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Permit 1002 Big Pine Key CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 04-00028512 Date 6/21/04 Property Address . . . . . . 1002 BIG PINE KEY Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3700 Owner Contractor ------------------------ ------------------------ MILLER, MARJORIE WHITES ROOFING CO INC 1002 BIG PINE KEY 181 PRINDLE DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3700 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PE T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C E BUILDING OFFICIAL 1.1PJ CITY OF ATLANTIC BEACH r ' s PERMIT CALCULATION SHEET Date (� 1 • oc-� Address l 002 cG �i ME Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ $35.00 1st $1000.00 $ $35.00 Total Valuation $ $ Remaining Value Per thousand or portion thereof: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 6'0 ZONING: + V2 Filing Fee $ 25; FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SURCHARGE $ OTHER $ GRAND TOTAL DUE $ � CITY OF ATLANTIC BEACH Co: BUILDING / ZONING DEPARTMENT i s 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 '$!J (904)247-5845 Fax JU N PLAN REVIEW COMMENTS Permit Application # cY4 - z8s Property Address: �Q_ G 1 �y Applicant: Project: 1 This permit application has been: Approved E:1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L# Date: '%� „mss UO information Systems 247-5845 p• 1 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: C)q Job Address: R, 'kc� Owner of Property: Address: l7 J. °� Telephone: Contractor: State License Number: �. Contractor's Address: ��t )LY , ��k Telephone:_ l�' Fax: c�• vY S-A-Sq-7 Scope of Work: fy\ v� r Deck Slope: la Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example:Timberline): U Manufacturer(Example:GAF): ASTM Designation(s): V bz)... Required Inspections: Sheathing and Final Signature of Owner: '�� �� Date: f �' Signature of,Contcactor: W Date: AS TO OWNER: l �� Sworn to and subscribed before me this_ ! day of ��— 200/ State of Florida,County of Duval l No tar s Si ature: Y Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of V -y��e 0 State of Florida,County of Duval ��/! _ „ ` Notary's Signature: i �/7 Personally known Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5415 Telephone: (904)247-5800 Fax: (904)247-5845 •bttp:ltwww.eiatlantic-beach.ti.us Page I Revised 221/03 L-43,44 T ' JJ\ � NOTICE OF COMMENCEMENT Permit No. Tax Folio No. Book 11884 Page 1912 -� State of Florida County of St. Johns The undersigned hereby informs all concerned that improvements �'t Q will be made to certain real property and in accordance with section Q R \� 713-13 of the Florida Statutes(revised 10-1-96),the following Information is stated: t go1:211842401233 Owner's name(print) o�, 1�r Page: 191882 f, Filed d Recorded � Address 0 t N� �� �L 06/21/2004 01:06:56 PM JIM FULLER Owner interest in property ,%?—j ' �a CLERK DUR(VAL ING CCIRCUIT COURT General description of improvement �� t/1 `� S N.LIRUSTDFUND f 1.00 � REC ADDITIONAL f 4.00 Legal description of property_t W4 t Fee simple title holder(if other than owner): Name(print) A, address QContractor Name(print) 1 t!� L. Phone( ��d" ` Address �gL� A LA ��— � ��SFax Surety(if any)(print) Amount of Bond S Address Phone(_) --Fax( Person or lender making a loan for construction of improvement Name(print) Phone(_)_ Address Fax Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Statutes: Name(print) Phone(_j Addreess Fax(_ _ In addition to himself,owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(h),Florida Statutes(fill in at ow tier's option): Name(print) Phone Addreess_ Fax�) /[1t-tib ilk Ae �—Owner's Signature ` Date Signed Owner's Name(print) In county Named Of State POST A COPY OF RECORDED NOTICE AT JOB SITE. . L STATE OF FLORIDA COUNTY OF ST.JOHNS THIS INSTRUMENT WAS CKNOWLEDGE BEFORE ME THIS __day of V ��� not Known Personally Or Identification Type of Identifica ' Notary Public (Name of Notary,typed or printed) (Commission Number and Expiration Date) -- CITY OF A I LAN FIC BEACH MECHANICAL PERMIT 8W gEMtNOLE ROAl1-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247-5877 LQCATlE N INFClRMAI;ON !alt 11 Address: 1002 BIG PINE KEY ber, 21855 ATLANTIC BEACH, FLORIDA 32233 Permit MECHANICAL Township: 0 Range: 0 Book: Permit Type' NEW Lot Block: Section:0 Class of Work! proposed Use: SINGLE FAMILY Subdivision: parcel Number: Square Feet: ER''INFC!lMATiON Est. Value: Improv. Cost: 3!2012Name: THOMAS MILLER 001 Date Issued: Address: 1002 BIG PINE KEY 47 00 Total Fees: 47.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 3/20/2001 Phone: {407)260-6149 Date Paid: prP►pL1CATKI�►t SES Work Desc: New HVAC 47.t C"(3NTi ►CT S PERMIT FiA-aster's Touch Heating &Air � ''oris ulred FINAL BEREQUESTED AT LEAST 24 HOURS PRIOR TO IN' NIST THIS WORK MUST NOT BE PLACED It' -- - ONTRgCTOR OR OWNER.. N REg DEPARTMVENT OF BUNLC9140 y CITY OF ATLANTIC BEACH it w �» PERMIT INFORMATION - _��-__��- LOCATION INPCRf ATION -- .------ Pe.rmit 'Number: . 13465, Address: 1002' 810 PINS �C Permit Type PLU14BING ATLANTIC BEACH, VLORIDA 32233 Clasp. of Work.ALTERATIAN --------- LEGAL DESCRIPTION _ ----_ -- Constr w 'I'Y a:46OD �'RA � B1 Qek s Lot: Twp: (} PDPDed Use:I `I13L1AlILY 3ecti Qn: # Bubd: R»g Q - rpt Veiue t3.4� ., I° rov., Cost: :" � 0 .00 'Total P m wr t 'P 'at 25.00 00 M, CAS"I Clot PERE IT �LOR I DA P � LZWa ttett: TT "PLA " "L2-fir.. . .. L0NMf 327,50-351 5 T' ri. . ' l C1TlCE I4LL CONCRETE,F01�M$AND'FOOTING3 MUST BE#�IEPEOTEt�t.EEF4RE P�t�RlN�3 . t ;.PEFIMIT VOID SIX MONTH AFTER DATE t?F ISSUE ' oi E3lILbING M�►TEf1AL,#118BISH ANa DEBRIS FROM THIS WORK MUST NOT BE-:PLACED IN t�U13LIC SPACE,ANIS luluT C�SARCi LIP%1tCI HAUl.ECIWA�BY EtTHEFt CQNTRACTQR QF4 C}WNER A . .fE ` `Q C► 1 ;1f WITH TME 11��CHANIS � OW"ft,RAYING TWIC9. ACCG3RC3iN6 T 3 APPRt3Vkii PLANS WHICH ARE PART OF tH1s.PERMIT AND SUBJECT T4�EVC�At# FC?6 1 t�tC3i.A't#QIN OFAPPLICIMQ�.B:P�tQUf&ION$O LAW. ATLANTIC BEACH SUILDINl,PAPA'tTMENT AX . c. MI CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PLUMBING PERMIT • JOB LOCATION: l CSS {'�w� 4/ OWNER OF PROPERTY: 1-10-M of PLUMBING CONTRACTOR: �rI pEl<<OU� Y' - �nf CONTRACTOR'S ADDRESS: Aac-9 7�oRq STATE LICENSE NUMBER: TELEPHONE: HOW MOY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: `'77 SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. f M Cher ifir�tfp of Orr paurp CITY OF oftNaC Nock• R661" Depttx#ntrn# of 'Nnilding Jnappaion A] This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard P: A] Building Code certifying that at the time of issuance this structure was in compliance with the P. various ordinances regulating building construction or use. For the following. A] Use Classification � i r t 1 Bldg.Permit No A] Group Type Construction Fire District.. Owner of Building _ Address Building Address_ Locality —_- 01 nt S,, By: — Building Official Date: N1 1 I POST IN A CONSPICUOUS PLACS A' '- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3980 Expiration Date . . 4/13/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. DEPARTMENT OF BUILDING p CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO..8 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ 316/87 19 :R0I"K T Valuation$__ Fee$ 52.00 i44 �tttAC rqn�tr f 2Pt 1 5/l c')/ This permit not valid until above fa has been paid to City Treasurer,and is j nnn subject to revoahm for violation of applicable provisions of law. 1 i This is to certify that Ocean► State Heat/air MBAR-786 t has permission to bt3l Install He inglAir rnnaitianIng I� � i Classification—_Alam RittS dent i al Zone PIID Owned by RiN Prv2srt i -a Tnr i Lot 31 At 32 Block._ I S!D SO1 Va Lakes House No. 1002 6 1010 Rig Pine KAY According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS I n AFTER DATE OF ISSUE O Building material,rubbish and debris -Zi from this work must not be placed in public space, and must be cleared j up n hauled away b either con- t trZ oror owne Building Qfficia. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER .,.::.....:.,. r BUILDINNN AND ZONING INSPECTION DIVISION C17Y OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32298 AP ' . ATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORT ' T— Applicant to complete all items in sections I, II, III, and IV. 1. bO 2l tryj<Sy LOCATION Street Address: OF Intersecting Streets on PIS _And - ?� Givt_tr BUILDING , Sub-division 11. IDENTIFICATION ­.T ''` completed by all applicants, In consideration of permit given" r doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attachgd plans and sp" cations which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good,practice listed theroin Nam of Mechanical s' Contractors Contractor (Print) Master Nana of Froporty,Owner Sigealun of Owner Signature of er Awihorised Agent Architect or Engineer tlt. QfiNERAL ! A' Tyfie of Mating W: B. si IS OTHER CONSTRUCTION BEING DONE ON x THIS BUILDING OR SITE? YE5 �Eleetne C3 6as O LP C} 70!u#f�' © Central UtilityIF YES, GIVE NUMBER OF CONSTRUCTION Q OilPERMIT Cl Othee -^ Specify IV.'MWKC 1 PfICiLL NQUIPh" #WALLED NATURE OF WORK (►revile cempleta list of ar bock of this form) Residential or ❑ Commercial Meat ❑ SPeoe' Conthl O ffaor New Building Air Cokhtiloning Q•"'R Cantu) ' K ❑ Existing Building Oecf Syetm: Metaria Thigh ❑ Replacement of existing system #Aesimstin 2 C� e.{.T. New Installation(No system previously lnsi fled) D Rrigtion x: C3Extension or add-on to existing system ❑ Cooling towers Co gam• ❑ Other —Specify Q Fire sprinklers: Number of4001 - Q Elovotor 0 Me"mi � Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ : 640006 pumps (number) (RaOelyd) Remarks Q LPG contai (AYmber) C) Ifnarw Pnsssunn vassN Permit Approved by Date C3 log I Q Otber — SpeciflrPermi! t� LIST ALL EQUIPI OIT j` AIA CONDITIONING AND ., GERATION EQUIPMENT hTnualfer Vaits CapeAppMvbg d s, aeslAtion Yodd Number Manufacturer (�)yAges ltA)1 ;3W DEPARTMENT OF BUILDING 8447 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. j PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i i sr G I ! i ,,�CICi!T 490EJ I A 4/10/8 Date 3.16/89 19 ats47 •'CCCAC Valuation$ Fee$ 111.50 to 1(.15 1 A 4/i,0/9 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that F_W Fair Pltmb4ng Co MP14S has permission tole i n st ai 1 pl umb in iF Classification New Rec i durst f 2. Zone Owned by RGM PrDXM3Mies, Tne Lot 31 P. 712 _Block T S/D ';**Iva House No. 1nn,2, g loin Rig Pine Key - According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �--� 4---01. O Building material, rubbish and debris 31 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Amok -D � S CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _1 9-i IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN;SIG ATU NAME �r . LN i)rQQI�3ADDRESS: , 01C) `��G P;J - c RFD BOX BLDG.SIZE BETWEEN: RES.( APT.( 1 COMM.( 1 PUBLIC( 1 INDUS. ( 1 NEW( i OLD( i REW.( 1 ADDITION ( ) TRAILER ( 1 TEMP.( i SIGNS ( 1 SO.FT. SERVICE: NEW(4' INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE l7 AMPS 1_fir COPPER ALUM. D� SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT U•1 OVER MOTORS H.P I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD 1 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001403 Date 10/15/08 Property Address . . . . . . 1010 BIG PINE KEY Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3980 -------------------------------------------------------------- Application desc REROOF FL 8670 . 7 -------------------------------------------------------------------- - Owner Contractor - ------------------------ ----------------------- NACHTMAN, DON R.L. HAINES CONSTRUCTION, INC. 1010 BIG PINE KEY 130 UNIVERSITY PARK DR. ATLANTIC BEACH FL 32233 SUITE 125 WINTER PARK FL 32792 (407) 384-1908 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3980 Expiration Date . . 4/13/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 F PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 0Q ` . 8W SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 V „*;• t OFFICE(904)247.5026•FAX NO:(904)247-SB45 ! i SUILOINCi•DEPTOCOA9.US ' BUILDING PERMIT APPLICATION DUVAL COUNTY 71 , nn z LI &14— .', 0 NEW BUILDING 0 DEMOLITION 11 RESIDENTIAL LOT—BLOCK_SUB DIVISION 13 ADDITION 0 CONVERTING USE l3 COMMERCIAL F,. 10ALTERATION ❑ACCESSORYBLDG. '1 - ^' ter, n 0REPAIR 0 POOL I SPA ❑YES WA 13MOVE ❑OTHER 0 NO i7- 7T1 9.NAME: 15.COMPANY NAM 23.COMPANY NAME: /3s1�ba.t,•� A.L. 4.«t kokPit5 W.NAME 24.LICENSEE NAME: ,0& a.. 21 Ch w n al 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO 26.STATE OF FLORIDA LICENSE NO.. „ {�C Ccc o.11 Gs 1010 'J�g /�I A aG l4 ley 18 ADORESS Z 2 3 S M e C jU,- ,It. 20.ADDRESS tCa t' Aek, -L aull p2L41 -L 1240'A I t OFFICE PHONE: 12.FAX NO.: III,,OFFICIPI-O Ea a 0 2.FAX NO. 27.OFFICE PH9NE' 28.FAX NO,: 50s 11 3 -Isr�J 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 1Zl- 1o1- /1?1 14 EMAILADDRESS: 22,ENWADDRESS: 30.EMAIL ADDRESS: ,FE IM ttFo SUNt)1j CCIhANYs # ltT1 GNDEf 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. 1 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,PlumblnZ Signs,Welts,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 Maled 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 COMMENCEMENTCONT . Signed: 7 bbate: /0 d Signe Date: 6 Before me this day"of ©(�r �Da, n the county of Before me this, „day of r .3B97in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared ,t;i4e6p,deA TP-ri:AJ A lel AAQ L.. 9 4t M S herin by himself I 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 &n .- Notary Public at Large,State or 'County of 0 Personally Known rJ� _ 70_ rJ_t'`� �Persona!ly Known Produced Identification-t-i(--Y1P_NS 0 5 3-TWT ❑Produced Identification Notary Signature: __ ___ _ Notary Signature: pill,.e ®e _ eeeeeeesaeememeememm+eaaaemeeeeee KATHLEEN FCA7FiLEEIV AIVIV UASEY oU!�+fir Comm#DD0676201 0ca6lolrtm#DD0676201 Expires 911312011 _� ^= Expires 9113/2011 coABFORMatocmol: r s : Y%r`nFr�.`' FIDIidallotaryAssn.,Inc e �'��i Florida Notary Assn.,Inc ^r{7trot"' s �rkflttNt� .............. re ameeeeeme eeeeme mm em maemeeemeeemeeeeseeeeeeeel0 txnenueuuee: ueeeaueeeaeenee� NOTICE OF COMMENCEMENT State of l"IWAT.4 Tax Folio No. Countyof To Whom It May Concern: The undersigned hereby infmw 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: Address of property being improved: /010 /31S J9/4-C f t cU A*1�wa�1Z &C, fC 22 General description of improvements: /7-G- 2 O o Owner._Z2&AA. o-&&,. &-rl',ca. Address: /b(D 44!5 A14-f- Jt c ti Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: /Z.L. kA.I If,ties /L 0We/It 5, L L<'- Address: ?2 Telephone No.: 76P-3JW- r•yo 8 FaxNo: 1-W- 231 - 12-73 iArety(if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of any person making a loan for the construction of the in Doc#2008263345,OR BK 14670 Page 275,Number Pages:1 Recorded 10/15/2008 at 12.46 PM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING$10.00 Phone No: Fax No: Name of person within the State of Florida, other than himself,designated 6i owner upon whom notices or other documents may served: Name: A u.ydn /ZUswrtj Address: 223,E Diet.. ozL d Telephone No: Vu1-34'1—lfo F Fax No: Y6-7-31't-�Qo3 In addition to himself~ owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone 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 OWNER/ _ a rsass�acsnzseasassrzssaassis Signed• AlvDate: 3 CXR KATHi.EEN AKIN CASEY Before me this day of in the County of Duval,State P � Com�#pD0676201 Of Florida,has personaDy appeared �6444te • - �`" Eyeplres 9N312011 ? Notary Public at Large,State of Florida,County of Duval. My commission expires:J_�r4", CIBO-O G I Florida Notary Assn:.Inc Personally Known: or TG-Ts+nsrssesesossssnsrvsssnsa�nss�gsn+ssue —"0 Produced Identification: I MAP SHOWING SURVEY OF LOT 32, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. R�l•� G� VA 5 4,y10 � o•�/� 232 0�. ���,�. 03. N 33 � N �D 171' s.�,ew �.vQ� s�.+P✓may � � �/��'or roP • ��s is .q ���� sc���Y r�1� !uH/Cts iS TZ/F �4EA �F �/vi��AL �Gocva���� cwwruv y .�E. ,vo.:/zc�75 a'z�i c• �-Af�'t.! cLE✓QT�Gyc✓5 SHC7N/�/ Tf�u5'04-/B)f�EFE/2 CITY OF >�t�rtic �'e��cl - �wrida 716 OCEAN BOULEVARD -------- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 June 26, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit # 5349----1002 Big Pine Key Permit issued to Adkins Electric Company Sincerely, lRenelrsDevelopment Director cc; building file RA/te BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: July 14, 1987 Building Contractor: 12eyhani,Inc. Building Permit Number: 8305 Address: 1002-1010 Big Pine Key Legal Description: Lots 53 & 53 Unit II Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Dural ex Lowest Floor Elevation: 13.5 ---------- ---!A' i-- ---------- required as built n/a Sales Tax Certificate: ---- --------- --------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief 7/14/87_-__- _- _--_ Public Works ----7L14187 22__ _ C --- Planning Director 7/14/87 Building Inspector __ 7/13/87 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 1010-1002 BIG PINE EFy PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY LICENSE NUMBERS MP145 State RF0037503 OWNER BUILDING CONTRACTOR Tzr TYPE OF BUILDING nTTT T FX 2 SINKS _SHOWERS g LAVATORY _WATER HEATERS 2 BATH TUBS ,2-DISHWASHERS URINALS 2_DISPOSALS 6 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 29 TOTAL FIXTURE COUNT X-3. 50 + $10. 00 D tTE3 19/ 87 ICTAL A IOUP:m III So INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.