Permit Bath/Kithen Remodel 598 Viking Ln 2012 ` '� CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
0' a , I Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
x31 .ir)
Application Number 12- 00000931 Date 7/23/12
Property Address 598 VIKINGS LN
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 4500
Application desc
BATH AND KITCHEN REMODEL
Owner Contractor
NEVILLE PATRICK J JUENGER CONSTRUCTION INC
598 VIKINGS LANE 879 RUDDER RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246 -2095
- -- Structure Information 000 000 BATH AND KITCHEN REMODEL
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 4500
Expiration Date . 1/19/13
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
Job Address: 53 ' 1 /'t. beN). Lct c-, Permit Number:
Legal Description d/` / b j31bc k. A Sew , t,v - Parcel #
de Floor Area of Sq .Ft. J Sq.Ft
Valuation of Work $ ,j 00 Proposed Work heated /cooled 26 7 r non - heated /cooled
Class of Work (circle one): New Addition teratiorV Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form 1
•
Describe in detail the type of work to be performed: a f - � /k v / v1 o c)e
Property Own • Information:
Name: , r c t� ill L �/ e Address: C 9 V�' , r f _ e
City A M-fr StateFUZip f2S3Phone b y -- 31 • ^37 $ 10 ' -7S"S - /`/
E -Mail or Fax # (Optional) (' G, I{�,,t l i K e � , ce , k a ievN
Contractor Information:
Company Name: I•k•�" Ow ( s f roe a , u,,N Qualifying Agent:
Address: B - M Pd City 1)-1-LtAAA c e k. State PI o, • Zip •; 2 7 33
O f f i c e Phone 9D`f - Ay ( -a 0 ` ) ' Job Site/ Contact Number 9 1 3 3 4 - 3'-I -/ k Fax # 2 (f(, - t 62 6
State Certification/Registration # C b C l a y goo
Architect Name & Phone # /.),A
Engineer's Name & Phone # A.J. A
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 conmzenced 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 pernzit 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 (6) months at any time after
work is commenced. 1 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 hereby certifv that I have read and examined this and know the sane to be true and correct. All provisions of laws and ordinances governing this
type of work .application will be complied with whether herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal. state, or local law regulating construction or the performance of construction.
! fr
Signature of Owne 1 I� .. "l i.. 4,,0 Signature of Contractor v
Print Nampa II _ •
4 Z : I l� t P r i nt N ame c t ^i e5 .._ i..GK Vl e 05e ..
Sworn to and subscribed b- a''e me Sworn to and subscribed before me
this Day of = 20 I . this 3 Day of Si - • 20
d op; o t,„..:.)
Notary Public ROBIN C. MOORE ` . ry Public
"•• R RQ O RE
MY COMMISSION ; EE105330 ' 4144 MYeC6Kty'Sl #
- `t EX PIRES n
�„ Jun 20, 201 ` • EXPIRES June 20, 2015
(407) 308.p153 .•',
Fbt (407)334.0153 FloridallotaryServ+ce.com
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. � �-� , _ / i Tax Folio No.
State of County of
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: (.....6 A' \ 0 1( 6 l ,,A,,-- ., f , r_ - y .
Address of property being improved: " f, ( c . , ( / n
General description of improvements: k , 1 ,, �.. ,/ '~ ( _ . ,, 4 � . t k 4 l
f.
1 4. , .tr . i c k.
Owner 1 a
.f � , E -- �,,r` i 1 t t
Address 6 i Ca , j' , _, - s
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
{ Address
,n t
Contracor jute: -. *-.c �Lf_«r t -� . ,;,. -
['ill' ' x R,. \ 1 t \ V - �a� Phone No. Address
`t r_'` t% - i `3 ai > °f ;,,, .? Fax No. ' y _ ,fi `- - ... 1 . •
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:
i
Name \i k tl'‘,'1-,. A t,., f ( a' ^ ir
Address (( (e ` - A-:', p / I, ( I /,, .r/-i , ._ 2 1 i,.
Phone No. ?es t ., x'9 ___ ( i 7,6 cif 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):
THIS SPACE FOR RECORDER'S USE ONLY .. OWN
Signed \ "� `-'`�e'i1 V) Q-7( 2, DATE 5/i
Before me this ., ay ,:\ x x L in the
County of Duval ate o orida, has perso Ily appeared
li
1, -k `L � =.i° -. ,), �'E.v t 'e herein by
himself/ herself and affirms that all statements and declarations herein
Doc # 2012154569, OR BK 16009 Page 1397, are true and accurate
Number Pages. 1 :►"� " -r • ROBIN C. MOORi.
Recorded 07/23/2012 at 02:49 PM, '�'=
JIM FULLER CLERK CIRCUIT COURT DUVAL _: ' ' ',1 ' MY COMMISSION # EE105330
COUNTY /' / , J // , ` r ;, EXPIRES June 20, 2015
RECORDING $'10 00 ''f , i , "`--
l 1 ,.. i (407)398 FlorldallolarySer. ica.com
Notary Public at Large, State of If , County of '\'''\ . .V 4 (
My commission expires: * "zrz r n
Personally Known P 4 40 , e; c K so'1H.1 n or
Produced Identification
.,