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Permit Garage Door 2225 Alicia 2011 NOTICE OF COMMENCEMENT State of FLE3(?....--N A , Tax Folio No. County of i .J V ilrt, 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 Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: •, .... i fit L.k) A , g (.*4 11 General description of improvements: e„,..4a4A- C- (.tt7t )ta. Pt. e I.kiyv 6\•4 1 Owner: “a S "'Tt /SEy Adcfress: A L) C.) A Lk is . Owner's interest in site of the improvement: "-ee Simple Titleholder (if other than owner): ti ° . Name: C ontractor. _ Oyu Addres r w . `i" v. !4) LL( . Q 2 _ * - Telephone No.: C T(7 - (= to p� ! F.ax No: �i�`f^ a ' 1j S ur e ty (ifany) Address: Amount of Bond S Telephone No: Fax No: _ Name and address of any person making a loan for the construction of the Doc # 20'I 110336, OR BK 15950 Page 328, Nature: Number Pages: 1 Recorded 05,1812012 at 11:40 AM, Address: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Phone No: Fax No: RECORDING X10.00 Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone 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 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY O ' 6 Sired: St �� ►♦ AM gig) i . t 4..4 Date: '(..g Before me this • ' '‘: 1W 41%! V-dB in the County of Du a1, State Of Florida, has person , i� Notary Public at I..arg 10.. ' ►In! ! ival. / My commission expies: • cQ -.9f y , Personally Known: :, u, 4,• - 1// 41 , Produced ldentific:r V p,: o 741111%7 r � i nT • 1 : Pubb ��;: ,! fi n \ Z 4 9 .)3e.C , CtS3 . t 'oN /3C :pC - . 1 .S. , 81:01. Z1.07' $R1. • N(jad> � /1 �9 E t1 \i\\ sagz ssE vos 131 woad J 4, or l el \ CITY OF ATLANTIC BEACH sa 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002783 Date 10/18/11 Property Address 2225 ALICIA LN Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 16697 Application desc garage door Owner Contractor CHIP /PHYLLIS TOUSEY OVERHEAD DOOR CO. OF JAX 1767 PARK TERRACE WEST 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268 -1627 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 135.00 Plan Check Fee . . 67.50 Issue Date . . . Valuation . . . . 16697 Expiration Date . 4/15/12 Special Notes and Comments need noc *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC 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 135.00 135.00 .00 .00 Plan Check Total 67.50 67.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 206.50 206.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . ;, , City of Atlantic Beach APPLICATION NUMBER f r Bu ildin g Department (To be assigned by the Buildin Department.) + � 800 Seminole Road /1 — d 7f , ' ' -' A tlantic Beach, Florida 32233 -5445 '� Phone (904) 247 -5826 • Fax (904) 247 -5845 \ E -mail: building- dept @coab.us Date routed: Ar1 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM r Property Address: 2 2. 2 6 //e/ / C i &' Lr t review required Yes o • mg Applicant: 0144 /lcAb Da4 - anning & Zoning Tree Administrator Project: 9a <C, - b®® / 9cg/10/7 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: [Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: /79 Date: /O "/ 7 Vi TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. (Denied. Comments: I Reviewed by: Date: I Revised 05/14/09 mss- na-0 BUILDING PERMIT APPLICATION b CITY OF ATLANTIC_ BEACH b u 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: ,__a.3.€ AL-) CAA L IA1.4 _ Permit Number: 1/ (127 - 3 Legal Description ' arcel # np oor • ea o q. t. q. t Valuation of Work S Itr (.0 `i 7 Proposed Work heated/cooled non - heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa windo door Use of existing/proposed structure(s) circle one): Commercial !t M If an existing structure, is a i e s . rm er s stem • , stalled? (Circle one): • es `o N /A Florida Product Approval # _ _ For multiple products use pro . uct approva orm Describe in detail the type of work to be performed: G t: it) V d - - - ` h 1 ✓ -ct v>A (- 'T Property Owner Information: game: CL4f P I L U S Tau 'Sky Address: e -, ?. Pii.. v} LLI 2,ity oil- L • W - State Zip 31343 Phone 9 64 — '-(? - 07 07 E-Mail or Fax # (Optional) 7.ontractor Information: / L'ompany Name: b V 6 at r0 i be 1'2- Qu alifying Agent: / / 1k* / /LC it I*, kddress: . . - 1 C . . C. . _ _ -_ - t - City KAttiz iokt Vic LL State F, 4 Zip p e _ office Phone L 1 to r3 '1 Job S ` urn _ State Certification/Registration # D 1 ; i i _ . , , , - ," .'' A, architect Name & Phone # I Y a . n -. _ ; t � jy " . . - �- :ngineer's Name & Phone # 1 • '� �, 'ee Simple Title Holder Name and Address I�t l:t li \r ■ _ , " ' s _ ,_ s ' ' londing Company Name and Address I . ' IffrigENAF p rlortgage Lender Name and Address ( .... s : sW D — 7" f /IB pplicalion is hereby made to obtain a permit to do the work and installations as in ic ated I certify t a no ., , � ` I • n c� llpm e prior to the ,seance ofa permit and that all work will be pe onned to meet the standards of all laws regulating construction in this jan '•,nds pip i€ becomes null nd void if work is not commenced within six (6) months, or if constntetion or work is suspended or abandoned for a_ period of sir mo t any time after fork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, PooLq, , , u s,Boilers, Heaters, auks 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. here& cent& that I have read and examined this a plication and know the same lo be true and correct. All provisions of laws and ordinances governing this re 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 , ovisions of any other federal, stale, or local law regulating construction or the performance ofconstruction. ' ignature of Own \\■.ATA Si ature of Contractor - li 11 ffly • nt Name rint T Print Name , i►i' n' y ..l.!_..lA. ti �.... .. -.t t LC -1 I- \ ••,.... 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