Permit Siding 2010 t
e
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000989 Date 8/17/10
Property Address . . . . . . 1961 MIPAULA CT
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
----------------------------------------------------------------------------
Application desc
siding
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GANN COASTAL CUSTOMS CONSTRUCTION
SERVICES, INC.
ATLANTIC BEACH FL 32233 306 4TH STREET
ATLANTIC BEACH FL 32233
(904) 333-2735
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 2/13/11
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Grand Total 120 . 00 120 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: 1961 mipAula court Permit Number: .. 0
Legal Description Selva Norte Unit one Parcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$� 6k Proposed Work heated/cooled na non-heated/cooled na
Class of Work(circle one): New Addition Alteration (:Kep;�5 Move Demolition pool/spa
window/door
Use of existing/proposed structure(s) (�ircle one): Commercial
If an existing structure,is a firepimmer system installed? (Circle one).
Florida Product Approval# Ai,41X
For multiple products use product approval form
Describe in detail the type of work to be performed:
SIDING REPLACEMENT
Property Owner Information:
1961 Mipaula Court
Name: Jim&Melissa Gann Address:
City AB State FL ZiD 32233 Phone 236.3464
E-Mail or Fax#(Optional
Contractor Information:
Company Name:Coastal Cuctoms Construction Qualifying Agent:john storkman
Address:1519 neptune grove dr City NB State FL ZiD32266
Office Phone Job Site/Contact Number 333.2735 Fax#
State Certification/Registration# CBC 1254487
Architect Name&Phone#NA'
Engineer's Name&Phone#NA
Fee Simple Title Holder Name and
Address NA
Bonding Company Name and
Address NA
Mortgage Lender Name and Address
—NA
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 perfgrmed 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 abandonedfgr a period 9f six (6) months at any time
after work is commenced I understand that se 'df
parate permits must be secure oi Elecirkal Work,PIMMMN9,Skits,
Wells,pooly, Furnaces,Boilers,Heaters, Tanks andAir Conditioners, e1c.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT.
I hereby certi that I have read and examined this application and know the same to be true and correct. All
p . ..)ns of Paaws and ordinances governing this type o�fwork will be complied with whet��r specified herein or not.
rovisic
The granting o a permit does not presume to give authority to violate or cancel the pro isions[W any other federal,
is'
state, or local raw regulating construct' n or thi performanee ofconstruction.
Signature of Owner7=- Signature of Con 'Act
74—�� �7
0
.....................
Print Name ............................................. Print Name .......... ..........
......... ................. 4
Doc # 2010180596, OR BK 15325 Page 2128, Number Pages: 1, Recorded
08/03/2010 at 03:56 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMNENCEMENT
PennitN.. zo -0 9e2
Tax Folio No
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 ofthe Florida Statutes,the following information is provided in this NOTICE OF COMMZNCEMENT-
u
31-- —21 kvk
I.Description of Property(149-1 d-c*d0n):-
a)Street(job)Address:
2.General description of' en 14�1
or Information
a)Name and address:
a offee simple titleholder(ifotherthari owner) 41-lCe4
b)Name and addres
c)Interest in property
A/4.Contractor Information V2
a)Name and address 6�9(245)5
b)Telephone No.: ZO t/"R Wo'�o F -Fax No.(Opt.)
S.Sore
ety Information
a)Name and address:
b)Amount ofBond:
c)Telephone No.: Fax No.(Opt)
6.Lender
a)Name and address: Phone No.
ti or other documents may be served:
7.Id--fitYTfi;��lln'lit�thl-Sta")fFl-idad's;'g"t'dby"r"P'n'vh'-
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
B.In addition,to himseK owner designates the f011Owing Person to receive a copy ofthe Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes'.
a)Name and address:
b)Telephone No.: Fax No.(Opt)
9.E.Viration data ofNojice ofCommencement(the expiration date is one year from the date of recording unless a different date
is specified); Zj�r a I/Z
WARNING To OWNER.
. ANY pAyMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED U"RopER pAYMENTS UNDER CEIAPTER,713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR HdPROVEMEENTS TO YOUR PROPERTY-
A NOTICE OF COMM[ENCEAIENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSpECMoN. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMIME MIENT.
grATZ OF FLORIDA 10
COUNIN OF PRAIRM-7V iiie..fownff.or Author=d offlcar0ffedN1Pmft=/MAM6er
vv\&��S-sa -:S-
i�i Nme
The foregoing instrument was acknowledged before me this -1,k-Ckday.f AUIiK�A5+ '20_Lj2,by
as ()(type of authority,e.g.officer,trustm
attorney in fact)fo (name of party 0 half 0 om instrument was executed).
Personally Known—OR Produced Identification Notary Signature
NT,
Type of Identification Produced Name(print)
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties ofp I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
PAUMPAWN
FORMNOC.-d2010 M1 a= of Si #faT.Mmu—
MYCO MWM#MN1156
EXPIRES:bno 2,2013
kr4adThruluW"WOmi
J"AL CWNTY
'-H-UNDERSIGNED Cf,,,k 0f t�w Cimuitf.�urt, f"ojpty,
L-� F'ERCsy CERITIFY t'T Vvlthm an d f ote�oipg is a trj-,3
t OP reCord ard fiip
C01�-,y Cf'the Crijrral as appears
Cf 4�1` C!,-TR 'Lf CirCu;t Cf "Duval COusity, F1 ri
111Y holld Z.ld Sn'31 0ft Clerk of ClIcuit Court
Fion'daJdst!"Ie' ' day of A.D.,20
JIM FULLER
Cled( of the Circuit Court
DUVal Coun'y Florida
ry
L)eeputy Ueij�
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 /d
Phone(904)247-5826 - Fax(904)247-5845
OR E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/twww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Ye No
Applicant: �_J A;a-/-
R Planning &Zoning
Tree Administrator
Public Works
Project:
Public Utilities
Public Safety
Fire 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:
APPLIPATION STATUS
Reviewing Department First Review: E]Approved. E]Denied.
(Circle one.) Comments:
oii�
PLANNING &ZONING Reviewed by: I-11 Date:
41
TREE ADMIN. Second Review: []Approved as revised. F�D�e/nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 06114109