824 Sherry Dr 2015 Foundation repairs on wall I �
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-229
Job Type: RESIDENTIAL ALTERATION
Description: foundation repair
Estimated Value: $13,550.00
Issue Date: 2/10/2015
Expiration Date: 8/9/2015
PROPERTY ADDRESS:
Address: 824 SHERRY DR
RE Number: 170392-0000
PROPERTY OWN :R:
Name: ANDERSON, TIMOTHY
Address: 824 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: HYGEMA HOUSE MOVERS, INC
Address: PO BOX 2655 QA RICHARD MARK BOYLES
Phone: - -
PERMIT INFORMATIO 4:
FEES:
PLAN CHECK FEES $58.88
BUILDING PERMIT FEE $117.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $180.63
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845 JAN 2
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Job Address: Cn+1 C Permit 1z M- ,e-
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s-,2qE-,j,(o So-ffql,- S-e—c--3 -�arcel 03 40--�L:9
Legal Description/0-/� 16-,; Floor Area ot- Sq.11t.
Valuation of Work$ 1�0 65 0 Proposed Work heated/cooled eated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structureQ) circle one): Commercial Residential
If an existing structure,is a fire sprMler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form -/7-r.-n
Describe in detail the type of work to be performed: Aw r�i4
Property Owner Information:
440,11 Sh Dr.
Name: -1 Me 0 t7 Address: — ';L
City State EUip ne 7 0 4) Fto 1 1 L9 a
Wig-n-rIC' DeA-cA _3,M t3 Pho
E-Mail or Fax#(Optional_
Contractor Information:
Companytam 40(t5e 0 6 0 e-e'-4 Qqualij`
S
State r-t, zip
Address: ax# -;5--
1.tp—q ax#
Office PhoneWt*�4YI Job Site/Contact N be
State Certification/Registration# C 0 C, 0-147
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 ofa permit and that all work will be pedbrmed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or i(construction or work is suspended or abandonedfor a eriod ofsix(6)months at any time after
W
work is commenced I understand that separate permits must be securedfor Electrical-Work,rjuntbing,Signs, ells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conififloners,etc.
WARNING TO OWNER: YOUR FAILURE TO R-ECORD 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.
lhere certify that I have read and examined this a 11 t* and know the same to be true and correct. All provisions of laws and ordinances ove ingthis
pp ica ton inting of a permit does not presume to give authority to violate or c e the
rov ions oLlaws a,��Ortdinancets gover ing th4
um to g autho 0 viola e or c el
wor
1�1 -k will be coMplied with whether specified herein or not. The grc
provisions ofany otherfederal,state, or local law re lating construction or the pe�formance of construction.
Z22�� or
Signature of Owner Signature of Contractor
Print Name I
Print Name ............................
- A ..cA
........... ......z
Sworn tqand subs ed before me Sworn Vnd subs 'bed before me 20 /
d subtsced before me,
Sworn, y of .201-6 this 14 ay of
this 0"Day of
No u C'.1i My r N c C;0 lkps 10 F-1229
OMMISSION#FF1229 ois
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(407)398-053 Fio6dallolaryservice'com FjotkdatW&
City of Atlantic Beach APPLICATION NUMBER
epartment (To be assigned by the Building Department.)
Building D .2z 0/
800 Seminole Road
Atlantic Beach, Florida 32233-5445
(904)247-5826 Fax(904)247-5845
Phone Date route
E-mail� building-dept@coab-us
City web-site. httpI/www coab.us
APPLICATION REVIEW AND TRACKING FORM
D artment review required es Alo I
Property AddresS: Building
Applicant: Zoning
7 Tree inistrator
Public Works
Project: Publi; Utilitias
Public Safety
_�7i_reservices
Review fee $ Dept Signature
— Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmen a ro e ion
�_I_onda Dept. of Transportation -
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and I obacco
Other:
APPLICATION STATUS
D�
Reviewing Department First Review: Approved. OlDenied.
(Circle one.) Comments:
QBUILDIN
�
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised- []Deniek
Comments:
PUBLIC WORKS
P IC UTILITIES
UBL
Reviewed by: Date:
PUBLIC SAFETY
-]Approved as revised. FIDenied.
Third Review:
FIRE SERVICES
Comments:
Reviewed by: Date:
Revised 07/27/10
Doc # 2015032295, OR BK 17063 Page 712, Number Pages: 1, Recorded 02/11/2015
at 09:41 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 -00
NOTICE OF COMMENCEMENT
State of 0 r(- 40- Tax Folio No. 9
County of ()U-va,
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: 2S'-,9 E� r Se-,C-3
f-jQ_n+ I C_ ea-c-h
Address of property being improved: Sherrm 0 r-.
General description of improvements:
Address:
Owner: 'T'IMO
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
ontractor: e- o
Addresss: 0 C)
Telephone No.: Fax No: (A0
Surety(if any)
Address: ------Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER Date:
Signed: Coun
Before me this day of v�t in t4e�
Of Florida,has personally appeared AUJ-ii'd
Notary Public at Large,State of Florida,County of Dbval..
my commission expires:
Personally Kn
1 lklm 0
own: If IN,DA
Produced Identificaiiion, t,iy rnmmissioN jirmFi
F-XPIRES May 29, 2018
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