423 AQUATIC DR 2013 SIDING �J\j
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003102 Date 7/24/13
Property Address . . . . . . 423 AQUATIC DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
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Application desc
siding
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Owner Contractor
------------------------ ------------------------
HATFIELD ROGER F. BIG D BUILDING CENTERS
423 AQUATIC DRIVE 3008 SANTEE PLACE
ATLANTIC BEACH FL 322333833 JACKSONVILLE FL 32260
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 7S . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 1/20/14
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Special Notes and Comments
NEED NOC
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 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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 L 19 82 0 W13
JobAddress: Permit Ni 1"y -
IM
Legal Description P H
r.0 0 19 Floor 7�_rea of Sq.Ft. Sq*I t
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition (Alteratio I Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): --- ommercia Residential
If an existing structure,is a fire sprinkler system installed? (Circle.one Y= N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: W-0A Vi"'ANI ( S'I 'm
<
Property Owner Information:
Name: No s Ixf i e-Q Address: q)3 Aq,,.g A;s.
city �&a F H, Y943--I ) -7
PtkU�t+i-� 16 qx-L, —State a- Zip:���Phone —Oa 1
E-Mail or Fax#(Optional)
Contractor Information:
�) w-
CompanyName: 9-112� 3 Qualifyin S4-42,W, ,)d1V_4
.�Agend?.
Address: �bol �;t;are,,t P44<-1z-' --City 3 CX 4 tj V I k-,L49 State zip 3 z zi-1
Office Phone 3 Sq- ( I I o i - Fax 9
State Certification/Registration KvWfth Eau
,--- I .,,L'L %_%YDE COMPLtVN
Architect Name&Phone#
j
Engineer's Name&Phone# e1TY0FATjAN-jjC BEACH r I 1 "no lks
Id SEE PERMFIN FOR ADDMONAL w
Fee Simple Title Holder Name and Ad re -R—E UIRENT21.1,415ANDCONDMONS. I ILL UUIF I
Bonding Company Name and Address
Mortgage Lender Name and Address RIEVIEMD By. n ogy
"A%JL
Application is hereby made to obtain a permit to do the work a.,id Z'13 Irs 1"7117C 212— stallat on has commencedprior to the
Ql�-�--_
issuance q
,fa permit and that all work will be performed to meet the siandards of all laws regul onstruction in thisjurisdiction. Thispermit becomes null
and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsixA�)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools, j rnaces,Boileis,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.
I here us app icatz, dknow the same to be true and correct. All provisions of laws and ordinances governing this
,lb certify that I have read and examined th' I, on an
eci
work will be coMplied with whether rfi'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 localsf,w regulating construction or the peFformance of construction.
Signature of Contracto,4,..� 2t�
Signature of Zwner
Print Name Print Name Orok-L 5revM JV6 aL5
........ .... ................... ..................................................................................................................................
Befor Before de
,0 jr
this lrwwbay of this NI 0 t A""014";M 20 13
a Raw
Pu Gemonven"98 Mam
Notary Public a$now= Notary Pub E W"
INN IbNo MOW ft"Alm.
City of Atlantic Beach APPLICATION NUMBER
5- Building Department (To be assigned by the Building Department.)
v 800 Seminole Road
- X -5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
r) 19 E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -3 /1 tj C, Denai[tment review required YevlNo
"'Buiiding75
Applicant: PI—anning &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
Reviewing Department First Review: �Approved. E]Denied.
(Circle one.) Comments:
vo
(B U
::1L D�I
PLANNING &ZONING Reviewed by: Date:_2-d-3-/-3 .
4
TREE ADMIN. Second Review: [:]Approved as revised. DlDeniek/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. TaxFolioNo.---
State of r-L County of X-5 I,
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: �;6 C e" 1�C 6-7�46-kl-� S.
Address of property being Improved: 44 V)2) 84,0&7�% C�
General description of improvements: %X)00 rA
4
Owner
Address 4941 P 4'�S 62,,,4�
Owner's Interest in site of the improvement
Fee Simple Titleholder Cif other than owner)
Name
Address
Contractor 4�AOA-V-d: 5TSVEN LlAydoeiojS, TWC.',JbA 616
Address
Phone No. 6 1 1 0 Fax No.
Surety Of 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 withfn 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 cooy 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 ofCommerWement(the expira date is one(1)year from the date of recording unless a
different date is specified):
1
THIS SPACE FOR RECORDER'S USE ONLY OVWER
S�n.d� DATE
Before me"thIs 4/ day of —�t 0 1 V in the
COX
Duva
ptate 9f Florida,hT persoMly appeared
14-4--c"( — herein by
Doc#2013191422,OR BK 16465 Page 1973, hirnselfrh F�d lfig—&h'�H 9j0mfAnM1manjs.QrfWdCdLdQ
Number Pages: I are Inue an
Recorded 07/24/2013 at 12:50 PM, 0 ON"F.INVOWN
Ronnie Fussell CLERK CIRCUIT COURT DUVAL many of"On"
COUNTY JIM 111.2016
RECORDING$10.00
4.Lt'awy-Pub t
My COM IS
Persona — — — — — — — —
Produced Identificafion