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Permit 857 Bonita Road i DEPARTMENT OF BUILDING 3129 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Da+e .1 u 1y 21 19 76 Valuation$ 4.300 Fee $ 12.00 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 John P. Quandt 2121, Corp Scpmre, Jacksonville, Fla. 725-5645 has permission to buil' Room Addition 12 X 24 Classification Single 'ani l Y zone Res Owned by Ri Chard Jp#nson Lot 14 Block _S'/D_ R/P Unit #1 House No 857 Bonita Rd According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS ,I AFTER DATE OF ISSUE ♦__� ► 0 Building material, rubbish and debris Zfrom this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. R. C. V099 Building OfBeW FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER i PLUMBING , 71. F..9 +. i ELECTRICAL SEWER WATER i I BUILDING PERMIT APPLICATION r j�Qf JURISDICTION OF ✓ APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS 1343 tq -rte RD . LEGAL LOT NO. BLK. TRACT DESCR. ,a r,) C. . n lc' `� r'a y' (❑SEE ATTACHED SHEET) 2 OWNER MAIL ADDRETa ZIP PHONE k. 4 ('q cwi X D . CONTRACTOR MAILD ESS PHONE LICENSE NO. 3 q?1�7f c0K�aSa v'qA.+� U ,� -g c ys QGc - oc rya© ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 B CLASS OF WORK: ❑NEW j4ADDITION ALTERATION DREPAIR MOVE REMOVE 7 BUILDING CHARACTERISTICS C.PRI NCI PAL TYPE OF FRAME G.DI ME NSI ONS A.PROPOSED USE GROUP XMASONRY NUMBER OF STORIES f RESIDENTIAL NON-RESIDENTIAL —WOOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS,BAs IVONE FAMILY DWELLING ASSEMBLY _REINFORCED CONCRETE EXTERIOR DIMENSIONS —OTHER -SPECIFY TOTAL LAND AREA,SQ. FT. []TWO OR MORE FAMILY DWELLING: ❑BUSINESS (OFFICE) NO.OF UNITS H.NUMBER OF OFF-STREET EDUCATIONAL D.TYPE OF HEATING FUEL PAR KING SPACES []HOTEL,MOTEL,DORMITORY, ENCLOSED NO.OF UNITS FACTORY -INDUSTRIAL —GAS OUTDOORS _OIL GARAGE HAZARDOUS _ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL []CARPORT []INSTITUTIONAL OTHER-SPECIFY NUMBER OF BEDROOMS OTHER-SPECIFY MERCANTILE OG�h. AnT� IT�tll� E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS_ STORAGE FULL j _PUBLIC OR PRIVATE COMPANY []OTHER -SPECIFY —PRIVATE (SEPTIC TANK,ETC.) PARTIAL F.TYPE OF WATER SUPPLY —PUBLIC OR PRIVATE COMPANY —PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL- DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION '7 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. lti�, al SIGN OF CONTRACTOR O AUTHORI ED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) ____ _ s j 1 { F i i R r d I i i :� .,..►� �� � /, �, -- - __ .: � ? �� pec"�1. _ _ � _ �,� � _ _ � �, P r i. /� ;� ', y i ;�� �> �� �; ,. `M _{ i .'ry a; ag: .fir yr 4, YA Y a +f.+ 111 lillJ � CANT ` gyk k JWWP'T' C3FtES$ 4 RC i 3 p(g f TRACT `# " S 4 x ,s #©9EEaTTACHEDSREET) PHORE � 5 a i # I ', �� t R SB P � ,1�EA,1SE: 3: NG�NEER 1 A"CaRESS PRONE LICENSE-10" i ly St C ASS OF4YIfOi11l�t 1tQN: ,` �AL iERATION QREPAIR [MOVE ' QREMOVE l .L?!#1# C -i5` +a'# C.#?R#NCIPAL TYPE aF FRAME G.C7IME.Ns1DNs , A.PR"QP03Eb. E`Gf ©kMASONRY . NUMBER OF STORES R S##E#+)TiAL QN RESCDENTIAL VItaOD_ 3A `tOTALSQUA09 FEET OF FLOOR _STRUCTURA' EL AREA',ALL FLOQRS.$ t3lx#E FAMILY3 {Et L#T�i( ASSER1 Y �REIN.FaRCERCL3NCRETE EXTERIOR DLMENSIaNs —OTHER–SPECIFY TOTAL LAND AREA,SO.FT. �TWa OR 1V#OF1E .114�14Y�LL1 `r 9US)NESS tOFFtCE) H NUMBER OF OFF-STREET RICI.C7 #JNLuD.TYPE OF�,HEATING FUEL, PARKING SPACES .EDUCAT#ONAL ENCLOSED } tTEL +1OTEL.CORM#TOR _GAS OUTDOORS '{ E OF.UI+LTS� - 0 f ACTQRY INDUSTRIAL —OIL . [3 GARAGE HA�AADOUS COALTR#C#TY 1. RESIDENTIAL BU#LDINGS ONLY }CARORT ##dSitTFIT)aNAL _OTHER-SPEC)FY NUMBER OF BEDROOMS f3Ti�ER S'E # l� MERCANTILE E.TYPE OF SEWAGE:DISPOSAL NUMBER OF BATHROOMS Joe [ STORAGE PUBLIC OR PRIVATECOMPANY FULL OTHER-SPECIFY, PRIVATE (SEPTIC TANK,ETC.) PARTIAL F,TYPE OF WATER SUPPLY �PUBLIC,OR PRIVATECOMPANY —PRIVATE#WE'LL,CISTERN) NON.,,k #1 C # R t Ea# DETAIL THE PROPOSED U OF,THE BUILDING. 8'.'VAI UAT#�1N.t3�1l�UR',K A. BUIL6NNG$` [5. i l3, PLUMBING$ O„ MCtAN#CAI~$ D. ELECT RICAL$ E. OTHER$ F. TOTAL VALUATION. # H,E# ts,+ #�'kE,Y HATt# HAVE'REAO AND EXAMINED THIS AP0,66J# ANb 1 f DW SAME I O BE TRUE"AND CQRRECT. ALL I t 1# #kms`tom i A!b1 ��f+1O,'OR �#�11 NQ'S GOVERNING THIS TYPE C,7E'WE7Iii YY# L ,< O I?LIE[? W#Th# WHETHER SPEC#F)ED SSE .4 :fi ##ANTI#+1Cs Of A PERM#T DOES NOT i�REBU14 TO 0 V'E AUT ATE OR CANCEL THE PRdVfS# lNS ANY #'CH1R STATE OR`LOCAL LAW REGULAT- #1t tIrk ^E1+ CIt } FfiFO#iMANCE OF CaNSTAUCTION Sl�ht (',3F`�i :�� TH RF EQ AGENT � DATE) DATE; PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL :3T'REET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL IN:SPEGl'lON( L;) HAVE: L3['EN MALL: AND ARE: SATISFACTORY : ---------------------------------- I I I SINCERELY, BUILDING INSPECTION D1VISIUN cc:FILE -- - vale a�:� �— �ti v r----r----- •-�� BATE: PRE:-SERVICE DIVISION JACKSONVILLE: ELECTRIC AUTHUkll'Y 433 WEST DUVAL 5TRELT JACKS:'ONVILLE, FLORIDA 3220 THE; FOLLOWING FINAL INSP1:GT10N(') HAVE: 1ii,:E:N MALA•: AND ARE SATISFACTORY : 1 1 ---------------------- -------------------------------------- ----- -- I I i SINCERELY, BUILDING INSPECTION DIVISION cc:FILE of DEPARTMENT OF BUILDING PO. ( 8 CITY OF ATLANTIC BEACH,FLORIDA • PERMIT TO BUILD 9531 1 6 6/08/8 100117 THIS PERMIT MUST BE POSTED ON JOB Date Jima 8 19 87 Valuation$ 1,932.00 Fee$ 1S.00 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 Flossie Johnson has permission to build screeneddin birch as per puns Classification Residential Zone RS-1 Owned by Flossie Johnson Lot 10 Block 3 S/&&Yal Pa1F Unit House No. 8S7 Bonita lt<rlI t8 ad_ 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 �--► :r----i O Building material,rubbish and debris 4 from this work must not be placed in public space, and must be cleared up ande haul d away by either con. tri or_Wwner., 9 •5.,,e,.__M._.._.-- Budd ffiaal. FOR OFFICE PERMIT DATE CONTRACTOR , USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER f'AJ(Iness• S 6go , 7-0 _ lieated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft Carpo Porch 2 @ $ Q' der sq ft = $ 1 «' C) -,- Deck @ $ per sq ft = $ Patio @ $ per. sq ft = $ TOTAL VALUATION: $ 0(0 Total Valuation 1st $ /noy no _ Remainder Valuation per thousand or portion thereof ------------------------------------------- Total Building Fee $ ADDITIONAL PMILTS and/or FUS REQUIRED +'k Filing Fee $ Mechanical Fireplaces @ 15.00 $ ' Plunbin BUILDINGiPERMIT FEE $ g Electric/Neta --------------------- -------------------------- Electric/Toup Septic Tank BUILDING-PERMIT $ Well WATER � �R CHARGE $ Rdmming Pool SEWER IMPACT FEE $ Sign __ WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate ' GRAND TOTAL DUE --------------------------- ------------------------------------------------------------------.-. CALCULATIONS and/or NOTES CITY OF'ATLANTIC BEACH APPLICATION TO ME .ADDITIONS OR ALTERATIONS Owner eq 4AddressPhoneaty� e// Architect Address Phone Contractor � (2^_ Address Phone Contractors License/Certification Numbers - Expiration Date Property Address � � zoning Lot Blcok or UhLt Subdivision Valuation of Cons trucL-ion $ j I , 0 lZ Type of Construction Describe Work to be Performed -k4l' - �p Materials to be Used Present Use of Building Proposed Use of Building Flood Zone Dimensions of New Area: CMAGE OR SZURAGE --- CARPORT 0 PORQ i LE CK PATIO YES NO NMBER Will there be an increase.in nwber,of uni.ts7 ' Will there be a decrease in nuiber of Ulits? Any additional plunbiiig fixtures? . Any,'new fireplaces? SUBMIT 1WO COMPIE,1E SETS OF PLANS INCLUDING SITE PIAN Signature OWNER Date Signature CIOUMCIUR Date 6 � � � � � r bc 0-j '� o Wo-11 0D bCC+ LUeco O) (ArO)OX fr cl U2 ckwn u) APPROVED CITY Of ATLAN""' VACM BUILDING 17')M�`10'Q Jury B \ Y G 1� /-T .I � Zvi __ r Cis of �� I��� J�YlS�ill�r• �- �. FtoSsie Johnson A PP R f O�",', ?51 BD/�r�A ��• CITY Of ATL"1� lb. ��- -3--2-;f?- 3 3 BUILDING J�a�►�s� (,lytic II Lt4MD 8Ik3 JU�J " ^PQ7. 7 - . 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERNIT 'INFO AT,ION'" __» _�__�,� - LOCATION INFORMATION w_ sit Nu r: B i96 Addlro.miss X 51 RRA TAA ROAD Prl�it -Ty 3!$+ NARICA . ' ATL:AN�' C,'NRACir .''FLORIDA CiaBss '01 work s NEW � .. LEGAL DESCRIPTION, Cbn�str. Type,:� Y W6 O RAR Lot; Rl �r s '"Sections Prcapcsd�d Usos BINf�LR FAMILY "Tcsneh3pICs O Cad*s 0 Nubdivlisi on s E t*Iated, Values $0.00 pro.;v j Costs $0.00 TQtr�t s 1�B'7.CI4 Aid *57.00 'Do" '7 l 926 WAx'k TIAL. NEAT AND AIR C,0NDITIONIN7 ,, mom rgvs rt N PERM I`t`� $57.00 Add ar A ROAD w T I�lPA�T FEE �€�«QtJ H, ,ORIS ° F " -F' t FC RMATKN -- �t'A�014' A 1G 00.OONYC;OND. -Co. VATBR" TAP #O. OU o, JACK IL.L . FI,.ORIDA 3224 �3Yt5RAULIC ;HARE �p0,C}IM1 .icssr CII Types 3 RE-INR ' ' ; FRET «17O l NOTES. NOTICE--ALL CONCRETE FOtRlIS ANC1 FOOTINGS MtSTf: NSPECTI Ii F01i Ir PQURING PERMIT VOID SIX MONTHS AFTER DATE OF $SUE $UILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK.MVST NOT 8E PLACED 1'N"PUBLIC SPACE,AND MUST BE CLEARED UP ANt)`HAU°LE>7 AWAY Bv.EI HER CONTRACTOR OR OWNER. rAL1,RE T CC ►AA ..Y`ViTH THE MECHANICS' Lt."' � A►W ESU�.T IN THE P 0-7 t' 'ER-PA, ING T IC �?�R ��t � :.� � TS." ,ISSUED ACC"ORDINCL TO,APPROVED PLANS WHICH,ARE PART OF THIS'PERi�It"ANC? T TO`REV ATtt N°IAF'APpLICA ,I.�F'Ft tlBfiElh19 OF LAW. ,. AT (ANTt&BEACH BUILDING DEPARTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 3`8233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, II, 111, and IV. I. LOCATION 5+►est Address: l OF Intersecting. Streets: Betweenr And BUILDING Sub-division II. IDENTIFICATION -- To be completed by all applicants In consideration. of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with theattachgd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of'goo&.practice listed therein. Name of Mechanical n Contractors Contractor )hint) }" 1. Master RIV%At 1 Name of Properly Owner u#hMtof Owner Signatum of um hed Agent Architect or Engineer GIMBAL INFORMATION A' Typo of hosting fuel: B. IS OTHER CONSTRUCTION 8E! DONE ON e8whie THIS BUILDING OR SITET Cm--❑` LP ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q OR PERMIT 13 Other— Spocity IV. i►I WHANICJIL IPUNMONT TO NE INSTALLS NATURE OF WORK (Provide comphte list of components oa back of thhk imp►) 2 Residential or ❑ Commercial Heat ❑ Spom ❑ Recaud GT Gn+m) O Floor �❑1 New Building Air Conehtioninye C3 Room lecont of ' // +'J Exlsting Building mmorio Thiek+m2 Gs ❑ R`eplacement of existing system 10 Ma><imwn eepacilp Cf.m.a©+ 2f/New installation(No system previously Installed) - ,� Q Refrgesotion ❑ Extension or add-on to existing system ❑ Other- Specify C) Cooling toward Capacity g.p.m. (3 Fir* sonklars: Number of We. Q Elevator; ❑ MonRft ❑ Ewiloter _.(numbat) THIS SPACE POR OPF= USE ONLY Q ,6esoline Pum/ (number) fRoeoiwd) Q Tim (number) Romorks 0' LPG eonlainem (number) Q WOW Prwsure«enol Permit Approved by Date ,- 13 Other - Specify Permit t++ LIST ALL EQUIPMENT AM CONMOMNG AND REFRIGERATION EQUIPMENT Caped Number Units I>wcriptioa Model Number Manutactu tic (T�jr w' *VbW G Z CFTY OF ATLANITIC BE,k,.C!-i, FLORIDA r p i CA 7 'TO T. CiJIEF E'-ECTRICAL INSPECTOFi: D'%7E-: Y3_»_—.14.9? IMPL-,--SYANT NOTICE: IN CON--lDERATION1 OF PERIM;T GIVEN FOR [ -?iHG THc AS DE-SCRISED IN THE FOLI-ClWING, WE HE 3Y AGREE — PERFOPM SAID IN ACCO .JAKEPL-'I'NS i"!D W.HiCA ARE A F',,-',RT r'-,'-'7RE0F, .,ND IN ACCI`��Ai*,,`CE .TFF THE "EL�CTRIC'I- REGULATiONS, CODES Al, D CITY OF ATLAN-IC BEACH ORD7NANCES. R& R ELECTRIC OF NORTH FLOII!DA, INC- F) I I , 0. BOX 62238 JACKSONVILLE, FLORIDA 32219 EL' 'APICAL PiRM: ELEC`7"!CIAN SICWATURE Richard Johnson AC7r ESS: 857 Bonita Road RFD—BOX— BLDG.SIZE B E T 'E E N: RES. �) APT. f COMM. PUBLIC INDUS. NEW OLD REW. ADDITION ( TRAILER ( TEMP. ( SIGNS SQ. FT. SERVICE: NEW ( INCREASE (Y) REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUM. ( ,,-," .26.d)0 SWITCH OR BREAKER .200 AMPS PH 3w ,2yV VOLT RACEWAY EXIST.SERV.SIZE 61-0 AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE INO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN � TOTAL RECEPTACLES - 1 -7- 1 CONCEALED OPEN —�TOTAL 0.30 AMPS. 31100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M.V. FIXED 0.100 APPLIANCES BELL TRANS=F. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 5-0 h?j o OVIE�R MOTORS H.P. VOLTAGE PHS NO, VOLTAGE PHS MISCELLANEOUS -rr3 A MCC r%011ArmDQ. OVER 6000 V. CITY OF ATLANTIC BEACH sJ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000593 Date 4/30/09 Property Address . . . . . . 857 BONITA RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 ---------------------------------------------------------------------------- Application desc reroof fl 5444 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHNSON, RICHARD ANDERSON BUILDING RESOURCES, 857 BONITA ROAD LLC DAVID ANDERSON ATLANTIC BEACH FL 32233 7625 ALTUS DR S JACKSONVILLE FL 32277 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 48 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3500 Expiration Date . . 10/27/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48 . 00 48 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 48 . 00 48 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I I I OFFICE:(904)247-5826 0 FAX NO.:(904)247-5x45 BUILDING-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY _ 31 SQ:FT.UNDER ROOF JOB'ADDRESS `"- '' °- �,• : - 2-VALUATION OF WORK. 3 yeo e. r,.4>L'EGAL DESURIPTION. U -u « `- = � 5�"CLASS OF WORK �w.,.. _ fie SE OF STRUCTURE: 13 NEW BUILDING 11 DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION 13 ADDITION ❑CONVERTING USE ❑COMMERCIAL r 7s;DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER!;._ ` .4-J, . )S j•I I I C° , �h.r a (Jd g ❑REPAIR 13 POOL/SPA 13 YES ❑NIA rC roev O 4 *Pl ,✓•B 44,4.4c ❑MOVE 5tOTHER re rod: NO PROPERTY-OW ER `_.' CONTRACTOR _ , ' ARCHITECT LENGINEER:'. L g, ME 15 COMPA Y NAME: 23,CO P Y NAME: �S +✓"/ �� �� 18. i ME: 24.LICENSEE NAME: �L yxi•i I ,J"(ct5"a1 10.ADDRESS: 17.STATE OF FLORIDA� LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: S7 3�r1!Ic7 IJ./ G�G 132 G 2 18.ADDRESS: 26.ADDRESS: 32213 7 C Z S A f4s 2r (_ 52 277 1� OF 1 E PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO 13.CELL PHONE: 21.CELL PHON : 29.CELL PHONE: 7,0-)- -)63 14.EMAIL ADDRESS: 22.EMAIL AD RESS. 30.EMAIL ADDRESS: � �✓�Cal. Z�,®r4J+^'t r,.,S-}•N�` FEE SIMPLEiTITLE HOLDER q BONDING COMPANY MORTGAGE LENDER OTHER THAh10WNE,R) - 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. 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-1 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 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 COMMENCEMENT. OWNER orAGENT CONTRACTOR. (If Agee w r of Attorney orA envy Letter Required) (Qualifier Only Signed: `{ Date: ='J, J Signed r n¢s' Date: 71� Before me this day of 44 14 Q 0 ,2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has person!tally appeared Duval,State Florida,has per y appeared �,�w�-�-�-- 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. Fn, ­, - + true and accurate. Notary Public at Large,State of 1-ln,r,JQ,County AD LA`'(1\ _ Nota blic at Large,State of _,County of Personally Known Personally Known ❑Produced Identif do - El Produced Identification Notary Signature: �� Notary Signature: .....����� JANISl�ANDERSONe WArv,_ Comm#DD0692851 rp~d`r 4Notary Public State of Florida �qGeronda L aI rneg @LDG01 Permit $' 11 ' '; pf My Commission DD727671 FloridalloteryAssrr Sao ,r' Expires 10/22/201 t ...... ..a.nss.uui Doc # 2009101287, OR EK 14858 Page 1379, Number Pages: 1, Recorded 04/30/2009 at 10:16 AM, ,JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of FL Tax Folio No. County of ' 44111` To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of to Florida Sta lofts,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property bemg Improv Address of property being improvod: 75*2 8-1-1- i r Alt led ;4, Galeal description of improvements: 1 qs-6 I f 1pZ w r r,Q j `� t? a Address: Sart e Owner's interest in site of the tmpro ow t Fee Simple Titleholder(if other than owner): Name: j contraotor Address: '74 2 CA live 07 „1 F4 Telephone No.: :Z27-170 T Fax No: Surety(if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of nay person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself;designated by owner upon whom notices or outer documents may be served: Name: Address: Telephone No: Fax No: In addition to himself;owner designates the following person to receive a copy of the Lionor's Notice as provided m Section 713.06(2)(bl Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration doe is one(1)year form the daft of reemift unless a dif eras doe is spacmed): THIS SPACE FOR RECORDER'S USE ONLY OWNER QQ q — Signed: ��•?u � 5!3.1 Before me tars n eery ofd in the County of al,State Of FlInrida,has personally appearrodd NoMy Public at Large,State of Florida,Ctarnty of Duval. My commission expires: A--49—11 PersonallyKn&n: t.--- or Produced Identti�$cation" Coanaaali pfl06pQ061 Inc