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Permit 715 Bonita Road vault r J CITY OF ATLANTIC BEACH t 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000521 Date 4/28/09 Property Address . . . . . . 715 BONITA RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc remodel bath and general repairs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLORES, SIMON UNLIMITED DIMENSIONS 715 BONITA ROAD 7 DRUM PLACE ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 838-3774 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 119 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/25/09 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. {3U{L{3{NTG OFF{C{A{, -- ---- —_ �`' ;3=''''r% CITY OF ATLANTIC BEACH I I I I .�.. 09- tct SOD SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ��`'� OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1s'JOB ADDRESS: 12.IS THIS A SUB PERMIT:'` 3.DATE: !� r / q'j ( PERMIT#: — OC1 G d / f'/�7 DpNf G � / 10S PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 8.PHONE: PLUMBING CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: /� , LCL if �' �J✓.� ,L)I (�d>` -7 T o O & +7 9.STATECrR/�Z�LICENSE �� 10.CELL P l�r �z,?/ �� I 11.FAX NO, 4�� Z 12.ELCAIL A RES/S: 13.OFFICE PHONE C� 14. / Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATURE: 15.NATURE'OF WORK: 6. 17. 18.CURRENT CODE: NEW ❑'06 FLORIDA BUILDING CODE ❑ RE-PIPE PLUMBING d OTHER: 19.NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN Z WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permit Applicatiion Plumb:12/18/2008 CITY OF ATLANTIC BEACH 09- I I I ra� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ,s y ELECTRICAL PERMIT APPLICATION DUVAL COUNTY ,<1:JOB ADDRESS: 2 IS THIS'A SUB PERMIT " 3:DATE ❑NO � / S PERMIT#:�►' ` v� PROPERTY OWNER"'-,--., 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE. d��6 DdriG /%� �;g ELECTRICALCONTRACTOR:- G/ 7.NAME OMPA NY: 8.ADDRESS.: �� G c�1'h/c �6 / / 9.STATE OF FLORIDg LI ENSE 01 i O 10.CELL PHONE,, M�% 11.FAX NO.: 12.EMAIL ADDRESS. / 13.OFFICE PHONE.j //�/� 14. 01 a4oL , 6olk b 7 15.Application is hereby ma a to obtain a permit to do the work and installations as indicated. I certify 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 sb((6) months,or if construction or work is suspended or abandoned for a period of six(6)months a ny time after work is commenced. CONTRACTORS SIGNATURE: .,IC CLASS OF WORK. METER:NUMBER:=,r ❑MIFI FAMILY-#OF UNITS: 0rRESIDENTIAL �INGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.B DING: 19.CURRENT-CODE ❑ALTERATION ❑SIGN DIOLD ❑NEW 0'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK k s 20.TYPE OF SERVICE: OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: �__ W---11— VOLT:ay RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32 AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33 MOTORS: . ` NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34 TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: AtiW AD n BLDG02 Permit Application Elec:REVISED:12/18/2003 V <� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000521 Date 5/26/09 Property Address . . . . . . 715 BONITA RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc remodel bath and general repairs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLORES, SIMON UNLIMITED DIMENSIONS 715 BONITA ROAD 7 DRUM PLACE ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 838-3774 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/22/09 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A'ILANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09- s; 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I•, '.I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US ., MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS: ,�I ) 2.13 THIS A SUB PERMIT' 3.DATE: IZI NO 6`4S PER M. Q r U�f�� PROPERTY OWNER: 4.NAME: 5.ADDRESS IF IFFERENT FROM JOB ADDRESS: 6.PHONE: MECHANICAL CONTRACTOR: 7.NAME OF COMPA B.AD RESS.: �- ): , f V�U ��Ut,✓ CpL - 3 Z-z t 9.STATE OF FLO IDA LICENSE NO'� 10.CEt,�P}-IO�E:� 11.FAX NO Ac yl/ 5/ 9 G 12.EMAIL ADDRESS: 13.OFFI- C� L'75�9� 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. ARI# CONTRACTORS SIGNATURE'- IGNATURE �Lrf 16.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 16.CURRENT CODE: ❑NEW INSTALLATION ❑NEW ESIDENTIAL 0'07 FLORIDA BUILDING CODE- 0 REPLAIC. NT OF EXISTING SYSTEM CJ-E3cISTING ❑COMMERCIAL MECHANICAL ALTERA LOW ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE iiFrALLED: 19.HEAT: ❑SPACE ❑RECESSED ❑CENTRAL ❑FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑PUMP ❑WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLMG EQUN'MENT: EQUIPMENTN NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY AIR 32.HEATING EQUIPMAENT: -NUMBER FMR ES. .F0 LACES.AIR IDLERS ETC. APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY I - TYPE LIQUID 33.tANK3: APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG-34 PermttApp"on Mect:REVISED:12/1t02C08 Ly J, .. a i1� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000521 Date 5/13/09 Property Address . . . . . . 715 BONITA RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc remodel bath and general repairs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLORES, SIMON UNLIMITED DIMENSIONS 715 BONITA ROAD 7 DRUM PLACE ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 838-3774 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc REMODEL ADD BATH/ADD LAUNDRY Sub Contractor MCKINNEY ELECTRIC COMPANY Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/09/09 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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 800 SEMINOLE ROAD ►;� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 F Application Number . . . . . 09-00000521 Date 4/21/09 Property Address . . . . . . 715 BONITA RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc remodel bath and general repairs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLORES, SIMON UNLIMITED DIMENSIONS 715 BONITA ROAD 7 DRUM PLACE ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 838-3774 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 10/18/09 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 24 ST CONSTRUCTION SURCHARGE 4 . 32 AB CONSTRUCTION SURCHARGE .48 STATE RADON SURCHARGE 4 . 56 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check TpTotal 40� . 00 400 . 5000 . 00 . 00 PERMIT IS%6UED T)RLYT&tA4ORDANCE WITIIcA&OCITY OF ATLA§T&%EACH ORDINANCPSPAND THE FLORIDQ0 BUILDING CODES. U� G� s< . sf, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 09-00000521 Date 4/21/09 Grand Total 129 . 60 129 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH OVQ A = VM !I x6 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D EPT@COAB.US -Jr=I BUILDING PERMIT APPLICATION DUVAL COUNTY 1:JOB ADDRESS r. 2.VALUg7iON OF WORK„_. 3.SO,FT UNDER Ro3F7777777 7 a 4sLEGA`L DESCRIPTION:- 5.CLASS.OF WORK;`5., 6.US(AF STRUOTURE: J BLOCK SUB DIVISION ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT _ N D ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7;DESCRIPTION OF.WORK; ,? ": is °' V ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: UIREPAIR ❑POOL/SPA ❑YES Q-WA ❑MOVE ❑OTHER PRORERTY;OWNER:, CONTRAC OR� " 'ARCHITECT, NG_ INEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: ] YCt t7l.,jfif�r 16.NAME: 24.LICENSEE NAME: C."r- a*,e. Le-..e 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: - (.'1 F(� ZZ3� '7 Qr,rwL PJ Ia31lcYP�r��.,sD Pawk.J-L-A.---60- q 3.2dazz >j';x F:I ��as 11.OFFICE PHONE: 12.FAX NO.:66q i 1161 19.OFFICE PHONE: 120.FAX NO.: 27,OFFICE PHONE: 2B.FAX NO.: fa� 3y 377Y 7f-4 5 l ��Q-tY3 13.CELL PHONE I 21,CELLLL PHONE: 37 7� 29.CELL Pq-I?Z,J 14.EMAIL ADDRESS: 22.EMAIL A�z77D_DR S: 30.EMAIL ADDRESS: : nt1n+0CQ.'n(G.11-. ►it LyG.r'uyc Cry C?�4 rLL� FEE SIMPLE TITLE HOLDER ' BONDING COMPANY: MORTGAGE LENDER: •F PF OTHERTHAN OWNER) 31.NAME: 33.NAME 35.NA E: 1 ` 4- A: 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 therof,until all inspections are finaled anc# 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 4.. 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 COMMENCEMEN o OWNER or AGENT CONTRACTOR' (If Agant,Power of Attomay or Agency Letter Required) (Qualifier Only) C/1 Signed: Date: Signed: Data. �� Z Before me this day of410ri 1- day of 2009 in the county of Before me this i 2008 in the cou 0 Duval, to of Florida,qas personally appeared Duval,State of Florida,has perscpally appeared V A O rAikZ NA AW v A herin by flimself JhrsJtf and affirms that all statements and declarations are herin by himself herse .1d affirmi that all statements and declaratio a true and accurate. �i true and accurate. Notary Public at Large,State of / County of Notary Public at Large,State of F County of ,t❑,,PCgrsonally Known i� t 7 _ 6 Personally Known rl� SY rj j3 6� I Q, z yrrroduced Identificatio - " 10 roduced Identification ( r Notary Signa e: Notary Signature: (� �lat N9y jq a Com ion Exp rese h�Ignda ;=o°ay P`'a�� Notary IRLEY L. GRAHAM y p Commission#DD 51653?2010 �e - Public-State of Florida °�„ `h1 Ponded B� N. I„ is,+ , Y Commission Eicpires Feb 14,2010 BLDG01 Permit ApplicaUon g: Nor.".,. 5 , .„ -,FOFF�ory� Commission#DD 516533 fWid Bonded By National Nota QC ry Assn. NOTICE OF COMMENCEMENT Swe of r_>r Tax Folio No. colanty of u V T W hom,11, May Coacem: -foe 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 statedN gats is OTICE OF COM-YiENT E _�_ 1"E�_ _ RA property Legal:Des pilon of prope. being criz improve) Les 9 acs lL 3 6 Pte,ee- (a6 4- L6 A -215-- �' Addi-ess o'gropemy be-ing b-npro-;ed: 13 V1 -t-::g,- General description of improvements: A-j r- Owner: 7 f a v Z4--s- LL-0— Address., lq'7� Owner's interest in site of the impro-kement. L->kit e-x- Fee Simple Titleholder(if other than owner): Name: ntractol U. Address: Telephone-N-o.. LQ ,)z3 >7 Fax No: ;7,7 7 V Surety(if any) Address: Amount of Bond Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone NO: Fax No: Came of person-within the State of Florida, other than himself, designated by oi upon-whom notices or other documents may be served. Name: Address: Telephone No: Fax No. In addition to hi imself, owner designates the followiIag 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: Lj 4 L-,wt %-A,11 Address. Telephone No: -32 7!/ Fax No; a-7.3 Expiration date of Nut oc of Commenwement(the expirrabion date is one(1)year from the date of recording unless a different date is specified): THIS SPACK FOR RECORDER'S USE ONLY OWNER Sued: 1 y �&WDate.A q 1.� /(-)ri Doc#2009088272,OR SK 14842 Page 2425, Befox-C me this lay of in the County of DLvad,St tate Number Pages:I f Saoda.has personafly appeaxed Recorded 04),15/2009 at 10:42 AM, ;of III I I I Ili ---iIi1!I:11C,I, III -- of Duval. JIM FULLER CLERK CIRCUIT COURT DUVAL Vgvt COUNTY RECORDING$10-00 y vorida- reo lot 0 I..1 III, Bond B ati PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FL. ProjectName: 5 Y AI A-IV Permit# Project Address: -71a✓� 4-A- �D A i� �( 3 2�3 3 _ As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit:number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information regarding statewide product app roval may be obtained at: www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging �� 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. Other B. WINDOWS _ 1. Single hung _ i 2.Horizontal slider 3.Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10. Wind breaker 11.Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State # Local# C. PANEL WALL _ 1. Siding Q +.4. -��.. - s i 171QII4 AZ 2. Soffits _ 3.EIFS 4. Storefronts 5. Curtain walls 6.Wall louvers 7. Glass block 8.Membrane _ 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1.Asphalt shingles 2.Underlayments 3. Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing 6.Modified bitumen 7. Single ply roofing 8.Roofing tiles 9.Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15.Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2.Bahama 3. Storm panels 4. Colonial 5.Roll-up 6.Equipment 7. Other F. STRUCTURAL COMPONENTS _ 1. Wood connector/anchor 2. Truss plates 3.Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7.Material 8. Insulation forms 9.Plastics 10.Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS _ 1. Skylight 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS _ 1. 2. In addition to completing the above list of manufacturers,product description and State approval number for the products used on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed instructions, along with the list above, on the job site available to the inspector. The products listed below did not demonstrate product approval at time of plan review. I understand that before these products can be inspected,they must be submitted for review for code compliance and approved by a Plans Examiner. This form will be revised to include each new product in the categories listed above and will be highlighted to indicate the new products and required information. Authorized Project Agent: (Contractor or Design Professional) (Print Name) (Signature) Company Name: Mailing Address: City: State: Zip Code: Telephone Number: ( ) Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: MIAMMOIAD MIAMI-DARE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) www.buildingcodeonline.com Jeld-Wen,Inc. 3737 Lakeport Blvd. Klamath Falls,OR 97601 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION:8'0"In-Swing Opaque(W/E)Steel Door w/wo Non-impact Side-lites APPROVAL DOCUMENT:Drawing No. S-2167-01,titled"Wood Edge Opaque Steel Inswing Impact Door w/wo Sidelites",sheets I through 6 of 6,prepared by PTC,LLC.,dated 11/18/01 and last revised on 11/14/07, signed&sealed by Eric S.Nielsen,P.E.,bearing the Miami-Dade County Product Control Renewal stamps with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Limitation: 1.DOORS:Large and Small Missile Impact 2.Sidelites: None.Approved shutter complying w/FBC,as applicable are required. 3.This system is not rated for water infiltration. LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises&renews NOA#02-1211.07 and,consists of this page,evidence page El,as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I.Chanda,P.E. L. r 1 NOA No 07-0709.04 _ Expiration Date: August 08,2012 Approval Date:December 06,2007 Page 1 �XN`� I MIAMI-DADE MIAMI-DADE COUNTY,FLORIDA _ METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) James Hardie Building Product,Inc. 10901 Elm Avenue Fontana,CA 92337 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone. DESCRIPTION:Hardiplank,Cempiank,Hardipanel,Cempanel,Hardisoffit and Cemsoffitt APPROVAL DOCUMENT:Drawing No.HPNL-8X,HPLK-4X8&HSOFFTT-8X,titled"Hardipanel& Cempanel;Hardiplank&Cemplank;Hardisoffit&Cemsoffit Installation Details",sheets 1 through 3 with no revisions,prepared,signed and sealed by Ronald Ogawa,P.E.,dated 04/02104,bearing the Miami-Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:Large and Small Missile Impact LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA#02-0729.02 and,consists of this page,evidence page as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. ot — NOA No 07-0418.04 a - Expiration Date: May 01,2012 Approval Date:May 31,2007 Page 1 R W R W Building Consultants, Inc. B Consulting and Engineering Services for the Building Industry C P.O.Box 230 Valrico.FL 33595 Phone 9 13.659.9197 Facsimile 813.754.9989 Florida Board of Professional Engineers Certificate of Authorization No.9813 Product Evaluation Report Report No.: FL 12068.8 Date: January 28,2009 Product Category: Windows Product sub-category: Single Hung Product Name: Series 2300-Model 2301 Extruded Vinyl Single Hung Window "Non Impact" With Nailing Fin Manufacturer: Silverl,ine Building Products Corporation C� One Silverline Drive North Brunswick,NJ 08902 Phone—732.43 5.1000 Scope: This is a Product Evaluation report issued by R W Building Consultants,Inc. and Lyndon F. Schmidt,P.E. (System ID# 1998)for SilverLine Building Products based on Rule Chapter No. 911-72.070.Method Id of the State of Florida Product Approval,Department of Community Affairs-Florida Building Commission. Z> RW Building Consultants and Lyndon F. Schmidt, P.E.do not Dave nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use in locations adhering to the Florida Building Code(2007 Edition). See Drawing No.: Fl. 12068.9 prepared by R W Building Consultants,Inc.and signed and sealed by Lyndon F. Schmidt,P.E.(FL#43409)for specific use parameters. Lyndon F. Schmidt,P.E. FL No.43409 January 28,2009 PF 1449 Sheei 1 of I CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 -- TELEPHONE(904)247-5800 r FAX(904)247-5805 June 15, 1995 Mr. Simon G. Flores 715 Bonita Road Atlantic Beach, FL 32233 Dear Mr. Flores: our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: oc 2, Royal Palms $1 RES171139-0000 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-3 - High Grass & Weeds, i.e. , rear yeard is overgrown; Section 12-1-4 - Stagnant Water, unfiltered water in above-ground swimming pool ; Section 12-1-4 - Accumulation of miscellaneous trash in front and rear yard. You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, 'K.irl W. Griinewald Code Enforcement Officer KWG/pah cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED r.. .g SENDER: ~ u, • Complete items 1 and/or 2 for additional services. • Complete items 9,and 4a&b, foilowuq, of • Print your name and address on the reverse of this form so that we can fee}; return this card to you. yt • Attach this form to the front of the maiipieee,or on the back if space 1 Addressee's Address `- does not permit. s • write"Return Receipt Requested"on the malipiece below the article number. Z [ Restricted Delivery • The Return Receipt will show to whom the article was delivered and the date o delivered. Consult postmaster for fee, o` 3. Article Addressed to: 4a. Article Number m ,r 7 t 7 �� 4b, *stee Type 0 �/S' 1.3an� ❑ Re laterad ❑ Insured o n v? 14aJ 1= 3 ZZ s3 Certified ❑ COD ❑ Express Mail ❑ Retur eceipt for 5 cc V Mer andise 7. Date of r P dt; � 5. Signature (Addressee} 8. Addr s 's r s Only if nested Cr M and fee s } " >l H B. Si nater {Ag 11 December 1991 *U.S.GPO:1ees--ase-714 DOMESTIC F TUAN RECEIPT Se » CITY OF ATLANTIC REACH COMPLAINT MANAGEMENT SYSTEM TAKEN (date/tiow) : ,/,�-y s— Na: COMPLAINANT: Last Name First Nasi M ADDRESS: ,�� •.=.t.T�d CITY/STATE/ZIP: TELEPSONZ: ( ) COMPLAINT; 1.�, /y�i' s sib,s Sr�'G z-1- 7 LOCAT ION: ,� REAL ESTATE #: PROPERTY OWNERS NAME: OWNERS ADDRES8: PROPERTY OWKZRS puma: { } OCCUPANT: DEPARTMENT FORNARDED TO: COMPLAINT Tun By: 5 _ DATE/TIME: /��-- OFFICE OSE ONLY INVESTIGATED: (data/tip..) gl," -i, -,Pr,- ASSIGNED DEPT./DIVISION: /a�4,F PRIORITY: INVESTIGATOR: �- CONDITIONS FOUND: dS_ z�St W ACTION TAKEN: COMPLIANCE: NOTES: CITY OF ,rQ'Z 40tft Teat - 74Ua la 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 January 22 , 1996 Simon G. Flores 715 Bonita Road Atlantic Beach, FL 32233 Dear Mr . Flores: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 715 Bonita Road a/k/a Lot 15, Block 2 , Royal Palms #1 RE#171139-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-(7) i .e. , outside storage of unregistered, abandoned motor vehicle. You are hereby notified that unless the condition above described is remedied within ten (10) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: Public Safety Director CERTIFIED MAIL RETURN RECEIPT REQUESTED M SENDER: ■Complete items t and/or 2 for additional services. I also Wish to receive the a, ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai ■Pearn this form to the front of the mailpiece,or on the baric if space does not 1. Q Addressee's Address d ■Write`Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N t ■The Return Receipt will show to whom the article was delivered and the date ., c delivered. Consult postmaster for fee. 3.Article Addressed to: y+ 4a.Article NumberCc m CL �� 4b.Service Type _ m '�/J 00 A43 F::& �Z 2 ❑ Registered 0 Insured ed m ,��G $ ❑ Express Mail ❑ Insured w W �Q, Return Receipt for Merchandise ❑ COD to of Delivery hC-a a 5.Received By:(Print Name) �y dressee's A d e s( n! it r uested d W is p ' ) 6.Si ature ( rid ss a or Agent) X ^ Domest c eturn R ceipt J CITY OF ATLANTIC BEACH SS 800 SENIINOLE ROAD - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 "r INSPECTION EMAIL REQUEST: Buildin -deptAcoab.us Application Number . . . . . 07-00000243 Date 3/07/07 Property Address . . . . . . 715 BONITA RD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3700 -------------=-------------------------------------------------------------- Application desc re-roof/30 year Timberline - ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLORES, SIMON A1A ROOFING CO. , INC. 715 BONITA ROAD RYAN MILLS ATLANTIC BEACH FL 32233 1724 ORMOND RD JACKSONVILLE FL 32225 (904) 249-6999 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 48 . 50 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3700 Expiration Date . . 9/03/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48 .50 48 . 50 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 48 . 50 48 . 50 . 00 . 00 PERMIT IS APPROVED.ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION S SS f CITY OF ATLANTIC BEACH r s� 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax:(904)247-5845 Job Address: � � �.�IC't°?� '`� Permit Number: Legal Description Valuation of Work(Replacement Cost) $ ■ Class of Work(Circle one): New Addition Alteration1 Move ■ Use of existing/proposed structure(s) (Circle one): Commercia Residential ■ If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: 4F VL- 13-5 Property Owner Information Nam City aft StateZip �' Phone ' C �1i Contractor Information: Name of Compan : ; t i i � O/ ''r i f""(' Quali in Agent: �Y1oij (S Address: L � City W i3a State TF4. Zip 32-3 73 Office Phone .1V769"In Job Site/Contact Number r3 �d State Certification/Registration# C C t✓U S 7�9 cf N Office Fax# q Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a ermit to do the work and installations as indicated. I certify that no�or lt or installation has commenced prior to the issarance of aQermit and that all work will be performed to meet the standards o fall laws regulating constructiothis 'urisdiction. Thispermit becomesnull andvoidif wok �snotcomn2enced within six(6)monthsor if construction or wor/c is suspended or abandoned for erioofsix(6)months at anytime afterwork iscommenced. I understand that separate permits must be secured forElectrical Work,Plumbing,Signs,Wells, ols,Furnaces,Boilers,Heaters,Tanks nndAir Conditioners,etc. 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 herebyy certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe of worlcwill be complied with whether specified herein or not. The granting of a erm.t does notpresume to give authority to violate or cancel theprovisions ojany other federal,state, or local law regulating construction or the performance o construction. Signature of Property Owner: Signature of Contractor: 'Fi`6J U`l Swor to and subscribed be re m0.'' Sword to and subscri a be re me this M Day of this`Tal Day of /yl. . Notary Public. v E Notary Public: Commit D00394390 7TE P MORALES EWW 3/2/2009 l Canms 000394390 1011118111 ftU(900)432.1254Evtr■t 3/2!2009 NOIfOill Noltry Mtn.,Inc : krA W ftU(900432.1254: wu••••n••u•pi Flarids NO Am.,Inc ••n••N•N•N•uu.... uuom..rt DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY Review Result(Circle one): voted Doc#2007077913,OR BK 13851 Page 2055, Number Pages:1 Filed&Recorded 03/07/2007 at 10:41 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 s?RIQA ) OF Ruall l rCfo* The undWSOW hereby iehxr n yW that Impov rnenbs vrpl be We to cartair►reed property.and in aoaor+dowe with Adoa 713.Flork b Smites,the toiforrbtg kftnlloWn is stated in this Nodus of CwmwncwnwtL 1. Description of Real PraperW. :16 &n( t. ;Dc . f L -3 2. General Desaipfim of bnpilosva menu Plesidemial reroofing 3. Property Owned by r Owner's m do,mitt in the Sia: Fee 3in>pie. Name and address of fee sirrtpie So holder other then Owner 4. The person(s)or"a)wtw vrilt make said lrtrprownwirda under direct contact(s)am AIA Rq0ft Cornpl M bY-- ,� 48 W C Street \ Aganft Bench,Florida 32233 Telephone:(Wif)2494=9 Fee(e1014)249 43917 S. The nameof the surely on the peyrnerd bond(If any).as pwAded under Section 713.23.Florida 6- The rimm and addfer s of anyMerson meting a bm for the construction of Etre iapc+oreemermres. 1}` 7. Penaw we>loin the blebs of Florida designated by Owner upon whom notices or other domxvw s may be Wved under Part t of Ctpepber 713.Florida ShMes,v111*A service shall come servioe upon Omer: 8. The norm ani!address of parson Owner may design o at hit;option in addition to Massif b recelm copy of Iienar's rK fire as proved under Section 713.13(t)(b),FWdee : 9. Esq swoon dabs of Notice of Cornrrtertcernent is one(1)year for the dabs of recording unless O#wr alae ape td: by uft is parsom'W Imo n me erpeaioad i as weaeRcstion. 1 ` �' Y tie tr+y+R.. 72 AALr {NOOTARY SEALI idotan Pul'Tc'�le YVER F 110�.»»...� ;- '' " DEPARTMENT OF BUILDING 4 _ CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. j PERMIT TO BUILD 740CKT THIS PERMIT MUST BE POSTED ON JOB ut 4 I /s 4{5 . f1CAC Date 10-261 ly 84 ri64 III/Wilt 1 fi�IJ Valuation$ RE—R(lf?F Fee$ 7.50 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 SIKE GN FILMS I 715 Barra RMn f { has permission tmbpild RE—W(W HOW AS PER PANS i Classification WSURIr AL Zone RS1 Owned by ';TIVM ray FTCNT-1; Lot Block S/D I House No. 318& 715 ROMA ROAR 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 'f--► ---► O Building material, rubbish and debris Z from this work must not be placed j in public space, and must be cleared up and hauled away by either con- tractor or owner. I NIM M_ Wm1Yl[•.1.'S Building Official i FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER ?ale. alk Pate . DEPA ti i"^;ENT OF BUILDING City of Atlantic Beach , Florida Application for Permit for Permit No . B( (��</ E Office- Miscellaneous Alterations ' �"—"— __-- Use and Repairs M P Only Contractor C` C) _ _Address S C �,� f irks . Phone Owner T��, -�' � Address 5 �_y� _ _Phone �5i nn The undersigned hereby applies for a permit to m GI app r IV Building on ___part of Lot No . ____Block ___Subd.____ — At side of-------- between---------and fbetweenand Streets . Valuation $_ — Present use for building-- J, If residential, what type dwelling single-family duplex. . ) How many families accomodated now? I When altered? 1_� If business , what type? — Will food be prepared for sale on premises? What plumbing/mechanical work to be done? -� Size of present building J Size of extension _ Size of lot Number of stories now When altered Material of existing building_____ Extension ------------------------------------------------------------------------- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH In consideration of permit given for doing the work described in the above statement , 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 building regulations of the City of Atlantic Beach. S 'gnature Contractor Date Si-nature O-,r er Date f � Alf CITY OF �,tzF'a�,ttic f�eacl - '��aaida 800 SEMINOLE ROAD A1TAN'n(' t3i?A('tl, FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904)147-5805 August 20, 1992 Mr. Simon G. Flores 715 Bonita Road Atlantic Beach, FL 32233 Dear Mr. Flores: Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: a/k/a Lot 15, Block 2 Royal Palms Unit 1 RE*171139-0000-1 Investigation of this property discloses and I have found and determined that this property is in violation of the following City of Atlantic Beach Ordinances and/or Southern Building Code Sections; Chapter 12-1-3 Weeds and Trash Chapter 12-1-7 You are hereby notified that unless the conditions described above are remedied within fifteen ( 15) days from the date hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162. 09, the Code Enforcement Board may impose fines of up to $250. 00 per day for a .first violation and $500. 00 per day for a repeat violation. Please contact this office at 247-5826 regarding your intent to bring the subject property into compliance. Sincerely, "KarZCr�riewald Code Enforcement Officer KG/pah cc: City Manager • SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO"Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return recei t fee will rovide ou the name of the arson delivered to and the date of deliver For ad itional ees t e o owing services are avai a le. onsu t postmaster or tees andAheck ox(es)for additional service(s)requested. 1. QF—Show—to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery „Extra charge) (Extra charge) 3. Article Addressed t - 'kw 4. Article Number 'rm6� c2�sP .613 17/ 8a)3 '7j 15 BON i t-4-Rv 4 1> Type Service: El Registered ❑ Insured T1� C rt F� El COD Tl (�' �`•�C� � s Mail E] Return Receipt for Merchandise Always obtain signature of addressee or agent and DATE DELIVERED. 5. Si ature — Addr ssee 8. Addressee's Address (ONLY if X requested and fee paid) QUr — Agent onV TZ t' 3. Date of Dfi ery � ��9^� P x101 IlApr. 1989 •u.S.c.r.o.1989-298-815 DOMESTIC RETURN RECEIPT CITY OF >' antic Ve4d - 9&uda soo sE:MnNaLE:ROAD ATLANTIC BEACH,FLORIDA 32233-5445 --`�' - TELEPHONE(904) 247-5800 FAX(904)247-5805 December 17, 1992 Simon G. Flores 715 Bonita Road Atlantic Beach, FL 32233 Dear Kr. Flores: Our records indicate that you are the owner of the following described property in the City of Atlantic Beach : a7k/a Lot 15, Block 2, R/P Royal Palsm Unit *1 RE#171139-0000 1 Investigation of this property discloses and I have found and determined that this property is in violation of the following City of Atlantic Beach Ordinances and Southern Building Code Sections, copies of which are enclosed: 1. Chapter 12-1-2 2. Chapter 12-1-3 3. Chapter 16-3- (a) 4. Chapter 16-3- (b) You are hereby notified that unless the conditions described above are remedied within thirty (30) days from the date hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162. 09, the Code Enforcement Board may impose fines of up to $250. 00 per day for a first violation and $500. 00 per day for a repeat violation. Please contact this office at 247-5826 regarding your intent to bring the subject property into compliance. Sincerely, / g -�(Z` �(,l'r' �lJ� k ar W. Grunewald C Code Enforcement Officer KWG/pah - cc: City Manager Enclosures CERTIFIED MAIL RETURN RECEIPT REQUESTED I SENDER: • Complete items 4,;andlor 2 for additional services. I also wish to receive the ! Complete item's and 4a&b. following services(for an extra • Print-your figine and address on the reverse of this form so that we can fee): return this Lard to"u. " • Attach this form1tb the front of the mailpieee,or on the back if space 1. "dressee's Address does not permit. • Write"Return Receipt Requested"on the mailpiece below the article number. 2. 1:1 Restricted Delivery C • The Return Receipt Fee will provide you the signature of the person delivers I! to and the date of delivery. Consult postmaster for fee. 3. Article Addressed t& 4a. Article Number rn ori �10�2�S /7/ 'jY5 / ni?er f�a�tA 4b. Service Type jTL,4ec�lc �c�4cf /�� F1 Registered El Insured If 5�1;-ertified ❑ COD ❑ Express Mail ❑ Return Receipt%r Merchandise 7. Date of Deliver gnature(Addressee) �—/�- 8. Addressee's Address n f requested and fee is paid) 6. Signature(Agent) PS Form 3811, November 1990 u.s.GPo:1991-2s7-m DOMESTIC RETURN RECEIPT 1� CITY OF 1'�'�Q*tttG t�!acic - �leKida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233.5445 TELEPHONE(904)247-5800 Maze" , 1994 FAx(904)247.s805 r. Simon G. Flores 715 Bonita Road Atlantic Beach, FL 32250 Dear Mr. Flores : Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: 715 Bonita Road a/k/a Lot 15, Block 2 , Royal Palms Unit 1 RE#171139-0000-1 Investigation of this property discloses and I have found and determined that this property is in violation of the following City of Atlantic Beach Ordinances and Standard Housing Code Sections : 1 . Section 21-24 Abandoned Vehicle i . e. , unregistered, abandoned vehicle in front yard; 2 . Section 12-1-(3) Weeds i .e. , vegetation over 12" in rear and side yards ; 3 . Section 12-1-(7 ) Open Storage i . e. , tires , collapsed shed, miscellaneous trash, bags of empty cans , auto parts; 4. Section 12-1-(4) Stagnant Water i .e_, pool in rear is contaminated and causing the propagation of mosquitoes; 5 . Section 12-1-(8) Unsafe Structure i .e. , (a) condition of the structure is causing an sanitary and health hazard for its inhabitants (b) dilapidated fence in front yard; 6 . Standard Housing Code Chapter 3 , Section 305 . 2 Exterior Walls i .e. , condition of the exterior coating allows the admittance of dampness to the interior portions of the walls and occupied spaces . You are hereby notified that unless the conditions described above are remedied within thirty ( 30) days from the date hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Please contact this office at 247-5826 regarding your intent to bring the subject property into compliance. S'.n,cer rl` W . runewald Code Enforcement Officer KWG/pah cc: City Manager SENDER: • Complete items 1 and/or 2 for additional services. I also wish to receive the a • Complete items 3,and 4a&b. following services (for an extra ai • Print your name and address on the reverse of this form so that we can g fee): � return this card to you. y d • Attach this form to the front of the mailpiece,or on the back if space 1 ® Addressee's Address N does not permit. •+ _ • Write"Return Receipt Requested"on the mailpiece below the article number.1 2. ❑ Restricted Delivery a �' • The Return Receipt will show to whom the article was delivered and the date "V C delivered. Consult postmaster for fee. m G X m 3. Article Addressed to: 4a. Article Number 7,1 CL //l�Oh //o2pE S 4b, Service Type o J/firryLfLt 0 /101.� C� ❑ Registered ❑ Insured L Certified ❑ COD 5 H� Signature / ❑ Express MailReturn Receipt for erch ndis c Date of Delivery0 ure (Addressee) 8. Addressee's Ad ( f e uestedand fee is paid) (Agent) 3 r PS Form 3811, December 1891 *U.S.QPalsea--352-714 DOMESTIC RETURN RECEIPT