Permit 1912-1914 Mary Street CITY OF ATLANTIC BEACH
SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
"it INSPECTION PHONE LINE 247-5826
Application Number
Property Address 10-00000093 Date 2/01/10
Application type d. . . . . . 1912 MARY ST
Property Zoning . escription SIDING PERMIT
Application valuation TO BE UPDATED
5000
Application desc ----------------------------------
repair and replace siding
----------------------------------------------------------------------------
Owner
Contractor
WATSON REALTY CORP. ------------------------
9471 BAYMEADOWS RD. 207 UPC CONSTRUCTION, INC.
9771 COUNTY ROAD 121
JACKSONVILLE FL 32256 BRYCEVILLE FL 32009
(904) 651-7017
Permit BUILDING PERMIT ----------------------------------
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . 37 . 50
Expiration Date . . 7/31/10 5000
------- ----- --- --------
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.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Grand Total 112 . 50 112 . 50 . 00 . 00
. 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,j Ae_r7 __r�
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"7/ ClTy Or-ATLA14 TIC BEACH,FL 32233
ATLAN
Boo SEMINOLE ROAD AX NO.1(904)247-5845
(904)247-5826 0 F DUVAL cOUNTY
OFFICE WWW COAB.US
pEVIMIT APPLICATION 3.SQ.Fr.,UNDER Pool'
e-,is BUILDING 2,VALUATjON OF WORK
UCTURE7.
cr OF
15.USE OF
`I�JORADDRESS' CLASS OF RK. RESIDENTIAL
0 DEMOLITION 0 Com ERcIAL
It+-!1 5.
[3 NEW BUIL N
J M—F'#A' W BUIL I CONVERTING USE
Z� , 0 8,FIRE PRIN
RiPTIO 1 0 ClACCESSORY BLDG. 13 YES
4.LEGAL DESC 'I N 0 ADDITION 0 NIA
,!:�SUB DIVISION 0 ALTERATION [3 POOL I SPA 0 No
LOT BLOCI _ Rl�' A— EPAIR 0 OTHER I FE
A 0 MOVE ARCHITF-
7 ESCRIP ION 0- 1"
�ap"& CON CT0R 2 . OMPANY NAME.
PROPER ER. jS COMPAN�NA�E� j C_ 24.Ll ENSEE NAME:
9.NAME:
ry, 25-STA OF FLORIDA LICENSE NO.:
CENsE NO'
17.STATEOFFLORl �U.Sqqq '
Q, 26.ADDRESS:
jo.ADDRESS' -ron- elc� 9'-�-) l, - 3-2 2B.FAX NO-�
FI is.ADDRESS: a& k' PHONE:
Tr- d Z,; Fl- 27.OFFICE
-h*. a ''I'll"��ll,�����i�''''I'll'',�,,�, ! 20. AXNO.'.
�j -1 19.OFF I ;i
`12 FAX NO' 04 g-.70 1-7 L PHONE:
-G< 29.C
1.OFFICE PHOVN_`�(
21 CELL PHONE:
0,� 4 � 30.EMAIL ADDRESS:
134ELL PHQNE� iR,6 EMAI A�p RE�j
4S zw MORT43AGE LENDER:
vzw
DRESS: S V
14.EMAIL eft)PM1 BONLIINU
EE S pLE T LDER: 35.NAME-
0T,,FRTKANovI 33.NAME:
6.ADDRESS:
31.NAME:: 34-ADDRESS: --no work or installation has
32.ADDRESS: work and installations as indicated. I certify that regulating construction in this
3ndards of all laws spended or
ade to obtain a pe it to do the t4ill be performed to meet the SI 0,1,construction or Work Is su
Appli tion is I terebY ance of a pe it and that all work" Within S_IX(6)months' be secured for
Corn enced Prior to the issu; id if wO is not commenced d I understand that Separate permits must
This permit becomes null and vo C.
,,tion- s at any time after work is commence, -onditioners,Ot
nsdic r a period of six (6) month 11:11p 3s Boilers,Heaters,Tanks, Air C in mpliance with all applicable
abandon fO ans wells,Pool- Furnac, , is accur and that all Work Will be done d and
Eler-tTical work,Plumbing,Si, , the regoing information ced building or any part therof,until alif rf---,N
OWNEWS A FDAV,.T-,Ce i that all the t occupy 0,use the referen f1cial,as required by law-
laws regulating construction nd zoning-I will no ssued by the building of
to obtaining a certificate of Occupancy or completion I ) OWNER-
prior WARNINGT(
ZECORD A NOTICE OF COMME,INCEMENT MAY RESULT IN YOUR
,UR FAILURE TO I TO YOUR PROPERTY. A NOTICE OF
Yo MING TWICE FOR jMpROVEMENTS I AND pOST ED ON THE JOB SITE BEFORE THE
'ONSULT WITH YOUR
PIP
COMMENCEMENT MUST BE RECORDEE
jD TO OBTAIN FINANCING,
FIRST INSPECTION. IF YOU INTEI iR NOTICE OF COMMENCEMENT.
LENDER OR AN ATTORNEY BEFORE RECORDING YOU NTRACTOR ,
—WNER or AGENT (oualtfier Only) Date:
t power of Attorney or Agency Letter Required)
(11 Agen 1100 Signed:, 20io in the county Of
Date-1—AnIpw— Before Me this—day Of
Si ned 1 20`10 in the county Of tate of Florida,has pe
B re me this_�2q_day Of
Duval.State of F onds,has personally appeared erself and affirms that all statements and declarations are
0 t�� f)!A-I\f\ herin Y himself'
affirms that all statements and declarations are true and accurate- county of
herin by himself I herself and ge,State of_r__I
true and accurate- lolida Notary Public at La ?C)4 7-2t 2-0
N tary Public at Large,State 0 Judi 0 AD 0 personally Known -on
rsonally Known MY D p duced Identifli
;a
0 produced Identification
Notary Signature: D
My r
OF,k,FLANTI N#DID 634126
1,21,2011
My Uu e
SEE pERMITS FOR ADD 701,undefflme-
6,,d9dThruN
F EOUIREMENTS AND CO
R
T
FICE" ED BY' /7? DO
NOTICE OF COMMENCEMENT
Yerinit 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 wit
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
9 g 3
I. Description of roperty(legal description of property and address if available): iff /7
41 Aeup.5 ID,3 .2 V_
2. General Descriptipq of improWments:
,� I r
3. Owner Information:
a)Name and Address: A CAA k_1 P(n Y
b)Interest in property: 0 L9J rj e-e
c)Name and address of simple titleholder(if other than owner):
6
4. Contractor Information:
a)Name and Address: Q Co-vi 4yt-44,o,-/ ltve-
b)PhoneNumber: 9�V-(, (4VjV le 3 1 9
5. Surety Information:
a)Name and Address: Doc 2010021437,OR BK 15140 Page 1039,
Number Pages:1
b)Phone Number: Recorded 01129/2010 at 12:17 PM,
c)Amount of Bond: $ JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
6. Lender Information: RECORDING$10.00
a)Name and Address: X-)0tj
b)Phone Number: L) 4
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: F71"n
a)Name and Address: .4. a iq e-/e,�s I't) q n n �S_� Rj T
b)Phone Numbers of Designated Persom-01 0�d 7c;z I - /,S- Z/G )�/9-2
8. In addition to himself/herself, Owner designates 0,14V";Me- #J)^�AnA of QLI)Af-e- to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b),Florida Statutes.
a)Name and Address: //S?,3 1-hoTOC YAC_-AT _jZ)9_ &J. ajS 3.70-�,-S-
b)Phone Number of person or entity designat6d by owner: ( 130q-)
9 Expiration date of Notice of Commencement(The expiration date is one (1)year from the date of Recording unless
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IM[PROPER PAYMENTS UNDER CHAPTER 713, PART
1, SECTION 713.1 1), 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.
A,('-
Signaiure of Owner or Oirre ed Officer/Director/Partner/Manager Signatory's Printed Name Title/Officc
,P1 Notafy UN
0 t9ofF
V Judith 0 Cal-
MY COM
The foregoing instrume c e his ,If day of 20 by
& "10AWA" . 3 _
,6�A,l as zzt1ZD 1U46 for Agq�ek
.4 AS _5 MIJIVIV'
(Name of Person) (Authority Type,i.e.Officer/Attorney) (Name of Party Instrment was Executed for)
.-t"T City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dePt@coab.us
Date routed:
Cityweb-site. http://www.coab.us Em
APPLICATION REVIEW AND TRACKING FORM
Property Address: t revieW reqi fired Ye No
Applicant: Builullig
ng &Zoning
Project: Tree Administrator
< Public Works
Public Utilities
Public Safe y
Fire Services
zr
gp
Other Agency Review or Permit Required Review or Receipt
Florida Dept. o rivironmental Protection f Permit Verified B Date
Florida Dept. of Transportation
ST.Johns River Water Management District
Army Corps uF Engineers
Division of Hotels and Restaurants
Division 01 Alcoholic beverages and Tobacco
Other: _T_
APPLICATION STATUS
Reviewing Department First Review: BA' pproved.
(Circle one.) ElDenied.
Comments:
C!�L D�IN
PLANNING &ZONING
TREE ADMIN. Reviewed by: Date AL-1
PUBLIC WORKS Second Review: [JApproved as revised. L]Denk/d.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised q5114109