1945 Brista De Mar 2014 siding &C, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ir
Application Number . . . . . 14-00000428 Date 3/26/14
Property Address . . . . . . 1945 BRISTA DE MAR CIR
Application type description SIDING PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 2800
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Application desc
siding and soffit
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Owner Contractor
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SIMON, KENNETH PRO-BUILDERS OF FLORIDA LLC
1945 BRISTA DE MAR CIR 1115 OAKS RIDGE DR S
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 386-0094
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Permit SIDING PERMIT
Additional desc - -
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2800
Expiration Date . . 9/22/14
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FILE COPY
NOTICE OF COMMENCEMENT LO
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
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: 101�4 10-�re S�A Ut( 1\69 e7
L 3
Oe s i 8,ieA i a -v—e
Address of property being improved: C4
Ufj
General description of improvements: Wot—ocoq— H-L"
f;L:,C, ji��P 2,n Ff-C T- IP�-6,LZE
owner Y- V4)2K1 ........
Address b XZ-LS 0�7
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
D u,fu
Address t--'V-tV2
Phone No. Fax No.
Surety(if any)
Address —Amount of bond
Phone 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 ofperson within the State of Florida,other than himself,designated by owner upon whom noUces or other
documents may be served:
Name -�3
IS vc- 100
Address C IU C,C-E=
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone 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): Z 0
0 U)
HIS SPACE FOR RECORDER'S US�--ONLY WNER a W IN
jr ft
Signed: DATE 3-11-t Z
Before me this day f in the
_ 0 6
County of Duval.State of Florida,has personalty appeared (A <
herein by T
Doc#2014061718,OR BK 16723 Page 2048, himseff/herself and affirms that all statements and declarations herein W -n�
are tnje and accurate r, of
Number Pages:I to
�N��R
Recorded 03/2012014 at 11:24 AM, U R
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 1 L stat
c at Large
Iss P;re�
or
'em"Muo
Pro, cod Identification
BUILDING PERMIT APPLICATION
10 FILECOPY ' CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
IY4
Office (904)247-5826 Fax (904) 247-5845 _9
In
- r,U14
Job Address: Permit&t<
Legal Description Floor Area of Sq.Ft. Parcel# iq�
P
Valuation of Work S roposed Work heated/cooled n �ntheated/cooled
Class of Work(circle one): New Addition Alteration <�� Move Demolition pool/spa window/door
Use of exi�ting/pro osed structure(�) ircle one): Commercial Residential
If an existing structure,is a fire spriler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
-5
Describe in detail the type of work to be performed:
Property Owner Information:
Name: is Ir e r7dA Address: P�1' 1-15- rt'S 11 Alaz G(K
city StateF—L—Zip_,q2zZ!_Phone i�7ff--6,!5_V J?I(
Jaf [AnhL P�a4&
E-Mail oi Fax# (Optional)
Contractor Information: CONTRACTOR EMAIIL ADDRESS:
CompanyName: A__f(-00-4��A
�Quali in Agent: _LLA '� "-c-r-52�
Address: I I (S S; OAV- P-IVGF--- tV-- --City Z2SOPV iukF State L Zip
Office Phone 104- '6G'006( _!� Job Site/Contact Number Fax#
State Certification/Registration
Architect Name&Phone 4
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address- -
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced t oth e
issuance of a permit and that all work will be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit bProi0mres ',I
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of six(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this application and know the same to be true and correct. Allprovisio of laws and ordinances governing this
,on a and rdinances gove
7�work will be comp �r specified herein or not. The granting of a permit does not prelsruonvis oj'#awusthority to viol e or cancel the
_lied with whethe
provisions of any otherfederal,state, or local law regulating construction or the pe�fbrmance of construction.
Signature of Owner Signature of Contractor
Print Name me .. ...............................
Print Na ...................... ......
5ere)
........ ....... ........
Before me 0)4 efore me
is Aa D a fck- 2 t - io L mo,,rd.,- . 20
P Notary Public State of Florida
a M i BuSbh i
otary Public Dawn Busibin Nota u My C.omm!"ion EE 827431
My Commission EE 827431 Ex res 9103/2016
oir Expires 09103/2016
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
t antic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
20411
Date routed:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
6 kr Department review required Yes
Property Address: 3r,67h � - ____ ,o-No
(��Building _�> _
Applicant: '0 /* 'es- r1l'a-7nninq &Zoning
Tree Administrator
Project: 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
0'-
Reviewing Department First Review: g?A*pproved. RDenied.
(Circle one.) Comments:
C:�E�
PLANNING &ZONING Reviewed by:
TREE ADMIN.
Second Review: FlApproved as revised. [:]De
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by-.– Date:
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09