1974 Beach Ave 2014 Siding CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000850 Date 5/23/14
Property Address . . . . . . 1974 BEACH AVE
Application type description SIDING PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 7300
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Application desc
Replace siding on north and westside of home
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Owner Contractor
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DEWEY III, ROBERT H D.L. DAVIS CONSTRUCTION CO.
1974 BEACH AVE 84 28TH AVE S
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 237-2222
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . . Valuation . . . . 7300
Expiration Date . . 11/19/14
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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 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 139 . 00 139 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of ,04 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:
y l- 3 zn Z
Address of property being improved: lit
General description of improvements: (.ep JACA Sll� s
Owner 4
Address
Owner's interest in site of the improvement p
Fee Simple Titleholder(if other than owner)
Name
Address
I Contractor .o�� ✓�S
Address tO3T 2'� Rr`
Phone No. %d 2 3 7 2 2 2' Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a Ica/�1for 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 Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill iq at Owner's option).
Name a 4
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 OWNE
Signed: C DATE
—7�/C—
Befor a hi da in the
Cou St o *do,h e naly uppa d
Doc#201 41 1 5995,OR BK 16791 Page 510, herein by r;�
Number Pages: 1 himself/herself and aff that all statements and de arations herein U
are true and accurate `
Recorded at 0
Ronnie Fussell CLERK CIRCUIT
COURT DUVAL �
COUNTY
RECORDING$10.00
Notary Public at Large,State of County of
My commission expires: _
Personally Known '
Produced ldentiricatort •` `�` r.AAAk''�11 n '
:r ' IOIY90M I� 1 0 'LcJC",- �.{.
a EXPIRES:May 21,2o1:6
`7JR' Bonded Thru Notary Public UntiPiw:, ,
BUILDING PERMIT APPLICATION - ^- ."Y
N
� CITY OF ATLANTIC BEACH FILE C
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:
1914 �tA<AA �%J& Permit Number:
Legal Description Parcel #
,. oor Area o Tq.Ft. q. t
Valuation of Work$ ��C� � Proposed Workated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner I�+nformation:
Name: 1 Address:
City Stat .Zip Phone
RILK-
E-Mail or Fax# (Optional)
Contractor Information: ` CONTRACTOR EMAIL ADDRESS:
Company Name: `J•L• 1✓A 0 03A0 �''C�ali ing Agent: �2 A�j I>AV(�
Address: eJ K. City State Zi 1
Office Phone 90 - — Job Site/Contact Number _ Fax# 64*M Gk
State Certification/Registration# cj?C��WO
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, 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.
I here b certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type oj�work will be complied with whether specs ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owne ` Signature of Contracto d
Print Name e- 'roc.Y...........C....�....... ..e.. ..e.. Print Name ........................ 1✓..... L�l
�............. .................................................
Be _ Befo
this Day ofSA20 0/
Notary Pub :*� M May2t,20t5 e� NovyPubkUrdwvwmri rs
_ Bores NTIx�&OY Nw derwr» �Rl��„
0-0Revised 01.26.10
D0004423���