900 PLAZA #28 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 INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-492
Job Type: RESIDENTIAL ALTERATION
Description: interior reno unit 28
Esdmated Value: $11,000.00
Issue Date: 3/1312015
Expiration Date: 9/9/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTYOWNER:
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: $161.50
PEMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING Coon.
City of Atlantic Beach
Building Department
800 Serninole Road
Adanlic Beach, Florida 32233-5445
Phone(904)247-5826 F"(9(M)247-5845
E-mail, building-dept@coab us
City vveb-site hft:1/vmwcoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Ad nt review re uIred Yes No
t. *!Pj Building On ng
Applicant: �T�2
ree Admi4ishatoo-r
Project: Public Works
Public Utilities
Public Safety
Fire Services
Im
Review fee Dept Signature
WOther Agency Review or Permit Required Review r celpt
Florida Dept. of Environmental Protection Of PO it arified By Date
Florida Dept.of Transportation
St.Johns River Water Managernent District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
er ;e� ov, Re
�7M
APPLICATION STATUS
Reviewing Department First Review: 2Approved. ODenied.
(Circle one.) Comments: /Vo/I
qi�
PLANNING&ZONING Reviewed by: Date; 3-Cy-/5-
TREEADMIN. Second Review: ElApproved as revised. ElDeried..
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:�Data_
FIRESERVICES Third Review: ElAppmed as revised. ODenied,
Comments:
Reviewed by- Date-
BUILDING PERAUT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 FILE COP
UA-t 2% Office(904)247-5826 Fax(904)247-5845
JobAddress:_'900 '_�We_A _R�AD AIA111, 'Per_n3*Nmnbw. I j �2
Legal Description Parcel#
Valuation of Work$ It, oo- 0I ri.
PO=Work bNeated/cooled_ nin-heataycouled
Class of Work(circle one): New Addition Altesstio, Repair m,,,, Demolitim pooy" ,�/doue
Use of existinf
Han existing st%UV struV=e one): Commercial Residential
&�I a a fwe sp er systm installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple proilbets use_produc-tappxo`v-aTTarm
Describe in detail the type of work to be performed::IA:aCZ,1�z
Property Owner information:
Name: Sea Oats Acquisitions,IIC. Addmss:645 Mayport Rd
City Atlantic Beach —State Fl --22Q3 phone 904-853-6909
E-Mail or Fax#(Optional)
Contractor bloraurtion:
Compaqy2NE in Agent: Jim Leabe
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ame:,,�Bmffldam of P
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Offlee phone q 0141-7- 4�qj o7 Job Site/Contact Ntber a Fax# V\14
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Architect Name&Phone# 14wa
Engmeer's Name&Pb #
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Fee Simple Title Holder Name and Adikess v%
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR E"ROVEMENTS
TO YOUR PROPERTY.IF YOU P41END TO OBTAIN FINANCING CONSULT WrM
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Mik NOTICE OF
COAMENCEMENT.
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ignature of Owner f.14 _qiMatincofCounactor
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this Day of &QK!R:!�
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NOTICE OF COMMENCEMENT
Permit No. (PwsFAFE IN DUPUCATE)
State of FL Tax FolioNo, 171725-0500
County of —D
To whom it may co,,,m:
The undersigned hereby lot..$you that ftrimo�wrwnls.111 be made to certain real prop" and In
accordari with SQCtI.n 713.1 the FkxrIda Staliftes,the following Information Is stated In this N6TICE OF
COMMENCEMENT,
00 Of Property being jmpy,,d. Per Official Records Volume 5775, Page 713
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SEE Legal Descripinnin �4_
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Adumax,of property,being jmpn,�, t,UU I-Wa Drive Atlantic Beach, F
Unit Number 22 londa —32233
i3anseral=�f lnterlorRe�odel,Ne%,KID: Ent and bath cabinets,New
Remod — ;�paind faucets
shower,new 1100[iriga
,,my, Sea Oats Acquisitions, LLC. Jeffrey D Klotz
Address 645 MaYlport Road Suille 5 Atlantic 888ch FlOrid
04ney's interest In site of the jffljyr�ment
Fee Simple Tilieholder(it other then owner)
Nam.
Address
Conosomy Platinum BuIldem ofFaurb
Add an "y'DaYhma Saxon Shony%FI.Wl 32118
pho 0.9GI-237,8107 Fax No. 7(A-39�
Surety(it any)
Address-----------�AyhxXufft of bond$
Phone No. Fax No.
Nam and address of any person,making a 1,,,for the mmxha,ot ft
Name
Address
Phone No. Fax No.
Nam.of pansor, mn me State ofFloNde,othey-thim himself,de,grabeit by owner.pon whom oti,se or ,w
doxAmRynte May be se,ed,
Name Jw�sseis
Addrues - ttuanuc Mach,Florida 32233
phone,No. 9(W247� xuMs Fax No.904-853�926
In addition to himself,ownerdesignates,the Idimsfira person to nyosive a mpy yth.I-renory Notim as pmvie,In
SWIM 713.06(2)Mir Florida Sadness.(Fill In at Owners inmr,
Name Tim Brmm
Addi......... c DFVU,�UIW L,Lmulotte,NC 28216
Phone No 'Ue-J�969
Fax No. 704-394-0462
Expiration date ot NoN,a W Crammer,
different date IS Specifi,j): oems"a(the expiration date Is wO(1)year Imm the date of ner,ording unless a
HIS SPACE FOR FRECORDER`$USE ONLY
I MNER
DOC#M1505*11 1,OR BK 17091 Ssaxv,rom dd DATE
Number Pages 1 Page 16OOr & APPerned In
Recorded 03MO/2015 W 11:26 AM. hhxwVhm,,W
Ronnie Fussell CLERK CIRCUIT COURT DUVAL sy Nose,poulestow.
COUNTY
Eli2athet,E Peten,
RECORDING$10 W My Comrrm�'l Eb 172364
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