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Permit Siding 274 Magnolia 2012 , �, r f CITY OF ATLANTIC BEACH 0 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 \\,,,,,,,,, Application Number 12- 00000388 Date 4/13/12 Property Address 274 MAGNOLIA ST Application type description SIDING PERMIT Property Zoning TO BE UPDATED Application valuation . . . 12800 Application desc siding Owner Contractor WILEY CECIL H & ANDREA MARTIN HOME EXTERIORS 274 MAGNOLIA ST 5749 HAVEN ROAD ATLANTIC BEACH FL 322334008 JACKSONVILLE FL 32216 (904) 737 -5009 Permit SIDING PERMIT Additional desc . Permit Fee . . . 115.00 Plan Check Fee . . 57.50 Issue Date . . . Valuation . . . . 12800 Expiration Date . 10/10/12 Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 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 115.00 115.00 .00 .00 Plan Check Total 57.50 57.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 176.50 176.50 .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 Job Address: 274 MAGNOLIA ST Permit Number: M — 3 E 8- Legal Description 16- 2S -29E SALTAIR SEC 1 Parcel # 170532 -0000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 12 'SO v Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration ' Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Residentiiaa If an existing structure, is a fire sprinkler system installed? (Circle one): l`" No N /A Florida Product Approval # (, i 3 I' 2 ."7.. For multiple products use product approval or Describe in detail the type of work to be performed: C t i 10 (L ? t - ii- A nab', P (f bt - nv1-- ',5 - - T I -1 Property Owner Information: Name: 1- AAA, k t. i i I e Address: 274 MAGNOLIA ST City Atlantic Beach State FL Zip 32233 Phone q04 21. q 40*,..g-:, E -Mail or Fax # (Optional) Information: Company Home Exteriors Qualifying Agent: Ken M an P Y Name: Martin H _ Address: 5749 Haven Road Jacksonville FL 32216 ,�� Office Phone 9047375009 J� . • -- - .x # x State Certification /Registration # CRCO5 1 'I _ v � �A I � -! . NUM Architect Name & Phone # _ _ " _ ,1w I ��`[r Engineer's Name & Phone # • ' � '" 9 ' ' CH 4 • - Fee Simple Title Holder Name and Addre': ' ' I►DITIONAL Bonding Company Name and Address ( - ' , - i ` i ONS. Mortgage Lender Name and Address 1 ' : 1- , L: I : . f 1 Application is hereby made to obtain a permit to do the work and insta ahons as zn%'. _ tallation 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 t us jurisdiction. This pernzit becomes null and void if work is not conurzenced 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. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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. I hereby certiib that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this p t pe 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 rovisions of any outer federal, state, or local law regulating construction or the performance of construction. / Y / / �— Signature of • -r ,.. ` �� — _ �� wmpor Signature of Contractor Print Name 1 .11Z. "� 1 �N I� A ' • V.-t , - Print Name U Vt '''\ ,., : • _ Notary Public - State • rida Sworn to and ' s. _ e RitiSrePlfleExpires Nov 17 2013 , e / Sworn • :; ._ _ ubscribe . before me this _ Da o '%8, ' rc (,Commission #f DD • • : 2 • 1. L thi b Via. 20 Notary `ubiic iii� I c,r 1 Li- [ Notary ' on EX Notary p M �i 0515 ._'4 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. - Tax Folio No. 170532 -0000 State of Florida County of lluvai 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: 16-2S-29E SALTAIR SEC 1 Address of property being improved: 274 MAGNOLIA ST Atlantic Beach FL 32233 General description of improvements: windows, siding or screen room Owner Cecil H Wiley 274 MAGNOLIA ST Address Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor Mart in Home Exteriors Address 5749 Havan Rnar7 ,Tarksnniri 11 a FT, 3.771 r; Phone No. 904 - 737 -5009 Fax No. 904 - 737 -5029 Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address 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 Phone 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 Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. J) le; am Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a / (y ,, different date is specified): C THIS SPACE FOR RECORDER'S USE ONLY 0 N ��.: t3 Signed: ���ir►G DATE f Before me this • day of l rr,. i,. Z G t L in the Counof Duval, ate of Florida, s,personally appeared i• l t.t ) herein by himself /1 erself and affirms that all statemet and declarations herein Doc # 2012074270, OR BK 15902 Page 22$2, are true and accurate Number Pages: 1 ■ — AN. Recorded 04/05/2012 at 10:59 AM, `'�� �r'' ( ' . GGI , ARTIN JIM FULLER CLERK CIRCUIT COURT DUVAL +� �""Y .�B COUNTY •1 r. � ary ' ublic - Sta • 220nrirm Notary RECORDING $10.00 Mycom ubl : aE 1,i. �^ „1" *NON , N My commis n . Personally own ,, i „,i a` C orn ,ma�iUn a F UU 940871 or Produced 1 . -A`J City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 � — 3 Zf J Phone (904) 247 -5826 • Fax (904) 247 -5845 1 111 a E -mail: building- dept @coab.us Date routed: S-6 Cit web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ? 7 V�� Department review required Yes No Building r/ Applicant: Planning & Zoning Tree Administrator Project: _ Public Works Public Utilities Public Safety Fire Services .. a 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: [Approved. DDenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: (,L Date: _ / 7 2 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: Reviewed by: Date: Revised 07/27/10