157 BELVEDERE ST - KITCHEN REMODEL (7"---
J S1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
v 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-1983
Job Type: RESIDENTIAL ALTERATION
Description: KITCHEN REMODEL
Estimated Value: $17,000.00
Issue Date: 8/25/2015
Expiration Date: 2/21/2016
PROPERTY ADDRESS:
Address: 157 BELVEDERE ST
RE Number: 170584-0000
PROPERTY OWNER:
Name: BURCH, ROBERT & LESLEE ANN. *
Address: 157 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: JEP CONTRACTORS INC
Address: 1416 FOREST AVE QA JOHN EWEL PEARSON. III
Phone: --
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $67.50
BUILDING PERMIT FEE $135.00
STATE DCA SURCHARGE $2.03
STATE DBPR SURCHARGE $2.03
Total Payments: $206.56
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
{o Building Department (To be assigned by the Building Department.)
800 Seminole Road IL/7,4i� /943
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
n E-mail: building-dept @coab.us Date routed: if 2V
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7 t/✓iQ J
e/1i £r Department review required Yes o
Building
Applicant: ff2 e za un ern ning &Zoning
Tree Administrator
Project: Ki rd) E.-4 f itt.0 d{ L. Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida 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: oved. ['Denied.
(Circle one.) Comments:
BUILDINe
PLANNING &ZONING
Date: �y•�
Reviewed by:
TREE ADMIN. Second Review: ['Approved as revised. ❑Den d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
•
CITY OF ATLANTIC BEACH
OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 3 -■-- .-
Office(904)247-5826 Fax(904) 247- � �
•
Job Address: /57 , /V e 4 erg 5±rc—�__t Pei i u
Legal Description Par
Floor Area of Sq.Ft. �ti.
`�••sr►
Valuation of Work s/, 'C' Proposed Work heated/cooled non-heate cooled
Class of Work(circle one): New Addition `terat of ' Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial esidentia
If an existing structure,is a fire s rinkler system installed? (Circle on . es o. N/A
Florida Product Approval# f'd,70�.-j _ct-r,.t t�a/�rz.� d tom,
For multiple products use product approval form `�'` �`'�"'�O`�=
Describe in detail the type of work to be performed: Kl tc.. rt v--,---4-K,;,1,/,
it.4.dr+ )v,47irt c, psi 1/ U,.-=,i . r-µ1.''f . , It/Ili 4✓Llc!s t (2,A '1Oc?.A
Property Owner Information:
Name:.Rc10 Qck - *Leslf e nn zkrcl� Address: l j l 1.�'z�V tt e tom. 5�
City )6..k.. a n�•L �u.- State'�L Zip 3 22 33 Phone "L 4 - �>-b��;�-
E-Mail or Fax#(Optional) \�.s\ee..b�t�'-. Cs r ,�vc .Sc- .v\e-k
Contractor Information: CONTRACTOR EMAIL ADDRESS: .TEP.-.`ri. -racfvrC`-- 41,.u47`..- rf�=t
Company Name::TEP ,ci,ttr CA C—4z-r'� , ; - -: Qualifying Agent: 7;I'.-■ 7-ct.,-s,,.
Address:/at/4., Fr.,r ens t. A‘,'�., City Aeyfvn� �ca.c:lr State fr- Zip z-za
Office Phone_y 2 7-- 4Szs. Job Site/Contact Number 2 z? — E S'3 z. Fax# --
State Certification/Registration# CGc_. cs-i?c,41.
Architect Name&Phone# /11 d"
Engineer's Name&Phone# .l_-4
•Fee Simple Title Holder Name and Address -TL--c- e w HER' ,AA.:.
Bonding Company Name and Address /VA
Mortgage Lender Name and Address A",4
Application is hereby made to obtain a permit to do the work and installations as indicated. I certt&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 null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period 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,Healers,
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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume t. -we authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
f— ��
Signature of Owner '` Signature of Contractor „ _,4•
`Print Name 2 1�:)-c-c� •
� �'' Print Name �O 11n, Pea r s o A,par
Before nag, Be . - 'be -
this '-i ay of t,t.t 20 l S— is 1 f -• .�,s �., ,201
C/ .' � tesr. SUE C.HECKLER
�. 2d. ma ;.biic State of iii to •a
Notary Public =. .� :rY Public-State of Florida •taty . i - Ikraham
;,� •e My Comm. Expires Jun 18,2016 -,Fro`( My Co on FF 086990
+ e,- Commission #EE 176887 o,..o i Expires 02/14/201
%, , �„.� e • e 0 26.10
Bonded Thrnemh a,t,.,..,1 al..-- .
�� t�1 \ 1 S g A 0 �- 1 �( 8.7 Doc#2015182291,OR BK 17262 Page 776,
Number Pages:1
NOTICE OF COMMENCEMENT Recorded 08/07/2015 at 01:31 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
• /�
COUNTY
State of FL_ County of OA/Va I Tax Folio No RECORDING$10.00
To Whom It May Concern:
OFFICE COPY
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information i stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Lo r 595, 5&et-Cc,nr lvo. I )S I-AI R
-
Address of property being improved: /5 7 �c°/1' c1 c re St- 4-f-/c&tt174. /% J FL 3 LZ 3 3
General description of improvements:
a� er:Z.6eack L5\€ { n Address: l%--1 •`.UQ2i`R- S ,MkCv is
Owner's interest in site of the improvement: C)W (1 e-T •
Fee Simple Titleholder(if other than owner): 1*,i
Name: t''//'s
Contractor:P GoY-cf ra c i es, hC
Address: re -t- A/cptE 1 L rr , FL- 3�Z
Telephone No.: 942 f 2 7-- 7 SZ Fax No:
Surety(if any) _
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: Pc
Address:
Phone No: Fax No:
Name of person within the State of Florid::: other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address: . 11/A
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(2)(b),Florida Statues. (Fill in at Owner's option)
•
Name:
Address: - 11)(
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: 1 `'t\64-
Before me tliis t y� day of 1.(_ �t the Comity of Duval,State
Of Florida,has personally appeared L e s e I t e-fr1
W.o• v •, SUE C.HECKLER Personally Known: or
4 Notary P *-Slate of Florida Produced Identifcati + i My Comm.Expires Jun 18,2016 Notary Public: "� t '"41- j/PI/1111,
'- Commission#EE 176887 My commission expires: W... t 13 ; a O (
9onded Through Noon!Notary Assn.
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NOTES: minimunin
ACCEPTED BY
LEGEND:
R = RADIUS -X- =
FENCE
L = LENGTH O
= CONCRETE
NOTES:
1. BEARINGS ARE BASED ON THE _ASSUMED
SOUTHWESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
OF __N 45'00'00°-W
---- __
ALONG THE REVISIONS
2
NATIONAL HFLOOD INSURANCE MAP DATED NAPR L 17, 1989 COMMUNITY D NUMBER 120075• PANEL _ 0001
X AS SHOWN ON THE DATE DESCRIPTION
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT k/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. -
JOB # 18731 DATE OF FIELD SURVEY: 09-25-02 DATE OF ISSUE: 09-26-02 • SCALE-1 -
���� CERTIFICATE 20'
2522 Ook Street
NisO , Jacksonville. Florida 32204
HEREar CERTIFY THAT Th75 SJR Y
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_- (Phone) 904-389-5989 AND MEETS THE MINIMUM TECHNICAL STAN UNDER MY RESPONSIBLE FLORIDA BOARD OF PROFESS • SURVEYORS AND STANDARDS AS IN C CHAPTER BY THE 6 FLORIDA A
(Fox) 904-389-6175 ADMINISTRATIVE ff��i��D7EE..NNPPII!4SUA,VT TO SECION 472.0 i2• CHAPTER STATUTES.
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LICENSED BUSINESS 6702 CHARLES K. MC INTOSH
LAND SURVEYS REGISTERED SURVEYOR AND MAPPER q 5502 STATE OF FLORIDA
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