22 Saratoga Cir siding 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
"a
Application Number . . . . . 12-00001S70 Date 11/08/12
Property Address . . . . . . 22 N SARATOGA CIR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2816
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Application desc
WOOD REPAIR SIDING
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Owner Contractor
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WADE, MARY JANE PERMALAR INC. OF FL. , INC.
22 SARATOGA CIR N 8841 ATLANTIC BLVD. FL 32211
ATLANTIC BEACH FL 32233 JACKSONVILLE
(904) 721-2227
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Permit . . . . . . SIDING PERMIT
Additional desc . . Plan Check Fee 32 . 50
Permit Fee . . . . 65 . 00 Valuation . . . . 2816
Issue Date . . . .
Expiration Date . . S/07/13 ------
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 6S . 00 6S . 00 . 00 . 00
Plan Check Total 32 . SO 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . S0 . 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: Cjoe�,q, 3.7,2.33 Permit Number: Id —151-7C)
Legal Description A194,*q7,(, 60-Aby vil,t4 jj H 17,g I-o 7-/7 6,cac..-y a r C C I -,o C).O e>
p
Floor Area of Sq.Ft. Sq- Ft
Valuation of Work S 1�f, Proposed Work heated/cooled no'n-heated/cooled
Class of Work(circle one): New Addition Alteration 4�ED Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial (]Ries�identia
If an existing structure,is a fire sprinkler system installed? (Circle one): es
e
Florida Product Approval # 19 li o?, 'V s 0 63
For multiple products use product approval ro—rm
Describe in detail the type of work to be performed: Woo-,O tl?k5l-�Wllf -1//ff YL 15-1101,1616 0/v lel-41*1<
A001
Provertv Owner Information:
Name:_M#,%0_1Y JA- H,6 U),4,01
Address:
city I-le- 6d9lq�cAl StateF
L,Zip 3;ZA334 Phone JOY-v?,W - 7 '/'/g
E-Mail or Fax 9 (Optional)
Contractor Information:
Company Nalne: ,0/,-/e 1HA94.)5Z-_,e1AC_S —Qualifying Agent: W14,1_40117? 1<�d VA��e
Address: I?gql #a,4H77c, /91-va, city State r(_, Zip 3-2�1111
Office Phone q01(-791 7 -Job Si mber Fax 9 7,9 76 F,7,
State Certification/Registration# S c-a5 2
Architect Name & Phone 4 KEVIEWE-1 14'OK CORE—COM 0�1
Engineer's Narne & Phone 9 CITY OF ATL_A_NT_1C R RA Clix
Fee Simple Title Holder Name and Address SEE PERMITs Fog i n r n n n if
Bonding Company Narne and Address
REQUIREMENTS AND CONDMO t. -4ii ILL Ij U E I
Mortgage Lender Name and Address
MA A
Mrt-VILWED BY: DATE: (7- 2:�_.
�pplication is hereby made to obtain a permit to do the 1*1 .4 T__-'4., I so on has commencedprior to the
issuance ofapermit and that all work will be pe�jbrmed to meet the standards oy all la s tion. This perinit beCOlneS 171(1/
and void ifwork is not commenced within six(6)months, or ifconstruction or work i's suspe ded or abandonedfor a period ofsix(6)months at GnV time after
work is commenced. I understand that separate permits must be securedfor Electrical'Work, Plumbing,Sians, Wells, Pools, Ftirnaces, Boileis, Heaters,
Tanks andAir Canefitioners,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 herehy certffy that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances c�overninZ Ili i's
ope of workivill be complied with whether s ecifted herein or not. The granting of a permit does not presume to give authority to viol-ate'or canM the
-al, state, or local r regulating construction or the performance ofconsiruction.
provisions ofany otherfedei aw
Signature of Owner - - -e— z Signature of Contractor
.................. 47
Print Narne Print Narne i—t07n
_�4n...........................
Sworn to and subscrtibee7iore�inc� Swom to and subscribed before nie .............................................................
this Day of S 0,4 m6A-f- this U* Day of64".1A 0651114< 201A
Notary Public Nota P I"
N
F1 N.tD-m
RONALDC. LYNCH "p,%1_ ALD C.
My COMMISSION#DD846857 - RO LYNCH evIsed 0 1.26.10
EXPIRES February 15,2013 My ComMIMON 4 DD846857
EXPIRES February 15,2013
I�W-WIARY H N.t.) A�C'
NOTICE OF COMMENCEMENT
State of F1,41t 110 A Countyof D0104, Tax Folio No. 171 S?t
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
I
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: -LP4 ImITIV-0. '7
4T-,LAqrlc- &.4-ce V11
Address of property being improved: AA SAMTP44
General description of improvements: U1,A(YL 5i,01A(&
Owner: MAe-( J-&60�— W.4011e- — Address: AX 6-AM7-4;4 d44A. A7-1—,,69V1--
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: 124-15 7;0 1 IL L
Address: 9,91VI finAA(T- 7ir, AG,41,0-
b� Fax No: '7' ?
Telephone No.: 7,Z1- 999 7
Surety(if any)
Address: Amount of Bond S
Telephone 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: 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
1 4-1
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
P y�of
Signed: Date:
Before me thi��da n the County of Duval,State
Of Florida,has personally ap red InkieY jWeO—
Personally Known: or
Produced Identifi tion: �L/
s.
Notary Public: tio�
-A
Doc#2012237248,OR BK 16117 Page 2452, My commission expires:
Number Pages: I
Recorded 10,,25,12012 at 1Z43 PM,
R NALD C.1, NCH
JIM FULLER CLERK CIRCUIT COURT DUVAL M-y COMMIsSION#DD84685*1
-ary 15'2013
COUNTY EXPIRFS Feb
RECORDING$10.00 N; D.MoNfit
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed- /Z-
E-mail: building-dept@coab.us
Cityweb-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes,00,"No
Applicant: T�ond_1 14 z /A OIKA_7�el f Planning &Zoning
Tree Administrator
Public Works
Project: 11-2604 PE�4,,�t7,e 1,f--1Z)1/7!9
Public Utilities
ty
Fire Services
Review fee Dept Signature
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: [qA/pproved. ODenied.
(Circle,
Comments:
_�!'LD I�N
PLANNING &ZONING Reviewed by: Date: /0 7
TREE ADMIN. Second Review: FlApproved as revised. E]Deni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F-JApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09