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Permit 1621 N Linkside DriveCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001527 Date 6/10/10 Property Address 1621 N LINKSIDE DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation 20000 ---------------------------------------------------------------------------- Application desc interior remodel kitchen/lighting/floor ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MISKA, ANDREW & ANN MARIE GENESIS BUILDING CORP 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ----------------------------------------------------------------- Permit BUILDING PERMIT Additional desc .00 Permit Fee 130.00 Plan Check Fee . Issue Date Valuation 20000 Expiration Date 12/07/10 ---------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. _______________________________ ---"- ---~-------------------------BD-PLAN REV. 2ND SUBMITAL 65.00-_--- Other Fees ------------------------------ --------------------- ---- --------Paid Credited Due --- Fee summary Charged -------_-- --_-____-- ---------- _ - __-_ _-__ .oo .oo _ ------- 130.00 130.00 .00 .00 Permit Fee Total o0 00 oa Plan Check Total 65.00 •0° .oa 65.00 .00 Other Fee Total 195.00 195.00 Grand Total CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001527 Date 6/11/10 Property Address 1621 N LINKSIDE DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation 20000 ---------------------------------------------------------------------------- Application desc interior remodel kitchen/lighting/floor ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MISKA, ANDREW & ANN MARIE GENESIS BUILDING CORP 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 130.00 Plan Check Fee .00 Issue Date 6/10/10 Valuation 20000 Expiration Date 12/07/10 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLRRIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130.00 130.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 130.00 130.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PREPARED 11/13/08, 13:45:53 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH - PROGRAM BP820L APPLICATION NUMBER: 08-00001527 1621 N LINKSIDE DR FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES 65.00 BUILDING PERMIT 130.00 TOTAL DUE 195.00 Please present this receipt to the cashier with full payment. ~i>s y-~.~:e. ,gyp ~' ~ ~- ~--~` ~-~.__ ~t--~-~" t,J ~.S ~--w~ ~ ~-E-~. Sz ~ Pte- ~ ~ ~--~- ~{'P~'' ~~ ~,~~- '~~.w,n Ids, -~w,,,, ~~a ~ 1{S ~ ~ ~~ ~ ~ s °~ ~ ~ ~, ~~'~ ~,.:-~ ~~ . ~~o V _ d n ~. , ac ~d r~ ~~^' U! o r k h e r `~ (~ c~S °~ have ~ To~~ ~IJ ~ ~e . ~- ~R~- ~ 6_q,eJ L m CrTY OF ATLANTIC BEACH _ t~ ~~~~~ 80(1 SEMNNOLE ROAD, ATLANTIC 9EACH, ft 32233 O~ ~ Y V}._~.~.L.~~.i~~ `. ~ (`` OFFICE: (8041247-5828 ~ FAX NO.:(804)2<7.5845 ~} 0 ~ ~~~ BUiIDING-DEPT~CDAB.US ~ `+~ . -~ t ° ~ BUILDING PERMIT APPLICATION ouv~ coutvr~r ~1.J B' SS:'", ,,,< ,, -~ . ;;. ,. >~-,_ , ..-~., ~.,~ ,. .~ .. >3i §FS'..;' ROOF < f' N~f~~ L~.Atlantic Beach, L?L 32233 '~~/ Lad ~ NjA '-''A~IiE("al1i'DFSGRIQ~{ON: , _.;r ,:, ~--., -mi :., ,~> _,. ~GEASS(l~: ' .. 1:: ,,:~ ~ti;3~O~r8~Ut~: ...._ j• L ~ ... ~' t N~ o- ^ NEW BUttD114ti ^ DEMOLmot4 f~SiDENTIAt. LOT aLOCK SCE DIVISION 4- 7' ~ J 7 - S -~} E , l s-r ^ AppmOp{ ^ CONVERT'84Ci USE ^ M RCLAL '~7 pE§CICIrt~4iFwORlt ~~• _, :. , _ ,., .. ._ ALTERATION ^ ACCES50RY pLDG. rl"liEtF$R' . _ NML~R: ~• ~'s ~}..I ~~ REPAIR ^ POOL / 5PA ^ YES ^ NIA .~/r+'T' /~A If!l~,gfDt44T/Ir,/ 1 `^ r J MOPE ^OTNER 9. NAME: 1S. COMPANY NAME: 23. COMPANY NAME: [ ~,/ /- Genesis Buildin Co oration ./r%~ Ji Jl ~T / ~/~~Re ~ 18. NAME: 24. IICEN$EE NAME: 1 Todd Boaoo 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: csc 12so21z - 18. ADDRESS: 26. ADDRESS: / ~ ~ ~ ~„ c /1/~,i' f /J ~ ~~ , 2158 Mayport Road Atlantic Beach FL 32233 11.OFFICE PHONE: 12. FAX NO.: 18.OFFICE PHONE 20. FAX NO.: 2T. OFFICE PHONE: 26. FAX NO.: -1t3~'/ "'~' (904)241-0320 (904)241-0326 13. CELL PHONE: 21. CELL PHONE: 28. CELL PHONE: ~r'f' ' (0.~¢v (904) 545-1608 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: ~. EMAIL ADDRESS: ;: BONDING CbMf'ANY: MORTGAGE !..ENDER: ~.. ~ (IF oYr¢~i Ti/AN VNNERI.~ 31. NAME: ~ 33. NAME: / 35. NAME: ~~ 32 ADDRESS: ~,,,,, 34. ADDRESS: ~. ADDRESS: +,,. .-.-^. Application is hereby made to obtain a permit to do the work and installations as indicated. 1 csrtiry that no worts or installation has commenced prior to the issuance of a permit and that aH work w~ be perfolTtled to meet the standards of afl laws regttiating vor>strtlctial in ti>js jurisdidiort. This permit becomes nuN and void if work is not commenced withdrt six (6) montlis, or if oonstructlan or work is suspended cx abandoned far a period of six (ti) rrtorlttls at arty time aRer work Is commenced. 1 understand that separate permits must be segued f~ Eletdricai Work, Piumbi , Si ns, Wails, Pouts, Furnaces, Boilers, Heaters, Tanks, Air Condltionsra, etc. OWN~tZ'S AFFIDAVIT - i certify tt~ aM the foregoing irtfonnatkxl is actxuate and that ~ work wB be done in compliance with aR applicable taws regulating cortstrtlction attd xorling.l wi11 not ocxxrpy a' use the referenced twikiing or any part th~+of, us1ti1 ~ inspections are finaled and prior to otrtaining 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. Ol' . i• (K of as Y i_eue. Requkea> Date: j O D ~ Dale: N tL d,F` Signed: _..._ Bedore ~ ttrs .~(~_ ear ~ A1b^rr . . 2t>~rn ule county of !Seta. ^ rD~ day of _~~" . . 2tlq~+ a+a LULLINy of Duval, State of Florkta, has persol>edty appeared Duval. State of Florida, has PeraotwtlY appeared helm by himsatf / herself and afRrms ttrat ~ s~temerKs and ~ are Merin by himself / hanrelf and aRRmis tfwt as >taferl and decleradons are true and accurate. true and aocarrate. c N*otar~ i'ubiic at t.arge, stagy of F9 • county of ~'~t r'3 ~ Not~r Pubic ore I.args, state of r~~ . County d ~ uV9 ~" - - ,1f'Parsa,aM,! iCra~aal . ~P°'so"e"I''Gm""" t Roduoed Iaa,BWCS+IOn - ~b~ioad ~' - Notary Sl~ature: _ -- Notary signahue. ~ (`ti~ L WILLa1AM ~. ~ _. er...cd~ fAAB FORM Il1.DG01: REYLgED: ti10.'2008 11Mery Ptibtic. Stat+a of Florida My comm. exp. Oct 19,2411 Comm, No. DO T147i8 Notary Puotic, ~p ~, , ,v..-- My cpmm, ttatp. Oct 19, 2411 Comm. No. ~ 714218 YxEPARED 11/13/08, 13:45:53 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH ~ PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 08-00001527 1621 N LINKSIDE DR FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 65.00 BUILDING PERMIT 130.00 TOTAL DUE 195.00 Please present this receipt to the cashier with full payment. _ ~S ~~~., CITY OF ATLANTIC BEACH _ ~ ' ~' 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~^' 1 OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 "' BUILDING-DEPT@COAB.US ~~-~v ~'" J-f1- BUILDING PERMIT APPLICATION ~~~ ~ ~... ~ . ~ a. _~.....,_a NOV 0 5 20 DUVALCOUNTY 1. JOB ADDRESS: 2. VALUATION flF WORK: 3, SO. FT. UNDER ROOF ~ r ~, /NfU ~~~ L~+At antic Beach, FL 32233 ~~~ QO ~ N/A 4. LEGAL DESCRIPTION: 5. CLASS OF WORK. 6 USE CF STRUCTURE: ~/~ ~' 'r ~ Mr Tv '~~ S rr ^ NEW BUILDING ^ DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ~ ] -~ C . 1 ~ 7 - ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL 7. DESCRIPTION OF wORK: ,~ ALTERATION ^ ACCESSORY BLDG. 8. FIRE SPRINKLER: .~^ L(~ ,L / (~^ J r 4T ~~ ' ' 1 1 L f~ 1~ S1+.T~t ~ T~ REPAIR ^ POOL/SPA ^ YES ^ N/A r0. .~/. 1 „L// T ~?! ~/ ^ MOVE ^ OTHER O PROPERTY OWNER: CONTR ACTOR: ARCHITECT /ENGINEER: 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: Genesis Buildin Cor oration ~,~ /~ r/~~ ~j~~~e r,~J /~ // 16. NAME: 24. LICENSEE NAME: Todd Bosco 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: CBC 1250212 18. ADDRESS: 26. ADDRESS: /~~ ~ ~ /~/~',f jD~ ~/~~ < 2158 Mayport Road Atlantic Beach, FL 32233 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: -03l/' ~'-~' (904) 241-0320 (904) 241-0326 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: ~'~'-'(~r~'~ (904)545-1608 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 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 perforrped 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 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. O ER or AGENT ~ NTRACTOR (If e~L Po r of~ ttomey orAgency Letter Regairedt Quallfi Only) j Signed: ! ,__ Date: ~ 0 ! ~ ~ Signed: Date: ll ~~L~D,I' Before me this ~©'~' day of /L~~"d` . , 20~n the county of Before this /~~ day of ./~~s*+r` • , 20t~in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared /T//iY' /t~r}~?l~ ~'1l1/(i~/ ~.A~ /"~ • 13r?~c c~ herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are true and accurate. true and accurate. ;1,~ Notary Public at Large, State of 6:Yr?19A, County of ..f'r( ~~"~ ~' Notary Public at Large, State of ~~~f~ ,County of ~k~~ ~' Personally Known Personally Known Produced Identification - Produced Identification - NotarySignature: ~ / ° ~ Notary Signature: ,-''~ COAB FORM BLDG01: REVISED: 1/10/2008 WILLIAM L POPE Notary Pubttc, State of Florida My comm. exp. Oct 19, 2011 Comm. No. DD 714218 WILLIAM L Notary Public, State of Florida My comm. axp. Oct 19, 2011 Comm. No. DD 714218 t Permit Number Tax Folio Number 1dOV 0 52008 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF J~liiPl~} 2 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (Address): /(~ ,~) ~. ~~!/(s'I~e 1?/1 " --- ~/3 3 --X33 2. General description of improvement; //YT• /( ~/Ylr i/!f 1 ~~n'' 3. Owner information: l . Name and Address: ~~J/1f~~ , ~NNJl1~=~/ .r~ p~ /-~~~Y M$R~E 2. Interest in property: /~~.1;~2i~ ~ e 3. Name and address of fee simple titleholder (other than owner): 4. Contactor's name and address: .S~y~'~i~ /fts~~, e'3f(~ ° - ~I ~ ,~f,.9Y~~~Tr-- {9/J; 3 ~'~'3~ a. Phone number: ~~ - ~-~ i -a3ty b. Fax number: ~~'¢- Y¢i - ~ ~ 5. Surety Information: a. Name and address: b. Phone Number: _ c. Fax Number: d. Amount of Bond: 6. :Lender's name and address: ~ja} a. Name and address: b. Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statutes. a. b. c. Name and address: Phone number: _ Fax number: ~-- 8. In addition to himselflherself, owner designates r°~ of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of date of Recording unless,,a[°d •y%~ ~~ ;ncement (the expiration date is one (1) year from the date is s~ecified) Signature of Owner: ,,,, „ ~` 0~ Q+. ,r~, 0~ CJ ~~ ,. ' Beach ~ rtment ~ ,pad ~ Florida 32233-5445 "` '" '• _ ,47-5826 Fax (904) 247-5845 ~~S3J~r wilding-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) ~~ ~/52-~ Date routed: ~ ~ / d D APPLICATION REVIEW AND TRACKING FORM Property Address:1 ~o~-~ r~ ~~ y~~~ y d e. ~11.• ~ Applicant: ~- F.r'1Q.S ~ ~ ~ ~ ~ ~. C,B~-p ~...... , - ... ,. / ., I -~,.1 Project-L-r.~Q,f i o~ ~s2.1Y~•O ~' . ~- ent review re uired Yes No Building Planning & Zoning Public Works ,Fublic.Utilities,.... „. , . ..; Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date _ Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ^Denied. (Circle one.) Comments: _~ .. BUILDING .~'`~. PLA G & ZONING PUBLIC WORKS Reviewed by: Date: / /2 PUBLIC UTILITIES Second Review: ^Approved as revised. ^Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: