Permit 1115 Fleet Landing Blvd 2010 remodel bath CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001502 Date 12/29/10
Property Address . . . . . . 1115 FLEET LANDING BLVD
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5500
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Application desc
REMODEL BATH
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Owner Contractor
------------------------ ------------------------
FLEET LANDING NORTH RIVER BUILDERS AND PROPE
1 FLEET LANDING BLVD PROPERTY MANAGERS
ATLANTIC BEACH FL 32233 6771 SHINDLER DR
JACKSONVILLE FL 32222
(904) 838-9179
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 5500
Expiration Date . . 6/27/11
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: Permit Number:
Legal Description Valuation of Work 51 scx> Parcel#
Class of Work(circle one): New Addition CAlfe—ratiq> efair NJOY4-J20molition pool/spa window/door
Use of exi�ting/proposed structureQ) (�ircle one):--ro—mmerAla es. tia
If an existing structure,is a fire spritilder system installed? (Circle one):,��o N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:
A,-,,.A 044_ yy,,-j 'j"A'jes, 6Q\ V afAJ ?0, ne-j ijalls "A' -4, ke,
Proverty Owner Information:
Name: NcceF —Address:- orlo- 1�11er_J LI-41ns 2W .
city AA i'", State�L Zip__3Zj,3-3 Phone A1124/_'735-17
E-Mail or Fax#(Optional
Contractor Information:
Company Nagle: Qualif��gjgent: 9046tr)
Address: State Zip
OfficePhone- !�oLl ln�A_111A i I C 11111imilgIlp
State Ceitification/Registration
r I*4 11 Fo R cl t%1.DEWomPtlet
Architect Name&Phone# MUNq_,r, ��
L! Zi
MY OF ATtANTIC]MACH
Engineer's Name &Phone# Iwo
Fee Simple Title Holder Name and�Ad( ess SLE PERM'15 P-OR ADDMONAL
I P& UIREWNTs;om i r
Bonding Company Name and Address CONMIONS. 11ft an WWI I I
Mortgage Lender Name and Address-1
DATE. .4 42-e 1A4
1�4—U.Jr
0 1.". 11
to -crrr�"P_.
4pplication is hereby made to obtain a permit do wor_.aR-in,tallatiXn5 a Indkii''luea.-9. !I F 10 r 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 thisjurisdiction. This permit becomes null
and void If work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsix months at any time after
work is commenced I understand that separate permits must be securedfor Electrical-Work,Pluinbing,Slkns, Wells,Pools, ku'rijaces,Boilers, Heaters,
Tanks andAir Conditioners,eta
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 YOVIi NOTICE OF
COMMENCEMENT.
1here 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
111work will be co�nplied with whether speci i or not. The granting of a permit does not presume to give authority to violate or cancel the
fi'ed hereit
provisions of any otherfederal,state, or local la regulating construction or the pe�fbrmance of construction.
t
Signature of Owner Signature of Contractor
V,
Print Name ................:._Jb.SAV-A................ Print Name D44 KA
............................... .............................. ................................. ....................................... ........ ................. ..........................
Swo o and subscribed before me Sworn to and subscribed before me
th,,V Day of - .1,4 e_,y, Z..,, 20 10 this I/ D�y of 20 10
N'61ary Pubu Notary P Rc
ELIZABETH TESKE ELIZABETH TESKE
Notary Public-State of Florida Notary Public-State RfMi 1.26.10
My Comm.Expires Apt 5.2013 My Comm.Expires Apr 5.2013
Commillsw#00"7829 Commission#W 867829
Bonded Throijoh Notlon3l Notm Assn sonad Two Meow Ann,
NOTICE OF COMMENCEMENT
(PREPARE IN DUPUCATE)
Permit No. Tax Folio No.
state Of County of
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 the Florida Statute*,the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved: �Ied i�ivd-
Address of property being Improved:
General description ofimprovemen
,QOAI* 4-A 04
Owner A;,(i-14 F
Address &ne r'lev! Ltnd.-2g jivd,
W
Owner's Interest In site of the Improvement
Fee SimplaTitleholder Qf other than owner)
Ircame
Address
ontractor,/I,�4-A jgiyf� ZZZ
Address to I 1V X, re- — 3 1-
Phone No. -,?/ Fax No. c:, 19
Surety Qf any)
Address _jAmount of bond
Phone No. Fax No.
Name and address of any 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 other
doruments may be served:
Name
Address
Phone No. Fax No.
In addition to hImself,owner designates the following person to receive a copy of the Lienor's Notice as provided In
Section 713.08(2)(b),Florida Statutes.(Fill In at Ownses option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date(a one(1)year ftm the date of recording unless a
different date Is specilled):
THIS SPACE FOR RECORDER'S USE ONLY 0
Signed: rdL DATE It
adore nrwfils�dayof -I a
Coun"iDuval Stateofflodda,11 OPT!T11ya
--j_4— A HA 7'wc
uoc,#/-10 10296 i 31 uti St', i t)466 Page i4U, hinnself/hanself and affirms that an statements ana at n ELIZABETH TESKE
Number Pages, 1, are true and accurate NOWY Pubk-$1011 of FWWs
Recorded 1,2 219 2010 at 11 26 AM. MY CWA-EXOM Apf 5,2013
JIM FULLER CLERK CIRCUIT COURT DUVAL COMMI1118W#IDD 0111711129
COUNTY 110*d Nab"Mary Am.
RECORDING$10 00 Notary Public PyLarge,St LK-C t- C
My commission wolres:
Peraonally Known or
Produced Identification
..............
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L�ate routed: LZ IJZ)
City web-site: hftp://www.coab.us 0 -il
APPLICATION REVIEW AND TRACKING FORM
DopartMent review required Yes,- No
Property Address:
Applicant: --PrjmtV-&Zoning
Tree Administrator
Project Public Works
Public Utilities
Public Safety
Fire Services
04
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLJCATION STATUS
Reviewing Department First Review: [O/Approved. FjDenied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date:_12-dF-/6
TREE ADMIN. Second Review: FjApproved as revised. F�6/eniedl.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F�Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 06114/09