Permit Found Repair 1900 Seminole 2011 5.") i eh r
‘ CITY OF ATLANTIC BEACH
A t v
la r
800 SEMINOLE ROAD
- ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002192 Date 6/13/11
Property Address 1900 SEMINOLE RD
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 4600
Application desc
foundation repair
Owner Contractor
PARMAN, HAROLD FOUNDATION SYSTEMS & EQUIPMENT
1900 SEMINOLE ROAD Q /A:BILLY CLARK MCMAHAN
ATLANTIC BEACH FL 32233 PO BOX 50545
JAX BEACH FL 32240
(904) 241 -4425
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 4600
Expiration Date . 12/10/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
. ,, 1/
' 44W
y, CITY OF ATLANTIC BEACH
�" 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 O 1 1 1 1 9 I ,...., OFFICE: (904)247 -5828 • FAX NO.:(904)247 -5845
BUILDING- DEPTOCOAB.US
'ex BUI
_ BUILDING PERMIT APPLICATION
DUVAL COUNTY
p
/5d�o 5E i /.vo[. R b / +�:c / 5/440 °= /& /e
P v . el -z - ZI ❑ NEW BUILDING ❑ DEMOLITION F- , ESIDENTIAL
LOT BLOCK SUB DIVISION OOOOc .eci G/A b ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL
;§ , r_x :��! 0 ALTERATION 0 ACCESSORY BLDG. C
CC /� -' -EPAIR 0 POOL / SPA ❑YES ❑WA
❑ MOVE ❑ OTHER NO q�
.�s.:.E `•... ."'+ '',,. 7"J... °, «. .:Y., `� ��'' 6 - ...« .s.: °.. +.R�
9. NAME 15. COMPANY NAME: �4fi . jH44.) 23. COMPANY NAME: Sr VCTE (.
5 S7f,775 vr• 6 r°mL C . E.uCmitte.4.uG - u 4 '
`6 / , Qmded 16. NAME; /' c Aig��/,/' 24. NAME:
L G � �Y (5 : AAA >
10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
18 ADDRESS: ZO S e e �a�� 57 26. A DDRESSo49/ 4�..I gg io • J�
A7xa�c ,�E.��r/ k, DO dJ/. G
3z z 3 3 . �ri . ■ A ge Z 3 3 C •t. dlu4. / Z
11. OFFICE PHON : 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
A d Z /- ev fd3- 7 8 0
13. CELL PHONE: A 21. CELL PHONE: - � � 29. CELL PHONE: ,t/ A
14. EMAIL ADDRESS 22. EMAIL ADDRESS 30. EMAIL ADDRESS:
•Vil & / / U,�/ 244(d') a - ,, A//
1
s s
v, ".' r ,. ��r r , ;i it a - ° , A , ,, , ' %' ✓v,' Y . r ., s Z � --a , ' �, ,.
32. ADDRESS: 4/ d 34. ADDRESS: Al 36. ADDRESS: /4 /,
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, Plumbin., Si ns, 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.
xr it s ' x ..' ` 'v` ' E k}s t, ; ? YI° v • k `, , Y ,
r ' "3' .`r y
.. ..... ..e..e � s t ! . ,. > 40' •.: "� , �} 'S ice:' ..dry ?' '✓e
Signed: A.Ilt1�:. . e I I1.I I Date: - 7 - )1 Signed: ' - = _ Date: 6 - 7- //
Before me this 7 -i / day of . 31; AIE - 490 0 in the county of Before me this 7n1 day of , tom• n the county of
Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared
PA PAe ta.44•) ,e3///7 C. r�l..,r�i.c-)
herin by himself / he - - L? - 9, u. - 9 7 - -! -1- -,., - - • • • . - •.• • - • - . re herin by himself / herself and • r . •
true and accurate. " �; tr ue and accurate.
� , ,� BLOC. MCAIAIU " 4 o Notary Public Stets off • 'do
Notary Public at Large, , • MY COM�EE 079140 Notary Public at Large, State • �+• 11% bf :� -. I
• .. a 37 RES: ay 1 r _ y m • ..•.• .
eB°nalry Known , w' ''. Bonded Thru Notary Public U �
nderwriters J • on
- ecsalry ow
Known or Expires 09/01 /2015
❑ Produce I dentification , -
L_ . - .__�.__. - .__.. ___ __.__ ❑ Produced Identification -
Notary Signature: .err. - ~'tll/ Notary Signature: ` i if I /..
REvngwED FOR CODE COMPLIANCE
Y' Mt
CITY OF ATLANTIC BEACH
'H'''. R Erv1 " Eb SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS.
r1LE COPS' RED BY:
-C- [- _ DATE: G -l7 -1/
Doc # 2011125962, OR BK 15622 Page 1941, Number Pages: 1, Recorded
06/08/2011 at 11:12 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
1 ^1 1 tr�ARE imouPUnA,E)
Pam* No. /' a / 2.e.. Tau Fob No.
Mg* of FLOa,a Cowry of - 72,1) 4 f4L.
Te whoa It msy eoneent
The euedaelMned hereby Weems you that Impenweennarda will be made b aertale real properly , and In
aeeeednee with INedon 713 of tte Florida Stetutse, the %flowing Information le afatad In this NOTICE OF
CONIENCIIIIENT.
Lewd description of property being Improved: L. 01 3 oq- d S - .196
Q06ob SQ*not' I- /4"10)
•
Address of property being trimmed: 140o SEA lit) OL - R r 4- n- Aithle. RE
FL 3 1.13 3
General description or Improvements Poo» i c.&) _EPA-/2 - u kJ b eR Pi Nev 'lc (r-
awer bi t-D 1- PART lj 7"
Address
Owner's Interest In site of the Improvement !) LL A t EP
Fes Simple Titleholder (Father then owner) N--- - -
Name
^ Contractor • . '.: 1 - 1 -au s ,. n0 __ - a ILL C /Kc/t( ' , c9! OS* ' •�
` , Address cos„ EbGi-e sr, 4 TLAArrx Be rH, fL SD 33
Phone No. 904- aYI -YY4s Fax No. 9o'- I•02,r(/) - 8'55 3
Surety (If any) JY/A
Address Amount of bond $ ./
Phone No. - ------- Fax No. ..-------
Name and address of any person making a loan forte conetnalcm of the Improvements.
Name AVA
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom nollcee or other
domenenN may be sarvelt
Nave N A
Address
Phone No. Fax No.
In addition lo himself, ovrRnrr designates the blowing person to receive a copy of the Lien 'e Notloe as provided In
Section 713.00 ( (b , Florida darn. (FM In at Owner's option).
Name /V A
Phone No. Fax No.
�n d of Notice of Commencement (the expiration dale le one (1) your from the date of recording unless •
specified):
"ffliriPAMIREWMINFORIUNi—s
hurt &nal IA - Was ae�dyar wt Ton 1111M1
hernTadl � A/ .. basin by
antra. aM aoaunri . C.MCIAAHAN-
MAHAN
•, . MY COMMISSION it EE 079140
` 1 .:-+ EXPIRES: May 11, 2015
�Gr��� I '. BaWrd T1w 11o1a y PubYC Underwr
Holly Knipe Lame.
i
My maarionke sow
Pronely Kamm •
Puoduood Imallbaaon t'" or
Q.
r
!A A Si' N r
oxo z
..., „ ,... ..., , c . „.. , I 0 ill _!,=•-,-,..T.-ii,Ti- i if
4 4 °. gt:1 1 iir C ' P ,,.:.:. .11
___ .. ... ..,
� 1 . _ :,
....i 111 i
w m a ∎M.� NI 2wigrilit
I X ' I . !. .:-.. . .i.:':.: l i 1 ' v
R a; �T O e .,,.. .r����. I. N
iG p 1�r a / . yQ 0
.16 o •••iii j 2 6
, 1 o F ; t
,.' /00iii g D " a r r � FL ;ill Iii
� g' s e a? � ;I •
�► r
p r A r a . �s �� 11111111MINIIII Mb 1111111111• 111111.11.111111.1 I
Zi
m s", 1 4 1 ill i 14 9 ,..,,,,,„„,„.,,
ii /
1a �.r � E im W r
a
.� e^ a 11.Q
A .
8
I �'
■
■
W
itc
g
"...V om . 1.41 , t . . v
g l ; C O Y — 1 U1 A
ii & 1 .
1 i 1 g z v1
co ill
CO
r s= =,\JVfy;, C ity of Atlantic Beach APPLICATION NUMBER
;S a Building Department ' � 800 Semi le Road (To be assigned by the Building Department.)
" " �'=` r� Atlantic Beach, Florida 32233 -5445 //
\ . Phone (904) 247 -5826 • Fax (904) 247 -5845 /� �+
:'L > E -mail: building- dept @coab.us Date routed: (P7 /./
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: A a IAA 171 d /8.. 7? . D - 9 - r ment review required Ye No
Building
Applicant: //,i-/7 Ji J% f dGl„5 ,` -/ (,L,/ 0 - anning & Zoning
J / Tree Administrator
Project: - 7 - ) dn , V /9 £ Public Works
Public Utilities
Public Safety
Fire Services
Flevi6 fee $ , .4 _ ,, -. '4t4ep1Sig vtlire , .. a{ }
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:
APPLICATION STATUS
Reviewing Department First Review: roved. ❑Denied.
(Circle one.) Comments:
BUILT:
PLANNING & ZONING Reviewed by: Date: 6 /7
TREE ADMIN. Second Review: QApproved as revised. enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10