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SIDING PERMIT 155 Levy Rd CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 . Application Number . . . . . 13-00002433 Date 4/08/13 Property Address . . . . . . 155 LEVY RD Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 ------------------------------------------- Application desc NEW SIDING ---------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CERQUEIRA ATILLION & CATHERINE ATKINS BUILDERS, INC 36 W 6TH ST PO BOX 51262 ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (604) 465-3749 ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee . . . . 125 . 00 Plan Check Fee 62 . 50 Issue Date . . . . Valuation . . . . 15000 Expiration Date . . 10/05/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL 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 125 . 00 125 . 00 . 00 . 00 Plan Check Total 62 . 50 62 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 191 . 50 191 . 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 Office (904) 247-5826 Fax (904) 247-5845 .fob Address: �� Uc ✓2� Permit Number: Legal Description Q 7q- -j r_ f / Parcel# 1 oor Area o q, t. t Valuation of Work$ � ��CiU '% �, /) Proposed Work heated/cooled non-heated/ cooled Class of Work(circle one): New Addition AlterationRepair) Move Demolition pooUspa window/door Use of existing/pro osed structure(s) circle one):. Commercial Residential If an existing structure,is a fire sprin er system installed? (Circle one): Yes No N/A Florida Product Approval # - p/ _ '711 For multiple products use product approval form Describe in detail the type of work to be performed:_g 7_'� Property Owner Information• ! h Address:Name: 1 AJO3 3111 5 , City /I2 i3 c t. State/ Zip " } Phone- E-Mail or Fax#(Optional) 9c�� - g Contractor Information• ll Company Name:_ZZ_7_/i,,,; Oc,v c;�t ;;, ; ' .1,�� Qualifying Agent:_ Jyl�ti /9 Address: �n City Tia IL StateL Zip2a_).S� Office Phcyne mot/- 5/tis—3 ley Job Site/Contact Number 49iftc Leff. Fax# State Certification/Registration# /j Architect Name&Phone# _1VE1qEMn DID V )IF Cob Engineer's Name&Phone# Fee Simple Title Holder Name and Address RIC 13EAC� Bonding Company Name and Address Mortgage Lender Name and Address in C%=QNS Application is hereby made to obtain a permit to do the wor � W ED ne�• issuance of a permit and that all work will be performed to mee e s an ar s o that no wao has commencedprior to the and void rf work is not commenced within six(6)months, or if construction or work is suspended or aba»doned for a_period o six16)n. n on hs at any time aftermit becomes er work is commenced. I understand that separate permits must be secured or Electrical work,. Signs, 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 FINANCING CONSULT WITU YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All proAtdinance's governing this type ofYwork will be complied with whether speci aed herein or not. The granting of a permit does not presutoiolae cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name q ```� , o`��N�SEPMn re Befog me �ssi '� this Day of20 3_z ' �' h+s Ay of 20 13 air #DD 4474 Notary ublic commission#EE 204217% a'!era °, t 1c Expires June 15,2016 �Gd p`c`�.�` •'k pc ° 9,,Wed rhmTmyFainlnswance8063857019 �.,,l�i,f is k, ��•` ReviredIO.24.12 NOTICE OF COMMENCEMENT Permit No. �3'"�y .�� NTax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): [ 23.3--a 2. General Description of improvements: / 3. Owner Information: a)Name and Address: ld .56 (11 .6�G sr f1iZ 3��. f2 31� b) Interest in property:_ c)Name and address of simple titleholder(if other than owner): Contractor Information: a)Name and Address: �/i�� S/� 2 b) Phone Number: c/�y �S_ 3.7 !/� Surety Information: a)Name and Address: b) Phone Number: Doc#2013081280,OR 6K 16312 Page 197, c) Amount of Bond: $ Number Pages: 1 Recorded 04/02/2013 at 11:22 AM, 6. Lender Information: Ronnie Fussell CLERK CIRCUIT COURT DUVAL a)Name and Address: fl/,/{, COUNTY RECORDING$10.00 b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a)Name and Address:'//, b) Phone Numbers of Designated Perso; >2 6e,11 rm - 33 5 83 8. 1n addition to himself/herself, Owner designates of copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. to receive a a)Name and Address: b) Phone Number of person or entity designated by owner: 9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be one (1) year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein qe true to the best of my knowledge and belief. Signatur fe or Owners Authorized Officer/Director/Partner/Manager Signator/1—s 's Prin d Name &T'.le/Office / City of Atlantic Beach APPLICATION NUMBER Building Department " t (Tobe assigned y'the Buildingbepa"rtment.) 800 Seminole Road � 3r � Atlantic Beach, Florida 32233-5445 Phone(904)247-5825 - Fax(904)247-5845 lr E-mail: coab.us -de building-dept@coab.us P @ �' Date;routed: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2,' VDepartment review required- Yes No uildin Applicant: z4-7k/A16 e61967Tk C`f-7 anning&Zoning � Tree Administrator Project: c�""/ �'�'t �'j l)�7In9Z'C"- Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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 S'TAT'US [Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: Approved as revised. L]Deni PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10