900 PLAZA #104 INTERIOR RENO IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
01111 ,
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-570
Job Type: RESIDENTIAL ALTERATION
Description: interiorreno UNIT104
Estimated Value: $11,000.00
Issue Date: 3/13/2015
Expiration Date: 9/912015
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 JAMESLEAKE
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $105.00
PLAN CHECK FEES $52.50
Total Payments: $161.50
PE� IS �OVED ONLY IN ACCO"ANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDINGCODES.
City of Atlantic Beach
Building Department
800 Seminde Road
Atlanfic Beach, Florida 32233-5445
Phone(904)247-5826 rax(904)247-5846
E-mail, building-dept@ccab us
City welb-site http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property ZAd . Buildin nt review required Yes No
Applicant: 7, 7 Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire RSewms 775
Review fee Dept Signature
NOtherAgency RevimOr Permit Required Review or Receipt
Flonda Dept.of Environmental Protection of Pemlit Verified B Date
Florida Dept. of Transportation
St.Johm River Water Managennwt District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
M
APPLICATION STATUS
Reviewing Department First Review: DApproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
TREE ADMIN. Reviewed by:�Date
Second Review: ElApproved as revised, EID,med.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:.Date
FIRE SERVICES Third Review: DApproved as revised. ElDenied.
Comments:
Reviewed by: Date
BUILDING PERr&T APPLICATION
Ty OF AnArmc BEACH
U Ci
V3�jr 800 Seminole Road,Atlantic Beach,FL 32233 ( 1plifilb
UA-t-F---'� so Office(904)247-5826 Fax (904)247-5845 15
-2, 3ZZ33
JobAddress:—900'-�tA-e-A -;,AD WAnti, &" -10—Permit Number:
Legal Description Area of S Parcel#
hq Ft. Sq.Ft
Valuation of Work /t�01- �� Fgposed Work ea- ted/cooled non-heated/coseled_
Class of Work(circle one): New Additim Alteration Repair Move Demolition pool/spa window/door
Use of exisfing/pr=straFture(=ircle one): Coynnaeocial Residential
If an exIsting stro ,is a fire sly er system installed?(Circle one): Ycs� No N/A
Florida Produc val#
For multiple p=ucts use product approval form
Describe in detail the type of work to be performed: zl'oz
Property Ovlaer Information:
Name: Sea Oats Acquisitions,LLC. Address:645 Mayport Rd
City Atlantic Beach State-LI—Zip-12-233Phone 904-853-6909
E-Mail or Pat#
Contractor Wormation:
CornpanyNarne:Platin Builders WHO All Jim Leake
Address:
officeph— "t
'k-10,7 Job Site/ContactNumber Akio Fax# vNI-A
State Certificati-oniltilps&Mation.0- I 1�<y- 'i I
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address v�I A
BondingCompanyNameanclAxickess v,\ ^
MortgageLenderNameandAddress
Application is hem
suads to obtain apemit to do the work and installations as indicautal. feertifyfi�ww�kmhuwgadmhmco�wedp��toth,
,fwgmi and that all work will be d to met the standards ofall laws"gulating constmedon in thisjudsaff,tion. Misty be md
n W couunyn�dwfthm six(6, months,or zfemaraction or work Is su
%ZZ a;%rded or abandarmal/br ae rmit coms I
woekis�mmmnced I understand that seParm Permits must be securadjor Electric Work, PhumbingSigna, ee
jg�d
PZ1,ax
Tants andAir Condidomers,0, s'
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING WU NOTICE OF
COAMENCEMEENT.
I hm7 ourtify that Ih.read and thi
be emn tied w 's"adned ,Lplicationadk.�the�.t.be�ad��. Allproyisions oflans,and ordinamesgreeming this
=&Zrk.w.lyll ithhrohe,, i Amemornea 77m ing of a pe-.
ne ne "ma'
a wa
of 'gnw
p not sum,to gym authority to violate or cancel the
athe, flonwhip. 0.
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my Cmm�n FE 1723"
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I Dayof Py-14� -mc
Revised01.26.10
NOTICE OF COMMENCEMENT
P�EPARE IN DUPIU�Ts,
Pemut No.
Share of le,logo NO. 171725-0500
County of -D—W-&---
To whom it May COmaM:
The undersigned hereby informs You that Improvements Will be made to certain real property,and in
accordance With S.,th,713 Of the Fronds Shuttle,the folowing into
COMMENCEMENT. mation Is stated In this NOTICE OF
Legal desOmptIon of rmparty bing k,,,,NxPer Official Records Volume 5775 Page 713
12?L/
tourut li Drive Atlantic Dcaun, Flows 32233
Unit Number 88
Gons"s of impro,,merts Interior Remodel,New
R.m.d=.shower,new ..........
,me, Sea Oats A UiSitions, LLC;- Jeffrey D. Klotz
�Odmss �u Adyimil KOaa Suite 5 IkIlantic Beach,Flon—d.32233
OWner's Interest in site priTe impro"ma,
Fee Simple Titleholder(dolfinar than owner)
Name
Morass
Con"olor Platinum Builde,offtlat_...,
Address 2987&Atlantic Aw.Dayinma ffinext,Sho�Florida 32178
Phone NO. 904-47-8107
surety if any) Fax No 104-394�ix!62
Address------------�Amoum Of bond$
Pinon.No, Fax No.
Name and address of any person making a loan for the oonstrUctiOn of the snprowmands,
Name
Address
Phone No, Fax No.
Nam Of Pemon�thln Me State a Flodd..other thra,himself,ds.,grmted by�,upon whom roras 0,Other
doCurnimb,may be swYed:
Nam. Jairies sheas
Address -----, ,1— ,p,,anjIc BeaCh,Florida 32233
Phone No. 90�247� adW Fax No�904-85
In addhimi to himself owner designates the NIOWdrQ person to hroal.a copy Of the I-nmaI N-fift Is PRwidiul In
S"on 71105(2)(b),Florida Stands,(Fill In M 0,,ne,-S opom
Name Tim Broom
Address : :]�:,51111 1: 1 51
Phone No. Fas No 704-394-0462
Expiration data of Norm ot Com,,,m,wma Ithe expiration data Is one
different date is speolfted): Ye"I'men Me Me Of leciudin unless a
HIS SPACE FOR RECORDER'S USE ONLY OWNER
DATE 15 1c;
Uo� 2015054400 OR 8K 17091 page 15,,
NuMbsr Pages I III& xJ
Recorded mouwal, d
N's'
oyl 012015 al 11.26 AM 7,�Eel 236'
Ronnie Fusser CLERK CIRCUIT 6OURT DUVAL
COUNTY
RECORDING$10,00
Nola ol�M L.%: County&
my.�mmonexm;m
Panuxer,Ki,oxii
PI,A.m dinurcato,