1157 E Linkside Ct 2014 StuccoCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000370 Date 3/19/14
Property Address . . . . . . 1157 E LINKSIDE CT
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
-------------------------------------------
Application desc
stucco repair
------------------------------------------
Owner
Contractor
DERKSEN JELTSJE
------------------------
R & S EXTERIOR CONTRACTORS LLC
1157 LINKSIDE COURT E
12088 BEAUBIEN RD
FL 32258
ATLANTIC BEACH FL 32233
JACKSONVILLE
(904) 608-4123
-----------------------------------------
Permit . . . . . . SIDING PERMIT
Additional desc . .
75.00
Plan Check Fee
37.50
Permit Fee . . . .
Valuation . . . .
5000
Issue Date . . . .
Expiration Date . . 9/15/14
---------------------------------------
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
2.00
2.00
STATE DBPR SURCHARGE
Fee summary Charged
Paid Credited
----------
Due
---------------
Permit Fee Total 75.00
75.00 .00
.00
Plan Check Total 37.50
37.50 .00
.00
Other Fee Total 4.00
4.00 .00
.00
Grand Total 116.50
116.50 .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 ;7V
800 Seminole Road, Atlantic Beach, Fl, 32233Office (904) 247-5826 Fax (904) 247-5845Job Address 1 5 _ V) ( Permit Num4
Legal Description 4y 3 J7-ZG -ZaL a Link1it
%_-1 IX i
Floor Area of Sq.Ft. Sq Ft
Valuation of Work $�� Proposed Work heated/cooled ! non-heated/cooled
Class of Work (circle one): New Addition Alterationepai Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial R
If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A
Florida Product Approval #
For multiple products use product approval form
Describe to detail the type of work to be performed: r
It A_-_,eee nc. ee A- 4:::�1.w a rgtxi V I
Name: I
Address: �— (? 2
City L+ N atei= Zip 3 7.���hone 1�
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: a C Quali in Aggn�: �_7--r L N "
Address: Ci ?a State Zip
Office Phone Job Site/ Contac N tuber Fax #
State Certification/Registration # �S� �'
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
ADp[icaBon is hereby made to obtain a permit to do [he work and tns a altons as indicated. 1 cert that no work or insta�ontihas commenced prior to
tffiie issuance of a permu and that all work will be performed to meet rhe standards of all laws regulating construction inhis jurisdiction. Phis permit
becomes null and void if work is not commenced within .six (6) months, or if construction or work is suspended or abandoned�or a period of six (6) months
at any lime after work is commenced. I undersmn That separate permiec must be secured jor Electrical Work, Plumbing, igns, Wells, Pools, Furnaces,
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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing
This type of work will be complied with whether specified herein or not. The granting of a permit does not resume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the peOormance of construction.
Signature o wne Signature of Contractor
1(
Print Name��_ �f=_ZSc� Print le
Swo o and subscribed before me
this Day of �ci6ytsa►/�
No P tc
SUZANNE PRUEIT
►+=_ MY COMMISSION k EE 208215
EXPIRES: June 13, 201E
,ef Bonded Thru Notary Pudic un&r,
M
X00 r N ry PubliNSI&Jp.df Florida
Sffirley L Graham
My Commission FF 086990
or w Expires 02/14/2018
+ +' D FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDMONAL
REQUIREMENTS AND CONDMONS.
RBVIMM BY:
DATE: c$ 3-1
5gqs
ss"o
City of Atlantic Beach
�s s� Building Department
800 Seminole Road
X Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
D,il �r E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
H-.
3 �d
Date routed: �Z
APPLICATION REVIEW AND TRACKING FORM
Z117je� Property Address: 4of e7-
Applicant: 1i
Project:
Review fee $
ent review required Yes o
Building
T&Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
roved.
[]Denied.
(Circle one.)
Comments:
BUILDI
PLANNING & ZONING
Reviewed by:
Date:
TREE ADMIN.
Second Review:
❑Approved as revised.
❑Denied.
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
Third Review:
❑Approved as revised.
❑Denied.
FIRE SERVICES
Comments:
Reviewed by:
Date:
Revised 05/14/09
State of ri _
County of DUVAJ,
To Whom It May Concern:
NOTICE OF COMMENCEMENT
Tax Folio No.
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:
yy-2S 17-2S-2-qE St2aoa
Address of property being improved:
General description of improvements
Owner: ,j C CQ 1 -11) J t-7 ( 2t
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Na�
Contractor:
1� Ad
Telephone No.: qc)q q)?
Surety (if any)
• m
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
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc # 2014060142, OR BK 16721 Page 2386,
Number Pages: 1
Recorded 03/19/2014 at 08:54 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
Signed: -Date: _.
Before me this 'personally
day of in the County of Duval, State
Of Florida, has personally appeared _
rotary Public at Large, State of Florida, County of Ouval.
"y commission expires:
Personally Known: or
Produced Identification:
siaumaWn �NOnd tieloN nJU PaPU09
9toe'el. 8unt:S381c X3 =='
S1i U 33 # NOISSINN00 AN
.Lian8d 3NN ZnS