700 Beach Ave 2013 beam in garage CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r it
Application Number . . . . . 13-00003255 Date 8/14/13
Property Address . . . . . . 700 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2800
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Application desc
repair support pipe in garage
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Owner Contractor
------------------------ ------------------------
SLEEPER JULITTE ADAMS RED STAG CONTRACTING INC
700 BEACH AVENUE 2908 INDIAN HILLS DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
(904) 226-4477
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 6S . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2800
Expiration Date . . 2/10/14
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
v 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
!fit E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab-us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7ee kcaelll z4g Department review required Yes ,,No
Applicant: a
&,$r-& Planning &Zoning
Tree Administrator
Project: 19,017 IeT Public Works
I I - - f I 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: ErApproved. [-]Denied.
(Circle o Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:-Ly-
TREE ADMIN. Second Review: DApproved as revised. F1 DVn ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
� AIM' j A ,)nv)
U
Job Address: V0 1?_�" Av&yuXj_ PermitNignber:
v
Y
Legal Description Floor Area of S *Ft* Parcel Sq.Ft
Valuation of Work$ a'900 40 Proposed Work i2ated/cooled N/A non-heated/cooled
Class of Work(circle one): New Addition Alteration tLair) Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Ee�sidenfi
If an existing structure,is a fire sprinkler system installed? (Circle one): es 0 N/A
Florida Product Approval#
For multiple products use product approvaTfo-rm
Describe in detail the type of work to be perfo ed: 14paA P
aSsac,la.h.1 LZV�MA aa An IA I A 'd e
Property Owner Information: 0-roo
Name: �Vu,�;e sleeoe4c Address:
City A I a.ZU&heA,�IK, StateRZip 7-&J-Phone '10q- Aqj-L11-Aa
_Jae
E-Mail or Fax#(Optional)
Contractor Information:
Company Name.,KeA(S�a co_n",�54 K-C, QuallfW-nj Agent: NV"ArV_,_n kqS_SqA
Address: 0^1 ^1 A el� A -City State FL Zip Selolt7_
OfficePh-ione 0 -280- Job Site/Contact Number '10q-"-qZ/77 Jax# 16q-n I JA9
I
State Certification/;Registratio�n# !Z,51
I
tN P # M sel 40q- gG%_ ,g&73
me _or
Architect Name&Phone# 9"lar sel
,Ioq- 9R,!2- IS31;
Engineer's Name& Phone# JZ0!&;.s QCtbtie_1
Fee Simple Title Holder Name and Address i rn r
Bonding Company Name and Address 11 f ILL UIM I
Mortgage Lender Name and Address
A ica 1 7 is lie eb made to obtain a permit to do the work and installations as indica or installation has commence��rior to the
pp 1 c t 0 r,y d that all work will be Pe f d tth t d d I ,, this jurisdiction. This permit becomes null
sst an e 0 aperm t an r orme to mZ e San ar so ak aws i fsix(6)months at time after
vo , wor is ot commenced w thin s X(6
, )months or, construction or or is sus aWer od o
and , d k n I understand that separate per ,s mt t be securedf , , 11
wor I f d in or E ectr Ca e S, Pools, Ftirnaces, Bo Heaters,
k s commence
Tanks andAl r 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.
I hereb,'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 thi's
work will be complied with whether s ecifted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
1 P
provisions of any otherfederal,state,or loca aw regulating construction or the performance of construction.
Signature of Owne,,,—A V L JOAA Signature of Contractor
Print Name J. PfintName
................... ........... ...............................
Swo and su�scritjb �&� Swon),d and subscribe efore me-r
this a 01 201-3 thisl.-�I A�Day.of 20/4
GRAI
U151.
n 10 ISSION DD 957760
N Pu ic I Fet,,aq,�P)4 .��z OWES:February 14,2014
77
NOTICE OF COMMENCEMENT
State of Fier J� Tax Folio No.
County of .�)Mt&k
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:
Address of property being improved:
-:7-00
General description of improvements: gk,,�
f I
Owner: Address: 120 Sen.& 4,a-�--
Owner's interest in site of the improvement: �s
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address:
TelephoneNo.: U FaxNo: -&r-f- MR
Surety(if any)
Address: Amount of Bond$
Telephone 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:
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
Doc#2013210567,OR BK 16491 Page 2218,
Number Pages�I
Recorded 08/14121013 at 09:06 AM, iWNER
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY gned:-4 'I 't Date:
RECORDING$10-00 -fore me this y of in the County of D�vall State
f Florida,has pe onally al�peared
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