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Permit Doors #28 2233 Seminole Rd 2011 v ° - o }, CITY OF ATLANTIC BEACH ' M c. 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 r 4�iil9 Application Number 11- 00002025 Date 5/12/11 Property Address 2233 SEMINOLE RD UNIT 028 Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 5124 Application desc replace 2 doors Owner Contractor LUCKIE GEORGE BURTON CONSTRUCTION INC 2233 SEMINOLE #028 1 SUNNY ROAD ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174 (386) 676 -2837 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 80.00 Plan Check Fee . . 40.00 Issue Date . . . Valuation . . . . 5124 Expiration Date . 11/08/11 Special Notes and Comments need noc *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC 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 STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 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: Pt,,>`. k, -P. sitd U- i`C 4 S" Permit Number: ii ()0t Legal Description d -.)-1 ' OCD PtN) t/11.4-N ,,c 2-E ) Parcel # /61S 1 -0 i */ Valuation of Work $ S7 0)-4 , 00 Class of Work (circle one): New Addition Alteration Repair Mon --HHe�molition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial idcntiah If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # 1L., J J) b . / For multiple products use product approvatform Describe in detail the type of work to be performed: P.e ace ____ ; c rct.01 'ant- r - c�> S ( 'A_. .5 i -, _ Property Owner Information: Name: ..- % t. l-' k c ' C-'_. Address: 4 3 3 S.P.. r —.1____R_, .. u t--i.. ?� City I TE- t,;� -ti Q- met er 1 Stata=k- Zip -. 3.4,33 Phone r t — '‘ G .— E -Mail or Fax # (Optional) f,.1 Contractor Information: Company Name: l 2.. i ` --- Cov- --- - — , Qualifying Agent: ■ - it ° • • 31Fra.- , Address: 1 Sk-k.ti 1-- l -c City ©rz - ----' ' -- ' I _ tate L... Zip _ l . Office Phone ` ■ - ^G? "-4 Job Site/ Contact Number ' _ : — lz—a` iv State Certification/Registration # ' -�' - , -�. - -• -���~ �* ,, ^ CM 1 _(/ \` �7 I Architect Name & Phone # :� Engineer's Name & Phone # . � SEEPERMITS 1 ` I I I a . . , f _ Fee Simple Title H Name and Addi . ►ti „i . ' ' B M ENTS AND • � . , Bonding Company Name and Address : ' r _ ., . ; . .- • _ „ � :.. . 4 • �i� D �' Mortgage Lender Name and Address ' Application is hereby made to ; obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior o e 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 and Air 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 hereby certify that 1 have read and examined this a placation 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 federal, state, or local 1. - ula ' . rstruction or tl(e. performance of construction. ,,����__ ) - � . Vii► Signature of Owner ���L .�. —/ ” ignature of Contractor ,,, " Print Name ?i ; ��-� W\( ,��. � �G �' �jR - Print Name - feu \ Sworn to and subscribed before me ,e morn l'°''' Sworn to and subscribed before me this r.,78 Day of 40Ui/ , 20 /1 this s Day of $ f L 20 t K , s — -iihA PI,— ---2 Notary Public ---- � N itai a;4e lic RODNE N WOOD .i¢!t* - t ; K THORNTON .4' t --' . , r MY COMMISSION #DD6989 _ • : I a R e , i sed 01.26.10 COMMISSION # DD990492 'tor le EXPIRES. .iuly25 . 201 V 1 . '' EXPIRES March 17, 2014 407 398.016; Florida Notary Sett/Ice com (407) 398 -0153 FioridallotaryService.com ,. 1.,. \lrii4 City of Atlantic Beach APPLICATION NUMBER r Building Department To be assigned by the Building Department.) c 800 Seminole Road ii — 20.2 v p v ,, - . w: ,, Atlantic Beach, Florida 32233 -5445 _' ' Phone (904) 247 -5826 • Fax (904) 247 -5845 r P f ,-? E -mail: building- dept @coab.us Date routed: / ? /�! J Ji > City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM e Address: ' 3 � I No / z J o D nt review required Y ? Property e e rty V o Buildin Applicant: IZ /7') eon 3/7 K C ma & Zoning pp Tree Administrator Project: P J,i e 7 - i 4 ie � 6a e�(z) Public Works Public Utilities Public Safety Fire Services � si i N ;� i 6 _ , 9 � it i(u ," � � ' it (*��li i ii �i � ,�: Revlewl fee �I : Dept Signat i"I'O . s 1 i4 iN, il, i ■s Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By /0;s4b1 Florida Dept. of Environmental Protection Florida Dept. of Transportation o St. Johns River Water Management District / V e.-- Army Corps of Engineers Division of Hotels and Restaurants '� -- Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pr oved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: ! 4. Date: S / TREE ADMIN. Second Review: DApproved as revised. ❑Devi . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 D May. 16. 20116 4:24PMt BK 15600 Page 92, Number Pages: 1, Recorde60. 1288/20P, 2 at 01:48 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 ■ 4 NOTICE OF COMMENCEMENT i PetmitNo. Tax Folic No. State of Florida, County of Duval THE UNDERSIG hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida atutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if w,.j c,.o 1—o,. 1241 is w ` ' r ti� , 1✓ h _ . � . _ .. . "'Ctlh `- .. r ._._ 1% , 1.4.1 l_) 11 le-A 4 ' -- 2, General Description of improvements: 3. Owner Information: a) Name and Address: 4,1:11 ski `e -- X31 & i kG _ _ b) Interest in property: • 1.I..At c) Name and address of simple titleholder (if other than owner): 4. Contractor Information: ' a) Name and Address: 62,12.44 - e„ u�'.z:Ah._ n ° a,4_ 1z rr`t + � C C. b) Phone Number: 67 �-. ' 1515". 5. Surety Infon nation: , a) Name and Address: b) Phone Number: _ c) Amount of Bond: $ _ 6. Lender Information: ' a) Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida. Statutes: a) Name and Address: . b) Phone Numbers of Designated Person: _ 8. In addition to himself/herself, Owner designates , of to receive a copy of the Lienor's Notice as provided in Section 713.13 (I) (b), Florida Statutes. a) Name and Address: - _. b) Phone Number of person or entity designated by owner: . 9 Expiration. date of Notice of Commencement (The expiration date is one (I) year from the date of Recording unless a different date is specified: ' WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER; AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 71 ' I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT I IN YOUR PAYING TWIC IMPROVEMENTS TO YOUR PROPERTY, ,A NOTICE OF COMMENCEMENT MUST BE RECO' 1 13 POSTED ON THE JOB SITE BEF RE ATRST INSPECTION. IF YOU INTEND TO OBTAIN FIN CONSULT WITH YOUR L NDEE `Ot, %ATTORNEY BEFORE COMMENCING WORK OR RECO ,.. ' ,.YQURNOTTCE' � .. t d . 4110,, _ '3 • °' bf • er or • 4 u . zed • - der • irector/Partner/Manager Signs ory's Printed Name & Titl • r ' _ r' ..' P it The'I`ar'egolfg mitrument was acknowledged before me thi day of, . 20 1 , by ", for ."S� • ,', . 1' i� • as O cer Attorney (Name o arty instrument was Executed for) AMC) on). `'1.' 4 (Authority o