Permit 257 Belvedere StCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000083 Date 1/27/10
Property Address 257 BELVEDERE ST
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation 7350
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Application desc
hardi Aland over tl 11
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Owner
------------------------
BRANDY
257 BELVEDERE STREET
ATLANTIC BEACH FL 32233
Contractor
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MARTIN HOME EXTERIORS
5749 HAVEN ROAD
JACKSONVILLE FL 32216
(904) 737-5009
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Permit BUILDING PERMIT
Additional desc .
Permit Fee 90.00 Plan Check Fee .00
Issue Date Valuation 7350
Expiration Date 7/26/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
90.00 90.00 .00 .00
.00 .00 .00 .00
90.00 90.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
BUILDING-DEPT(a)COAB.US
BUILDING PERMIT APPLICATION
DUVA~COUNTY
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9. NAME: 15 COMPANY 1NAME,\, /
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10. ADDRESS:
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11. O FICE HONE:
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'7 3 7 -S'd 2°l 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE:
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
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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. 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 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, 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. I 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 YO R NOTICE MENCEMENT.
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Signed: Date: 2 3 ~ 0 Signed: Date:
Before is Z day of ~ h . , 20A~i the county of Before me this ~ day of ~, 2009 in the county of
Duv State orida, has pe eared Duval, State of Florida, has personally appeared
he t s e nts and declarations are herin by himself I herself and affirms that all statements and declarations are
tru an o1 '% MAGGIE MARTiI' true and accurate. '~
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax FoliaNo. 170504-0000
State of Florida County of uva ,
To whom ft may concern:
The undersigned hereby informs you that improvements wtii 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: 10 - 8 17 - 2 S - 2 9 E
SALTAIR SEC 1
Address of property being improved: 257 BELVEDERE ST
Atlantic Beach FL 32233
General description of improvements: windows, siding or screen room
Owner' Arnber Brandt 257 BELVEDERE ST
Address Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple TiUehokfer (if other than owner)
Name
Address
\~ ~ Contractor Martin Hom Exteriors
/'1 -,{~~) Address 47d4 Llavcn Rparl~ .Tarkgnn~~il1P F~'y_3771ti
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Phone No. 904-737-5009 Fax No. X04-737-5029
Surety (if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a ban for the construction of the improvements.
Nama
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
Phone 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), Fbrida Statutes. (Fill in at Owner's option).
Name
Address
Phone No: Fax No.
iration data is one (1) year from the date of recording unless a
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Expiration date of Notice o
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Uoc as 201001f5904, (iR f3~ 15131 Page 1296,
Number Pages: 1
Recorded 01 /27!2010 at 10:36 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00 ,
OWNE~ DATE • .?'3 ~~
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MAG6tE MARTIN
w Sgte of Florida
nib~i~e ov 17.2013
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Pereonely Known or
produced Identifieation