462 Sherry Dr 2013 support beam CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 13-00003776 Date 12/11/13
Property Address . . . . . . 462 SHERRY DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10950
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Application desc
REPLACE STRUCTURAL SUPPORT BEAM
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Owner Contractor
------------------------ ------------------------
WATERS DAVID HYGEMA HOUSE MOVERS, INC
462 SHERRY DR PO BOX 265S
ATLANTIC BEACH FL 322335828 JACKSONVILLE FL 32203
(904) 223-3114 (904) 764-9509
--------------------- Structure Information 000 000 ----------------------
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee 52 . 50
Issue Date . . . . Valuation . . . . 10950
Expiration Date . . 6/09/14
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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 105 . 00 105 . 00 . 00 . 00
Plan Check Total 52 . 50 52 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 161 . 50 161 . 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.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
j E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: qlf,2, 002, 9#p4;&rne t review required Yes No
O�Builcli��
Applicant: Planning &Zoning
Tree Administrator
Project: ir StYlACtU r-CA 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: 194-proved. FIDenied.
(Circle one.) Comments:
(=BUILDINDG
PLANNING &ZONING Reviewed by: 4 --Date: 7
TREE ADMIN. C/
Second Review: [:]Approved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. RDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
Copy 800 Seminole Road, Atlantic Beach, FL 32233
FILE
I Office (904) 247-5826 Fax (904) 247-5845 DEC 2013
Job Address: 462 Shegy Dr. Atlantic Beach, FL 32233 Permit Number: lBy
Legal Description 10-16 16-2S-29E SALTAIR SEC 3 Parcel#170478-0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 10,950 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (�� Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial CRes—id—ent-iD,
If an existing structure,is a fire sprinkler system installed? (Circle one):__yn__1" N/A
Florida Product Approval 4
For multiple products use product approval form
Describe in detail the type of work to be performed: Replace structural support beam
Property Owner Information:
Name: David Waters Address: 462 SheM Dr.
City Atlantic Beach State FL Zip 32233 —Phone (904)23 3-3 114
E-Mail or Fax#(Optional
Contractor Information:
Company Name: HYGEMA HOUSE MOVER, JNC.
Address:-P.O. BOX 2655 City JACKSONVILLE State FL Zip 32233
Office Phone (904) 64-9509 Job Site/Contact Number (904) 509-3462 Fax#
State Certification/Registration# CBC056929
Architect Name& Phone#
Engineer's Name&Phone 1C_'A oa. kYkoti) 3 V� –1 a'59
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A li a 's hereby ade I ,blan a e m t d the work and in ta'la ns as i ndi cat or installation has commencedprior to the
0 a,�aws thisjurisdiction. This permit becomes null
r 0 k's s aWersiod of six(6)months at any time after
r it 0 0 s ti�
nc' md h 0 0 rk P be e ed to he tan
P c io
p
c
Issua a per. an a a w f rm hs, or Z ,st 't, r dr
r
6 _ t
'0 _0, is at, _t in s P() on
and"'d k ome ced_'h i' 0
u, 's , t t s p p r_its_. t ,s c.re or ciric e
work is f _,"cd de ta d ha e arate e b e df Ee a Pools, Furnaces, Boilers,Heaters,
co-
T"k,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 herelb certify that I have read and exa ined th' plication and know the same to be true and correct. All provisions of laws and ordinances governing this
Isa
r `Pd herein or not. The granting of a permit does not presume to give authority to viol eorcancelthe
work will be coTplied with wh47the elcifie
provisions of any otherfederal,state, or localsf1w regulating construction or the pe�formance ofconstruction.
Signature of Owner ",ky� ell-. Signature of Contracto�2LLQJ/ffl
Print Name Dz_ - d c, !�� Print Name
i------------- ...........................................
Sw rid s s S-�yorn o nd before me
thi .2013 th 20t 3
4 PU 3 Of
No 4W
Revised 01.26.10
Doc # 2013315269, OR BK 16626 Page 897, Number Pages: 1, Recorded 12/11/2013
at 12:56 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
State of_FLORIDA Tax Folio No.�170478-0000
County of_QUVAL
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:
General description of improvements: BEAM
Owner: DAVID WATERS Address: 462 SHERRY DR.ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): E
Name:
Contractor:
Address: P.O.BOX 2655 JAX.,FL 32203
Telephone No.:(904)764-9509 Fax No: (904)282-0595
Surety(if any) ---
Address: --- Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan for the construction ofthe 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
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
day or in the County of Duval,State
has personally appeared
0
Of Florida,has personally appcared%�W,
Notary Public at L
my commis ion e NO ary Public Ste"of Flom@ or
nall
Produced Identific 'o J. expires 0/294W4