900 PLAZA #91 INTERIOR RENO CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALTIOTHER
MUST CALL BY 4PM FOR NE)Cr DAY INSPECrION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-486
Job Type: RESIDENTIAL ALTERATION
Description: interior reno unit 91
Estimated value: $11,000.00
Issue Date: 3/13/2015
—Expiration Date: 9/9/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTYOWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORTRD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: PLATINUM BUILDERS OF PALATKA
Address: 2987 S ATLANTIC AVE APT 2103 JAMESLEAKE
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: $161.50
PER]WIT IS APPROVED ONLY IN ACCORDANCE IVITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233.5445
Phone(904)247-58W Fax(904)247-5845
E-mail building-dePt@cmb us
City web-site. hUPI/wwwcoaous
APPLICATION REVIEW AND TRACKING FORM
Property Add—mas;.. t review re uired Y No
Applicant: Buildin Zoning
I res,Administrator
Project: PublicWorks
Pubiic Utilities
Public Safety
Fire Services
Im
Review fee Dept Signature
=Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Emartmmental Proteanon of Permit Verified Date
Florida Dept.of Transportation
St Johns Piver Water Managern,nt District
Any corps of Engineers
Division Of Hotels and Restaurants
Division of Alcoholic Beverage,and Tobacco
Other.
M
APPLICATION STATUS
Reviewing Department First Review: Exp'p—r-ed. ElDemed.
(Circle one.) Comments:
Q�
PLANNING&ZONING
Reviewed by:: Date:
TREEADMIN. Second Review: ElApploved as revised. ODenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by;�Date-_
FIRE SERVICES Third Review: EIAPproved as revised. ElDemed.
Comments:
Reviewed by: Date
Rwmed 07127)10
BUILDING PERmiT APPLICATION
CITY OF ATLANTIc BEACH
800 Seminole Roarl,Atlantic Beack FL,32233 FILE COPY
Office(904)247-5826 Fax(904)247-5845
JobAddress: '900 -��AZ�A 2160 AAJAnli� &" .Vl 3"Pr,,ftNm1.:
Legal Description Parcel 9
Area ot Sq p
Valuation of Work$ /0,�00� � Wposed Work 8UN'tiWoolded— n�n-theatedlicooled
Class of Work(circle one): Nm Addition Alteration Repair Mow Demolition pool/sps winf,,,lido.,
Use of existing/pro=eq stractare(Wcle one): Commercial Residential
If an existing stra e,is a fire spi el system installed?(Cirde me): Yes No N/A
Florid.Product�2pmvaj 4
For multiple pr ucts use provuet 15promorin
Describe in detail the type of work to be peliformed::7:2tCz1 -LA 4"00 5-
Primorty Ovvner information:
Name: Ega Oats Acguisitions, Im._Address: 645 M it Rd
City Atlantic Beach State-R—Z'P—129-311iono 904-853-6909
E-Mail or Fax#
Contractor information:
Coartiany Nanne: Pla ' Builders of Palatka. In, Ji Leake
Offimphoniq? LWA
1p IZ4(T-
16
q r-3 Job Site/Contact Number A si Fax# V\14a
State Certificatioulpegistrofic,# ls� — !31CS4
Architect Name,&Phone# A
Engmeer'sNamse&Phone# �
Fee Striple Title Holder Name and Address V\
Bonding Company Name and Address A
MortgageLenderNameandAddress mj�
Applkationi,here stans to obtain apernat to do dw work and installations as I'd1caled IeWfythw rk or vitallafion has conmencedprior to t&
=7e -rstka-d thal all orkwil be7 0 In ddjurlsdiction. Aispemit bee.nu/I
.,d�,a�rkrs
a vo war nn cosonented withis so ig�=d to met the standards of all laws regulating e,,,;Xoon
6, month, or Orconshroctio.or work u 8rhded or ahandonedjbr aenod afsa�=at any tim
-orkircomseneed Indertadow,,pw,�p�,6�lbse�dfoEkdk Work PkanNag,Sig, eu,Pool,, 'jiter
Tanks andAir Conditioners,de, ,Boilers, ff am,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COW4ENCEMIENT MAY RESULT IN YOUR PAYING TWICE FOR EUPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITU
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V6VX NOTICE OF
COAE"NCEMEENT.
ihore,�'mrt6thatIh�madand"a.i.dthi, licationandknowthsamtobeftseandearrect. Allprovisio lawsandordl,�,gm ads
k ill be TO audiorti,so dotal,or ease, as,
=1 war W c sa e "�'.hrrsn,,.aat Thegr-a�ngofaPemitdmsnmp�to-94
o'nalion On,Perfoiewhoe ofconstwerion.
,;a
es% Elinb2h E P�v, I
1z
E11-1.0.1
z
EWes OWV2016
ignsture of Owner C'M
Q9Q
g5 I
riatName,
�110%1�,and gub!!gZ
us Day of bvmn SWI and subscr[bod before
=MDayof IM?jj�K
20 /
Revised0l.26.10
NOTICE OF COMMp
,NCEMENT
(PREPARs IN
Pennit No.
State of FL Tax Folio No 171725-0500
COUnty,of -D-W-�-------
TO Whom it May COMer"
The-nd..Ign.d If...by Inform.W.that IMPNYINNMMIG will be made to-rosin Nfal property and in
ai�ordanca with SeCtIon 713 of Ch.Florida Stande.,the following Information Is$UW In this N�TlCg OF
COMMENCEMENT.
Legal desWpbw of property being imprmxi Per Official RecordS VOILIME) 5775 Page 713
he Attached Legal DftCdptbn 5 -�- -' * -W
E-91 ._ �—Zr-
I L4, g—g 11�- ? —
Ad&essof,ro,,,rtybeMgxr,m,,Gd� Wv C-luza unVe Atlantic BeachLF—Ionda 322-33
Unit Nuumber 115
==Mimpm,mi,ints, InterjOr Remodel,New Kitchen and bath ciCbinets,New faucet,
sh—r,
Owner Sea Oats Acquisitions, L C. Jeffrey D. Klotz
-- - - -Y�....-ou ouni,o muanlic Beach,Florida 32233
ON,nGr`.,nt.GGsC in lid,of the Impho,smer,
Fee Simple Titleholder iff other than ownen)
Name
Address
Connector PlatfinumilulidempPatintojr,
Addrew 2987 S.arta� we.D.A..SGGI,
Phone No ---
Fax No. 7(W394-0462
Address
Phone No. Fax No. OUM of bond$
Name and address a any"Nion Making,loan for the oondinxgon of the Impro,,nmems
Name
Address
Phone No. Fax No,
Name of person-thin Me Sam a Flonds other than himself,designated CYY---I upon whom nxxxcG.or miner
d.umants may be leinnot:
Name Jaronslear
AWress -'- "'yV-'"u-JUILV a muanbc Beach,Florida 322-3-3
Phone ,,, 904-247-533t wd� - 26
Fax No 904-853-����
In addition to himself owner designinfee Me 101I Person 0 Mosve a doy W Me I-Iffem's Nolixe as Pmoden in
Sedl.n 713.06(2)(b),Flond.S,,,ex,(Fill In at Owner'S option).
Name Tim Broom
Address 6132 Brookshire Blvd,S -- ...... ......
PhornI Fax No. 704-394-0462
al)(Nalon date of Notioe p,Commen
different date is sp,,jCG,): CxrMGM(the expiration data he 0"(1)year frorn Ch,data of rewrijing winbs,
IS SPACE FOR RECORDER'S USE ONLY
R
SO'"
Behn." of DkTE '�J!Fhs
00-10�15D54398.ORBK17091 Pag.1587, F pwn* his.
Number Pages 1 in
R.mcled!�10/2015 W 11,26 AM. o. "N�rr,P u IS 11$1�111%nss�
Ronme FuCssI CLERk CIRCUIT COURT DUVAL '�Gin.r',P�N�m
COUNTY
RECORDING$10 00 M, �E 172364
E,,,,�0212212016
f1i Ww"i,G. of coorryd
My.,rrne�1.xxPj.
Px-.fIY K,�,�
Pl.�.Id.,