Permit 1938 - 1940 Mary Street CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL . 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000095 Date 2/01/10
Property Address . . . . . . 1938 MARY ST
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
replace repair siding
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Owner Contractor
------------------------ ------------------------
MANN UPC CONSTRUCTION, INC.
1938 MARY STREET 9771 COUNTY ROAD 121
ATLANTIC BEACH FL 32233 BRYCEVILLE FL 32009
(904) 651-7017
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 7/31/10
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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.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Grand Total 112 . 50 112 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Ma/j.,7 4t)AeA
CITY OF ATLANTIC BEACH 10
Boo SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 40 FAX No.:(9N)247-5945
WWW.COAB.US
DUVAL COUNTY
BUILDING PERMIT APPLICATION —
2.VALUATION OF WORK� 3.So.FT.UNDER R)OF I
.............I
,-) -14" —
1.j0B.1,DDRESS:
6.USE OF STRUCTURE:
5.CLASS nF WORK: I
LEGAL DESCRIPTION: 0 DEMOLITION [I RESIDENTIAL
0 NEW BUILDING C C I
D ADDITION [3 CONVERTING USE [3 COMMERCIAL
IL
LOT 2 BLOCK,q SUB DIVISION
[3 ALTERATION 0 ACCESSORY BLDG, 8.FIRE SPRINKLEJR:
7.DESCRIPTION OF WORK 0 POOL/SPA 0 YES 0 N/A
0 REPAIR NO
[I MOVE [I OTHER
P ............. .... ."Il'l COPTR CTOR� 23.COMPANY NAME:
15.COMPANY NAME,
9.NAME: (AG C0rJAjrlACh,),) 24.LICENSEE NAME:
ja IP- 16.NAht& I
��-) 25.6 1 A I t OF FL-11 N0.1
W.STATE OF FLO SE NO.:
10.ADDRESS: C(�,C- 9 Cl 26.ADDRESS:
18.ADDRESS: jj 12- 1
J6-
4 1�. -F NO 1 .OFFICE PHONE: I OFFICE PHONE: 28.FAX NO.:
11.OFFICE PHO 0 L, 3 3
12 W
17 P-1-/ j -— 21.CELL PHONE: 29.CELL PHONE:
13.CELLIq�S-_Og'6& 0,�-C S-/-
14.EMAIL ADDR, S: j"11 I EMAIL ADDRESS'. t-4 44A 30.EMAIL ADDRESS:
=15f dylAAft, �,a,i4i�, -S4v I RTGAGE LENDER'
FEE SIMPLE TITLE HOLDER:/ BONDING COMPANY,: MO
(IF OTHER THAN OVOIER) 35.NAME:
33.NAME!
31.NAME: A 36.ADDRESS:
34 ADDRESS:
32.ADDRESS: �J4 it to do the work and installations as indicated. I Certify that no Work or installation has
Application is hereby made to obtain a perm Will be performed to meet the standards of all laws regulating construction in this
commenced prior to the issuance of a permit and that all work in six(6) months, or if construction or work is suspended or
jurisdiction. This permit becomes null and void if work is not commenced with
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,P Is,Fu aces,B Dilers,Heaters,Tanks, Air Conditioners,etc.
OWNEFVS 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 Mi I 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 to?010
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
ING YO NOTICE OF COMMENCEMENT.
LENDER OR AN ATTORNEY BEFORE RECOR
cif-11111 RACTOR
OWNER or' k1GENT (Qua!ifierr Only)'
(Ij Agent,Power'of Attorney I or AgenC I Y Letter Required)
ate: Sign Date: Z
Signed: 2010inthe.county of Before me this da,, f 2010 in the county of
day of �erso��-PP--
Before me this Du I State of Florida,has I rso red.,:,.__
D��aiState of�Florida,�haspers�onally ap�eared
k Alf-- herin by himself/herself and affirms that all statements and declarations are
herin by himself/herself and affirms that all statements and declarations are true and accurate.
true and accurate. ..11 11 Notary Public at Large,State Of County of
Notary Public at Large,State or 0 Personally Known ?
Personally Known Judith D Caftrio
Produced Identifi7W--
troduced Identffication-
Notary Signature:
WED F110
CITWY OF �2nod a,i
SEEPERMI
Pett 2V REQUIREMENTS AND CONDITIONS.
f1LE BY. /C)
.Permit No. NOTICE OF COMMENCEMENT
State of Florida, County of Duval Tax Folio No.
TEE UNDERSIGNED hereb -
Chapter 713,Florida Statutes y give notice that the i1nPrOvernent will be made to certain real Property in accordance witj
the f011owing information is provided in this Notice Of Commencement.
Descri t1on of property(legal description of property and address if available)-
2. General Descript* ments: e4(51
'711? of improv
lrj'�
3. Owner Information:
a)Name and Address:
b)Interest in property:
CLaill
c)Name and address Of simple tit eholder
4- Contractor Inforniation:
a)Name and Address: L& P
b)Phone Number: A�e—
�Ik q6-1 —
Rd / Z- t
5- Surety InfOrrnation: F( 320c�
1)Name and Address:
b)Phone Number: Doc#2010021440,OR BK 15140 Page 1 o42,
Number Pages:i� .
c)Amount of Bond-- Recorded 01/29/2016 at'12:17 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
6. Lender Information: COUNTY
a)Narne and Address: RECORDING$,I 0,00
b)Phone Nurnber:— �j Pr
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: An
b)Phone Numbers
of Designated Person: 0 7-6 q 12cJ (j�� PA
8. In addition to himself/herself, Owner designates
-
a copy of the Lienor's Notice as provided in Section 7 13.1.3 1) (b), —of to receive
a)Name and Address: //,3?1., fho-rot- Florida Statutes.
b)Phone Number of
'L—kT
Person or entity designated by owner:
9 Expiration date of Notice Of Commencement(The expiration date is one (1)year ----------
different date is specified: from the date of Recording unless
WARNING TO OWNER: ANY pAyMENTS
NOTICE OF COMA4ENCEMENT ARE CONSI MADE BY THE OWNER AFTER F THE
DERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YO THE EXPIRATION 0
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF UR PAYING TWICE FOR
-y BEFORE COMMENCING WORK OR RECORDING
P CONSULT WITH YOUR LENDER OR AN ATTORNE COMMENCENMNT MUST BE RECORDED AND
OSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
YOUR NOTICE OF COMNMNCEMENT.
Signature of Owner or Oviner's Authorized Officer/Director/Partner/Maiiager Sigmatory's Printed Name, 'l,itle/offl-ce
h� Notary ub ic te F
Judith D
The foregoing instrument was acknowledge b e
14,004n
&1191ei"r1( 10-4/u/t/ as ire 10 by
Name of person) or
1 2, Officer/A ff-
mey (Name Of PartY Instlument wqq FV--+-A P--�
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 __0 09.
Phone(904)247-5826 - Fax(904)247-5845
Ile
Date routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -dA f!
7 V Jr De rtment review required Ye No
Building
PI &Z i g
,rX r) //1 Pla!nning &Zoning
Applicant: 1� .&0-5 T i tr tor
I ree/Administrator
Project: rf,,Qthr- - JJ in
t.0 49eM -i 0-r ol S Public Works
Public Utilities
Public Safety
Services
..............
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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 Review: E(Approved. DDenied.
(Circle one.) Comments:
:BU�ILDIN6
PLANNING &ZONING Reviewed by: Date:.C"?
TREE ADMIN.
Second Review: E]Approved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09