30 17TH ST INTERIOR BATH 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)lT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 15-RAAR-790
lob Type: RESIDENTIAL ALTERATION
Description: INTERIOR BATH REMODEL
Estimated Value: $18,000.00
Issue Date: 4/10/2015
Expiration Date: 10/7/2015
PROPERTY ADDRESS:
Address: 30 17TH ST
RE Number: 169590-0000
PROPERTY OWNER:
Name: DOWILIN, DIANE M &WILLIAM A,
Address: 30 17TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ATLANTIC COAST CONTRACTING
Address: 6051 WAR ADMIRAL RD DAVIDWSPEAR
Phone: - -
PERMIT INFORMATIO 4:
FEES:
PLAN CHECK FEES $70.00
BUILDING PERMIT FEE $140.00
STATE DCA SURCHARGE $2.10
STATE DBPR SURCHARGE $2.10
Total Payments: $214.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Seach
Building Department
800 Seuninole Road
Attanbc Beach, Florida 32233-5445
Phone(904)947,5a26 Iax(0)04)247�845
t""' Einall budding-dept@c0ab,us
City war,site Ifti,//�coale LIS
APPLOCATON REViEW AND TRACKNIG FORM
Property Address: 30 1-7th ST. nit rev
at� iew_reqUired Yes
In S'Z.nmg
mrstrator
4TWONTI-C
I --
ApplicaniLA fanning r
to P"S Zoning
CX
III
Tree Administrator
Poljpct: Public Works
Public Utilities
eftok,4000 Public Safety
Fire services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Pmle�tion of Permit Verified B Date
Flodda Dept.of Tran nation
St Johns River Water anag ent District
Army Corps of Engineers
Division of Hotels and Restaurants
Division ofAicoholic Beveraq—-,t
Other.
APPLICATION STATUS
Reviewing Deparriment First Review: [�A<mvad F]Oenied.
(Circle one I Comments:
0 C_
BUILDING
PLANNING&ZONING t Review
"'roe"t I-
--on"i
r
4]NING RevieLved by:
TREE ADMIN Date:
S S ..nd R.vury
a
Sound Review: DApproved as revised EJD..,��
PUBIUCWORKS Comments-
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. -,--_Date
FIRE SERVICES Third Review: OApPrOved as revised.7EIDenied
Comments-
Reviewed by: Date
M$.d 07/27110
BUILDING PERMIT APPLICATION
ITY OF ATLANTIC BEACH
Office(904)247-5826 Fax(904)247-5845
800 Seminole Road,Atlantic Beach, FL 32233
FILE COPY c
FN A!R 0 6
[JobAddress: 3017ro STREET, ATLANTIC BEACH,FL 32233 Permit Number: /5—
Legal Description 15-82 09-2S-29E Ocean Grove Unit No I S/D PT Lot 7 Parcel 169590-0000
Floor Area Sq p Nil r
Valuation of Work S I U00,00 Proposed�p4rk he�tldlfcooled n�n-heated/coolled—
I
Class of Work(circle one): New Addition (Alteration) Repair Move Demolition poollspa window/door
Use of existing/pro used structure(s) irele one): Commercial (Residential )
Bran existing structure,is a tire spriler system installed? (Circle one): Yes No (N/A)
Florida Product Approval#
For multiple products use product approval form
Describe in detail die type of work to be performed: Remove and Bath tub/shower,replace floor cover,replace vanity
Cabinet remove divider wall.install pocket dom and add lighing
Property Owner Information:
Name: William&Dime Dowlin Address: 30 17"Street
City Atlantic Beach State FL Zip 32233 hone 602-809-5547
E-Mail or Fax#(Optional)
Contractor Information:
Company Narne: Atlantic Coast Contracting Group.Inc. Qualifying Agent: David W. Spear
Address: 6051 War Admiral Rd City Maxvifle -State FL Zip 32234
Office Phone 904-626-5082 job Site/Contact Number Fax#
State Certification/Registration# SC-CBC1257991
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lenda Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the
issuance ofapqrsot and that all work will beperformed to meet the standards ofall laws regulating construction in thisjuradiction. Thispermit becomes mil
and wid ffwork is not commenced within Six(6)numothS,or ifeens"chan or work is s:rnded or abandamedfor a
Wperiod of slxPN5)J mmahs at any timeXer
workiscommenced I understand that separatepermits must be securedfor Electric Work,Plumbing,Signs, efi�Pahsls;
Tanks mulAirConalidoneM da
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 YMi NOTICE OF
COMMENCEMENT.
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of 260
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Print Name
Sworn and subscribed lefiare me Sworn to and subscribed before me
this 20 IS' this -(,±It Day of APAL .20
Y
Notary Public c
Revised 01.26.10
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NOTICE OF COMMENCEMENT
State of FLORIDA Tu Folio No. 169590-0000
County of DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 15-82 0 -2S-29E
OCEAN GROVE UNIT NO I S/D PT LOT 7
Address of property being improved: 30 17TN STREET.ATLANTIC BEACK F!,32233
General description of improvements:_Remove and Bath tub/shmer, replam floor Cover, replace vanity Cabinet, remove
divider wall, install Docket door, and add lightin
Owner: Williamt&Diane Dowlin Address: 30 l7m STREET.ATLANTIC BEACH,FL,32233
Owner's interest in site of the improvernent: OWNERS
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Atlantic Coast Contradna Group, Inc. DAVID WSPEAR
Address: 6051 War Admiral Rd. Ma"ille, FIL 32234
TelephoneNo.: 904-626-5082 Fax No:
Surety(if my)
Address- Amount of Bond$
Telephone No: Fax No:
Name and address of my person making a loan for the construction of the immovernents
Name: D-#2015050M.OR 3K 17127 Page 1801,
N P:'
Address: R=.d 1-11201satoi 11 Pat,
Ronnie FUsWI CLERK CIRCUIT COURT DUVAL
Phone No: Fact No: COUNTY
Name of person within the State of Florida,other than himself,designated RECORDING$10 00
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2Xb),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fact No:
Expiration date of'Notics of Commencement(the expiration date is one(1)yew from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Dase: Z�Vl 5
3/
'i the Comfly of Duval,State
2015
Bete me this 3( day of 1 2
OfFlorida,has nallyappearod
Notary Public at Large,State ofFlon uval.
My commission e.pi.s: 'S, Te3q
Personally Known: or
Signed:
c th"
brida,has
FLA Pmdc