316 6th St wood rot 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-19
Application Number . . . . . 13-00002298 Date 3/14/13
Property Address . . . . . . 316 6TH ST
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
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Application desc
ROT REPAIR
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Owner Contractor
------------------------
------------------------
BURKE SHAWN M ET AL BOSCO BUILDING CONTRACTORS
OSBORNE ANDREA L JT/RS 2158 MAYPORT RD.
316 6TH ST ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 322335348 (904) 241-0320
--- Structure Information 000 000 ROT REPAIR
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . Plan Check Fee 35 . 00
Permit Fee . . . . 70 . 00 Valuation . . . . 4000
Issue Date . . . .
Expiration Date . . 9/10/13 ---------------
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 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
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number: 2 5?09
Legal Description Parcel# -7q-.Ft
Floor Area ot Pt.
Valuation of Work$$ dbQ0 Proposed Work �O'eated/cooled non-heated/cooled
-AP
Repai Move Demolition pool/spa window/door
Class of Work(circle one): New Addition Alteration 6�D
Use of existing/proposed structure(s)(circle one): Commercial Resid
If an existing structure,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval#
For multiple products use iii—oduct approval form
Describe in detail the type of work to be performed: Rz/),l 3 0 1 /-14
Cq_r\A C_I os I'NO) cy, 0,6of—
Property Owner Information:
Nam Address:,�/ (I
City tateELZip 3213Z�Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: &"�Cn A1jj1j'Aoj Qualif
_ying Agent-7
f �T
0�c
Address:_2 I'SX MUuaisai: City 4AJ,/-,,4,r State zin
Office Phone(216 el �_Vj "n 3,a 0 Jo jjntact Number'�Q�Z an, Fax#
State Certification/Registration#
Architect Name&Phone# REVIEWED FUR CODE COMPI
Jo
Engineer's Name&Phone CEM OF ATIAI!�MC-BEACH
Fee Simple Title Holder Name and Address SEE PERI '__DM0NA:Lq
ss
11
Bonding Company Name and Address REQUIRF240M AN13 r0NDrnprjs.
a Nip—
Ir s g44 A
Mortgage Lender Name and Address 3y: nATP-
it to 1-4 1f;A,th-f 1-11 IMM711nflnn hay commenceiprior to the
Application is hereby made to obtain a permit in do .51
issuance ofa permit and that all work will be pedbrined to meet the standards offflir�iaws reguialing isdiction. This permit becomes null
u
c is
and void if work is not commenced within six(6)months, or if construction or work ded or a andonedfor a period oj six I months at any time after
I understand that separate permits must be secured r ctri suF or , Arnaces, Boilers, Heaters,
work is commenced. fo Ele ca W k Plumbing,Signs, Wells, Pools,
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 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governicneg this
jty to violate or can 1 the
work will be complied with whether specified herein or not. The granting of a permit does not presume to give authori
provisions of any otherfederal, zte,0 law regulating construction or the performance of construction.
Signature of Owner Signature of Contractc,
7T:4 ;7
Print Name .................................. Print Name ................-7V1,)i0 t.4 .......................................................
........... .....edv ................... ...... .............. .... ....
Sworn to and subscribed b7ef re me Sworn to and subscribed before me
this a Day of 0/� this ff Day of a,,,,ci 20/3
, 2
WItLIAM r-POPE
WILLIAM L.POPE NoMry Public,State of"a
;/, /�,c My
Notary Public Notary Public,State ot i-ionds Notary Public COMM,bores Oct 19,
My Comm.Expires Oct.19,2015 Commission No.EE 128745
Commission No.EE 128745 Revised 0 1.26.10
NOTICE OF COMMENCEMENT
FILE COPY !-".
Stateof 1�4n(_t&A_ Tax Folio No.
County of 1��, J y c,,-( Va
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.9F CO ENCEME�q.
Legal Description of property being improved: - 1�1_> -_1A Q- 44 k�( LU4;1
Address of property being improved:
General description of improvements:
Owner: 61jo_u Address: U 44-Lu,i� c
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Z)af�CD L i- d C,,A C4b r`�
Address: 1" IdO,4 c &exck F
Telephone No.: C)�,)_C3 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#2013062144,OR BK 16285 Page 1297,
Number Pages:1
Name and address of any person making a loan for the construction of the irnpr( Recorded 03/11/2013 at 03:30 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Name: COUNTY
Address: RECORDING$10.00
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
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:
Signed:
WXLIAM L.POPE Before me thi� rl 177— Jay of A in the Courky of 1juval,State
�d
Notary Public,State of Floride Of Florida,has personally appeared
My Comm,Expires Oct.19,M15 Notary Public at Large,State of Florida','County of Duval.
Commission No.EE 128745 My commission expires: /Z,:�� or
'Produced Identification:
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:
E-mail: building-dept@coab.us
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: lent review required Ye No
C-±Bu i 11 d�in�g __-) 7
1:5 Planning &Zoning
Applicant: 6,6 dM06 Tree Administrator
Project: Public Works
Public Utilities
Public Safety
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: ETA"pproved. E]Denied.
(Circle one.) Comments:
(:E�
PLANNING &ZONING Reviewed by: Date: 1-3
TREE ADMIN.
Second Review: nApproved as revised. nDe led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10