1660 Sea oats Dr 2013 foundation repair 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003752 Date 12/05/13
Property Address . . . . . . 1660 SEA OATS DR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 30800
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Application desc
FOUNDATION REPAIR/PILINGS
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Owner Contractor
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CONNELLY MEGHAN A ET AL RAM JACK
1660 SEA OATS DR 2075 US HIGHWAY 21 S
ATLANTIC BEACH FL 322335836 RIDGEWAY SC 29130
(904) 579-7133
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . Plan Check Fee 102 . 50
Permit Fee . . . . 205 . 00
Issue Date . . . . Valuation . . . . 30800
Expiration Date . . 6/03/14 -----
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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 3 . 08
STATE DBPR SURCHARGE 3 . 08
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 205 . 00 205 . 00 . 00 . 00
Plan Check Total 102 . 50 102 . 50 . 00 . 00
Other Fee Total 6 . 16 6 . 16 . 00 . 00
Grand Total 313 . 66 313 . 66 . 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
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
45 '6
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
Date routed:
E-mail: building-dept@coab.us
City web-site: http"://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address Department review y No
Eiuildin
Applicant: 'zT__/f_C' Planning &Zoning
Tree Administrator
Project: 6-tk h dA 4� ioo Public Works
Public Utilities
t4
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: DeAp"proved. E]Denied.
(Circle one.) Comments:
(!��Dl N G)
PLANNING &ZONING Reviewed by-.— Date�
TREE ADMIN. Second Review: DApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05114109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 FILE COPY
Office(904)247-5826 Fax(904)247-5845 F
[W,
Job Address: Permit Number:
Legal Descriptio Parcel#
loor Area of) Sq.Ft. I.Pt
Sc
non-heated/cooled
Valuation of Work ProposedWork heated/cooled
Class of Work(circle one): New Alteration Repair Move emolition pool/spa window/door
Use of existing/proposed structure(s) ircle one): Comm Residential 0
If an existing structure,is a fire sprinMr system installed?(Cf�'ircle on�e): o N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be per rme L
�—�tr Ca.
Property Owner Informatlof
Name: S: I 66D
Citv Phone.q/A—&19D 3-<W.P,
Stat
e
E-mail Ar Fax ((O*piona
Contractor Information:
Compan e Quilif in*ent: ip
ity
State��Zu)
Address:
Office Phone ob Site Contact N ber
*AL# ax#
AF
State Certification/Registration# tma
Architect Name&Phone#
Engineer's Name&Phone#4
Fee Simple Title Holder Narr;e—and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance of a permit and that all work will be pedbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void ff work is not commenced within six(6)months,or if construction or work is suspended or abandonedfor a period ofs&,O),months at any time after
work is commenced. I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs,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.
f laws and ordinances governing this
I herelb,cerlij�that I have read and examined this application and know the same to be true and correct. Allprovisionso ve authority to violate or cancel the
) work will be complied wit whether s fed erein or not. The ran in of a permit does not presume to gi
provisions of any otherfederal,stal, r loca a egu ing construct' a the e rmance a construction.
Signature of Owner Signature of�ontractor
q Print Name .. .f)..................ajrlewin.6....................
Print Name n conntfl ...............
Swor o and s bs r' e b fore in swo to and subsc ed befor me
t Da of 20 Day of r 1206
b ic
Public U
SHANN N E.MURPHY
Ce,_,'ju%�S�I=WNON E.MURPHY My COMMISSION#EE872623
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My COMMISSIO:N#EE872623 ENPIRES:FcbnimY 07,2017
03
MI 7, 017 OF
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NOTICE OF COMMENCEMENT IL E C ,
(PREPARE IN DUPLICATE i
Permit No. 3-7 5- TaxFolioNo. 17;�00W
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: D -62'�
Address of property being improved: L ULD
e4rL"d
S-Ame-4
General description of improvements: ftULM4�r:n
Ownc r
Addres��L.1[0(i '::�EA- N�Q ATTA+al( _jR_
Owner's interest in site of the improvement
Fee Simple Titleholder j if other than owner)
Name
Aodress---�
CGIC1518926
Contractor'
Address
, �ki
Phone No. ?Q LP - U-3 ��22 Fax No.
Surety(if any)
Address Amount of bond S
Pl-one 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.ovvner 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(11 year from the date of recording unless a
different date is specified);
NLY WIfER
Doc#2201327/3180,OR BK 1657/2 Page22061
Signed: TE
Number Pages� 1 Before day of __T1_n 7W
Recorded 10125/2013 at 0&33 AM, dey
C 0 u r*� f F I!.,I.h 6ar
I rgsp ( , 1
onnie Fussell CLERK CIRCUIT COURT DUVAL -1 ,, , / herein by
y1or?, - , or
–,OUNTY hirf$1l rms that all st6t6niehts dnd arat ns herein
RECORDING$10.00 a4 ccuWe
NON E.MURPHY
COMMISSION#EE872623
E NPIRES:F ary 0
ebruaiyl]l 017
Notak Public at Large.Sta of
,�Iy colinmission expp
'Irs-onally Kno,.,n or
Produced Identificafron