900 PLAZA #21 INTERIOR RENO 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 INSPECrION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-498
Job Type: RESIDENTIAL ALTERATION
Description: interior reno unit 21
Estimated Value: $11,000.00
Issue Date: 3/13/2015
Expiration Date: 919/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTYOWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORTIRD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACrOR.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: $161.50
PERWT IS APPROVED ONLY IN ACCORDANCE NVrrff ALL C117Y OF ATLANTIC BEACH ORDINANCES AND IFHE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5446
Phone(904)247-5826 Fax(904)247-5845
on IE-mail- building-dept@ooalb us
City web-sitw. htp:11wwwooab.us
APPLICATION REVIEW AND TRACKING FORM
Property Ad It review re uired Yes 0
Buildin
Applicant: Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire WSemi�sT
Review fee Dept Signature
M Other Agency Review or permit Required Review or Receipt
of Permit Verified B Date
Flonda Dept.of Environmental Protection
Florida Dept.of Transportation
St Johns;River Water Managenr,nt District
Army Caps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
�7q
APPLICATION STATUS
FReviming Department First Review: [9/Approved. ElDenied.
OD
(Circle one.) Comments:
(:�BUEILDDING
PLANNING&ZONING I by Date
Reviewed by: ..Date:
TREEADMIN. Second Review: E]Appro,ed as revised. [71DeXed. 3�
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: DAPPI'Med as revised. ElDenied
Comments:
Reviewed by: Date
Reva;ed 07n7/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,Fl,32233 FILE COPY
Office(904)247-5826 Fax(904)247-5845
JobAddress: '902 '-�tA-e-A -R:>AD WAIL &" —Vl 3 Number: 15 -Rfillk - '199'
Legal Description — paml#
iu,ea or Sq.1r. sq
Valuation of Work$ /(�00� � =Posed Work heated/cooled 'gleated/cooled—
Class of Work(circle one): Nmv Addition Alteraition Reptur Move Dernolition pool/spa window/door
Use of existingtp=ed struFture(Wi cle one): Commercial Residential
If an existing stru a,is a fire sp a] system imitalled?(Circle one): Yes No N/A
Florida Product Approval#
For multiple prodiiets use product approval form
Describe in detail the type of work to be performed:—A—A<-zi�z
Property 0�vncr Information:
Name: Sea Oats Acquisitions.LLC. Address: 645 Mavreirt Rd
City Atlantic Beach State Fl. Zip 32233 904-853-6909
_L_Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Flatimmi Buililars of Pat4tka, Inc Qualif��ng Agent: Jim Leake
7-9t'?<; AV l4t7ho Xt, cU-t State �d Zipa?�IIT
Job Site/Contact Number Akio Fax# v\146
State Certification/Tegismation cc� c ls� - RIG4
Architect Native,&Phone#
Eirgmeeeg Name&Phone#
Fee Simple Title Holder Name and Address A
Bonding Company Name and Address
Mortgage Leader Name and Address ��\
Application is hereby made to obtain apemit to do the work and innallations as ingicated lcertl�thwnowarkff
ihuaa�e ofapemitandthata1lwok will be dtonwet thestandards ofall laws regulating constratfion in thisjurisdiction. ThUpemitbecoincynalt
and mid If w�k Is not coaaae�cedwfthfn siepme=onhhs,�ifc��fimmw�kiTZpW6.ded�obando.df�ae�odo)rsUZ6)=�hrata
workisconuavwed lunders�dd�sep��p�iummtben�dfmEkdI Work,Plumbing,Slim, wkftooh, _nyth.=
Tafth asidAir Condbloner,,ca, Baters,H
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 WITTI
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOU NOTICE OF
COMI%IENCEMENT.
lhe7:,csri61hatlhmmad �fosdt ik�nandb�thes�tobe�ande�. Allprovisi,,ofhae,and o,&�governi thl
ope work ill be lied with whether s Vca� 77m granting of a pemit does not prenee, to she authority to Violate or I=tho
OKS toed aw don orthsperf�e ofconstrotoon.
4P 9N �00�PUW�Stete&F.M.
Elisabeth E Pet,te
E
ignatumm of 0stamir
fintName PJ41�lrle
�,Qsto, d subw�befom�me
an Sw
its 1�9 Da and subscribed bqfmi,me
Day of ffig�-�
2E—L<-- .20K
I MY a. Revised0l.26.10
NOTICE OF COMMENCEMENT
(PREPARE IN OLFUCATE)
Penrit No, Tax"fib Nl� 171725-0500
State of FLORIDA C�nty of BW��
To whom it may conoem:
The undersigned hereby laroors you that lanpirmearems 111 be made to certain real pro,afty,and In
soomdanot WIM Suction,713 of the Florida Statutes,the fulluednig Infou,senjon 1.Stated In this NOTICE OF
COMMENCEMENT.
I I(lawdPhon Of PrOPurty being mprmatr Per Official Records Volume 5775, Page 713
zAttached Legal DeScriptittin
a 41 e,
Address,0 Prop"being Imprmxi: �v I'Old jTIVE Atlantic Ijeach, Florida 32233
Unit Number 91
G at Interior Remodel,New Kitchen and bath Cabinets,New faucets
er"= -
on Of"
entool th=Mnew
C,,sr Sea Oats Acquisitions. LLC. Jeffrey D. Klotz
t� '�Iorfda�32233 ��
Add717 1�5 Road Suite�5AVWII.�Ch
FMISIMPIaTilleholden(Votherthanowner)
Name
Address
Conlanotor Platinum BtfildersoPalatia,Inc
Address 2567 S.Adan&Aw.Daytons Beach Shors,Flutda 32118
Phone No.900437-81M Fax No, 70�3
Surety(if any)
Address------�Anxoum olfbond III,
Phwe No. Fes W.
Name and address of any"NON making I loan for tins,o,ram,,on of the IMProyerents.
Name
Address
Phone No.�F.No.
Name of Person wdlun Me Shate Of Flonde,other than himself desputted!by owner UPON Whom'01toes or other
documents may be serveur
Name Je�shxar
Address 645 Maypon Rd.Suite 5 Atlantic Beach,Florida 32233
Phone No. 9�247� xN,, Fax No 904-85
In addiffirm to himself,owner designates Me fus"nig person W moI a OuPY Of the Lienors Nodoe as pmWe,M
S"i.n 713.06(2)(b),Floods Statues (Fill in at O—s OpWh,
Name rim Broom
Addre"613�213'=h'rg Blvd,Suite C,�CladOtle,NC�28216s.'_
Phone 14.� 12�969 Fax No. 704-394-0462
Expiration date a Nosixte of Commen,ish,r,(the esmthn data
different date Is specifiedy is we(1)Year from Me(Wile Of recording unless a
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Numter Pages 1 5 s,it 26 AM T'UV L exi.res
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Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,ON Nouxyput,cSta�dFlOrdS
'it Elizabeth E Peters
COUNTY y C�Me�RE 172�
RECORDING$10 00 �,uvve'WZWB
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