900 PLAZA #23 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
JOB INFORMATION:
Job ID: 15-RAAR-496
Job Type: RESIDENTIAL ALTERATION
Descripliom interior reno Unit 21
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 JAMESLEAKE
Phone: - -
PERMIT INFOR14ATION:
FEES:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
PERAUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Senninofe Road
Atlantic Beach, Florida 32233,5445
Phone(904)247-5826 Fax(904)247-5846
4� " E-rnal* building-dept@coab us
QtYm,eb-site: hItp:/Avv�w.b'us
APPLICATION REVIEW AND TRACKING FORM
Property Ad nt review re uired Ye, 0
Applicant: Buildin in
Tree Admij I t r
Project: Public Wo s
Public Utiiit a
Public S
Fire Servii
Review fee Dept signature
WOther Agency Review or Permit Required Review or Recall
Florida Dept.of Enviromental Protection Of Permit Verified Date
Florida Dept.of Transportation
St Johns Rver Water Man0gennent District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
0thff: Jnq
APPLICATIO 4 STATUS
Reviewing Department First Review: E94pprovedl.
(Cirde one.) Comments: JDenied.
PLANNING &ZONING Reviewed by: z� Date: 9
TREEADMIN. Second Review: EIAPProved as revised. ODeni—ed.
PUBLICWORKS Comments:
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PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRESERNACES Third Review: DAPPraved as nevised. E]De,id.
Comments:
at,
Reviewed by: Date:
Revised 07/27110
BUELDINGPERM[TAPJUCAUON
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Boach,FL 32233 FILE COPY
U'l-t Z-3 Office(904)247-5826 Fax(904)247-5845
0 -�IAZ kqAD A14AIU, 'Pm'nftNusnber:
Job Address: '9 -A
Legal Description pared#
Sq
Valuation of Work$ 11, 00� n
p=Niork ten"tled/cooled_ Xheated/cooled—
Class of Work(circle one): Near Addition Alteration Repair Move Demolition pool/spa �mdrw/duor
Use of existinWpr=ed structusrMjj�rcle one): Commercial Residential
9 an existing stru e,is a fire sp er system installed?(Circle one): Yes No N/A
Florida Product��val#
For multiple pr ucts use—Pr-0XU—C—taP—P—r"—arr0—rM—
Describe in detail the type of work to be performed: Z —2�r 04,A -.>A S'
Property 0,erner Inf-rimation:
Name: Sea Oats Acquisitions,zj&—Addre&s: 645 Mayport Rd
City Atlantic Beach
E-Mail or Fax#
Contractor information:
Company 4N=e':P�' Buffdws of P Qualifog Agent: Jim Leake
Xy 211A C -aState NIT
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o one .15. itY%l IM SAI 19 zipX4
ss:401 0-7— lklo7 Job Sital'Contact Number A to Fax# v\
State CertificationlRew i no cc� C I'S
Architect Name&
Engmeer's Name AtEneVi V�
Fee Surple Title HoldeTNanoe and Address v%
Dondmix Company Name and Address
i—'Cu E
Mortgage Lender Name and Address m\�
Application is hereby mak to obtain apermit to do the work and installations as buleved Icerqyt=hWw korhanallatianhatoonmated
=wefa;wrvnftaeddwa11rarkwdlbe d to met the standar&of all laws mgulating Ca nor
,ahl ki, z n in thisjudsohetion. 77sirpersailb9=10.1uhl,
I wor no'com"'me within ste 7W=Mdu ff or work nded a,abandomdfor a
orriod ofsft
workiscomumed I understand that separate peml;s stust be securedjor EZ=-FWFOk Plusubing,Sij� k&,Poq,&,
Taa11wandA1rCoeuffdaam,,h, 91z: a`X=ff='
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COAMENCENIENT MAY RESULT IN YOUR PAYING TWICE FOR 114PROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOV!NOTICE OF
CONMNCEMENT.
Ihe*z ' t1h.,,adondseananedthas lhwi.andk..thesaweh,benat,andcan,w%qt Allprovision,qf1aws and ardirnmes governing this
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Provisions r T?u91amn90f.pve,l#dm�otp gm authority to violate or cantel the
sp%j . re =914�.-=tion�ompeFf�cofcow�itom�10
rliz beth E Peters
My C---�.r EE 172�
Expima 0,2M016
::�2ao'*f Sianallue of Contractor
rint Name =me
ILE
worn gi5T
0
joand subscri me Sworril?and subscribed W.
Day of
this �--t Day of
.20
9 is
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Revised 01.26.10 It
NOTICE OF COMMENCEMENT
fPREP4RE IN DUPUCATEI
Permit No. Tax, 0,No 171725-0500
State of FLM�1� Courn,of -D W--&�
To whom it may concern:
The undersIgnsid hereby Inf-mas You Met Inpronnincents will be made to cartain Intel P,,
accordance with Section 713 Of the Florida Slatifties,the ficillowing Info, rty,and In
COMMENCEMENT. nedi Is stated In Mi.NOTICE OF
10ga on of PmPerlY being ImPlinWed. Per Official Records Volunne 5775, Page 713
Sed=d Legal Dessaiption -6 1- ' 1 :7 b — C- �;' - z Y
-Jn
Adayess ofixoparty being improved. I-I IVU�Lldl ILIU creach, t-londa 32233
Unit Number 104
=ideBkin, knounwarnants Interior Remodel,New Kitchen and
Of bath cabinets,New faucets
linth,shower,new liporing and�paint
Owner otbal Vats AOqUiSitions, LLC. Jeffrey D. Klotz
Address 645 Mai Road ZJude b Avenue Beach Florida 2233
Owner'smIthurest in site Pima hquomm,.,
Fee Simple Titleholder(if Other than
Name
A
CO,mol Platinum Budides of Palinick Inc
Address 2987 S.Atlantic Aye.Daytona Beech Sho —IIrWa 32118
Phone No.9(4-nTlum Fax No. 704-394-0162
Slimly(d any)
Addi-----------�Anncunt a bond
Phone N. Fax No.
Name and SKRIM5 Pf any lumenn making a Joan for the columuci P,the imnown,it,
Name
Address
Phone No. Fax No,
Name of person w4hin thas Shate a Forida.Offiff than himself.devgnated by Omer upon whom notices or Omer
documents my be SONN,
Name JunwiShear
Address - �----iv—-,-.�-nu,� uumoC"Ron,Florida 32233
Phone No 904-247-5234 ani -6�
Fax No 904-853f 926
In addition to himself,owner designates thm fintlowma penson W moahe a copy Ofma Usi Notice as provided in
Section 711M(2)(b),Floi Sis"a,(Fill in at Classes option),
Name Tim Broom
Address 6132 Brookshire Blvd,S .........
Phone No Fax No. 704-3
EXPIniflon date P,Notice a Coname"Ouni(the eXPImi data is One(1)year from the data of recording unless a
different data is sp,,,h,h:
THIS SPACE FOR RECORDER'll USE ONLY fq OWNER
Pve TL14 '61 16
stink, DATE 15
Doc#2015054�6,OR BK 17091 Page 1595. W
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Number Pages I they
RecordecO110/2015911:26AM. =.—Ineell—'
Rommelcussell CLERK CIRCUIT COURT DUVAL Nnin"Pi,wicsomw"'..
COUNTY
RECORDING$10 X EliZabett- EPeten,
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