77 19th St 2013 replce stucco ell
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002371 Date 3/27/13
Property Address . . . . . . 77 19TH ST
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
----------------------------------------------------------------------------
Application desc
remove and replace wire and stucco
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LANKSHEAR JOHN D PRO-BUILDERS OF FLORIDA LLC
77 19TH ST 1115 OAKS RIDGE DR S
ATLANTIC BEACH FL 322335983 JACKSONVILLE FL 32225
(904) 386-0094
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 175 . 00 Plan Check Fee 87 . 50
Issue Date . . . . Valuation . . . . 25000
Expiration Date . . 9/23/13
----------------------------------------------------------------------------
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 . 63
STATE DBPR SURCHARGE 2 . 63
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 175 . 00 175 . 00 . 00 . 00
Plan Check Total 87 . 50 87 . 50 . 00 . 00
Other Fee Total 5 . 26 5 . 26 . 00 . 00
Grand Total 267 . 76 267 . 76 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road -71
/1 - _-Q3
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
r- E-mail: building-dept@coab.us Date routed: /z
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 77 119 S7- _Department review required YeV No
zdc —( Building��) V
4 -Zoning
Applicant: 5ing&
Tree Administrator
Project: Vf_ a 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: [!�Approved. FIDenied.
(Circle one.) Comments:
(EL D�IG
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. V
Second Review: FlApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
Mar 21 1309:27p Margi Petift 904-853-5250 P.1
BUILLDINIG PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5926 Fax (904) 247-5845
— — J,�,z JU)
r?,P7 -, _ k, R e*-4 .1-7- Permit Number:
Job Address: I 1 19 04- V rcel 9 0,ZP-
Legal Description
Floor Area.of Sq.Et 11
Valuation of Work S. 0-6V—Proposed Work heatedVcoolcd non-heated/cooled
Class of Work(circle one): New Addition Alteration Move Demolition pool/spa windowidoor
te
Use of existing/proposed structure(s) circle one): Commercial (lesidentia N'/A
es
If an existing structure,is afire spriWer systein installed?(Circle.one):
Florida Product Approval 4
For multiple products use proffuictapFf-oval ronn
Describe in detail the type of work to be performed:
yn
Property Owner biformation:
vl� -Address-
_�i J
Name: :3 �, J)
S
ip_ja 2-3 0 Phone
City
E-IVIail OT Fax 4(optional)
Contractor Information: �ing Agent: L 5 k-Z 0 SC-Z 6
Compariy Name:VeO E o=c? k Qualif�, 5c) ajVcL.L zip
,f State
Q CQ V 7-. Ci!y
Address: L5'5 0'�,kL (-p!7
Office Phone q 01 4 - 73 C 62_C1_<1_ ntact Nuancer
State Certifi�a-ti"on-/Re�gistrati�on n1D mAn
ATILAN14C
Arohitect Name&Phone#
Engineer's Name&Phone# T
Fee Simple Title Holder Name and
Bonding Company Name and Address—. REVHWED BY.
Mortgage Lender Name and Address -DATP- W9 1 4 1 ,,on h.as commenced prior a7h w-
4pplication is hereby made to obtain a permit to do the work and installations as indicated. 1cerf.fy111atnow5rZ4V 5icuims null
q1'apermil and that all work will bepedbrmed to meet the standards ofall laws regulating construction in thisjurisd;cton. Thisperrmlt� aulter
issuance dedorabandonedfara viod qj'sLrp)monjAs at any-tinte
and void rywork is not commenced wfthin six(6)months,or ff cons"ction or work is su
workiscor-,mencecL I understand that separate permits must be securedfor Electric5plVoIrk, Plumbing,kins. Wells,Foois, umaces,Boile", Heaters,
Tanks andAir Condhioners,etc.
WARNING TO OWNER: YOUR FATLURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT M YOUR PAYING TWICE FOR IMPROVEMENTS
To YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITR
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOV]k NOTICE OF
COMMENCEMENT-
�on and knmv!he same to be true and carrext. AUPrOvislOns of laws and ordinqnqe�190%le -is
'ry to a or=flik
lh b ceij�&that I have read and examined this lican authon , 1,10 the
" L" -
u e to au`40"";
"O'p
ere V be co�nplied with whether le herein or not. The grantirg of a permit does not presume to
j�w pfwork will ybimance ofconstruction.
peT
pro-vis.ons ofany ocherjeidia�r I rl�ef re "ring construction or the
or loca
Signatffe of Contra
Signature of owneT IN Lut_S go,
-S 12, C__ C)
Ly �- ,
Print Nam
Print Name ...... ............. ..........
Be
Before 9-o43 0 Q AC k-
this,4Z-Day of
LL L G��
Notary Public,State of Texas L 00 VS7
95 760
S
Not�n,.'Public 0 i�ION
�X4
My Commission Expires k21EiFebrL-ary14bMSe 10.24.12
October 01, 2015 ........ Bolded Thru Notary Public Underwriters
Mar 21 13 09:27p Margi Petitt 904-853-5250 p.2
NOTICE OF COMMENCEMENT
�PREPARS IN DLPLICATE)
Permit Tax Folio No.
State 0 County of
To whom it may conmcorn--
The undersigned hereby informs you that improvements will be made to certain real property,and in
ac-cordance with Section 713 of the Florida Statutes,the following informaUon is stated in this NOTICE OF
COMMENCEMENT.
Legal descriplJon of prDperLy be!Rg improved:
Add ress of property being i mproved:
General jescription of improvements: e k-1-1 0 I-le- 41
L4
e,�2
Owner .2
Address 7 6
Owner's interest in site of the improvement
Fee Simplel-itleholder(if other than owner)
Name
AddrLss
Ij Contractor
Address 75 E) ?
Phone No. (2 4--L��00 Fax N:).
�Jrety Of any)
Address —Amount of bondl S_
Phone ND� Fax No.
Name and aJdress Df @riy person making a�Oan for[he construction of the knprovements.
Name
Address
Phone No. Fax No,
Name of person%voln tfle State of Mrida,other than himself.designated by owner upon whom notices Or other
documents may be served-
Name t-c-A-( - ll P)t�o rk-
Addr-�. 4 (�I&
Phone No. Fax No.
In addition to him&elf,owner designates the following person to remive a copy of the Lienor's.Notioe 85 provided in
Section 713.C)G(2)(b),Fiodda Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expirakn date Of t4otice Df Gommencernent(the expiration date is one(1)yearfrom the dete of recording unless a
dKerent date Is specified):
THIS SPACE FOR RIECORDEWti IUSE ONLY OWNER
S4 led.:, j DATE
804afe Ma this Ar_g TA -Z:J-iz —in tho
00"Of RUIN.Slate of P ca 11
hFmselfi hcneJ End affirms Wat an�tatemer's emin TERESA F STILLWELL
Doc#2013075642,OR BK 16304 Page-483, Ere ry--and a'=Lrale Not3ry Public,State of Texas
Number Pages:I My Commission Expires
Recorded 03,'261:12013 at 01:42 PM, October 01, 2015
Ronnie Fussell CLERK CIRCUIT COURT DUVAL 4,
COUNTY joiary Ft"i,,uA Large,Slato-f
RECORDING$10.00
o r
personaily Knoon
P�odvced IdereFroaflon e7J7 5 9=CO4