885 BEACH AVE RAAR PERMIT � b CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s� ATLANTIC BEACH, FL 32233
!;J
T INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002460 Date 4/12/13
Property Address . . . . . . 885 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5500
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Application desc
soffit repairs
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Owner Contractor
-
------------------------
-----------------------
TONEY EDWARD L FLAGSTONE GROUP INC
885 BEACH AVE 226-5 SOLANA ROAD SUITE 160
ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082
(904) 285-2279
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 5500
Expiration Date . . 10/09/13
---------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- --------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 00 . 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
Job Address: � �5 eo�� fir° Permit Number:
Legal Description Parcel#
_ oor ea o q. t. q. t
Valuation of Work$ ` Proposed Work heated/cooled—4.6— non-heated/cooled
Class of Work(circle one): New Addition Alteration Ceair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed. (Circle one): es N/A
Florida Product Approval#
For multiple products use prod ic—tapli—roval form
Describe in detail the type of work to be performed: ke(�A t S TU cc o Sn t --t
Property Owner Information:
�Ucc.Ja-c� �. 1 on 2-/ Address: i?
Name:
City 3c�.� State F Zip 2 t—OPhone v -
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: ���- Quali ing Agent: 1 � ire e-T,
Address: ?x'10 Pc��r� V k�e-t Clh State =L. Zip 20
Office Phone 904 -53'? -32 3 CP Job Site/ConntactlNumber gvH 571 - 626(, Fax# fORI - 285- I!o(At
State Certification/Registration#
Architect Name&Phone# Al
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thipis jurisdiction((. months at This permit becomes null
or work is suspended or and work void if
work
is not
t understand that separate monperths,
or if
construction secred for Electrical-Work,Plumbing, Signs,owlas,Poeriod ols, urnaces,Boilers,t1Heaters,
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 WITH
YOUR LENDER OR AN ATTORNEYBE OR RECORDINGMENTYOUR NOTICE OF
COMMEN1 herejlythat 1 have read and examined this app
t,r- lication and know the same to be true and correct. All provisions of laws and ordinances governing this
hp@'`' work Wii he complied with whether spect aed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
_provisions of any vrrasr federal,state, or local law regulating construction or the performance of construction.
pM _ Signature of Contractor
SignAture o=Own
= Print Name �. r ....... ....:.......... t� .'.''
Prii Name _...
Before me Before me
this J,2,Day of ! �Day — �.,R—�F—
NAM TWO KAKI J.THAYER
ublic stale
Nota Pu c MY CMM. �e.� al u 1c y �,� My Comm.Expires Nov 6.2016
Com ssion �E 2
COON0lon#F EE 144024 or- `�ev>sed l6�a.12
APR-12-2013 08:46 FROM:CLERK OF COURTS 904 270 1512 TO:92475e45 P:1/1
s. Doc#2013091203.OR SK 16326 Page 707. y
Number Pages:1
Recorded 041121201 a at 09:18 AM,
Ronnie Fus=el CLERK.
CIi�CU1T COURT pUVAt,
COUNTY
RECORDING$10.00 i
a
it ,v Tax.Folio anumber. 1?b. K -C�Y�
Perm.. number� - � 3 —
NOTICE O (O . +1-
STATE OF)FLORIDA
COVA7AA OF IDE/VALi
'.l IJE MDERSIGNED hereby gives notice that improvement will bo made to ceztain real.
property, andmi accordance with Chapter 713, Florlda Statutes,the following information is
provided in this Notice ofCommencememt.
I., Description of property.
2_ General descriptio of improvements.
I Owner information:
a. Nam and/Address:
b. Interest in propcsty: 6t-fNeiA 1 FL' 3;2
c. Name and address of fee simple titleholder(otbier than.owner):
4.. Contractor's name and address; C,
a. Phone number:'coq ry - .q2,3(,;- b. Fax number: L{-
5. -Surety iu[brmation:
EL Name and address: �lJ
b. Phone number: e. Fax number: d. Amount of bond:
G. .Lender's name and address:_ IqLA
a, Phone number: b. F-a ntunbe-r:
7. Person within the Mate of Florida designed by owner upon whom notices or other documents
maybd served as provided by 713-12(1)(a),Florida Statues.
Name and Addxesg:
a.Phone number:� -- b. Fax number.:
8. In additio to himself/herself,owner deli rtes
A_ of _ to receive a copy of the
Lienor's Notice as provided in Section 713.Z7(1)(b),Flox-ida,Statutes.
9. Expiration date of Notice of Conuneumment (the expiration date is oine (1) year from the'
date of Recording unless a diffimixt date is specified.) ,
Signature of Owner: _. . .. - - -- .. -- - ......
_.. . __
01 dr