Permit 1838 Seminole Rd_ ~/16/l0
Property Address 1838 SEMINOLE RD
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning TO BE UPDATED
Application valuation 10000
=---------------------------------------------------------------------------
Application desc
REROOF AND SIDING
Owner Contractor
------------------------ ------------------------
PARKES OWNER
1838 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
--------------------- Structure Information 000 000 ----------------------
Construction Type TYPE 5-A
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc .
Permit Fee 100.00 Plan Check Fee 50.00
Issue Date Valuation 10000
Expiration Date 8/15/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS.
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total 50.,00 50.00 .00 .00
Grand Total 150.00 150.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE5.
~t±.avfy City of Atlantic Beach
:>'~ ~ ~~ Building Department
-~ ;tf1~ 800 Seminole Road
r3 Atlantic Beach, Florida 32233-5d~45
Phone (904) 247-5826 ~ Fax (904) 247-5845
L~;37~~" E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the B2uilding Department.)
/Q ' Q~a/
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: _ / ~~~ ~~ j7to ~~ ~d
Applicant: 4`~~~ /~~f ~.., ~~$
Project:
Review fee $
rtment review re wired Yes o
Buildin
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
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 Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Revi ~ Ap o d, ^Denied.
(Circle one.) Co
~ )
BUILDING ~
PLANNING & ZONING
Reviewed by:
~ Date: a'/ l ~
TREE ADMIN. Second Review: ^Approved as revised. ^ Hied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ^Approved as revised. ^Denied.
Comments:
Reviewed by: Date:
Revised 05114!09
Duval County Released through Friday, Feb 19, 2010 Released through CFN 2010040810 Page 1 of 1
Showing 1 - 15 of 2:
Search Results (0.031 second
Searched for the name 'PARKES SANDRA' in ALL DOCUMENT TYPES
type documents from '1/1/1988' to '3/5/2010'
U="Unreleased" D="Deleted Name"
12
First
Row * Consideration Party Name Cross art
p y Record T
ype Book
Book
Page
Comments Instrument
Type Date Type ~
Name
1 $0.00 To PARKES FLORIDA STATE 7/24/2008 SAT OR 14585 116 NONE OR 2008192066
SANDRA REV DEPT 13944/2064
2 $0.00 To PARKES FLORIDA STATE 4/25/2007 LN OR 13944 2064 NONE 2007138079
SANDRA REV DEPT
3 $0.00 To PARKES PARKS SANDRA 2/12/2007 AFF OR 13808 1214 L25 B10 OAK 2007049549
SANDRA JEAN HILL
4 $0.00 To PARKES AMERICAN EXP 3/1/2006 CCCJUDG OR 13100 2342 2006072181
SANDRA CENTURION BK
5
$0.00
To PARKES AMERICAN EXP
2/2/2006
lDG
OR
13049
1691
2006040012
SANDRA CENTURION BK .
PARKES
$0.00 To SANDRA LOUGHRIDGE
CHRISTINE B 12/17/2003 TERM OR 11533 1694 2003409268
L
PARKES
7 $0.00 To SANDRA LOUGHRIDGE 10/19/2000 P/A OR 9775 2134 2000243005
CHRISTINE B
L
PARKES
g $0.00 From SANDRA GMAC MTG 10/11/1999 ASSIGN OR 9435 1731 0 R 9197 4474 99250024
OR 9197/4474
L
PARKES
9 $0.00 From SANDRA ACCUBANC MTG 2/11/1999 MTG OR 9197 4474 L6 B1 SELVA 99035099
MAR UN9
L
PARKES
1Q $0.00 To SANDRA FEINDTALINE M 2/11/1999 DEED OR 9197 8472 L6 B1 SELVA 99035098
MAR UN9
L
PARKES
11 $0.00 To SANDRA LOUGHRIDGE
JOHN M 10/19/2000 P/A OR 9775 2136 2000243006
L ETAL
PARKES
12 $0.00 To SANDRA LOUGHRIDGE
JOHN M 10/2/2000 P/A OR 9758 924 2000227702
L ETAL
PARKES
13 $0.00 To SANDRA FSB E SAV AM 8/25/1993 SAT OR 7642 2176 76422176
L ETAL
PARKES
14 $0.00 From SANDRA RICKETSON
ALTON J ETAL 7/29/1993 DEED OR 7623 1408 76231408
L ETAL
PARKES
1S 00
$0 To SANDRA FLORIDA FED S 2/2/1989 SAT OR 6650 988 66500988
. L ASSN
L ETAL
12
http://www.duvalclerk.com/oncoreweb/search.aspx?bd=1 %2F 1 %2F 1988&ed=3%2F5%2F2... 3/5/2010
Property Appraiser -Property Details
PARKES SANDRA L
1838 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5916
1838 SEMINOLE RD
Primary Site Address Official Record Bo~Paae
1838 SEMINOLE RD 09197-04472
Atlantic Beach FL 32233
rroperty cecan
RE #
Tax Distrkt
Property Use
# of Buildings
Legal Desc.
Subdivision
172020-0512
USD3
0100 SINGLE FAMILY
1
36-20 09-2S-29E
SELVA MARINA UNIT NO 9
03465 SELVA MARINA UNIT 09
The sale of this property may result in higher property taxes. For more information go
to Save Our Homes and our Property Tax Estima or .Property values, exemptions and
other information listed as'In Progress' are subject to change. These numbers are
part of the 2010 working tax roll and will not be certified until October. Learn_.how the
Pro Appraiser's Office values property.
Value
Page 1 of 1
Tile #
9409
2009 Certified 2010 In Progress
Value Method CAMA CAMA
Bulkling Value $132,999.00 $117,546.00
Extra Feature Value $16,434.00 $14,467.00
Land Value (Market) $212,500.00 $212,500.00
land Value (AgriG) $0.00 , $0.00
7ust(Market) Value ' $361,933.00 $344,513.00
Assessed Value (A10) $226,602.00 $232,720.00
Exemptbns ' $50,000.00 See below
Taxable Value $176,602.00 See below
Taxable Values and Exemptions - In Progress
If there are no exemptions applicable to a taxing authority, the Taxable Value is the same as the Assessed Value listed above in the Value Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
Assessed Value ................................................$232,720.00 Assessed Value.................................................$232,720.00 Assessed Value
..$232,720.00
............................................
Homestead Exemption (HX) - $25,000.00 Homestead Exemption (HX) - $25,000.00 Homestead Exemption (HX) - $25,000.00
Amend i Homestead (HB) - $25,000.00 Amend 1 Homestead (HB) - $25,000.00 Taxable Value 5207,720.00
Taxable Value $182,720.00 Taxable Value $182,720.00
Sales Histolr!!
_
Book/Page - ..---.-__-
Sale Date ----.-----------_-._-
Sale Price -
--------y_
Deed Instrument-Type.Code _
_.- __~_
Qualified/Unqualified
j 09197 =04472 2/2/1999 $193,000.00 WD -Warranty Deed Qualified
06536.00806 6/24/1988 $122,000.00 WD -Warranty Deed Unknown
06127-00838 5/5/1986, $86,000.00. WD -Warranty Deed Unknown
j 05462-00322 11/30/1981 $100.00 QC -Quit Claim Unknown
05341-01072
{ --- - 5/19/1981 $60,000.00 WD -Warranty Deed .Unknown
04883-01085 4/25/1979 $100.00 QC -Quit Claim Unknown
land & Legal
- _._
Vacant/Improved
Improved
Improved
Improved ',
Improved
Improved
Improved
Land
pt ng pi;h Category Land Units Land Value ~ LN L al DesaipiJon
iN OC100 RES LD~3 7„UNITS PER AC _ AZPUD 9r1~00t 0 00 Common 100 $212 500.00 1 36-20 09-2S-29E
' _ __. _. _, ____ __ .v _ ~ _~ ~~ ~
i 2 SELVA MARINA UNIT NO 9
3 LOT 6 BLK 1
1~4M•//ar+r+c r`ni nc>t/ran nrnr~Prtt~Caarnh/Raeir/T1Ptail ac„v~RF-1'77n7nnS17 z/s/~nln
,t` ri, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
t.~ ' fl OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5645
~'..; .. WWW.COAB.US
~'- ~;:>_ BUILDING PERMIT APPLICATION
DUVALCOUNTY
R
1. JOB AD
D
E
SS. R
K
AT,ON
F W
O
2 Vr,L11
O 3. SQ. FT. UNDER RDOF
}ry
S-
~
~
A n 1`
,~
'
~
~'
/
~
4. LEGAL DESCRIPTION: 5. CLASS OF R K 6. USE OF STRUCTURE:
/ ^ NEW BUILDING ^ DEMOLITION ESIDENTIAL
-
LOT VJ BLOCK i SUB DIVISION ^~+DDITION ^ CONVERTING USE ^ COMMERCIAL
N OF V~RK
I ^ ALTERATION ^ ACCESSORY BLDG. B. FIRE SPRINKLER:
7. DESCRIPT
O
~ ~EPAIR ^ POOL/SPA ^ YES ^ N/A
~~~~
~1 ~ 1 ~~ ^ MOVE ^ OTHER NO
PROP RTY OWNER: CONTR ACTOR' ARCHITECT /ENGINEER:
g. N~^~~ ~~~- ~ 15. COM~NAMC\ E:,~ ~ ,
~~ ~./ 23. COMPANY NAME:
~~f~~~l~ ~ ~~ n ~
D~.. 16. NAME: 24. L ENSEE NAME:T ~~ ~~~~~
_ \
10. ADDRESS: ~~, 17. STATE OF FLORIDA LICENSE NO.:
-~ 25. ATE OF FLORIDA LICENSE NO.:
d ~
~TI.A N l ~ ~ Grl 18. ADDRESS:
~--- 26. ADDRESS: ~~ 1
~ ~~ ~ ~-~i
~-'q~J tiL ~~G~
11.OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE'
~b - ~1~2~ ~ l02 21. CELL PHONE: 29. CELL PHONE:
.
14. MAIL ADDRESS'
' Q~ ~ ~C~~c~ ~ 2. EMAIL ADDRESS:
t~ ~ 30. EMAIL ADDRESS:
.Q, s5 ~'' C~~ c ~,~
FE SIMPLE TITLE HOLDER:. BONDING COMPANY: MORTGAGE LENDER:
(iF o`HER 7FiAN owr;ER)
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 pertormed 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 YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(.f Agent, Power of Attorney ~ Agency Lette• Rc-gwred) iQ~:ali~er Cmly)
Signed: Date: Signed: Date:
Before me this day of , 2010 in the county of Before me this day of , 2010 in the county of
Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared
herin by himself /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 Notary Public at Large, State of ,County of
^ Personally Known ^ Personally Known
^ Produced Ident~cation - ^ Produced Identification -
Notary Signature: Notary Signature:
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANI~C BEACH
~,~~,~pITIONAL
REQUIREMENTS AND CONDITIONS.
REVIEWED BY: ~_ DATE_ ~' 1'/U
~-- -- -
FILE COPYI
a~~
800 Seminole Road
Atlantic Beach, Florida 32233
Telephone (904) 247-5800
FAX (904) 247-5845
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan -parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading/unloading area and material storage
area.
3. Location of chemical toilet area -chemical toilets must be kept out of City
right-of--way and not further than 15 feet from structure under construction.
4. Location of dumpster -dumpster must be from approved waste company (in
accordance with Chapter 16 City Code). As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal, Realco Recycling, and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 6/2009
CITY OF ATLANTIC BEACH
_.
®WNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQURES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY. TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IlVIPROVE A COMMERCIAL BUILDING AT A COST OF $25.000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. !T MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BiJ1LT
IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. ]'OU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT 1S
YOUR. RESPONSIBILITY TO MAKE SURE THAT PEOi'LE EMPLOYED BY YUU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COt1NTY OR MUNICIPA,j., LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EML'I~OYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247-5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; THEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
Before me this ~~ day of ~ , 20~ in the county of
Duval, State of Florida, has personally appeared herin by himself /herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large, State of ~, County of ~ L/I//~I'~
!$ Personally Known
^ Produced Identification -
Notary Signature: ~,~w l~~ /~wG~
2 ' ~o ~~~
PHONE NUMBER
a' ~ d /C/
DATE
""~"'••• VICTORIA E. LEGG
~`,~ :. Commission # DD 940765
a• a: Expires December 9, 2013
•~~;p„ ~~ e~en,Nrr~F,w~l~.~+o.eoa~rota
F:/BLDG/Owner-Builder Affidavit; RENSED: 4/16/2009
CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form
As required by Florida Statute 553.842 and Florida Administrative Code 96-72, please provide the information and approval
numbers on the building components listed to be utilized on the construction project for which you are applying. We
recommend you contact your focal product supplier should you not know the product approval number for any of
the applicable listed products. Statewide approved products are listed online @ www.floridabuildin~.or~
CategoryjSubcategory Manufacturer Product Description FL Approval # (s)
EXTERIOR DOORS
a. Swinging
b. Sliding
c. Sectional/Roll Up
d. Other
WINDOWS
a. Single/Double Hung '~~, t~S~-{~. b• ~ Nf~~l~ Q ~ 52
b. Horizontal Slider ~-
c. Casement ~'
d. Fixed `-
e. Mullion -
f. Skylights
g. Other ~'
PANEL WALL -~
a. Siding ~2®t Q ~~ `.,Q~P >r ,ry 3 t °l2
b. Soffits
c. Storefronts -~
d. Glass 81ock -"
e. Other --
ROOFING PRODUCTS ~"
a. Asphalt Shingles -~
b. Non-Structural Metal -lj~G.v '~( GC2i,v\JI I l°( ~. ~ 2CO C~
c. Roofing Tiles ""'
d. Single Ply Roof ~-'
e. Other -' '"'
STRUCTURAL COMPONENTS r
a. Wood Connectors Gjl~~E'Sa ~-1
b. Wood Anchors --"
c. Truss Plates `"
d. Insulation Forms ~-
e. Lintels --'
f. Others
NEW EXTERIOR ENVELOPE
I understand that, at the time of inspection, the following information must be available to the inspector on the ~onsite:
1. A copy of the product approval.
2. The list of performance characteristics which the product was tested and certified to comply with.
3. A copy of the app-icable manufacturers' installation requirements.
Further, I understand a product may have to be removed if approval cannot be demonstrated during inspection.
Applicant Signature Date
H:/Product approval spec sheet short form.xlsx
BP200U01 CITY OF ATLANTIC BEACB 3/05/10
Application General Information 15:54:10
Type information, press Enter.
Application number 10 00000131
RE number 172020-0512- - Post
Number Pre Qual Dir Street Name Sfx Dir Qual Apt
Address 1838 SEMINOLE RD _
Zone code F4) TBU TO BE UPDATED
Application date ~~1
Application type (F4) RAAR RESIDENTIAL ADDITION/ALTERATION
Application status (F4) PI PERMIT ISSUED
Application desc REROOF AND SIDING
Total est value 1000
Tenant number/name
Total square footage
Public building flag _ 1=Public, Blank=Private
Master plan number
Application group (F4).
F3=Exit F4=Prompt F5=Land inquiry F6=Val'n Gales F7=Square footage calcs
F8=Street name inquiry F9=Work description F10 Viea 2 F12=Cancel
NOTICE OF CONIlt+iENCEMENT
Permit No. ~!(~, - ~ /~~ Tax Folio No. r. C~~~1~~~
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of properly and address if available}:
2. General Description'of improvements:
3. Owner Information:
a}Name and Address:
b} Interest in property:_
c) Name and address of
r: .,x~
~, ~.,.
•.,
4. Contractor Information:
a) Name and Address: _
b) Phone Number:
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $.
6. Lender Information:
a}Name and Address:
b) Phone Number:_
$ ~ ~ /Y)J
(if other than owner):
DOC 7# L01005t31LF3, Oil 8K 15ii33 Page yb,
Numtser Pages: 1
Recorded 03!1612010 at 09:54 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as
provided by 713.13 {1}(a) 7, Florida Statutes: t `+~ 1v~ '~~~ '~ ~~ •
a) Name and Address: ~~ (Ll~ a --Z A 2» Y-~S . ~ ~A ~ ~- ~--
b) Phone Numbers of Designated Person: ~i~~ ~Co ~ ~~ ~
8.
In addition to himself/herself; Owner designates ~~.J~ of
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b} Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one {1) year from the daze of Recording unless a
different date is specified:
WA,ItNING TO OWNER: ANY PA~i'MENTS MADE BY THE OWNER A,F'I'ER THE EXPIRATION OF THE
NOTICE OF COMMENCEMEN']C ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN. YOUR PAYING TWICE FOR
IlvIPROVE11+iENTS TO YOUR PROPERTY. A NOTICE OF COMMIr'NCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I]VTENID TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING,
~.~ ~
"Si~iatory's Printed Name c~ TitlelOf6ce
~~~ da ~~
The foregoing instrument wad aFlmowledged before me this y of ~~~- ~ i ~
yU,~'Vi,c`~ („ ~dJL~ ~ ~nmiedontDD948A97
~~'1 for aonan. expires Ooc. t5, 20t8
(Name of Person) (Authority Type, i.e. Officer/Attorney) (Name of
O rl S
to receive
BP502I01 CITY OF ATLANTIC BEACH 3/16/10
Inspection Inquiry 11:51:51
RE number
Property address
Appl, structure nbr .
Permit type, seq nbr
Inspection type, seq nbr
Tnspection status, date .
Requested date] time, by
Override date, time, by .
User ID to request, result
Phone interface number
Inspector assigned
Results status, date
Final inspection flag .
Penalty amount
Inspection request comments
approved
172020-0512- -
1838 SEMINOLE RD
10 00000131 000 000
BLDG 00 BUILDING PERMIT
18 0001 BD ROOF IN PROGRESS/DRY-IN
INSPECTION COMPLETED 3/09/10
3/05/10 17:00 DW
DWHITE
204164
MJ
APPROVED
N
.00
DWHITE
MIKE JONES
3/09/10
Bottom
Press Enter to continue.
F3=Exit F5=Land inq F7=Insp result comments F12=Cancel