Permit Siding 357 Sherry 2012 1 CITY OF ATLANTIC BEACH
,.� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
011 >`
Application Number . . . . . 12- 00000040 Date 1/13/12
Property Address 357 SHERRY DR
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
replace siding
Owner Contractor
POPPELL ARMADILLO CONSTRUCTION
357 SHERRY DRIVE 59 CORAL STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -8274
Permit SIDING PERMIT
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . 37.50
Issue Date . . . Valuation . . . . 5000
Expiration Date . 7/11/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC 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 37.50 37.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 116.50 116.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
Ito
CITY OF ATLANTIC BEACH , I
800 Seminole Road, Atlantic Beach, FL 32233 1I'
Office (904) 247 -5826 Fax (904) 247 -5845
Address: .3 . -7 / n n2 . 7 ,g a4 f , Permit Number: /o '4 oleo
J 3u� S /b ZS -mil t S l ��
Legal Description c fpT r � C 32 3 a A Parcel # /b d Z Floir Area /7'149Wtic
Sq.Ft. Sq.1 t
Valuation of Work $ jb 0, 0 0 Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repai Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Resident
If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: i 7 fi G-v9 /zo l ,gele G...39n' 57b/A &"
wir //4 5114 e ; ke p - / , 5 f� /,i9 / ✓q-p04, 5 vz j , .
Property Owner Information:
Name: 404+2,0 /Z., � ,,�� Address: 7 r -- -
City /r� /c- g � E. G S t ate I'c.Zip 3 zL3 3 Ph one . '� - 3 2 ' I r
E -Mail or Fax # (Optional) 1
Contractor Information:
Company Name: , 1,1inv 6...40,4,e, �J , Qualifying Agent: ,../04-76.< A • e--A)
Address: S IP> L (7. Ci s. State P Zip 32
Office Phone "f0 - Job Site/ Contact Number 7 b/Z . 4 3 Z / Fax # /CV- 7...41/--
State Certification/Registration # ‘ G -. / S% *Iiir
Architect Name & Phone # ki ill ] Mt/ i tta M 7 nre l'7 l 1111 nrorn■r, s D> • Fr rol 'MINM :: :
Engineer's Name & Phone # 1111111111'
Fee Simple Title Holder Name and Address 1 .1
Bonding Company Name and Address III
Mortgage Lender Name and Address u '
Application is hereby made to obtain a permit to do the work at 7nsta a -7 rld thaPlaVet I Iu , s comet.: -d •r o
issuance of a permit and that all work will be performed to meet ..... -••- -- -•• - • ° °°-.... - ••. -- - .,- ... - -- -- ....._- : -...J This pe• .t b- .l4 % n
and void if work is not commenced within six (6) months, or if construction or work is sus ended or abandoned for a period of six (6) month ■ a ""•' a
work is commenced. I understand that separate permits must be secured for Electrical {York, Plumbing, Signs, Wells, Pools, F "
Furnaces, 1 1.
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOU FAILURE TO RECORD A NOTICE 0 ' ._ -__C
R
COMMENCEMENT MAY RESULT IN YOUR PAYING TW ' ' 0 54/ r y
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN i °* *� !,l!�►ai•.tr!!�'' ,
YOUR LENDER OR AN ATTORNEY BEFORE RECO ' ► P'''' "1 A ;;i10. i■ - .0
COMMENCEMENT.
V M, ,,, p May !, 2016
;,,� ' Cam.Non t f1 01504
1 hereby certify that I have read and examined this a plication and know the same to be true and correct. • t. • • • • , • • • • • • e 1 • • ever ng this
type of work will be complied with whether specified herein or not. The granting of a permit does no • • e • : $ • • • • • • • - - • el the
provisions of any other federal. state, or local law regulating construction or the performance of construction.
Signature of Owner s = I / Signature of Contras off— /
Print Name -.,k P - + Print Name �/'vC /�• Bo 1.,/6 '
Sworr t' and subscri. -d before me Sworn to and subscribed before me
this Day of :mi.. _AA , 20 1 2 - - this /0 Day of ,7 , 20 /-)-..
GL.�P' =
C, �>
� KAR I CHALMEFS
► • r• ry ublic ‘ 4,1m,;,.,, i No ubli
/00,- .`ci Notary Public - State of Florida
• • ' • •c My Comm Expire;; Mar 23 2015 Revised 01.26.10
Ill . ,
'•;, -%. Commission # L 76750
Bonded Through National Notary Assn.
r.
A rno f #l' - oo`fc
NOTICE OF COMMENCEMENT
State of rt, ' Tax Folio No. i6 q ;74 a/ 7(
County of po d,t v
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: , 8.0 6/4 G / b 2 S 9 e 2. 0 63 /S���G7 47'‘.44%)>/e.--
Address of property being improved: 3 (7 <#.64/44. p/Z/ vC I 4,- / g11 Fe-, 32, z-13
General description of improvements: 7)L4GC Mt&'i l Or- P `'144x!6 J OT 1 3 t V L-G -0 G old 0:9 —
/ ,J ' Ite PPrc- »r49min/ g/,C.►g7/a /Al Yil- 2 ls*14-/c -,y /P A/6-�t.,4
Owner: g.-4Alvz.p a, pa pp e[.-- Address: <2 Zrt , 1 4.1t.441/4) & '
Fe... 3Lz
Owner's interest in site of the improvement: p--6-6- S /j'19 ,D�
Fee Simple Titleholder (if other than owner):
Name: 4 Contractor: :041 N / . gO I
' b/ G 0 A)( "I e- U' G.
?..,)' Address: co (0/ 1 G- Cr• A1.fr ✓1 3 e- e.-tl` IC`. 32 L33
Telephone No.: qtr- to / - 1032/ Fax No: 40, 240- 7o 7 /
Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the impn Doc # 2012006380, OR BK 15819 Page 2298,
Number Pages: 1
Name: Recorded 01/11/2012 at 09:45 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Address: COUNTY
RECORDING $10.00
Phone No: Fax No:
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 OWNER r
Signed: t X { = �t` -( Date: 1 1 lvk 1 )--
Before me this _La_ day of in the Ci my of Duval, State
•a 7.11",'•, KARA i CHALMERS P
a.r�' i s Of Florida, has personally appeared , w
--, d-'66 1 1 p
_ :`� N otary Public -State of Florida
' *� � Nota Public at Large, State of Flor da, County of Duva . .•, My Commi si Mar 6 7, 2015 i � "`"'���� M commission expires: I Z?, 22 �'
'
s,, � Commission � EE 76750 or
-' R �� Bonded Through National Notary Assn. . Personally Known: }
Produced dentification:
O 'er L...p / , ■
r sl. ‘wf,, y of At Beach APPLICATION NUMBER
Building antic epartment (To be assigned by the Building Department.)
-- j Cit 800 Seminole Road ✓ Z �
1 as Atlantic Beach, Florida 32233 -544 J Phone (904) 247 -5826 Fax (904) 247 5845 E -mail: building- dept @coab.us Date routed: / AgriZ
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
(
Property Address: J ,r 7 cJ Mf` // i rt D ment review required Yess No
Buildin i/
Applicant: /h6c i //a ( / /aAI ning & Zoning
Tree Administrator
Project: ( -7 i 9 - Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: /ri Date: /
TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09 .