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158 BELVEDERE ST 2013 SIDING �0 , %f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002369 Date 4/02/13 Property Address . . . . . . 158 BELVEDERE ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9625 ---------------------------------------------------------------------------- Application desc hardi brd siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PHILLIPS JUANITA CATHLEEN & THD THE HOME DEPOT AT-HOME PHILLIPS DEVON TODD SERVICES 158 BELVEDERE 207 KELSEY LANE SUITE K ATLANTIC BEACH FL 32233 TAMPA FL 33619 (813) 402-3700 ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 9625 Expiration Date . . 9/29/13 ---------------------------------------------------------------------------- Special Notes and Comments NEED NOC 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 1S4 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2013075500, OR BK 16303 Page 2391 , Number Pages: 1 , Recorded 03/26/2013 at 12:37 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 - 00 This Instrument Prepared By: THD At-Home Services 2G7 Kelsey Lane,Suite K Tampa,FL 33619 NOTICE OF COMMTNCEMENT --n Permit No. TaF.U.N.� 040CD State of Florida County of THE UNDEMIGNED hereby gives notice dial improvements will be made to certain real prop",and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement I.Description of propert :(legal de!cn* ' et addr=if available) ptiF of roperty,and stre VC 17?) 2.General description of improvement: 0 pj��? 3.Owner information 12 (a)Name and addr=: -i7J ln(A= (b)Intextst in prop (c)Name and address of fee Ample titleholder(if other than owner): 4.Contractor (a)Name and addrem: THD At-Home Services,Inc 207 Kelsey Lane,Suite K,Tampa,FL 33619 5.Surety (b)Phone number. 813-402-3700 (a)Name and address: (b)Amount of bond (c)Phone Dumber. 6.Lender (a)Name and address- (b)Phone number:_E[R�: 7.Persons within the State of Flodda designaled by Owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)7.,Florida Statutes: (a)Name and address- (b)Phone number 8.In addition to himsa Owner debignates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713-130)(4 Florida Statutes: (a)Name and address- (b)Phone ni her- 9-Expiration date of notice of commencement(the expiratioa date is I year from the date of recording unless a different date is specified) 'WARNING TO OWNER- ANY PAYMENTS MADE BY TEE OWNER AFTER THE EXPIRA-17ION OF THE NOTICE OF COlVPAFNC2vffiWr ARE CONSIDERED DAPROPER PAYMEMS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUk PAYING TWICE FOR%VROVEMENTS TOYOUR PROPERTY.A NOTICE OF CONC�4ENCEIAEMT MUST BE RECORDED AND PosrED ON TIM JOB SM BEFORE TBE FIRST INSpEMON IF YOU INMM To OBTADj FDUNCR4G�CONSULT wrm YouR LENDER OR AN ATToRNEY BEFORE M&AENCING WORK OR RECORDING YOUR NOTICE OF COMN4EN >1 0. zl�-- it,— . of Owner or Owner's Authori=d Offi—ADaect- Sippi==ory's i doffice___ Thefor ing instrurnent was acknowledged bcfbre me ddsk2:�day of '7 S (typo of authority.e.g.officer,trustee,attorney in f3la)for (na=ofpema)as_ (name of party on bdTalf of whom instrument was executed). RONALD ALLEN REEDY g NOTARY PUBLIC Signatare ofNotary Public-State of STATE OF FLORIDA Personalty known_orProda--- Cornm#EE&-k46M --AND.- 97-5 ri EVires 12r29=1 6 dnSUM Uader penalties of perjury,I declare that I hwm read ffic fuWing and that the fiu:ts stated in it am t-uc to the best nryknowledgeand w N2E, Revised 7/1107 of-Nat3ral Person CmLincill(I)Above BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904)247-5845 F 1 7) Job Address: 13b Pip iyebe*c (a- Permit Nui6l�er: A A n A IMR 4U �U Legal Description I crb Li -,"DL 29 C Snkat,- VQ_ I Parcel 14� _i—y A. B Valuation of Work$ Class of Work(circle one): New Addition , teratioft P�_epair emolition pool/spa window/door JM vZ (circle one)- I Use of existingtp=sed structure(s -ftomimercia "Reosidentia If an existing stru re,is a fire sprmkler system installed? (Circle one): Yes--No N/A Florida Product Approval# I S 1'0 - -)- For multiple products use product approval form Describe in detail the type of work to be performed: MSVOL U �C-) so knina-le s,;ciioq Property Owner Information: Name: Ak',�s Address: �%01 L--) city 24AW±�O_ gexb, State ftzipq Phone�q E-Mail or Fax#(Optional Contractor Information: THD At-Home Services,Tnc. Company Name: 207 Kelsey Lane,Stjite K Qualifying Agent: Address: Tampa,FL 33619 city State —zip Fax# (b 13) 6�3-411 IQ Office Phone �� Ijo,n,;�isb State Certificaflon/Registration Architect Name&Phone# I I E%Jvl V JLr,WZ11YOR CODE Com-p-L—m—NI"In Engineer's Name &Phone# if OW OF ATLATNT-ne MAUI Fee Simple Title Holder Name and Addre SEE PERMITS FOR 4_pP1T4E)?0& rn r Pnipv Bonding Company Name and Address REQUIREMFNT,1� A 1L. L. WWI I Mortgage Lender Name and Address A run V=WjW_)BY: DATF._75-d- 6 -1_3 ha 7 Application is hereby made to obtain a permit to d 77*jor tallation has commenced prior to t is "rf issuance ofa permit and that all work w' e er med to meet the stan ar S( uor" urisdi�ction._This permit becomes ni or Fnd or abandoned or aWeriod of six(6)months at any time afi and void[f work is not commenced with' sixP(6)-tonths, or if construction or work is suspe ed S work is commenced I understand tha e arate permits must be securedfor Electrical Work,Plumbing, i s, ells,Pools, Furnaces,Boilers,Heatei Tanks andAir Conditioners,dc. WARNI[NG 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 Y014i NOTICE OF COMMENCEMENT. I here 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 ti ly f a permit does not presume to give authority to violate or cancel t v'work will be complied with whether specified herein or not. The granting o provisions of any otherfederal,state, or local law regulating construction or the performance ofconstruction. Ksignature of Owner Signature of Contractor ................................ -'Print Name . . ... ... Print Name .............. . ........ .......... ............ Sworn%and subscribed before me Sworn t and subscribed before me su" this I,'-Day of 20 IJ thisADay of_DcaM12� 202 ,�Cc;_L� AB-Ij 9 Notary Public No U Ic RONALD ALLEN REEDY SAMANTHA �� Revised0l.26.10 NOTARY PUBLIC NOTARY PUBLIC STATE OF FLORIDA STATE OF FLORIDA Comm#EE&SW9 Comm#EE017867 Evires 12/2912016 IS"', Expires 10/25/2014 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) - 800 Seminole Road 13 .1 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: - 311 City web-site: hftp://www.coab.us I APPLICATION REVIEW AND TRACKING FORM Property Address: 1�flaolt,-L Department review required Yes , No --r� Building Applicant: In Planning &Zoning Tree Administrator Project: e�v Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: [Z�Approved. E]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [—]Approved as revised. F]De�/ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. FDenied. Comments: Reviewed by:_ Date: Revised 07/27/10