Permit 3rd Floor Addition 113 4th St 2011 Doc # 2011267367, OR BK 15794 Page 1118, Number Pages: 1, Recorded
12/13/2011 at 10:28 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
Permit No. / / -a ?/O . 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 pr opera (legal degript } on of property a address if available):
2. General Description of improvements,„_. �AA
4`�.". 7 o .. to i •- .e ?goo e .-
3. Owner Information:
L a) Name and Address: (i vn -4 J ea t n e. f-1 wn m 'i I 1 1 ti �(, D. j- L
b) Interest in property: r) t.J : -e.
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: S E G F
b) Phone Number: S e o d-
5. 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 himself/herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of 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 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 OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this .2(/ / cay of Ori obe 1 , 20
'.›. 1 i /_. 6
____;:.-___,,, . .......,4_,..____ _.,.., ________
/ Print Nam.. 5.9,_ ,lam /,' . .1 J '
A Personal ly Known
❑ Identification/Type:
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
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DILE COPY Revised 10/1/2009
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CITY OF ATLANTIC BEACH
r s3 800 SEMINOLE ROAD
!} ** ATLANTIC BEACH, FL 32233
, INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002910 Date 1/05/12
Property Address 113 4TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 40000
Application desc
addition of 3rd floor bedroom
Owner Contractor
HAMMILL TIMOTHY AND MARY J. BEACHES BUILDING LLC
341 6TH STREET 1516 MARSH INLET CT
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 626 -5556
Structure Information 000 000
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . BILL THOMPSON ELECTRIC CO, INC
Permit Fee . . . 65.20 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/03/12
Special Notes and Comments
ONE BEDROOM WINDOW SHALL BE EGRESS RATED FOR EMERGENCY
ESCAPE AND RESCUE OPENING (R310.1) OPENING SHALL BE 5.7 SF
NET CLEAR OPENING
OWNER BUILDER NEEDS TO FILL OUT THE BUILDING DEPT PRODUCT
APPROVAL CODE FORMS AND SUBMIT WITH PERMIT APPICATION
NEW 3RD FLOOR BEDROOM SHALL BE EQUIPPED WITH A SMOKE
DETECTOR ON THE INSIDE OF BEDROOM AND IN THE IMMEDIATE AREA
ON THE EXTERIOR OF THE BEDROOM; IF THE EXISTING BUILDING
HAS AN ATTACHED GARAGE OR ANY FOSSIL FUEL BURNING
APPLIANCES, THERE SHALL BE A CARBON MONOXIDE DETECTOR ON
THE EXTERIOR SIDE OF THE BEDROOM DOOR AND WITHIN TEN FEET OF
THAT DOOR.
ON PAGE Al OF PLANS, IDENTIFY ALL ROOMS ON THE 3RD FLOOR
ENERGY SHEETS CALCULATIONS FOR ADDITIONS UNDER 600 SF
MJONES
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
PERMIT IS AWI TINT4VegATA4VgiVYTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
°�t CITY OF ATLANTIC BEACH
j n1 r
r I r1 800 SEMINOLE ROAD
�: 5 ATLANTIC BEACH, FL 32233
J � `
INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 11- 00002910 Date 1/05/12
Special Notes and Comments
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 ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.20 65.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.20 69.20 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: fi 3 -?411
. PE RMIT # / / — Z, / �
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS . t k 2 VOLTS / PHASE
VALUE OF WORK $ 0 ,619.
NEW SERVICE ❑ Overhead 1 1 Underground r1 Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
:Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
:Multi-Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
:Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: /3 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign $Smoke Detectors Qty ❑ Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty ` - . ps VALUE OF WORK $
REPAIRS/XI' . • ► � • • US
❑Replace. e •..`• . , . ged Meter Can ❑ Safety Inspection ❑Panel Change ❑OH to UG
❑ Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or Local law regulation construction or the performance of
construction. - /
Property Owners Name / /' !4r 1 /54114,k rW Phone Number
Electrical Company 47 /G/iK Jv17 /t e _ O ffice Ph one Z "
/� 1 � l Fax Z7G- -O� �fG'
Co. Address: !� ` 0i 42 Sl 3 -• /5 7 City /4//, 44 State Zip ,7-Z-”
License Holder (Print): 1t /"\ rha/MfO'/ 1 Sta - - rtification/Registration # /,72Z/ ,'
Notarized Signatur nse Adekiem .: ,
:* _, *_ MY COMMISSION# DO 9Ei76n
- '- -�,,�. ';- EXPIRES is � Y1 �
Bonded Thru r ' ' + `s scribed b = ore e this : ay o � IM 20 / 2.
F v h e waters - j
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Signature o 1 otary Publi ' � ' /