900 PLAZA #77 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 NEXr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-489
Job Type: RESIDENTIAL ALTERATION
Desciption: interior reno unit 77
Estimated Value: $11,000.00
Issue Date: 3/13/2015
Expiration Date: 9/9/2015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPEWN OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACrOR INFORMATION:
Name: PLATINUM BUILDERS OF PALATKA
Address: 2987 S ATLANTIC AVE APT 2103 JAMESUEAKE
Phone: - -
PERMrr INFORMA77ON:
FEES:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
PERAUT IS �PROWD ONLY IN ACCOIU)ANCE WYCH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Senunole Road
Atlantic Beach, Ficeda 32233,5445
Phone(904)247-5826 F�1904)247-5845
E-mail building-dept@oaalb us
Cityweb-site http://��ab.us Im
APPLICATION REVIEW AND TRACKING FORM
Property Ad nt review re uired Yes
Applicant: Buildin Zoning
I ree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee Dept Signature
dra,, §F,,eemm.
NOther Agency Review or Pennit Required Review or Receipt
Florida Dept.of Enviromental protection of permit Verified B Date
Florida Dept.of Transportation
St.Johm River Water Manageoent District
Army C�ps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
�71
APPLICATION STATUS
Reviewing Department First Review: WpProved. E]Denied.
(Cirde one.) Comments: NO C_
PLANNING&ZONING
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Proved E'Denued
R ev
eviewed by: Date:
TREE ADMIN. Second Review: ElApproved as revised.
_lDeried.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date,-
FIRE SERVICES Third Review: EIAPPrOved as rwised. DDenied.
Comments:
Reviewed by: Date
P�viwd(IM7110
BUILDING ftwu ApRucAnopl
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 FILE COPY
umt-1 -4:7-7 Office(904)247-5826 Fax(904)247-5845
3eZ33
JobAddress: '90021A-e-A -Roap WAhti, &Atl, '�:l Pernift Numlier:
IAW Description Parcel#
Valuation of Work$ /(�oo� =heatecl/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existingtp=ed fftracture(Wele one), Contmercial Residential
If an existing stru e,is a fire spy a] sysic�iustalled?(Circle one): Yes No N/A
Florida product=val#
For multiple pr nets use p—r-0aU—C—t1—PP—r-0--QT0—M
Describe in detail the type of work to be performed:
Proverty Ovviter Infamation:
Name: Sea Oats Acquisitions-IJAC. Address:01 MkWort Rd
CitY Atlantic Beach State-plZiP-32MI—Plicias 904,853-6909
E-Mail or Fax#(Optional)
Contractor Information:
Company 2NmLe:�PP A�Eufldm,f P Inb��k Qu!lifo Agent: Jim Leake--
Ufficelshone7-1 Vl j- wto/ Job Site/Contact Numb ili
State CertificationtRegistratiOn Q IS I s&
Architect Naine&Phone
Engracer's Name&Phone#
Fee Smiple Title Holder Name and Address V\
BondingCompanyNavneaoaAxauca�; �% A
Mortgage Lender Namit and Address ,,X�
Application is hereby made to obtain aperaft to do the work and inualladup,ar failoaud I erafyehat ark or installation has conveyereedprior to the
".g Co.
,f,a arrut and that all o,k wil be 765':o-.
,k,, d to met the standaveh,ofall laws ryt�ga OUCHOnindlisJurisdiction. Aispennit b�cosyss null
wortV I war tsnutqmm�dwidqnsix(6, months opjfcmyarjm,,w aded or abandonedjbr Ve
iscomeenced I understand that separate penniis musa be securedjar=-.1-work Plinablait,Sians, wriadq`six=Maay1une
TixabaadAlrConaldoywer,�da iz;Pools I Bamer"
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONBIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITII
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUW NOTICE OF
CONEWENCEMENT.
I�:9:lmr*th�lh�madandewxlw.diwmdtid. leaden,adbur,the sanw,to be true andcon,wot. AIllyrovitten,of laws andardimsces,governiqgl due
=gI.work idlb,,o. 'd.ithwh. Ateneda or new.
- n oress" "m groutift of a perad,dw not inseam,so ge authority to violate or Cowed the
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Construction or deperformahce virconserwa6m
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Elisabeth E P.tm
My Comosseen EE 1723tA
ExNMs 0MV2016
ignature of
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2�O 20 /14y 3
Revised0l.26.10
NOTICE OF COMMENCEMENT
(PREPARE IN DUFU�M)
Permit No. 171725�0500
State of ft(NR�l Tax Folio No.
County of MTZ--�
To whom it may oo,sm:
The undersigned hereby Informs you,that Improysments will be made to certain real property and In
accorchunce with Section 713 of the Florida Statutes,the following Information is ended In this N;ncE OF
COMMENCEMENT.
�n of Property being imprwed. Per Official Records Volurne 5775, Page 713
-Legal-I)OGeRphen �- !i Z � -> S ::'q
Address of Prop"being jimm,,x, 4dt —7-7
Unit Number 27 r-ionaa32233
=='Moml improvements InterlOr Remodel,New Kitchen and bath cabinets,New faucets
owner Sea uats Acq isitions, LLC. Jeffrey D. Klotz
Address o'e"'wNayPOI1 KOed Suite 5 Atlantic Beach. R�nda�32233
Owne's Interest In site Of the imPhwement
Fee SimPle Titleholder(Vother then owrxe�
Name
Contractor Platinum Buildes o(Paladca,Inc
Address 29875.Atlantic Aw.
Phone No.904-237-8107 Fax No. 704�394-0462
Surety(if any)
Address---------------------------------------Amount of bond$
Phone NO. Fax No.
Nanne and address Of any Person Makin,a loan for the cansim,,on of the ImPnov,,ents
Name
Phone No. Fax No,
Name Of oerson within the Stele ol'Florida,
doo,muents may�naNa, other Man himself.designated by O�er u,I,whom noti.or other
Name JarenShes,
And.- --,-— ,nu,�Atlantic Beach,Floritf-3223
p,on,Nc� iIGW247-!c134 W Fax No.904-8
In addition M larnself,c,wIer dentigmytes Me following Person to Necah"a WPY Of Me Lishor'S Notice as Provided In
Section 713.06(2)(b),Florida Shanums.(Fill in at O�er s option),
Name Tim Bromn
counts�-"'-w—s'-y-,3ulle l-,Lharlotte,NC 28216
Phone No. 1�19"SI69 Fax No. 704-394
ExPirenion delf,of Notice W Commerce
different data is apatIlfied): anxed une a"Paselon care b one(1)Yea"Mom the data Of recording unless a
D.#Ml�l 2,OR BK 17091 Page 1601 OWNER
Number Pages,I
RaCxxrded0T1Q(20ISatII:26AM, dV M-re-&5-Lr
Ronnie Fussell CLERKCIRCUIT COURT DUVAL nth,
COUNTY mawIxesdfards,
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RECORDING$IOM .,nasreacomes, heated lords
I ; ,,zab�lh E Peters
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