900 PLAZA #18 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 INSPECTION: 247-5814
308 INFORMATION:
lob ID: 15-RAAR-499
Job Type: RESIDENTIAL ALTERATION
Description: interiorreno unit '18
Estimated Value: $11,000.00
Issue Date: 3/13/2015
Expiration Date: 9/9/2015
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 JAMIESLEAKE
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
PERAUT IS "PROVED ONLY IN ACCORDANCE )VITO ALL CITY OF ATLANTIC BEACH ORDYNANCES AND WE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
0 800 Senunole Road
Atlantic Beach,Flonda 32233-5445
Phon.(904)247-5826 Fax(904)247-5845
�9_. E-mail building-del)t@ccab us
Cltyweb-sjte� http://�.�b.us EW
APPLICATION REVIEW AND TRACKING FORM
Property Adctm 418 nt review re uired Yes 0
Buildin
Applicant: Zoning
Project: Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
sm
Review fee Dept Signature
NOther Agency Review or pennit Required Review or Receipt
Florida Dept.of Envimmental protection of Pennit Verified 8 Date
Flonda Dept�of Transportation
St Johns River Water Managmant District
ARDY Corps of Engineers
Division of Hotels and Restaurants
DiAsion of Alcoholic Beverages and Tobacco
Other
M
APPLICATION STATUS
FRev!GW!ng DepartmTentFimt Review: EKipproved. ElDenied.
(Circle one,) Comments: /VO C_
(:E�9)
PLANNING&ZONING
Reviewed by: /77 ft�_ Date: 3-91
TREEADMIN.
SecondReview: EIAPProvedas revised, LJDerXed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:�Date
FIRE SER%ACES Third Rwiew: DAPProved as revised. ElDenied.
Comments:
Reviewed by:�Date,
Refted 07/27110
BUILDING PERmiT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Reach,FL 32233 FILE COPY
wit Office(904)247-5826 Fax(904)247-5845
Job Address: 'ROO' -A 20AD Wiitinli, &" -t:l 'eP=Number: 15-6e1q1?9- - e19 ?
Legal Description Floor Area of b�q - Parcel#
ejitt� Sq.Ft
Valuation of Work S oo� Proposed Work d/cooled— non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mow Demolition p,,]/,p, milow/door
Use of existing/pr=ed structure(WI cle one): Commercial Residential
If an existing strat e,is a fire sp er system installed?(Circle one): Yes No N/A
Florida Product�Spwval#
For multiple pr nets use product appr-ov-iil-fo-r—m
Describe in detail the type of work to be performed:
Property Onner Inforination:
Name: �ca Oats Acquisitions,LIE. Address:MiMaiumlRd
City Aflantic,Beach State J1-ZiP-32M—Phorte 904-853-6909
E-Mail or Fax#(Optional)
Contractor Information:
cc Y,N=c;Plarinum,B,itilders of Paliltio,Inq_ �;L?ushf�ff Agent Jim Leake
ity-LIA46ftA
tam I
V) 7
Job 8 ta��
Lone 22 r-1. 'Ra o7 �16 Fax# v%1.4
tifia
Architect Name&Phone# A
Engineer's Name&Phone , N
# vA%a
Fee Simple Title Holder Name and Address
Bond-gCompmy��MGAMMS
Mortgage Lender
r4almandAddress mk�
4.(vpfication is hrmby made to obtain apernat to do the war*and imatianow a,inditand Imnyfythwmw�k�imtallatimhm�dpriortot&
,d%agmitandthatah,sork.h1be to swet the standards oirall tows regulating construction in thisjarisdiction. Thisp
,ki, ?,riod0fsir,=Xa w fter
.4, not!contownced within is 7(6�m=ndv �ifc�tionmw�kb�%7wi�*d�abaPOonedfora emit beconses,null
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O:grZ"dd-t$eP�ateP�iis.wtbese.df�Ek�I Work,Plumbing,signt, dap,;,k ny figsjet
,Rallem
WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF
COMNENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR BIPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITII
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF
CONMENCEMENT.
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'On'of 0wriese
Name
can and so
and sub
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2 this Day of 20�-
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jrjo
many runin;
Revised0126.10
NOTICE OF COMMENCEMENT
(PREPARE IN OUPjcArM
Permit No. ,, F,Ii.Nc� 171725-0500
State It IL5RM County,a WVZ—�
To ximorm it may ,,cam;
The undersigned hereby informs you that Improvements will be made to certain met proper and In
accordance with Section 713 of the Florida Staknes,the forming Informeat ny
COMMENCEMENT. ION Is stated In this N�nCE OF
L.gaddiesompt.Of pNopertyloiningimproveo- Per Official Records Volume 5775, Page 713
See Attached Legal Description '3 q — 2 5 — ?_9 �7
9'?4al t�2(")57 RCRZ5 If I,
Address w property being Improved, 11uu I'liza [)rive Aflanfic Beach, Florida 3223F--
Unit Number 28
or, Interior Remodel,Nevy Kitchen and bath cabinets,New faucets
O`Um OL
==.shp.7.:rmn ........
Sea Oats Acquisitions, LLC. Jeffrey D. KJotz
Add
Owners interest in sile of Me impmvemem
Fee Simple Titleholder(Notherthan o,votn)
Name
A
co,n,,,O,Platinum Buildemol'Palatica,Inc
Address 2967 1 Atlarnk "-Winona Read,shores,Florida 32118
Phone No.951-237AI107 Fax N.� 70�39`1-0162
Surety(it any)
Address
Phone N. Fax No.
Nam and address of any mxraxh�making a loan for Ma,conduction or M, mbrm,M,,x
Name
Address
Phone No,�Fax No,
Name of Weer,wftn the State a Florida.Other Man himW.designated by mm-UPM,v,hom notices or Other
documents may be semixf.
Name J-,,viisIxer
Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233
Phone No. 901-N7-5331 xa-� Fax NO 904-853-6926
In addition to himailf,OMMer designami,Me follinving Parach W receive a OMPY Of Me Liamn a Notice as provided in
Section 713.06(2)(b),Rofids Statutes.(Fill in at Ourver'S otabou
Name Tim Boom
Address 6132 Brookshi
Phone No 1�1�969 Fax No. 704-3
Expiration date of Notice of Coarmem,,m,h,(the culatellon date Is one(1)year from
dflarent date Is specdal Me data cfrmOrdIng unless a
THIS SPACE FOR RECORDER'$USE ONLY So. C� UN" cvoE -15-1�'
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Number Pages.I xnt,-anda�rss -1
Recorded 03/1012015 at 41 26 AM E"0ZZbvP"hN60PS is f F�
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