2325 Seminole Rd 2015 (new contractor) Fire restoration .1 le
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-384
Job Type: RESIDENTIAL ALTERATION
Description: fire restoration
Estimated Value: $45,000.00
Issue Date: 2/24/2015
Expiration Date: 8/23/2015
PROPERTY ADDRESS:
Address: 2325 SEMINOLE RD
RE Number: 168908-1208
PROPERTY OWNER:
Name: TANNER, MARCIA JEAN
Address: 2325 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: MATHIEU BUILDERS
Address: 1778 OCEAN GROVE DR QA DUSTIN MATHIEU BROWN
Phone: - -
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
T APPLICATION
9 BUILDING PERMI
CITY OF ATLANTIC BEACH
IFILECOPY 800 Seminole Road, Atlantic Beach, FL 32233 FEB 18
Office (904) 247-5826 Fax (904) 247-5845
Job Address: PermitN mber:
Legal Description 57-7737245—,?1; Parcel-M 1?1190
F loor Area ot NaFt. ',q t
Valuation of Work$ ��00 a . Proposed Work eated/cooled Zn�heatedlrcooled
Class of Work(circle one): New Addition Alteratio4�2R� Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use_1�roduct approval form
Describe in detail the type of work to be performed:
z 41 , -741d e
74-
Property Owner Information:
Name: Address:
City StateFi-Zip 32-13-3 Phone -5iZ
E-Mail or Fax#(optional
Contractor Information:
C om p any N ame: In OL fA I e-6( /c/e,ns Qualifying Agent:
A State re— ZiL) 32-Z,33
Address: 3Y W 5�Vee-f- City ezCA
- 17a y 91/3 36 6/1 Job Site/C Fax#
Office Phone ontact Number ?a' -3
State Certification/Registration �4_5_7-5- S'(,2
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 thisjurisdiction. This permit becomes null
fter
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a Period ofsixP6)months at any time a
work is commenced I understand that separate permits must be securedfor Electrical-Work,Plumbing,Signs, Well Pools, urnaces,Boilers,Heaters,
Tanks andAir Conifitioners,eta
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere 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
Vwork will be complied with whether specified herein or not. The gy anting of a permit does not presume to give authority to violate or cancel the
provisi.ons ofany otherfederal,state, or local law regulating construction or the performance ofconstruction.
Signature of Owne1_hAz4A_ Signature of Con�t�ract
Print Name Print Name ..........
................ ................
ubscribed before me
kribed befo me `�07`0a"y_s o f 201.2),Y)
u
Sworn u 20 this _T_
th is '-y�00-f
No C N to of Florida
NotarY Public StatS WER WALKER
2 Shiriey L Graham
My Corn ission FF 86990 My COMMISSION#FF 011480
M EXPIRES:APHI 24,2017
E,pres 02/1412018
Bonded Thru Notary Public UndArwritp
CITY OF ATLANTIC BEXW,'0
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-00001270
Job Type: RESIDENTIAL OTHER
Description: fire restoration
FILE COPY
Estimated Value: $50,000-00
Issue Date: 2/18/2015
Expiration Date: 8/17/2015
PROPERTY ADDRESS:
Address: 2325 SEMINOLE RD
RE Number: 168908-1208
PROPERTY OWN:-R:
Name: TANNER, MARCIA JEAN
Address:
GENERAL CONTRACTOR INFORMATION:
>6
Name: KUSTOM US INC
IT ZAVODNEY
Address: 265 HUNT PA K-�VE ANDREW
Phone:
PER Irr INFORMATION: BUILDING DEPARTMENT:
2010 FLORIDA BUILDING CODE, 2008 NATIONAI ELECTRIC CODE *REPORT ANY
UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT
IMMEDIATELY.
FEES:
PERMIT FEES $300-00
STATE DCA SURCHARGE $4.50
STATE DBPR SURCHARGE $4.50
PLAN CHECK FEES $150.00
Total Payments: $459.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Graham, Shirley
From: Graham, Shirley
Sent: Wednesday, February 18, 2015 12:18 PM
To: adam.brown @ku stom.us'
Cc: Walker, Jennifer; Arlington, Daniel; Jones, Mike FILE COPY
Subject: 2325 Seminole Rd Fire restoration
Attachments: Laserfiche Documents.zip
Adam, Ms.Tanner has hired another contractor for this work-would you please send us a statement on your letterhead
stating that you are no longer the contractor of record on the job so we can proceed permitting.
Thank You,
SkLrLeu C-jrOavv,
C,Lt� of Aticfvut�O'UCIO�
Building Permits Technician
Atlantic Beach, F1 32233
9042475800
sgraham@coab.us
4ow-o-,
Z
L
K KUSTOM
Vis "
11319aster Recovery&Restoration Ince 1968
265 Hunt Park Cove I Longwood,FL 32750
otfice 407.965.1940
Fax 407.831.4030
2/18/15 Emergency SM.679.0699
www.kustoin.us
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233
RE: Permit#14-1270
Marcia Tanner
2325 Seminole Road
Atlantic Beach, FL 32233
To Whom it May Concern:
On February 11,2015 Marcia Tanner, Owner of the dwelling at 2325 Seminole Road, Atlantic Beach, FL
32233 ordered us to stop work relating to the above referenced permit.
Effective immediately we request Kustom uS to be removed from the permits,we will no longer be
performing the repairs. We will not authorize any further construction activity to take place by any of
the current sub-contractors that have attached permits in place or any repairs by the property Owner,
their agents or contractors hired directly by the owner or any agents.
Contact Giannina Rodriguez at 407-965-1927 if there are additional requirements.
Than"6 U�
ndrew Zavodney
President 5005C41W Vcom (VI-L
4:60(�Al W15 p�
Ow (5 We
1"114
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'b (I *ODMWEZ
MY COMMISSIOPI#EM 150
EX*ft9Mft2L2W
F11 I N - A M
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed-C:
Cityweb-site: http://www.coab.us I _-
APPLICATION REVIEW AND TRACKING FORM
Property Address: jrJiMiAlld 11 Dapartwent review required Yep No
)eo __ -
e- Building
Applicant. r -�_�mMa-n�ning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
-pi r _C Public Safety
JZ/ -76 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: ZApproved. E]Denied.
(Circle one.) Comments:
(:E�
PLANNING&ZONING Reviewed by: Date:,
TREE ADMIN. Second Review: FlApProved as revised. []Venied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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: " Z-5-- 0!2 0 -7
Al 4 ;-/- -# Z_
Address of property being improved: Z-3 Z-5 ,id I c� __RW 44-lagk, Ze. 4-
�_e 0"
General description of improvements: /,�m4clp_
Owner: I&Y,/*,rz, 7 -e,t Address: _<AjyV_
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: a", Al
Address: 6J
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: Doc#2016040081,OR BK 17469 Page 464,
Number Pages: 1
Address: Recorded 02/23/2016 at 01:22 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Phone No: Fax No: COUNTY
Name of person within the State of Florida, other than himself,designa RECORDING$10.00
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(2Xb),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 OVMER
Signed: Date: A 7//10
Before me this day of 01 in the e—oun y of Duval,State
imPEARWH Of Florida,has personally appeared KA&,x er
A state of Poft Notary Public at Large,State 9�Fjonda,County of Duval.
SEE0780 My commission expires:
Feb.26,20117 Personally Known: or
Produced Identification: P(--