1977 W Sevilla blvd 2013 remodel kitchen / bath C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003345 Date 9/06/13
Property Address . . . . . . 1977 W SEVILLA BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 30000
----------------------------------------------------------------------------
Application desc
INTERIOR KITCHEN AND HALL BATH
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
BAKER, SARAH LINDA HARDEE JBL CORPORATION INC
1977 SEVILLA BLVD W 1949 JERSEY ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 673-7828
--------------------- Structure Information 000 000 ----------------------
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit RESIDENTIAL ALT/OTHER
Additional desc . -
Permit Fee . . . . 200 . 00 Plan Check Fee 100 . 00
Issue Date . . . . Valuation . . . . 30000
Expiration Date . . 3/05/14
----------------------------------------------------------------------------
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 3 . 00
STATE DBPR SURCHARGE 3 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 200 . 00 200 . 00 . 00 . 00
Plan Check Total 100 . 00 100 . 00 . 00 . 00
Other Fee Total 6 . 00 6 . 00 . 00 . 00
Grand Total 306 . 00 306 . 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 Isp 0 3 013
-5845
Office(904)247-5826 Fax(904)247
1 �3— :5:�)L I �D
Job Address: 1977 Sevilla Blvd.West —Permit Number:
Legal Description 45-7 08-2S-29E Lot 25 Sevilla Gardner Unit 02 Parcel#
15,,��Area of---S—ql t. I,t
losedWork hea d/cooled 300 non-heated/cooled
Valuation of Work$ 30,000 Prop
Class of Work(circle one): New Addition Qtje-_tiDon Repair Move Demolition pool/spa window/door
circle one):. Commercial �;'�Residenti
0
Use of existing/pro osed structure(s) N/A
If an existing structure,is a fire sprin=system installed?(Circle one):
Florida Product Approval# hui�t approval form
For multiple products Use pro
Describe in detail the type of work to be performed: Kitchen and Hall bath 44P y
Property Owner I_nformation:
Name: Linda Baker Address: 1977 Seville Blvd.West
City Atlantic Beach StateFl Zip_L2233 Phone 904/ 635-33Z5
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: JBL Corporation,Inc. Qualifying Agent:John Behrens Fl Zip 32210
Address: 1949 Jersey St City Jacksonville St
OfficePhone 904/381-QQ 4 Job Site/Contact Number '�_0_4/673-7828 Fa
State Cerfification[Registration# CC 152092n
Architect Narne&Phone# NA
Engineer's Name&Phone# N A
Fee Simple Title Holder Name and Address NA
Bonding Company Name and Address NA
Mortgage Lender Name and Address NA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to mee I the standards of all laws regulating construction in thisjurisdiclion. This permit becomes null
ended or abandonedfor aWeriod of sixj6)months at any time after
and void if work is not commenced within six(6)months,or if construction or work is sas
work is commenced I understand that separate permits must be securedfor Electric.1pVork,PlurnI Sig-, ells,Pools, urnaces,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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y61jR NOTICE OF
COMMENCEMENT.
h*
I hereby certify that I have read and examined thisf, lication and know the same to be true and correct. All provisions of laws and ordinances govermcne his
w ge t to give authority to vi late or can 5 he
type qj work ill be complied with whether speci led herein or not. The growing of a permit does no presume
provisions of any otherfederal,state,or local law regulating construction or the pejf�irmance of construction.
Signature of Signature of Contractor
Print Name Print Name J.kv
Swoolto and sub ibed before me !Swom to and subsc ed bbeffo e�me
NI is y of 201-21
;; —20 this D
s Day o Ds oeu_'Ln Day of
'of
Pu c
Notary Pu ic
�No Olu Revised 0 1.26.10
S
DOUGLAS ADAM YORK
Notary Public-State ot Florida
01 LILLIAN D BEHRENS
A *�".
MMISSION _�EE885124 My Comm.ExpireS Dec 10,2016
MY co
4.2017
EXP;RES May commission# EE 857521
(407)398-0153 Fj�rigjafloi arv'_,o rv..c C.-M
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Q C�
-�33
Atlantic Beach, Florida 32233-5445
- Fax(904)247-5845
Phone(904)247-5826
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://vmw.coab.us I J
APPLICATION REVIEW AND TRACKING FORM
Property Address: Pnaqmentreview required Yes . No
_kou
_U�i[ldin
Applicant: Qg6.L-- �!�Oy-a�h by\ Planning &Zoning
I Tree Administrator
Project: :Gnt� OY'- KA�Ck-�Cjy-) 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: DApproved. r-]Denied.
(Circle one.) Comments:
��D
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
FILE Cop 1,NOTICE OF COMMENCEMENT
Tax Folio No. 169q42
State of
County of
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: L15,-?
Address of property being improved: 1119 5--t1iMix dkk W. z Rue,41 0 3 13,17
General description of improvements: /yjr-f4u, fi-.4Lg,,u
Owner: L, C, Address:
Owner's interest in site of the improvement:
�A`
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address:
Telephone No.: -r�tI Fax No: 14
--�--Surety(if any)
—�:� Amount of Bond$
Address:
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),Flornida Statue . (Frill m at,OuwWner'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 OWNER
Signed:,A�5���, Date
Doc#2013172488,OR BK 16440 Page 161, Wore me this day of
County o uval State
Number Pages:1 )f Florida,has personally appeared A
Recorded 07/05/2013 at 12:50 PM, qotary Public at Large,State of Florida,County of Duval.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL �4y commission expires: '��at!kA
COUNTY HREN
:1ersonally Kno 1JLL1AN4X99
RECORDING$10.00 Produced Ideriti7ficaho' EE885
EXPIRES May 4,2017
(407)398-0153 FloridallotaryServicexom