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900 Plaza 2015 interior remodel RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-57 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road v, Atlantic Beach, Florida 32233-5445 i Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 716 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: CQ� /Q Department review required Yes o p Y / 0 Z ice. uildin -PtMnin &Zoning Applicant: Tree Administrator Project: ��/ ��/ �/�( (r�� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: roved. ❑Denied. (Circle one.) Comments: BUILD PLANNING&ZONING Reviewed by: Date:l' C) '/57 TREE ADMIN. ❑App61 Second Review: roved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 1, lull BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACHI L E COPY 800 Seminole Road, Atlantic Beach, FL 32233 kt � Office (904) 247-5826 Fax (904) 247-5845 *ilk Job Address: CI Jo P1A4,4 'b-,, ,- l,�n� �� 33-2-13 Permit Number: L5 -ge —!3 7 Legal Description Parcel# Valuation of Work S c�a�oo Prop sed Work heated/cooled q t non-heated/cooled Class of Work(circle one): New Addition Iteratio 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 instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe //ii�n�� detail)the(type of work to be performed: SGS Property Owner Information• Name: �= e ', JL( ---�! 6 eo� Si � in S t C; Address:_ b t1S- d'YIA���7'• ��a �, City& ,; 2ii act. State��Zip 3Z2 Phone E-Mail or Fax#(Optional) /l p Contractor Information: CONTRACTOR iEM11AIL ADDRESS: Company Name v I A S Qualifyi g Agent: p„"G� � C;AL 6 Address: n �c City� ra 6z 51,,.,n rs State�—Zip 1 \ Office Phone -Z Job Site/Contact Number214 Z_c�j 9'1 Fax State Certification/Registration# C _�_Q t S - Architect Name &Phone# �\ Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or i/construction or work is szzspended or abandoned for a perzod of six 6)months at any time after work is commenced. I understand that separate pezmits must be secured for Electricnl Work, Plumbing,Signs, Wells, Pools, �izrnacet Boilers, Heaters, Tanks and Air Conditio►ters,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. 'herebycertify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype ojwork will be complied with whether sped zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of any other federal,state, or local law regulating construction or the performance ofconstruction. signature of Owner GsdJ ]'� Signature of Conti-act 'rint Name /...............le......../�IOTZ........... Print Name ....... iefo e Before e lis Day of 20 this IU Day of >i p r %/AP, 20 ?off e Notary Public State of Florida fotar ��tY P Notary Public State of Florida y Pu tic My Commission EE 172364 t 'y Ubllc OF n°10 Expires 02/22/2016 v� _ My Commission EE 172364 R vs ' airs•02r22r2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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:. 34-92 38-2S-29E J1 See Attached Legal Description ROYAL PALMS ACRES4- 1 Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 85 General description of improvements: Interior Remodel, New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 P \ Signed: TE Before me thi y ON in the County of Duv to f F r' as pers II r 1n •' himself/herself and affirms that I tem s� rat t"M&y i}bl bystate of Fio da Doc#2015008518,OR BK 17033 Page 577, are true and accurate r ^ Elizabeth E Peters Number Pages: 1 Ex Commission 16 17236 Recorded 01!13!2015 at 01:20 PM, ��f`o4@ Expires 02/22/2016 Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNT{ RECORDING$10.00 NoTgry Pliblic at Large( 94,0 f County of My commission expirex Personally Known V or Produced Identification NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 State of FLORIDA County of DUVAL To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real properly,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 1 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 83 General description of improvements: Interior Remodel,New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc 2987 S.Atlantic Ave.Daytona ytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach, Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 OWNE Signed: AT Before met s y o Y [�E fn the County of Du o rid r o ally a ared Cl) Doe#2015008519,OR BK 17033 Page 578, Number Pages: 1 himself/herself and affirms that all state n cleclarattons herei Recorded 01/13/2015 at 01:20 PM, are true and accurate otira r'4ry� Notary�ublic State of Florida Ronnie Fussell CLERK CIRCUIT COURT DUV.AL Elizabeth E Peters COUNTY4 My Commission EE 172364 RECORDING$10.00 r,eor Expires 02122/2016 No a u is t Large,S County of My commission expires: Personally Known or Produced Identification RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-59 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza 71� RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 iy,;,,.� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Departments) vim) 800 Seminole Road 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://\ ww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Q� Al Z 4'_ Department review required Yes No uildin �! Applicant: Hing&Zoning / Tree Administrator Project: �'�/ G��// �/�( (f QI Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: �pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: S Date: O TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATIONr4' `' CITY OF ATLANTIC BEACH t 800 Seminole Road AtlanticBeach, FL 32233 FILE C (p Office (904) 247-5826 Fax (904) 247-5845 ` ` Job Address: o Jo 7)AZA .� L ��,��� I-a 9 3�� permit Number: 15 "(- A 06Z- S' Legal DescriptionParcel # oor Area o 9 t• Valuation of Work$J „��,�� proposed Work heated/cooledt non-heated/cooled Class of Work(circle one): New Addition ]teratio Repair Move Demolition pool/spa window/door Use of existing/proposed structures) (circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e . e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe /�ii1n�� detail the type of work to be performed: Property Owner Information• Name: Lc Address: City c- - State��Zip 3 Z2 Phone E-Mail or Fax#(Optional) p Contractor Information: CONTRACTOR iEMAIL ADDRESS: Company NamN ^ J I,q�c Qualifyi g Agent: _p,,,` (��a 6 Address: Office Phone _ Clty��1 hh IckS ,.,n tate _Zip _ Job Site/Contact NumberS�1_c�101 Fax# State Certification/Registration# C ��—g t S - • Architect Name &Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work wt//be performed to meet the standards of all laws regatlattng construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is satspended or abandoned for a�pperiod of six t5)months at any time after work is commenced. !understand that separate permits mztst be secured for Electrical Work, Plumbing,Signs, We//s, Pools, irrnaces, Boilers, Heaters, 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. 'herebycertify that 1 have read and examined this a plication and know the same to be trite and correct. All provisions of laws and ordinances governing this ype ojwork will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the trovisions of any other federal,state, or local law regulating construction or the per of construction. >ignature of Owner Signature of Contracto 'Tint Name Print Name ................ 4e o e e Befo—rg�me its lDay of 20 this Day of--S t*Ivaz V�m ly- ou Notary Public State of Florida f otary tl 1 is j4 "da WM �� h E Peters Elizabeth E Peters o a Public y M Commission EE 1 4 ,per Commission 172364 ��p �a�d` Expires 02/22/20th16 Oi Expires 02/22/2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 171725-0500 State of FLORIDA Tax Folio NO. 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: 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRESs 3 ° f Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 76 General description of improvements: Interior Remodel, New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach, Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,INC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 p Signed: DATE Doc#2015008520,OR BK 17033 Page 579, Before me this day of In the Number Pages: 1 County of Duval, t. f o i a as persona appeared Recorded 01113/2015 at 01:20 PNM, herein by Ronnie Fussell CLERK CIRCUIT COURT DUVAL are t elf/and accurate nd affirms that II tatemenis and d COUNTY og+y1YPua� Notary Public State of Florida RECORDING$10.00 ? . Elizabeth E Peters �y c My Con mission EE 172364 Expires 02/22i2016 Nota b is at Large,St f County of My commission expires: Personally Known or Produced Identification `SSS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 19r RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-61 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. it %yCity of Atlantic Beach APPLICATION NUMBER ot�J Building Department (To be assigned by the Building Department.) � 800 Seminole Road /rr ��� _ C/o / � s 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 APPLICATION REVIEW AND TRACKING FORM Property Address: / do Al Department review required Yes No uildin '�— nin Applicant: 9 &Zoning / Tree Administrator mel Project: �'� el S oc aA(JQI F Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: Approved. ❑Denied. (Circle one.) Comments: 63� PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 i BUILDING PERMIT APPLICATION '°°" ' "''"'°"'*" CITY OF ATLANTIC BEACH �l 800 Seminole Road, Atlantic Beach FL 32233 FILE C Office (904) 247-5826 Fax (904)247-5845 Job Address: Cl ao 1�)gz;q , „ � �� 312-33 permit Number: /5' - Legal 5' -Legal Description Parcel 4- Valuation of Work $ . c a-o Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition lteratio 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 instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: SG fAC� c�/ SG7l7G /�7nQQCi Property Owner Information• Name: �= c ,`� ' C.Address: b WS ��j7�2T" ' ✓ / )/f S na City 3 aC 6, StateS�l Zip 3Z2 Phone �,qy�-Z371 S-/ -7 E-Mail or Fax#(Optional) nEA Contractor Information: CONTRACTOR j"M11AIL ADDRESS: Company Name v 1 AAic Qualifying Agent:�A,,.,a<, L a 6 Address: S n �c city ,,a �,�j, S t,,,n�S State�—Zip?> \ Office Phone -2 Job Site/Contact Number ,w_2!7,") _ -) Fax#��,p State Cel ti ication/Registration# C -�— t S Architect Name & Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void rf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a�pperiod of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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. 'hereby'herety certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype o work will be complied with whether specs ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. >ignature of Owner Signature of Contractor 'Tint Name . Name ��� ................................................................................................................. .................................................................................. . ....................... tefor e Before e lis 1Day of this `� Day of rojw , 20 4►►r° Notary Public State of Florida -to 8th E Peters tiraY°u°o Notary Public State of Florida O y L1bl1C < My Commission EE 1-7-2364 N ar Pll 1C �poi Expires 02/22/2016 , � My Commission EE 172364 Expires 02/22/2016 "�r NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 171725-0500 State of FLORIDA Tax Folio No. 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 statarl in this NOTICE OF COMMENCEMENT. Legal description of property being improvk 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRESY t Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 15 General description of improvements: Interior Remodel,New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 O N \ , , � �J Signed: DATE ! /�s Before me this day of In the Doc#2015008521,OR BK 17033 Page 580, Cou f i, e f Florida,has persona r r n y Number Pages:1 hims herself and affi that all statement nd 0Ntptonsr4etajry Public State of Florida Recorded 01/1312015 at 01:20 PM, are true and accurate ?° Elizabeth E Peters Ronnie Fussell CLERK CIRCUIT COURT DUVAL c c My Commission EE 172364 COUNTY 1'10F�o� Expires 02/22/2016 RECORDING$10.00 Notary blic at Large,S f County of My commission expir s Personally Known I or Produced identification s CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-58 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 03 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER • Building Department (To be assigned by the Building Department.) 800 Seminole Road e Atlantic Beach, Florida 32233-5445 A J _ ; Phone(904) 247-5826 Fax(904)247-5845 --�' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Q� Q �., V Department review required Yes o p Y uildin Applicant: ning &Zoning D -/ Tree Administrator Project: �'�/ L�Ir-/ �. ��/�(.�d Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: roved. []Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: 1'dO- TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION .{ CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 I E copy I Office 904 247-5826 Fa �ni �3 ( ) Fax (904) 247-5845 Job Address: CI �Do Lt' „ �A,��,� �,� 9 IZZ33 Permit Number: Legal Description Parcel # Floor Area o q, t. t Valuation of Work $ cam.o� Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition ]ter•atio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): We �e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe /niin�' detail the type of work to be performed: 50e Property Owner Information• Nam &-o v,Si +L,nS I LC Address:_ b 4S� r'j'!A5►`7� �a � ��-rj= City a 3 i a c StateDZip 3 ZZ 3 3 Phone E-Mail or Fax#(Optional)_ n I A Contractor Information: CONTRACTOR iEMAIL ADDRESS: Company Nami6a—If v (A-- Qualify' g Agent: 7_S1�w�` L a 6 Address:Z:.5 Sal !A-h c, A-4 Citv�t3.. rA 7�s51..,n�s State�_Zip Office Phone -Z- - I Job Site/Contact NumberS1_?y-21?") Fax State Certification/Registration# G C i t::; -q 1-s- Architect Architect Name &Phone# tp Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora period of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters, 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. 'hereb certify that 1 have read and examined this aplication and know the same to be trate and correct. All provisions of laws and ordinances governing this ype o work will be complied with whether sped aed herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of any other federal,state, or local law regulating construction or the performance of construction. >ignature of Owner 6A7 Ir Signature of Contract 'tint Name - �. �P TZ Print Name �s�gtc� ................._..........._._.. A»�S .................................................................................................. tefo — Befo e lis aYoflanuill 20 thisD ay of , h+i 204 C, ublic State of Florida 1ppr n Notary Public State of Florida fo y ublic Elizabeth F Peters y ,per My Comm1ssion EE 772364 o ary P� 1rC N�+ My Commission EE 172364 1",pd" Expires 02/22/2016 �W o� x ires 0212212016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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:1 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 83 General description of improvements: Interior Remodel,New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 O E Signed: ATE Before me t s yo In the County of Du o rid ally rad Doc#2015008519,OR BK 17033 Page 578, Number Pages: 1 himself!herself and afirms that all state �e�cla ons hereir1 Recorded 0113/2015 at 01:20 PM, are true and accurate o�W Notary Public State of Florida r . Elizabeth E Peters Ronnie Fussell CLERK CIRCUIT COURT DUVAL K My Commission EE 172364 COUNTY offExpires 02/22/2016 RECORDING$10.00 � N0217 Public it Large.S County of My commission expires: Personally Known or Produced Identification CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ll RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-50 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 S Expiration Date: 7/21/2015 U PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER r •, Building Department (To be assigned by the Building Depa ment.) 800 Seminole Road 1-.5,- �—�,/r N - �11 Atlantic Beach, Florida 32233-5445 J' '~ Phone(904)247-5826 • Fax(904)247-5845 �. ;.' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ?do �`Q z k... �" Department review required Yes o p yuildin Applicant: Hing &Zoning Tree Administrator Project: 44/ LrZ/d F Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: proved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Date: / ' 0 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 07/27/10 UILDING PERMIT APPLICATION I ' CITY OF ATLANTIC BEACH b FILE C f 800 Seminole Road, Atlantic Beach, FL 32233 ��F'w�F.iiimsmc,aae..ur �+.asra.. Vn j l{Cf Office (904) 247-5826 Fax (904) 247-5845 Job Address: Ci DJ 2I844_TNL,'uL WonVso 7,apsi-. 103'Z`Z33 Permit Number: /5 "POR - Legal Description Parcel # Floor Area o q. t. t Valuation of Work$ ov.oc> Proposed Work heated/cooled non-heated /cooled Class of Work(circle one): New Addition Iteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): We �e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval# For multiple products use product approva orm Describe/iin' detail )I the(type of work to be performed: SCG � AcM��� �c enc /Cr 7n TRAc�T Property Owner Information: - Name: 5L4 LC.Address: 6 U;- 1nA5e>?gd- R„a 51/;4 S City bal.0' - State_Zi 3Z2 Phone 4��- �r �— FsI o Z E-Mail or Fax# (Optional) n q Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name u A�,- Qualifyi g Agent: _ n-I Lii A Address:Z�5 1:s1 So {-b (A^ ,• , A oa' CitTbN 7,a 3r 5�,�,rt rs State 7V—A Zip _ Office Phone 9 DN-Z - Job Site/Contact Number Fax# State Certification/Registration# Architect Name & Phone# M-0- Engineer's 0Engineer's Name&Phone# fNAA Fee Simple Title Holder Name and\Address�1,� Bonding Company Name and Address t\\1Q Mortgage Lender Name and Address s A Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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. 1 hereby certify that 1 have read and examined this application and know the same to be trate and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contracto Print Name .........��FF..........D.........../el0 TZ Print Name E-5 ..... 0........................................ . .....................G..P.... ..' Befo Before, e this Day o �� 20 this Day of -jyRQ 20/ Notary Public State of Florida Elizabeth E Peters ary Public Elizabeth E Peters !Nlbolraaiy�_Publil� ;� tt4y Commission EE 772364 MY Commission EE 172364 or n Ex ire$02/2 / 01 dOF a Expires 02/22/2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 State of FLORIDA County of DUVAL To whom it may concern: The undersigned hereby Informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Per Official Records Volume 5775, Page 713 See Attached Legal Description Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 148 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 R �` Signed: .DATE Before me;his y of In the Doc#2015008502,OR BK 17033 Page 559, County of a tate l has person I a peared Number Pages:3 himself/herself and affirms that statemen an ation Recorded 01/13/2015 at 01:20 PM, �+ 0 e� ��f' ublic State of Florida Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate I I Elizabeth E Peters COUNTY My o My Commission EE 172364 RECORDING$27.00 � 'govt, Expires 02/22/2016 Notary blit at Large,Sta County of My commission expires: Personally Known —or Produced Identification -jyl.l�f� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j c M ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-45 Job Type: RESIDENTIAL ALTERATION Description: interior remodel �n Estimated Value: $11,000.00 v/ Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assig�the Buildin Depa m nnt.) f) 800 Seminole Road Atlantic Beach, Florida 32233-5445 J' Phone(904)247-5826 Fax(904)247-5845 ` E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Pro erty Address: �do �`Q z �.. 4 / 3 Department review required Yes No p uiIdin ning &Zoning Applicant: Tree Administrator Project: �� �/�� � �� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: [P/Approved. []Denied. (Circle one.) Comments: EiLDIA PLANNING&ZONING Reviewed by: Date: '�o' TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION � ���' , i r n ' 4 ' CITY OF ATLANTIC BEACH a; '' 4. 800 Seminole Road, Atlantic Beach, FL 3223 i ii 53 Office (904) 247-5826 Fax (904) 247-5845 Job Address: CI D o 1Az,A _tXz.k'„C- QAAri ,'sela '3zz33 Permit Number: f 5-Q N g�g /5- Legal Description Parcel # Floor Area o q. t. q, t Valuation of Work$ cry.o,=, Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Iteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e e one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail /I the type of work to be performed: See �-�:achJ ISG:7nG /6-7 49A c+ Property Owner Information: J Name: 6 S �eo y r 5i f S LC,Address:_ 6w City bgko�",-1%`mac,k StateU_Zip 3Z2 Phone E-Mail or Fax#(Optional) Il p Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Namev )A4- Qualifyi g Agent: `SAv+��S LC-AL Address:��eek S� A !An , /arc City 4 rA3xk 51,nn e-State—Zip Office Phone 9 - Job Site/Contact NumberFax# State Certification/Registration# G Architect Name&Phone# A\A Engineer's Name& Phone# `111 Fee Simple Title Holder Name and\Address_jr , Bonding Company Name and Address n\ Mortgage Lender Name and Address n A Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters, 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. 1 hereby certify that I have read and examined thisapplication�and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. A02fSignature of Owner • g ��^ A 8AI i Signature of Contracto Print Name ../. F......4....:.............Od TZ........................... Print Name ` ,�...............c �� Before e}lie Befo e ie �- this n1 Day o this�Day of Jin VA?, A Z- f F""I'Vpo Elizah-th F:Peters auljA ot'PE 4q� Notary Public State of Florida y Notary Public State of Florida Notar Public Apr My Commission EE 172364 o Public � pd' Expres 02/22/2016 y c Ex Commission 16 172364 '�a r� Expires 02/22/2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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: 34-92 38-2S-29E 5775, Page 713 See Attached Legal Description ROYAL PALMS ACRES q3 Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 93 General description of improvements: Interior Remodel,New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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: .... A �/7 Before me this y of In the Doc#20150085 OR BK 17033 Page 565, County val, e f Flo a.has personal) Number Pages: 1 himself herself and am at all statements a eciar�y�ns herein Recorded 01;13;2015 at 01:20 PM, are true and accurate row"` W Notary Public State of Florida Ronnie Fussell CLERK CIRCUIT COURT DUVAL Elizabeth E Peters 'COUNTY - a pr My Commission EE 172364 RECORDING$10.00 ort Expires 02122/2016 F1 A 1, 1W Kltj NoTbeyPUblit lit Large,St f County of j/KV6W My commission expires: Personally Known or Produced Identification S CITY OF ATLANTIC BEACH ` l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-48 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: 'O Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building De rtment.) s 800 Seminole Roademl Atlantic Beach, Florida 32233-5445 Q Phone(904) 247-5826 Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: http://vm"coab.us APPLICATION REVIEW AND TRACKING FORM PropertyAddress: / Q �`Q z k-. !v.� Department review required Ye No uildin Applicant: ning &Zoning Tree Administrator Project: ��/ ��� � / Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: proved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Date:if d Oq TREE ADMIN. Second Review: [—]Approved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 - f Office 904 247-5826 Fax 904 247-5845 ~` Job Address: C! D,3 Z _T_'XLi,jC- ��� � lz" I, 3ZZ33 Permit Number: ./5- Legal umber: /5-Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ k,0,0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition ]teratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): *e �e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval # For multiple products use product approval form Describe /ii�n� detail lI the type of work to be performed: ISCr 1 f\'T.�C^Z� SG7fJGTfI�Ci Property Owner Information: // r Name: = c Address:_ 6 4S IlMy>29d 2oa a CityA1-1.0"-,. -,;z AC_k StateTjZip 3Z2 Phone lqokt--a3` 95/JZ E-Mail or Fax#(Optional) f A Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name v �At1c Qualify' g Agent: —7S4,NiS Lc,ELLE Address:��1 Su {+ (A ► — Arc City�Q3 h Si,.,r��s State��Zip S Office Phone 9 A-Z - Job Site/Contact NumberS,-jq-2!'3") -<j)91 Fax# n1 ,A State Certification/Registration# Q �%_ C Architect Name&Phone# A\A Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address r\� Mortgage Lender Name and Address rA A Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void zf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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. 1 hereby 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 o work will be complied with whether spec'ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner ^/9 Signature of Contractor /,2 Print Name . - .Q. / /aTz` . . ...... Print Name � iM _5�................. :-.................... .......................................... Befo e Before e this Day o 20 this AM Day of � rt J,tJ2 . 20 -- state �Noj�aryPubfic state of Florida niq� Notary public State of Florida Not ry Public I'Za o ry Pi 1 c My commission EE 172364 My apo Expires 02/2212016 L416-4� NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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 fnllnwinn infn-fin,� -•- ' COMMENCEMENT. Legal description of property being improved: 34-92 38-2S-29E X63 See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 103 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 9D4-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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: DTE / ��� Before me t ay f in the County of t o ,has perso IlyXcountyof Doc#2015008504,OR BK 17033 Page 563, FMNry Public state of Florida g himself/h rself and a rms h all statements a Number Pages: 1 are true and accurate Elizabeth E PetersRecorded 01/13/2015 at 01:20 PM, My Commission Er-172364Ronnie Fussell CLERK CIRCUIT COURT DUVAL Expires 02/22/2016COUNTY RECORDING$10.00Not ublic at La e,St a My commission expires: :Z Personally Known or Produced Identification r f J��S, CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-41 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 Address: 645 , GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Bui"Depment.) 800 Seminole Road /S_ e Atlantic Beach, Florida 32233-5445Phone(904)247-5826 Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: http://\ww.coab.us APPLICATION REVIEW AND TRACKING FORM Prope Address: �Q� �`Q Z k.- Department review required Yes o p y uildin Applicant: ning &Zoning Tree Administrator Project: 1-07-fel/ 0/9 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING l 7,, PLANNING &ZONING Reviewed by: Date:1�aa�l TREE ADMIN. Second Review: ❑Approved as revised. ❑De d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27110 0+� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY LJ y Office (904) 247-5826 Fax (904) 247-5845 Job Address: CI DJ PIAZA�z '..C- Akfiri s, �� �, �3`Z2_,3 Permit Number: 1$^-1�19�412. r�l( Legal Description Parcel# Floor Area of Sq.Ft. q. t Valuation of Work$ cry.0,-jProposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Additionlteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): I *e �e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail )I the type of work to be performed: SG /n�' 6 t- +rAche.� Sc;�nc� RAc✓T Property Owner Information: J Name: LL9,Address: b Y,"T 1Aw?gd- Q b City c ?, Ac.h State'�LZip 3Z2 3 Phone 4'9V--Z377— &Io-7 E-Mail or Fax#(Optional) j A Contractor Information: CONTRACTOR EMAIL ADDRESS: e� Company Namv )A ,- Qualifyi g Agent: 775Ak ni.S U ALE Address:�q es')'go� A- !Ar, c. A,,' City�y ra Sl,.,r�ts State� Zip 1�k Office Phone 9 A—2 — Job Site/Contact Number5,'1%4—Z3-1 Fax State Certification/Registration# q C i� —g 1S4 Architect Name&Phone# A\A Engineer's Name&Phone# `l1 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A Application 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 issuance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for awl period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters, 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. 1 hereby 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 this type work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner GN-r Signature of Contractor 1,-)J,4. Print Name <l a7 2-.......................................... Print Name �Sy..................V�.��+....................................................................... . Befor n �� � Before�le this� ay of l.tMU.OA l 20(ri thisor _Day of M 20 Notar Public State of Floridaau P Notary Public State of Florida Notary Public Elizabeth E Peters Notary Public 1z p� My Commission EE 172364 My Corr�misslon EE 172384 �pd' Expires 02/22/2016 or ry Ex is 02/22/2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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 infnrmnri COMMENCEMENT. Legal description of property being improved= 34-92 38-2S-29E. ROYAL PALMS ACRES A41)� See Attached Legal Description Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 42 General description of improvements: Interior Remodel,New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach, Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 MqYD Signed: TEBefore methis ( dayof In the Doc#2015008510,OR BK 17033 Page 569, County of Duvof�1 rld has perso ly appeared Number Pages: 1 himself/herself� pc�bV4 herein by and affirms that al statements and decl Recorded 01/13,12015 at 01:20 PM, are true and accurate &N, MaY•� Notary Public State of Florida P,onnie Fussell CLERK CIP,CUIT COURT DUVALElizabeth E Peters COUNTY < My Commission EE 172364 RECORDING$10.00 ��a� Expires 0212212016 Notarylic at Large,Sta, f County t My commission expires: Personally Known or Produced Identification CITY OF ATLANTIC BEACH SS1 f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-42 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the BuildijnDepa 800 Seminole Road / ment.) — �C, Z. s) Atlantic Beach, Florida 32233-5445 9 r Phone(904)247-5826 Fax(904)247-5845 ' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No uildin ning&Zoning Applicant: D Tree Administrator Project: _��� /1 J ���.��f Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: roved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date:41 TREE ADMIN. Second Review: ❑Approved as revised. F1 Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 BUILDING PERMIT APPLICATION """'' FILE CITY OF ATLANTIC BEACH COPY :! 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Cl 00 1)1AZ,A_'JcL,'%j:. QAnn�'�_, 10." IR3` z33 Permit Number: 15'-P-AAK -q)- Legal Description Parcel # Floor Area of Sq.Ft. Sq, t Valuation of Work S tk,t�ov.o,:> Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New AdditionIteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e e one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name: 1` 7o e,[ Pna s t� � � � s ��-i- " " Address: b�S� r'I'lAyj City io s- 3ZAc_k StateTLZip3Z2 Phone q'o -2_3-7— 91a'7 E-Mail or Fax#(Optional) f) i A Contractor Information: CONTRACTOR iEM1 TAIL ADDRESS: Company Name v IAt1c Qualifyi g Agent: _7SAwnJS U AL6 Address:Z,q Sa Spar} f+ (,ate ► c, A o6 Ci447,a _xl_ C-Iniats State :Vj _Zip 1 Office Phone -2 - Job Site/Contact NumberSoy- Fax# State Certification/Registration#—q.. Architect Name&Phone# AA Engineer's Name&Phone# Fee Simple Title Holder Name and Address t� Bonding Company Name and Address Mortgage Lender Name and Address A Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for ElectricalpWork, Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters, 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 hereby certify that 1 have read and examined thispplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner V R r Signature of Contractor Print Name 7c: )rK .......�...........K 1..TZ......................................... Print Name —7 S - . .............................. Bef this VfWe y n �d & Before e this IIII Da of(AQ11A.1 1"� 20 this Day of 1Nrr°N. Notary Public State of Florida Notary Public State of Florida Elizabeth E Pete— WhAl &" Notary Public tea *t eters My Commission EE 172364 '�c ` My Commission EE 172364 N ary Public %Tof 02/22/2016 '�or w Expires 0282/2016 e V t NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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:. 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 56 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 / 7 Before me this if f At kiay of In the Countyfgf u al, pf orlda,h s personal) p d Doc b r Pages: I OR BK 17033 Page 568, himsely herself and affirms hat all statements nd de tions her Number Pages:1 � �e l�oQy Public State of Florida are true and accurate , Elizabeth E Peters Recorded 01,`13;2015 at 01:20 PM, My commission EE 172364 Ronnie Fussell CLERK CIRCUIT COURT DUVAL 'rprf oIF Expires 02122/2016 COUNTY RECORDING$10.00 ota Public at Large, a County of IYA My commission expires' Personally Known or Produced Identification CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: ]Ob ID: 15-RAAR-43 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza 4!�� RE Number: 171725-0500 t'+� PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � City of Atlantic Beach APPLICATION NUMBER ,�, Building Department (To be assigned by the Building DepartTent.) "' 800 Seminole Road _ z r ') Atlantic Beach, Florida 32233-5445 �' Phone(904)247-5826 Fax(904)247-5845 4 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: QQAl -z =,o Department review required Yes o uildin Applicant: ev ning &Zoning D -/ Tree Administrator Project: _�� �I��S �� D1 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: roved. [-]Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Z22 Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 -7 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Cl D,3 IIIA ,A z ri„t~ Pkknn�•s, 1.a 03zz-33 Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ o-.o© Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition ]teratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e e one): Yes No N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed1: Sc e A4Ac_k � 4 G.DyJG 16� 4R_Ac.I- Property Owner Information: Name:_ 5L4 r- Address: City ►o `c, -1%i2,Qeh f StateU_Zip 3Z2 Phone qoq -Z3-7— 8-lo-1 E-Mail or Fax#(Optional) n 1 A Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name v �A s Qualifyi g Agent: `�d4miS �--i:ALE Address:�q S-1 So 8 [^- ►•c, ASG CihA 7k 51.,ro--e-State 7TF:j _Zip Office Phone -2 - Job Site/Contact Number Fax# State Certification/Registration#—(Z !q C i 4:;_->—q t Sy Architect Name&Phone# A\sp Engineer's Name&Phone# '11 Fee Simple Title Holder Name and Address A Bonding Company Name and Address r\ to Mortgage Lender Name and Address r1 A Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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. 1 hereby certify that 1 have read and examined thisiplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether sped:ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. � ty f Signature of Owner O A Signature of Contractor r-- Print Name �G FF ..�.-........, ... Print Name ... �„t ....... .. �aAl Befor Befor e �— this Day o 20 this 4T& Day of NiOr VAR 9 20/'k ot►sY" Notary Public State of Florida Z 4 94 Netafy Publ State of Flonda Q*6 Adx Notal Public Elizat•,t.;h E Peters tary Public ��� ,, My Commission EE 172364 My Commission EE 172364 T or ao Expires 02/2212016 p'ri Expires 02/22/2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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!"-'--'-- .6-fnllowino information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved:' 34-92 38.25-29E ' 5775, Page 713 See Attached Legal Description ROYAL PALMS ACRES 7 Address of property being improved. 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 57 General description of improvements: Interior Remodel, New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 signed: DATE Doc#2015008508,OR SK 17033 Page 567, Fore me thisf in the Number Pages:'I unty oLD alS�t�o Florida,has per ally appeared Recorded 01!13!2015 at 01:20 PM, nseerselfandrf& herein by Ronnie Fussell CLERK CIRCUIT COI a t ule a d ac urate�ir that all stateme rr COUNTY COURT DUVAL apR Notary Public State of Florida RECORDING$10.00 ? Elizabeth E Peters A' My Commission EE 172364 9:*a poF Expires 02/2212016 Notary c at Larget t f County of My commission expire Personally Known or Produced Identification CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-44 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza Z RE Number: 171725-0500 �1 lY PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER �,. Building Department (To be assigned by thS Building Depam9nt.) ') 800 Seminole Road Atlantic Beach, Florida 32233-5445 )� Phone(904)247-5826 Fax(904)247-5845 Q E-mail: building-dept@coab.us Date routed: �,3y> City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �`Q z �.. cf�Z+ Department review required Yes o p y uildin Applicant: ning &Zoning DD / Tree Administrator Project: �/ GrIL�/ �/�.l1(�I I Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: roved. []Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: "PIr Date:/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION *: �� .« fi CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY , (Jn1 t tO Z Office (904) 247-5826 Fax (904) 247-5845 Job Address: Ci Do �lA44 ,c, '3ZZ33 Permit Number: g y Legal Description Parcel # Floor Area o q. t. t Valuation of Work $ �. ci� Proposed Work heated/cooled non-heated /cooled Class of Work(circle one): New AdditionIteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): I We �e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval # For multiple products use product approval form Describeindetailthe type of work to be performed: 5C a !-tW-Acke-4 �G 71�G /C.7nT�Ci Property Owner Information: Name: �� eS /�lctivsSi � ��S Z.C.Address:_ b t!S" �'I'1��►j7,7 ��,� S,,`�,_ City*4 _i%C,Ac.k State` ' Zip 3Z2 Phone S'okf--2_37j87/o-7 E-Mail or Fax#(Optional) /1 p Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name v l A s- Qualify' g Agent: 77 irn,GS �.�LL E Address:�5 eat Sv A !A ►-c, A,,c rA City y Ia. Si,.-,rt z-s State�_Zip X11\SOffice Phone -2 - Job Site/Contact Numbers,7t1-2'L )- s Fax State Certification/Registrat'on# Architect Name&Phone# Engineer's Name&Phone Fee Simple Title Holder Name and'Addreq r\,A Bonding Company Name and Address_ X AA Mortgage Lender Name and Address A Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod ofsix 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner /9 9 644'� Signature of Contractor Print Name �� ` ,Q , /r�0�2 Print Name r�.s.......LUAI�e ..................... ................................................... ............................................................... Befor e qq,�� Befo e S this Day of /!{,l ,[[ �y1�� 20 this Day of �n 20 Notary Public L%tj NotaryPublic to eo Nota Public state or Florida a1 tlbll Elizabeth eters lizabeth E Petesy My Commission EE 172364 yCommissionEE 172364 Expires 02122/20166' a 1� NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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: 34-92 38-28-29E 5775, Page 713 See Attached Legal Description ROYAL PALMS ACRES i Atl i Drve Atlantic Beach Address of property being improved: 900 Plaza , Florida 32233 Unit Number 62 General description of improvements: Interior Remodel, New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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: �Ja! DTE V-2/a - Befores day o In the C t f Florid has perso a d e i himseIV herse f and a s that all statemen n tion Doc#2015008507,OR BK 17033 Page 566, are true and accurate 2oi �GfiJ�Rra4�Pub!c State of Florida Number Pages:1 , Elizabeth E Peters Recorded 01(13%2015 at 01:20 PM, sem- P�¢ Commission EE 172364 Ronnie Fussell CLERK CIRCUIT COURT DUVAL mor w°' Expires 02122/2016 COUNTY RECORDING$10.00 NotaPublic at Lar f .,St t oCounty of My commission expires:/ Personally Kno:vn or Produced Identification CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 i J1�1>r- RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-47 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: � � lJ/, I Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. if � City of Atlantic Beach APPLICATION NUMBER .I Building Department (To be assigned by the Building Depa ent.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 O Phone(904)247-5826 Fax(904)247-5845 �j E-mail: building-dept@coab.us Da7 te routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ?do A , e �Q Department review required Yes No /. uildin Applicant: ning&Zoning Tree Administrator Project: /_FI/J 4 ��/j,(.Q dg Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt 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: A roved. Pp ❑Denied. (Circle one.) Comments: (:�BUILDIN PLANNING&ZONING Reviewed by: Date: ! 0'`/ S' TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 +►... a ..r ..•s..^�,.x•v:warn.::.,.... Y•..��c BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH y�• 800 Seminole Road, Atlantic Beach, FL 32233 !LE rr -- Pyil , bnJ Office (904) 247-5826 Fax (904) 247-5845 JobAddress: c1 �J �lg�,a , � � 3`zZ 33 Permit Number: Legal Description Parcel # Valuation of Work$ �,�� poor rea o q. t. t Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition lteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): I W�e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe in detaill the type of work to be performed: SC r y Property Owner Information• Name: = 4, hQ ',Address: �S r'l�Ayi7v City State ,7a D Zip 3Z2 Phone_999- '7 87/0-7 E-Mail or Fax# (Optional)_ /1(A Contractor Information: CONTRACTOR EM11AIL ADDRESS: Company Name v )A�S- Qualifyi g Agent: Address: SDf ^ "G CIty�� 71A 6ck State Office Phone -Z Job Site/Contact Number may,Z —Zip _ 11�C State Certification/Registration# C --J_q S - 1 Fax Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is sats ended or abandoned for a_period of six 6)months at any time after work is commenced. I understand that separate permits must be secured for E/ectrica! Work, Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters, 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 hereby 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 o work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner 'A eNT Signature of Contract Print Name ............V....... ...../...C..r... ...........Q,..........�.. . ....p............Z.. Print Name Pr?n ................................. ....!C ......................................................... Bef e e Befor me this Day of le 20 S this Day of ��1y�,viprL yRY°� Notary Public State of Florida Notary a iC ride E Peters Elitabeih E Peters Not I llbllc ,�v My Commission EE 172 6 Miy Coin mission EE 172364 Expires 02122/2016 ago Expires 02122/2016 ��w n° NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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: 34-92 38-2S-29E 5775, Page 713 See Attached Legal Description ROYAL PALMS ACRES I Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 101 General description of improvements: Interior Remodel, New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 Before me thi ay o — in the Court of Duv a of Florida,has person a a ed #2015008505,OR BK 17033 Page 564, himself!herse and a ms that all statements a decl ns h Doi 9 tio� e �A}Pary Public State of Florida Number Pages:1 are true and accurate 20 L� g Elizabeth E Peters Recorded 01/'13.'2015 at 01:20 PM, � My Commission EE 172364 Ronnie Fussell CLERK CIRCUIT COURT D!IVAL 9'oFao' Expires 02/22/2016 COUNTY RECORDING$10.00Notary PublicatLarge,Stale of County of My commission expire .11 Full. Personally Known I or Produced Identification NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 171725-0500 State of FLORIDA Tax Folio No. County of DUVAL To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 34-92 38-2S-29E 5775, Page 713 See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 93 General description of improvements: Interior Remodel,New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32718 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach, Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 f �7Signed: e'� ... AT Before me this y of ;1} in the Doc#2015008506, OR BK 17033 Page 565, County Duval, e t Flor da,has personal) appe Number Pages:1 Recorded 01%13i himself/herself and affir hat all statements an eclar ins herein 2015 at 01:20 PIU, are true and accurate o�o� �e Notary Public State of Florida Ronnie Fussell CLERK CIRCUIT COURT DUVAL �: Elizabeth E Peters COUNTY RECORDINGMy Commission EE 172364 i $10.00 �'os r'•o Expires 02/22/2016 NffiryPUblltat Large,St f County of My commission expires: Personally Known V or Produced Identification CITY OF ATLANTIC BEACH v 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-40 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza 00 3 [� RE Number: 171725-05 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 PLAN CHECK FEES $52.50 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S::Uti��r City of Atlantic Beach APPLICATION NUMBER s r Building Department (To be assigned by the Buildinq Department.) 800 Seminole Road 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 APPLICATION REVIEW AND TRACKING FORM Property Address: ?do `Q z �., � Department review required Ye No uildin Applicant: Hing &Zoning -/ Tree Administrator Project: ��/ Gyle/J f��/t�d O► Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: P�pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date:/-,do-/s, TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 t^ BUILDING PERMIT APPLICATION 6 L E0 CITY OF ATLANTIC BEACHIC rJA 800 Seminole Road, Atlantic Beach, FL 322330n�3 Office (904) 247-5826 Fax (904) 247-5845 9 Job Address: CI Do ?)AZ D ,t',.,C- ��,� �� '3?.2 3 permit Num Legal Description Parcel# Valuation of Work$ ` �_�� oor ea o q. t. t Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Additionlteratio 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 instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed:_ Sc-a AcI.c.:D Property Owner Information• Name: ," ', ' // City - L Address: G State 3Z7-3'5 Phone 4'vy.-Z• 77_ 8-1 -7 E-Mail or Fax#(Optional) n 1 A Contractor Information: CONTRACTOR*EMAIL ADDRESS: Company Name v J 1,v�c Qualify* g Agent:_�-� _ L� Address: go Ai�� Q CZ i,a �. Sl.,,n is State-�— Zip Office Phone -Z Job Site/Contact Numbers,7y-Z State Certification/Registration# C t S - -�- 1�1 Fax# n� ,p Architect Name & Phone Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sus work is commenced. I understand that separate permits must be secured ended or abandoned or a period o six(6)months at any time after Tanks and Air Conditioners,etc. for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers, Heaters, 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 hereb certify that 1 have tead and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type f'work will be complied with whether spec*ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Q� ~� �N� Signature of Conti or Print Name .� •�- elp rZ Print Name .................................................... ................................................................... ................. ...:a.....................`�.................................................................................. Before e Before e this Day of 2015 this Day of Notary Pub1'n No ary a lic ;p Elizabeth E Peters of ry ublic My Commission EE 172364 p` My Commiw Expires 02/22/2016 pF n Expires 02/2 Page 1 HLE CONTRACTOR 1g AGREEMENT THIS AGREEMENT is made this 29th day of December,2014, by and between: Platinum Builders of Palatka, Inc. (hereinafter referred to as "Contractor") and Sea Oats Acquisitions,LLC.(herein after referred to as"Authorized Agent")of the property known as: Sea Oats Apartment Homes located at: 900 Plaza Drive, Atlantic Beach, Florida 32233 (hereinafter referred to as the"Property".) WITNESSETH: The Contractor named agrees to perform at the Property all services, supply all materials, and provide all labor as set forth in the Contract Specifications and scope of work incorporated and attached hereto as Exhibit"A". 1. CONSIDERATION Total Consideration to be paid to the Contractor by the Owner shall be the sum of: $116,956.00 as set forth in Exhibit "A" for the base bid and such options as ordered by Owner or Owner's authorized representative on written Orders, and/or Change Orders, signed by Owner or Owner's authorized representative Christine Jubelt President. Said payments shall be issued upon the completion of each phase of the work, if work is to be completed in more than one phase, as set forth in the Contract Specifications attached as exhibits hereto. All payments shall be further subject to all other provisions of this Agreement. 2. TERMS OF PAYMENT Owner agrees to pay the Contractor within 30 days after the satisfactory completion of each phase of work as set forth in the Contract Specifications and upon receipt of the invoice from the Contractor when requesting payment. Contractor agrees to comply with the construction payables procedure as set forth in the Contractor Packet and as agreed-to by execution of the AMG Construction Payables Process and Contractor Relationship Acknowledgement Form executed on Ausust 5,2014. 3. COMMENCEMENT OF WORK Contractor agrees to commence work by January 5, 2015 or when directed to do so by an authorized representative of the Owner and to diligently and continuously prosecute work in a good and workmanlike manner and to coordinate Contractor's work with other work on the project by other trades or suppliers, so that the Owner shall not be delayed by any act or omission of the Contractor in the completion of Contractor's work within the time specified by the Owner. Contractor shall employ for the work only those workmen who will work in harmony with all individuals employed by the Owner and other Contractors on the job without regard to whether such individuals are or are not members of any labor organization and without regard to the terms and conditions under which they are employed. Contractor will not permit any labor dispute to interrupt or delay Contractor's continuous, diligent, and workmanlike prosecution of work. INITIAL INITIAL 4. COMPLETION TIME All work contained in the Contract Specifications shall be satisfactorily completed without delay by the Contractor in strict conformance no later than February 15, 2015. Said time frames shall begin on the date that the Owner's authorized representative first directs the Contractor to commence work. Contractor agrees to comply with all inspection time frames as set forth in the Capital Project Contractor Packet. 5. DELAYS If Contractor at any time shall fail or refuse to prosecute the work with promptness,diligence,and within the completion time set forth herein, or fail to supply adequate and competent supervision, or a sufficient number of properly skilled workers, or materials of the proper quality or quantity, the Owner shall have the option,after five(5)days written notice to the Contractor,to employ any other person or persons to finish the work and to provide the materials thereof. The options herein provided, in the sole discretion of Owner, shall apply to any or all locations, individually or collectively, on which Contractor is working In case of such discontinuance of this Agreement,Owner shall be entitled to withhold final payment under this Agreement which might otherwise be due Contractor, until the said work shall be finished, at which time, if the unpaid balance of the amount to be paid under this Agreement shall exceed all direct expenses incurred by the Owner in finishing the Contractor's work, such excess shall be paid by the Owner to the Contractor. 6. CHANGE ORDERS No alteration shall be made except on the written order of an Authorized Representative of the Owner, James Shearer, COO and when so made the value of the work or materials added or omitted shall be computed and determined by the Contractor, subject to the written approval and acceptance by the Owner,and the amount shall be added to or deducted from the contract price. 7. WITHHOLDING OF PAYMENTS Payments otherwise due may be withheld by the Owner on account of defective work not remedied and/or failure of the Contractor to make payments properly for materials or labor.If the said causes are not removed, upon five (5) days written notice, Owner, at its option, may rectify the same at Contractor's expense and/or terminate this Agreement. 8. HOLD HARMLESS Contractor agrees to indemnify and hold the Owner and Owner's authorized representative wholly harmless from any damages, claims, demands or suits by any person or persons, arising out of or resulting from the execution of the work provided, excluding any and all environmental issues or liability for negligence or non-payment of monies due to Contractor, in this Agreement or occurring in connection therewith, excluding liability for negligence of the Owner or Owner's authorized representative of the project. JK INITIAL INITIAL Owner hereby agrees to fully release and discharge Contractor from any and all rights, claims, demands,damages,liens,actions,or causes of action of any kind whatsoever which Owner or may have or may have after the signing of this agreement against Contractor arising out of or in any way connected with mold, mildew or related environmental issues that may have preceded the agreement Owner warrants that it shall indemnify and hold harmless Contractor against any loss or expense arising out of any liability imposed for failure to mitigate mold or mildew, that may have preceded the agreement 9. INSURANCE The Contractor shall maintain during the entire term of this Agreement at Contractor's own expense insurance to protect Contractor from claims under the Workmen's Compensation Law (including occupational disease), whereby said insurance will include coverage for Employees General Aggregate of $2,000,000, Liability with a limit of not less than $1,000,000.00 for any one occurrence and Public Liability and Property Damage insurance, whereby said insurance shall provide bodily limits of not less than$1,000,000.00 per person and$1,000,000.00 per occurrence and property damage limits of not less than $1,000,000.00 per occurrence; and Comprehensive Automobile Liability insurance whereby said insurance covers all owned,and non-owned vehicles with Bodily Injury limits of not less than $1,000,000 per accident and a property damage limit not less than$1,000,000.00. Prior to commencing work, the Contractor shall have Contractor's insurance company or companies,which are acceptable to the Owner,execute Certificates of Liability Insurance showing the effective date and the expiration date of said policy,and file a copy with the Owner or Owner's authorized representative, and should the Contractor fail or neglect to provide the required insurance, the Owner shall have the right, but not the duty, to provide said insurance and deduct 10% from any money then due to the Contractor. Certificate shall provide that Owner shall be given not less than fifteen (15) days written notice of any cancellation or changes that affect the coverage. If the expiration date of such insurance occurs during the term of this contract,renewal certificates shall be furnished not less than fifteen (15) days before such expiration date. The Contractor shall not be entitled to receive any payments until the Owner has been furnished with a current certificate of Workmen's Compensation and Liability Insurance and a current valid license number and/or Certificate of Competency from the Building Department involved. 10. FEDERAL, OSHA, STATE,AND LOCAL SAFETY LAWS Contractor shall comply with applicable State and Federal safety laws and regulations and shall participate in safety programs and shall carry out safety measures as established by Owner and/or State or Federal laws. When so ordered the Contractor agrees to stop that part of the work, which the Owner deems unsafe until corrective measures, satisfactory to the Owner, have been taken. 11. PERFORMANCE OF WORK All work shall be performed in a workmanlike manner acceptable to the Owner and Owner's authorized representative. The project shall be manned with sufficient manpower so as to maintain a good working schedule. Contractor shall work continuously to complete said work. J/\ _ INITIAL INITIAL After Contractor completes Contractor's work, Contractor shall be responsible for inspecting the quality thereof and correcting any deficiencies before invoicing for payment. 12. THEFT, DAMAGED, OR VANDALIZED MATERIALS It is understood that the Contractor shall be responsible for the replacement without charge of stolen, damaged, or vandalized materials originally supplied by the Contractor, which were not installed at the time of the theft, damage, or vandalism. The Owner shall be responsible for the replacement of stolen, damaged, or vandalized materials originally supplied by the Contractor, which were installed at the time of the theft,damage,or vandalism.The Owner shall be responsible for additional labor to remove and/or replace stolen, damaged, or vandalized materials. 13. DESTRUCTION OF PROPERTY Contractor agrees to reimburse the Owner of the project for the cost of replacement of any property damaged or destroyed by the Contractor or any of Contractors employees, subcontractors, or delivery agents. 14. CLEAN UP Contractor shall clean up and haul away all debris occasioned by the work done by Contractor and shall leave the buildings and premises clean. If, after twenty-four (24) hour notice by Owner's representative to Contractor's representative, the Contractor has not diligently proceeded with clean-up as outlined in this paragraph, then Owner shall have the right to proceed with the clean- up work and deduct the cost of said clean-up from the Contractor's payments. 15. TERMINATION OF AGREEMENT Owner may terminate this Agreement at any time prior to the commencement of work by the Contractor. If termination is not the result of Contractor's performance, then Owner will be liable for Contract Specification costs incurred by Contractor through the notice date of termination. 16. WARRANTY Contractor agrees to provide the Owner of the project with a ONE-YEAR WARRANTY against all defects in workmanship. Said warranty period shall commence at the time of final completion. Contractor agrees to supply Owner of the project with copies of Manufacturers Warranties of sub- components supplied by the Contractor. J� INITIAL INITIAL IN WITNESS WHEREOF,the parties have executed this Agreement on the date herein first above written. OWNER: {OWNERS CONTRACTOR: By: By: r•w .:_ �..L_,�n_ a Jim Leake f}ye T Date: ,2 d/J Date: Address: 645 Mayport Rd., Suite 5 Address: 2987 S. Atlantic Ave. Atlantic Beach, FL 32233 Daytona Beach Shores, 32118 Phone: 904-247-5334 Phone: 904-237-8107 11� INITIAL INITIAL BREEZE- I BEDROOM/ I BA'T'H PRICE PER UNIT UNITS 34, 42, 56,57, 62, 93, 101, 103 COST LINE ITEM UNIT QUANTITY COST EXTENSION TOTAL SOI-008 ERAL REQUIREMENTS or Demo of Units 1 EA $300.00 $300.00 2,400 sters 1 EA $150.00 $150.00 1,200 otal $3,600.( )DS AND PLASTICS ace Cabinet in Kitchens - Raised Panel Wood Doors 1 EA $330 330 Labor 2,600 en Door Hardware 1 EA $50.00 $50.00 labor 400 ace Cabinets in Bathrooms - Raised Panel Wood Doors 1 EA $30.00 $30.00 labor 240 Door Hardware 1 EA $25.00 $25.00 labor 200 ace Kitchen and Vanity Tops - Mica Square Edge 1 EA 0 0 0 ace interior Door Handles and Door Stops 1 EA $195.00 $195.00 1,560 ace interior Door Slabs and Bi-Folds with Raised Panel Slabs 1 EA $975.00 $975.00 7,800 gate Kitchen Pantry Door 1 EA $125.00 $125.00 1,000 II new 5"Wood Baseboard 1 EA $550.00 $550.00 4,400 ata I $18,200.( 5HES ,all Punch-out 1 EA $200.00 $200.00 1,600 ,all Ceilings in Kitchens 1 EA $250.00 $250.00 2,000 :k Down Finish 1 EA $725.00 $725.00 5,800 Nall Tile Overlay 1 EA $425.00 $425.00 3,400 ver Wall and Floor Tile 1 EA $585.00 $585.00 4,680 or Paint Unit 1 EA $550.00 $550.00 4,400 Re-spray 1 EA $175.00 $175.00 1,400 :)tal $23,280.( ,IALTIES ✓er Rods 1 EA $65.00 $65.00 520 awel Bar/ 1 Toilet Paper Holder 1 EA $75.00 $75.00 600 Mirrors 1 EA $65.00 $65.00 520 ,t Shelving 1 EA $250.00 $250.00 2,000 )tal $3,640.( ow Treatments 1 EA $200.00 $200.00 1,600 ig Glass Door Verticals 1 EA $75.00 $75.00 600 )tal $2,200.01 HANICAL en Faucet/With Supply Lines and Stops 1 EA $206.00 $206.00 1,648 anity Faucet/With Supply Lines and Stops 1 EA $148.00 $148.00 1,184 Shower Head 1 EA $65.00 $65.00 528 Tub Diverter and T rim 1 EA $225.00 $225.00 1,800 1 EA 1 $200.00 1 $200.00 1 1,600 ice Kitchen Sink 1 EA 1 $125.00 $125.00 1,000 ice Lavatory Sink 1 EA $85.00 $85.00 680 INITIAL INITIAL II New Washer Box and Connections 1 EA 1 $450.00 $450.00 3,600 3rill Cleaning/ Replace as Needed 1 EA $200.00 $200.00 1,600 Drill Dryer Vent 1 EA $150.00 $150.00 1,200 otal $14,840.00 -TRICAL ing Replacement 1 EA $425.00 $425.00 3,400 e out Switch and Plug 1 EA $375.00 $375.00 3,000 Sate Ref. Outlet 1 EA $94.00 $94.00 752 wire Smoke Detectors 3 EA $94.00 $28200 2,256 mfi ure Circuites and Re-label Panel 1 EA $63.00 $63.00 504 II Hood Fan 1 EA $37.00 $37.00 296 i e out Exhaust Fan 1 EA $55.00 $55.00 440 Dining Room Light Wall Sconce 1 EA $63.00 $63.00 504 id Kitchen Light Circuit 1 EA $37.00 $37.00 296 GFCI outlets 3 EA $50.00 $150.00 1,200 Nasher/ Dryer Circuit 1 EA $188.00 $188.00 1,504 Dtal $14,152.( nits and contractors fees Per Unit $8,400.0( Per Unit $11,039.( AL 8 Units $88,312.1 INITIAL INITIAL Specifications ea Oats 'HE DUNE-3 BEDROOM/2 BATH PRICE PER UNIT UNITS 142, 148 COST LINE ITEM UNIT QUANTITY COST EXTENSION TOTAL SOI-008 GENERAL REQUIREMENTS iterior Demo of Units 1 EA $400.00 $400.00 800 �umpsters 0 EA $150.00 $0.00 30( ubtotal $1,100. /OODS AND PLASTICS eplace Cabinet in Kitchens - Raised Panel Wood Doors 1 EA $350.00 $350.00 700 itchen Door Hardware 1 EA $50.00 $50.00 10( eplace Cabinets in Bathrooms - Raised Panel Wood Doors 2 EA $30.00 $60.00 12( anity Door Hardware 2 EA $25.00 $50.00 10( eplace Kitchen and Vanity Tops - Mica Square Ede 1 EA 0 eplace interior Door Handles and Door Stops 1 EA $300.00 $300.00 600 teplace interior Door Slabs and Bi-Folds with Raised Pannel Slabs 1 EA $1,534.00 $1,534.00 3,068 elocate Kitchen Pantry Door 1 EA $125.00 $125.00 250 INITIAL INITIAL istall new 5"Wood Baseboard 1 EA $700.00 $700.00 1,400 .ubtotal $6,338. INISHES irywall Punchout _ 1 EA $375.00 $375.00 750 irywall Ceilings in Kitchens 1 EA $250.00 $250.00 501 .nock Down Finish 1 EA $825.00 $825.00 1,6! ub Wall Tile Overlay 1 EA $425.00 $425.00 85 hower Wall and Floor Tile 2 EA $585.00 $1,170.00 2,3d iterior Paint Unit 1 EA $625.00 $625.00 1,25 ub Respray 1 EA $175.00 $175.00 35( ubtotal $7,690. PECIALTIES hower Rods 2 EA $65.00 $130.00 26( 1)Towel Bar/ (1) Toilet Paper Holder 2 EA $75.00 $150.00 300 anity Mirrors 2 EA $65.00 $130.00 260 loset Shelving 1 EA $350.00 $350.00 700 ubtotal $1520. /indow Treatments 1 EA $275.00 $275.00 550 liding Glass Door Verticals 1 EA $75.00 $75.00 150 ubtotal $700. IECHANICAL itchen Faucet/With Supply Lines and Stops 1 EA $206.00 $206.00 412 N Vanity Faucet/With Supply Lines and Stops 2 EA $148.00 $296.00 592 ew Shower Head 2 EA $65.00 $130.00 260 ew T ub Diverter and T rim 2 EA $225.00 $450.00 900 oilet 2 EA $200.00 $400.00 800 eplace Kitchen Sink 1 EA $125.00 $125.00 250 e lace Lavatory Sink 2 EA $85.00 $170.00 340 istall New Washer Box and Connections 1 EA $450.00 $450.00 900 /C Grill Cleaning/ Replace as Needed 1 EA $250.00 $250.00 500 ore Drill Dryer Vent 1 EA $150.00 $150.00 300 ubtotal $5,254.1 LECTRICAL ghting Replacement 1 EA $425.00 $425.00 850 hange out Switch and Plug 1 EA $375.00 $375.00 750 elocate Ref. Outlet 1 EA $94.00 $94.00 188 ardwire Smoke Detectors 4 EA $94.00 $376.00 752 econfigure Circuites and Relabel Panel 1 EA $63.00 $63.00 126 stall Hood Fan 1 EA $37.00 $37.00 74 hange out Exhaust Fan 2 EA $55.00 $110.00 220 1d Dining Room Light Wall Sconce 1 EA $63.00 $63.00 126 <tend Kitchen Light Circuit 1 EA $37.00 $37.00 74 / INITIAL INITIAL NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 State of FLORIDA County of DUVAL To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. 34-92 38-2S-29E }� � Legal description of property being improved: ROYAL PALMS ACRES See Attached Legal Description Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 34 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of Name Doc#2015008511,OR BK 17033 Page 570, Address Number Pages:1 Recorded 01.112015 at 01:20 PM, Phone No. Fax No._ Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Name of person within the State of Florida,other than himself,designs RECORDING$10.00 documents may be served: Name James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,INC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 OWN -' Signed: DATE Before me this day of in the County of u al ate of Florida, as person ly appeared -fn�+ �d herein by E14Votary Public State of Florida mselfl herself and affirms that all statements and declarations herein iiZabeth E Peters are true and accurateMy Commission EE 172364xpires 02122/2016 Notarly Public at Large,St to of County of My commission explrl Personally Known or Produced Identification 4 EA $50.00 $200.00 400 add GFCI outlets 1 EA $188.00 $188.00 376 add Washer/ D er Circuit $3,936 ,ubtotal $2,100.1 permit and contractor fees Per $14,31! Unit 1 Units $28,63E 'OTAL GENERAL CONTRACTOR'S PARTIAL RELEASE AND WAIVER OF LIENS OWNER: Sea Oats Acquisitions,LLC CONTRACT FOR: Inter renovations for units 34 42 56 57 62 93 101 103 142 148 PROJECT: Sea Oats Apartment Homes CONTRACT DATE: 12/29/2014 Upon receipt by the undersigned Contractor of a check from Owner in the sum of {$0.001, which check will constitute payment of all sums due the undersigned for labor,equipment and/or materials supplied through the effective date of this release in connection with the Project, and when said check has been paid by the bank upon which it is drawn, this document shall become effective to release any and all liens,claims, liabilities,actions and demands that Contractor has or might have against Owner, Lender, the Project, the real property upon which the Project is located (the "Property") and any and all other property owned by Owner on account of or in connection with labor, equipment and/or materials supplied by the undersigned to the Project through the effective date hereof. The undersigned Contractor does hereby further acknowledge and represent that: 1. Through the date hereof, the undersigned has received from Owner payments totaling 1$0.001 for labor,equipment and/or materials supplied to or for the Project; and 2. This Release and Waiver shall not effect Contractor's rights, if any, to contractual retainage withheld by Owner from the above-described payment or prior payments to Contractor by Owner 3. No part of any materials furnished by Contractor for incnrn *:: u,Lu the Project is or will be subject to any lease, security agreement, conditional sales contract or other encumbrance. No mechanics or materialmens liens have been filed of record against the Property. 4. All labor and material incorporated in the work,to the date of this release are paid for and are free of indebtedness,liens or chattel. The instrument has been executed as of the_day of ,2014. CONTRACTOR: Contractor: By: Name: INAMEJ Title: {TITLE INITIAL INITIAL STATE OF § COUNTY OF § Sworn to and subscribed before me the undersigned authority on this day of , 2014. [SEAL] Notary Public, State of My Commission Expires:_ Printed Name of Notary Public INITIAL INITIAL GENERAL CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIENS OWNER: Sea Oats Acquisitions, LLC CONTRACT FOR: Inter renovations for units 34,42, 56, 57, 62,93, 101, 103, 142, 148 PROJECT: Sea Oats Apartment Homes CONTRACT DATE: 12/29/2014 Upon receipt by the undersigned Contractor of a check from Owner in the sum of 1$0.001 which check will constitute payment of all sums due the Contractor for labor,equipment and/or materials supplied in connection with the Project,and when said check has been paid by the bank upon which it is drawn, this document shall become effective to fully and finally waive and release any and all liens, claims, liabilities, actions, and demands that Contractor has or might have against Owner, Lender, the Project, the real property upon which the Project is located (the "Property") and any and all other property owned by Owner on account of or in connection with labor,equipment and/or materials supplied by the undersigned to the Project. The undersigned Contractor does hereby further acknowledge and represent that through the date hereof, the undersigned has received payments totaling 1$0.001 for labor, equipment and/or materials supplied to the Project and has paid in full all labor and materials incorporated into the work including but not limited to, employees, subcontractors and suppliers. The instrument has been executed as of the_day of , 2014. No part of any materials furnished by Contractor for incorporation into the Project is or will be subject to any lease, security agreement, conditional sales contract or other encumbrance. No mechanics or materialmens liens have been filed of record against the Property. CONTRACTOR: Contractor: By: Name: INAMEJ Title: {TITLE INITIAL INITIAL STATE OF § § COUNTY OF § Sworn to and subscribed before me the undersigned authority on this day of 92014. [SEAL] Notary Public, State of My Commission Expires: Printed Name of Notary Public INITIAL INITIAL CERTIFICATE OF GENERAL CONTRACTOR CONTRACTOR: Platinum Builders of Palatka, Inc.. CONTRACT FOR: Inter renovations for units 34, 42, 56, 57, 62, 93, 101, 103, 142, 148 OWNER Sea Oats Acquisitions,LLC CONTRACT DATE: 12/29/2014 PROJECT: JPROPERTY} The undersigned, being duly sworn,on oath deposes and says under penalty of perjury: I am the OWNER of the corporation or other entity identified above as the Contractor,which entity has executed the attached Release and Waiver, and hereby certify that the Contractor has paid all employees, subcontractors and materialmen in full for all labor and materials supplied by them to, for or under the Contractor in connection with the above described Project through the effective date of this Certificate, except for those parties listed on the attached sheet in the amount indicated opposite their names, who shall be paid in full within ten (10) days after Contractor's receipt of Owner's payment in the amount of 1$0.001. On behalf of and in the name of the Contractor, I hereby further covenant, warrant and represent that should any claim or lien be filed against Owner,Owner's construction and/or permanent lender ("Lender), the Project, the real property upon which the Project is located or any other property owned by Owner for material, equipment or labor supplied in connection with the Contractor's participation in the construction of the Project, the Contractor will immediately pay and satisfy such claim or lien or otherwise secure a full and final release of such lien, and furnish Lender and Owner with an original of the signed instrument fully releasing any such lien or claim. The Contractor further agrees to fully indemnify and hold harmless Owner,Lender and their respective agents,representatives and employees, from any loss,cost or damage, including but not limited to attorney's fees, which they may incur by reason of any such claim or lien by,through or under the Contractor. I further certify on behalf of and in the name of the Contractor that the Contractor has complied with all federal, state and local taxes, including social security laws, and unemployment compensation laws and workers' compensation laws, insofar as same are applicable to the performance of the Contractor's obligations with the Project. This Certificate has been executed to be effective as of the day of , 2014. CONTRACTOR: Contractor: By: Name: INAMEJ INITIAL INITIAL Title: ITTTLE) STATE OF § COUNTY OF § Sworn to and subscribed before me the undersigned authority on this_day of 12014. [SEAL] Notary Public, State of My Commission Expires: Printed Name of Notary Public INITIAL INITIAL �s s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 30B INFORMATION: Job ID: 15-RAAR-51 Sob Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 , PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Buildin Department.) ') 800 Seminole Road Atlantic Beach, Florida 32233-5445 v Phone(904)247-5826 Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Qa Al Z �.. 1 Department review required Yes o p y uiIdin Applicant: �. ning &Zoning CC DD Tree Administrator Project: ��J/ L/�// �i�.a�� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: BUI DING PLANNING &ZONING Reviewed by: ! ( Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: t Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY ? Office (904) 247-5826 Fax (904) 247-5845 Job Address: Jo I�'AZ,A ' z t P-kta„� *' 3-a" 9 33233 permit Number: Legal Descriptioo n Parcel # Floor Area o q. t. t Valuation of Work $ co. o Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition lteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe/ ( iin� detail the type of work to be performed: Property -Owner Information• l ` Name: /=�A ��av�r�i� iF� �nS ZC,Address:_ b�S- d'j'!A �a City kt IQ C� 3 iinck StateTj Zip 3ZZ '�- 3 3 Phone ;'oto— E-Mail or Fax# (Optional) fl p Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name v 1Ar- Qualify' g Agent: >Aw,izs L AL e Address:z_S Sacityy�p,, rA �, Sl.�ri�S State�—Zip_11—IX-11 Office Phone -2_'3`N- Job Site/Contact Number Shy-Z3") _� �-� Fax State Certification/Registration# G C i ��—q t S4 Architect Name &Phone# 11� 1p Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sits ended or abandoned for a period of six 6)months at any time after work is commenced. I understand that separate permits milst be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces, Boilers,Heaters, 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. hereb certify that I have read and examined this a plicatio/�and know the same to be true and correct. All provisions of laws and ordinances governing this ype ojYwork will be complied with whether spec'ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of any other federal, state, or local law regulating construction or the performance of construction. signature of Owner c /9 EN T Signature of Contractor 'Tint Name .................................I�..... ........ 1.a. ....Z.............................................. Print Name .A.' 5............. k. . ..... ....... ............................................................ lefo e Befor e lis Day of is� Day of Q 20/ Vff°4a�- Notary Public Stale of Florida F h E Petersmotarx Public State of Florida lot y Pub 1C �c pa My commission EE 172364 otal ub 1C 2p Elizabeth E P.ets dor wo Expires 02/22/2016 My Commission EE 172364 '� isl?'tPi��. ? 816 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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:_ 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 134 General description of improvements- Interior Remodel,New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 1 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach, Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 M7,_4 DATE 9Signed: � I Doc#r`2015008512,OR BK 17033 Page 571, Bef ore S e di Flof a,has perso appearedIn theNumber Pages:1YAMRecorded 01/13/2015 at 01:20 PM, himand affirms that all statem is and ecl r . s e i Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate YatrsY°&eG� Notary Public State of Florida COUNTY Elizabeth E Peters MY RECORDING$10.00ommission EE'y dOF rc°QP Expires0 es 02/22/2 6 172304 Notary Public at Large,St$te of County of My commission expires:/ '1 Personally Known �/ or Produced Identification RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: ]Ob ID: 15-RAAR-54 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza 'Q RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Departme t.) t � Seminole Road Atlantic �� Atlantic Beach, Florida 32233-5445 ✓ Phone(904) 247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �d 0 // z �.. -" Department review required Yes o p y uildin �- ning &Zoning Applicant: Tree Administrator Project: d'C Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: [PApproved. []Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATIONx ., . ,> C , CITY OF ATLANTIC BEACH : 1 ILE C 800 Seminole Road, Atlantic Beach FL 32233 hl rJ(o Office (904) 247-5826 Fax (904) 247-5845 Job Address: CI Da�lg � `mo - � �� 31233 permit Number: 15-1ef�J�f,�- Sy Legal Description Parcel # oor Area o q. t. t Valuation of Work $ c�a.a Proposed Work heated/cooled non-heated/ cooled Class of Work(circle one): New Additionlteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe in detail)the((type of work to be performed: S06 (—t4Ac_kgJ 'Sc.Dn;z Af?,g4 c+ Property Owner Information• j / Name: 5,= e -�' ��o v.Si 41 ' l C b�M Address:- 45" �ipoCr ,,a city L I'OrA Q j3�.,Qc-k State7l Zip322 3 Phone_4otf--Z3--j 9-/4i-7 E-Mail or Fax#(Optional) !1 A Contractor Information: CONTRACTOR iEM11AIL ADDRESS: Company Name v I,p�ic Qualifyi g Agent: U A Address: "A )'c, A-,, Ci6&1 SI,,.,n zs State�_Zip 3�1 \Sc Office Phone -2- Job Site/Contact NumberS�y-Z3')_<101 Fax# �� ,p State Certification/Registrat.,on# G C i �-q 1,74 —� Architect Name & Phone# PAN.p Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address t�1 lA Mortgage Lender Name and Address Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora_ period of six�6)months at anv time after work is commenced. I understand that separate permits must be secured or Electrical Work, Plumbing,Signs, Wells, Pools, urnaees, Boilers, Heaters, 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. hereb 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 ype ojYwor•k will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the rrovisions of any other federal,state, or local law regulating construction or the performance of construction. signature of Owner /g Signature of Contract 'rint Name - Print Name fir......./C./o/..Z. . . ...... .... . ... .... . . . . ........................................................... lefore me Before.me lis Day of 5 20 this Day of JA rvAVL 20/C oW p&, Notary Public State of FloridaPu NotaryPublic State of Florida Tota Public iza a eers Ex L My commission EE 172364 a ,per CommissUion EE 172364 Ot hC 1 ?a fid` Expires 02/22/2016 y of OF Expires 02122/2016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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: 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 106 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 OWNIER Signed: DATE 7 �� f 1 1 Before met s day of In the \�`// Cou u St Fl rid ,has personally peared Doc#2015008515,OR 8K 11033 Page 57/4, Number 1 Pages: himself/herself and affirms th m all stateis an flaratiR%iPer n 9 N o ry�ublic State of Florida are true and accurate r° Ln Elizabeth F_Peters Recorded 01113;2015 at 01:20 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL "� e�' My Commission EE 172364 COUNTY OF Expires 0212212016 RECORDING$10.00 �+"J*+'+►`u'�+r' Nota Public at Large,St f , County of My commission expires' (P _ Personally Known V or Produced Identification j!,r1,`jr �s `S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r�DIM RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-49 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 y� BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1V City City of Atlantic Beach APPLICATION NUMBER w Building Department (To be assigned by the Buildin Deparynent.) 3n 800 Seminole Road /`- 7q Atlantic Beach, Florida 32233-5445 / ~� Phone(904)247-5826 Fax(904)247-5845 Q E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: , �., Department review required Ye No p Y �do 0 Z � uildin Applicant: Hing &Zoning C p -/ Tree Administrator Project: _1-0 f e 1 4 A�&d d�7 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: IKPI—Pr—oved. []Denied. (Circle one.) Comments: BUI IN I PLANNING&ZONING Reviewed by: Date:.' �O TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION .;;.�;�,,� .:,�,,: .�. CITY OF ATLANTIC BEACH ¢ ' 800 Seminole Road, Atlantic Beach, FL 32233 1 L E P y Un.I� Office (904) 247-5826 Fax (904) 247-5845 Job Address: 31?? 33 permit Number: l57 —#e19/1,_ - Legal Description Parcel # oor Area of 7q-Tt—. t Valuation of Work$ civ.,0� Proposed Work heated/cooled non-heated/ cooled Class of Work(circle one): New Addition Iteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): I Z�e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval# For multiple products use product approva orm Describe in detailthethe type of work to be performed: 506 "AchSc enc �C� lLA�{ Property/Owner Information: l - Name:-� ! /L4—e l'' aeo v.5i 11 12n ' LC Address:_ 6 yS- �'I�IA�f>2904 ��a 15,11 4L_-57( City A-U,0,41 v il izac 1. f States-1 Zip 3X2 Phone_T9V--2-37I— 81p-7 E-Mail or Fax#(Optional) n I P Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name �' v ? 0 Atic A Qualifyi g Agent: 77SAw-,G5 L.c;Q Address: So ,\ ..c City� �ix�. y P 5-L r aS State�_Zip _ Office Phone —2 — Job Site/Contact Numbers,7y—Z31 —�)0') Fax State Certification/Registration# G C i S —q t Sy Architect Name &Phone# 1f�\tp Engineer's Name&Phone# Fee Simple Title Holder Name and Address n ,A Bonding Company Name and Address Mortgage Lender Name and Address s A Application 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 issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters, 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. 1 hereby certify that 1 have read and examined this a plication and know the same to be trate and correct. All provisions of laws and ordinances governing this type ojwork will be complied with whether speci aed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner ~ w-r ' r Signature of Contt•acto Print Name �/C6,t�/� /�/O TZ Print Name �. ............................................................ Befor e Befo e this�lDay of 0 �� this�Day of Jr n&,,O 20/C' r to Public State of Florida "aiPu eters ry a iC $ Elizabeth E e ers No ,gt EE 172364My Com�mi�ion E6172364 016 "a R® ' ed W7 . NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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 followinq information is statad r.. COMMENCEMENT. 34-92 38-2S-29E Legal description of property being improved See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 142 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No-904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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#2015008503,OR BK 1,'033 Pa e 562, Before met ay t n the Page Coun I, �tq o'da,has perso ly pp ared �� `h n +y Number Pages: 1 f`{ a ;n,�`,r"` '`+"�,7 Recorded 01/1.J2015 at 01:20 PM, "fie e3I b himselfl herself and afirms hat all statem is a arat flablic State of Florida Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate Elizabeth E Peters COUNTY a My Commission EE 172364 RECORDING$10.00 'Foro�� Expires 0212212015 N to ubll at Large,St f County of My commission expires/ Personally Known j� or Produced Identification RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: ]Ob ID: 15-RAAR-52 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza '}rJ�i RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 --i- ,;,.� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Depart 7ent.) 1 ') 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 4 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address- �do Aa- -z Department review required Yes o �.. uildin ning &Zoning Applicant: Tree Administrator Project: 1 /// �F-/ ��� if�� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: roved. []Denied- (Circle one.) Comments: BUILDI G PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION ..... .,.A...s.�.� k CITY OF ATLANTIC BEACH ;, I FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: C'1 DJ 7)gZ,q `fit „ �nn�`� � 33:3- q Permit Number: Legal Description Parcel # Floor Area o q. t. t c Valuation of Work $ a 0,z, Proposed Work heated/cooled non-heated/ cooled Class of Work(circle one): New Additionlteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): I Commercial Residential If an existing structure,is a fire sprinkler system instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: Property Owner Information: Name: 2" �, �eo v.�% �n S LC.Address: City �*l to Q 13!�.19 cA State1jZip 3 Z2 3 3 Phone 99 14— E-Mail or Fax# (Optional) 0 I A Contractor Information: CONTRACTOR EM111AIL ADDRESS: Company Name v )Adie Qualify' g Agent: Ar►�`� �,Q Address: S ca'1 t� A !A, i-c. A-6 City 4 a . S1,nja-e-State :Trj Zip �l1 \S'c Office Phone -2 - Job Site/Contact Number SSU-2j 1 _cE 1-�1 Fax# State Certification/Registration# q 1 S4 Architect Name &Phone Engineer's Name&Phone# `(1� Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a pperiod of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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. 'hereby certify that I have read and examined this a plication and know the same to be trite and correct. All provisions of laws and ordinances governing this ype ojYwork-will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of any other federal,state, or local w regulating construction or the performance of construction. signature of Owner /9 T Signature of Contracto//)----� Tint Name Print Name r� 1 �Ar+ticS.. .....1. ! .................................... .... lefore me Befor me lis Day of Jr 20 this Day of —),Anvlcy2 fpr nuy. Notary Public State of Florida fotar ublic al . FloridawLA 6464- r° �� BizabethEPeters YEEfizabetheters rotaif�y"Public < . My comms EE 172364 �viOFExpires 02122/2016 016 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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 thn fnitnwino information is stated in this NOTICE OF COMMENCEMENT. 34-92 38-2S-29E Legal description of property being improved:. ROYAL PALMSACRES oe See Attached Legal Description Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 128 General description of improvements: Interior Remodel, New Kitchen and bath cabinets,New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 IQPhone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,INC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 OW Signed: '/7DATE Before me this ay of In the Cou f at, a (_Florida,has personal appeared Doc#2015008513,OR BK 17033 Page 572, r Number Pages:1 9 hlmselU horse f and am m hat all statemen a e oI"r i s ei are true and accurate ;off e Notary Public State of Florida Recorded 01/13/2015 at 01:20 PM, Elizabeth E Peters Ronnie Fussell CLERK CIRCUIT COURT DUVAL r,c p� My Commission EE 172384 COUNTY y2 armed Expires 02/22/2016 RECORDING$10.00 ota t ubllc at Large,S f County of My commission expire Personally Known V or Produced Identification RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-53 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LE AKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 City of Atlantic Beach APPLICATION NUMBER j, Building Department (To be assigned by the Building Department.) ') 800 Seminole Road �� �+ 0-�� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 4 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �jQQ /Q z /� l Department review required Yes o / uildin Applicant: ning &Zoning D Tree Administrator Project: ��/ Gll�-/ ��/�( ��� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: proved. ❑Denied. (Circle one.) Comments: (EDIN4 PLANNING&ZONING Reviewed by: Date:/',��' TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION ''" � •. CITY OF ATLANTIC BEACH GOP-11y , 800 Seminole Road Atlantic Beach, FL 32233 FIL E b,-1l Z.r Office (904) 247-5826 Fax (904) 247-5845 Job Address: Ci Jo 1L)1AZ4 ` L,. ,- 46n, '­ La 3'ZZ? permit Number: /S--d?/9 fi)1Z^ 573 Legal Description Parcel # Floor Area o q. t. t Valuation of Work $ c o �� Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition lteratio 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 instal e e one): Yes No N/A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: Property Owner Information: Name: �i=� �-��_�eo v���' �� ��ns LLCAddress: City Ifl&IA�3!�qac k StateTLZip 32233 Phone E-Mail or Fax#(Optional) f)I A Contractor Information: CONTRACTOR iEMAIL ADDRESS: Company Name v I A�c Qualify* g Agent: Arra Lc:Q Address: City hA _6 `. S�.,n�S State :FC;j—Zip _ Office Phone 9 DN-2 - Job Site/Contact Number Z3 -Sip-) Fax# State Certification/Registration# G C i ::� — t S4 Architect Name & Phone# V\\tP Engineer's Name&Phone# Fee Simple Title Holder Name andAddress I!N A Bonding Company Name and Address Mortgage Lender Name and AddressA t Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a eriod of six 6)months at anv time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, hirnaces, Boilers,Heaters, 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. hereb 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 this ype o work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the )rovisions of any other federal, state, or local law regulating construction or the performance of construction. >ignature of Owner RIf" Signature of C7;� r Tint Name Tz Print Name ,,�� /C.... .................................................................. � A ........................... .................................................... tefor e Befor me pis T Day of 1,( 20 this Day of 20 yRY D da r D � r Public State of Florida Iota y u iC Elizat:eth E Peters Nott Public : Elizabeth E Peters My Con;mission EE ;72364 @� My Commission EE 172364 OF Expires 02/22/2016 '�a�°"R ��°��2 gtrj NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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: 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 121 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach, Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): Turc coerc cnrz RPCnRDER'S USE ONLY WNER Doc#2015 Signed DTE 008514,OR BK 17033 Page 573, Before me this of In the Number Pages: 1 County of Duv ,S or orida ha person Ily appeared Recorded 01/13/2015 at 01:20 PM Ronnie Fussell CLERK CIRCUIT COUP, herein by himself.horse and affirms that all atements anLn COUNTY T DUVAL are true and accurate '"�oNotary PublicSof Florida RECORDING Elizabeth E Peters $10.00 MyCOmmission EE 172364 ra Expires 02/22/2016 Notary Public at Large, t County of My commission expire Personally Known V —or Produced Identification RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-55 Job Type: RESIDENTIAL ALTERATION Description: interior remodel Estimated Value: $11,000.00 Issue Date: 1/22/2015 Expiration Date: 7/21/2015 PROPERTY ADDRESS: �� �I Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: PLATINUM BUILDERS OF PALATKA Address: 2987 S ATLANTIC AVE APT 2103 JAMES LEAKE Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $161.50 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assign by the BuildingDpartment.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 we Phone(904)247-5826 Fax(904)247-5845 ;.•,.�!�;, E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Q� �f Q z �. 9 Department review required Yes o uildin ning &Zoning Applicant: D Tree Administrator Project: ��/ ie/d e_ Amtidgl _ Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or ReceiptDate 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: roved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: 0Date: ! oho-�S TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 "' Job Address: C Do _La" 9, 31233 Permit Number: Is— 9fi/i fZ - $S Legal Description Parcel # Floor Area o q. t. Sq.Ft Valuation of Work$ i1l k,L000.o Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition lteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): I*e �e Residential If an existing structure,is a fire sprinkler system instalone): Yes No N/A Florida Product Approval # For multiple products use product approval orm Describe //ii�n�� detail the type of work to be performed: Property Owner Information: Name: _odc y,,Sr �nS �_LC,Address: b�S �YRgd- City A- mo Q iAack StateTLZip3Z7_ 3 Phone 49v-2377 E-Mail or Fax# (Optional) f)(A Contractor Information: CONTRACTOR EM11AIL ADDRESS: Company Name*. ? � vij Qualifyi g Agent: —S" wk 5 Lc,AL E Address:Zq So guyff+ !A -Ao6 City 9�3y,A 11, 51--jL--s State 7V-A _Zip; _ Office Phone -2 - Job Site/Contact NumberS,?U-Ze_ Fax# rs1 to State Certification/Registration# Q !q C 1 4�_--�o—4 t 7y Architect Name &Phone# A\�P Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address rl� Mortgage Lender Name and Address t A Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void rf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a errod of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, 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. 'hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this ype ofYwork will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the rrovisions of any other federal,state, or local law regulating construction or the performance of construction. >ignature of Owner t4 r Signature of Contractor 1 Tint NameGF......,(/�o T 2...........__......._........._.... Print Name `�Pr�a�S..........................1� 2 iefore me Before,. e lis Day of S 20 this4Day of��-Sn20/S pgy ore Notary Public State of Florida Florida fotar Pu lic o otary 1 tc Elizabeth E Peters � My Commission EE 172364 My Commission EE 172364 �o Expires 02122/2016 dOF paF Expires 02/22/2016 - NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 171725-0500 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 informatinn is-tat-A tF,.- L'^T'^-^� COMMENCEMENT. Legal description of property being improved: 34-92 38-2S-29E See Attached Legal Description ROYAL PALMS ACRES 1� Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233 Unit Number 97 General description of improvements: Interior Remodel, New Kitchen and bath cabinets, New faucets Remodel Bath room shower,new flooring and paint Owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Platinum Builders of Palatica,Inc Address 2987 S.Atlantic Ave.Daytona Beach Shores,Florida 32118 Phone No. 904-237-8107 Fax No. 704-394-0462 Surety(if any) Address Amount of bond$ Phone 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 James Shear Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233 Phone No. 904-247-5334 ext.344 Fax No.904-853-6926 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 Tim Broom Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216 Phone No. 704-394-6969 Fax No. 704-394-0462 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 O ER Signed: DATE Before me t 's ay o In the Co of D to f FI rlda,has personal) pp ared Doc#2015008516,OR BK 17033 Page 575, iWk hi a fr herself and affrms t all statem is and�l�gclarat ons her e�n Number Pages: 1 are true and accurate fat toy Notary ublic State of Florida Recorded 01,`1312015 at 01:20 PM, Elizabeth E Peters Ronnie Fussell CLERK CIRCUIT COURT DUVAL ~'�oFw°p� Exp�esMy 102f22/2016 mission EE 172364 COUNTY RECORDING$10.00 eta Public at Large,St f County of My commission expires: Personally Known V or Produced Identification CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-101 Job Type: PLUMBING ONLY Description: 3 fixtures Estimated Value: Issue Date: 1/23/2015 Expiration Date: 7/22/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: FLORIDA EMPIRE PLUMBING INC Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jan 14 2015 07:57PM Empire 9047252257 page 7 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDRESS: 900 PLAZA DR, ATLANTIC BEACH FL 32233 UNIT# r �- PERMIT #f NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE of FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 1 Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank& Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures l Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." o Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND WATER LINE Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIDA EMPIRE PLUMBING. INC Office Phone 904-465-2538_Fax 904-725-2257_ Co.Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_ Zip32258 License Holder (Print): ELVIS LUKAJ State Certification/Registration 4 CFC 1427347_ Notarized Signature of License Holder �' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-96 Job Type: PLUMBING ONLY Description: 3 fixtures Estimated Value: Issue Date: 1/23/2015 Expiration Date: 7/22/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: FLORIDA EMPIRE PLUMBING INC Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jan 14 2015 07:56PM Empire 9047252257 page 2 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QT' Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 1 Water Treating System RE-PIPE: TYPE OF FIXTURE• QTY TYPE of FIXTURE QT' Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink --- Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 1 Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plana) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.*" ❑ Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND WATER LINE Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that 1 have rear l be complied with whether specified this application and know the same to be true and correct. All provisions of laws and ordinances governing this work wil or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property 0-%timers Name SEA OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-2257. Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FLT Zip32258 License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347_ Notarized Signature of License Holder ��� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 J1�19 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-100 Job Type: PLUMBING ONLY Description: 3 fixtures Estimated Value: Issue Date: 1/23/2015 Expiration Date: 7/22/2015 PROPERTY ADDRESS: y� Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: FLORIDA EMPIRE PLUMBING INC Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jan 14 2015 07:57PM Empre 9047252257 page 6 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # ��� PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 1 Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures l Water Treating System MISCELLANEOUS: Q Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans} Lawn Sprinkler System-Number of Heads o Well ** SJRWD Well Completion Farm. Completed form to be submitted to the Building Department for final inspection." o Other REPLACE ONE SHOWER VALVE, HOOK UP ONE WASHER MACHINE DRAIN AND WATER LINE Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have rear this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538_Fax 904-725-2257 Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258 License Holder(Print): ELVIS LUKAJ State Certification/Registration# CFC 1427347_ Notarized Signature of License Holder J � CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD 1 r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 9 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-115 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 106 Estimated Value: Issue Date: 1/23/2015 Expiration Date: 7/22/2015 PROPERTY ADDRESS: y� Ib Address: 900 Plaza /� RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: FLORIDA EMPIRE PLUMBING INC Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jan 14 2015 08:OOPM Empire 9047252257 page 20 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 247-5845 ,TOB ADDRESS: 900 PLAZA DR,ATLANTIC BEACH FL 32233 UNIT # PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank &Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 2 Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances LavatoryWater Heater Other Fitures 1 Water Treating System MISCELLANEOUS: El Sewer Replacement o Back Flow Preventer Grease Interceptor (Trap) gallons(Requires 3 sets of plans) El Lawn Sprinkler System-Number of Heads o Well ** ** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** o Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN AND WATER LINE Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-6474 Plumbing Company FLORIDA EMPIRE PLUMBING, INC Office Phone 904-465-2538—Fax 904-725-2257_ Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL_Zip32258 License Holder(Print): ELVIS LUKAJ State Certification/Registration # CFC 1427347_ Notarized Signature of License Holder ���" . I/ CITY OF ATLANTIC BEACH c� 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-PLBG-114 Job Type: PLUMBING ONLY Description: 3 FIXTURES UNIT 97 Estimated Value: Issue Date: 1/23/2015 Expiration Date: 7/22/2015 PROPERTY ADDRESS: Address: 900 Plaza RE Number: 171725-0500 PROPERTY OWNER: Name: SEA OATS ACQUISITIONS, LLC Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5 GENERAL CONTRACTOR INFORMATION: Name: FLORIDA EMPIRE PLUMBING INC Address: 5358 HIDDENS GARDENS DR QA ELVIS K LUKAJ Phone: - - FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jan 14 2015 08:OOPM Empire 9047252257 page 19 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 8Q0 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 Jos ADDRESS: 900 PLAZA DR, ATLANTIC BEACH FL 32233 UNIT # PERMTT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Septic Tank& Pit Bathtub Shower Clothes Washer Shower Pan Dishwasher Slop Sink Drinking Fountain Floor Dram Three Compartment Sink Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory 2 Water Treating System ---- Other Fixtures RE-PIPE: TYPE OFFIXTURE QTY TYPE OF FIXTURE QTY Septic Tank& Pit Bathtub Shower Clothes Washer Shower Pan Dishwasher Slop Sink Drinking Fountain Floor Drain Three Compartment Sink Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory 1 Water Treating System Other Fixtures MISCELLANEOUS: allons(Requires 3 sets of plans ,z- Sewer Replacement o Back Flow Preventer ❑ Grease Interceptor (Trap) �* g Well o Lawn Sprinkler System-Number of Heads _. ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for Enol inspection. ' 0 Other REPLACE TWO SHOWER VALVES, HOOK UP ONE WASHER MACHINE DRAIN ANL WATER LINE onths.i hereby certitY that I have rea Permit becomes void if work does not commence cotta si All provisions of laws and ordinanh period or work is ces goved or ebrnnn$this woork will be complied with whether specified this application and know the same to be true and P or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perf�once of construction. Property Owners Name SEA OATS ACQUISITIONS Phone Number 904-246-647 Plumbing Company FLORIDA EMPIRE PLUMBING INC Office Phone 904-465-2538_Fax 904-725-225, Co. Address: 5358 HIDDEN GARDENS DR City JACKSONIVLLE State FL`Zip32258 State Cextification/Registration# CFC 1427347 License Holder(Print): ELVIS LUKA I ^ Notarized Signature of License Holder