900 PLAZA #15 INTERIOR RENO 1 Ij
"It 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-500
Job Type: RESIDENTIAL ALTERATION
Description: interior reno unit 15
Estimated Value: $11,000.00
Issue Date: 3113/2015
Expiration Date: 9/9/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTYOWNER:
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:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
PERNIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Sernincle Road
AVandc Beach,Florida 32233-5445
Phone(904)247-SM I'm(904)247-5845
E-mail bulfc1ing-dept@oab us
CitYweb-site. hftp://�,,ab.us EM
APPLICATION REVIEW AND TRACKING FORM
Property Ad nt review required Yes o
Applicant: Buildin oning
Tree Admil ist tor
Project: Public Wo a
Public Ublit a
Public S
Fire Sew! a
Ad
Z
his re
he
afely
Fire VSem�.
Review fee Dept Signature
NOther Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection Of Permit Verified 8 Date
Florida Dept.of Transportation
St.Johns River Water Management District
AMY Corps of Engineers
Division of Hotels and Restaurants
Division Of Alcoholic Beverages and Tobacco
Other
M
APPLICATION STATUS
Reviewing Department First Revismr: pproved. DDenied.
(Circle one.) Comments:
(:!�DDING Aw�'
PLANNING&ZONING Rwievved by: Date:
TREEADMIN. Second Review: ElApproved a.revised. E]DenieV
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:�Date
FIRE SERVICES Third Revievv: ElApproved as revised. ElDenied,
Comments:
Rwiewed by:�Date,_
Revised 07/27110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 FILE COPY
Office(904)247-5826 Fax(904)247-5845
-327L�31ft
Job Address: '9 Number: 1:5 -P A A k - .566
Legal Description Parcel#
Area of S
hq Sq
Valuation of Work$ t�00� � 71roprosed Work eaTtted/cooled— 'OVheated/etuded—
Class of Work(circle one): New Additim Alteration Repair Move Demolition Pool/spa window/door
Use of e?qqting/pr=ed straFture(=cle one): Commercial Residential
H am eusting stru e,is a fire SP er system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use P—roduct�Rpprova 1®rm
Describe in detail the type of work to be performed:--!Z�Vc Zi�z —2-r�LA -oil
Property owner intomation:
Name: Sea Oats Acquisitions,LLC, Address, 645 Mayport Rd
City Atlantic Beach
E-Mail or Fax�#
Contractor InformatiliK.
Cc imy4Na�Te:,Pl ' Build=of P Qualif)21 Agent: Jim Lealte
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Job Sita(Conmct Number AI�V— Fsoc# v\140
State CertificationiVegistrabon
Architect Name&PhomS#
Engineer's Name&Pb #
Fee Simple Title HoldeMa-uMI'andAddress v\
Bonding Company Name and Address A
Mortgage Lender Name Soo Address -j�
APPUC,lim is hemhy mdo to obtain apennit to do the work and installations as indioued 1�gfifyohat k
=e%=mitandthataff. -
,k,, art will be also met the standards ofall laws regal ao, or installation hae tomamed ioih,
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va war wtooramme within sft 7(6�am=onfia niethisjurfedictim 7hisperwit cL di
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TowbandAlrConad I understand that sepro,,pemije met be securedfm E- Work,Piambing,Signs� peals,
work is conamaned
oneoe,
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 WrM
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V6U NOTICE OF
COMMENCEMENT.
of work ll=�, -fth.&ah=,'0hrmoa`w1- 7hegranftofap�ifdw�pm� togm�-�thagtyo%,=,.-.g�—=It�.
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Dayof�A�me Swmep and stibscribof tkre me ... 1
this _Day of 7
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Revised 01.26.10
NOTICE Op COMMENCEMENT
Permit NO.
StInts of FLORIBA� Tax Folio No 171725-0500
county W Pl�w�
To whom It my concern:
The undersigned hereby Informs You that Imprmennoft will be made to�,taxin real props
COMMENCEMENT. try,and In
aMor,lance with Section 713 Of the Florida Statutes,the following Informal—1.stated In this NOTICE OF
Legal deautiption w pmpeny being Improved Per Official Records Volume 5775 Page 713
6 > 7 U
4Z7 C tY_
Mdross,opmperty being mW,wx,: UUU P-2— 1—"Id"11m; Beach, r-lonaa 32233
Unit Number 77
Gensne 4 Of Interior Remodel,NEW Ilchen�.ndb.thcab�inetsN.wf,�uct,
R.m.del=m shommr, . "-. ....
Owner -..U-us mcquislaorts, LLC- Jeffrey D. Klotz
Address �u wearYPOn X020 Suite 5 Atlantic Beach, FI—Onda 32233
Owners Mterest in site&the imsov"m
Fee Simple'ridehoffe,uf�ar therowns,)
Nam.
Address
Cluneusor Platimmuthillderx-fP-taks,1m,
Address 2%7S.AdantJcAye.Da,,-..-
phons,No.904-237-8107 Few No. 71�39�2
Surety uf any)
Address--------------�Anrxtunt of bond
Phone,NO. Fas No
Name ard!address of any Persan making a loan for th,oons,,aon&Me improynnnairmi.
Name
Add.
Phone No Fax No.
Name of Person within Me Stads W Floods,Other than himself.designated by Omer UPOO whom mAcea or�hat
cl�umxxrft may be sen,ad:
Name JauxOSIvar
Address--- —.�un,��oamlc tleaCh Florida 32233--�
Plus,N.� ao'N7-5331 —344 Fass No.904-85
In addition M himself,owns,designeak,;ft"'k`*mg"nual W raosil-I OOPY�me Lienor's Notios as provided m
�flon 71106(2)(b),nkside Sta,,,,.�(Fill In at O,,,a,s Opo,),
Name Tim Broom
Atkiress 6132 Brookshire Blvd,S ........
lixtre,NO. 11�5by F..No 704-3 2
Expiration data of Notica W OW,,x(ammant(the exp"fim
dififerent date le spa,,,,d): "Ie is One(1)Year from the data Of usoOrding unless a
THIS SPACE FOR RECORDER'S USE ONLY
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Ronne Fuessal CLERK CIRCUIT COURT DUVAL My Col�-S--,EE 772364
COUNTY EXPIMS02122QC16
RECORDING$10 00
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