Loading...
358 7th St (vault) CITY OF 4&4^4-c Se.,,A Office of Building Official REQUEST FOR INSPECTION Date--�/qLds/, Time Permit No. Received_ fMM-11 District No. 3,r�g- —)-f4 (14 Job Address Owner's Locality Name Contractor moyu-�,-,Q BUILDING CONCRETE ELECTRICAL PLUMBING Framing 0 Footing 0 MECHANICAL Fie Roof Ing Rough Wiring Rough 11!5� Air.Cond.& 0 Slab 0 Temp Pole Top out Lintel 0 Heating 0 Final Fire Place 0 READY FOR INSPECTION Pre Fab Mon. Tues. Thurs. Friday A.M. —�P.M. Inspection Made Inspector Final Inspection El Certificate of Occupancy Date CITI 4&aa&c Be=A-49&u-da Off Ice of Building Official REQUEST FOR INSPECTION Date Permit No. 7 7 0? T m ime Received District No. Job Address Locality Owner's rName Contractor ��ilkn 0 /1 CONCRETE ELECTRICAL PLUMBING MECHANICAL Fra Footing ED Rough Wiring 0 Rough 0 Air.Cond.& 0 Re Roofing 0 Slab El Temp Pole 0 Top Out 0 Heating Lintel 0 Fire Place 0 Pre Fab READY FOR INSPECTION A.M. Mon. G� Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector Final Inspection 0 Certificate of Occupancy Date CITY OF 4&4ak-c BeacA-0;&U-c& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Tim�v District No. Recei ad Job Address Locality Owner's �/ o Name Contractor a BUILDING <—_§0NCR ELECTRICAL PLUMBING MECHANICAL Framing 0 Foot RoughWiring 0 Rough 0 Air.Cond.& Heating Re Roofing 0 Slab 0 Temp Pole 0 Top Out Fire Place 0 Lintel Pre Fab READY FOR INSPECTION A.M. Mon. 114�T---- Wed. Thurs. Friday—P.M. Inspection Made —P-TA Inspector— Final Inspection 0 Certif Icate of Occupancy Date DEPARTMENT OF BUILDING 7769 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 17 02 il 77,105CYT PERMIT TO BUILD 5306 1 A r.IWO THIS PERMIT MUST BE POSTED ON JOB 770` 9 .011CA, June 6 86 5106 1 FA 9-/n6/ Date 19 Valuation$ 16,000.00 Fee$ 77.25 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Brett Hammond has permission to build room addition Cla,,ificati residential Zone- Owned by Brett Hammond Lot— 358-7th Street Block_S/D House No. According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material, rubbish and debris 34 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra or or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BFACH APPLICATION M MAKE ADDITIONS OR ALTERATIONS .SS Plione2-/ Architect Address Phone Contractor Address Phone Contractors License/Certification Numbers Expiration Date Property Address Zoning Lot # Blcok or Unit # Subdivision Valuation Of Construction $ 14ar ' ) Type of Construction Describe Work to be Perf ormed ATTI�rttn L4,22 7�- Materials to be Used jC:,Aj> Present Use of Buil Proposed Use of Buil Flood Zone Oj s,0a;�Nr"A Dimensions of New Area: HEATED ('0 rg W.4,CE OR SMRAGE CARPORT OR PORCH 2A DECK PATIO 'YES NO Will there be an increase in number .of units? Will there be a decrease in number of units? Any additional pluabing fixtures? Any new fireplaces7 SUBMIT TW CONPLEIE SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Date Signature 00NTRACIOR Date -Address as g - tk ZA Heated Square Footage @ $ _S9,0 C) per sq ft = $ Garage/Shed $ ____per sq ft = $ Carport/Porch -@ $ ____per sq ft = $ Deck @ $ __per sq ft = $ Patio @ $ ____per sq ft = $ TOTAL VALUATION: $ Do C)c) ["(::) '$ 901, Total Valuation- U 2L 0-CC) \ I uc) 0 5c) $ Remdmder Valuation P45(per thousand or ion thereof -------------------------------------------- Total Building Fee $ ADDITIONAL PERNITS and/or FEES REQUIRED $ + -,- Filing Fee Mechanical Fireplaces @ 15.00 $ Plumbing BUILDING I PERMI T FEE Electric/New Electric/Temp Septic Tank BUILDING PERMIT $ Well WATER METER CHAFj3E, $ Swimning Pool SEWER IMPACT FEE $ Sign WATER DIPACr FEE $ Water Connection MISCELLANEOUS $ Sewer Comection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES MAP SHOWNG SURVEY� OF 14 0 FEET L.0 T 25� AND T�jr EAST 20 FEET OF THE WEST )OK 5,-� PAGE 8, ATL,ANTIC BEACH ,A5 RECORDED IN PLAT B� COUNTY F L.ORIDA., UBL.IC RECORDS OF DUVAL CURRENT P 7 VeAl 7�v zed,5 r 7" t4 7.9' rVw ll'�-"!',",Xl,J 0" I� 11 1 Not A 4A I N F LIQ 0 0 ZONE I HEREBY CER11FY 1HAF T�IE PfiOPERTY 9HOWN HEREON '15 ITY Op AS 5HQWN ON THE FLOOD HAZARD BOUNDARY NIAP FOR THE�,,� IC BEACH., FL,0RIDA. ATLANT I HEREBY CERTIFY TO ADA HAMMOND THAT I I HAVE 5,URVEYE'.0',',"'T�t,F,'��'L��ANQ5 AS ` CORRE�T, VE CAPTION AND THAT THIS MAP 15 A JR., F,,",,AND SHOWN IN THE ABO NTED HERE. REPR.FSENTATION OF THAT SURVEY AND THAT THE SUR, LOR IDA, IMUM STANDARD REQUIREMENT5 �ADDp 0), L JQN, MEETS IHE MIN N IT E 'OF SSIONAL L AND SURVEYOR�, AND THIE I SOCIE-Ty PROFE A ATION. D:: -)"U&,V-V -7", 1-�roB SCAd:I" i.00, FLORIDA REGISTER&LAND SURVEYOR No.U90", -4U*VCYOR 48 PENMAN ACAD�S DOWN W. 93ATWAIGHT-LAND OUTW7-1 411� DEPARTMENT OF BUILDING 8188 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 12/17/86 19- 477 *00 TJ 42 .00 4P.nacri Valuation$ Fee$ 7669 1A 12/17/ell This permit not valid until above fee has been paid to City Treasurer,and is 8168 #00CA 7 ,AJ 7669 1 , subject to revocation for violation of applicable provisions of law. A I P 7, 1 EMORY HEATTNG N This is to certify that has permission to 9Nd INSTALL NEW HEAT & AC RESIDETTIAL Classification Zone Owned by BRETT HAMROND Lot Block S/D_ House No. 358 SEVENTH STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material, rubbish and debris Z-1 from this work must not be placed in public space, and must be cleared up and a ed a7ay by either con- owne�r /_4K7 g Official, FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER ___tATER BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. LOCAMN Street Address:. I OF Intersecting Streets: Between by, _And_rf�_)j1,Prr� br; BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in ac ordence 'with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of goo&.practico listed therein. Name of "Is I Contractors C"froctor (Print kj, 4 W 1'y &Pf&� Msf., 0—A6 Lit,a_6,� Name of Property,Owner Tyrt-P11--, Al 14",AM�d M=of Owner Signature of izecl Agent Architect or Engineer III- 604MAL INF46W� A, Type B. IS OTHER CONSTRUCTION BEING DONE ON 8"Bodric THIS BUILDING OR SITET (3 Gas—0 LP 13 Nolivroll C) Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 13 00 PERMIT 13 Offier — Specify IV. 11411113MMICAL NW"4~ TO N INISTALLID NATURE OF WORk IPM�00 complete rat of components on bad of this t5-""Residential or Commercial C2100'Hsat 0 Space 0 ItecoseW =C60mill 0 Floor, 0 Now Building Cl""Air Consitfloah": (3 Room P-11�antrsj ffrExis,ting Building wiftt swet": Material Tldcknm 0 eplacement of existing a ystern Maximum capric 1 .2 C)0 ��Nsw Installation(No system previously,Installoo 0 Extension or add-on to existing system 93 Refri"astim 93 Cooling fewior. Capacity 11 Other — Specify 13 Fire sprinklers: Number of hiss 0 ft"for Q Monfift 13 Escoloto THIS SPA= ion OFF= us afty C3 &solloo pumps (number) cj� T" (number) Itemarks 13 LIN corhoinom—Number) C) unfires!P"Mure vow 0 11111111110011 Permit Apprevocl 13 Other Spoc* Pormit XJST AU EQUIPMENT AM CONMON)ING AM RUIUGERATION EQUIPMENT Me"Number MmufaebuW C11110"Ity "7 /);ftXW A 0� .4 0i d09 k OjItC, V�Souesl 1:0 NO pof Gond & cofmackw S5 " \,Ce �"�461- �:kve 3O)D VOCT -Top okik pfe Fab ovxn(3 SeNeT O\Nt)e� T\laqle - �:Oc)og ovk%,As?'ec�T%OtA -T�)kjvs- wilox"G — S�ab IF �"Mxog vkepU'l Be vkOoking \Ned, P-m \f\S\J\a'w\ \,,peck' P.-nO �7\r\a jues e'�'�kcake "\Aor% ()Ole \"'Spoc'�On mad \Ispeo-ol Wa,bl� CITY OF office of suilding Of tic'&' REQUEST FOR INSPECTION Permit NO. Dots M. District No. -�L�4�Lj Time Received Locality job Address contractor 15- 1 �EC?!14LAN!�ICA L owner's PLUM 'It Name CAL 0 Air.Cond.& �40 CONCRETE ELECTRI Rough Heating BUILDING 0 Roughwiring 0 Top Out 0 Fire Place 0 0 Footing 0 Tamp Pole 0 pro Fob Framing slab 0 As Roof ing C3 Untel 0 Final A.M. READY FOR INSPECTION Friday---�P.M. Thurs. Wed. A.M. Mon. P.M. Inspection Made Final inspection E3 Certitic8ts Of Occupancy inspector Date CITY OF 44440 Ojjjcq 01 Building Officis' REOUEST FOR INSPECTiON permit No. Date A.M. District No P. Time Received Locality job Address Contract-, MECHANICAL owner's PLUMBING 0 Name ELECTRICAL 0 Air.Cond.& CONCRETE RoughWiring R()Ugh 0 Heating 0 BUILDING Top Out Fire Piece Footing Tamp POle pre Fab Framingng Stab Final A.M. Re R00fl Lintel READY FOR INSPECTIO N Friday P.M. Thurs wed. A.M. Mon. (Lu D. P.M. Mode Final inspection inspectiOn Certiticate of occupancy lnsP9ct0r Date CITY OF ?- Office of Building official Date REOLIEST FOR INSPECTION Time Reogived A.M. Permit No. P. District No. Job Addreas Owner's Name Locality Contractor BUILDING CONCRETE Z– e— Framing ELECTRICAL PLUMBING 0 Footing 0 Rough Wiring 0 MECHANICAL R&Roofing 0 Slab 0 Te Rough 0 Lintel mp Pole 0 Air.COW.& 0 0 Final 0 Top out 0 Heating Fire Place Mon. Tues. READY FOR INSPECTION Pro Fab inspection Made W ,I h�umj 0-1 A.M. A.M. ----P.M. Inewtor C Final Inspection C, Cert'ticatO Of OccuPancy Date C) : n n n C) 0 z I R tzi i t-j �o �po F-i t-A n �-3 0 �rl R �A �-i L-4 F-I�--A 0 z 0 Z �-3 z tlo C)" FA 0 m 0 En M 0 z C/2 13 1 �-3 C) �d z m W�-3 M M Cl 1 1-3 0 1>3 C-0) [�o--oj M Lo" 0 -_j CD N3N.) n �-3 C) --i F- C> = En I CD LI)W �-3 En n I -- cn LnR otlo" I C> �A m F-3�rA 0 M�-3 w C� pq M >4 z a) "Z �-3 z w t-i Z"> �<t� �3 �-3 w t7i 0 ftj Cl MW I F-3 z t-j �-3 tv CD F-A 0 C> 0 �l C) CD t-i t-I t=j (Ppn 0 C� CD t-i 0 F-i 01�-3 W z C) " W--1 M" M z (--.- .Do� . i En z z 0 (7) CD C:) 0 cn ci m M a*- C:)w CD a. LAN Z5 OR CITY OF ATLANTIC BEACH CODE ENFORCEMENT DIVISION 800 Seminole Road Atlantic Beach, Florida 32233 PHONE: Z47,5855 COURTESY NOTICE OF VIOLATION DATE 7TIME OWNER/OCCUPANT ADDRESS THE INSPECTION MADE OF THE ABOVE PREMISES THIS DATE DISCLOSED YOU WERE IN VIOLATION OF ORDINANCE: OF THE CODE OF THE CITY OF ATLANTIC BEACH, FLORIDA. YOU CAN COMPLY BY 5 p 7;,, V/A.-a:- A 7--,e!: 6Z XMOE.-� 4g, WITHIN 6-- DAYS OF THIS NOTICE THIS IS A COURTESY NOTICE IN ORDER TO MAKE YOU AWARE OF A VIOLATION OF THE CITY CODE OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS OR WOULD LIKE ADDITIONAL INFORMATION PERTAINING TO THIS NOTICE, PLEASE CALL ATLANTIC BEACH CODE ENFORCEMENT OFFICE. CODE ENFORCEMFCJ�ffICEH RECEIVED BY CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 04-00028069 Date 4/08/04 Property Address . . . . . . 358 7TH ST Tenant nbr, name . . . . . . 9 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - - ---------------------- - - ---------------------- WATTERSON. SHARON CERTIFIED ENVIRONMENTAL SVC. 358 7TH STREET 8892 NORMANDY BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32221 (904) 695-1911 --------------------- ------------------ ------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - . 00 Permit Fee . . . . 98 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICA13LE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 800 Seminole Road Atlantic Beach,Florida 32233 -it (904)247-5800 7 Job Location: Owner of Property: 12 A/ "ta2ki/_ Telephone: /3 3A0 Plumbing Contractor: Ceiz L El F,IV V Ik 0 AIM!L-jh 02 V1 11yr. Contractor Address: -7 e (3/vd 0-1q 8(?' 44) 1Z 0(v - I State License Number: C 7- C, 0S_2, 7 e Z_— Telephone: 6 I-S-111L How many of the following fixtures: El New or Re-Piped SINKS SHOWERS LAVATORY WATER BEATERS —BATH TUBS DISHWASHERS URINALS DISPOSALS 2, CLOSETS WASHING MACHINE FLOOR DRAINS SHOWERPANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER Minimum Permit Fee: $35.00 Total Fixtures: X $7.00 + $35.00 Signature of Owner: Signature of Contractor: Installation of plumbing d ures must be in accordance with the most recent edition of the '0 Southern Standard Plum Code. Call a day ahead to schedule inspections: (904) 247-5826 CITY OF�ftoin e jP 0 �J 6 �- 7 /-�r- 1114M& Co ie/z 4-C OffICS Of Building Official S r z oef KDate— REOUEST FOR INSPECTION !I — Permit No. Time L1--7 5�' - -74,9 Received P.M. District No. 7ek -7 Job Address 0 Locality ame Contractor a4i, BU UILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Fram Footing El RoughWiring [I Rough 0 Air.Cond.& 0 e Roofing 0 Slab 0 Temp Pole Top out Lintel 0 Heating Fire Place Mon. READY FOR INSPECTION Pre Fab Wed. A.M. Inspection Made Thurs. A.M. Friday P.M. P. Inspector Inspection 0 Certificate Of Occupancy Date 09: 11AH ATL BCH CITY HALL P.1 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:-,3--S�- `�� 87 OWNER OF PROFERTY: PLUMBING CONTRACTOR! CONTRACTOR'S ADDRESS; STATE LICENSE NUMBER; -270 2, TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER&-etPrC-14^6 4 TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: A 00, SIGNATURE OF CONTRACTOR:_ --------------------------- - -------------- -------- --------------------- INSTALLATION OF PLUMBING A FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANTARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. ------------- '0110ARTMENT-OFSUILDING CITY OF ATLANT 10 BEACH ON MR"T X'v 'ST 0 ZNTH ie r 1%i'llt ff"1�116 e -Addr Os s l 6158,' ll*,p j�df�1'0, 3 '�6 pl*UMB I N( ATLOT 1 ]DIM S of 14�6 r,k Al CRIPTI oC)C L t 4 oli 0,t v. Typ WOOD, 'On 0 s e d ds t' $I -6c t 'a- ACIJJ� u '4ivisi0n'*AT- 'LAN T I C 0 0,D 0 T 't 2, at VENT -ANP� DP A I XL T NF,, k X"I 00 N prt k PLICAT-10 T Add ORIDA: 322,40 4W `4 A -A T INC ONmtgT iad i �LORI I; E:3tp c.PC, ,y 7777777 NOTE, 14OT,IC.a, WSPECT OUESTEO AT'LEAST a4r HOURS PRIOR To Jt4SlPtCTION" MU 'S!T.'8E RF 4 lu:� M A TEA'I A L RUS 0$H AND QEJ,3pl�,FROM THIS WORK MUST NO"'E PLACED IN'PUBLIC SPACE,AND:MUST BE u NG AWA HER C y'By E ONTAACTOR 0 1-R CLEA- 14ED UP,A NO IT OWN OFAILL W CAX-Rt-$ULT'Jgw�� 1-k To' c Omkv'�VITWT lLj,rg:k' LA 'Ro VL NGtM WL01NOW SUBJECT TO,RF.VbCAT-rlON"fORI �ISSUtl) ACCORDING TO APPROVED PLANS,'WHICH ARE' PART OF THIS PERMIT AND APPLICABLE PROV OF LAW. ON OF� isl()N� n37,m It -SEAC)"'BPJL�' ARTMENT r ef. 4 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 -Tel. (904) 247-5826 ROOFING PERMIT IN JR111rK -ull, 0 MkUg�res_ e mi ber: Z-5410 Permit Type: RE-ROOF -ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square.Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 4,120.00 Date Issued: 2/14/2002 IERR,Y.1 VRML KZ,>UN Total Fees: 40�00 Address: 358 7TH STREET Amount Paid: 40.00 ATLANTIC BEACH, FLORIDA 3 2233 Date Paid: 2/14/2002 Phone: (904)695-1911 — MH 4U.U0 ......... 00-F M .......... ............. g Ri .0,0 N N, mof -77- E: ON,!1% M% 7: X4 at R5 a 1, 00 MIR jgg NOTICE - I ED'1AT`t;EA*S7TZ4­H TION 25. T i I WO SPACE, AND UT. -­ff. ',­ . _a BUILDING MATERIA KUWM5. R KAI G �LzR MUST BE CLEARED�� Tj *NSTRU("'r3fN Kk I ,ONL 140 Nw-M.. "FAILURE TO CO THE SIM — PROPERTY OWNEW -N, 'A P ISSUED ACCORDING TO Ap� E- A BJECT TO REVOCATION .......... FOR VIOLATION OF APPLICAB �9­ 7.7 OpenDSHITH Date: 2/15/62 01 Receipt no: 34857 Total.tendered S48.@8 Total paysent $49.66 CITY F ATLANTIC BEACH 7 ? PAID I FEB 8 2W CITY OF ATLANTIC BEACH CW ROOFING PERMIT APPLICATION JOB LOCATION: 36- k OWNER OF PROPERTY: - I -TELEPHONE:: CONTRACTOR: CO.NTRACTOR'S ADDRESS: 6 t7 f -ZJP:-3 -2 STATE LICENSE NUMBER: TELEPHONE: ;41 DESCRIBE WORK TO BE PERFORMED: Cg=�2�A&,-, A—,A 1-5 C4 r-00 VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED:_ 0 SIGNATURE OF OWNER: t SIGNATURE OF C NTRACTOR: DAY OF §�YO,RN TO AND SUBSCVIIBED BEFORE ME THIS 17 �C/6^1 AS TO OWNER: NOT, Y P LIC SWORN TO AND SUBSCRIBED BEFORE ME THIS 71 DAY 19 AS TO CONTRACTOR NOTARY PUBLIC Liability Insurance Supplied GEORQ:1W A:HOFW My COMMISSION#DO 03M EXPIRES:June 3,2005 Workers Compe�sation insurance Supplied Bonded Thru Nol&ry pu*Und� Contractor License Information Supplied Occupational License information Supplied 5 MIN. RETURN Vook 10350 Page 55 PHONE PI%Q"9p-20 U Pa 55 Fil: A RK*VdW wejo$12002 03-.48:29 PK NOTICE OF COMMENCEMENT nN FLUER mEn tatuiii MAT WK CW ("I tUND $ 1.00 TO WHOM IT MAY CON CERN: -REMUS 6 5.00 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Secton 713.13 of the Florida Statutes, the following information is Stated in this NOTICE OF COMMENCENIENT. Description of -3 -741 /_3 Proper�y zz General Description of improvements /V 41" 00 1 0`7 Owner 0 .4-1 Address: Owner's interest in site of improvements: Fee Simple Title Holder (if other than owner) Name Address, Contract�r 0 Address— qE�— Tv L_-,�3+_- fq 1-c- 13 C 4 Fz�- 3 2-�2-73 Surety (�f any) Address Amount of Bond Name of person within the State of Florida designated by owner upon whom-notices or other documents may be served: Name Address— In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(l)(F), Florida Statutes. (Fill in' at Owner's option). Name Address: P t-It ki, 6 Z---7 �le-7J<3�- A J.CP C "K F4P GLORIA j.CASTERLINE-MCLAUGHLIN my C()MMISSION*CC 976739 0 1 EY R1 P1 oil EXPIRES:De-mber 8,2004 Owner -:N F L F I.80�TASY FL NOt"SO— Bording,Inc. �w a : d . Sworn a and subscribed before me this dayof _4�_ Lw Notary PubliG;;�'