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Permit Interior Alt. 550 N Nautical Blvd 2012 �0 � 11 CITY OF ATLANTIC BEACH � ... ` N� 800 SEMINOLE ROAD J --7 ATLANTIC BEACH, FL 32233 L INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000248 Property Address 550 N NAUTICAL BLVD Date 3/05/12 Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 4500 Application desc RELOCATE WALL, MOVE INTERIOR DOOR Owner Contractor SOLOMAN DOUG AND PATRICIA E & R ENTERPRISES OF NORTH FL 550 NAUTICAL BLVD. 2628 WEST END ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 - -- Structure Information 000 000 INTERIOR9ALTERATION8 ONLY Occupancy Type RESIDENTIAL Permit RESIDENTIAL ALT /OTHER Additional desc . INTERIOR ALTERATIONS Permit Fee . . . 75.00 Plan Check Fee Issue Date .00 Valuation 4500 Expiration Date . • 9/01/12 Other Fees STATE DCA SURCHARGE STATE DBPR SURCHARGE 2.00 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 Plan Check Total . .00 .00 .00 .00 .00 Other Fee Total 4.00 4.00 Grand Total . .00 79.00 79.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 7 . ,,,, L %r � � 2...4 F •� CITY OF ATLANTIC BEACH �, - 3 L' '% 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 - ! 1 ( I Y OFFICE: (904)247-5826 ® FAX NO.: -5845 • �\. BUILDING- DEPT 4,COAH.US =-,- BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2. VALUATION OF WORK: 3. SO. FT. UNDER ROOF 550 A44 aTic:AL .-v ,D A,1. X500., 4. LEGAL DESCRIPTION: 5. CLASS OF WORK 6. USE OF STRUCTURE A ❑ NEW BUILDING ❑ DEMOLITION XZESIDENTIAL LOT BLOCK SUB UIVISION ❑ • DDITION ID CONVERTING USE ❑ COMMERCIAL _ 7. DESCRIPTION OF WORK: +�7 amp l!; r ., • : • LTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: pout w4U. h& Tc ptav ❑ MOVE ❑ OTHER SPA YES ❑ N/A PROPERTY OWNER: __J CONTRACTOR: _ ARCHITEC 1 ENGINEER: 9. NAME: t 06 i .1 a i `; A 15. COMP NY NA 23. COMPANY NAME: . 0L_© VAC i \ / � 4t2 " E T - S 16, tk AN�E: ' , x` vi ?virr ` 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 5 N -A U T VG,: A L .BLoi) i Ga7 CI 5c4 t 5 ATL r nL (t4 F 18. ADDRESS: ZG� 2 t 0 1 . ti -t" - 26. ADDRESS: .` 1..33 �4Ti.•�+,t�C V $c . ,• - 1 Pi 11. OFFICE PHONE: 112. FAX NO.: 19. OFFICE PHONE 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: C ie/ � t'S 2Z 3 24' - 5675(0 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: rd_SCJIc - huc�..cow1 . • t+ bacit. .ct,.�c'�s ,14 FEE SIMPLE TITLE • LDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31. NAME 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - 1 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. OWNER or AGENT CONTRA • R (If Agent, Power of 9 ay-ef Agency Letter Required) - r -Ifier • • ) / r t/ _� ► /0._ Sign 7 � Date: S Z Signed: `� / Date: ✓ c'jL Before me this s..7 day of j\ a a-s, BIZ, the county of Before me this j day of /) )CA.A. -e , 29C51n the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has person, appeared 7 / 7i' • \ a(' )0 Di o eN awl Pi , C �, losin n r\ E�W l , <D �� ,_..__ herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. true and accurate. " / Notary Public at Large, State of (0( ■C�� ,County of k...) \ltj NNo�ota ^^ry Public at Large, State of 1/- w County of IY/ 1 `� ❑ I Personally Known 2 r \C�-r rersonally Known Produced Identification - r 1\ . .. , . 10 Produced Ident ..ti• - / • 6 )Ai ... Notary Signature / ' , , e • ,,,, /i j, Ni Notary Signatur L sir? AMANDA W HITE a " t �� v a� CARRIE LYNN BLACK 1 . * � MMISSION tit E 20 549 BLDG01 Permit A ric ti hD:NIWiEb2 liC, Stat of Florida *: rr��i : - EXPIRES: May , Ilab PP = }1 � :,: •r; Publlc Underwriters t , ;;;C: Commission# EE 97382 . ,of� . 9ondedThru . U �; ;, My comm. expires May 26, 2015 �"""'"-' NOTICE OF COMMENCEMENT State of DLO E21D/q Tax Folio No. 17 0 `10 3 -- 0 3 5A County of DWAL 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: 35 (p4- L 7 - 2.6- a ci E. LOT (p , L lE S Address of property being improved: 560 NMAtTI CAL, 'BLVD, /V.. AT LW rtTt (3G H FL st2 33 General description of improvements: K Tc44 t '4 g �'y tO $L . Owner: ROWALDFR 4 ?Atatct A S D 13 dress 5 Ah4 VTCCrAL $LVD iv 4 it- , 4 4T /C. Owner's interest in site of the improvement: iir- t=om 020 4 3223 Fee Simple Titleholder (if other than owner): 4 Name: ontractor: W ► hl ,q,et..'l; S puTrarq�$ Addre 24' L L&k S T 9a e4Ttc. 8c44. PL• 32_2_33 Telephone No.: 2-? • L! 95 Fax No: Surety (if any) ///1/7 Address: Amount of Bond $ Telephone No: Fax No: Doc # 2012046514, OR BK 15868 Page 27, Name and address of any pe on making a loan for the construction of the imprc Number Pages: 1 r Recorded 03/05/2012 at 01 46 PM, Name: /V/ JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Address: RECORDING $10.00 Phone No: Fax No: Name of person within the tate of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: �/(//' Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida,$taty,e (Fill in at Owner's option) Name: ,fi / 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 OWNE CAMNR 'LACK Signe ` �`i^— Date: 3 S- I Z S _ " Notary Pte, ate of Florida Befo e me this day of 111146,1C.4 , 1 Z in the County of Duval, State $ , "„ k Commission* EE 97382 Of Florida, has personally appeared y .p,r�� \AQ ( <„) \1 n 4. P erk\ (1 k ,� Spy ark "" My comm. expires May 26, 2015 Notary Public at Large, State of Flo ida, County of Duval. My commission expires: Mc j �d f S-- /� 1 Personally Known: Q a 2 or ro ducecridentification: '• o, — r _ ?c &c,c∎, — ..c.-Dt_. ' 55. Iki of €XP . ? -i l `b