392 11th st 2014 retaining wall CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST eftkk BY 4PM FOR NEW Bff!NSPEffleN: 24i 5814
JOB INFORMATION:
Job ID: 14-RAAR-246
Job Type: RESIDENTIAL ALTERATION
Description: TEAR DOWN AND REBUILD RETAINING WALL
Estimated Value: $5,000.00
Issue Date: 10/21/2014
Expiration Date: 4/19/2015
PROPERTY ADDRESS:
Address: 392 1 1TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $37.50
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $116.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION (16 St"r,
2
0 CITY OF ATLANTIC BEACH
HLI COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
I 11h
Job Address: 392 Street Permit Number:
Legal Description Lot 43 Block 13 Atlantic Beach Subdivision "A" Parcel #
Floor Treao S—q.Ft. Sq.Ft
Valuation of Work $ !�j 000 - Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair 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
f
Describe in detail the type of work to be performed: Tear down and Leplace retaining wall
Property Owner Information:
6eL kc.
Name: LindleyTolbprt De5M\ IVY-1 . Address:
�j __(E Zi
City Ail,.4m State _J�-)_33 Phone 72_)��
E-Mail or Fax#(Optional) (I%Acjj9,j4 0,,eA I JA 0 A Gta V� CIO-VVI
Contractor Information:
Company Name: 64�4j Qualif��n A),,en :
,g I
city &&�K State rl- zip J,
Address:
_,�
Office Phone
,A'/-0_JJ Job Site/Contact Number _0
State Certification/Registnation# 4:QC_ jgcuja Fax# 2�q�_jt/ _v_6
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 ca eb ade oba a ermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
11 be pedbr7ned to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
0 t p
io i Y"d t t a rk
pp" ' s r
'ssu nce a a e it . hat 11 wo
and,,,d f p k not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsix I months at any time after
I u. 'rs , t I s W,
., ' N' eparate permits must be securedfor Electricar Work, Plumbing,Signs, ells, Pools, rnaces, Boilers, Heaters,
,k is co eced d ta d ha J011
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 herelb certify that I have read nd in dt a lic tion and know the same to be true and correct. Allprovisions of laws and ordinances governicneg this
can
work will be com lied ith w he s I I t. The granting of a permit does not presume to give authority I violate or the
provisions of any otherfe ral, tale, r oc I re ng nstruction or the pe�formance of construction.
Signature of Owner Signature of Contract
Print Name Print Name -;;ew 4w, edi "
. ................................... ........... .....................................................................................................................I.................
Sworn to and subscribed before me Sworn to and subscribed before me
this /5- Day of p 401- 20/,-/ this C—Day of 6 20--v
WILLIAM L.POPE �t� �e 0 WILLIAM L.POPE
,,<, Notary Public,State of Florida
Notary Public Notary Public,State o Florida Notary Public My Comm.Expires Oct 19,2D15
My Comm.Expires Oct.19,2DI5 CO , *
Commission No.EE 128745 Revise5r�'?.'g%El 11171s
NOTICE OF COMMENCEMENT' FILE Copy
(PREPARE IN DUPLICATE)
Permit No. 9 41) q16 Tax Folio No.
State of FLORIDA County of DUVAL
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: 5-69 1 6-2S-29E (03101 Atlantic Beach)
Lot 43 Block 13 Atlantic beach Subdivision"A"
Address of property being improved: 392 11 th ST-Atlantic Beach FL 32233
General description of improvements: Remove and Replace retain King w:a�ll. Leivs—Irm &Oto
Owner Lindley Tolbert Design, Inc
Address 465 Beach Ave Atlantic Beach,FL 32233
Owner's interest in site of the improvement General
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Bosco Building Contractors'Inc
Address 2158 Ma,port Rd Atlantic Beach, FL 32233
Phone No. 904-241-0320 Fax No. 904-241-0326
Surety(if any)
Address mount of bond
Phone No. Fax No.
Name and address of any person making a loan for the constt uction 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 Lienor's Notice as provided in
Section 713.06(2)(b), Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration d e I one(1)year from the date of recording unless a
different date is specified): 1)
THIS SPACE FOR RECORDER'S LISE—ONLY Signed: 0 LER DATE Phq ki�
Before.4,f4N Y f the
I
ge 1167, County of Duval.S ate of Florid;,h r."
OR BK 16945 Pa . 1.
p rsonally appeared
Doc#201-4234244, tj 0 C V -"4, In herein by
Number Pages:I imself/herself and affirms that all statements and declarations herein
Recorded I o/I 5/2014 at 01:24 PM, URT DUVAL are true and accurate WILLIAM L.POPE
Ronnie Fussell CLERK CIRCUIT CO Notary Public,State of Flodda
COUNTY P-hy Comm.Expires Ocil. 19,211Y15
RECORDING$10 00 Commission No.EE 128745
Notary Public at Large,State of County of L4jk-ffle--
_M)L��x ires:
or
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R E ZMM�TD F=r
OR CODE COMPLLANCE
cma
CrIYOFATLANTic BEACH
SEE PERMnS FOR ADDMONAL
L �
REOU'REMENTS AND COND
MONS.
------ REVMWEDBY.
DATE:ZejL07/,4,1
NOTICE OF COMMENCEMENT
tPREPARE IN CUPLICATIE,
Permit No &- 112 -2 q6 Tax Folio No
State of FLORIDA County of DUVAL
To whom It may concern:
The undersigned hereby informs you that Improvements will be made to certain real property.and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improve& 5-69 1 6-2S-29E (03101 Atlantic Beach)
Lot 43 Block 13 Atlantic beach Subdivision"A"
Address of property being improved: 392 11 th ST- Atlantic Beach FL 32233
General description of improvements Remove and Replace retaining wall. &Ott�
Owner Lindley Tolbert Design,Inc
Address 465 Beach Ave Atlantic Beach,FL 32233
Owner's interest in site of the improvement General
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Bosco Building Contractors, Inc
Address 2158 Mayport Rd Atlantic Beach,FL 32233
Phone No 904-241-0320 Fax No. 904-241-0326
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for ti�e con—struction of the improvements.
Name I ii,� — 11 op"
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 servecl� tIIII'o jj,� ago'L
Name
Address
Phone 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 Statutes (Fill in at Owner's option i
Name
Address
Phone No. Fax No
Expiration date of Notice of Commencement(the expiration da4e ii�! one(1)year from the date of recording unless a
different date is specified) A
THIS SPACE FOR RECORDER'S USE ONLY Signed: 0 DATE
I th
y
Before L4 -/\-/
OR BK16945 Page 116T County of Duval,S ate of Flo�%hp
,�pnally appeared
Doc#2014234244, 1)4-67,/ -" �erein by
Number Pages!I himself/herself and affirms that all statements and declarations herein
Recorded jo,'i 5,,2014 at 0124 PM, RT DUVAL are true and accurate WILLIAM L.POPE
Ronnie Fussell CLERK CIRCUIT COU Notary Public,State of Floride
COUNTY my Comm,ExpiresOci. 19,2W5
RECORDING$10 00 Commission No.EE 128745
Notary Public at Large. tarte A County of 4-3illi
x .as
�Pr.1.c e�dl de n 1,1�ca t,o or
MAP SHOWIN� SURVEY OF
LOT 43.45. nd 47,BLOCK 13 JILAT NO 1 SUBD MSION "A-ATLANTIC BEACH,AS
)IV
RECORDED IN PLAT BOOK 5. P�tA 69 oFTHr CURRENT PUBLIC RECORDS OF DUVAL
COUNTY.FLORIDA
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',HE PROPERTY SHOWN HEREON UES IN FLOOD
ZONE-X- (AREA OUTSIDE 0.2%ANNUAL
CHANCE FLOODPLAJN)AS DETERMINED FROM
THE FLOOD INSURANCE RATE MAP THIS SURVEY WAS MADE FOR THE BENEFIT OF
12031CO409H REMSED IUNE 3, 2013 FOR UNDLEY TTT DESIGN
DUVAL COUNTY, FLORIDA.
VALID WITHOUT THE SIGNATURE AND THE DONN W. BOATWRIGHT, P.S.M.
ORIGINAL RAISED SLAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.' FLORIDA LID.SURVEYOR wd MAPPER N"Ls 3295
[C;E�O=BY. FILE-_M1110592 DRAM 811. FLORIDA LIC.SURVEYING&MAPPING SUSINESS N,.LB W72
_,�H BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE JACKSONVILLE BEACH, FLORIDA 241-85501D.,F. MAY 28,2014 -71 .711
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REVIEWED FOR CODE COMPLL
4NCE W�
CITY OFiTLANTIC ]BEACH 77
SEE PERMITS FOR ADDITIONAL RT
REOUIREMENTS AND CONDITIONS
REMWEDBY-e2l� DATE:
C) >
City of Atlantic Beach APPLICATION NUMBER
d b th B ildi D rt t
Building Department (To be assi ne y i e ui ing wa men .
800 Seminole Road IV.0lu 4
WN.
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 -)ate routed:
!)�4 City web-site: http://www.ci:)ab.us 0 Lo
L —,
APPLICATION REVIEW AND TRAC. ING FORM
Property Address: t DeDartment review required Yes No
uildinci
�Fl"an n I�ncl 8&,Z�on i n a�
Applicant: 005co - _1 ---
Tree AdFin–ITTI'Mr'
Project: I f_0V_ dOLAOrl Public Works
Public '..' :j.ies
CAC'C' ref r S*9 vial Public Ay
Fire Se vices
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: JXApproved. DDen
(Circle one.) Comments:
BUILDING
Reviewed by:&*'K--,*/ Date: 1q1,j?11f
TREE Second Review: F
]Approved as revised. F]DeniEd
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review� FlApproved as revised. F]Den
Comments:
Reviewed by: Date:
REVISED 09252014
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Dripartment.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
9��_, -site: hftp://www.c(:)ab.us Date routed:
City web L Ito 14, —1
APPLICATION REVIEW AND TRAC. ING FORM
'0', 1 t 5.f.,
Property Address: DeDartment review required Y No
uildinc.
Fl &Zoning
Applicant: Cdo anning
Tree Adrnini9VVtM?'
Project: Public Vivo-rks
Public '.'-,'-:ties
Public ' Ay _771
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: Da/A`pproved. OlDen
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date:/0-CP 0-
TREE ADMIN. Second Review: []Approved as revised. E]Vnied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review: [—]Approved as revised. FJDen
Comments:
Reviewed by: Date:
REVISED 09252014
70
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REVEEWED FOR CODE COMMLL4NCK
MY OF AIIANTIC BEACH
SEEPERUMFORADDMONAL
REQUIREMENTS AND CONDMONS,