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Permit REs Alt 337 N Oceanwalk 2012 NOTICE OF COMMENCEMENT State of 1-' /mi LC lz Tax Folio No. County of , P U V H- 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: 3:7)1 f) (1p an (4,,.k IR A) Address of property being improved: 3 _ :3 °/ (,c EAh1Ll;` F /A( 1) Lj General description of improvements: i3 /T -E Iy7 C () (-- Owner: CO 6Z ► ST iN C f OPl'i)5 Address: :33 1 OC.Ei)i`.{ GU P LI{ �_ ■ Owner's interest in site of the improvement: 6_, Simple Titleholder (if other than owner): Name: ontractor: 010-p_ C - 1 A REl. L A 1j C E3 �-c: y- `i L. Address: P �c 7 %' '71 1 L C t L_ 1 Telephone No.: . `�( y- 2tl �� .7() F ax No: urety (if any) Address: Amount of Bond $ Telephone No: Fax No: Name and address of any person making a loan for the construction of the Doc # 201 2110545, OR BK 15950 Page 1058, Name: Number Pages: 1 Recorded 0 5/15/2012 at 04:08 M. Address: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Phone No: Fax No: _ RECORDING $ Name of person within the State of Florida, other than himself, designatea oy urn.... ,. .. _ 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 om the date of recording unless a different date is specified): AM ID W�� 4 r THIS SPACE FOR RECORDER'S USE ONLY OWNE Signed: � Date: Before me this / day of — in the County of Duval, State Of has personally appeared L..._. BHIRLEY L G RAHgM ..� Florida, . Public at Large, State of Florida, County of Duval. t MY COMMISSION I commission expires: << DD 957760 ar EXPIRES: February 1a, 2014 I sonally Known: ,:r2 or r' Bonded Thru Notary public Underwriters ' ! Identification: 4 t. % Lvi,„ A CITY OF ATLANTIC BEACH 1 ra 800 SEMINOLE ROAD 3 = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000587 Date 5/17/12 Property Address 337 N OCEANWALK DR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 4500 Application desc bath remodel Owner Contractor ADAMS, CHRISTINE T CORNELIUS CONSTRUCTION CO. 337 N OCEANWALK DR 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249 -9706 - -- Structure Information 000 000 BATH REMODEL Occupancy Type RESIDENTIAL Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 83.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/13/12 Special Notes and Comments NEED NOC Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 83.00 83.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 87.00 87.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 33 e rze-)71 PERMIT rr NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub / Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System • MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plan ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** "* SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.' o 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 n 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 specific or not. The permit does not give authority to violate the provisions of any other state or Iocal law regulation construction or the performance of construction Property Owners Name (i�j/!' /S /7h ///01 Phone Number Plumbing Company 0 A 2' � � Office Phone (1 State Zip J 9'">> 9( Fax / i / 4e frt /54 �� 3 �7..Y Co- Address: �1l ,�Xrw ' City Lice -�_:. State Certification/Registration # i1 � �v 37)9 Not y " qtr ` i t i�a, a s Icier �- ! •' Bonded Thru Notary Publ Underwriters Sworn and seabed be 411 • ;�' e this � a • 20)Z Signature of Notary P blic TM \ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J „, :, ATLANTIC BEACH, FL 32233 4e* . `. w' INSPECTION PHONE LINE 247 -5814 4i1 -011 SP. Tr.. Application Number 12- 00000587 Date 5/14/12 Property Address 337 N OCEANWALK DR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 4500 Application desc bath remodel Owner Contractor ADAMS, CHRISTINE T CORNELIUS CONSTRUCTION CO. 337 N OCEANWALK DR 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249 -9706 - -- Structure Information 000 000 BATH REMODEL Occupancy Type RESIDENTIAL Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4500 Expiration Date . 11/10/12 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 .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 79.00 79.00 .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 �b Address: 3 pat) » WVALK Permit Number: Legal Description Kri71C3DEi_ B 234 Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ A/) .'57)/1. Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition - • • . Repair Move Demolition pool/spa window /door Use of existing /pro osed structure(s) (circle one): Commercial �;c P If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No �;� Florida Product Approval # R For multiple products use product approval form Describe in detail the type of work to be performed: . RE fy1 fl DEL EX I err 1.I 13/1 Property Owner Information: Name:64st S'TINF ADKIIYIs Address: 3 3 1 7 14. OfF1-11.1■Aigi L.K DR. Cit PTll J]1t . j-CH StateFL Zip .7"233 Phone r073 - 1 to 83 E -Mail or Fax # (Optional) Contractor Information: Company Name: GAR E - U i� S G � SUCT1 0A� Qualifying Agent: /'1IARC;4RET L UU5 Address: P. a• 60) 337718 Cityy -i L 13C+4 State FL Zip .22. 33 Office Phone Job Site/ Contact Number (1py • 2 c.{ q • q 70 6 Fax # State Certification/Registration # C 13 C b U Logy Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and 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, F urnaces, Bo Heaters, Tanks and Air Conditioners, eta 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 certify that I have read and examined this a plication and know the sane to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether s•eci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal. st• -, • loca regulating construction or the performance of construction. 1 Si of Owner . " , Signature of Contractor /i >// Print Name Print Name 01/1 KE- Swor o - • bs - •- •� - me Sworn try and_sjbscribe b • - this '_i Day of / AI / , 20 /z-" this Pay • / /1 a , 20/2 Not, uric • .4114 iausF-?e� Not ` l �`�' 1 �� P1V ` Feta nary 14, ?_01a mgity � i nES: xpl COMMI � sed 01.26.10 II �r 'Bonded lhru Notary PubUc UnAerwrilei