1393 BEACH AVE - ALTERATION CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
I. :.� 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-1003
Job Type: RESIDENTIAL ALTERATION
Description: add beam
Estimated value: $1,500.00
Issue Date: 5/1/2015
Expiration Date: 10/28/2015
PROPERTY ADDRESS:
Address: 1393 BEACH AVE
RE Number: 170301-0000
PROPERTY OWNER:
Name: EASTON, WILLIAM &JILL, "
Address: 1393 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $28.75
BUILDING PERMIT FEE $57.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $90.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FILE COPY
NOTICE OF COMMENCEMENT
Permit No. /S'RAAR—/603
Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made
Chapter 713, Florida Statutes, to certain real property yr accordance with
the following information is provided in this Notice of Commencement.
I. Description of property(legal description of property and address if available):
1393 Beach Ave Atlantic Beach FL 6.1 16 2S 29E 28 Atlantic Beach 0 108 Lot 11 12.&1 and East Blk 52
2. General Description of improvements:
Removina an exterior post and installing beam
3. Owner Information:
a)Name and Address: William&Jill Easton 1393 Beach Ave Atlantic Beach, FL 32233
b)Interest in property; neral
C)Name and address of simple titleholder(it other than owner):
4. Contractor Information:
a)Name and Address: Bosco Building Contractors, Inc. 2158 Mayport Rd Atlantic Beach, FL 32233
b)Phone Number.(90
5. Surety Information:
a)Name and Address: Ooc 9 2015096M OR BK 17147 Paye 426.
b)Phone Number. Number pages:i
Recardad OM2&2015 at 02:13 PM,
c)Amount Of BOIld:$ Ronnie Fussell CLERK CIRCUIT COURT OUVAL
COUNTY
6. Lender Information: RECORDING s10.00
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(l)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b), lorida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of pequry, I declare that I have read the foregoing notice of commencement and that the facts stated
therein a�el`e to the best of my knowledge and belief. t
Signature r
wner or Owner's Authorized Officer/Director/Partner/Manager Signa 's Printed Name&TiOe/O ce
The foregoing instrument was acknowledged before me this Zfr day of 40'4te. 1201
by Jru, rCasrrnr as oWNc,G for
(Name of Person) (TypTy�Authonty,i.e.O cei�f rl'Attomey) ame o Party Instrument was Executed or)
WILLIAM L POPE �Ll ��a
Notary Public,State at Fierce NOTARY PUB IC, STATE OF FLORIDA
My Comm.Expires Oct 19,LMS
Commission No.EE 12f/45 Print Name: Wttcy+..!-R1�P
Personally Known
(Affix Notary Seal Above) Identiftcatiodrype:
Revised 3/15/12
t,� City of Atlantic Beach APPLICATION NUMBER
\ Building Department (To be assigned by the Builtlin D artment
Boo Seminole Road �� /O(�
Atlantic Beach,Flonda 32233-5445 I� ....JJJJ
Phone(904)247-5626 Fax(904)247-5845
E-mail: building-dept®coab.us Date routed: J
City web-site: hdp://w ,coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 13/ 3 Zfi ell /ir reD rtrnant review re uired Ye No
Building
Applicant: Planning&Zoning
Q Tree Administrator
Project: �i/ a r �• �� r✓ l "d.-�,r` Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Flodda Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ied.
❑Approved as revised. ❑
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07W/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 ,/1
Job Address: 1393 Beach Ave Atlantic Beach, FI.32233 Permit Number: I:F— r]AAR 'IOb3
Legal Description 6-1 16-2S-29E Atlantic Beach 03108 Parcel# Lot 11,12,&Land East Blk 52
oor o t. q.
Valuation of Work$ Qrs Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial r
If an existing structure,h a fire sprinkler system installed?(Ctrele one): yes No IMNI
Florida ProductAvproval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Remove an exterior post then install abeam.
Property Owner Information:
Naim:Easton,William&Jill Address: 1393 Beach Ave
City Atlantic Beach State ELZip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosom Building Contractors,Inc. Qualifying Agent: Todd A.Bosom
Address: 2158 Ma Tp2rt Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326
State Certification/Regismution#CSC 1250212
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application it hem W made to obtain a permit fo do the work and Installations as indicated. r rertify lM1at no work or hum/lotion has rommenced0�or to Me
issuanceo apenni(a,tdlhalallworkwillbepe orm�to muss the standards ofall laws regulating ronrtrucloo in thisjunsdiction. Thupermil becomes null
and wid s work is not commenced within siz(6 months,or ifcons mefion or work is suspended ar abandonedfora period ofs& 6)months at any time after
work u commmeset 7 understand that separate permits must be secureifor EfecMcat Work,Phmbing,Slgns, Wdis Pools, vroom,Boilers,Neaten,
Tanksand Air Cnndtlonene,etc,
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 YOUi NOTICE OF
COMMENCEMENT.
/heresy rer}tfy mall have read andesaminei thu a irntlonandknowthesamembeoueandcorrect Allprovuions oflaws act ordinancwgoverning on,
type o)work will be complied with whether rpecijtod herein or not. The grunting of a permit dm not presume to site auNoriry m lolam or canrel the
prowsmnsofanyotherfedera(sl e.or local law regulating consvucrlort or the Performance ofromrruction.
Signature of Owner r Signature of Contract
Print Name p e—o Print Name Todd A.Bosco
Sworn to and subscribed before meSwom to and subscribed before me
this Day of A/.[dr_ .201/ this -T-Ir Day of 44g-
d446, 1-1.4a
F$o .Z01�
retryNo Notary Public WILLIAM L.POPE of IAM L.POPE
Notary Public,State of Florida Notary Public,Stats of Ronde Revised 01.26.10
My Comm.Expires Oct 19 20,15 My Comm.Expires Oct 19,2145
Commission No.EE 129745 Commission No.EE 120745