Permit Siding 495 Aquatic Dr 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
pit
Application Number . . . . . 12-00000853 Date 7/09/12
Property Address . . . . . . 495 AQUATIC DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5400
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Application desc
siding
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Owner Contractor
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CLIFFORD REBECCA C BETTER HOME IMPROVEMENT
495 AQUATIC DRIVE 538 PARK AVE
ATLANTIC BEACH FL 322333837 ORANGE PARK FL 32073
(904) 278-0810
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Permit . . . . . . SIDING PERMIT
Additional desc . -
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5400
Expiration Date . . 1/05/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl 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 . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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
Job Address: r Perm#Number:
Legal Description 3 3E —.��-S arce / I W
t loor Area ol Sq.Ft. f -S4.m
Valuation of Work C C_ ProposedWork b atof](Pnoled non-heated/cooled
Class of Work(circle one): New Addition Alteration - epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle o�ne)(: E mmercial Residential
If an existing structure,is a fire s nkle Yes N /A
p ,,,rstem installed? (Circle one):
Florida Product Approval 4 �:L, i
For multiple products use product apIft—oval To-rm
Describe in detail the type of work to be performed: et U4
Property Owner Information:
Name: 4rj Address: 91
city ,,k tl!i;�44 L 64,2,n-1� ate/'-Viev�- �Phone s3K 3 97e,-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:&gwLt Qualifying Agent: a
Address: - --z&�fa> pr 24_�e_l C itNr�ra jacC4_Mark," —Stat ZiP,-5X7 n
Office Phone gQer 44:�j Fax Z �2,y
State Certificati�orilRe'gistration#
Architect Name& Phone CODE Co
Engineer's Name&Phone# U11y OF ATLA Wlrlr,, t
Fee Simple Title Holder Name and Add,,ss SFIEPERMTs��p'_-' Z11
A D-1—p
es If I
Bonding Company Name and Addr ss --r-VIL)IREMIENTS ANO COND.174A]% ff h-u
Mortgage Lender Name and Address RE A
TE.
DA
2i
DATE:
r
Application is hereby made to obtain a permi, r I installation has'6�mmejq
if
i5suance f a'permit and that all work will bepe,formed to meet the standards a a aws isjurisdiction. Thispermit ec
0 'n
structio r
and void ij.ork is not commenced within six(6) months, or .J'con t f, no 0warkiswuspendedorabandone or aj eriod ofsix(6)months at anytime after
work is commenced. I understand that separate permits must be securedfor Electricat 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 here certify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinances goverm.ng this
1�work will be complied with whetherlsfeci
loc w fied herein or not. The granting of a permit does not presume to give authoriry to violate X ca#cel the
provisions ofany otherfederal,state, or a a regulating constru th
e performance of construction.
7
Signature of Ownery Signature of Contractor,
M
e
....
Print Nam 'gte jov Print Name
.................................................. K �K. ...........................
S d b -,i bbqd before me Sworn tQ and subscribVd before me
worn an Su scr
this Day of jjutw 201 this JUR�Day of 20
tEAVER
SUZANNE LIEA:VER
Nofary ft$lic Acitary 175-blit'
0 Notary Public-State of Florida
S Notary Public-State of Florida
.c
MY Comm.Expires De c 17,2012
e y�ffejjl�IR�.ep ec 17,2012
8 1 ,,,F , I ommisslon#DD 846362
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Commission#DD 846362
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Doc#2012141405,OR 8K 15,993 Page 40.
NOTICE OF COMMENCEMENT Number Pages: 1
Recorded 07/06/2012 at 02:04 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. /,'L RECORDING$10.0o
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance witt,�)ecLIUR
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
LDescription of property(legal description): 316- 7/ 3 9� 2
a)Street(job)Address:
1_4 .7-
2.General description of improvet-nents: ___S�e
3.Owner Information
a)Name and a�dress: e,
b)Name and address of fee simple titkholder(if other than owner)'
c)Interest in property
4.Contractor Information ;�4cvio
a)Name and address: "A14 e_.
�. in...it
b)Telephone No.: Fax N6/(Opt.)
5.Surety Information
a)Name and address:
b)Amoun t of Bond:
6.Lender c)Telephone No.: Fax No.(Opt.) r i i r is
a)Name and address: 11 r IL L 1i
Phone No. ------—
7.Identity of person within the State of Florida designated by?>vn"er upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement Tt—he expiration date is one 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 IMPROPER 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA Y r --J/
COUNTV OF PINELLAS 10 q\ J� <Z
jinatur*e of Owner or Owner's Authorized, icer
C J�
k_. 6. 1 . n—Y
Print Nime
The foregoing instrument was acknowledged before me this _'01 day of 20 1.�,by
as (type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on be If f h nt was executed).
Personally Known OR Produced Identificatio Notary Signatut /:4 ow
Type of Identification Produced Name(print) S707c"4,1"t
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of T idgaiNrathdi ing and that
the facts stated in it are true to the best of my knowledge and belief.
SUZANNE 7LEAVER
Notary Public-State of Florida
Z
es 01
MkMS/NOC,r�sd2010 Mv Comm,Expires Dec 17,2012
0,W8 6
ninP0WMtAibW*D&846362
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Departrnent.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 112—
City web-sRe.- http:/A~.coab.ua
APPLICATION REVIEW AN D TRACKING FORM
Property Address: Depa"mqnt review required YW No I
BuiMin�
Applicant: Z�17-f4 :i Ginning&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
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: B�Pproved. E]Denied.
(Circle one.) Comments:
6V
P N ZONING Reviewed by: 09 Date:7-6-/2-
TREE ADMIN. Second Review: FlApproved as revised. MDenig
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: r-JApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revind 07127110