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115 Poinsettia St 2014 sidingCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 14-00000643 Date 4/30/14 Property Address . . . . . . 115 POINSETTIA ST Application type description SIDING PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 16700 -------------------------------------------------------------------- Application desc siding ----------------------------------------------------------------- Owner Contractor - ----------------------- LM REALTY INVESTMENTS LLC ------------------------ PERMALAR INC. OF FL., INC. 135 N 2ND ST 8841 ATLANTIC BLVD. JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32211 (904) 721-2227 ------------------------------------------------------------ Permit . . . . . . SIDING PERMIT Additional desc . . Permit Fee 135.00 Plan Check Fee 67.50 Issue Date . . . . Valuation . . . . 16700 Expiration Date . . 10/27/14 ------------------------------------------------------- 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 2.03 STATE DBPR SURCHARGE 2.03 --------------------------------------------------- Fee summary Charged Paid Credited ----- Due ----------------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total 67.50 67.50 .00 .00 Other Fee Total 4.06 4.06 .00 .00 Grand Total 206.56 206.56 .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 y FILE C800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904)247-5845 TnhArtrirecc: I Po1rl,SE7'llr9 ST. 1�T1ATe,66#f'L3�a33PermitNumber: l GY3 &va-oma Legal Description S L 3 WG 3 - Floor Area o L. Valuation of Work $_!0 700000 Proposed Work heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition {��fol/ R � 2,y"oo�'ll I Use of existing/proposed structures) circle one): Commercial Re;identia u` If an existing structure, i ire s er sys installed. (Circle one): s o Florida Product Appro 14 I • For multiple products use product appr orm Describe in detail the type o wor to be performed:�� t�r: WoaO P� FL0a4_1 uVrt4_1f_ s Property Owner Information: W. Name: RA F i_*KsifMi CHA949/ /%,OKX7-IA , Address: RQ City 00L 644_f StateedZlp 3153 Phone E -Mail or Fax # (Optional) Contractor Information: 11 /Cy ✓/ /e Company Name: P4A__ l'AM4 /ot101�S�i¢6FS 6L f�. /nK. QualifyingAgent: I/lC.Lr — State • Zip /! Address: �g�l �TL2i�l77r QLI/D• C'�� Zn Office Phone RD K' 7R �oZ 7 Job Site/ Q ` State Certification/Registration # 5 C C O S!o Architect Name & Phone # Engineer's Name & Phone # ITIONAL Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address - a- d in 1)4 r or to the Application is hereby made to obtain a permit to do the work and installations as cnuccui issuance of a permit and that all work will be performed to meet the standards of all laws and void if work is not commenced within six (6) months, or if construction or work is su, work is commenced. I understand that separate permits must be secured for E[ectrica .Vl. etc rtify that no work or cns7"a7l�con has commence p ng construction in this jurisdiction. This permit becomes null or abandoned for a eriod of six months at any time after Plumbing, Signs, Wells, Pools, urnaees, Boilers, Heaters, Tanks and Air Con droners, . OWNER: YOUR PAY PAYING E ToCORD IMPROVEMENTS OTICE OF WARNING TO COMMENCEMENT MAY RESULT IN CONSULT TO YOUR PROPERTY. IF YOU INTEND EF OBTAIN ERECORDING YOUR NOTICE OF H YOUR LENDER OR AN ATTORNEY COMMENCEMENT. I here b certify that I have read and hed with whether eciaedlhertein and oto Theeg� anting of to be taLpern t doescorrect. notpresumeions to give autho laws and toordinances violategoverning or cancel this e type o work acyl be r p provisions of any other federal, state, or local [�� ulatin cons .ruction or the performance of construction. Signature of Owner _ W 01� c%J�/...... ....................................... Print Name Before me 20 1 k this j,glk Day vvof P L C� Notary Public rot►; P�* MYON# * EXPIRES: Febroary 15, 2017 '��' BdldedTla11811dge�No�l$elY10Ei Signature of Contractor Print Name 0 Before me L 20/ thi Day of l4 Notaw.pu is C. Eye{ * My COMMISSION#EE657626 Revised 10.24.12 *EXPIRES: February 15, 2017 -s— F` ! Bonded ThN Budget Notary$dVlCee NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. y+ 6 e7e.3 Tax Folio No. 170&1-/9-0100 State of Florida County of DL/Ott- 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: _541- % AIR sic. 3 L o i S (.281 G ! `, Address of property being improved: i l PD1t-lse;/,4 5% #TLA -1V Re- L sf, 1, AC -2.3 3 General description of improvements: I oo'o 1W'01 -1k 57h'6-4- //;Ow F IUGR /K Owner g'4 TA 1 AK5W1n1 C/fs�GL0�2 l /�ir2o �/%�PT1F5 L L C - Address ojoo7 OG14,1,1 31533 Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) FILL IjU Name Address Contractor Permalar Industries of Florida, Inc. Address 8841 Atlantic Boulevard Jacksonville, Florida 32211 Phone No. 904-721-2227 Fax No. 904-721-7682 Surety (if any) T Address Amount of bond $ Phone No. Fax No. JName 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, 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): THIS SPACE FOR RECORDER'S USE ONLY ER Signed: DATE Before me this f fh day of P id e County of Duval, State of Koripersonally appeared herein by G H) GLOB I -0 7 7� Page T!7, himself/ herself and affirms that all statements and declarations herein Doc # 201 4089261, OR 6K 16'58 are true and accurate Number Pages-. 1 Recorded 0412312014 at 12:38 PM, Ronnie Fussell CLERK CIRCUIT COURT DUAL COUNTS RECORDING $10.00 Notary Public at Large, Stat o County of U My commission expires: or Personally Known t-11 Produced Identification �y�� o1�,PV Pik RONALD C. LYNCH c * MY COMMISSION t EE 857628 EXPIRES: oy F'ebbrruaryy 15, 2017 City of Atlantic Beach �3 r Building Department 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by ohe Building De artment.) P-. G173 Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: IC5,- of if" Applicant: Project: Review fee $ De artment review required Yes No uilding anning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: n 001 it ATH'IKI CTATI IR Revised r�r r L960n11V.. v Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: =BUILDING PLANNING &ZONING Reviewed by:Date: O - TREE ADMIN. Second Review: ❑Approved as revised. ❑De - d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: Third Review: ❑Approved as revised. []Denied. FIRE SERVICES Comments: Reviewed by: Date-.- ate: Revised 05/14/09