245 MAGNOLIA ST - SIDING �e l, `�f CITY OF ATLANTIC BEACH
r... A s) 800 SEMINOLE ROAD
\\,......°:7 ze ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SIDE-1510
Job Type: SIDING PERMIT
Description: SIDING
Estimated Value: $3,750.00
Issue Date: 6/29/2015
Expiration Date: 12/26/2015
PROPERTY ADDRESS:
Address: 245 MAGNOLIA ST
RE Number: 170545-0020
PROPERTY OWNER:
Name: BONFANTI, SUZANNE
Address: 245 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: MARTIN HOME EXTERIORS
Address: 5749 HAVEN RD QA KENNETH BRIAN MARTIN
Phone: --
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $34.38
BUILDING PERMIT FEE $68.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $107.13
PER 11111. IS APPROVED ONLY IN ACCORDANCI? Wren ALL CITY OF ATLANTIC BEACII ORDINANCES AND TUE FLORIDA
Bl ILDING CODES.
,-;:-/11;./ City of Atlantic Beach
1{� Building Department APPLICATION NUMBER
r 4 s 800 Seminole Road (To be assigned by the Building Department)
`� _,• Atlantic Beach, Florida 32233-5445
r Phone(904)247-5826 • Fax(904)247-5845 / Ai ���
:'-j r i ' E-mail: building-dept@coab.us
City web-site: http://www.coab.us Date routed: 2
APPLICATION REVIEW AND TRACKING FORM
Property Address: i5-177 le tip (��.
--- _ _Department review required CEP,
Applicant: C Buildin. �:_Th ol_E
Tree Ad &Zoning ��
Project: ��'� Tree Administrator _-
- 5 Public Works __
Public Utilities __
Public Safety __
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of___Permit Verified By Date
Florida Dept. of Environmental Protection
• Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
•
Division of Hotels and Restaurants
MINNINIMMIIIIIIIIIIIII
Division of Alcoholic Beverages and Tobacco
Other:
___. APPLICATION STATUS
Reviewing Department First Review: ,--,/
I"IApproved. ['Denied.
(Circle one.) Comments:
•
BUILDING
PLANNING&ZONING
Reviewed by: -d s.,/,_c-'
TREE ADMIN. Date.
Second Review: ❑Approved as revised.
PUBLIC WORKS Comments: ❑Denied.
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
v __ Date:
FIRE SERVICES Third Review: "— — —-------
❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
1
BUILDING PERMIT APPLICATION
ELCITY OF ATLANTIC BEACH
. Li ! 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 245 Magnolia Street Permit Number: .170545-0020-- / S - S //fit -/cIO
Legal Description 10-16 16-2s-29E SALTAIR SEC 3
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 3750.00 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 structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval # FL 13192.2- Hardi Plank,
For multiple products use product approval form
/ ill ' \\
Describe in detail the type of work to be performed: Replace siding with Hardi Plank T
Property Owner Information: A e carr
Name:Suzanne Bonfanti Address: 245 Magnolia Street e�O
City Atlantic Beach State FL Zip 32233 Phone
E-Mail or Fax# (Optional) 0e (j
L /
Contractor Information:
Company Name: Martin Home Exteriors Qualifying Agent: Ken Martin Address: 5749 Haven Rd,
City Jacksonville State FL Zip 32216
Office Phone 9047375009 Job Site/Contact Number Fax#
State Certification/Registration# CRCO 57030
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 is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes mil/
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,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 YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to giv authority to violate or cancel the
provisions of any other federal,state, or local law re:ulating construction or the performance of construction. ..
I / ,
Signature of Owner L•4J0,• •14„.'■ _ Signature of Contractor
i /
Print Name 67d A)j 40AIP‘' Print Name A'.. .,tise7-i ,97g .17.1;2
Sworn to and subscribed before me Sworn to and subscribed before me
this a2iDay of ,./t.)..-16- ,20 /.5-- this Day of , 20
Notary 'Mlle EDWAR., RHODES otary Pu. is
i,,µ,P,,,,,,,.
P ;=o• Notary Public State of Flon a
• ,., ;•_ My Comm Expires Jul e.2017 Revised 01.26.10
4r' 4.Q.,6'...7 Commission #FF 034806
'''•,,,,,,,.•• Bonded ihrougn National Notary Assn.
NOTICE OF COMMENCEMENT FILE COPY
(PREPARE IN DUPLICATE)
/
Permit No. 5— '7 6Z--/5/0 Tax Folio No. 170545-0020
State of Florida 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: 10-16 16-2S-29E
SALTAIR SEC 3
Address of property being improved: 245 MAGNOLIA ST
Atlantic Beach FL 32233
General description of improvements: windows, siding or screen room
Owner Suzanne Bonfanti 245 MAGNOLIA ST
Address Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Martin Home Exteriors
Address 5749 1-Tavpn Rnart, .Tarkcnnvi 11 P FT. 1? F
Phone No. 904-737-5009 Fax No. 904-737-5029 0
a 'o':
Surety(if any) ;;.�'Address Amount of bond$ '�i� ''e'
Phone No. Fax No. -'9°q • 0`,;$•
Name and address of any person making a loan for the construction of the improvements. 3 °
., 3 n
Name z 3 3 •` o
I v
Address 9 - 3 Q %
N m ,
Phone No. Fax No.
-}r 0 w XI
et -n L Fr =
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other o 4°, = e oo
documents may be served: ,< w`O T v
O N O
Name 1 :. °f O it
v it
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in —j- —
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). ,.�5',:"''•
Name ''`+�_` '. 7-:•�'
Address �-ir z,
Phone No. Fax No. ,�0,,
oD
o
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a a
different date is specified): 3 g ,,
THIS SPACE FOR RECORDER'S USE ONLY / OWNER", z x c
Signed: A ∎..�/</�'r� ' - .•/r fy-'�Y—/ * rn
Before :th a day• w. ..../ in the d T H '
Cou f Du,al, fate of•o. a,has pe pally ap f: :. < s_ D
yo too roc t-.iii
J it Z .0 lS O of • 04 w/rlterein by LT a ,n r,:
Doc#2015144637,OR BK 17211 Page 1086, are true a herself and nd accurate r,that all statements and declarations herein y o a V.
Or _ [rr
Number Pages: 1 V N
Recorded 06/24/2015 at 01:58 PM, /
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ;'e'
COUNTY
RECORDING$10.00 Notary Public at Large,State of 2*--, Coun of DL1V
,4C.
My commission expires: 7
Personally Known 1 -1:;1 L or •
Produced Identification