1675 Becah Ave siding 2014 V-�'1 '\j1j-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
I IST CAI I FLY 412M EOR NEXI DAY INSPECTION' 747-51814
JOB INFORMATION:
Job ID: 14-SIDE-137
Job Type: SIDING PERMIT
Description: cedarshakes
Estimated Value: $8,979.00
Issue Date: 10/10/2014
Expiration Date: 4/8/2015
PROPERTY ADDRESS:
Address: 1675 BEACH AVE
RE Number: 169659-0000
PROPERTY OWNER:
Name: STOCKTON, GILCHRIST B III ETA
Address: 1675 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: WARNER CONSTRUCTION INC
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $47.45
BUILDING PERMIT FEE $94.90
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $146.35
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 OCT
FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 3 2014
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �� -75 5e:��!(, /1_770�1 b�1,114'4 Iq
fermit Number: 37
Legal Descriptio. 15-- 10' Parcel# 6 9 (0 5-9. -0 00 0
Floor Ar_e_a_o_F____Sq Ft. Sq.Ft
Valuation of Work -79,00 Proposed Work �heaited/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration <��Reai Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial <Zi.
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: C-ep�Ace Ced ckr S�OV-c s, On 0
+ecrni4c J4ryixs,_-d
Property Owner Information:
Name: C-114,4(A F Address:
city Statej!��Zip 3-2�_3 Phone '-IJ 7 -5 7--2----
E-Mail or Fax#(O'ptiona-I
Contractor Information:
Company Name:U-)CL N\e e- C�OS�I-L.<A' a, (2o . —Qualifying Agent: "[�O( 14. W ck ^ner
Address:-I I q L0 0 r I�N 14-cl — C itv S+- -'t-k" State E4 zip 7,2>_S-51
Office Phone Job Site/Contact Number �a6 Fax
State Certification/Registration# C_YSC_ to S��-6 IS7-.7 4(
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A I here ade Obtain a ermit to do the work and installations as indicated. I certify that no work or installation has commencedpriorto the
al rk 11 be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
a t a'o vpi
PP ic io s by md h
"'-Onc'o a permit an t 1 0
nd 'd fokis not commenced"thin six(6)months, or if construction or work is suspended or abandonedfor aWeriod ofsix(6)months at any time after
.o is co.."c' I. 's t t
,k d nd, tand ha eparate permits must be securedfor Electricar Work, Plumbing,Signs, ells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WAIZNING TO OWNER: YOUR FAILURE TO RECORD A NOT'110E 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 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 71work will be complied with whether eci 7ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.st.ons of any otherfederal,state, or localsf1w regulating construction or the pe�formance of construction.
Signature of Owne,/-�,/�- Signature of Contractor—��
Print Name Print Name
..................................................................................................... ..........................................................................
Swo o and subscri e e ore mT Sworn to and subsqibed before me
th,� s Iq
is ay of M P, 20 ILI 7 -t"Day of 20 L(
X I r-
MAALA
Nota ry'ROWN, JESSICA MCCLELLAND
JODI A PALACIOS
Notary Public-State lt&i* 1.26.10
My COMMISSION#FF054964
My Comm.Expires Nov 16,2016
EXPIRES February 14.2015 Ff� Commission#EE 847250
1 Floridallotaryservice.com 111" 1
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be as77byre�Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 7
Phone(904)247-5826 - Fax(904)247-5845
Cityweb-site: http://www.coab.us Date routed: L4
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 7.5' A�A,,4'1
p2p#qMent review required Yes - No
4 etuilding
Applicant: &ASP9&,4W I-Mming V Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL k oDRESS
CONTRACTOR CONTA(, 'f #
APPLICATION STATUS
Reviewing Department First Review: roved. E]Denied.
(Circle one.) Comments:
C�� 00C__
PLANNING &ZONING Reviewed by: Date:/O--
TREE ADMIN. Second Review: F
]Approved as revised. F]DeniVd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review- ElApproved as revised. F�Denied.
Comments:
Reviewed by: Date:
REVISED 09252014
NOTICE OF COMMENCEMENT
State of R- Tax Folio No. 16ci 65-1-0000
Countyof C�IuVr-k
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: I S-10 -a S E
Nor.)Ir� On'. * J_
Address of property being improved: 75' 4,,�a AA"c- 6e"
General description of improvements: ier,'a r Si'�
Owner: Address:----,-� zwkw- Fle"n.'A
Owner's interest in site of the imr)rovement: 41
Fee Simple Titleholder(if other than owner):
Name:
Contractor: �7--L)dd r n o r
Address: SN P-occ( -,S4-/\S F2- J�?,ZS�q
Telephone No.: 2 J.,y 14 -7 Fax' No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name 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:
Telephone 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_Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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 OWNER
Signed:. ------?
Date:
Doc 4 2014230736,OR BK 169411 Page 328, Before me this day of Vy t c ounty _Quval,
gf State
Number Pages:1 Of Florida,has personally appeared
Recorded 10110/21014 at 10:28 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Public at Large,St of Flo�*
COUNTY My commission expires: ALECIA M.REYNOLDS
Personally Kno..... N — 01 I'llwida
ony
RECORDING$10.00 Produced Identification: my r 2018
COMIT1151111011 r rr I