Permit Kitchen Remodel 2369 Seminole 2012 C, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J � ATLANTIC BEACH, FL 32233
a`tip T' INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000674 Date 6/11/12
Property Address . . . . . . 2369 SEMINOLE RD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 28000
----------------------------------
Application desc
kitchen remodel
--------------------------------------------
Owner Contractor
---------------------
--------------
----------
ADAMEC MARK A FAMILY TRUST FLA DESIGN BUILD INC
ET AL 5 GUANO DRIVE
MARK & DIANE ADAMEC TRUST PONTE VEDRA BCH FL 32082
ATLANTIC BEACH FL 322335963 (904) 759-7087
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
- --------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor BILL THOMPSON ELECTRIC CO, INC . 00
Permit Fee 71 . 20 Plan Check Fee
Issue Date . . . Valuation 0
Expiration Date 12/08/12
Other Fees .
STATE ELEC DCA SURCHARGE 2 . 0
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----------
----- ----------
Permit Fee Total 71 . 20 71 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 75 . 20 75 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 F (904) 247-5845
.TOB ADDRESS: I PERMIT# — 7
JEA INFORMATION REQUIl2ED ON ALL PERMITS ZVP AMPS Z� QVOLTS PHASE
VALUE OF WORK,$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps El—amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps [I CT Service amps
ADDITION*MODEL MODEL PAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Swi c es: _0-30amps 31-100amps 101-200amps
Appliances: _0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: _
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can El Safety Inspection ❑Panel Change [I OH to UG
❑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
read 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
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Nal
ne ` G-'to </ hone Number
Electrical CompanyAV/ 7L;itof4!�Oln epi: (ice, Office Phone 0 _sc FaNW 1
Co.Address: i ?i �lS� City /1 /� Stan Zi�3
License Holder (Print): ��'< �� ate Certification/Registration#1G
r
Notarized Sig cr tc � f
*. ?DIY COMMISSION DD 957760
o
EXPIRES:Februa d subscribed b re e this day of 20
a�l7f th°a° Bonded Thru Notary Public underwriters
igna ure of Notary ublic 14
S r-l�SlrJ Ja
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
jilt
Application Number . . . . . 12-00000674 Date 5/31/12
Property Address . . . . . . 2369 SEMINOLE RD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 28000
--------------------------------------------------------------------------
Application desc
kitchen remodel
------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ADAMEC MARK A FAMILY TRUST FLA DESIGN BUILD INC
ET AL 5 GUANO DRIVE
MARK & DIANE ADAMEC TRUST PONTE VEDRA BCH FL 32082
ATLANTIC BEACH FL 322335963 (904) 759-7087
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 190 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 28000
Expiration Date . . 11/27/12
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 85
STATE DBPR SURCHARGE 2 . 85
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 190 . 00 190 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 70 5 . 70 . 00 . 00
Grand Total 195 . 70 195 . 70 . 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 Fber:800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845Y ,Z012
JobAddress: . -3&cl C 1��� 1 14 PermitN
Legal Description "1- 5- ATI-A Parcel# M3 ( O c�
Floor Area oof Sq.Ft. Nq.tt
Valuation of Work S 2a 000 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition CIteratioi Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): o N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 5 17_641i;; 1V +?p`ivnt� CW 111>
N APO
Property Owner Information:
Name:' ' S711j1-0 Address: 2-�
City 414-441--- t3,E 1 State ,Zip 3�Z Phone
E-Mail or Fax#(Optional) p
Contractor Information:
II
Company Name: ri A, O f%�t3LJ U fLb+1�� Qualifying Agent: JGHLJ
Address: i(d?I°j ,,t.,t r5t-V'1� ,City v Jv.119 �� ,/ State F�- Zip S c"
Office Phone :Zvv, Fax# 9c*,4 Z 17--i&:5;t
State Certification/Registratio '
Architect Name&Phone#
Engineer's Name&Phone# CITY OF ATLANTIC REACH
Fee Simple Title Holder Namand AddreSEE PERMITS FOR ADDITIONAL
Bonding Company Name and ddress REQUIREMENTS AND CONDITIONS.
Mortgage Lender Name and A ldreISE
" DAIR
Application is hereby made to obtai 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 aperiod of six r6)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 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 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o? work will be co lied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other ede al state, or local law regulat' g cons ruction or the performance ofconstruction.
?%nature of OW Signature of Contractor
Print Name h.. ...1. ? :. .. .._ '............................ �1 L
...... .`' .:............ Print Name ..Ir�1N......... OW 6
h r and s f scribe�forelme Swo and subscrib db ore me
y 20 thisay
N Public
to Not
Notary Public-State of Florida :i�'�:h;y. FAYE P.AMMONS
• •=My Comm.Expires May 28,2015 , ' Commission#DD 9483&lev ed 01.26.10
Commission#EE 97848 Expires December 22,2013
Bonded Through National Mary Assn. BbnrkdllwTmyF�nlnsursros8003857019
Doc # 2012114257, OR BK 15955 Page 1797, Number Pages: 2, Recorded
05/30/2012 at 02:34 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$18.50 DEED DOC ST $2863.00
Prepared by:
Erin Sullivan
't Stellar Title
2900 Hartley Road
Jacksonville,Florida 32257
File Number. 12-0045
General Warranty Deed
Made this May 29,2012 A.D.By Mark A.Adamec and Diane L.Adamec,as Trustees of the Mark A.Adamec Family Trust dated March
28,2002 and Chris R.Adamec and Tracie L.Adamec,as Trustees of the Chris R Adamec Family Trust dated March 28,2002,hereinafter
called the grantor,to Christine Loeb,a single woman,whose post office address is: _q � sls a__ e ti�Jew
hereinafter called the grantee: _27 z s 77
(Whenever used homin the tern'grantor'and'grantee'include all the parties to this instrtuaent and the Min,legal teprppttsdivu arrd assgns or
individuals,and the successors and assigns of corporations)
Witnesseth,that the grantor,for and in consideration of the sum of Ten DoUars,($10.00)and other valuable
considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms
unto the grantee,all that certain land situate in Duval County,Florida,viz:
Unit No.2369,ATLANTIC TOWERS a Condominium,according to the Declaration of Condominium as
recorded in Official Records Volume 6499,Page 1238 as amended by amendment to Declaration of
Condominium in Official Records Volume 6607,Page 1788 of the current Public Records of Duval County,
Florida.Together with an undivided interest in the common elements appurtenant thereto.
Said property is not the homestead of the Grantors)under the laws and constitution of the State of Florida in that neither Grantor(s)or any
members of the household of Grantor(s)reside thereon.
Parcel ID Number:168441-0060
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertainin&
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the
grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will
defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances except taxes accruing
subsequent to December 31,2012.
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written,
Signed,sealed and delivered in our presence:
fY'LS'F�1-
r Mark A dames,Individually and as Tmstee of the Mark A.
Wimoss printed Name C.,t e%'Si I I I'v L Adamec Family Trust dated March 28,2002
Addr
sin
�..-- mane L.Ad ac,in 'vidually d as Trus of the Mark A.
Witness
Printed Name .� LU1t� t^i • Q`t�f s� Adamec Famff T dated March 28,2002
Address:
Chris R.Adamoc individually and as Trustee of the Chris R.
Adamec Family rust dated March 28,2002
Tracie L. ec,individua y and as Trustf the Chris R:
t
Adamec Farr y Trust dated March 28,2002
DEED individual Warranty Dad With Non-Homestead-Legal on Face
Closer'Choice
-1)-1) PAGE 1798
Prepared by:
Erin Sullivan
Stellar Title
2900 Hartley Road
Jacksonville,Florida 32257
File Number: 12.0045
State of Florida
County of Duval
The foregoing instrument was aclmowledged before me
Diener going in,individually and as Trustee, this 29th day of May,2012,
Trustee,who maro Cluis R.Adamec,individuall and as TY Mark d Adamec,individually and as Trustee
personally known to me or who has produced FL DL as identifies and Tracie L.Adam
a.
ec individually and as
Notary Public
My Commission Expires;
,»t„ Eaa�su4►''v""
w0wV
rJOIC
C�SSIO•EE$is"
DEED Individual Wurnnty Deed With Non-Homestead-Lepel on pace
Closers'Choice
MAY-31-2012 15:21 FROM: TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
State of aer,!DB �-. Tax.Folio No. 1 (0 �- 1000
County of. l _)Alii _
TO Whom.It May Concern:
Tote uademigned hereby informs you that improvements will be made to certain real
the Florida Statutes,the following iiRforr=ion is stated in thus NOTICE OF Co&fMENCIMNT d in accordance with Section 713 of
Legal Desc4tion of property being improved;
Address ofpropLrty being improved;- 2-SdA`l e—
tn„a .. �°-
General desc:loonl of improvements: 1'lCrf1 , r
Owner: Address:--5AXT-0,' AU oe,9ya,
Owner's interest in site of the irnprovenment:
Fee Simple Titleholder(if other iMac owner): --
Name:
Contractor:�r_L, - d 1 ^ p er�'.�^ J_ -S
Address: M--3
Telephone No.: 4i'V4 7 q Fax No: 17p4
Surety(if any)
Address: Amount of Bond$
Telcpbone No: T Fax Na: Doc#20121 14821, OR BK 15958 Page 2101,
Nance and addlrew of sit umber Pages: 1
y person matciag a loan for the construction of the intpro N
P—r ded 05/31/2012 at 03:25 PM,
Name: JIMFU L2R CLti RK,CIRCUI T`coLJRT DUVAL
COUNAddress: RECORDING_,$10.00
P.bone No: Fax No:
Dame of person within the State 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 Statues. (Fill in at Owner's option)
Nance:
Address:—
Telephone No. Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year horn the date of recording unless a different date is
specifred):
THISSPA, E FOR RECORDER'S USE ONLY O
'✓
I , /I,-
Dexe:31goe [
Before his T day of ME
/ - 510)A in the County of Duval,SWe
Of Florida,has personally appeared c--R =; K r"E Poo Or 13 _
1�rbr AT. VVI a2 g�/0u Notary Public at Large,State of Florid County of Duval.
My commission expires:_ ea
ALBERT MORENO Pcmnally Known; _ �— or
` :G Notary public-Stater of Florida Produced Identification,. w CAtl4r1: r�A W)
My Comm.Expiras May 26.2015;
Commission*EE 97846
Bonged Ihmugh National Notary Assn.