900 PLAZA #25 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 NE)IT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-494
Job Type: RESIDENTIAL ALTERATION
Description: interior reno unit 25
Estimated Value: $11,000.00
Issue Date: 3/13/2015
Expiration Date: 919/2015
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 INFORMATION:
FEES:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
PERNIXT IS APPROVED ONLY IN ACCORDANCE WTTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax 1904)247-5845
E-mail building-dept@wab us
City web-site: http://�,co.b.us
APPLICATION REVIEW AND TRACKING FORM
Property Addroaaa. nt review required Ye No
Applicant: Buildin Zoning
I ree Administrator
Project: Public Works
Public Utilities
Public Safetv
Fire Services
sm
Review fee Dept Signature
aOther Agency Review or Permit Required Review or Receipt
Fiords Dept,of Environmental Protection Of Permit Verified B Date
Florida Dept. of Transportatim
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division Of Alcoholic Beverages and Tobacco
Other
m
APPLICATION STATUS
Reviewing Department First Review: MAIPIP'r-ved. DDenied.
(Circle one.)
Comments: We—
PLANNING&ZONING
TREE ADMIN. Reviewed by: Dr� Date:
Second Review: ElApproved as revised. ODenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
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PUBLIC SAFETY Reviewed by� Date-
a revi
FIRESERVICES Third Review: EIAPPrOVed a 7 sed. ODenied.
Comments:
It"ned 07127MO Reviewed by: Date--
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 FILE COPY
Ulm Office(%4)247-5826 Fax(904)247-5845
-��AZ-A -eDAD WAnL Numbur: 15-- ,k1),41e-"7'9#P14
Job Address: '9 00 '
Legal Description
Area S
liq Sq
no�!Valuation of Work$ /t�00� � 71rooprosed Zoork e:llfcooled. P*rm'" heatedticooled
Class of Work(circle one): New Addition Alteration Repair Mow Demolition pool/spa window/door
Use of eAsting/pr=fftru=
H an existing stru 111rie one); CQmmamal Residential
is a fire sp er system installed?(Ckvle me): Yes No N/A
Florida Product A
oSproval#
For multiple pro nets use-produ-c-tapp—rov-57Te-rm—
Describe in detail the type of work to be performed: r 3k,4
Property Owner information:
Name: Sea Oats AccitusitionsUC. Address:M2 Mayport Rd
City Atlantic Beach State FL-ZiP-3=3--Phorie 904-853-6909
E-Mail or Fax#
Contractor information:
cc y,Narne:Platm Builders f P Qualifo Agent: Jim Leaks
State Zipjj14 I T
LOW4 22 gr-A-7- '6167 Job Site/Contact Namier Al�ial— Fax# v\
State Certifican egistnmon,# (�(a4Q P&,<s 914S4
Architect Name&Phone# A
Engineer's Name&Phone# �
Fee Simple Title HolderName,and Address V\
BondingCompaityNameandAddress yj A
Mortgage LeiiderName and Address -j�
Applit,ation is hem�v made to obtain ap~to do the workand inwzzwo.=indkaed I"r*thaw worka,Installation Am twontewedpriorto the
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dl,= i andeltatall.wkwillb. to met dw Stan"&of all laws regulating constwdon in dthjaitafictim 77dspenn
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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 NOTICE OF
COMMENCEMENT.
Seg . this
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woplii and subscribed before
,is 717-Day of this-,Za- Day of Alat-0i, no 20K-
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Revised0126.10
NOTICE OF COMMENCEMENT
(PREPARE IN tteun,,h
Pernst No.
Shrta�of FLORIDA TaxFog.N.. 171725-0500
County 0 TiUvRi.------
TO Whom"may COnCern:
The..d.migmad hereby Informs you that Imp,ay....is.11,be me&:,.certain real property and in
amordance with SGotion 713 Of the Florida Statutes,the foJiMeling Informs on Is stated In this N�ncz OF
COMMENCEMENT.
legal desenphan OfIprolparty being improxa: Per Official Records Volume 5775 Page713
S.Attached Legal DeWripion
Addressoforopertybermllimplarraw. wu I-laza Wrive Atlantic Beach HOnda32233
Unit Number 15
== WaPtox,aments. Interior Remodel,Nevv Kitchen and bath cabinets,Nm faucets
.1 shower,nele,........g._p....
Owner --- —VS ACClunsillonfl, LW. Jeffrey D. Kjot,
Ad
Owners xnaxnam arts a the ImProxament
Fee Simple Titleholder(if other Man Owner)
Name
Address
Contaotor Platfinumthildenalpl.
Address 2W S.Aflarlk AW. Shares Flonds
Phone No.901-237-8107
Surely(a any) Fax%. 71W3
Address
Phone No, Fax No. Vnowd Of bond If
Name sma address Of my person MIAMI Joan far the onnsima.Wine manfwamerns
Name
Address
Phone No. Fax N
Name Of Person-Mn the mate a Florida.Other Man himself,assignateal by Omer upon whom nodcas Or
documant,may be sa�ea.
NO,. J-nxs8rew
Address- u-,e�Atlantic deaCh,Florida 322-33--�
Phone ft, 901 weW
Fax No.904-853-6926
In adddlon to himself Owner designates Me folowng Person to Isesins,a WIRY Of the UshOrs Notice as pmMf in
l3aoflOn 713.06(2)M),%we"bannes (Fill In at O~s Whom.
Name Tim BrOWIT)
Adurves- �"'��"I'll�-'�u,�UIML,t-na"OtteNC.28216
Phone No, Pax No 704-394-0462
Expiration date of Notibe a CWmN,
different date is sp�fnh: 'm(Me e7l)[ratiOn data Is Oft(1)year from the date Of renXWdInQ unless a
TIHIS SPACE FOR RECORDER'S USE ONLY
OINNER
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