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70 W 9th St Siding 2013 N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002807 Date 6/12/13 Property Address . . . . . . 70 W 9TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3160 ---------------------------------------------------------------------------- Application desc siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH, EARL G PERMALAR INC. OF FL. , INC. 70 W 9TH ST 8841 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 721-2227 ---------------------------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 3160 Expiration Date . . 12/09/13 ---------------------------------------------------------------------------- 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 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 3S . 00 35 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH JU 05 2013 800 Seminole Road, Atlantic Beach, FL 32233 N Office (904) 247-5826 Fax (904) 247-5845 44�12 0 Job Address: 29P UZ, 517. Permit Number: A rL.Mortc, SPE c- W Legal Description W9.7f-f i-arz aa68 Parcel# 70 813 70so 3 Hoor Area ot - Sq.l"t. Sq.Ft Valuation of Work S 4 16o, Proposed Work heated/cooled non-beated/cooled Class of Work(circle one): New Addition Alteration &� Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial k',:e ;sid:en:t:Qa1:) If an existing structure,is a fire sprinkler system installed? (Circle.one es Florida Product Approval 4 1 -3 V9,R -el, For multiple products use�Foduct approval form Describe in detail the type of work to be performed: H144,01C-_ 104-0411W St V Property Owner Information: E COPY Name: 111-'Attl- -gin I TH Address:_7 0 UZ, U), lsl= -Ic &f.4C.41 -LZip 3,gg_L3 Phone _57 Y 3 city jjT1.1j/y7 Statef E-Mail or Fax# (Optional) Contractor Information: CompanyName: Qualifying Agent: W14,1_I Af KO I/4W 6 State Address: 994fl AT City Tj-CKSA1Y VIZ-4111" - -L. . Zip 3,2AIL —_ 1 A I 49V�l ��111��1��111 MVF�1119;: us-E-2 -Fax# -791- 769A Office Phone -29 77 State Certification/Registration# Waal),IF()-R-COD—E Architect Name&Phone# ion# S:dl CBEACH Engineer's Name&Phone# SEE P-ERMfTs F0R7U3DTT_10NAL 7dj__A =RE!Mljp� Fee Simple Title Holder Name an ess_17 d Addr� st s S. Bonding Company Name and Address dd VIEV I A ress M� lzl:"�_ Mortgage Lender Name and Address r1-_A= i6 Application is hereby made to obtain a permit to do the work and installations as in ica or installation has commencedprior to the g lating construction in this jurisdiction. Thispermit becomes null issuance ora permit and that all work will be performed to meet the standards of all laws re u and void if work is not commenced within six(6)months, or if construction or work is sits ended or abandonedfor aWeriod of six�6)months at any time after work is commenced. I understand that separate permits must be securedfor Electricarwork,Plumbing,Signs, ens,Pools, Purnaces,Boilers,Heaters, Tanks andAir 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere 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 this 1�1w( )rk will be complied with whether specift'ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or local I w regulating construction or the pe�formance of construction. Signature of Owner Signature of Contractor Print Name ,�e,r 4. ........... Print Name . ..... ................................r4 ...... ..... ........... Before me Before me th Day of 20 13 this_8jtk Day of 2013 RONAW 8.L*02 Notaqpr.VS,4c Rowc, 41t�ft NU Notary Public MY COMMLSSION#EE WO EXPIRES:Fobfuery 15,2017 "TTRevised 10.24.12 4 !700 kw TM W N"swots IXRIR9;!Forugly 15,2017 k1*TI"DWN"WrAW OF 1111131101�v NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. /--5—2ci-0 2 Tax Folio No. 170 913 - q0SO State of Florida County of Q L/V,*1- To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: ??"*77C- 64de=H W 6.7 P�T 1.o-r 1 1 6 98.&.07' i-o-r A &8 Address of property being improved: 70 to.9A Arlsvff77c, -3473 General description of improvements:— 671',01,tyC, Owner Address ,a V1 C?jA 57 P-71-"-Y7C- 144!�14CI71, EL 3- 9 33 Owners interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Permalar Industries of Florida, Inc. Address 8841 Atlantic Boulevard Jacksonville, Florida 32211 �jw Le PhoneNo. 904-721-2227 FaxNo- 904-721-7682 Surety(if any) Address Amount of bond$ Phone No. SIX D FOR CODE COMPLIANCE Name and address of any person making a loan for.U- con 'wrfft'ffl"mvW JOEAcH c Name T "SEE PERMnS FOR ADDMC)N A 1fZVU1XEhfENTS AND coNDITIONTS. Address Phone No. Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: �AOW&� ANN& Name jW&ank--�AM& �� Address VA , Phone No. In addition to himself, owner designates the following pe t ided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner' ption . Name Address Phone No. Fax No- Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Signed: DATE Before methis3rd dayof 71FI44— A4913 in e County of Puval,State of Rorida,has personally appeared 6�44L G. S0117�q. herein by himself/herself and affirms that all statements and declarations herein are true and accurate Doc#2013142345 OR BK 16397 Page 1125, Number Pages: i ' Recorded 06/05i2013 at 11:16 AM, COUNTY Notary Public at L4rge State cf County of QzJ11149-e- Ronnie Fussell CLERK CIRCUIT COURT Dt RECORDING$10.0(D My commission expire�: Personally Known or Produced Identification n- g t Ll"--07 RONALD C.LYNCH MY COMMISSION f EE 857628 EXPIRES:February 15,2017 BMW Thru Budgat Notary Smices AV, V City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road -7 -5445 Atlantic Beach, Florida 32233 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 'I' — D Property Address: 7d J7 _P=artment review required Yev"No Building D P Applicant: Wrm'a /ar A lannin� Zoning Tree Administrator Project: 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 Revievving Department First Review: MA/pproved. ODenied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: TREE ADMIN. 011 Second Review: []Approved as revised. E]DenieY PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05114/09