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238 Pine St siding 2012 BUILDING PERMIT ArPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 FaK (904) 247-5845 JobAddress: -2-$8 Elmo; q-T', PermitNumber: /2 - 711 Legal Description ko - t(P _0-4A.--TAYZL3r SL--rl '3 Parcel# 6 0 1,loor Area of - Sq.Ft. Sq.Ft Valuation of Work$-5Q,50, -Proposed Work heated1cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial q� If an existing structure,is a fire sprinkler system installed? (Circle Due): Yes �q N /A Florida Product Approval # For multiple products use product approval form cAzr Ape")4 "5 �,o C Q r-r. 0 C- Describe in detail the type of work to be performed: K�_�IJV It IZ',P-� VLI 71,(, 0 g e, 11, ?00 3b V�T OF *'(-14 Ator,,.* vvrrA firj:;W-0X' 6)C) LR.0 f \N IAJOCL Property Owner Information: Name: W NYA1 Z' 140W-A�tJ —Address:- 9118 P(Nk:�, 3-C city ATL C 4��iA Stateft-Zip'4 Z Phone E-Mail or Fax#(Optional Contractor Information: Or--NtkX,64 A, Company Name- _"Rafffying Agent: city 44-q-*4KfC'�C_ M,�04&ate ZZ33 Address- 'Z�Eg_W�_ ( UNP SM OfficePh-one X-70-AI !96 Jo ntnntNgmhi-.r (,;Z-50S'6j Fax State Certification/Registratioii-# Architect Name& Phone# V'UJK("ODE COMPLUNCR Engineer's Name& Phone# CITY OF ATEANTIC BE.4 C r I Fee Simple Title Holder Narne and Address SU PE RMUS FOR A 1)r)jR()N,&j:; Bonding Company Name and Address KEQUIR&MFN-P� CONDMONS. Mortgage Lender Name and Address REVHNMD DAM- CX r fyrnnw Application is here-by made to obtain a permit to do mr-m-mballation has commenced prior to the issuance ofa permit and that all work will be performed to meet the standards 11 regu a risdiction. Thi's permit becomes null and void if work is not commenced within six(6)months, or ifconstruction or r spended or abandonedfor a period ofsix(6)months at any time after work is commenced I understand that separate permits must be securedfo e Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilei�,Heaters, Tanks and Air Conifitioners,etc. WARNING TO OWNER: YOUR FAILU-bv TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF COMMENCE)ZTENT. I hereby certify that I have read and examined this application and know the same to he true and correct. All provisions of laws and ordinances governinZ this type pf work ivill be coTplied with whether specified herein or not. The granting(f a permit does not presume to give authority to violate or calW�l the provisions of any otherfederal,state, or local law regulating construction or the peFfo-mance of construction. I 1�,4, C Signature of Owner,i 14664A-a1N__., S gnature of Contractor I Print Name Print Narne Waqfle 2., tM�w C .K.a..k ............ ................... ...6........................................ .... .......................................................................... Svqrjmtl�md.subsqi S vvorl�t�rfid s cri e befo led before me /'\ re me thiscrLUDayof -_S0LyjP_ 20 1 C) isc2�� Day f 20/Z- a& V LAY'\YI(A HIRLEY L.GRAI�AM4; Notary_Pu_bJi6 M RES: e1=11 ,2014 EX I hru Notary public Underwiterms KATRWA HATCHER Bonde T sed 0 1.26.10 Comirrisslon#EE 188131 Expim April 10,2016 CIT� OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000781 Date 6/26/12 Property Address . . . . . . 238 PINE ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO 1E UPDATED Application valuation . . . . 5250 ---------------------------------------- ------------------------------------ Application desc new siding ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ HOLLERAN, WAYNE T. E & R ENTERPRISES OF NORTH FL 238 PINE STREET 2628 WEST END ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 270-2185 ---------------------------------------- ------------------------------------ Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 5250 Expiration Date . . 12/23/12 ---------------------------------------- ------------------------------------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL EAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------- ------------------------------------ Other Fees . . . . . . . . . STAIE DCA SURCHARGE 2 . 00 STAqE DBPR SURCHARGE 2 . 00 ---------------------------------------- ------------------------------------ Fee summary Charged Eaid 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 ALL CITY OF AFLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. I. Description of property(legal description of property and address if available): -10-0 - �& &ALrAIAIT L Z �T A rt C (3 r- t 4 R- -5 2. General Description of improvements: 'Sl 0 1^j 3. Owner Information: a)Name and Address: i4CL-",WArv� eilve- -ST-, A-TL4-.,rr(C, r3Cj4 r-L b) Interest in property: PO-1 wwor--1 kL,-i,�(0,.�- xtt-04- -3 2, z 3 c)Name and address of simple titleholder(if other than owner): 4 Contractor Information: L�0 i/v'i k%; C PivT-a-314 a)Name and Address: b) Phone Number:-277-0 -3-1=9 5' 5. Surety Information: a)Name and Address: b) Phone Number: c)Amount of Bond: $ 6. Lender Information: a)Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon ,vhom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a)Name and Address: b) Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1 ) (b), Florida Statutes. a)Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement(The expiration late is one (1)year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPR PER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BE-"ORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this day o 20.. -Mn-T A Dv k3T TDT TO tl'X'r'b nU 15 TT-%A W. City of Atlantic Beach APPLICATION NUMBER 0"%tL" Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 /o? - 71 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-deptQcoab.us Date routed: City web-afta- http.-/Aww.coab.u9 APPLICATION REVIEW AND TRACKING FORM Property Address: c2�39 J-T !!��t review required YeW-No Building Applicant: Planning 9 Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of P ermit 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: B(p"Proved. [:]Denied. (Circle one.) Comments: PLANNING&ZONING Reviewed b1f: Date:.6-,)s--/2_ TREE ADMIN. Second Review: DApproved as revised. E]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b),: Date: FIRE SERVICES Third Review: [—]Approved as reviseb. F]Denied. Comments: Reviewed by: Date: Revised 07127110