1973 Seminole Rd 2012 siding � ' CITY OF ATLANTIC BEACH
or)
s f 800 SEMINOLE ROAD
Z' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-JF3l�.,
Application Number 12-00001794 Date 12/10/12
Property Address 1973 SEMINOLE RD
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
SIDING REPLACEMENT
Owner Contractor
REEVE JAMES & EILEEN BOSCO BUILDING CONTRACTORS
1973 SEMINOLE ROAD 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC1BEACH FL 32233
(904)--- Structure Information 000 000 REPLACE EXISTING SIDING
Permit SIDING PERMIT
Additional desc . REPLACE EXISTING SIDING 37 . 50
Permit Fee . . . 75 . 00 Plan Check Fee .
Issue Date . . . Valuation . . . . 5000
Expiration Date . 6/08/13
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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 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.
(-çL. fl City of Atlantic Beach APPLICATION NUMBER
j Building Department (To be assigned by the Building Department)
800 Seminole Road �a _ / L�Atlantic Beach, Florida 32233-5445 7 Phone(904)247-5826 • Fax(904)247-5845 i�—/0 7
E-mail: building dept @coab.us Date routed: ✓✓
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /9 7i o n ltep., di Department review required , Yes No
Building II
Applicant: 69500 Planning&Zoning
P cd/roject: Tree Administrator
ri (41 Public Works
Public Utilities
( Public Safety _
h -
I It
Fire Services
"p • Review fee $ Dept Signature
KY` ,
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: [Approved. ['Denied.
(Circle one.) Comments: �l
ILDING �t�ec/ 0 C
BU
PLANNING&ZONING Reviewed by: /71' Date: /.71--7< 2--
TREE ADMIN. Second Review: ['Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07127110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: /923 � yi.D had Permit Number: /2 - 179 /
Legal Description Ufa-/L an — '�'� ��sl7X.O Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 4OC ).OC Proposed Work heated/cooled I/0 g non-heated/cooled � f
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # ,,,,,�. .,a
, <
For multiple products use product approval form '•' "—.• is
Describe in detail the type of work to be performed: ....2,04/V ily),,O
t
Property Owner Information: ►
re 1973 i r(e i2 aJ2 r
Name: Address:
City 4Gla�L3� State Zip 32233 Phone o2®/- a/3- 7 703 ....
E-Mail or Fax# (Optional) 1 ' `
Contractor Information: .-..
Company Name: We O _ s_,. ! .��LAlure__'u S Qualifying Arent: Oi .&a. •
Address: 2(5S 1-ti 1 • l - y° City w i .� State FL. Zip 3'2233
Office Phone ' O1- _ L/-(3.3,9.c Job Site/Contact Nu • •- '4__. _ -0301 Fax# RO�-a/7/_,03:776
State Certification/Registration# _!, - •- /_ .,...1.-_____:-
_
Architect Name& Phone# 1 t ' I I ' 1 I E COMPIJANCF
Engineer's Name& Phone# /� 11 I _► _
Fee Simple Title Holder Name and Address A:_ •E PERMITS F• t : II • •NAL
Bonding Company Name and Address i/_`J I. M NTS • ► • •lib • • I.
Mortgage Lender Name and Address I_.._ - _ // ►
�- • i ^ a� : DATE: v
Application is hereby made to obtain a permit to do the work and installan. . ,,•., •d prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating con.T ction in I is furls.rc ion. .• t becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six f6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Healers,
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.
t hereby certify that I have read and examined tl '. .plication and know the same to be true and correct. All provisions of laws and ordinances governing this
ype of work will be complied ith whether s'eci t'd herein or not. The granting of a permit does not presume to give authority to violate or cancel the
7rovisions of any other federal, tate, or local au r gulating construction or the performance of construction.
signature of Owner ,61r,---56-- '' Signature of Contractor
'rint Name All ►a-A f t y n Rfr E v r Print Name 70G20 L3 ace)
;worn to,an s,,s .-eri.-d��,: i ,- me Sworn to and subscrib;• t-fore m-
his �. ili. 7,'r_ 20 02-- this Da, : �4►i�•!e_ - 4 20/a
.10-.E-'i b is Nota 'ub lc
Revised 01.26.10
DEC-7-2012 14:37 FROM:CLERK OF COURTS 904 270 1512 — TO:92475845 P:1•1
— — —
Doc#2012280662,OR BK 16/74 Page 712,
Number Pages: 1
NOTICE OF COMMEI CE11'>�EI�'F Recorded t2,'O7,2012 at 02:OE PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. _
RECORDING$10.00
Tax Folio No.---_.. ._--..... . --- ••- ___
THE UNDERSIGNED hereby gives notice that improvements wil€be made to certain real property,and in accordance with Section
713,13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT_
1.Dcscription of property Oval description): Lf Q /4 en=49.
a)Street{jo$)Address:_19, J lt[Tt'F
2.(eneral description of improvements:. i ,, .e
-
3.Owner Information tGt n (� {� f�
a)Name Arid address: ,Tax'..Q/4_..._. „1-L�J •,.8?C2.g. „4 - .... 322.
h)Name and address of fee simple titleholder(if other`than owner _
c)Interest in property-. c ._ o, c 0 0_ - .,4_ --�.z.^_. . -•---• - ----- ---
4.Contractor information (►� � �
t a)Name and address:` r; e� � `-"ter r 6 i ... ----
b)Telephone No.: 90Li- ..Q`(.�O?.Q Fax No.(Opt.), ~io`/-a - 0,3,=,14
5,Surcty Information
a)Name and address:
b)Amount of Bond;
c)Telephone No.:- Fax No (Opt.) -
6.1,cnder
a)Name and address:
----71t--
rte Nn,
7,Identity of person within the State of Florida designated by owner upon w notices or other documents may be served:
a)Name and address _ —..... . _..b)Telephone No -- Fax No.(Opt.)
8,1n addition to himself,owner designtates the f., • . to r ; • a copy of the Lienor's Netiee as provided in Section
711,13(1)(4 Florida Statutes: /
a)Name and address-
b)Telephone No.: / . fax No.(Opt.)
o,Expiration date of Notice ofComrnenoement(are e Iiiratten dtt' la one year Item the date of recording unlleita o different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE DV THE OWNER.AFTER THE EXPIRATION OT THE NOTICE OF
COMlN :NCE M F:NT ARE CONSIDERED 1R1!I.Ii!'ROPER PAYMENTS UNDER CHAPTER 7113,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE,OF COMMENCEMENT MUST RE RECORDED AND POSTER ON THE JOR SITE RE FORE 7i"MME FIRS?
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSii1.T YOUR I !t.R OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECOIRDING. YOUR NOME O> MMENCEM. ,N .
Sr,'rrc Olt FLORIDA
COMM Or b4V#4 l0. ✓..._ .
&ignat (Owneror 0 is t vthorirai 001cer/Dioxtorthcaler4Mooaact
jar}✓4C.9 g. (rE
The foregoing instrument was acknowledged before me this day of bayunge4 ,20/7 ,by . fa-v' ....._ . •
f� 12,, V€ /� ��a_,s 011."�Drk Q_.�. -.- ... ._ (type of authority,e.g.*Meer,crux**, ff
attorney in fact)for .1' 5 r to .(nests of party on lathe , witonntruntent w executed).
Personalty Known . OR Produced identification Notary Signature rjsi I*
Type of Identification Produced gt0a kfC3 a 0 Name(print) . /00 'i__04) _ /&VL _. _________
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties f perjury,1 decl th t.1 have read the foregoing and that
the facts staled in it are true to the best of my knowledge and belief.
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