2135 SEMINOLE RD SIDING 2015 I' ll SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB 14FOR�MATION:
Job ID: 15-SIDE-1932
Job Type: SIDING PERMIT
Description: HARDIBOARD
Estimated Value: $5,303.00
Issue Date: 8/25/2015
Expiration Date: 2/21/2016
PROPERTY ADDRESS:
Address: 2135 SEMINOLE RD
RE Number: 169515-0520
PROPERTY OWNER:
Name: COURTNEY. JOHN C
Address: 2135 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: THD THE HOME DEPOT AT-HOME
Address: 2690 CUMBERLAND PKWY STE 300 QA BOYSIE GANGA
REIVIDIAL
Phone:
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $76.52
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $38.26
STATE DBPR SURCHARGE $2.00
Total Payments: $118-78
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2015183091, OR BK 17263 Page 1145, Number Pages: 1, Recorded
08/10/2015 at 12:40 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10-00
,F con- Y
This hLtnlment prepared By:
Home Depot Home Services
9208 norida Palm Dr.
Tampa,FL 33619 91) NO-171CF OF COMMENCFMF-NT
PetmitNo. Tax Folio No.
State of Florida
County ropertv,and in accoldancevvith Chapter 713,Florida
swil ad real
THE UNDERSIGNED hereby giycs notice that improvement I be m' C to Oeltain P
cement:
statutes,the following information is provided in this Notice Of COMm"'
et uddress if available)Ga.'��b
11.Description of property:(legal description of property,and 5AN
o'q 1,4;'1-7
2.Geiter—aldesUiPtiOn
FL -�,-;,.)3
3.Owmer informati
(a)Namcand ddress:—
(b)Interest in prriperty:-L-C,'-�-�:'r—
(c)Name and address of fee simple titl�-h—,Idr(il otl�eran
4.Contractor amps,FL
(a)Name and address: Home Depot Exterior%,9208 Florida pah-a Drive T 336 9
(b)Phone number: 813-626-7548
5.Surety N/A
(a)Name and address:
(b)Amount of bond
(c)Phone number.
6. (a)Name and address:
(b)phone number: b�served as provided by Section
7.per, ignated by Owner whom notices or other documents May
,,Ons within the State of Florida
713.13(t)(a)7..Florida Statutes�
(a)Name and address:
(b)phone number: person(%) as provided in Section 713.13(l)(b),
8,In addition to himself.O��,,d�sigWa�lthC f�11-11-9
Florida Statutes:
(a)N amc and address: f en da 1: 6
(b)Phone number: datef�Ccordj�g unl(;s a dif er t te is-Peci ed)
f
-�jg ron tji�
9.Expiration date Of notice of cont", ;�m�ut(the c�piratiort date is I Year OM
--- OF TIM NOTICE OF COMMI�NCEMFNT
ANY PAYMENTS MADE BY THE OWNER AFTE'R'l HE'EXPIRATION
WARNITNG TO OWNER HAPTER 7131,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN
ARE CONSIDERED IMPROPER PAYMENTS UNDER C RTY.A NOTICE OF COMMENCEMENT MUST BE
RESULr IN yOTjR PAYING TWICE FOR IMPROVEIVIENTS To YOUR PROPE INTEND TO OBTAIN FINANCING,CONSULT
THE FIRST INSPECTION. IF YOU
RECORDED AND POSTED ON THE JOB SITE BEFORE C eRD , YOUR OTICE OF CO+ENCEMENT.
0 ......J'�n7ed�ODmcl-"
WITH yOLTR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RE
igna reofowtterorowneer'sAc�thon7edo e Director
parta /Manager
i daYor
'�l , ,0. OjTjcer�
frcgoing instrurnentwas acknowledged beibm in� trustee,attorney in fact)for
S�->" Z --(typo of auth
(nanle of person)as-f.C)k - — ent Nvas executed)-
to 0 par�
(nan oil t)cltatf Of 11&rri
Signature of Notary PuAl,"'..f�iorida
Personally known—or produced Identification
---A,ND---
�n n,,at
__D
Verificati __
let the t fitly oVl �4 nelbeliel.
Under penalties of PorJury,I declare that I have read the foregoing and that the facts stated in it are in
i- Lure of Natural person Signing Linegl())Al�vc
Rcxiscd 7/28114 RONALD ALLEN REEDY
NOTARY PUBLIC
STATE OF FLOPJDA
C4MM#EE&54W9
City of Atlantic Beach APPLICATiON NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 45 - J f 93
At antic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 247-5845
-dept@coab.us Date routed:
E-mail: building
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes "No
T
Applicant: -P anning &Zoning
Tree Administrator
Public Works
Project: 0 ffM.IE 177- 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 )f Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and 1 ai;::�
Other: F_
APPLLCATION STATUS
Reviewing Department First Review: P4Approved. ElDenied.
(Circle one.) Comments:
Ea ',,-��6 '/-5—
PLANNING &ZONING Reviewed by: Date: 0
TREE ADMIN. nie
Second Review: FlApproved as revised. RDenie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 07127110
(,m-rCft,-(v( ffv -7,x-7-63-7-Pfoo ?r 4 q 35Y 0
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: Permit Number:
13r
Legal Description P�Ld I 0KIV;07-1 Parcel#A695
Floor Area ol SqTt. Sq.Ft
Valuation of Work$S2A20-4 Proposed Work heated/cooled— non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Ilse of existing/proposed structure(s)(circle one): Commercial esidential
If an existing structure,is afire sprinkler system installed?(Circle one):C�Qo (DA
Florida Product Approval# 1619 A-X
For multiple products use product approvalTo—rm
Describe in detai I the type of work-to be petformed: ce, S Sig 5,L-!I F�.xl 0-6 cA e co 1�t
Pronerty Owner Information:
'\A% Address- -S
Name:—5� '
City N"\(KV%N-,C Q),ea-ck,% Statc(q�Zip3.U31> Phone
E-Mail"or Fax#(Optional)-
Contractor Information:
Company Name:The Home Depgt(_P Home Services Qualifying Agent:—NA14 5; tate FL.1k Zin 33619
Address: 9208 Florida Palm Dr City Tampa
Office Phone 813--62�-7548 Job Site/Contact Number-7J'7- S'V'J Fax#
State Certi fication/Registration#(,-�A(1'04 6 LEIF
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Leader Name and Address
-4pptictnion rA/jerehr tomile to ohloin it/vi7jitt io do the work toul insiallintons its ineficateil. I ceHilj-thin no irork or installation has cynantenceilprior to the
mvitance)fit Pennitand tharall 11-ol*will he poforined to Inert the stanikirds of all law.v regithatai constrzation in thl.vjIumliction 71m%pennu becomes null
and roul ifli-ork Is nor annineni-ed within vir(6j monflis or ijconvnichon or irorkissuspendeti(it-ahimilonedfi)r a pertoil of.stir(6)Inallihs at aiii time after
work is cinionenced I mukmiond thia.ve/mrote perin;;.v must be secureo'for Electrical-Work,Plumbing,S191M Frells,Pdols,Furnaces,Boilers.,zafers,
Tanks andAir CondArloners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
�qxqf`aw&irill he voinplicil trith whether frIed heretil ornot. Iliegrtij,)Ittigi)faperniif,li)e.�)toipi-e.%iiniestig)lieaiiihorii-i-tot,i,,IaletAi-cxiticetilic
provisions of tati,olher.le ntruction or the pedoi7nance of consiniction.
frer.Myed--al.siat r h,cal s,regidating Cot
>CSignature of Owner Signature of Contractor
rint Name Print Name Z0444;-,
0.
........................&
S\%�T,swand subs9crPeNbefore me Swom tVnd subscl;�Ucq before me
01 Y .20
Day of D f Q
aa,,f��&q a
Notary Public
Revised 01.26.10
RONALD ALLEN REEDY CHRISTINE ONALLEY
NOTARY PUSUC My COMMISSION#FF 087307
STATE OF FLORJDA S:January 29,2018
EXPIRE
5AM Bonded Thru Notary Public underwriters
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