2279 Seminole Rd # 10 siding 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
l
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002894 Date 6/21/13
Property Address . . . . . . 2279 SEMINOLE RD UNIT 010
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3150
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Application desc
SIDING REPLACEMENT
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Owner Contractor
------------------------ ------------------------
DRISCOLL, KEVIN GALLIMORE CONSTRUCTION & HOME
2279 SEMINOLE RD # 10 IMPROVEMENT
ATLANTIC BEACH FL 32233 1629 10TH ST SOUTH
JACKSONVILLE BEACH FL 32250
(904) 838-7743
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3150
Expiration Date . . 12/18/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
SCANNED
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
C Office (904) 247-5826 Fax (904) 247-5845
Job Address: L2'i�l 5 W1U L0kC 2-C- -P, to Permit Number:
Legal Description :fib -zi Z 3�"�� ' Z9 � r ��99�5l Parcel# ���� � l ZS
Floor Area of Sq.Ft. --'Sq.Ft
Valuation of Work$. 3160 . Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercial ;sie i
If an existing structure,is a fire sprinkler system installed? (Circle one): es N N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: 5► (/�t w
F MPV
Property Owner Information:
Name: Address: 2 -
City Y1.tli R.- State-IL Zip Phone 0131 2011
E-Mail or Fax#(Optional)
Contractor Information: ' gCom an Name: ++k QualifyinA Agent
C� « t ►�Q
Address: 1 b Z9 - LDS^ City State L Zip 3 X25
Office Phone Job Site/Conta t Num #
State Certification/Registration# i% 1-7, 50 b4 C
_D FOR JE COMPLIANCE
Architect Name&Phone# 21 LAI- _7A T.4m
Engineer's Name&Phone#
Fee Simple Title Holder Name and AddressSEt ITS FOREnR DITIONAT
Bonding Company Name and Address AND CONDITIoNS
Mortgage Lender Name and Address REVIEWED Ev.
Application is hereby made to obtain a permit to do the work and installations as indicate . cert ence prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this juris tctton. ecomes null
and void tfwork is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_pertod of sixP6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, urnaces, 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 WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether s eci ted herein or not. The granting of a permit does not presume to give authority t violate or cancel the
provisions of any other federal,state, or to regulatin nstruction or the performance of construction.
Signature of Owner Signature of Contractor. /+ /
Print Name '�t!`.."............/`. t r�J..� ........ Print Name ! ....... .....V,to'[.. ..........................................
Sworn to and subscr ed before me Sw ubscribe ore-me
this ?4 Day of �, . 20 thDay o 20
^Y MARY GALLIMORE
N ub i :;
Commission Not
d `''•'.F,',�F F.�a�s i , } OMn 5nso
Expires July 14,2015 lIPMES:Februa14,2 4
fh� *hi Notary Public Underl�
�eBo dedTMuTmyFamb=ran. 0W7o16 d 01.26.10
NOTICE OF COMMENCEMENT
State of �� Tax Folio No. -
County of V, (�
F!L L OOP's
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and'ill"w" ort3an Za
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. p�q
Legal Description of property being improved: I✓J� t3
J�(q Z t 2 -51- -24 �,9 6� be W4-UD b rrWC
Address of property being improved: 2,219 VYYL- D11— Zk 16
General description of improvements: N� V-0-6,,(- ��
6lv,s Ap-U) o� 5A-CLkAD :5
Owner: r sco Address:
Owner's interest in site of the improvement: 10 0`7d
Fee Simple Titleholder(if other than owner):
Name:
Contractor: t (>,CiJ t woo�Q n
Address: I b M- 10r��^
Telephone No.: Fax No:
Surety(if any)
Address: Amnnnt of Rnn,1T —
Telephone No: Fax No:
Doc#2013138371,OR BK 16391 Page 1266,
Number Pages:1
Name and address of any person making a loan for the construction of the iml Recorded 05/31/2013 at 01:35 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Name: COUNTY
RECORDING$10.00
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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 OWNEVe Signed: Date: �J'Z3MARY Gp l LIMORE Before mday of � Lo 0 in the County of Duval,State
;: Commission#EE 102570 Of Floridppeared O)W iy� (('t C00
H :p Expires July 14,2015 7019 Notary Public at Large,State of Florida,County of Duval. 4tti
pt+�;�:' B."TWTmyFwn e�� My commission expires:
Personally Known: or
Produced Identification:
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Buildi!eZ
Department.)
800 Seminole Road Atlantic Beach, Florida 32233-5445
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
Property Address: �27q fli'yo �Oy'l Del2artment review required Yes go
Building
Applicant: gAfl1'Mn1.E �Q�Q� anning &Zoning
Tree Administrator
Project: ���/1/q 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
Reviewing Department First Review: roved. []Denied.
(Circle o Comments:
BUILDIN
PLANNING&ZONING Reviewed by: Date: r l ^�
TREE ADMIN. ❑App
Second Review: roved as revised. ❑Denied.
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
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