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