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237 Pine St 2012 siding �jj OWN, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-0�0001105 Date 8/28/12 Property Address . . . . . . 2371PINE ST Application type description SIDI�G PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1' 5000 ----------------------------------------i ------------------------------------ Application desc siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEIGS J VALERIE E & R ENTERPRISES OF NORTH FL 237 PINE STREET 2628 WEST END ST. ATLANTIC BEACH FL 322334013 ATLANTIC BEACH FL 32233 i (904) 270-2185 j ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMITi Additional desc Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 2/24/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 N�TIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ----------------------------------------i!------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ------ ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 50 �116 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �'�U City of Adandc Beach APPLICA'110t4 NUMBER Building Department (ro be assignw!by the Bt"v Dsparkwfl P�r� SIX Seminole Road 12- - Adenfic Beach,Fbride 3=33-5445 ..0. Phone(904)247-SM - Fax(904)247-5845 V E-ffvd. bu0dkV-dept@coab.us Date rouled: -- '9 51YtW"if6! MfAJ'AAAAW.eWb.U0 APPLICATION REVIEW AND TRACKING FORM Property Address: ST review No Building _3� o� Applicant -J-PWn—ning&Zonlqg Tree Admin ishaw Public Works Project: Public Utilities Public Safety Fire Servx'm Odw Agency Review or Permit Required Review or Receipt Daft of"it VwIftd ft Florida DeM of Environrner4al Profeclion Rorift Dal*of TranWoftkm St.1ohns River Waler Managernent Disbrict Amrjf Corps of Division of Hotels and Restaurants Division of Alcotiolic Beverages and Tobacco APPLICATION AT�Tus Revivwft DeparbroM First Review: M�W- roved. ElDenied. (Circle one.) Comments: PLANNING&ZONING Reviewed b Date.-Y 7 -d 2— TREE ADMIN. Second Review: ElApproved as rev* OD"I PUBLIC WORKS Comments: PUBLIC LITUTIES PUBUC SAFETY Reviewed by: Date: I FIRE SERVICES Third RewWar. [3Approved as revise�. F]Denled. Comments: Reviewed b� Date: Ravicad 07=10 NOTICE OF COMMENCEMENT , I*7015(o 2-CnOO State of FLof��MA Tax Folio No. County of Dk)V^ To Whom It May Concern: The undersigned hereby informs you that improvements willj)e made to ce tain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF '-OMMENCENIENT. Legal Description of property being improved: %0-%(o - 0�0 - *2-ck A L ie Address of property being improved: Z3r7 Ptklr=7 !9T. FLo%q-%0A '3,1-233 - General description of improvements: ti%DjQ%Q;P0 W t D 00 1`22 Owner-—W rADA S?0 F FbP,Q Address: 3-7 ?t Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: 9F TWR VIRUSGS 0 IF ^104z FL*a( 0A Co�tractor-_e R IlPA Address: -2-4o-,X8 WL--Sr 6-Nb S-r� A Z "Ttc- Be-44. FL4v2t A4 V23-32 Telephone No.: Fax No: SureV(if any) Address: Amount of Bond$ Telephone No: Fax No,: Name and address of any person maldng a loan for the construction of the�provements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself,designateo�by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: i In addition to himselt owner designates the following person to receiTe 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 year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNEI� ------ -- Signed: Date: 9 IA k lQo 1 rNX in Before e this day Of the County of du��I,State page 2072, Of Florida,has person ly ap Doc#-�01 2181300,OR 13K 16044 1 Notary Public at Large State of Flori County of Duval. Number pages:I PM, My comn-jission . . )",-�) . N N�-D Recorded 08/2312012 at 12:07 exprep. jiM FULLER CLERK CIRCUIT COURT DUVAL Personally Known: COUNTY Produced Identificatia leic- _JMn WWM RECORDING goal rK Werm- EE 182882 my commIssIm EE 1828821 3r n! 6 BUILDING PERmu APPLICATION CITY OF ATLANTIC BEACH 900 Seminole Road, AtlantiO Beach,FL 32233 Office (904) 247-5826 F4X(904)247-5845 Permit Number: 40 — -7 P1 rdlZ Job Address: 2. 1z SALTAIR Parc_I# Legal Description 10 2 1 - - oor Area o Sq.Ft. non-heated/cooled---- Valuation of Work S 15400.11c Proposed Work heatef[/cooled___. Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one): Commercia No (277� If an existing strucri i fi -inkler system installed? (CircN one): ure,is a ire q 2- Florida Product Approval# - rro—rm For multiple products use produ tap rova A PQ 0 -Tt IZM to be performed: Describe in detail the type of work Property owner Information: S7r. Name: LA40A Address: ^I-Ttc State FL city -A-TLA �Zip hone 90 7409 E-Mail or Fax# (Optional)_____�- Contractor Information: Qu alifying, -b"I'" PVT-TISPA C Company Name- Agent: Cit� iMfA-4 C Address- 240-1 CEWD _71 _ ' OfficePhone -job Si "n li gm ex State Certification/Registration# YLIPLIANC Architect Name&Phone L Engineer's Narne &Phone# --!C- BE.-Clu A 1'%T%T1rTf-%WT A if Fee Simple Title Holder Name and Address— SEEPER ITS F Bonding Company Narne and Address— I NM AND CONDMONS Mortgage Lender Name and Address_: I'll '—ple f)Y iii-,VTa-11 tion has commenc d prior �e to IV Application is hereby made to obtain a permit to do the, -- ----- --W iction. This perinilbeconzesnull issuance qfa permit and that all work will be performed o me;i-The7i�WZ�_A_0f a law§regulating consirVultur,fri I months at any tiMe after wo issu ended or aba�donedfor aperi;,70f su P6,) s, Boilers, Heizius, and void iTwork is;701 cornmenced within six(6)months or if construction or wo ip rk,Plumbinz ftns, fells, Peals, urnace work is commenced I understand that separate permi must be securedfor ctrica Wo Tanks and Air con&tioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS COMMENCEMENT ANCING9 CONSULT WITH TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN NOTICE OF YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR COMMENqMENT. ion and know the sam I t bet e ndcorrect. All provisions of laws and ordinances governing this I hereby certify that I have read and examined this.applical g . te, go ru a mit doe. y to violate or canM the work�vill be complied with whether ecified herein or not. The ri� of a pei s not presume to give authorit 0,pe Pf sf, Tformance of construction. provisions of any otherfederal.state, or local aw,regulating construction or the Signature of contractor Signature of Owner C–fl Print Name Mwid z 1PUTTrm ............................................... PrintNarne ........................................................................................................................................ S n to su cr* e el S and subscrib e 120..- 20 is D tnT — th ay o A .1 M ON#DD 957760 Y COMMISSION#DD 957760 EXPIRE Fe ary 14 2014 Notary ub ic Bonded Th.ru ublic k&ioe 1.26.10 IRE :February 14,2014 ed Thru Notary Public Underwriters