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11 Forrest Cir 2014 siding CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001197 Date 8/01/14 Property Address . . . . . . 11 FORRESTAL CIR Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ----------------------------------------- Application desc siding fl 13223 . 2 ---------------------------------------- Owner Contractor - ------------------------ ----------------------- OLIVA TRUST, LUCILLE M WCI GROUP, INC. 1495 CHESHIRE RD 1100 SHETTER AVE STE 203 JACKSONVILLE FL 32207 QA KEVIN JACKSONVILLE BEACH ICK ITZBEACHFLR3D 2250 (904) 242-4444 -- ------------------------------------------------------------------------- Permit SIDING PERMIT Additional desc . . 50 . 00 Permit Fee . . . . 100 . 00 Plan Check Fee . Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 1/28/15 ----------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ----------------------------------------------------- Other ____ _ _ --------- Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due _ ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ..r'-4^^N•4�r',..�...+..v.++Hr�.w�H........i►,,s..,a.•.....,,!w,g,wYYNY. BUILDING PERMIT APPLICATION " CITY OF ATLANTIC BEACH FILE COPY ' r F 800 Seminole Road,Atlantic Beach,FL 32233 1 Office(904)247-5826 Fax(904)247-5845 ,f(f Job Address- �� j©YP`5�"ai Gal P ermit �u_her, Atc-h his, rce Legal Descriptiont oar rea o Q• t• oheated/cooled Valuation of Work$ QProposed Work heated/cooled nn- Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s)(circle one): Commercial sidenti eal N/A / ^ If an existing structure,is afire sprinkler system installed. (Circle one): e o f Florida Product Approval# For multiple products use pro uct approve orm l dr�e i�C(-�' Describe in detai l the type of work to be performed: y /Q l Gv Property Owner Information: � Address: �� Name: State Zi hone '* City E-Mail or Fax#(Optional) Contractor Information: C lvv .�,�c Qualifying Agent: Company Name: Cit Q [JI Z tate Zip S Address:I Office Phone U C/41�i Job Site/ ontact Number (�1/-S�DtD'`>'R�7 Fax# State Certification/Registration# Architect Name&Phone# Ot Engineer's Name&Phone# Fee Simple Title Holder Name and Addrcs,______---jW�;:1— Bonding Company Name and Address Mortgage Lender Name and Address ca ed I t no work or insh _ issuancerior to the pt of a permit and that all made to work wain a�bett to do performshe ed toork and meet the standlations as ards of all laws reegulating const ruct on in r a peee ji illation gfsion((. This the att becomes n and work disc owork is mmenced.ot commenced/understandNiththat separate permitsmonthsor be sconstecured for Elects ction or work is al Work,PlumNng,nded or nSigfns aWelLs,pools,fFulrnaces,Boilers,Heaters Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OFG TWICE FOR — MENTS COMMENCEMENT MAYY TO YOUR PROPERTY OU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFR ENTRECORDING YO R NOTICE OF ng type q�work wthat I have read and it be complied with whetherd this aedlh ateln or and The granting of a permit does w the same to be true and cnot prt. All esume provisions give!authoaws rity totnviolate or cantceltthe provisions of arty other federal..state,or local Iaw regulating construction or the performance of construction. Signature of Owner —�"�� Signature of Contractor Al d. � Print Name P Print Name C ...~............................................................................_. 0.8 /................_.......................... Swo o and sub 'be bef a me Sworn. and subscribe before me 20 this Day of 20 1 this Day of t ry i c ary tc Revised 01.26.10 "OkY Pye �o�M.•�,�<<� JACOB CARSWELL �% JACOB CARSWELL MY COMMISSION I EE 869304 sb"!M EE 869304 * EXPIRES:January 28,2017 X( j;j,.1 ary 28 2017 s< o< rr a Fort IF Bonded Thw Budget Notary Services f7dpFi 6uouba'rhwb0getNotarySw*u sy�,y;JCity of Atlantic Beach APPLICATION NUMBER , r1:1 > Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Q Phone (904)247-5826 - Fax(904)247-5845 Date routed: 2-" r �j69>' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: // �ar /�� - nt review required Yes o p _ Buildin Applicant: W fanning &Zoning L� Tree Administrator - 1 Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature —. Review or Receipt Date Other Agency Review or Permit Required 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: Approved. ❑Denied. (Circle one.) Comments: 0 BUILDI G PLANNING &ZONINGReviewed by: Date: 7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Den ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Doc 4 201141162349,OR BK 16851 Page 1096, Number Pages:1 Recorded 07122/2014 at 08:52 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL 6 COUNTY Permit No. > 4 << 2 RECORDING$10.00 Tax Folio No. NOTICE OF COMMENCEMENT State of '�-- County of—UL The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance ing information is provided in this Notice of Commencement. with Chapter 713, Florida Statutes, the follow 1. Description of property: �, G �� V1 -- 2. General description of improvement:------------------- a S, 3. Owner information: iCj,^ a. Name and address- �� J [� 4 b. Interest in property c. Name and address of fee simple titleholder (if other than Owner): 4. Contractor Contractor: WCI Group, Inc. 1100 Shetter Ave. Suite 203 Jacksonville Beach FL 3225 Prep By: Contractor's phone number (904) 242-4444 (Fax) 242-7077 5. Surety a. Name and address: b. Phone number: c. Amount of bond: $ 6. Lender a. Lender Name Et Address: b. Lenders phone number: Owner u on whom notices or other documents may be served as 7.a. Persons within the State of Florida designated by P provided by Section 713.13(1)(a)7., Florida Statutes: b. Phone numbers of designated persons: of to receive a copy of the 8.a. In addition to himself or herself, Owner designaiof da Statutes. Lienor's Notice as provided in Section 713.13(1)(b), b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a differ date is specified) TION OF THE NOTICE OF MENCEMENT WARNING TO OWNER: ANY PAYMENTS MADE A THE OWNER AFTER 1, ECTION 713THE 3..13, FLORIDA STATUTESS, AND CAN AN RESULT IN CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PA , BE AND YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. YOUINTENDTICS OTO OBTMENCEMN T MU CONSULT WITH DYOUR POSTED ON THE JOB SITE BEFORE THE FIRST INSPECT ORNEY BEFORE CO��•�.°rNCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. LENDER OR AN ATT A0-4J1Jt.-N Date lgenaure of Own - da of�� I�r in the County of Duval, State of The foregoing instrument was acknowlec fed before me this y herein by himself/herself and affirms Florida, has personally appeared , f l that all statements and declarations herein are true and accurate.Type ofa gntification Produced�— Personally Known OR Produced Identification �( ?o�.....�� ,u►0p8CARSWELL MY COMMISSION#EE 869304 EXPIRES:January 28,2017 Print,Typee& tamp commssi ne ame o Notary Public na r of Notary Pu tic Wate Wnda Verification pursuant to Section 92.525, Florida Statutes.