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Permit Bath Remode 137 S Oceanwalk 2011 ' ,.. 1n :.9 cr 1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J'" * �.� ATLANTIC BEACH, FL 32233 °' k ' ,�� INSPECTION PHONE LINE 247 -5814 ' �JF35* Application Number 11- 00002606 Date 9/12/11 Property Address 137 S OCEANWALK DR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 19500 Application desc tile master shower Owner Contractor EDDINGS PAUL DAVIS RESTORATION OF NORTH FLORIDA ATLANTIC BEACH FL 32233 5795 MINING TERRACE JACKSONVILLE FL 32257 (904) 739 -6047 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 150.00 Plan Check Fee . . 75.00 Issue Date . . . Valuation . . . . 19500 Expiration Date . 3/10/12 Other Fees STATE DCA SURCHARGE 2.25 STATE DBPR SURCHARGE 2.25 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total 75.00 75.00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 229.50 229.50 .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 131 oCt. ,Nei/ .r_...jIZkv SOui 4 Job Address: 4-1-k..-4-4T rL .( e-Ae. -N 1= l - orCtf j4 3D.a).3 Permit Number: Legal Description .5) N tDL Frn +`\t tv, Parcel # Flodr Area of Sq.Ft. Sq.Ft Valuation of Work $ j C% coo. c 0 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window /door Use of existing /proposed structure(s) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): o N /A Florida Product Approval # For multiple products use product approval orf m — Describe in detail the type of work to be performed: g.. ovrr 4,4 (a 2 (. t<ifek,7 CD F- yr► ,q.s 1 i ,S jam,,, ‘sc Q 4Ni ADD - n � Property Owner Information: Name: ({ t.A. c,S Address: 1 3 OGLE \,t --ems (),rt-I t r)-1 City /4-1 #-J11 L QED M State LZip 3 Phone �j •pk- // r,1, 9-3 1 E -Mail or Fax # (Optional) Contractor Information: Company Name: QAvLA, vl s Tt Aii-ntint O$- i= • Qualifying Agent: Address: S'•)' fl -. iN ( -re-rva.. City) c._1<-S' or' Vi -`..i State EL - Zip 3a1 S"1 Office Phone90` /f73 l - (p ` Job Site/ Contact Number qj Lj /c. f q _ C 3 � Fax # 90W - /SIC, State Certification/Registration # CCC - 1. 3,74,q Lid 9 Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address fail_ 1 t] tr P L©Yb 4.1 I t 0,1.4.4 C. Co i P Asv y Mortgage Lender Name and 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 aperiod of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Plumbing, Signs, Wells, Pools, F urnaces, Bo 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. / hereby certify that 1 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 federal, st. te, or local law regulating construction or the performance of construction. Signature of Owner A , e / �j � „ � Signature of Contractor Print Name DOA 4 8. e v/7 f /t/ Print Name Swori • and su.. •is - . -be • ne Sworn to and subscribed before me this • • f , 20 J' th' 0. Day of �2! _ _:...�.�► ^!,} �et•�:I:1! / ` . .. Bame{a A Lakey Notary Pub ic •, -� ` � E C �issi•n • • • 1.1 CO MMISSION • DD 957760 l Otary . ic o, po Expires 01/13/2014 :: , • IRES: February 14, 2014 A..* + d ?hru Notary Public Underwriters Revised 01.26.10 SEP -12 -2011 09:11 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT Pcnmit No. Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): / - r ..,� S 10 uil 44 •,.. t - l ii • - 04 Li 1 _ 6/c . r, ■ .. . ea' -3 , . 2. General Description of improvements: .4S - . -,& 1-eP4. rt 3. Owner Information: C' (50/4 4-r'.. FI.7 -4 .601-,...44 a) Name and Address: - . C..) - IS'1 � pit. b) Interest in property: c) Namc and address of simple titleholder (if other than owner): 4. Contractor information: 'ii t7 nos ter 70 ciitnoni 0 P NO 4414 fU'M a) Name and Address: S - 7 91" m I kr -- ?...1(.., - .., } CIS . A L r,," r Y3 -- 5l se 9R U� b) Phone Number: 9g 773q -- o S. Surety Information.: 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 himsclflherself, Owner designates of to receive ' a copy of the Lienor's Notice as provided in Section 71 3.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: _ 9 Expiration date of Notice of Com.m.encemcnt (The expiration date is one (1) 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 713, PART . I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK O.R. RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this /c day of _Sri , 201L Goo ge :1)7 I t unas, OR 8K 1570 Page 946. NOTARY ' • if i • ' i 4 RID Number Pages, 1 Recorded 09/12/2011 at 09:25 AM, Print Name. �►.� °3lL� WV JIM FULLER CLERK CIRCUIT COURT DUVAL — DouN T'Y d RECORDING $10.00 ❑ Personally Known N Identifi.cation/Type: i...� ! a 2 /e,v 2. 7 c''�2 . Q Verification pursuant to Section 92.525, Florida Statutes, Under penalties of perjury, T. declare that 1 have read the foregoing and that the facts stated in it are true to the best of my knowled,e and belief. / / - . $ fl1.EY L (ifia1�1AM ice. -d . _- �; � � err ammo # ry DD 95176D Signature of Property ii 1 er 6 .. ` ,,o .—....„ Revised 10/1/2009 ' .