1739 Live Oak Ln 2013 interior demo CITY OF ATLANTIC BEA(!H
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SJ)
Application Number . . . . . 13-00003728 Date 11/22/13
Property Address . . . . . . 1739 LIVE OAK LN
Application type description DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INTERIOR DEMO
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Owner Contractor
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CZERKAWSKI, JOSEPH J BOSCO BUILDING CONTRACTORS
1739 LIVE OAK LANE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
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Permit . . . . . . DEMOLITION PERMIT
Additional desc . - Plan Check Fee . 00
Permit Fee . . . . 100 . 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 5/21/14 ------
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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 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 104 . 00 104 . 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
Job Address- 1739 Live Oak Lane Permit Number:
Legal Description 34-51 09-2S-29E Selva Marina Unit 6 Parcel#
1�loor Area of Sq.Ft. Sq.vt
Valuation of Work $ ��00" Proposed Work heated/cooled n.n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move emolitio ool/spa window/door
Use of existing/proposeq structureQ) (circle one):. Commercial esidenti
. 4 If an existing structure,is a fire sprinper system installed? (Circle one e�sCZ:So�:� N/A
Florida Product Approval#-_ A)/A
For multiple products use proWu-cf approval Form
Describe in detail the type of work to be performed: INTERIOR DEMOLITION
Property Owner Information:
Name: Joseph Czerkawski —Address: 1739 Live Oak Lane 4-247-7806
City Atlantic Beach State FL Zip 32233 -Phone: 90
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosco Building Contractors, Inc.- Qualifying Agent: Todd Bosco
Address: 2158 Mayport Road City: Atlantic Beach -State FL Zip 32233
— 904 Fax#904-241-0326
Office Phone 904-241-0320 Job Site/Contact Number 904-233-6
State Certification/Registration#CBC 1250212
Architect Name&Phone#N/A
Engineer's Name&Phone#N/A
Fee Simple Title Holder Name and Address N/A
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A
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 ofa permit and that all work will be pedbr7ned to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void If work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sixJ6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing,Siins, 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.
I here h t, nd know the same to be true and correct. All provisions of laws and an es governicneg this
b certify that I have read and examined t isappicazona not. The granting of a permit does not presume to give aut te or can 1 the
type o7work will be complied with whether specified herein or
provisions of any otherfederal,state,or ocal I w lating construction or the pe�formance of construction.
Signature of Owner Signature of Contract:
............
I Print Name 5mu-) ........................................................
Print Name .......................... .... ... ................ ...... ............................................
ZS t nd u scrib Sworn to d sc
'o A ARIA RANO
iis,R 0 &A&TA this Notary Public-State of Florida
Ic-State of FlorWa Comm.Expires Jan 26,2015
�om;;�ixpires Jan 26,2015
commission#EF59080 a P c commission#EE 59080
P c
vise TI 26.16-
From:BOSCO BUILDING CONTRACTORS INC 904 241 0326 11/21/2013 12:52 #818 P.001/001
Doc 9 2013280935.OR SK I C�563 Page 52-1.
NOTIC.F, 0F(A)Njr%jFN A F T Nurnber Pages 1
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Recorded 11,01 2013 at 03 56 PM
-Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Pet it i i I COUNTY
'In., Folio No 9ECORDING sio oo
'I I I I" I'N13FRSHINED herch% gives notice that improvernWils%s ill he inatic to certain real propmv,lind in accurdaricc %%ith section
71., 1 if jh(- Illt- billmsinL infornu.iflon is Pr-yided in Ihi4,NOTWE OF
I Dest'r iption tit'piopertN (IrKaj gilts(,rjjjrj()n).- 94-7.$1 Oct—A5—,-R15 t4w,,-�
al"Ifeel(johl Address: I"J;5401 Lj%/F_ jt�� (j4fjS7
2 (;cneral dc%cription if itnpr(ivcjljcjjjs: )q7Zjgpf_M C_
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3.0wirr Itilbrinalitin
;i)Name and jicltjtv,�, CUAkaAIDS�A - 1 +31 L,-Ve nfV-Ln,1j.F_ (3=:n)
Name and address(2��Illc�oldcr(if other lhan owner)
A') Interest in properiN
.Contractor InIlbrillallon
a)N Hme and addi ess-Btsp� -Z*A I,
b)1elephone No,: -1-70 q-. 0_��2�o rax No.(Opl.f
5.Surel), Information
a)Name and address:
b)Aniouni ol'I'llorld:
O'Felcphonc No.:
6.i.ender . . 1 .1 . / Fax No,(0fill.).
a)Nanic and address:
Phone No.
7. Identity of person within tile State of Flor in b o
'c' � d h/Ancr upon whom notices or other documents may be served:
a)Name and address:
b)Tclephone No.:
Fax No.(Opt.)
M.In addilinn t;T himself.owner designates the 111.1 srsn in receive a copy(if the Uenor's Notice w,provided in
713.13(i)(b),Florida Statutes:
a)Nameand address:
Wl'clephone No.; Fax.No.(Opt.)
Q ininiencenient(the
.F.xpiritt;t,)iidRte(ifNotiecTfi�t e Is one year from the dote of rer(irding unless P different date
is specified):
WARNING 10 OWNER: ANV PAVMENI'S MADE 0V 1111P,OWNER AF`l*ER I'llE 11,"XPlRAI'1ON OFT11F NOI'10E OF
COMMV,NCXMENI'ARE('0NSV0VRCD IMPROPF.R PAVMENTS IIINDER CHAll"FiR 713,PARI*1,SIEN-VION 713.13.
F1,0RIDA S7*AI1JTES,AND CAN RES11ILTIN YOUR PAVING I'MCF.FOR IMPRONTMENTS'110 YOUR PROPtRI'VI
A NO*f'l(.F.OF COMNIVINICEMEN'll*M11 ISI'111V RV('011111M) ANI) POSIVI)()N'r*I1IV J()" N�rr nPrORP,'roic,FIRST
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