900 PLAZA #22 INTERIOR RENO 1.is, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALTIOTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-497
Job Type: RESIDENTIAL ALTERATION
Description; interior reno unit 22
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 6
GENERAL CONTRACrOlt INFORMATION:
Name: PLATINUM BUILDERS OF PALATKA
Address: 2987 S ATLANTIC AVE APT 2103 JAMESLEAKE
Phone: - -
PERMIT INFORMATION:
rrtb:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
PERAUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department APPLICATION NUM13ER
800 Seminole Road (To be assigned by the Building Department)
Atlantic Beach, Florida 32233-5445 Z/*7
Phone(904)247-5826 Fax(904) 47-5845 77
E�afl- bu(1dIng-dePI@coab us
City web-mte: ftup:11�o,ab.us Date routed
APPLICATION REVIEW AND TRACKING FORM
Property Ad nt review required Yes No
Applicant: Buildin Zoning
Project: Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
sm
Review fee Dept signature
NOther Agency Reviev,or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Permit Verified 8 Date
Florida Dept.of Transportation
St Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
M
APPLICATION STATUS
Reviming Department First Review: [2APproved. E]Demed.
(Circle one.) Comments:
0 C-
PLANNING&ZONING
TREEADMIN. Rerviewed by:_ 1,71 Date: 9.
Second Ravi": ElApproved as nevised. E]DeKed
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviemd by:�Date:
FIRE SERVICES Third Review: DAPProvedasrevq,ed. DDeried.
Comments:
Revievved by:�Date
Rsvl"d 07127/10
BUILDING PERMIT APPLICATION
Cn,y OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beacit,FL 32233 FILE COPY
uAt 2 Z- Office(904)247-5826 Fax(904)247-5845
Job Address: 'R 00 , A 22-4t) WIA'U�
Legal Description parcel#
Uq Sq I.
Valuation of Work$ /(�00� � IP'noopr12 41ork ned/cooled— no�-theated/cooled
Class of Work(circle one): Nine Addition Alteration Repair Move Dernolition pool/spa window/door
Use of existing/pr=ed stroclure(lIrle one): Comnlercial Residential
If an existing stru e,is a fire spi er system installed?(Circle one): Yes No N/A
Florida Product proval#
For multiple p4sucts use product ap)—ro-v775cm
Describe in detail the type of work to be performed:
Property Ovvner Information,
Namc:.. So Oats Acquisitions, 11C. Address*§4-5 Mamort Rd
Uty Atlantic Beach State-E—Zil)-12VI—Phone%"53-6909
P,Mail or Fast#(Opti
Contractor Information:
Company Na=m P AUYT of P QuahfM$Agent: Jim Lealic
ity 12 bk
Address =0
Job Site/Contact N= A Fax v\14a
Lim:
Iti
Name&Phone# r
Engineer's Name&Phone �\il%
Fee Simple Title Holder Name and Address v\j A
Bonding Company Name and Address
Mortgage Leader Name and Address --�m
Application is hem made to obtain apermit to do the work and inctallariane at indkaed�11cerfify that
!=%.9nkddWa1lwo,kwf11beper )w andaml, co.=ark or installation has conownca
war ,not conanencedwithh"t,(6),�ameedlo met t a of all low,m lo.1h,,,
manchs c,irc,namcfion�wm*is in thljolediction. 77it,pemit b
wo,k z1ae We d or aband.nedfbr Wedod of ftg),m o4thsgt;1%'tt;'&
Work Pbanbleg,Slgas� eik,Peals, woes,
T_A=Air a. nfo that sepaate piis onat be secaredjor Ekdd d
at
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOM NOTICE OF
COMMENCEMENT.
lhere
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certify Itj—m 1-d M11
wo,k. b licadoamik..the nane We ime and c,om,t. Aupro,,:sim oflaws and orifnancesg th
a,not 7he granting of a pemit does act pAncee to gme authority to vialate
=i X afaw wh�chon or the performahce ofcontouction.
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NOTICE OF COMMENCEMENT
call IN I)UPLcxr,)
Permit No.
State of FL 171725-0500
County of
To whom it may combecar
Me undersigned hereby Inforal WU that Improvements will be me&to certain real property and In
accordance win Section 713 of the Florida Statutes,the following information is
COMMENCEMENT. stated In this N;TICE OF
`;rtho of -=b;g Improved Per OffiClal Records Volume 5-775 Page 713
0`ad`i_.g:j on
Sea A
�Jal I-�A 42�s�— "'Al�'—Z9 L
"Ift"i of Pritilarty being Improv,ed. vuLt v, Q�a Z
Unit Number 94 laze DriVe Atlantic Eleach Florida 32233
== improvements. Interior Renrcidel New
.'shower,nev, --ing-..-I`-- —
C%mer — woIci�'Aluiwuon$, LL(;. Jeffrey D. KJotz
AGWass, —i waypurt Koao ZSulte 5 liffanth,Beadi,Florida�32233
Owner'sentereat In site ath,improvement
Fee Simple Titleholder(if Who,Man owl
Name
Moress
Connector Platinum BuilderI We Mos.Ini,
Address 2987 S.Atlantic Ave Dlt--Beach 118———————
Phone No. 90*=41107 Fax ft� �3
S-ratY lif any)
Address
Phone No. Fax No. In Of bond S
Name and tiddras&any wam,madi a loan for ft u,sbucton of bar
Nam. ImPlbnerents
Adka�
phone N, Fax No.
Name Of Person offlin the Shia W FlOrld..Other main himself.cau
doomenta may be served thrilled by ev"a upon whom comics,or me,
'". jimlsesnuar
Alwalix - - - -�v— aultic ,�uanrrC Beach,Florida 322
Phone No. 911�247�� xxt,34ut Fax No.904-8536-926—�
In addition 0 himself,ownerdesignater me following eon at col a copy,the Liamm's Not"In PrOvidad In
Section 713,W(2)(b).Florida Strififtes(Fill in at Guevara uWaun)
Name Tmi Broom
Address 6132 Brookshim Blvd,su
Phone No. Fax No. 704-3
Expiration data 0 Notice OfC(cammicarment hathe expiator,
dinall,date is spi,,,Wy data IS we(1)year**in tire deW of mwmIN unhas
HIS SPACE FOR RECORDER'S USE ONLY OWNER
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Doc#2015054405.OR BK 17091 Page 1594, 8 ne 4 OKTEA�biw
Number Pages I c F applums, h the
Recorded 03?l 01Ml 5 W I 126 AM, h W If relearms 0 a aw
Ronnie Fussell C LE RK CIRCUIT COURT DUVAL an Ir ?a
COUNTY Notary Public Sure or F)O.s
RECOR DING$10 CID Elizabeth F Palo,
NM.011" My Corimscon EE 172334
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