383 Plaza 2013 bath remodel CITY OF ATLANTIC BEACH
r' s
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002091 Date 2/01/13
Property Address . . . . . . 383 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13500
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Application desc
remodel bathroom
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Owner Contractor
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OBRIEN CHRIS R HARRINGTON REMODELING, INC
383 PLAZA 12442 APPLE LEAF DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 838-1542
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13500
Expiration Date . . 7/31/13
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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 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 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
51 800 Seminole Road, Atlantic Beach, FL 32233
CJ Office (904) 247-5826 Fax (904) 247-5845
Job Address: ! FL a-fit lq Ap/n G 9EA ciA Permit Number:
Legal DescriptionParcel#
Floor Area o q. t. Sq.Ft
Valuation of Work$ 13,SZO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition lteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial e i
If an existing structure,is a fire sprinkkr system installed? (Circle one): Yes No N/
Florida Product Approval# I'd IN
For multiple products use produc approva orm
Describe in detail the type of work to be performed: CRA)16t - ovr TVs V'RA , i Tld TO 1 LET
T(Lr-:. PAINT k Ft N)5HKS .
Property Owner Information:
Name: CHKIS 0'01,0 Address: 3 19 9 PIA-,A
City ATIAtmc. BC-Ac41 State R Zip Phone 8 d• 212—
E-Mail
2 •E-Mail or Fax#(Optional) o b 2 2 c h P i5 G rhou,Q com
Contractor Information:
Company Name: ?*K1 � 1��d(� lIhL Qualifying Agent:Address: City a_C(<SO4ku c� State =Zip�4 '4
Office Phone Q = –lS SF7– Job Site/ onta t Number 9v Fax# WM :
State Certification/Registration
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 indicated. 1 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperzod of six(6)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,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 hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not preAgiverityto v'olate or cancelthe
provisions of any otherfederal,state, r local law re ulating construction or the performance of construction.
Signature of OwnerSignature of ContractPrint Name 6'` r'! .�'`-...........R. OtBre e►✓Print Name t, W............S
...............................................
Before me Before me
this / Day of �2 h rLc.a r�1 20 1 �. this / Day of e b ru d r 2013
r �, r• o �, h Notary Public AAN SUE M0 IN
Notary Public � �OR I ItE M LI
Notary Public,State of Florida NAry�iC' A"ft.24.12
My comm.exp.Aug.My comm.exp.Aug.18,2013 COMM.No,DD 903113
39
Comm.No.DD 903139
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 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:
Address of property being improved: 38 h 19 iL A SA / '.A T LAj-T f G t3 c>4ut, FL
General description of improvements:
i !
Owner i HIZtS C7C7i�/EN
Address P i �.4 t`Ltt.4 TIG 3 .� +i FL .
Owner's interest in site of the improvement Ova,-,; pr"t',v lot--2TD1
Fee Simple Titleholder(if other than owner) Aialt: a
Name
Address
Contractor ° t<
Address
Phone No. 7 O c� ^�S `f J Fax No. �lll�
Surety Qf 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:
Name ,
Address
Phone 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 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 specifted):
THIS SPACE FOR RECORDER'S USE ONLYn , /W n � OWNER
z/r/a3
Signed: DATE
Before me this_/day ofm the
Cou�y f Duyal,State of Florida,Pas personally al eared
Doc#2013029824,OR BK 16239 Page 265, C�►r ' S cL��r•c -+ herein by
Number Pages: 1 g himself/herself and affirms that all statements and declarations herein
are true and accurate
Recorded 02:01;2013 at 10:13 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 -a- J
Notary Public at Large,Stat of County of
My Commission expires:
Personalty Known BORAH SUE MOULIN
Produced Identification Q r< •C, /+S
Notary Public,State of Florida
My comm.exp.Aug. 18,2013
Comm.No, QQ 903139