5 10th St 2012 siding CRY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001054 Date 8/14/12
Property Address . . . . . . 5 10TH ST
Application type description SID NG PERMIT
Property Zoning . . . . . . . TO E UPDATED
Application valuation . . . . 1 8475
-----------------------------------------------------------------------------
Application desc
siding
--------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
CAIRNS SCOTT S & DEBORAH R WARNER CONSTRUCTION INC
10131 BISHOP LAKE RD W 814 WORTH RD
JACKSONVILLE FL 32256 ST JOHNS FL 32259
(904) 626-3547
---------------------------------------- ------------------------------------
Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 8475
Expiration Date . . 2/10/13
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STA-E DCA SURCHARGE 2 . 00
STA7E DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged Raid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 00 . 00 . 00
PERMIT' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A FLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT ,kPPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Hax (904) 247-5845
JobAddress: -t�s to-k-, S-4ree-� Permit Number:
Legal Description 16-- a S - -2-9 G , 0 9 (0 Parcel #
Floor Area of Sq.Ft. Sq Ft
Valuation of Work$ -75, 00 Proposed Work heatei Ucooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of exi�ting/proposed structure(s) (circle one): Commercial �Residentia
If an existing structure,is a fire sprinkler system installed? (Circl( one): N/A
Florida Product Approval # t5- 0(:,5_
For multiple products use_p_r_oJuct approval form-
Describe in detail the type of work to be performed: P-eno\3o,� o � \j't, Ixe 1-S.i
Property Owner Information:
Name:Sc o A�(2c-,% r Y\s Address: S O'��54, 9,2f_c�_ FL 2-2-13
city
E-Mai I or Fax#(Optional _ Statey��Zip 3z-7-33 Phon(
Contractor Information:
CompanyName: Woory\erCOA5AC%.Y_-�k�v�, CO. Qualifying Agent: -ToddkWoone,-
Address:-%(1-f V-o-,a City_S-V":1 �\ns —State FL Zip 32-1 2-
Office Phone Job Site/Contact Numb" er G2,6-S5-,q7 Fax#
State Certification/Registration C-ge- as-6r-24f
Architect Name& Phone#
Engineer's Name&Phone
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 indi.-ated. I certify that 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 la vs regulating construction in this jurisdiction. Thi's permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is ms
work is commenced. _pended or aba�donedfor a Period ofsixJ6)months at any time after
I understand that separate permits must be securedfor Electri�al Work, Plumbing, Si ns, Wells, Pools, i rnaces, Boileis, H a
Tanks andAir Conditioners,etc. k u e ters
WARNING TO OWNER: YOUR FAILU E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF
COMMENCE)IJENT.
lhereb certify that I have read and examined thisia lication and know the same to bi trueandcorrect. All provisions of laws and ordinances governing this
cf
type ollowork will be complied with whether spe ieg herein or not. The granting q a permit does not presume to give authority to violate or cancel the
a
provisions of any otherfederal,state, or al aw regulating construction or the perfo),wance of construction.
Signature of Owne z�
Simature of Contractor
Print Name
-E ........................................................ Pr.ntName
. ...........................................................
Sworploandsubsc e befo r4 Swom to and subscribed before me
this D,4y of . 2o/d-- this -IL Day of 1- 2.0 Q
LINDA C.GARNER CO 'TREM
TTA-LONGSTRETH
6��Pub c� Nftfy Publie,State el ReFid Mary POOR-State of FOr
Commission#EE 207726 NVT3—ta i P�ub I I
My comm.expires June 13,2016
ks y Comm.Expires Feb 15,2015
So
PU WeviAW"sM,ME564880
'Vic
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EFLLIL506 New JjPly Gem Siding Group R�ne I.Quiroga, PE_Zpproved
ategory: Panel Walls (-07) 681-6595
S bc
n]j u category:Siding
*Approved by DB
RI A,,p,p,,r..O,.v,al,s,...b.,y.,,DB,P,,,R sha.11 b,.e..,,r,e,,vi,e,,,w,,ed,,,a,,,n,d ratified by the POC and/or the Commission if necessary,
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Contact Us::1940 North Monroe Stre tt,Tallahassee FIL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Cogyright 2007-2010 Stat( of Florida.::Privacy Statemen ::ALgessibility Statement Refund Statement
Under Florida law,email addresses are public records.If you do not we nt your e-mail address released in response to a public-records request,do not
send electronic mail to this entity,instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.
*Pursuant to Section 455.275(l),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department
with an email address if they have one,The emails provided may be usec for official communication with the licensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide tie Department with an email address which can be made available to the public.
To determine if you are a licensee nder Chapter 455,F.S.,please click here.
Product J pproval Accepts:
C1 N 971 FE E
z'V40r t".W
FILE COPY
http://www.floridabuilding.org/pr/pr_app_lst.aspx 8/14/2012
NOTICE OF COMM3 ENCEMENT
State of
Tax Folio No.
County of �2
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made tc 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: 1 7 --� 2-b -�, - -
Address of property being improved:. .k
L --A�)-,),
General description of improvements:
f-�n44—
Owner: Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address:_.._I�j iki t,01 A. -s�c L 1, Z-Z
Telephone No.: .Cj,�� , C�,2-b-I Fax No:
��urety(if any)
Address:
Doc#2012179656,OR BK 16042 Page 2166,
Telephone No: Fax No: Number Pages:1
Recorded 08/22.;2012 at 08:35 AM,
Name and address of any person making a loan for the construction of the JIM FULLER CLERK CIRCUIT COURT DUVAL
Name: COUNTY
RECORDING$10.00
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designatel, 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)
Name:
Address:
Telephone 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 OWNER
Date:
--geforeme1his -J-O_dayof 0 in the C—ounty of Duval,State
Of Florida,has persom Ily appeared — S
W1C1"-t,L .5 a 4c�l�
UND�,i.(IARNER Notary Public at Large, State of Florida,County of B""I. Sfjr,*J.,)5
Notary Public,State of Floritla My commission expire;: 4-4 t(.
Commission#EE 207726 Personally Known:_ or
My comm.exores June 13.2016 Produced Identificatior: