900 PLAZA #78 INTERIOR RENO CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALVOTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INF R ON:
3ob ID: 15-RAAR-488
Job Type: RESIDENTIAL ALTERATION
Description: interior Reno unit 78
Estimated value: $11,000.00
Issue Date: 3/13/2015
Expiration Date: 91912015
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, U-C
Address: 645 MAYPORTRD SUITE 5 645 MAYPORT ROAD SUITE 5
10
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: $161.50
PERNUT IS "PROVED ONLY IN AC�RDANCE VVITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLCHUDA
BUILDING CODES.
City of Atlantic Beach
Building Department
800 Senninole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 FIX(904)247-5845
E-mail building-dept@coab.us
CitYweb-site httv/Avmvooab.Us
APPLICATION REVIEW AND TRACKING FORM
Property Adcl�. nt review re uired Yes No
Applicant: Buildin oning
Tree Admi I I tor
Project: Public s
Public Utili a
Public S
Fire Servii
Review fee Dept Signature
Other Agency Review or Permit Required Rev ew r celpt
Florida Dept.of Enoronmental Protection Of Pe it erified By Date
Flonda Dept.of Transportation
St Johns River Water Managernent District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
iev 01 Re
V
APPLICATION STATUS
Reviewing Department First Revim: EgA`pprov-d. OlDenied.
(Circle one.) Comments:
PLANNING&ZONING Revievved by Date: 3- 9- 1s—
TREEADMIN. Second Review: E]ApPwed as revised. ODeniecY
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Revjs�ved by: )Its:_
FIRE SERVICES Third Revim: ElApprovedasrevised. DDenied.
Comments:
Revievred by:�Date:-
Revised 07127/10
BuILDINGPERNnTAPPLimioN
CITY OF ATLANTIC BEAcn
800 Seminole Road,Atlantic Beach,FL 32233 FILE COPY
Office(904)247-5826 Fax(904)247-5845
�A PernAtNurnber:
Job Address: '9 0o ' -;--A f-"33
Legal Description Parcel
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Valuation of Work 00� rOork eat1dilCooled_ =n]beatedlcooled
Class of Work(circle one): New Addition Alteration Repair mow Demolition pooyspa window/door
Use of e r=Z:V
Ifa.miI& p. otael C(muncrelal Residential
gl� f=
Y, eso installed?(Circle one): Yes No N/A
Flori Produe, ruvat#
For t
'It,pl,PZ
net$use proJuct approvarrorm—
Describe in detail the type of work to be perfollned:
Property Owner hiformattion:
Name: Sm Oats Acquisitims,LLC. AJdress:§!Khjny2gllRd
City &tlmaic Beach Suite�FIZIP—M-2-331hots,904-853-6909
E-Mail or Fax#
Contractor Inform ation:
Co N e:PI Builders f
W Is Qu!lif),anj Agent: JimLeake,
tue �lj zipa?�Wr
0frim W", S
State Certification/Registration Qag-CJob Ak 0 Fivc# v%14A
Architect Name&Phone#
Engineer's Name&phone# �\wa
Fee Simple Title Holder Name and Address vx
flooding Company Name and Aiddiess lk
Mortgage LcoiTcr Name and Address m X�
!APP"Mim is hembY made to abtoin agemut to do dw work and immilatiom q,NaVeated Ioer*that w work or imariation hot ,moenwd
Zowe 0 it andthot allwork will beiterformalto met the standvil,ofall laws regWating comemction In shirjurisactim Thbpermilb=110211
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMIENCEMEENT MAY RESULT IN YOUR PAYING TWICE FOR R"ROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITII
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING WU NOTICE OF
CONMENCEMENT.
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Revised0l.26.10
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 171725-0500
State off FL6RIDA Tax Folio No.---
county of Duv&--�
TO Whom It may cancer":
The undersigned hereby Infamous you that Improssammu will INS,made to cousin real pmmrty
accordance with Section 713 of the Florida St-tuthe,the following Inform ,and In
COMMENCEMENT. Such Is stated In MIS NOTICE OF
I of Property being in,im,d. Per Official Records Volume 5775, Page 713
-gal DeaGrilatka 6-
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Addreadinflunfaarly being dropmax: WU PlaZa DriVe Atlantic theacri, Florida 32233
Unit Number 25
improwmasids; Interior Remodel,New Kitchen and
bath cabinets,New faucets
==OMI shower,new 11......a..........
Owned. Sea Oats Acquisitions, LI-C.Jeffrey D. KJotz
Address UaQ MaYPOn ROad Surle 5 Atlantic Beach, F..da 322�33
Owner's interest in site orthe impa,,andard
Fee Simple Titleholder(ifolhisr the.owner)
Name
Contractor Platinum Buildenscipala,,a,Inc
Addrw,,2987&Afimtk �-0mYtmdfkwxChShom,Rodda321j8
Phone No.9A437-8107 RIX No. 704-394�2
Surety(if my)
Address
Phone No. Fax No ount DIF bond$
Name and!address 0 any ensom maildnag a loan for the construction&Me mPrDmmS
Name
Address
Phone No, Fax No
Name Of parson wthin Me State 0 Florida,other than himself damignated by owner u1nin whom nonced,or other
documents may bs smm
Name JamasSrain
Add,—� I MaYPOA Rd�SU05 Atl.nt,�Be.Ch,Florida�32233
Phone No. SO4-s17-foQ14 —M Fam No.904-8
In motion to hirindeff,owner designates Me following Person 0 mome a Way OF Mus,Liandn's Notice as ProVided In
Section 713.06(2)M) Ronda Stalutes,(Full In at O~S Option)
Name Tim BroaDrin
Add: 6��32&Lk$qh6l��B�WdS.lt.C��Ch.�gott.
NC 2S216
Phone W. IUA-J941-159459 Fad:No. 704-3
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THIS SPACE FOR RECORDER'S USE ONLY OWNER
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