2247 Beachcomber Tr 2014 remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
jilt
Application Number . . . . . 14-00001445 Date 9/08/14
Property Address . . . . . . 2247 BEACHCOMBER TR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 40000
----------------------------------------------------------------------------
Application desc
BED AND BATH REMODEL
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BURGIN, CHRISTOPHER & LAURA ROLLINS CONSTRUCTION INC
2247 BEACHCOMBER TRAIL 500 OSCEOLA AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 759-4600
--- Structure Information 000 000 BED/BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 250 . 00 Plan Check Fee 125 . 00
Issue Date . . . . Valuation . . . . 40000
Expiration Date . . 3/07/15
----------------------------------------------------------------------------
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 3 . 75
STATE DBPR SURCHARGE 3 . 75
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 250 . 00 250 . 00 . 00 . 00
Plan Check Total 125 . 00 125 . 00 . 00 . 00
Other Fee Total 7 . 50 7 . 50 . 00 . 00
Grand Total 382 . 50 382 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUHXING PERmff APPILKATION
FCopy C1W OF A BEW01
ILE 80o seminole Road,Atlantic Beach,FL 3223.3 KSEP
Cffice.(904)247-5826 Fax(904)247o-5845 03:2014
Z.
......OWN
By L
Job Address: 2247 13 LT
eachcomber .01 Aflaigic Ek2b&.FL_32233 Permit Number:
lg" -0164
Legat Descn. iption,42A.W-29-29E.09-29�2 M. 17-29-29t 11nivIAOM _3
Flo—ofArrm of 5q.M . sqxt
Valuation of Work s 40 W Proposed Work heated/cooled non-heated/cooled
Cj"orwork(climle oney. New Addition Aftemnon Repair move bem olition poibv* oor
Vse ottx6flig/tW03K�"StIl"111101111 cirde D)..- Cominercial ReskWatial
-601
iurt&W?(Cimie one): Yes No N 1A
if an existing Win re,is a fire s=pner system
Florida Product Approval#
For multiple prodiicts ask 5"�iv ro M
e o. wor -nd h4hrooms-to incl—ude Aew
Deseldbe in&tafl'the typ f k to be perfdrined.Rcriovate Ra—ster a -Unswn
an(f tops,tile.repiggginent new plumbind and electri-c-m—aa—i-S-1 4DOM99 lemrs andmg-L
ProyejU.Owner 1Rfo_rmM#o_n-
Nam ..Addmss-.2247 Beac—hcomberlmil
City., AtlantieBeach . .. Zip 32nLPhowffl094L-061-
E-Mail or Fax#(optional
C0ntMCt4Dr1nfonnajjqg-
Company Natne:.Robings Cgnstructionjnc. Qualifying Agent LaWrert=D.
Addrm:LOO Osceola Avqnn,;j____JCity Jwksmyilk Beach ...State, FL.Zip 32250
Office.Phone Job site/contact Number LVD 759-4600 _Fax#..JM.249kwj042
State Certifi6ation/Registration
Architect Name Phone#
Engineees Name&.Phone#N/A
Fee Simple Title Holder Name and Addrm gWs B (a)
2247 Beachcom 33- .
hff TraiL Atlantic Beack.FL32L
Bonding Corripany Name and Address
Mortgage Lender Name and:Address
or to the
c.ed pri
WARNING T-0--OWNM' YOUR VAILURK TO'RECORD AN0TICE OIF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWI[CE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCINGl,CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CONIMENCEMENT.
I 1wre by ceH6 that I have read and exam U-ted this I'car W� n affd know Ow same to.be(nm andcormet. Allprovisions oflaws govem*thi�
ope qjrwork;will be C field with whether 1 Np-pl.ain or not. The grgatingovif a adoes mat premme to 9tw akthOrAY iw violate or cancel the
proWsiom qf aynV other statcor local rMe ng, onstriwtion or the
gnature 0. Owne r
Sigriatumof:Contractor
Print Name
t VOL
Nam
Sworn to and subscro?ed.Wore me Swom to md befri me
ig� Of us
_)<C Day of �.:20 th
otary U le
1i AD& EARLY
N
Notary Public,state of Florida
CLAIRE T.ROACH
isla .0 0 :
Commission#EE 91398
Notary Public -State of Florida
my comm.expires May 08,2015
My Comm.Expires Aug 1.2017
Commission# FIF 041711
8orded TW*N"W many AWL
May 18 00 08:11 p Rollings Construction, In 9042491042 P.1
FILE UPYINOTICE OF COMMENCEMENT
7
Tam Folio,NO..
Stite-6f.-
COUDN 61.� OL/va
T6 w1ioill 11.y_o;Qmt'dm'�
-d w
Ilk-;undeTS10rie e(%v 31j.fimin' s' be inade w ceitlain real proptrty.;atvd in.accor c 'v40�SeWdt.713 of
f1te.Rdri&Statatef�,the followbig hifomation Ls stated in-this NOTICE Or COMWA ENCEM'MT,
S C wa k.Unit.),jq:80
�qpe�n
AddTms of propert�r being improved:X�-U71_Beach�or
_nbertiji��,�XtjgnAc each FL31r,3.
&�cdl4tioii-of and gpsrak�sbathripprns
0*aet CtjggVh9t*G_Be-igin AddreK,: -mme.
,;t'in�jte 0fthe.jWPWVeTnMU. Fee Siirroic Doc 9 20i4196257.OR SK '6898 Page 16E5,
NL mber Pages:1
Recorded M03 M214 at 09:40.4,1.1.
Ronnie Fussell CLERKC..RCUfT COURT DUVAL
COUNTY
Cornnac�or Ro-fli ii�s Cpb��' Ctkm:Jilc.. F-=CORD;'NG 510.00
Address;5GG:cj�cebla,A��e.1tcks6nxjf1e'.8each,M.32LqO
C904)"7594600 TIM Nib:�1�249A-1042
Fwc 14o:
phim I L-.Me F ax No-.
N.aiw of pemoii willkin* State of Flofid.%otho tban.hibi klt desigWed by o-w'w' e upm whom.nodces or offie't&6urbent�t'3421V be-
,.erveid: 3�aine_,
W addhio3l ft-) hidisidT, 0%�ndr-deslpn�.t-the t�llowitig. io.mc&iV0:a d6py:of the Uetioe-s Nbiice.m'proyi&d 'in: S;e�
-)X,0)jjor1-da S (F)II i -al'Ovoioes option -
Name-
Address:
T�Iirpihwe'Wix
of Cotnnianceniem.(the,expirMi6nd t yew-.froni ib�dari&"6f.f4bcoTdJng unldss-0 m-'re-rif date is
spe,bified):
um�#ACF,F611'.R r,,C0P.D1E-'WSUSB ONLY MW
5- i
;_`State
13cfbh�*irre this. da�,of i lie Cauytty.of-Duval
— — — — — — — — — — — — Jkkv -
has Twrmnalh, i I I �i_ -
CLAIRE T ROACH Of Flod ap r-eareA k
Adk cou of UVM1.
.NOW4�Public at Lwget.Stile of-Flon rhy
Notary Publk -State of Florida -Co-
My Comm, Expires Aug 1.201?
Commission# FF 0411711
(51 Borded 1Iwo*Nalaid Notary Ann. Produced Identificati.w.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
800 Seminole Road
P 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 L
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7-24 7.9f AOA 0a1w0i*r e'�-&epart . review required Yes -No
Zonin
—T4 B u i 1�d�in g
kci . ILI—
Applicant: :;aipnn nag &Zoning
Tree Administrator
Project: 2��ac&L Public Works
Public UtiRies
Public Safety
Fire Seivices
Review fee $_ Dept Signature
Review or Rece'rit
Other Agency Review or Permit Required of Permit verified By Date
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: pproved. nDenied.
(Circle one.) Comments:
(i��D
PLANNING &ZONING Reviewed by.- Date:
TREE ADMIN. Second Review: DApproved as revised. RDenie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. F]Denied.
Comments:
Reviewed by:_____ Date:
Revised 05/14/09