1739 Live Oak Ln 2014 Shed ' 'I SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
19,
SHED PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-SHED-546
Job Type: SHED PERMIT
Description: shed
Estimated Value: $4,000.00
Issue Date: 12/10/2014
Expiration Date: 6/8/2015
PROPERTY ADDRESS:
Address: 1739 LIVE OAK LN
RE Number: 172020-0180
PROPERTY OWNER:
Name: CZERKAWSKI, JOSEPH J
Address: 1739 LIVE OAK LN
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS SCO
Address: 2158 MAYPORT RD QA TODD ALBERT BO
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Full right-of-way restoration, including sod, is required.
FEES:
BUILDING PERMIT FEE $70.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $35.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109-00
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
FILE COPY. LLL�111� U
800 Seminole Road, Atlantic Beach, FL 32233 L
L
Office (904) 247-5826 Fax (904) 247-5845 DEC 0 3 01
F�2'4�1 —
b Address: dc_ Permit Num q- sllzrfj-�
q
gal Description J(-1-5-1 07-.25--25C `U'o, 1� Parcel # <V 6/
,k�4 Floor Area of Sq.Ft. Sq.Ft
duation of Work S - ,Od Proposed Work heated/cooled non-heated/cooled
iss of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
e of existing/proposed structure(�)(circle one): Commercial
in existing structure, is a fire sprinkler system installed? (Circle one)��Yes 0 N /A
)rida Product Aeproval #
r multiple products use product approval form
scribe in detail the type of work to be performed: J4rrie_S444
V V
verty Owner Information:
rne:!�_k,,�4� JCX_ -Address: /9,71 Liv.., cgc-k( L��
A-.(1- ILI -fill_ I StateFLZIQ�l J f Phone
vlail'or Fa;#(-(Tptional
ntractor Information:
ripany Narr�e: Quali in A ent- /0",v 9M V
Jress:o2 AX city fk '&�i L State [Z- z i p 2-142'
ice Phone 0 3,�a , Job Site/Contact Number (2, 0 , F—ax
teCertification/Registration# 12TOQU
:hitect Name& Phone#
,ineer's Name& Phone#
Simple Title Holder Name and Address
iding Company Name and Address
rtgage Lender Name and Address
ication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
fnce ofapermit and that all work will bepe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
'd i
voi f work is not commenced within six(6)months, or if construction or work is susp' ded or abandonedfor - eriod of six(6)months at any time after
I IV
is commenced. I understand that separate perinits must be securedfor Electrica ork, Plun&ing,Signs', ells, Pools, Furnaces, Boilers, Heaters,
csandAirCondftionersetc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
'OMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
ro YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
,b certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thi's
) I
7work will be coTplied with whether specified herein or not. The granling of a permit does not presume to give authority to violate or cancel the
Fions of any otherfederal,stale, or local law reg construction or the perforniance of construction.
Waling
ature of Owner Signature of Contrac
Name 0 Print Narne
v -er i
......... .......,
.......................................................... ............/.......................................................................................................
'n to and subscribed before me Sworn to and Subscribed before ine
1b Day of A)Ajv01.s6ej!r this k) Day of Abo;jAgZ
2VV PE 20 1�e
WILLIAM L.PO WILLIAM L.POPE
No ry Public,St8tO ot Florida Notary Publir,state of Florida
-y Nblic My Comm�Expires Oct.19,70- Notary Public My Comm.Expires Oct.19,20-15
Commission No.EE 128745 �Mqpi?R No.EE 128745
Revise . _
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NOTICE OF COMMENCEMENT
L
Permit No. Tax Folio NO. F.I L.T
C 0 P y
State of Florida,County of Duval jou-�a*-_4,_?rl
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
I. Descti ti nofpro rtgandaddr Zifava
ptio o pKo
n f ._pe (I al descX I ne
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2. Ineral Desc *ption .Mprove t
3. Owner Information:
a)Name and Address- /K J 17-11 L,�� (94, Pl-_n7;W
b)Interest in property: 'I
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information&,,
a)Name and Address: !�r
b)Phone Number:—IFCA/-1141 OJ
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount of Bond:$
6. Lendcr Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMNffiNCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IM[PROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONTMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMNffiNCING WORK OR RECORDING
YOUR NOTICE OF COMA4ENCEMENT.
< Under penalty of petjury,I declare that I have read the foregoing notice of commencement and that the facts stated
0 therein are 4 e tolt be owledge and belief
D
SQ
V7 /* C_Zj44*W
IL 0 Signature of Owner er's Auffio�nzed Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
0) EL
The foregoing instrument was acknowledged before me this /0 day of AJOLjr7t�w . .20-1y.
to
U #Ejoski- as for
le by
0 -T rt, 0
Uj 0 (Name of Person) (Type of Authority,i.e.Officer/Attomey) (Name of Party Instrurnent was Executed for)
_j d
2 ;;
LO CD 7 0 WILLIAM L.POPE
Notary Public,State of Florida NOTARY PUBLIC,STATE OF FLORIDA
N U_ ce
-00'2.!R z 0 Mk,Pnmrri,Expires Oct.19,2015 Print Name: ib&
0 C:)0
E o c L,:1 :�kin.EE 128745
0 = a) 0 0 ui
0 z Of Of 0 W Y—Personally Known
El Identificatior/Type:
(Affix Notary Sea]Above)
Revised 3/15/12
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Cfty of Atlantic Beach APPLICATION NUMBER
Building Departmen"11, o be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 - Fax(904)247-5845 �f
City web-site: http://www.r-,:)ab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Proper-�y Address. _D-Qpa4q_pnt review r Yes No
Appflcan'L —TMS e 'o n n,n a 's'..zo��q g
Public Work5�
Project: L__ --
!!?u'blic Utilifi�e�s—
Fire Serv'ces�
Revievy fee
Dept Signature
114."'�ONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: O(Approved. IlDenie-1
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: []Approved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:---
FIRE SERVICES
Third Revimm', []Approved as revised. DlDenien.
Comments:
Reviewed by:_ Date:
REVISED 09252014
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City of A�Lrllanflc Beach 'I APPLICATION NUMBER
BtoHding Depar�mei'ii`li TIb be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 322:33-5445 N-
Phone(904)247-5826 - Fax(904)'247-5%V C I r
0 4 2014 1 1 led:
City web-site: http://wv�w.,-.,:)ab.us Date rou
BY:-
APPLICATION REVWW AND TRACKING FORM
nt review required -Ve—s
Prropenty Address, /1.3 1 LV2- OXX
Applicant AS e .0 nninc, A.Zo ' g
Iree, - -ninistrator
Project: Public VVo,,
7-M LRilides
Pu b I�i—cafely
Fire Serv�ces-.;.. z:,'�
Review fee $ Dept Signa�ra
CONTRACTOR EMAIL Atj)DRESS
CONTRACTOR CONTACT
APPMATION STATUS
Reviewing Department First Review: Approved, []Denie�!
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:__ Date: 1-2-��Z/
TREE ADMIN.
Second Review: []Approved as revised. []Denied.
C WORKc Comments:
1 LITI TIE
P BLIC"SAFE Reviewed by: Date:--
FIRE SERVICES
hird Revievir. DApproved as revised. []Denied.
Comments:
Reviewed by:_ Date:
VISED 09252014
city of Xuantic Beach APPLICATION NUMBER
Building Departmi",ili'l b be assigned by the Building Department.)
800 Seminole Road S-
Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
City web-site: http://w�&tw.r-,:)ab.us
APPLICAT�Ohl! REVIEW AND TRACK�NG FORM
ProperLty Address, /1.3 L 0a ent review required Yes eNo
nining, ;�.,Zd i g
Applicant: e .0 �j —
XFm--"�ator
Project: ax IJA' ublic Work
5PO!T�ic--Jtilities-:�,
-Ru-5 Fic—Safety
Fire Serv'�ces-,:..
Review fee $ Dept Signature_____
"42.'ONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLMATlMl STATUS
Reviewing Department First Revievif: [PA/P*Proved. []Deni�.r!
ot
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(CircLleone.) ra Comments:
11 n 11"1(_
PLANNING &ZONING Reviewed by: Date: 12-- q-1
TREE ADMIN. Second Revipiqr: FlApproved as revised. F]DeUd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:_ Date:__
FIRE SERVICES
Third Review-. FlApproved as revised. [jDenied.
Comments:
Reviewed by:_ Date:
VISED 09252014
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