1975 Beach Ave 2015 remodel `S CITY OF ATLANTIC BEACH
j 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-845
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL
Estimated Value: $63,900.00
Issue Date: 4/14/2015
Expiration Date: 10/11/2015
PROPERTY ADDRESS:
Address: 1975 BEACH AVE
RE Number: 169723-1004
PROPERTY OWNER:
Name: ARTHUR TRUST, ANN W
Address: PO BOX 331021
GENERAL CONTRACTOR INFORMATION:
Name: COMMERCIAL CONSTRUCTION GROUP
Address: 525 ATLANTICT BLVD SUITE 3
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $335.60
STATE DCA SURCHARGE $5.03
STATE DBPR SURCHARGE $5.03
Total Payments: $345.66
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 C
Office (904) 247-5826 Fax (904) 247-5845
Job Address: H 04 v tC STT e NT GF� Ft, Permit N mber:
X 9Z Y
Legal Description LOTS lot t42 {✓A-rLhr✓'nc,8e.&zwT 03 ft f T&OK 1 SParcel#
oor Area of Scf.Ft. 1P Sq.Ft
Valuation of Work$ D Proposed Work heated/cooled '700 non-heated/cooled
Class of Work(circle one): New AdditionAlteration Repair Mov4es
ition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esi
If an existing structure,is a fire sprin er system installed? (Circle one): N/A
FloridaProduct Approval# N
For multiple products use produc app—ro--vaTform —
Describe in detail the type of work to be performed:_rti-E WUt' K, Ci4 8/,v t"S ��Yitl�4GL Fpr
617'F_9104, 1�9
Property Owner Information:
Name: au D�' Address: 17 73` f� ke A rL-+-,y7-ie-1Tc l* t 4-
Name:
`r State FZZip 3 22 Phone R_ 104
E-Mail or Fax#(Optional) _
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: CiOri M CKC-t)4L C32-0,5r21tG j&,26' rxpualifying Agent: T o861A l
Address: uV G City N)elof&/VL act+ State F4. Zip 27—6
Office Phone Job Site/Contact Number Fax# ¢-
State Certification/Registration#
Architect Name&Phone#
Engineer's Name &Phone#
Fee Simple Title Holder Name and AddressfirMlaR 1475 f 1/c /47-Lh,,�Ti G 130-4
Bonding Company Name and Address N,1A
Mortgage Lender Name and Address IVIA
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 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.
I here b certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi ances governing this
type o7Mrk will be complied with whether speci ted herein or not. The granting of a permit does not presume to authori iolate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
��
Signature of Owner� [' S)�nature of Contracto
Print Name Print Name 08
........... . -` ................................... .......................................f' .v.> .W E'r ✓................................
Before me Bef 2
this t � ay of 20 this Day
No rc Notary Public ace o a Notary Pu is Shirley�Graham
Shirley l Graham My Commission FF 088990
My Commission FF 086990 orn ExRe"306V1126.10
p Expires 02114/2018
N, J)TICE OF COMMENCEMENT
State of i37 County of L _Tax Folio No. f 9 7Z 3
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: 4619 6ZZ_At.l rL_+APr�e 19::w.ywe7- iv0 3 r 04-, (S � -�►
Address of property being improved: 11757 F�JRAG f- _ AyAr 7—L,4,y T/G
General description of improvements:
or
_ _wneZ .F�3`.✓fir- p��.�+Ti D ��.ar.t�_r.�l�iQ r�
Owner: Su pD y „A R na-u Address: 7S Self �--
Owner's interest in site of the improvement: / C S/ ;P I=.vGi T
Fee Simple Titleholder(if other than owner):
Name:
Contractor:�,� m R �� Cv nJ tcc i.��✓ G —
"� Address:
Telephone No.: J� 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:
Address:
Phone No: Fax No:
Name of person within the State of Florid:::: i7ther 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 4 iso
specified): -0 °'
0
co
`6 0
THIS SPACE FOR RECORDER'S USE ONLY OWNER e Cc U_b
f`0 p N
U
V y,
rgn Date: 14 - - Z E o
Yore me this�day of , in the County of Duval, ta4eQ o
Florida,has personally appeared = 'a
Doc#2015083092,OR BK 17130 Page 745,
Number Pages: sonally �L or— N w
1 —�, _
Recorded 04114/2015 at 01:06 PM, Ddu denti a n: '•o.+
Ronnie COURT DUVAL t blic:
Fussell CLERK CIR �=
COUNTY commis ' ex ' es: Y
RECORDING$10.00'
X