2058 Beach Ave 2013 siding CITY OF ATLANTIC BEAV-H
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
' 19
Application Number . . . . . 13-00002890 Date 6/25/13
Property Address . . . . . . 2058 BEACH AVE
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
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Application desc
STUCCO
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Owner Contractor
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WAGONER LARRY D & JANELLE D CUPECOY CONSTRUCTION INC
2058 BEACH AVE 204 CYPRESS RD
ATLANTIC BEACH FL 322335935 ST AUGUSTINE FL 32086
(904) 418-3272
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 12/22/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 3S . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No
State of jt�
County of
To whom It may concern:
The undersigned hereby Inforims 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:
��ss of pfoperty being improved: A-9oct C,1111 j Iff- I
General description of improvements:
Owne
A)2 k ' ( I I yu
Address ag) 11, 24 14 Za5x 33
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
Address
Fax No.
Phone No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
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
Phone 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 Statutes.(Fill in at Owner's option).
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
[��ie�roreth�lsday�of
n th
Dc t Z,01 3161582,OR BK 16425 Page 768, ofDuv .0tateol'I'lorlda, �asp�ermona,�Ilyappeared�
herein by
Number Pages: 1 himseW.hers0find afrirms that all statements and deciarations herein
Recorded 06i2512013 at 09:35 AM, are true and accurat Nank-M-
Ronnie Fussell CLERK CIRCUIT COURT DUVAL [:-ANDREWGA0 ENTZ
COUNTY State 0�t Florida
Notary Public
RECORDING$10,00 Commission#EE 120983
7t(A Aqwsl-
11,2015
/Notary Public afthrW-S by
ta
"I.",;c n surance
r4y commissign expires (e
Personally Known
Produced Identifficalion
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
A
I Permit Number:
Job Address: . n bect C h ffi"jUL.
% Parcel
Legal Description 11117 1 1 "t
CIC-11'.IULN] Elf -T—t �
Valuation of Work$ ffo o Proposed Work heated/cooled_ non-heated/cooled_
I
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
6�
Use of existing/proposed structure(s) (circle one): Commercial Residential N/A
If an existing structure,is a fire sprinkler system installed? (Circle.one): Yes No
Florida Product Approval 4
For multiple products use product approvaTfo—r—m AA e c 0
Describe in detail the type of work to be performed:
Property Owner Informa, on:
Name. Address:ej,,�i n
Stat zip '
I.-IGL33—Phone
city 3Z
E-MaA-ilor F�aax 4 ((Op ional)—__
Contractor Information: ualifyin Agent:
Company Name: city State r=: 14 ZiP3-;�Z�
Address:
Office Phone
State Certification/Registration
Architect Name&Phone# CO
Engineer's Name&Phone
Fee Simple Title Holder Name and Add-ess FOR ADDITIONAL
Bonding Company Name and Address_ REQUf REMENTS7jyD-CONDITIONS.
Mortgage Lender Name and Address D BY* Z—
VAIE:—U.`
r installation has commenc!?d prior to the
Application is hereby mad I to obtain a permit do the work ano'installarlo us 111MM N, hisjurisdiction. Thispermitbeco,mesnull
to m rds of all laws r gulatinj construction 7 1 months at any time after
e donedfor aWeriod(
issuance of a permit and that all work will be pe�jbrmed eet the standa ended or aban )f six
menced within six(6)months, or if construction or work is su P6, Boilers,Heaters,
and void if work is not com F, Plumbing,Signs, ells,Pools, urnaces,
work is commenced. I understand that separate permits must be securedfor Electrica Work,
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
?f I nances governing this
Ihereb certify that I have!read and examined this a lication and know the same to be true and correct. Allprovisionso a a or
i a violate or cancel the
-anti does not presume to gi
type 17 ork will be complied with whether speci Ned herein or not. The gi ng of a permit
o w,
provisions of any otherfederal,state, or local law regulating construction or the pe�fbrmance of construction.
XSignature o Signature of Cont ct
PrintNa 'k ................. Print Name ......................................
me Before
Before e 201S this of n20
this D of
is IFEW G- I 0BF
MY COM ON DD 957760
Notary Public-State of Florida 14
ta ublic EXplFj F ruary 14,20
ommission#EE 120983 lic Uft
ary Public 10.24.12
...... onded Thru
My Commission Exp.August 11,2015 1
Bonded Thru Pichard Insurance I
City of Atlantic Beach APPLICATLON NUMBER
Building Department (To be assign&d by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 :.q;
-dept@coab.us Date Toutid:4
E-mail: building
lit Cityweb-site'. hftp://www.coab.us
APPLICATION REVIEW AND TRACKINu FORM
-No
Property Addressc::,?4.-64 '61 C'), Department review required Yes,�
7 ,�,Ruilclin
Applicant: - A, lq� V PA nsj 0 IV Planning &Zoning
Tree Administrator'
Project: A) 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
E]Denied.
Reviewing Department First Review: [9'Approved.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: ElApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 07/27ilO