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89 nicole Ln 2014 foundation repair CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 9 Application Number . . . . . 14-00001021 Date 6/30/14 Property Address . . . . . . 89 NICOLE LN Application type description FOUNDATION ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 4400 --- - ------ ------------ ------ ------ - -- - --- -- -- --- --- --- - ------ - - --- --- - -- --- Application desc FOUNDATION REPAIRS ---- - ------ --- --- --- - -- - ----- -- --- -- --- -- - -- -- ---------- ------ - ---- --- - -- --- Owner Contractor - --- - -- -- - --- ----------- -- -- -- - -- - - --- - - --- WILLIS-III, -JOHN-R & TERRI A FOUNDATION SYSTEMS & EQUIPMENT 89 NICOLE LANE Q/A:BILLY CLARK MCMAHAN ATLANTIC BEACH FL 32233 PO BOX 50545 JACKSONVILLE BEACH FL 32240 (9 04) 24 1-4 4 2 5 - ------ - - - --- - -- --- -- -- - -- --- - ----------- ---- --- --- --- --------------------- Permit . . . . . . FOUNDATION ONLY Additional desc . - S5 . 00 Plan Check Fee 27 . 50 Permit Fee . . . . Valuation . . . . 4400 Issue Date . . . . Expiration Date . . 6/30/14 -- - ------- -- --------- -- ---- ------ -- --- ----- -- -- ------- - - ---- - -------- - -- -- Special Notes and Comments 08 NATIONAl ELECTRIC CODE 2010 FLORIDA BUILDING CODE, 20 *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --- ------- ---- - ---------- -- -------- -- --- -------- - ---- -- ------- --- - - --- - - -- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 - --- - -- --- - --- --- ---- -- ------------- - - -- ----- --- --- --- ------------------ -- Fee summary Charged Paid Credited ----Due--- --- --- ---- -- --- -- ------- --- ----- - ---- - ------ --- -- - Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION i I I CITY OF ATLANTIC 13EACH i L 4- E COPY 1 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 JobAddress: qj 104-01-46 ZAI 474,47c.421K, 730ZX-L -PermitNumber: Legal Description q(0-gy Oq — z S Parcel 5/9 08 Vo Floor Area ot Sq.Ft. Sq.Ft Valuation of Work$. y Proposed Work heated/cooled Ido non-heated/cooled Class of Work(circle one): New Addition Alteration (��D 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 sli� N/A es 0 Florida Product Approval#_�r_oduct approval form For multiple products use Describe in detail the type of work to be performed: joc'�' AZA-;*ot_j AA.Mt — Property Owner Information: Name: df, 1011AS Address: 191 -V'404-4 City A=4u&6, -- Z4,,04W Stat4Z zip-_A6,,z.S3 Phone E-Mail or Fax#(Optional Contractor Information: Company Name: 4U^_,z4-*0-,j S)tS_71_4".S 0-CA-r— Qualifying A ent, 1971le, SIZA41 Address: City Z4, State Are Zip 3:zz 3 3 &.el Fax foy- ry-7-9L5 Office Phone 17.0V_ ZW-c-1VZ1_ Job Site/Contact Number _,M4,�AwAJ State Certification/Registration os,-1 508 Architect Name&Phone# Engineer's Name&Phone# e. Y-Z(. 7-7 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain apermit to do the work and installations as indicated. I 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 thisjurisdiction. This permit becomes null ter and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor awl eriod of six(6)months at any time af work is commenced. I understand that separate permits must be securedfor Electrical'Work,Plumbing, Signs, ells,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. Ihereb certify that I have read and examined this appit.cati.on and know the same to be true and correct. All provisions of laws and ordinances governing this type o7work will be complied with whether ecijied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfede 1,state, or local"r,w regulating construction or the peiformance of construction. Signature of 0 r Signature of Contractor'd, t erjeaer 1,s...c, orlocu,1", Print Name Z g W, ............................................... ........................... Print Name . . ...................................... ...... i..... Xa Before me BUY c Before me Day of __Z_UfJ 4* this'2:� Day of wojZ thisel';PV Day of —Z7u' V 00 NA.MAKER q%� ppz_:-- nnission#tE 188131 STATE OF FLORIDA ApdI10,2016 u lie Gemm#EEI"Bff Notary P b `4,Pr.1.1V I my rw km��Vlv Notar)�17ublic Expires 3/11/2016 Revised 10.24.12 City of Atlantic Beach APPLICATION NUMBER "IS Building Department (To be assigne by the Buil ing Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addr ss: Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Public Works Project: 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 Reviewing Department First Review: ERA"'pproved. []Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 6 -d6-lfl TREE ADMIN. V Second Review: ElApproved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 FILE COPYII �' NOTICE OF COMMENCEME)NT (PREPARE IN DUPLICATE) Permit No. It 0 OA TaxFolioNo. le"q:� State of r=6'0Aej ZA County of kh iL To whom it may concern: The undersigned hereby informs you that improvements will be made to cortam 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: W.-?q Im Address of property being improved: IM4A.;71'r Zoellq_ _U-Z-53-51 71; General description of improvements: JGJA-ZA-X_1vA_.� 4?A,R_ Owner TOWAJ le L&IZ-LIS _M_ Address 9-y /I//C0'('0C /-,(/. 4-144A_V'-'4 &w/ '& Owner's interest in site of the improvement 0 klA#4*e— Fee Simple Titleholder(if other than owner) �,4 Name lv� Address 16;114 Contractor 0. AA-AW.44A..) c9c 0 S'7 308 Address 7,A--Z Phone No.qAPV, Z!Zl _FaxNo.Q2V- iy -951 3 �7 Surety(if any) Address Amount of bond$ Phone No. ItL,4 Fax No. ,Z— Name and address of any person maldng a loan for the construction of the improvements. Name Address elm Phone No. !!�& —Fax No. Name ofperson 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 in at Owner's option). Name Address Phone No. Fax No. 1411A Al-ld .1 Expiration date of Notice ofCommencement(the expiration date is one(1)yearfrom ihe date of recording unless a different date is speciffied): THIS SPACE FOR RECORDER'S USE ONLY OWNER sl 4 �L?L - — DATE Be re me this dayof -jut-kc- In the F f Coun4��!Duv 1.Slatt Flo da,es,�erson app LL4.7 h rein by himself/her—self and a a that all statements and declarations herein Doc#2014140684,OR BK i 6823 Page 1254, are true and accurate ;!iu Y whRK McW"kK JR Number Pages:I Recorded 06/25/2014 at 09:49 AM, NOTARY PUBLIC Ronnie Fussell CLERK CIRCUIT COURT DUVAL STATE OF FLORIDA. COUNTY Comm#EEI 77MT ..:G=ountyof*- RECORDING$10.00 My cummissfon expires: Y.pi re s. T 11/201 F; Personally Known or Produced identification