2093 BEACH AVE - INTEROIR ALTER PERMIT S" CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
J ;r 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-1323
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR ELEVATOR
Estimated Value: $35,000.00
Issue Date: 6/18/2015
Expiration Date: 12/15/2015
PROPERTY ADDRESS:
Address: 2093 BEACH AVE
RE Number: 169720-0000
PROPERTY OWNER:
Name: SHIPP, JOHN & REBA, *
Address: PO BOX 6347
GENERAL CONTRACTOR INFORMATION:
Name: HIGGINBOTHAM CUSTOM HOMES LLC
Address: 8518 103RD ST HIGGINBOTHAM, ROGER ALAN
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $112.50
BUILDING PERMIT FEE $225.00
STATE DCA SURCHARGE $3.38
STATE DBPR SURCHARGE $3.38
I
Total Payments: $344.26
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of /4-0/2-44
Tax Folio No. 0 oo/____
[ovu� of j)U����____ ___________
|o Whom It May Concern:
he undersigned hereby informs you that improvements will be made to certain real property. and in accordance with Section 713 of
the Florida Statutes, the following information is stated in hi NOTICE OF COMMENC G
I cgal Description of property being improved: 4-err -7 8 74-4 rvc. /~
'--- -'-- --- --
\ddress of property being improved: .3-CI 3 S C* 116 c_ g /-54- 3�L����
�'Literal description o[improvements: s-,e __
.
6' Address: g�**�f ��"��� R. ��^�?'73
� � �� � �'-- - ~--'y
Owner's intcrest in site ot'the improvement: re**��__
Fee Simple Titleholder(if other than ownor): �____
Name: ___•___________
•\ Contractor: H/ 4
Address: a ^f/ 9 ��3�/�t~m�' _ � �,��
Telephone No.: 7fc_ Fax No:
sorely (i[on}> _-'' '_---� ---' --'—'--'—� --'--------'-----'-- -----'--'---'------�--
Address: Amount oy Bond$___________�
Telephone No: ___ _____________ FuxNo� ______
Name and address ofany person making a loan for the construction of the improvements
Name:
Address:__________________________________�___________
Phone No: Fut No:
___________
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address: _ _�
lekThmuNo: _ ___ ___. Fax No:
In addition m himself: owner designates the following person to receive a copy of the \.ienor's Notice as provided in Section
7|3 06(2)(hl Florida Statues. (Fill in at Owner's option)
Name: __________________________________________________________________----- --- -------- -
Address:
Telephone No: Fax No:
_____________
|�xpimtion dare of Notice of Commencement (the expiration date io one (|) year from the date of recording unless a different date is
.pe/i6cd): _' --� '—' —� — — — --- —'''— ' ---� ' —'--------'— --------'--- ---
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: ~
Doc/4 —�� me - day—
omns/zarna OR Page '*az Florida.
wumm�Pagr= 1 — ' ~'—' '~', — � �����--' ���---�--------�---
Rono�euV�V�2O15m11:z0AM.
Public Loq��0om Florida. ountf r Duval.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL `./commission,`p`ns: �
COUNTY pecvmxU! Kxv«u �*� _______v,
RECORDING$10.00 |`mdvced |deum�uo^u� '--'—''—~~~~^~~
wv COMMISSION oer36mo ' -------
EXPIRES:October
"'Ur:0' Bonded Um Notary Public Undentniters