Permit Siding 322 Magnolia 2012 C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000646 Date 5/30/12
Property Address . . . . . . 322 MAGNOLIA ST
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
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Application desc
siding
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Owner Contractor
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CHALOT, JENNIFER A. PERMALAR INC. OF FL. , INC.
322 MAGNOLIA STREET 8841 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 721-2227
--- Structure Information 000 000 SIDING
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 11/26/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, 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
JobAddress: 39A MArkeni-M fil, 93 Permit Number: _!,�
Legal Description 5eC� R, SA 40z:1;? Parcel# /7�0 4070
Vloor Area of Sq.141.
Valuation of Work$ &oco, Proposed Work heated/cooled �!;�tkeated/cooled
Class of Work(circle one): New Addition Alteration C!LpDair Move Demolition pool/spa window/door
Use of existingtproposed structureo)Wrele one): Commercial
Han existing ifructure,is a fire sprinjuer system installed?(Circle one): Yes 0 N/A
Florida Product Approval#j 3AQ 3,/
For multiple products use product approval form
Describe in detail the type of work to be performed: 1 H.5 r,*&L tZIL"le 1,01,.-16 0 a cggow
,51 D IV&
Property Owner Information:
Name: J-6&W6M n YAL 07- Address: 3,;R 9, ZU,*6z-1o1_1H
City 4:77_�C_ 6e,4r_11 State&,.Zip j7�-,233---.Phone !!-ZO-4/-,5'4-3 -6,117
E-Miil or Fax#(Optional)
Contmdor Information:
CompanyName: iNaz,)s-ry-1,o3 Qualifying Agent: W11-Z-ofln Z:-: LZaIA!5��
Address: 99,qj ALUD, _____�City -State Zip.?,2R_//
OfficePhone 79-/-9.29-7 JobSite/Co
State Certification/Registration#_5 0-d- 0-5-&?(a 2fiM I'D FOR CODE C30MTELAIN
Architect Name&Phone# TqE!!Ryr""
Engineer's Name&Phone# cri v OF ATtANnc BmcH
Fee Simple Title Holder Name and Address SEE PERNH is FUR ADD71UNAL
MtHREMIUMANDCONDMONS.
Bonding Company Name and Address
Mortgage Lender Name and Address R--E;A E%W09-a W.-
r-oml.�L to
is it
ont
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO E 0
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE NTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y6U NOTICE OF
COMMENCEMENT.
this
the
ILI
Signature of Owner I I Isola
Print Name Ohm- Signature of Contractor
tat_ Print Name
Sworn to and subscribed before me Sworn to and subscribed before me
thisglpobayof M4X .2017- this 234tbay of M.4/ �2019
Notary Public LD C. LY NUH
RONA
N RON A L D C. LYNCH mv cOMMISSION 0 DD8"57
M� ('0MMI SSION#DD846857 EXPIRES Fccbr-��-Y 01.26.10
OF�V Fj Nojar�[hamna Amm
EXPIRES February 15,2013 140).3-NOIANY
t-HM-3-NOIANY F1 Now)D
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City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Deparknent.)
Atlantic Bead', Florida 32233-5445 1.4
Phone(904)247-5826 - Fax(904)247-5845
ro
E-mail: building-dept@coab.us EDate routed:
City Ymb-sits.- http:/A~eoab.ua 1;/
APPLICATION REVIEW AN D TRACKING FORM
Property Address: ?-2-- /fit i1qN.0 Jr _Qepa_rtment review required Y No
I ( Builoing_,>
Applicant: la //2 r-11&7-rl��6 S -PTa—nning&Zoning
Tree AdminisbWor
Project: Public Works
Public Utili ies
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection of Permit Verified By
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: m4proved. []Denied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date:,t��-
TREE ADMIN.
Second Review: 04proved as revised. ElDegied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. DDenied.
Comments:
Reviewed,by: Date:
RevWW 07r27110
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 6 f6 Tax Folio No.-1 70 'YY-5--OS-10
State Of Florida County of LJVA Z-
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: SeCA S.44-r - ,299
" L07
Address of property being improved: 399 rvAi61,,,ort14 57-h�-Wr 'fA(7Ar,,
General description of improvements: dj6AQ1A--- Ad,7,-�4. 5/,0/-A/6
Owner J-i5HN1A0,,< r-a Afl-07-
Address .392 m)16t(nL1,oq, AT4*,,,r1c- oe-w:�� /C�-'
Owner's interest in site of the improvement Wes 1.040wce
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Permalar Industries of Florida, Inc.
Address 8841 Atlantic Boulevard Jacksonville, Florida 32211
PhoneNo. 904-721-2227 -FaxNo. 904-721-7682
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.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):