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Permit 374 1st Street is CITY OF ATLANTIC BEACH +J' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000283 Property Address Date 4/09/10 • 374 IST ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . 14000 -- Application desc------------------------------------------------------- PORCH ADDITION, INTERIOR REMODEL ---------------------------- Owner Contractor ------------------------ ------------------------ LECATES JOSEPH BAY 1 BUILDERS 374 1ST STREET 1419 NEPTUNE GROVE DR E ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 339-2131 -------------- Structure Information 000 000 -----------_--------__ Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Sub Contractor . . POWER TECH ELECTRICAL SVCS INC Permit Fee . . . . 125 . 00 Plan Check Fee Issue Date . 00 Expiration Date Valuation 10/06/10 . . • 0 ----------------------------------------------------- Special Notes and Comments TREE PERMIT AND FEES REQUIRED MUST SEE ERIKA HALL PRIOR TO ISSUING ANY FINAL INSPECTIONS *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *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 No parking on sidewalk. Rolloff container company must be on City approved list and ------container-cannot be placed on City right-of-way. ----------------------------- (�j� �.�,,�,,�7 ----------- -------------- PERMIT I �Rgi*W17 XY IN ACCORDAQkaMftdLL CITY OF A�' 'IC BEACH`ZM8di�lSS&AND THE FOMMA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 i319 Application Number . .-- . - 10-00000283 Page 2 ---------- 125Date 4/09/10 --------- Permit Fee Total . 00 . 00 125 . 00 _______ Plan Check Total . 00 . 00 . 00 Grand Total 125 . 00 125 . 00 . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. L : %a :vc PM Rob Lassetter 19042393058 EIEC rIUCAL PERMIT AppiacAnom CffV of ATY A-r1TIC BwACH 800 Seminole Rd,A.tlarde Bead%FL 32233 Ph(904)247-5826 Fax(904)247-5&45 PERMU JOB ADAi[1195: S ' a c * NEW SERVICE ❑overhead Undergroaad CIResidentiO(Maim)Service G0-100 amps C 101-150amps CX51-200amps U e o amps #of Meters 1 OCamn,etdAl(MMO Service 00-100 amps 0101-154amps €3151-200anip o amps QCT S,ezvice C:onducuw Type____ Size. D Mlait%Falow(main)Sema* 00-100 amps ❑I41-1 Scamps :315]-200 mps 04 ,_amps #of Unit]Meters .2Temporary Pole Q amps~ SERVICE UPGIU DE 0 amps 17 CT Samlee_amps NEW FEEDER(ADD]jnO NS,ACCESSORY S'T'RUCTURES,LTC.) 100 amw 0150acn a C1200amps 0 amps C1t T Service ADDTI ONS,RZMODEIS,R"A1RS,BUU.D-OUTS,ACCESSORY S'i"RUCT RES,ETC, Uudets/Swkcbes: 0-30ampa --- ._ 31-100amps 101-2©Ossmgs Appliances. _ 0-30amps Ly31-__31 101-200IMPs A/C Circuits: _-0-60amps - 61-100amps Heal Circuits: L_ #circuits _kw Ntin�tber of bighting Gutlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0Swh=ir9 Poa1 Q Sigh 0Smoke Detectors_Qty OTransfotmems K.VA 1;Motors hp FM ALARM SYSTEM (Reqs 3 scls of plans,&Fac Alww Cbecldist) QtY vulist/amps . _- VALUE OF WORK 3 REPAMSIN0 SC>li;.L LANF.0Ij$ C1Re2Iam Bt>rrW]Damaged Meter Can aSafety MspeWou ❑Panel s Lb UG COth= Pwnit b ="void if work daft set commence uriflfia a six.tae+ath periodor waak is suspsndad or abeod000d iar n:sd tfi➢s appuctow tad Imm dw um to bo am and cwrect An pavisiaas of laws aad ardtaoces horoby�'tbei]have specified err cwt: Tho pwrift dots not gtr-c outhodW tp vtolsta fire txovisiaoit cqtWagthis wrortc vrl3t be va�tptiad w wlKt6q, eonsarredon. AaY gttter 040 or etutsnau CftsOraadit or the tae of Ptapwty owners Nam_� r a P11032e ate' ElectricalCumpesty atgr�rc'(.. I*I.� ,,�t< s OmcePhone �-V 7Ll ?Y Co_Addncss: ��7 [a.�,,.« ., ( `�� Fax Z39-3a,�-y iCiCG City_5 enc State l-•_zip9'2.22K LkensaHoWar(Pria•t): L.ar-tax a fftS~ Skbe CesiificatiMM*sftation# tr eor3<i f6 Nafw*ed SYgxatame®jLicesse I{rrtdar 2++w••s� • s t Swom and subscribed before me this dap of 2p_ r n Ayr'COIF�45S1C)M/nD 761197 .� � Ew k 22,aosE gumate cul Of Notary PubLiG i d 5it+tiS�L'b�'bOG :m s� CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001007 Date 8/13/10 Property Address . . . . . . 374 1ST ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc PERMIT TO COMPLET WINDOW AND REMODEL 10-282-283 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LECATES JOSEPH OWNER 374 1ST STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 500 Expiration Date . . 2/09/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION lo -plov -7 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 3 � 'T -r �T� 3zZ33 Job Address:� � � ��' ,���� � Permit Number: Legal Description Flo—or Area ot Sq.kt. Sq' Ft Valuation of Work$ DTD Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial sidenti If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: 7.64c o c 4exraole-6 Property Owner Information: Name:,- C S Address: 3.;7 �� �i 17 C-)T1 G City C, State t-Zip 3z2-3 3 Phone 0 7 7,,f— 4, 3 E-Mail or Fax#(Optional) 1,0e. C SCA-'r-e-S 0a� Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# `?d /73Y Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made'00b tain 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 Zaws 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 sus ended 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 ElectricalpWorl�Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EM PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF COM IENCEMENT. I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type ojywork will be complied with whether s ecifd herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of arty other fed te, or local` lating constr tion r the performance of construction. Signature of Owner - Signature of Contractor Print Name � ��S...._._........._. Print Name Q................... ------------- ........ ........................ ..... Sworn d subscribed befor Sworn to and subscribed before me this ay of 20 �v this Day of 20 Notary Public Notary Public Revised 01.26.10 t� Z32-54--�-4 S I-Z'9Fd 0 CITY OF ATLANTIC BEACH OWNER / 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 REQUIRES 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 A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT 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 BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL 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 EMPLOYED 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; I HEREBY 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. ADDRESS PHONE NUMBER PRINT NAM W DATE day of 20 in the county of ,has personally appeared herin by himself/herself and affirms that larations are and accurate. Notary Public at Large,State of ,County of t.f-4 ❑Personally Knownr � �roduced Ident'rfication-/ Lj`�J6. A Notary Signatur ` F:BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 AMOWMINOW OB Bay I Builders July 14, 2010 To Atlantic Beach Building Department, For permit numbers 10-282 and 10-283 please transfer to the homeowner Joe LeCates. He will be submitting the paperwork you require for this process. We reached a mutual agreement to terminate my companies involvement in the project. If you have any questions please call me at (904) 339-2131. Thanks, Robbie Johnson Bay 1 Builders, Inc. 0 N ! ( j RJohnson@ ' C t``i .J IN fnr JUL 14 2010 L e ca je ,5- i t- 4)A i 3 -1 -r! e r JA t)C.)►1 � �� e i f t 6--e f r1 '4C„-• c II y� 1419 Neptune Grove Drive East Neptune Beach, Florida 32266 Phone(904)339-21.31 Fax (904)247-2696 cgc 1511900 s — CI �4 fZ4 's I CO i H i N 1 Q i r w o o V W W E WQ H H d � o o ` I W I o 0 W U U O ^ Ian m U) b , H E El Q W y z a a w H H H W dwmlp azl � T N 0 �° N o o --.0 -SG H C� • N Pi E, Ho ' 3 U U A^ W W i V, as ul zz d z z I '! 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He will be submitting the paperwork you require for this process. We reached a mutual agreement to terminate my companies involvement in the project. If you have any questions please call me at (904) 339-2131. Thanks, 4i G Robbie Johnson Bay 1 Builders,Inc. RJohnson@BaylBuilders.com E' e ! 4 1419 Neptune.Grove Drive East Neptune Beach,Florida 32266 Phone(904)339-2131 Fax (904)247-2696 c2c 1511900 .v r= CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 10-00000283 Date 3/30/10 Property Address . . . . . . 374 1ST ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 14000 -------------------------------------------------- Application desc PORCH ADDITION, INTERIOR REMODEL ---------------------------------------- Owner Contractor ------------------------ ------------------------ LECATES JOSEPH BAY 1 BUILDERS 374 1ST STREET 1419 NEPTUNE GROVE DR E ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 339-2131 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 120 . 00 Plan Check Fee 60 . 00 Issue Date Valuation 14000 Expiration Date . . 9/26/10 ----------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *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 No parking on sidewalk. Rolloff container company must be on City approved list and container cannot be placed on City right-of-way. ------ - ------------------------------------- Other Fees . . . . . . . . . BD PLAN REV. 2ND SUBMITAL 50 . 00 ---------------------------------------------- Fee summary Charged Paid Credited Due pp�r pp���� }} ---- ---------- PERMIT IS APYRQPF.'D XAv IlQ RC&DANCE Wl l g ALC�ITY OF AA�40 QEACH ORDINANGER aND THE FLORID kP 0 BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 10-00000283 Date 3/30/10 Plan Check Total 60 . 00 60 . 00 . 00 . 00 Other Fee Total 50 . 00 50 . 00 . 00 . 00 Grand Total 230 . 00 230 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. eel 'I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000282 Date 3/30/10 Property Address . . . . . . 374 1ST ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 ------------------------------------------------ Application desc WINDOW REPLACEMENT (WBDP) -------------------------------------------- Owner Contractor ------------------------ ------------------------ LECATES JOSEPH BAY 1 BUILDERS 374 1ST STREET 1419 NEPTUNE GROVE DR E ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 339-2131 ---------------------------------------------- Permit . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date Valuation 3000 Expiration Date . . 9/26/10 ----------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 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 Wind borne debris protection is required for windows & door.MJ. ---------------------------- ------------------ Fee summary Charged Paid Credited Due --- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PE � RMIT APPLICATION CITY OF ATLANTIC BEACH 7 90 800 Seminole Road,Atlantic Beach,FL 32233 ;7L- Office 'LOffice(904)247-5826 Fax(904)247-5845 ob Address: 37 qIr4,,j3Z 3 Permit Num Io< ,egal Description �� Q „j �� 2S �c Parcel# l q S Valuation of Work S 3 0 O o. 'lass of Work(circle one): New Alteration a molition pool/spa w' oor fse of existing/proposed stractur s Q f an existing structure,is a fire s�') Comma Je idents- p system installed:(Circle one) yW o N/A Londa Product Approval# 'or multiple products use prodnct approval orm M )escribe in detail the type of work to be performed: a qR 1 Ad � roneriy Owner Information- tet! lame: SSCP h! ^E�--E•,S Address: 7 T j S ' ft ity--l%n fi c- State& Zip 3 Z-2-3 Phone _ b Er �G � � j -Mail or Fax#(Optional) jo e • /e `ontractor Information: ompany e: � `�v t Yen Qualifying Agent: �Ca 1e�� C �o��,c=, J„ ddress: /y/ c•. City i4 ti 0..0 C State " Zi ffce Phone - ! 1 Job Site)Contact Number 33q-z/71 Fax#- ,2 V p Late Certification/Registration# rel itect Name&Phone# ngineees Name&Phone ;e Simple Title Holder Name and Ad ess onding Company Name and Address (ortgage Lender Name and Address or installation has commencedprior to the this jurisdiction This permit becomes null L4,k mmecewitin six(6 months, or;f construction or work is se��ended or abandoned fora enod of six(6)months at any time aj}er s commenced I undrstd h ,pooh Fu and Air Conditioners,ett; f $ bells rnoces,Boilers,Seaters, WARNING TO OW}. URE TO RECORD A NOTICE OF COMMENCEMENT MAY RE T IN YO PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y ND OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN A Y B ORE RECORDING YOUR NOTICE OF EMENT. a, 0 le ereby certify that I have read card examined this p t to be true and correct. All provisions of laws and ordinances governing t his of work will be complied with whether specid of a permit does not presume to gzve authority to violate or visions of arty other federal state,or local law re ormance of constractfon. ;nature of O ture Q ~ Signaof Contractor :Woo int Name _._. 1_... T S Print Name �u Sc -� ® r ro ,tc.and subs c ' e or me O s �l Day of � /,I y f scn'l�_41t erme s 0 }fury Public CY _ lic MY COMMISSION#DD 834126 ,R� EXPIRES:May 21,201 i vised 01.26.l 01 :rt EXPIRES:May 21, 11 IW s" 7&1�;75�� Y NOTICE OF COMMENCEMENT Permit No. /0 Tax'Folio No. 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 Starae-s,the following information is provided in this Notice of Commencement. 1. Descri �, o�qVprqperty�lpgal' /descri7AJIt-A-6-JzAl ' f propeerty and address if available): -S Ve,A 32233 2. General Description of improvemen rids. /ltlLro�C / 3. Owner Information: �� a)Name and Address: usc,� �e , �� y b)Interest in property: lf24,,nGr c)Name and address of simple titleholder(if other than owner): 4. Contractor Information• / a)Name and Addre s: /?, ,� J_a �� ., cam,. � v)� L y AM e k � �A. Ob)Phone Number: 5. .Surety Information: a)Name and Address: Doc t#2010056604,OR BK 15180 gage 1140, b)Phone Number: Number Pages:1 c)Amount of Bond: $ Recorded 03/12/2010 at 10:36 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL 6. Lender Information: COUNTY �Qa)Name and Address: YI RECORDING$10.00 b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7 Florida Statutes: // ,,/ / a)Name and Address: M zz�1111 -941? /Y.3�' 'j?-2jo b)Phone Numbers of Designated Person: 8. In addition to himself/herselt Owner designates of to receive a copy of the Lienor's Notice as provided in Section 7 3.13 (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 date of Recording unless a different date is specified: 1 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE-CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMA4ENCEMENT. - v� SC !1 4kr 7Z- 4a��; Sil! e of Owner or Mer, zed 'a er/Manager Signato 's Printed Name&Title/Office MY coMMiSSI L / EXPIRES:May 21,2011 li/p1 r A 9,,dedThmNOWYPUWUndsnmtes ,( The foregoing instrument was o er me this l& day of 20 /o b y as Wo�' for A,/ S&P// e rs n) Authority Type,i. .Officer/Attorney) (Name of Party Instrument was Executed for) NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 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. DescriDtion.Description. o property l gal Ldescrip/}t�'n1'� of property and address if available): e e- 2. General Description of improve'men : %rel r �f�/r, �ir7 .L r(d. /1C rL►O�L 3. Owner Information: // rr a)Name and Address: oLig It 4' fir �y l� st/ ,J /A n�i� �cr l. /_� �223 b)Interest in property: t✓nLr c)Name and address of simple titleholder(if other than owner): 4. Contractor Information- a) _ a)Name and Addre : ko."� J� �^<Y, v�1 L^r Iy(`t c 'k0-1, k�, �• b)Phone Number: i�V ur 5' Surety Information: P a)Name and Address: Doc V 2010066604,OR sK 1 bt 60 rage 1140, b)Phone Number: Number Pages:t c)Amount of Bond: $ Recorded 03/12,2010 at 10:36 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL 6. Lender Information: COUNTY RECORDING$10.00 a)Name and Address: b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7 Florida Statutes: a)Name and Address: G�i �r4�cJ � , _(�' X�1 n/, j 313-1 b)Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates /t/, of to receive a copy of the Lienor's Notice as provided in Section 7 0.43 (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 date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. V/a ScIv 4kr 7z- 4a�5 Si atu e of wrier or er' zed� #P ner/Manager Signato 's Printed Name&Title/Office S - EXPIRES:May 21 201 i . BondedThMNotaryP enters �� The foregoing instrument was wo ore me this l fday of ,20 � by r>l�17 . WA.t, —" as for I/OSEp// 46nr"� �t- ?�yie f rs ,L7��.Q, Authority Type,i. .Officer/Attorney) (Name of Party Instrument was Executed for) BUILDING PERMIT APPLICATION r L L# CITY OF ATLANTIC BEACH 06 o 800 Seminole Road,Atlantic Beach,FL 32233 Gk,�. �h � �A s' L -7S40 Office(904)247-5826 Fax(904)247-5845 )b Address: All mp Permit Nu ' �vL- 1 / egal Description La ,7� (�, r k„f �� 2s^ oc Parcel# L S Valuation of Work S 3 o O D. [ass of Work(circle one): New Alteration e ge of existing/proposed structure(s) ; Comore molition pool/spa oor an existing structur identi D I is a fire sp system installed?(Circle one): es o N/A �� orida Product Approval# O yr multiple products use product approv orm til ascribe in detail the type of work to be performed: •operty Owner Informafioffn`` urea: >SEP H � .C.��EE�.,Addres.: �� I S7- ty Leftfie. .St BEET' jZy)�1C.. Sp z..z3 3 Phone Mail or Fax#(Optional) f p L • �s �,,,� 1 . Cc�,,� ►retractor reform aon• ` tmpany�T�me: i. en Q �g Agent: lCt��e^ [dress: /yf J� City v �, Q State L !1. f� �—zip `s2 Tice Phone -21 / Job Site/Contact Number 354-2131 Fax#_ ate Ce on# (, /.S7��iCl_/l chitect Name&Phone# gineer's Name&Phone# Me,f,,, Simple Title Holder Name and Ad s§ riding Company Name and Address )rtgage Lender Name and Address plication is hereby made obtain rmit to do the work and installatiorzr as indicated I certify that no work or installation has commenced prior to the lance of a permit and=toq!worIC be oaawsreguating construction in this jurisdiction Thispermit becomes null void aj work iscced wsix{monthsor;f constructiok a erzod of six(6}months at mzy time er kis commenced Itand 0, t separate permits must be secured for Eledrica! iPork,Putmbirig,Signs, }ells,Pools,Furrwces,Boilers,Heaters, eks and 41 Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES AYING TWICE FOR L%IPROVEMENTS TO YOUR PROPERTY. IF YO ND BTAIN FINANCING CONSULT WITH YOUR LENDER OR AN AT Y RE RECORDING YO�fJR W "eby certify that I have read and examined this 1' a z f P sae be true and correct. All provisions of law n o work will be complied with whether specs ed he T�e g—r. of a permit does not resume to rssions of arty other fea'era4 state,or local law re P give a o o vio�trte o e � g rtla� ormanceofcanstruction. � z ¢ U. nature of O A O Q Signature of Contractor ju rt NameS C _.... ..a_ _ji ; Pant Name _.. Day o f se ' be or me 2��� Sworn twd subscril�gd befor , e - 'N this / Day of / � 2 a oaf ary Public lac D83—OR-A—HWO MY COMMISSION#DD 634126 EXPIRES:May 21,20112 ' MY 10� W P' �' a lad ituuAmeryPublicUnderwrb j"� EXPIRES:May (�// �cW aondedTtwNotWYPublicU L NOTICE OF COMMENCEMENT Permit No. /0 Tax'Folio No. 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. I. Descripor� oproprty gal descrip ' f property and address if available): 3.2-233 2. General Description of improvements. f ✓ �YJnf- Ary.i r/d... I1tlLraQ'C / 3. Owner Information: -��/ / �`���,� �/4 n d i a)Name and Address:Jole, � 7� 444-r P � �2 3�_ b)Interest in property: „e,: - c)Name and address of simple titleholder(if other than owner): 4. Contractor Information- a)Name and Addre : a�e�.t j- 1q,, c �A v, ^r AMC�- . +� /b)Phone Number: ,het Z/3 t 5. .Surety information: a)Name and Address: Doc#2010056604,OR BK 15180 Page 1140, b)Phone Number: Number Pages:1 c)Amount of Bond: $ Recorded 03112/201 oat 10:36 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL 6. Lender Information: COUNTY a)Name and Address: Nj 1A RECORDING$10.00 b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7 Florida Statutes: / a)Name and Address: ih c1 ?-;w !� ��n�� � t 1A 13223 b)Phone Numbers of Designated Person: 8. In addition to himself/herselt Owner designates A11,4,�j of to receive a copy of the Lienor's Notice as provided in Section 7f3.13 (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 date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAY 4ENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE tt`' NOTICE OF COMMENCEMENT ARE,CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR RvIPROVEMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Si a e ofwrier or O ner razed ��'a ner/Manager Signato 's Printed Name&Ti le/Office MY COMMISSI N / EXPIRES:May 21,2011 Banded Thru Notary Puhgc Undenmtsrs The foregoing instrument was ora me this day of , 20 r/0 by as for as l - L-g� 74'-S o n) (Authority Type,LK.Officer/Attorney) (Name of Party Instrument was Executed for) I City 4f Atlantic Beach Building Department APPLICAT[O[V NUMBER 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach,Florida 32233-5445 p Phone(904}247-5826 - Fax(904)247_5845 A0 _dWs. rv�tjo E-mail: buffding-deptgcoab.us City web-site: htfP--1/WWW.coab.us cafe roi ted. g Z Z APPLICATION VIEW AND TRACKING FORM Property Address: ���f - nt review ceguered yes . No Applicant.-: ! midi S iannmg Project. / inisfrator Public UtiC las Public afei}r Fire Services epr l�aure Other Agency Review or Pannit Required Review or Receipt. Florida Depof Permit Verified B Date Dept-of Environmenfal Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of E#atels and Restaurants Division of AlWhoCic Beverages and Tobacco Other_ APPLICATION STATUS Reviewing Department First Review: FApproved. (Circle one. []Denied. � CQcnEnertfs: BUILDIN PLANNING&ZONING TREE ADMIN. Reviewed by:_� Date: 312_?//0 Second Review: [-]Approved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Dale: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by-. Date- BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 /01'2-13 Office (904)247-5826 Fax (904) 247-5845 Job Address: _3� Jf� �' iCC 7Z2-2,7 Permit Number: 0 - c)" Legal Description 22 ,n �� ,. l �G 2 GG Parcel# Valuation of Work$ Class of Work(circle one): New Add tion Alteration Repair Use of existing/pro osed structures molition pool/spa window/door If an existing structure,is a fire sprin er system installed?(Cir le one): e 1 eSnti No N/A Florida Product Approval# For multiple products use pro uct approval form Describe in detail the type of work to be performed: Property Owner Information: Name: — � USCp/i L(—A �S Address: �7 t{ � ST.S172E�? City fi� $Qc, StateFL.Zip 3 zi3 Phone _ 16 E-Mail or Fax#(Optional)_ �� 3 Contractor Information; Company ,Mme: �v i Olt A ent: /C� A �' Address: Y1 /�„ r Qualifying g � Office Phone _Z/ / city -, r Stated Zip Job Site/Contact Number -2171 F State Certification/Registration# S`/ Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address' Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or insta aas comme► ed 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 jurisdich its per :it becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned ora eraod o six work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Sig s, bells,Pools, urnac Boilee stHeaters, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE PAYING TWICE FOR IMPROVEMENTS O TO YOUR PROPERTY, IF Y T AIN FINANCING CONSULT WITH YOUR LENDER OR AN A RNEY ORE RECORDING YOUR NOTICE OF OMM EMENT. I herebycert that I have read and examined this a 1 a ' x Vj type j work wall be complied with whether sppecif ed a to be true and correct. All provisions oflaws and ordinances governing this Provisions of any other federal,state, or local Imv regu ti ��h or. h egfo mapace of does not presume to give authority to violate or cancel the n. Signature of O O Signature of Contractor U Cn G nlc� > Print Name 4 7� .S Print Name P ........................... . ... .......................................................................................... ... ..... Swo andsubscr' be or me H "' 31 this Day of Sworn t d subscri��d befor ,me C.2 ( i this /S ay of /�l , � 0 i 1 Notary Public O a pq A u is D =,; ; MY COMMISSION#DD 634126 ' MY CSM AF 1�3I�►�F 3 EXPIRES:May 21,2011 Undernderwriters vised .26. - 4•• a 21 1 9ypQed Thru Note PO*.�. EXPIRES:May S 7� Bonded TW No"P C (Sa �a DO NOT WRITE BELOW- OFFICE USE ONLY App ica e o es: 7 ori a Bui ing o e w evisions Review Result (circle one Approved Disapproved Approved w/ Conditions PP Review Initials/Date: n'►�- / 3/22/60 Development Size Habitable Space Non-Habitable Impervious area Radon/DCA/DBPR$T____ Miscellaneous Information Occupancy Group Type of Construction _ Number of Stories / Zoning District P S -2- Max. Occupancy Load Fire Sprinklers Required Flood Zone X Conditions/Comments: . o NOTICE OF COMMENCEMENT Permit No. Tax'Folio No. 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. Descrip 'o qV property �1 gal descrip 'gtf roperiy and address if available): � ee- � ,c �t��1 ,61 32233 2. General Description of improvemen 3. Owner Information: �-� s ,� ��t a)Name and Address: �aJ�, ���, {r y 1. /`C. �_2 33 b)Interest in roe ' P P rtY� �C/..e.- c)Name and address of simple titleholder(if other than owner): 4. Contractor Information: _ a)Name and Addrep: Y,V c /y15u 4, /b)Phone Number: `'j -ZL3� kv 44L 5. Surety Information: a)Name and Address: Doc#2010056604,OR 8K 15160 Page 1140, b)Phone Number: Number Pages:1 c)Amount of Bond: $ Recorded 03/12(2010 at 10:36 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL 6. Lender Information: 1 COUNTY a)Name and Address: ► v /H RECORDING$10.00 b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7 Flori(14 Statutes: !! a)Name and Address: �q /j �( L30 b)Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designatesM3.13 of to receive a copy of the Lienor's Notice as provided in Sectio -(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 date of Recording unless a .� different date is specified: F 1 i0 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE ` NOTICE OF COMMENCEMENT ARE-CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. SIC h Qoh ee Si a e of caner or er' d a� er/1Vlanager Signato 's Printed Name&Title/Office MY COMMISS EXPIRES:BMW R" fy Pti*2011 rs AmX-4(- Thee foorregoing instrument was ore me this day of 20 l0 by as 07 for LAgser� /26&-74 ZL.C-,- e n) Authority Type,i. .Off!c (Name of Party Instrument was Executed for) CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 9B-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 local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.org Category/Subcategory Manufacturer Product Description FL Approval#(s) EXTERIOR DOORS a. Swinging l- 1012 Ovir, I b. Sliding c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung i'L r yhT �n �c Unr b. Horizontal Slider c. Casement d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Siding b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other STRUCTURAL COMPONENTS a. Wood Connectors 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 jobsite: 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 applicable manufacturers'installation requirements. Further,I understand a product may have to be removed if approval cannot be demonstrated during inspection. Applicant Sig ature Date H:/Product approval spec sheet short form.xlsx T or R 40' R/W 75.05' (►�) r(M) 75.00' 3' (R) d a o l Zo RLS/144 ui 1 a 00 eq 0 ua ui o 1/2� o _ e WATER .`1 0- .b •?• WALL j oi � n to 0. O J M Le1cc v 3.6' a PLANTER 8.8' o eo 15.6' 13.9' in COVER v 6.4' tri CONCRETE vi 20.3' J 3 10.3' mY 1 STORY N BLOCK LOT 25 ;,, RES!ENCE ME BLOCK 2 NO. 374W EXCEPT EAST 25' EL7• 24.3' Ty x O o LOT 21 31' • CONCRETE .. PORCH ai 1.2' BLOCK 2 y.CONCREtE O FLOOR d' M (LOCKED) :t 12.0' 24.1' av 6.41 AC 4 CONCRETE-- PAD < 3 tg 'a;• of C3EAST 25' R LOT 25 0.7' BLOCK °° BLOCK 2 WALL T. d LOT 23 BLOCK 2 3.4' 4 tO ti0 lop. 0.2' 9 2Z' (R) 06, X X_ X 50' (R) `��: 0.1' 'ai O N N X X- X.-- O TO ciX cs C3 75.00' (R� 3/4• �< x o 0 3/4" W /FITTING I 75.16' (hQ I 26 .K 2 LOT 24 BLOCK 2 LOT 22 BLOCK 2 EC Flood PLAIN AREAS of a2x ANNUAL EC1EI7 RY 1 tura cfnrrF i��� E.. CHANCE RnfW'l rt+cac nc,......u... ,......M....__ .._ CftY of Atlantic Beach Butlding Departrnenf ME NUMBER BRIO Seminole Road ng Department.) Atlantic Beach,Florida 32233-5,f DPhone(904)247--5825 - Pax(904)247-5345 7— r,jr E-maff. biding-dePt@coab.ua if eftyweb-site: f�itp:flv�rWwcoab.us �� APPLICATIONREVIEW AND TRACKING F ORM PrOPerty Address- �� �✓ nt revl6w rsuuEred No ing&zo ' Pr61ec . ��Lc1 j�'UAW/ �/ f ; Erator u. U 1c Utiffffes e Fire Services T Queer Agency RevieW or Permit Re. ired Revgew or Receipt Florida De �f Pe it�/errfeed B Date Dept of Environmenfal Protection Florida Dept of Transportation St Johns River Water Uanagement District Army Carps of Engineers D'Nis"Dn of Motels and Restaurants Division Of Alcoholic Beverages and Tobacco Other APPLI levriewi€ag Department First:Review: (Circle one.) Approved. ]Denied. �� C�rrerraerrts: BIJ� 1Lr EZm' PLAN G&ZONING Reviewed Ery Date:_3/]/C-) TREE ADMIN. Second Review: []Approved as revised Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. []Denied. Comments: Relziekkrad by: Data: ^iva[$a51141G-Q CltY of Aganffc Beach Building Department APPLIt;ATl4N NUMBER 800 Sertinote Road (To be assigned by the BumIng I3epastmerit) t Atlantic Beach,Florida 32233-5445 p - Phone(904)247--5828 - Fax(904)247-5845 /O 0120 S. °OR31 ' E-malt: buffdng-dept@coab.us City web-site: hftP:[AQWw.ccab.us Data routed.- APPLICATION outed:APPLICATIO REVIEW AND TRACKING FOS ProPertY Address: - � n�Pe�€ier�r��ired ApplicaM:: `ides: No1 Idi anning&Zoni T�j� inistrafor io� P Public Fire Services Other Agency Review or Permit Required Review or a4 of Pe reed i3ere bier-died B Date MC o€Et�rironmentat Protection Florida Dept.of Transportation St Johns River Wafer Management District AMry Corps of Engineers Division of Hotels and Restaurants Dion of Atccthotic Beverages and Tobacco Other. AMPL@GATjON STATUS US reviewing DeParFirnent First Reviewr: (Circle one_ PProved. []Denied. comments: BUIL I�IING& o G Reviewed by: TREE ADMIN. Date: 2 Z-/D Second Review: ❑Approved as revised. []Dented_ PUBLIC WoRKS Cornments: PUBLIC UTILITIES Pueuc sAFETy Reviewed by: Date: FIRE SERVICES Third Review.- [Approved as revised. [Denied. CEscr€€a€ents: Reviewed by: {q { Date: 'iSed NOTICE OF COMMENCEMENT Permit No. Tax'Folio No. 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. Descrip 00Vprqpertyftga1 descrip ' of yroperty and address if available): IL r(JLGt� 3� 33 2. General Description /of impr/oveme71'Q : / J ��r t- L r,"'d, At 1L►a�t l 3. Owner Information: / a)Name and Address: She, 'Js ct� jI`I"l4 n dtP ?22 33 _ b)Interest in property: lf2"„G,. c)Name and address of simple titleholder(if other than owner): 4. Contractor Information- a) a)Name and Addre ois �. Jo �., cT„. /b)Phone Number: 2-6!2 3t 5. .Surety Information: a)Name and Address: b)Phone Number: Doc#2010056604,OR BK 15187 gage 1140, Number Pages:1 c)Amount of Bond: $ Recorded 03/12/2010 at 10:36 AAA, JIM FULLER CLERK CIRCUIT COURT DUVAL 6. Lender Information: COUNTY a)Name and Address: �A RECORDING$10.00 b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7 F1 *4 Statutes. / a)Name and Address: .g�� /f� � � Z 32e7JJ-*) b)Phone Numbers of Designated Person: 8. In addition to himseWherself, Owner designates /(/ of to receive a copy of the Lienor's Notice as provided in Section 7f3.1 (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 date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE-CONSIDERED RvIPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Si a e of weer or er' d ner/Manager Signato 's Printed Name&Title/Office ;( MY COMMISS 0 EXPIRES:May 21,radar 0,7 bondedThniNotaryPeb�CUndanrril=rs The foregoing instrument was ore me this l&oda of 20 lO as O for ulos - Ze -S e rs n) Authority Type,if Officer/Attorney) (Name of Party Instrument was Executed for) Cid 4f Atlantic Beach ' tr _ Building Department r:. APPLICATtGN NUMBER 800 Seminole Road (To be assigned by the Br�ilding Department Atlantic Beach,Florida 32233-5a 4 g p ) PhOna(904}2475826 - Fax 04 24.7-� P. :'i R ". 2 2 z�V sxl� E-Mail: bu1Tdn3-deptgcoab_us ) 845 City web-site: hfip:flvfWW coab.us Da#e roofed: �f Z Z APPLICATION REVIEW AND TRACKING FORM PrOPGrty Address: J401 � nt reirV mired Yes Na Applicant: 1 � � uilda annrng&rani Proiect: in[sfrator Public afeiyr Fire Se rob Other Agency Review or Permit p ,OW,r.d Review or Receipt of Perfcri��erif�ed B Florida Dept_of Environmental Protection Daft Florida DgpL of Transporta€ion. St:Johns River Water Management District Angry Corps of Engineers DlWsion Of Noels and Restaurants Dn WOn of Alcoholic Beverages and Tabaa c, Other. APPLiCA i lou SZi'ATI r-Q reviewing DepartMent First Revie,;r: (Circle one_) [gAPProved. ]Denied. C nMents: BUILDING �0 4'V �' Si �P-Wdtt PLANNING&ZONING �` � `t� Reviewedby: Date: � TREE ADMIN- Second Review: DAPProved as revised_ []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QAPProved as revised QDenied. comments: Reviewed by_ Data: •fSed City of Atlantic Beach ui[din B nl. 9 Department P rtrrrent i APFtICATION NUMBER 800 Seminole Road P'?'"Z f? e c ? (ifl be assigned by the Building Department.) _ t Atlantic Beach,Florida 32233-545 (j_ Phon8(904)247-5826 - Fax(904)247-1$k4 v -z Z 1,1D E-mail-' buffding-dept@coab.us City web-site: httpJlwww.caab.us Date rdut4d.- APPLICATION REVIEWAND TRACKING PrWer€Y Address- , /<-Ir sr Applicant.- of review required yes No ing&Za . Project.- trator u u is UtiCies e Fire Services r _ . 'PVl�ll 'fC�E3 Other Agency Review or Permit Required Review or Receipt. Florida De of Pe it berified B date Dept of Errtr€rann�enia€Protection Florida Dept.of TrdnsporFatian St:Johns liver Water Management District Army Corps of Engineers Division of Hotels and Restaurants, [) sion of Alcoholic Beverages and Tobacco Other. APPLlCA3C3�t sTi ATt�S Reviewing Department First Review: (Circle one.) PPraved. Denied. Comments.- BUILDING PLANNING&ZONING Reviews TREE ADMIN. Second Review: QApProved as revised. ODenied_ PUBLIC 1!V Comments: UBLIC UTILITIES P AFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. []Denied. Comments: RIc- iek,rad by: Data- )MPANY. led, ^'P^1 C� 47 FIRST STREET6 40' R/yy �U 75.05' (M) ff / q 75.00' (R) (J��' �7 /2 y :, S7, i7' (M) a °d y J G !✓ K r!� C% 1^S ✓4 3' (R) 1/2" to GONG ETE WALK.d RLS 4144 ui ° 0 1/2' o, zo WATER METER �1 O BLOCK �p �• WALL HI��� � ray r7 'W. EA N j.Gn Ct e U .'1 M ttt Z... G�ICL r a U f ° d d PLANTER 3.6' 8.8. ca 15.6' 13.9' 6.4' Wn COVERED 20.3' vi CONCRETE to J 10.3' 3 STORY m 0"4 BLOCK & FRAME o LOT 25RESIDENCE z .. M NO. 374 p'j N W � BLOCK 2 EXCEPT �;11.s't EAST 25' 31, 8.7' 24.3' n LOT 21 SCREEN X �- a� BLOCK 2 CONCRETE PORCH O c d•CONCRETE �� M FLOOR v (LOCKED) 12.0' 24.1' as 6.4' ° AC a J CONCRETES PAD a' Y EAST 25' o LOT 25 0.7' BLOCK 0° BLOCK 2 WALL LOT 23 BLOCK 2 3.4' a 0.2. of 25' (R) "rn. X 50' (R) �. 0.1' o� X X X X X o N X N i0 O O O O 75.00' (( V- 3/4" x `R� x co 0 3/4" W/ FITTING I 75.16' (M) I �T 26 )CK 2 LOT 24 BLOCK 2 LOT 22 BLOCK 2 HANCE MUM PLNN/FLOOD 2CVE "X(SHADED D1EC1Efl RY icArtc ron. .� ......... .......v AREAS OF 0.2R ANNUAL CHANCE Fl nM. °aces nc... Of Affantic Beach BUiiding Depaltrnant PLt .4TIQ{�! NUMB ER '.. r f3a0 Seminole Road ! t��{ ;, (To be assigned by flee Bufldin fie astmerrt.) . Atlantic Beach,Florida 32233-5AdS i pg P = Phone(904)247-5826 Fax(904)247-S /D X20 3 "ro1.3�` E-Mail- buffdng.dept@coab.us I City web-site: htfP--1/Www.coab.us Date routed: g 2 Z APPLICATIO*N REVIEW AND TRAcKING J.11 �1 �1111 . fNo Applicant: � � midi ann€ng&Zoni Protect. inisfrator F£� Public UtiCies Public Saze#yr iR Fire Serviees Other Agency Review orPer�net Required Reveaw car Receipt of Penni#verified B Date Florida DePt of E vironmentaf Protection Florida Dept of Transportation St Johns Ricer Wafer Management District �lrrny corps of Engineers D-tuision of Hotels and Restauran€s Division of AlCoftofic Beverages and Tobago Differ: -A-P-P!_ICA i IDEM STATUS 1eviewgng DePartment First Review: pproved. []Denied. (Circle one.) GOMments: BUILDING 31ANNING&ZONING Reviewed by: TREE ADMIN. Second Revievr_ ODate: aAproved as revised. []Denied. PUBLIC WORKS Comments: UB TIL Tl PU 'Lt � �SAF Reviewed by: J/ Dale: Fi SER l�f C ES Third Review.- QA.pproved as revised. QDented. Corr€ments: Reviewed by: Dote: -i C- f Atlantic Beach I3uiidirtg Departrnent __ __.___ _ ___ - �} 800 Seminole Road APPLE ATIt3{�1 NUMBER Atlantic Beach,Florida 322332 I [Date be assigned by the Building C3epat lmerd.) Phone{904}247--5826 Fax 04 24 �' �; 2:"1! ; �) l/ Z� ` �J R3 E-real" buffding-dept@coab.us ) 5845 City web-sr e: ftttP:/1WWw.coab.us routed: � !�- APPLICATI'DREVIEW AND Ti Pette Address- ! 7 �✓ nt reView re€'iuifed Yes No ing&zo . Prelect: �l/� ��l�cJ Ligg*e/1�l u . trator u 10 Utirrties Fire Services fuer Ag®nry Revievr or Permit Rewired € evHeW or eip Florida Dept of Environmentalof Per rtci$verified B tate protection Florida Dept of Transportation. St Johns River Wafer Managernent District Array Carps of Engineers Division of Hotels and Restaurants Division o€Alcoharrc Beverages and Tab._ Differ_ cco AP PLIC (:)N sTATi t,S Zeviewing DePartrent First:Revie,, (Circle one.) -Pproved. QDenied. GOMMents: BUILDING 'l ANNING&ZONING TREE ADMIN.ADMIN. Reviewed by Date:e? f /U, Second Revievr_ QAPProved as revised QDenred_ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Dam: FIRE SERVICES Third Review: QAPProved as revised. QDenied. Revfewsd by: Date: fSed 05114E&3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000371 Date 3/31/10 Property Address . . . . . . 374 1ST ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7300 ---------------------------------------------------------------------------- Application desc TAMKO FL PRODUCT APPROVAL CODE 1956 . 3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LECATES JOSEPH GARY WILLIAMS ROOFING INC 374 1ST STREET 6958 RAMOTH DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226 (904) 237-9722 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7300 Expiration Date . . 9/27/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 '. OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDINGDEPT@COAG.U S BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WW: 13,$O.FT INDER ROOF 37q IST s--r-ee f 4.LEGAL DESCFUPTIONt 5.CLASS OF wow- (i.USE STRtICTURE: ❑NEW BUILDING ❑DEMOLITION SIDENTIAL L BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7,DESCRIPTION OF WORK, ❑ALTERATION ❑ACCESSORY BLDG. a FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A (-00 ❑MOVE ❑OTHER 10NO PRQ OWNER; CONTRACTOR.- ARCHfr£CT f ENt41M£ER: 9 NAME: 15,COMPANY NAM : 23.COMPANY NAME: 4 tAf K �� 16. E. I ( 24.LICENSEE NAME: ms 10.ADDRESS: 17.IlSTATE CIF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: S7`f ( ,S4rec+- 18.ADORES 26.ADDRESS: ��I, 6eac k, (�`177T 11.OFFICE PHONE: 12.FAX NO.: 19.ONCE PHONE: 20. AX NO � 27,OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CEL!/L PHONE: r 29.CELL PHONE: 7, 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 4 30.EMAIL ADDRESS: A.i1Ci FEE SOKE WFLE HOLDEP- SONINNQ COMPANY. MORTBACK LENDER: (W OT"ER Tran OWWR) 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 them,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: t 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 7 CONTRACTOR If Agent Power JA rney or Agency Letter Awed) {ter Only) Signed _____ ____Date:_ 3 O S' red. r. Date:_ d Before th�fflonda. S day of_. _,28 in the county of efore me this !day of_.� __7.Z rn the county of Duval, has personallypeared -'Z-0 f O Duval, to of Florida, as personalty appeared c/rGSE�/ X-�'� EZil' "5 (/fX..tJoAJ_ �/rLLlrts'_ herin by himsetf I herself and affirms that all statements and declarations are herin by himse(I herself and affirms that all statements and declarations are true and accurate. / true and accurate. Notary Public at Large.State of `,County of_ M Notary Public at Large,State of�"L- _,County of.�' " ❑Personal) Known ❑Persounseld)Idennotiw � a 3� a/d Produced Identil" ,or 34p� 7vn0 X)4 V1C��4� G Notary Signa Notary Signature: .......... DEBORAH A.WHffE MY COMMISSION#DD 634126 ;tea EXPIRES:May 21,2011 DEBORAIH A WH rE 634126 Bonded Thru Notary Public Undowiters FJ�{_ EXPO@�I �May 2 f,�011 Bonded Thru Notary PLf*Undir"Urs /'kS . 3 ' NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of F=1 o(-r d a— County of �7Lt%lcx 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: _ E F T L6-6 -2,5— /11� Address of property being improved: s�-7 � 5T r �e - � g1joa f-L aeaCi) FL General description of improvements: Ce(-00'-G Owner , n r, L e C Q 4 rS Address 7 -( _ l2�eezC h fiL �aa 3� Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) N me Address ontractor -� 71-ar. IV Address Q o f' k 3a--A- MAR Phone No. Fax No. a66 Surety(if any) Gam_ Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Yi 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 0/6k— Address Phone No. Fax No. In addition to himself, owner designates the following g 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 /I 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 �� SER w �+