YV 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
/
~~~. ~ ~/ ~ / 18. ADDRESS: 28. ADDRESS:
11. OFFICE PHONE 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. C~IOPH ~~~ ~ ~ ~
M 21. CELL PHONE: 29. CELL PHONE
14. E
AIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
FEE SIMPLE. TITLE HOLDER: BONDING COMPANY: _ = MORTGAC,E LENDER:
(IF OTHER THAN OVJNFR) '
31. NAME 33. NAME 35. NAME:
32. ADDRESS: 34. ADDRESS: 36. ADDRESS:
Appligtion 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. 1 understand that separate permits must be secured for
Electrical Work, Plumbing, Signs, Wells, 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. 1 will not occupy or use the referenced building or any part therof, until all inspections are finaled 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 COMMENCEMENT.
OWNER orAGEMT CONTRACTOR '
wer Attorney or Agency Letter Required) (Quslfier Only)
~ ~ '" ~ ~ Date
Sign Date: :
Signed:
Before me this Z~, day of /'1' , 2009 in the county of Before me this day of , 2009 in the county of
Duval, State of Florida, has personal y appeared Duval, State of Florida, has personally appeared
n
~PAIAIP~ ~fi4/Ll wOOCX
herin by himself / hersetF and affirms that all statements and declarations are herin by himself /herself and affiirrns that all statements and declarations are
true and accurate, true and accurate.
Notary Public at Large, State of ~L ,County of ~ k Q Notary Public at Large, State of ,County of
I^,Personally Known r"'L !1 w ~ r 0
y~t Produced Identfica'on - r ~/ ~ `~ '~ ^ Personally Known
^ Produced Identification -
Notary Signature: Notary Signature:
~~ °~ Notary Public State of Florida
Nancy E Bailey
~I~, _~rP~ FMYy Com~mgi~ssbn DD745822
BLDG01 Permit Appli tion B(I~j!IgEVISED':p~~{~3120ti~~012
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE: (904) 247-5800
FAX: (904) 247-5805
SL7NCOM: 852-5800
www.coab.us
September 3, 2009
Mr. Kenneth A. Wood
---455--An-berjaek-Lane- _ _ __ .. .~.
Atlantic Beach, FL 32233
Subject: Atlantic Beach City Code, Chapter 6, Sec 6-16 International Property Maintenance Code
Dear Mr. Wood,
Tax records identify you as the owner of the following property in Atlantic Beach:
AKA: 955 Amberjaek Lane
Legal Dese: 30-060 38-2S-29E Royal Palms Unit 1, Lot 20 BLK 4
RE# 171174-0000
Consider this a Courtesy Notice of Violation. While conducting a routine Code Enforcement patrol, the
City's Code Enforcement Officer identified the aforementioned property to be in violation of the
following City Code:
Chapter 6, Sec 6-16 International Property Maintenance Code 31)2.? -Fence In Disrepair
As Code Enforcement Officer for the City of Atlantic Beach, I am granting you 30 days from receipt of
this notification to thing your property iirto compliance by either properly repairing or removing the
dilapidated fence.
Furthermore you are reminded of your responsibilities as aproperty owner, and that violations of City
Code can result in fines of up to $500.00 per day, per violation from the Code Enforcement Boazd.
Should you have any questions or concerns involving this matter, you can contact me at (904) 247-5855.
ALEXANDER J. S RRER
Code Enforcement Officer
C: Assistant City Manager
Dale Hatfield, Community Redevelopment Coordinator
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 08-00001017 Date 7/29/08
Property Address 955 AMBERJACK LN
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation 0
----------------------------------------------------------------------------
Application desc
SERVICE UPGRADE 100AMP TO 150AMP/240V
----------------------------------------------------------------------------
Owner
WOOD, KENNETH
955 AMBERJACK LANE
ATLANTIC BEACH FL 32233
Contractor
------------------------
BILL THOMPSON ELECTRIC CO, INC
49 WEST 7TH ST
ATLANTIC BEACH FL 32233
(904) 249-5601
----------------------------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee 70.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 1/25/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
70.00 70.00 .00 .00
.00 .00 .00 .00
70.00 70.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
~S ~~~~~. CITY OF ATLANTIC BEACH
,'~" ~" riti ` '800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
i~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
J ~.=:~ BUILDING-DEPT@COAB.US
'~~ i' ELECTRICAL PERMIT APPLICATION
07- I l l l I
nll\/AI rnl INTV
.1:1JOBADDRES3: :,' .. I,.~^.•, :" '_ ,. ,:. ,, r : 2t:ISTHIS'`ASUB"PERMITi ; i. > '3:'.DATE-... ~~,
~,.~,~ J7`~'~I P~d,~ ~c~° ~ alp ~-
Atlantic Beach FL 32233 ~
^YES PERMIT#:
~~
,7 ~
-~~- PROPERTY OWNER ;yl a
.~;:a~.
4. NAME: ~ /,~ 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE:
~~_~ ~ `
~, ~ _ ;.~ .~ _ ,~ ,.,~ _, _: ';E
~. LEC.TRICAL'-~~~CONTRACTO.R~9a119~.. ,! .. ; 1 ~:::::_;i~~~E~(~?~!~~1~~.,;~?,:i; ~a3s,I~~ee~3,s.~.
7'NAME QF ~MPA~
((L/,,,1 1 1~ ~~ ~ ~ t ~~ ~ ~`
V „ 8. ADDRESS.: , ~
~ Q ~ 3~.1`~ F~'1-IUn~ti c, I~..h , -fit.,
9. STATE OF FLORIDA LICENS NO:
C ~ ~ 10. CELL PHONE: 11. FAX NO.:
~~~ ~ 0540
t2. EMAIL ADDRESS;
,~~ Ll,/ 5 ~ ~:~/~ 13. OFFICE PHONE: -~~ 14,
15. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 rk is commenced.
CONTRACTORS SIGNATURE:
'':;:18: CLASS OF WORK: _ ~ ,' 17;SERVICE:. - ` ~ ! .,.,; 18:tfiAETER`NUMB ~€~„~„,:,:;
>+.:,~N
^ MULTI FAMILY - # OF UNITS:
SINGLE FAMILY ^ TEMP SERVICE ESIDENTIF _
^ COMMERCIAL
^ ADDITION ^ TRAILOR 19. UILDING ,,,s;,;l. ,`;' .:,.,I,:; 19.CURRENTl.CODE ,„.,I,'~,,,,,~rk; . ~ ~~ it : n'
^ ALTERATION ^ SIGN
^ REPAIR ^ POOL /SPA LD ^ NEW
^ R
EWIRE '05 NATIONAL ELECTRICAL CODE
^ OTHER:
iI~IISL!,lilEoenP.,..n.;~'°, ..ra!.:~.:~..,.. <:~: a, c:,rlE eiE~., .:..::::,o.r ,,_.,.,.k`'G.,LIS 77
;~,.
1~i
,S;~~rE4ESr,JIiICA~~!!L~.RKits ~ 1~ 'r ``lu'~?~~~.€~"~~~:
20. TYPE OF SERVICE: OVERHEAD ^ UNDERGROUND ^ UNDERGROUND UP POLE
21. NEW SERVICE: CONDUCTORS PER PHASE: ~ POWER IS ON ^ POWER IS OFF
22. SIZE OF CONDUCTOR: U AMPICITY: ~S(~ ^COPPER ,ALUMINUM
23. SWITCH OR BREAKER SIZE: AMPS: ~~U PH: _,~ W: ~ VOLT: ~ RACEWAY SIZE: ~ L
24. EXISTING SERVICE SIZE: AMPS: s--~GL PH: ~ W: ~~ VOLT: RACEWAY SIZE:
25. FEEDERS: # of AMPS: # OF AMPS: # OF AMPS:
26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.:
27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28. FIRE ALARM: ^ YES ^ NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI-FAMILY AND ROOM ADDITIONS
29. SMOKE DETECTORS: NUMBER:
30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
ailrl~ll!rell~l;aa;il~;a„a',ila~° I~ >:'., . , > . :..«s.~'laaf~yirt~J3.,k~1991t.:5a~z=~l~l~plr>D~4=86fJf?i`~1~: i~!32 'AIR:CONDIT~Q.NIN.G,9ii~I~rIIE~N"~~Il~hlasid~,3~lf!! I`EIr; aK ~'n~lll~'i~~~ ~°I&S<II°~'
# OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
# OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
~.~,". ..iL3 .... °,;°.Ec.l{lFcukc~:e~i~s~><':'..'.~,a'~R'~Ilfl~n~3i??rEl~'.fE~
,. Ir;: ~ .! 5,a ` :............. :...133;;MOTO,RS.~RII`sOE,~~,~' iA'.~.97~4f~~+iii!~!~I'~ili' , F `~r'.'R.II x'•i!~~,'{?' E- ',;
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
,-.d.:~.i z ~ , ,!.,... ~ ~. ~ w , - ,:,a ads .. ,,, .= .I,(, ' ,~ ° €p,X34Ix7RANSFQRMEBS«~i~~.1i~911' $~~h@I't~'~: ~ i ~-~61d0~%+.f91,., ~~i~k9~at~$roli~~!3f~
UNDER 600V: NUMBER: KVA:
OVER 600V: NUMBER: KVA:
._ ,
..I%F!ly~, 6'.a,,,>`S,E`E9' .. ~a,u t '. ri`3~e.1:!(I!ts~tE..ay6 :57r1+„" ~II1Vrca,.~bS3'~: a"I~.:~@.4o~~`II~S`35: MISCEL`^ANEQU,~;RE~AIR.4w ~I~'
DESCRIBE IN DETAIL: '' l
S~Y'~/1 G ~ G~~ ~ G~~ YA' ~° j~c~ f ~~ f?~ ~;
COAB FORM BLDG02: REVISED: 8/13/2007
~ I'Sf3 6
./~v ~~
CITY OF
~$tla~ctie ~t'e~ae! - ~leHcida
Mr. Kenneth A. Wood
955 Amberjack Lane
Atlantic Beach, FL 32233
Dear Mr. Wood:
800 SEMIlYOLE ROAD
----- ATLANTIC BEACH, FLORIDA 32233-S44.S
TELEPHONE (904) 2175800
FAX (904) 217.5805
May 2, 1994
Our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
955 Amberjack Lane
a/k/a Lot 20, Block 4, Royal Palms Unit 1
RE~171174-0000-1
An investigation of this property discloses that I have found
and determined that a public nuisance exists thereon as t.a
constitute a violation of Section 12-1-3 of the Code of Atlantic
Beach (high weeds and grass).
You are hereby notified that unless the condition above
described is remedied within fifteen (15) days from the date
hereof, the City will remedy this condition at a cost of the work
plus a charge equal to 100$ of the cost of the work to cover City
administrative expenses, which will be assessed tl'ie property owner
or occupant. If not paid within thirty (30} days after receipt of
billing, the invoice amount plus advertising costs, will he posted
as a lien on the property.
Within fifteen (15) days from the date hereof, you may make
written request to the City Commission of the City of Atlantic
Beach for a hearing before that body, for the purpose of showing
that the above listed condition does not constitute a p~_~biic
nuisance.
Sincerely,
a
KWG/pah
cc: City Manager
Don Ford
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
I /~
~i~~,e~~~~i~
Karl W. G unewald
Code Enforcement OfficeL
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CITY OF ATLANTIC BEACH
8Qp SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQt7EST:
Building-deptla~}coab.us
Application Number 07-00000450 Date 4/05/07
Property Address 955 AMBERJACK LN
Application type description ROOF
Property Zoning TO BE UPDATED
Application valuation 5100
Application desc
re-roof
Owner
Contractor
SUNLIGHT SOLUTIONS, INC
4 SEATROUT ST
PONTE VEDRA BCH FL 32082
----------------------------- - (904) 543-1300
Additzonal•deSC f ROOF PERMIT -~-----~~-~-~_'~_" '_---_--___---~--_,
Permit Fee
Issue Date ~ ~ • 55.50
plan C e
-_-y-Expiration'Date-. l0/02/0~ Valuatlo~k ~ e ,
n . Di
Fee summary - - SCharg~d - ~ - - - - ~ ,, ~ ,
~,
•„
`~ ~ I
------------------------
WOOD, KENNETH
955 AMBERJACK LANE
ATLANTIC BEACH FL 32233
- ~S`~'~''`',i BUILDING PERMIT APPLICATION
~$ ~\s
r ~~ ~'~ ' ~ CITY OF ATLANTIC BEACH
~;~ ~ ~ r v 800 Seminole Road, Atlantic Beach FL 32233
•~','i}~ Office: (904)247-5826 • Fax: (904) 247-5845
Job Address: /~~
6 ~,~~ ~. ~,~ L~
Permit Number:
:Legal Description
Valuation of Work (Replacement Cost) $ ~/ D D . ()~
^ Class of Work (Circle one): Ne Addition Alteration Repair
^ Use of existin proposed strut e s Circle one): Commercial
^ If an existing structure, is a fire spr~er system installed? (Circle one): es No N /A
^ Is approval of homeowner's association or other private entity require ~ (Circle one): Yes No
'~ Describe in detail the type of work to be performed:~~ ~O O ~ ~- #. ~,~ ~~ , Z
Property Owner Information
Name: Ud A Address: ~~' ~ 6F/'' ~QC~.
City h State Zip _ 32 2 33Phone - a ~ / -
Contractor Information:
Name of C mpany: v~G~.hi%R`j ~ ~o~Lc.~7~1~, S Quali g Agent: I ~ ~ ~~~
Address: ~ ~ Z w ~ 1~5 ~ v t~ `~( -fv-ca c..~ City ~~ ~ L~~dk- State Zip .3 2 > Y'Z
Office Phone ~ ~- f 2 0~ Job Site/Contact Number _ -~-1 3 / 3 ~ •~
State CertiflcationlRegistration #C"(G /3 L~"b ~ Z Office Fax # s~i 3 i 3 fi5
Architect Name & Phone #
Engineer's Name & 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 o~ fa permit and that all work will be erformed to meet the standards of all
laws regulating construction rn this jurisdiction. This permit becomes null and void i~work is not commenced within six (61
months, or r construction or work is suspended or abandoned for a period of six ((6) months at any time a fter work rs
commence . I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools,
Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc.
WARNING TO OWNER: SOUR 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,
Thereby certr~, that I have read and examined this application 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 o f a
permit does not presume to gyve authority to violate or cancel the provisions of any other federal, state, or local ruuw
regulating construction or the perfor ante of construction.
Signature of .Property Own ~ Signature of Contractor:
N
Swo d su ~c~i~j,~d befor me
thisiDay ofb //! a2~ y ~, p~ d subscribed before me
,~.P„ ~ ~ ay of _~_~_
~~''`~ Nopry Pubk - SrM
. ~,~y Comtr~bn Expiros Fib 14, 2010
Notary Public: %'~ P:~ Commission N DD 518533 ~~
~,,,,,,~ By National N tP lit: _ ~ l,n..d ~-- ~ P ~- ' ~cY`.'~--
~"'"'`~, SUSAN SPE g~G RMAN i ~ ti lobo ~i S 5 - ~
REVISED 03.05.07 2 (~ ~3G~
~~ ` " ~ J ~D " ~' ~ ~ •• 3 -/ ''t~ O 1 ." a ~a;nd~ E7><PIRL•S: p # DD643titi8
~'b0.1NOTARY Fi. Noy ry2S 20i!
ry Disadsn Assoc, Ca
1
Yi
NOTICE OF COMMENCEMENT
State of ~(d~ r~ d Cr Tax Folio No.
County of ~c,(,, U'~~
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:
Address of property being improved: `7~ ~ /`f'{'h ~Prf`~/~ C~~ (~-~-e-- ~ ~ J - ~'L` _ _ ~ ~ G -~ S
General description of improvements: ~_ /,
Owner: ~ y7 ~J U n ~~ Address: ~4~'` ~'
Owner's interest in site of the improvement: ~~w~`~ ~/C~2v,uL
Fee Simple Titleholder (if other than owner):
{ r`J Name:
a.. ` ' /
Con actor: _ ~, ,,, [~ r{ / ~ (w S
~~ Address: ` `'J ~/ Z r~/- dUl~ ~S L/i~~ ~~
Telephone No,: x`7,5'
Surety (if any)
Address:
Telephone No:
Fax No:
Name and address of any person malting a loan for the construction of the imp:
Name:
Address:
Phone No: Fax No:
Dac # 2007112686, OR BK 13906 Page 100,
Number Pages: 1
Filed & Recorded 04/05;2007 at 11:12 AM,
JiM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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: 1
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):
T]EII5 SPACE FOR RECORDER'S U5E ONLY
OW1~El2
Signed: ~~/~ Date: ~ ~ ~ ~
Fax No: ~~ /3 cff S~
~''"``'~, SUS SNA P1;AKS GORMAN
MY ~pMhIISS10N # DDG43668
~ana~ E~1RES: Feb~rY25.2011
~•NOTARY FL No~arypjapp~Atso~,Ca
Amount of Bond $
Before~ine this ~ day of a.~~ in the Coun of Duval, State
Of Florida, has personally appeared ~_,,~ ~ . k ~ ~ ¢~.~r.~~,
Notary Public at Large, State of Florida, County of Duval.
My commission expires: l' ~- b • '~. ~ '~, ~ ~'!>'}
Personally Known: or
Produced Identification: ~~ l_ Q2~u €2S 1--~ L~~y s~ ~rJ 3cc SGt 35 "1~~ - C