90 Ocean Blvd 2013 deck/stucco repr CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002329 Date 3/20/13
Property Address . . . . . . 90 OCEAN BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
----------------------------------------------------------------------------
Application desc
deck and stucco repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ROY SASWATA BOSCO BUILDING CONTRACTORS
90 OCEAN BLVD 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 REPAIR FLAT DECK AND STUCCO
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 150 . 00 Plan Check Fee 75 . 00
Issue Date . . . . Valuation . . . . 20000
Expiration Date . . 9/16/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 25
STATE DBPR SURCHARGE 2 . 25
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150 . 00 150 . 00 . 00 . 00
Plan Check Total 75 . 00 75 . 00 . 00 . 00
Other Fee Total 4 . 50 4 . 50 . 00 . 00
Grand Total 229 . 50 229 . 50 . 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
FILE CO
Office (904) 247-5826 Fax (904) 247-5845
&W
Job Address: qQ (DCO"a 6 )UCk A-6 _3 �d3�> Pet-iiiitNtitiil)ei-: _/'3 -- .,23)9
Legal Description5- Parcel 4
Floor An3a ot Sq.Ft. Sq.Ft
Valuation of Work $ o b-t) Propose Vork hpated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration e�D` Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No tttm
Florida Product Approval #
For multiple products use product approval I-orm
Describe in detail the type of work to be performed: o,�� rJ) a ck- Dcun�
-VQ CC,L----) j— I C
R DC0 A
Property Owner Information:
Name: 5Q f2kk�_ - 0 nLJ Address:90 ocorw\ (�Ikj(f
City Q-Q i AA C 1?:D Q C J, State jp�CZip 32233 Phone V(.N- -/'7"- �;T&Y
E-Mail or Fax-ff(Owptiona_l)
Contractor Information:
Company anie: &I 1d_,kn Gv�_s TAc-1)uali i gAgent:
State
Address: Al City)= zip,3
Office Phone!22Y-2 YZ Contact Number!2bv,2 53 (Woq Fax#C-A)v&W d&j (C%
State CertificationiRegis-tration-# C_
Architect Name&Phone# F
Engineer's Name&Phone#
Fee Simple Title Holder Name and ress SEE
Bonding Company Name and Addre REQ
Mortgage Lender Name and Address A
RRVMWED BY:// ( ( L_
DIA -A
Application is hereby made to obtain a perm aea i stallation has commenced prior to the
issuance ofa permit and that all work will be pe�jbrmed to inee(f he stan ar Y thisjurisdiclion. This permit becomes null
and void if work is not commenced within six(6)months, or if cons ruction or work is suspended or abandone. a period ofsix(6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electricaf Work-, Plumbing, 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and examined thisa lication and know the same to be true and correct. All provisions oflaws and ordinances governing this
c,
work will be complie ith whether e j fef herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfede X'state, or localsf1w regulating construction or the peifomance of construction.
Signature of Owner Signature of Contractm-�,
PrintName . . . .. ... ............... ................... Print Name I oz.........-E35-Co. ...................................................
Sworn to and subscribed be r me Sworn to and subscribed before me
this 1�( Day of 20/3 this I> Day of Ajen,=� . 20
,0j,t.-t! Vt/- A,)L/— -_ ---
Notary Public LUAMt.POPE Notary PUblic WlLL'_1AM L.POPE
Notary Public,state of Florida
My Comm,Expires Oct.19,2015 Notary Public,State of d 01.26.10
Commission No.ff 118745 My Comm,Expires Oct t%
Commission No.K 128745
DOC#2013068150,OR BK 16293 Page 940,
NOTICE, O�F CorqMIENCEMENT Number Pages:1 —I 1�1..,:.,.�;, k-".
Recorded'03ti at2013 at 12:07 P
Ronnie Fussell CLERK CIRCUI URT D.UVAL
COUNTY
Permit No.
__j 3_- 2-3-2-
Tax Folio No. RECORDING$10.00 FILE COPY
TI IE UNDERSIGNED hereby
gives notice(hat improvements will be made to certain real property,and in a_Mco1rA1n`c6%v'iihIS
713.13 of the Florida Statutes.the ffillowing information is provided in this NOT*ICE OF COMM ENCFM F N*V ection
I.Description of property(legal de-wription):5_7 t
a)Street(lob)Address: q6. ou'an 61 VA lu
2.General description of improvements: 5tv CC-0
3.Owner Information
a)Name anti address: 0_GCQw-v. V
b)Name and address of fee si nip le titleholder(if other than owner).--
c) Interest in property
41.Contractor Information
a)Name and address:
ty
b)Telephone No.: CaA4
__9 _� -_ Yt -03�Xo_ Fax No.(Opt.)
r\Surety Information
a)Name arid address:
b)Amount of Bond:
c)1elephone No.:
6.1.ender Fax No.(Opt.)
a)Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or ot I h-er docu ments-may be s.erved:
a)Name and address:
b)TeIgphone No.: Fax N o (0 1 pt.)
8.1n addition t;himself,owner designates th�Olowi�g�rson to receive a copy of the Lienor's Notice as provFdWin.-S-e-c-ti-o-n----.---,
713.13(l)(b),Flofida Statutes:
a)Name and address:
b)'I'elephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date Is one year from the date of recording unless it different date
isspecifled):
WARNING 10 OWNER: ANY PAYMENI'S MADF BY 1111E OWNER AMR THE EXPIRA110IN OFIVE NO1'10E OF
COMMIENCEMENT ARF CONSIDERED IMPROPER PAYMENTS IJNDr�,R CHAPIVR 713,PAR-I'll,SEC-111ON 713.13,
FLORIDA SI-ATUTES,AND CAN RESilur IN VO�JR PAYINGMICK FOR IMPROVEMEN-rs-ro YOUR PROPER-11'.
A NOTICE OF('OMMFN( FMFN,r MuS'r fir RFCORDVII)AND POS'FVD ON'FFIV 300 Sn'r HVj,0Rv'FjjV FIRST
INSPEC7110N. 11"YOU IN'I%ND'F0 OU'll'AIN FINANCING,CONSUL'I'VOUR LENDER OR AN A170RNVV BEFORE
COMMY.NCINC, WORK OR 1ZFcOIu)lNC. YOUR N0110E,OF - )MMI-*NCI-',MFN'
S`I A*1 b,'OF ViDRIDA
COUNTY OF PINKLI-AS 10.
sigila rNe L )w i we r 0 1 ori
The foregoing instrunic.nt was acktiowtodged bcflorc me(his I day of 20(,30 by
as (type of authority,e.g.orricer,trustee,
attorney in raco for Oisinic of porty oil Iwlkpir of-Alloo, insironle"I%-�as executed).
,'�na
.o�wiwn OR Produced Iftntificmion NotarN Signaltire.
Type of Identification Produced Nanic(prinl)
0R WILLIAM L POPE
Vcrificalion pursuant io Rection 92.52.5, HoridH Staluics, Lhidcr pc,.;mltjc.s of pci.iliry, I dt'.0,11L' thill I Nptp
% .Y(y4lic��SfAtw0f Pldfida
the factsmatcd in it arc truc to illc best of lily knowledj�c arid belicr. COMM. *ires Oct.19 2015
�xp*
COMMission No.EE 128;�5
'W-Of Neh"?d VA"Noll
Orl Al
City of Atlantic Beach APPLICATION NUMBER
�4 Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Z3 — 21�2.9
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _Dgpadment review required Y No
Building 3)
Applicant: 0 7P lanningl&Zoning
Tree Administrator
Project: Ila 7- Public Works
Public Utilities
(0 yev A-i 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 Al oholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: R!(Approved. FIDenied.
( t
Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date:_3
TREE ADMIN. Second Review: nApproved as revised. nP47,ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: r-JApproved as revised. []Denied.
Comments:
Reviewed by-.- Date:
Revised 07/27/10