900 PLAZA #111 INTERIOR RENO CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PMI FOR NEXr DAY INSPECrION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-484
Job Type: RESIDENTIAL ALTERATION
Description: intedor reno unit 111
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 CONTRACrOR 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: $161.50
PERNHT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247.5M . Fax IOD4)247-5845
E-mail building-dept@wab us
CitYweb-site http:/1w,,c,abus
APPLICATION REVIEW AND TRACKING FORM
Property ZAdc(uPt 4
nt review re Uired Yes No
Suildin
Applicant: Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Im
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental protection of Permit verified Date
Florida Dept.Of Transportation
St.Johns Mver Water Managarnat District
Army Corps of Engineers
Dhasion of Hotels and Restaurants
Division Of Alcoholic Bww---- --
Other*
APPLICATION STA
_T:�TUS
FReviewing Department First Reviam,: OTAplorwed. E]Denjed.
(Circle one.) Comments:
BUILDING /Voc
P p (��
LANNING&ZONING
TREE ADMIN. Reviewed by: /77 C11- Date:
Second Review: DAPProved as revised. LJDenZd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
or a
ad
Rsw
d
a-w se
b
oDen,ed
y ''P
d L]Darned
Date 15--
PUBLIC SAFETY Reviewed TbyDate
FIRESERVICES Third Review: CApproved as revised. ElDenied.
Comments:
ev
R"Joed 07/27/10 Reviewed by: D]ate:
BUILDING FERwr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Athmfic Beach,FL 32233
unz Office(904)247-5826 Fax(904)247-5945 FILE COP"
Job Address:APO' '-A '22a AflAoill� &" El PermiltNumber:
Legal Description Parcel#
Valuation of Work$ kt.
v oor r
ProposedWork VeL�&cooled— =-Theated1cooled
Class of Work(circle inw): Ne%v Addition Alt ..tion Repair Mow Demolition pool/spa windm/door
Use of existing(pr=,Ied s1ruFture(ftLC!7!e one): Comnarcial Raidemial
Ifanexistingstris r,,i,,fir,,p Er system installed?(Circle one): Yes No N/A
Florida Pixiduct proval#
For multiple pr�lsucts use P—rwu—ct—ap—p—row,075—rm
Describe in detail the type of W�tk W be peirfrored:
Property Owner Information:
Name: Sea Oats Aomwititim,LLC, Address-§41 Rd
City--&
.. S—a.—ticl3wh —Sttcjj�ap 32233
E-Mail or Pu#(Opti
Contractor Inforroation:
C=P=Y Nme:Plat' 1BJ41flMd,,of P Inc Agent: JiLcake
ki, Qualifying
'IR
Address:::
--A ity �c state zipa?�I(T
offifice Phinwe v Job Site(contact Nuniber A, to
State Cezfificadon/Re P"# V\14a
t4 Statistical
Architect Name&=Mxj
&Smoei`�Name&Phime# ————————
Fee Simple Title IlDiderN,,ke—and Addresa V\
B=Mdoig COMParry Name aandl Ad=dm s A
g C
?4ortgage1=MNameaodA=dmss
APPlic-flon is he�by ds to botin.per.it to do Alt,work and' wilid "cated
'awmit and shot allwo,k will b�lser co Ylhx'?Pwk�iwtalZatimho��dpi,,�,h,
'k 1, yomed to ,o,t tj:", I low,
' w`w =r -Yo0w�ff—q,work is
w k v d-t po,..ed withM,J,(6) o,& 119111�11oninddjurisdiction 77itspemitbeco.,,ull
=1=d. dgrabaodonsdf�Vegodof six wwoo,
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CoMaIVARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
4
NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MDROVEMEENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF
CONIMENCEMEENT.
lhem�cergfjv that1h.madandesaminedtlis lkstiO�4ndk�thes�t�be�andc�et. Aiippo�si��lI agtyt,�O--
-P i d h�sli w not The sranang of a pemi,d-,not pm.e to g�
o, work will b.Co.-&d.1th wh1ths, Id, the
r. 9 tingcom�tion�thepeFf��ofcomimcam al I..
eft Easmaumom :2-1
81,, N�l P.N,�State of FWd.
Eleabeth E Peters
my C=m,s&onEE1?23"
Ex~=W2016
iguature 6 er
rint Name !�ctor
Its,
TEM.
wom jo and subscri
bed belove Srn)�and sid,
ds 5% Day of scribed befign me
20 this I- Day of
i;:4'1Mh0c /A
Revised0l.26.10
NOTICE OF COMMENCEMENT
FR��IN DU�,,TE)
Permit No.
State of FL Tex FW10 No, 171725-0500
County Of -Dw--�-----
To whown it may o0m,m:
The Undersigned hereby Informs you mat improvements Will be nnacle:0 certain real property,and in
a"oroance with Section,713 of the Florida Surmise,ins Miming Informs 1,
COMMENCEMENT, n IS stated In this NOTICE OF
In-f Property b.hVmpm,w er Offidal Reo0rdS Volume 5775, Page 713
-1-41gel-D-aw"Im �,y_ —75
h;22!f-qe' Qc It
Address�Property being improved- --- I - --allul; deach, Florida 32233
Unit Number 31
Osmanli desonp=.0improvernents InteriOr Remodel,Nm Kitchen and bath cabinets,Ne,&,ct,
Remodel Bath shower,nev,
Owner Sea Oals AcquisftionS- LLC. Jeffrey D. Klotz
AW�5 M2yport�R�d Suite a mxiamc beaCh.Florida 3a33--�
OWT..11-1—n sea or maunivovement
Fee Simple I'Meholder IN~man oWner)
Name
Address
Cbrtr�or Plefinum Builders 01'Palaka,
Add 2�;S.AtianticAva.Daytona,Zach Shrl--111brice 1111,
Phone No.VDC2374107
Sm.,,,rfany, Fa.No. �39�
Address
phone NO, Pa.No,
Name and address�MY Person making a man for Me ,r5bucbm&Me
Nerve I-ProVermeds.
Address
Phone No
F.x No--------
Name of parson thin Me State�Florida,brim'than In-Saff,designated bY oWmw upon Whom 1-IlCes,or other
doc-mands may be ered.
N.Me JU.Srear
Address 645 MaYport Rd.Suite 5 Atlantic Beach,Florida 32233
Rho.N.� —247� M.� Fax No.904-853-6926
In adchficM M harreaff,oWne,desilinres Me MoWing pansm to rebelve a copy ofthe LNMWS Notice as provided in
SWLM 713.06(2)(b),Florid&Stamm".(Fill In at OSmer a opsM)
No" TIM Broom
Add—- -v.,3mme L'LINVIotte,NC.28216
Ph."No. Far No. 704-3 2
Expiration data 0 Noke&Commarmarment(the exPinition data IS on.(1)yearfrom the dMe Of recording unless
diftl date Is sWlfW):
HIS SPACE FOR RECORDER'S USE ONLY OVINER
Swed ,, I , � - . 5 �'
SeloSmethe or
Doc#2015054416 OR BK 17NI Page 16�, F
Number P gas I Is as oil
R�wded�gij,,2015 a 11.26 AM Waste, Map, Peters
F-K.z EE 172W
Ronnie Fusael CLERK CIRCUIT 60LJRT DUVAL NN
RECORDING$10.00
COUNTY "201
Coultyar
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