Loading...
1830 Seminole Rd 2014 bath remodel Je- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000517 Date 4/07/14 Property Address . . . . . . 1830 SEMINOLE RD RE number . . 169399-0000 NCR OLD ACCOUNT NUMBERS . . . ABO5062 Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc BATH REM, REPLACE SHEETROCK ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GUARDIAN AMERICAN PROPERTIES GUARDIAN AMERICAN HOMES LLC 1400 E OAKLAND PK BLVD STE 202 1400 EAST OAKLAND PK BLVD #202 FORT LAUDERDALE FL 33334 FORT LAUDERDALE FL 33334 (954) 533-7118 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 10/04/14 ---------------------------------------------------------------------------- Special Notes and Comments *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 PERMIT IS APPROVED ONLt' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. OTY oF ATLANTIC BEACH 1 .00 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 1830 SEMINOLE ROAD ATL BEACH 32250 Permit Number: 5'17 Legal Description - Floor Area of Sq.Ft. Parcel# �iq.lt Valuation of Work$4000-00 Proposed Work heated/cooled 200 non-heated/cooled (i� Class of Work(circle one): New Addition Alteration F:e_p­51� Move Demolition pool/spa wind oor M 31 2014 Use of existing/proposed structure(s)(circle one): Commercial [R�tentja� If an existing structure,is afire sprinkler system installed?(Circle one):---Yes NJ N/A Florida Product Approval 4 For multiple products use product app—r-5v­aTTo_rm E83 y Describe in detail the type of work to be performed:REMOVING FLOOR&WALL TILE FROM 2 EXISTING BATHROOMS.REPLACING SHEETROCK,WALL AND FLOOR TILE,NEW CABfNETS,FINISHES Name: GUARDIAN AMERICAN PROPE Property Owner Information: -RUES —Address: 1400 EAST OAKLAND PARK BLVD.SUITE 202 City FT.LAUMRDALE State FL Zip 33334-Phone(954)533-7118 E-Mail or Fax#(Optional)Fax(888)247-4224 Contractor Information: Company Name:GUARDIAN AMERICAN Qualifying Agent:ROBERT JOHNS Address: 1400 EAST OAKLAND PARK BLVD.SUITE 202 City FT.LAUDERDALE-State FL-Zip 33334 Office Phone(954)533-7118 Job Site/Contact Number(904)887-0120Fax 4(888)247-4224 State Certification/Registration# 01 6-C i�;'Q T 3 i_'/ Architect Name&Phone# Engineer's Name&Phone Fee Simple Title Holder Name and Addres Bonding Company Name and Address Mortgage Lender Name and Address by a ob ai�a tdoh a ins,'lotions Td a"installation has commenced prior to the e'o sgmd ds a',,�� thisj�risdictlon This permit becomes null 0 )months at any lime after ar f c ruct. 1, OL i k a I e b secur__ c Wperiod o ii pe d rE ells,Pools, urnaces,BoileM Heakw, it arm �e a, wo '3f e 0 a wi' man and aid k is menc d within i 6 f h w k is, ence a T" .-L C llezlds rid U dA o. 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. lhereby cert ry that I have read tz�lrd examined this application and know the same to be true and correct. All provisions of laws and ordinances gov fill$ type a !,.ill be complied wh wheihersgcZed herein or not. The granting of apermit does not presume to give authority to violate =,he j work provisions ofany olherfederal,state,or local w rr construction or the pejfio�mance ofconstructiom Signature of Owner Signature of Contractor PrintName Print Name ......... Sworn to and subscribed before me Sworn to and subscribed before me this_-�k Day of nAa rc k .2011( this -jX_Day of "('c __20 H -1 1 ftk 6/1'N 0 N otary lie J.M.6 0 LNN IFE�LL Notary lie Revised 0 1.26�10 sl F mycommissioNiiir-Fosoi26 Ilk, EXPIRES Janumy 26.2018 (407)39"153 Fkwb&M mind RMENWED FOR CODE COMMOM aff OF ATLANTIC BEACH SHE pERMM FOR ADDMONAL FILE COM k, MUMMENT�, ,\ND CONDMONS. RMIWEDBY: DATE L DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 497-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 JOHNS, ROBERT WALTER GUARDIAN AMERICAN HOMES LLC 1350 19 FEDERAL HIGHWAY POMPANO BRACH FL 33062 ILE ACX 6 2 9 6 5 2 Congratulationst With this license you become one of the nearly one million b*?"T:K,",bi4`USi"E9S AND Floridians licensed by the Department of Business and Professional Regulation. MoSpi Our professionals and businesses range 11rom mchtlects to yacht brokers,from '4 ­ij�, 1 1, _- #�LU V boxers to barbeque restaurants.and they keep Flarldas economy strong. CGC150935,4t -1-b 1,2Y/�--2 128051846 !,' `�'! be 'k Every day we work to Improve the way we do business in order to serve you For information about our pl=u.,Ig onto wvVw..yfl.,Id.II..n..Vom. 1:11'"�i�CGiTRACTOR Ing= �WAVZZAA- There you can find more our divisions end the regulations ttud 0V ptivi-Alu ..LLC impact you,subscribe to department newsletters and loam more about the .,H, Departments Initiatives. Ot Our mii sion at the Department Is:License EMclently,Regulate"Fairly,We Gonstantly strive to serve you befter so that you can serve your customers. .1! ch.to 9 r Thank you for doing business in Florida,and congratulations on your new licensel '�t d-44., 302277 4 t-7 DETACH HERE R-W;W fflkmww� ZEN M—M E ME 2! A(462�652 SIAT94f FLTIPA:, GIftATION SEQ#L120823(122*7 g' .4w LICENSR N511111111 0.- 8:4 Aue * — �—T 8 2 d' 5:ala C J�V Under tha:,Ij�'-rovl A Xxpiration 4&te: AUG.,3 1, 2 t ;jC A. AN; V QT 1350 N'FEDSPAL HIG-- POMPANO BEACI 0 6 -,ton A X t KEN LAWSON t4-4 :Xzc 1, SECRET T ARY e9VENNOOR AS REW AY AS DISPLA ---------------- Promoting Neighborhood Recovery through Property Redevelopment A Strategic Development Partner with the National Community Stabilization Trust GUARDIAN AMERICAN -PROPERTIES t March 21,2014 COPY FILE OWNER'S AGENT SWORN STATEMENT To whom it may concern: This I.-tter sliall serve as authorization for Pam Goyette to act on behalf of Guardian Amedcan Properties, LLC as it's Agent in all matters concerning Building Permits, Notice of Commencements,Affidavits and oil-her relative coristruction documents, Should you have any questions regarding this matter please do not hesitate to contact me. I may be reached by cell phone at 81.3-299-1177. n rely, ��obert D.Krieff Managing Member RDK:ib State of Florida County of Broward Sworn to and subscribed to before me this day of filta r r zo-i 4 J. M. BONNELL 'ida MY COMOSSION*FF080126 Not-A Public,State of Flon EXMRES January 26,2018 Guardian American Companies- 1400 East Oakland Park Blvd. Ste. 202- Ft. Lauderdale, FL 33334, wAvI.auardtan2mer ro rties.corn 954-533-7118 Phone - 888-247-4224 Fax Ap r, 4. 2 014 9: 53AM GUARDIAN AMERICAN HOMES 6 6 2 FILE COPY ,r PATE(MMIODNYW) AC-Q-RP, CERTIFICATE OF LIABILITY INSURANCE ­ I 03/30/2D14 PRODUOSR (954) 966-9993 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Gulf5trsam Insurance Agency, Inc. HOLDLR� THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5633 Johnscn Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hollvwood FL 33021- INSURERS AFFORDING COVERAGE NAIC 9 tN$URED 1�kLd-Cont_inent CasualtY Cuardian American H=4as, LLC N6URFR S� 1400 East Oakland Park Blvd. INSURER C; suitiz 202 INSURERD: .Fort Lauderdale FL 33334- INSURER E� COVERAGES THSTANDING ANY THE POLICIES OF INSURANCE LISTED SELOW KAVIR�LEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIO0 INOIC&TED.NOTW REQUIRWENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED DY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUISIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOVA MAY HAVE SEEN REDUCED 13Y PAID CLAIMS. r9JUCY_FFPEC_nVE KXICY ZKPIRAT19NI INSIR ADD'L LTR INSRD 7YIbr.OF INSURANCE POUCYNUMBER DATE IMMIDDfM DATK IMM10"y) A ORNFRAL LIABILITY 04-GT4-000881413 06/25/2013 06/25/2014 EACH OCCURRr=Nc;E 1,000,000 RM TO—REMTFD 100,000 X COW.ERQ)AL GENE RAL LLABILITY 3(69 0=wrerl") F;;71 / / / / I IVIED EXP(Arly 0114 Parnon) CLAWS MADE L�2:j OCCUR — — PE R6ONAL&ADV I NJU RY 5 1f000,000 GgNrRAL AGGRGGATr S 2,000,000 OWL AGGREGATE LIMIT APPLIES PDX: P,=(OOUCTS-CWAPIOP AGG $ 2,000,000 _�T? __1 LOC 7X POLICY F i F AUTOMOBILE 41ABILITY COMBINED SINOLEE LIMIT ANY AUTO ALL OWNPD AUITOS BODILY INJURY (Per person) SCHrDULrDA1JT0S HIREP AUTOS (Pe acddbm) NON_OVWEO AUTOS PROPERTY DAMAGE (p5r mriPent) dARAGF LIABILrrY ALIYO ONLY-FA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY! AGG E EXCESS�UMBULLA LIA14ILrrY gACH"CURRENCE OCCUR CLAIMS MAC)S EAGGREGATE ib�DUCT;SLE RETENTION V1_ T WORKERa COMPENSATION AND TWYLM14�I I OiR IEr4PLO'VVRS'LtABILTY P.L.rACH ACCIDrNT $ j NON_OV*11�1 I AUT)S 'COWERL13"ISAL �7' "r CLA, MADE XCE L,...L,LIA.11LITY ANY PROPRIETOWPARTNER/ExECUTMG OFFI[CER"EMBER EXCLUDED? E.L.DISEASE-EA rMPLOYt I If y".descibe under CL DISEASE-POLICY LIMIT 3 SPECAL PROVISIONS below '_TTHRR DESCRIPTION OF OPERATIONStLOCA'NONstvrHicLjE:�EXCLUSIONS ADDIEZ By&WDOR$2MffNTtSPFCtAL PROVISION$ CERTIFICATE HOLDER CANCEL i-ATION SHOULD ANY OF THE ABOVE DESCIIII9FO POLICIEB SE cANQpLLED AEFORE T14r EXPIRATION DATE THEREOF. THE 153UING INSURER WILL EN13FAVOR TO MAIL 10 DAYS WRITTEN NOTICE To Tj4E ORR-nr-10ATF HOLDER NAMrD TO THE LEFT.OUT City of Ar-lantic Beach FAILURE TO DO SO alw.L IMPOSE No OULIOA71ON OR LIAWL OF ANY KIND UPON THR 800 Samiricla Road INUURER,ITS AGENTS R R R ENTATIVES. HORIZED REFREISENTAT E Atlantic Beach rL 322-' — ..rl` ACORD 25(2001/08) 0 ACORD CORPORATION 1988 INS025 folmos Pegg 1 0(2 R A p r. 4. 2014 9: 54AM GUARDIAN AMERICAN HOMES j FILE Cnp-y DATE(MwDorr"Y) AC40RO CERTIFICATE OF LIABILITY INSURANCE 4W2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A146 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NI�OATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subjeat to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rIghts to the certificate holder In Ilau ofauch andorsament(s), CONTACT PRODUCER GULF$TREAM INS AGCY INC NAME: JEAN S FRANDSEN PHONE IFAX 5833 JOHNSON ST E-MAIL, 4A/c N�): AQQRF 3:-Ir-ANFa2RTNr-T 17-3: INSURFER(S)AFFORDING COVERAOF NAIC 0 HOLLYWOOD FL 330219999 IN$URERAi FWCJUA INSURED GUARDIAN AMERICAN HOMES LLC INSURERB: 1400 E C)aklQad Park 8Lvd,Suite 202 INSURER 0! FT LAUD2ROALE FL 33334 FEIN:510-462793 11"Isurt COVERAGES CERTIFICATE NUMBER;1404020006 REVISION NUMBER: 7ts IS TO CERTIFY THAT THE POLICIES OF IN$URANCE LISTED BELOW RAVE BEEN ISSUED TO THE 114SURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND17ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TME POLICIES DESr.RIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN Rr=C)Urr:D BY PAID CLAIMS, INSR; SUM CY EXP LI MIT$ TR T F'EOFfNSUKANCE POLICY NUMBER 7(MP 1-0171'-wrrfY MY)L(L-P-10-2"MMYY YXI GENISRALUARILIT"r "OH OCCURRENCE -DAWV=RF-NTEI:F- COMIMPIRCAL GENERAL L!AgfLrrY _EE,��ES Ea mturrenc"' s CLAJMS-MADrz 1:1 OCCUR MED EXP An ono piRmw) PERBONAL&ADV INJURY 3 GENERAL AGGREGATr; 5 GEO�L AGGREGATE LIMIT APPUIES PFA! PRODUCTS-COMPIOP AGO PRO- IOUCY F7 JECT F7 LOG IN AUTOMOBILr:LIABILITY a awdentl 3 ANY AUTO 50DILY INJURY(Per pwson) 1 5; ALL OVVNED SCHRDULF-D BODILY INJURY(Pe�3=kh!r1Qj AUTOS AUTOS -P-0-P—ERTY a;: AUTOS NON-OVMEO HIRED AUTOS UPABRELLA LIAB OCCUR FAC,H OCCURRENCE 3 EXCESS UAS GLAIM.S-MADE AGGPzt-�ATE 5 DFD RZTENTION S WOkKERS'COMPENSATtON 4LTV�IrAYSTLAIMTtyi I—iCPTF1I11 AND 9MP1.OYERS'IJABI1Jry YIN 2849C616 A ANY PROPRICTOkIPARTNERIEXECUTIVE 81912013 8/W2014 1 E L EACH ACOIDENT _�_S 13=0=— NIA OFFICE/MEMBER EXC410PED �N El $1 000 DOO OD (Mandatory In NM) E.L DISEASF-rA EMPLOYEd . , . I If yes,dow"undor E.L.DISEASE POL)CYLIMIT 3 1,o0moo.00 nPRrNPTiO1N Of )PFRATIQNq hw- CIF-1 DESCRIPTION OF Opl!UTIONS I LOCATIONS I VEHICI-ra (Atijk4h ACORD'01,Adtlitions)Rerharkii Sthadulg.It More spat*15 raquimd) CERTIFICATE HOLDER CANCELLATION City ofAtiontic Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION t)ATE THEREOF, NOTICE VOLL BE DMIVERED IN 800 Serninole Road ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESPISITATIVIE; Atlantic Beach FIL 32233 C;�rvef-f PhonQNumber 954-533-7118 Q 1988-2010 ACORD CORPORATION. All rights reserved, kCORD 25(2010/05) The ACORD narria and logo are registered marks of ACORD Apr. 4. 2014 9: 53AM GUARDIAN AMERICAN HOMES No- 5662 P. 1 Promoting Neighborhood Recovery through Property Redevelopment YUX �^, k*%- A Strategic Development Partner with the )0'N (a National Community Stabilization Trust GUARDIAN AMERICAN PROP a R'r I a$ FAX COVER SHEET FILE COP Y. Date. 04/04/14 To: City of Atlantic Reach Building Dept Re: Certificate of insurance/ 1830 Seminole Rd Permit Fax#: 904-247-984,8 579 �4' #of Pages; Three 3 As requested attached please find Certificate of Insurance issued to the City of Atlantic Beach. Please do not hesitate to contact me should you require additional information. Thank you, i ai�� :jb Guardian American ComPanies - 1400 East Oakland Park Blvd. Ste. 202- Ft. Lauderdale, FL 33334, www, 7uardianameitg��s.com 954-533-7118 Phone - 888-247-4224Fax '_�_UJNJ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 1 L1 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us [___�ate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: QP_n_-Lrfm,-nt review re-- R d .- quired Yes 0 uilding Applicant: ftAaW( an P la_n—MM7'1�Zoning Tree Administrator �"140"44;ud Public Works Project: 00h "Yyvd e4 Public Utilities Public Safety Fire Services Dept Sig natune Review fee 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: rApproved. OlDenied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. F—]Deniek/ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [—]Approved as revised. LIDenied. Comments: Reviewed by: Date: avised 05114/09 NOTICE OF COMMENCEMENT state of Tax Folio No. 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�tpqd4n this NOTICE OF CO jZEff Legal Description of property being improved: IY)/,.?D 17-10 mproved: Address of property being i JOW !�vA at- era de ription of improvements: _V�,___ &Z Owner: ress'. Au Owner's interest in site of the improvement: ELI Fee Simple Titleholder(if other than owner): Name: V, Vus Contractor'. 640_0 VIILl % Address- ki )�Wkvl Telephone No.: q54— 6?)� LS Fax No: 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 Sta off!Florida, other than himself, designated by owner upon whom notices or other documents may be [ served: Name: Address: TelephoneNo: q(4&8--7cC)-C) 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: nt date is Expiration date o otice of C encement (the expiration date is one(1) year from the date of recording unless a differe specified). — 1- 14"M Doc#2014076530,OR 13K 16742 Page 1802, OWNE 11A - Number Pages: Signed: Date: 4,1,14- Recorded 041o8j2014 at 12:15 PK L Before me this day of in the County of Duval,State Ronnie Fussell CLERK CIRCUIT COURT DUVA Of Florida,has personally appeared COUNTY Notary Public Lar e Florida,Co -of Du 1. RECORDING$10 00 My commissic:exo. s: or Personally Kno Producedl ific ow 11 oxy P14k6 Notary public Ste of Florida Shirley L Graham my commission FF 086990 0,rdif Expires 02/1412018 pEiifl