871 SHERRY DR - KITCHEN REMODEL :, _n `s, CITY OF ATLANTIC BEACH
4 � 800 SEMINOLE ROAD
maysi
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.JI3I�`�
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1997
Job Type: RESIDENTIAL ALTERATION
Description: kitchen remodel
Estimated Value: $20,000.00
Issue Date: 8/25/2015
Expiration Date: 2/21/2016
PROPERTY ADDRESS:
Address: 871 SHERRY DR
RE Number: 169982-0000
PROPERTY OWNER:
Name: PALMER ET AL, CHRISTY L
Address: 871 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: JAMES & SON BUILDERS, INC
Address: 129 15TH AVENUE S QA MICHAEL SCOTT JAMES
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $75.00
BUILDING PERMIT FEE $150.00
STATE DCA SURCHARGE $2.25
STATE DBPR SURCHARGE $2.25
Total Payments: $229.50
PERMIT IS APPROVED ONLY IN ■CCORDANCE WITH A1,1, CI'I'1 OF A'1'I,ANTI(' BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
BUILDING PERMIT APPLICATION
, _ ...
OFFICE COPY CITY OF ATLANTIC BEACH B \
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 AUG 2 4 205 ;
Job Address: (g 71 S\rNQJ'( '∎ Q. Permit •Number: ` ,
Y /-�7)ti R / 7
Legal Description -' �o 7 /6,-- S 2 ci I J2V Parcel # '""
Floor Area of Sq.Ft. q, t
Valuation of Work S ?cj dv v Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial gout If an existing structure, is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: ,k „„--i g e ms jail o/
Property Owner Information:
Name: C7 C r, 40 C-C c
'Address: 7( A f y &''
City Mk *v'i c Ptcx Oft. State aZip 3e- 3 Phone ct Ott- S' l- S te 40
E-Mail or Fax#(Optional) --Fe re-; tat et a yt; l • ( cW
Contractor Information: CONTRACTOR /MAIL ADDRESS:
Company Name: rG es F 3.41 /Jot/ d5.��Quali ing Agent: 5c-d (7 c.4... i e
Address: (Z9 /S- .2x/e_ S.. City 17,-A State f( Zip ,7>rre
Office Phone 5 9 p,9i Z_ Jo Site/Contact Number 9 D 8/Z Fax#
State Certification/Registration# G WC 5a OW / Y
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 null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six x-(6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalWork,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 cert fy 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 of work will be complied w whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, or local Taw regulating construction or the performance of construction.
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Signature of 0 -.4 / I .,1= Signature of Contractor•
Print Name err, Print Name/7.7---' ' #4.e- J t.3.4 e. '
Bef• one c
thi , U Day of r/A 0i , ,20 /S Before i2,tf' Day of la.-__..- _ 20 I•/ 0 !Rg s of
Notary 'ublic 44,,,,N,‘ DIANA STARKS °t ,R '• ' � ' '-�'-
Commission#FF 098060 ') •. -SIGN#FF004282
'' Ex lies March 3 2018
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,r•- -; P , E -S April 3.2017 Revised 01.26.10
'�;p, ,°.'''• Bonded TMU Troy Fein Manna 806385-7019
(407)398-0153 FloridallotaryService.com i
OFFICE COPY
p�r 0.7,1 / S`- i. n_ / �f q 7
NOTICE OF COMMENCEMENT
State of F \04-, A0L. County of 6 ‘4)� Tax Folio No.
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: _. Z •
• Address of property being improved: 'i � S\Ne.c f ,�■ .Q, i R c 1$ ,� C k 34'4'13
General description of improvements: ry -(\Qv \ c)e�,1(,k LV\
Owner: 1-e (' kQ Address: ,, q f■ VQ ' `G *_C�y
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): t )A
1(Contractor:Name:
T �"f ' 5 7/-) ,o/,Address: f .7 /S ��r/� S. 3--<"..4c /:J) f'/
J??S
Telephone No.: Toy ;,a dot z 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: p) Or
Address:
Phone No: Fax 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:
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:
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
I
Signed: ate: -24 v r f 5�
Before me this YPti'
day o in the o of Duval,State
Of Florida,has personally appeared , L
Doc 4 2015194599,OR BK 17279 Page 429, Personally Known:
Number Pages: 1 , Produced Identificati y a • or
Recorded 08;2412015 at 12:34 PM, Notary Public: 6
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY
RECORDING$10.00 „"Y 't:'••, DIANA STARKS
p, � Commission#FF 098060
'i �. Expires March 3,2018
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STATE OF FLORIDA
eitier;.A., DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
nw .H- 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
OFFICE COPY
JAMES, MICHAEL SCOTT
JAMES & SON BUILDERS INC
129 15TH AVENUE SOUTH UNIT A
JACKSONVILLE BEACH FL 32250
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range , STATE OF FLORIDA
from architects to yacht brokers, from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to CRC049143 ISSUED: 08/26/2014
serve you better. For information about our services, please log onto
www.myfloridalicense.com. There you can find more information CERTIFIED RESIDENTIAL CONTRACTOR
about our divisions and the regulations that impact you, subscribe JAMES, MICHAEL SCOTT
to department newsletters and learn more about the Department's JAMES& SON BUILDERS INC
initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS.
and congratulations on your new license! Expiration date . AUG 31 2016 L1408260002133
DETACH HERE
RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA •
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Tfie
CONSTRUCTION INDUSTRY LICENSING BOARD 0`' `
LICENSE NUMBER r"r +
CRC049143 %:"Q
The RESIDENTIAL CONTRACTOR
Named below IS CERTIFIED •
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
❑ a
• JAMES, MICHAEL-SCOTT .11 ;
JAMES & SON BUILDERS INC r
129 15TH AVE S. UNIT A �r�� '�
JACKSONVILLE FL 32250
-• fo.
r
ISSUED: 08/26/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408260002133
rage 1 of 1
(1 jil 100%
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I . e =4'•-.4 OFFICE COPY
ivy
JEFF ATWATER .'..;-
CHIEF FINANCIAL OFFICER `�
STATE OF
DEPARTMENT OF FINANCIAL ERVICES
DIVISION OF WORKERS'COMPENSATION
• CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW`
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 8/23/2014 EXPIRATION DATE: 8/22/2016
PERSON: JAMES MICHAEL
FEIN: 593339043
BUSINESS NAME AND ADDRESS:
JAMES&SON BUILDERS INC
129 15TH AVE SOUTH UNITA
JACKSONVILLE BEACH FL 32250
SCOPES OF BUSINESS OR TRADE:
LICENSED RESIDENTIAL
CONTRACTR
Pursuant to Chapter 440.05(141 P S..an Officer of a corporabcn who elects exebon from TS chapter by Fang a cent:c0 o et elect.under ma seeton may
not<bonne,or trade bated ed en the nvbcorot Ors chapter be exempt.Pursuant 440'05(14 Chapter 400513),FS otcb of to to be exempt and ce25GStes cf
e:XCbon to be exempt snail oo coked to revocaton d at any �'n namht ed o th the trope
seri f ate no longer meets One requirements of tOn sect on far issuance the de „a a The department sh ftrevok a torbn=te a ony bmo for future of the
person named on the cerafcate a meet the reducemee:s of this sexon person name?on the not to or
DFS-F2-0W0.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12
QUESTIONS?{850}413-1609
https://apps8.fldfs.com/crreportviewer/reportViewer.aspx?data=kdvpginc9D7Q3gH6TER6... 8/13/2014
.-S1:a4:r City of Atlantic Beach APPLICATION NUMBER
Js r4 '• fd Building Department (To be assigned by the Building Department.)
' �' 1� 800 Seminole Road ,[- Qp Q A el 1
73.„wiz r� Atlantic Beach, Florida 32233-5445 /•+ JI'-����C /
Phone(904)247-5826 • Fax(904)247-5845 /
o;r �a E-mail: building-dept @coab.us Date routed: / V,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t(7, She rr y !N Department review required Yes o
/ uildin
Applicant: /r(� % j,_ / d LL� --pining &Zoning
/ �� � ��O�� / Tree Administrator
Project: 1? (� 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: roved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING S) -. .) Y-1
Reviewed by: C / ' Date:
TREE ADMIN. Second Review: Approved as revised. ❑De ' .
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