1949 SEMINOLE RD - SIDING PERMIT CITY OF ATLANTIC BEACH
\ 1�
• ,:- S f,-.) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
J1319r
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 15-SIDE-2070
Job Type: SIDING PERMIT
Description: SIDING FEES ON WINDOW PERMIT 15-WIND-2069
Estimated Value:
Issue Date: 9/2/2015
Expiration Date: 2/29/2016
PROPERTY ADDRESS:
Address: 1949 SEMINOLE RD
RE Number: 169542-0516
PROPERTY OWNER:
Name: MAZUR, KAUNATH TERESA
Address: 1949 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: ALESCH CONTRACTING INC
Address: 1946 BEACHSIDE CT THEODORE ALESCH
Phone: --
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
_sl,: , City of Atlantic Beach APPLICATION NUMBER
J4 rP Building Department (To be assigned by the Building Department.)
(/ i?l...\\r 800 Seminole Road /�assigned
Ail,v'4 - eQ/_ 9
�a. Atlantic Beach, Florida 32233-5445 (r/
' Phone(904)247 5826 Fax(904)247 5845 �j
4V J;; 9� E-mail: building-dept @coab.us Date routed: % N/6
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /9 1'i SIN f/r Q/c "'d Department review required 'Ye , No
uilding 1/
Applicant: //,' s
(%/'J 6fiTen e71-1A1 �. &Zoning
J e`" Tree Administrator
Project: / ///4p 045-
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: Approved. ❑Denied.
(Circle one.) Comments: yV 0
:UILDI
PLANNING &ZONING Reviewed by: / Date:�'.l 15--
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed.
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
n.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1949 SEMINOLE RD Permit Number: iS / /�
wV"iA,10--)063
Legal Description 42-149-2S-29EBEACHSiDELOT 48 BLK 1 Parcel# 169542-0516
24 531 oo Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled 2139 non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/dcoo
Use of existing/proposed structure(s)(circle one): Commercial CResidentialf
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
Florida Product Approval# FL5414-R12 SIMONTON ��^ per— — —
For multiple products use product approval for I �x—'�V �,MA
Describe in detail the type of work to be performcu ' J
B rM utscruCg t SIDING •.•WINDOWS 1 ' — ..
Property Owner Information: `
` U
Name: KAUNATHTERESAMAZUR o.o ece.t n_ r�FAIL
Address: ,
City ATLANTIC BEACH State FL Zip 32233 Phone 503-707-1766
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: ALESCH CONTRACTING,INC Qualifying Agent: THEODORE W ALESCH
Address: 1946 BEACHSIDE CT City ATLANTIC BEACH State FL Zip 32233
Office Phone 904-613-6517 Job Site/Contact Number 904-613-6517 Fax#
State Certification/Registration#CGC1516238
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address ���
Bonding Company Name and Address
Mortgage Lender Name and Address F
1, •
!oplicauon is tier made so obtain cc permit to doshework Tend installationsµr irrdicd % -fet(hM UAv m 2,,Lnn2ldi ;f ss•un4qslence1f riot to
the issuance u a unit an tlw!all work will be er ormL. to us es the stun ar of laws ega using construction in this jurisdictidn. /ht penis!:
becomes rrrrli and•vi if work is n t com menced within sir(6)months,or fconsinrctior w!♦rtssuspended or ubandoned�or a period sir( iromhs
u!rmv tintr ujler:erork es•conanrn•rd l rmderstand//sat selnu ate permits must be smut lor`ET_trical Work,Plumbing,Mgr's, ells, PPP(��rm aces,
BoilErs,Heaters,Tanks and Air onditioners,etc t
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PA
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH S
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that I haw read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing
thi.:tune of work will be complied with wheth r specrsed herein w•not. The rhaeni n�ofa permit does nor presunse to give authority to violate or cancel the
provisions•of any other federel re,or loci:low gululing con!rig:ion or the per onmmc a oI/constraclt'on.
Signature of Own �i�
/1 /.0 • ignature of Contractor l , A_ "Ai,
Print Name Print N:o , r
KAl/ 'TN TERESA AZ THEODORE SCH ,
Sworn to dssubsc, • befgre a worn to:•'s�bscribed be • e
this ay of r.' .V I t this Day of r
Notary Public J\ M��-$ Not:.`a ••I ` '
Rev' 01.26.10
PAUL FORBES PAUL FORE -
•�°'°6a''•- Public-State o
f Florida 4,,,,,N,,e,,,
;rl � _; Notary
, -„mm Expires Sep 22.2018 =:�.� 4,(1.,% Notary Public-State of Florida
�„ s ;r 16974 •. a :•I My Comm.Expires Sep 22,2018
y„ta•y Assn- "'r�r= p;c Commission#t FF 161974
°'° Bonded through National Notary Assn.
J
NOTICE OF COMMENCEMENT
FLORIDA
f— State of 169542-0516
a> Tax Folio No.CC
tro D County of DUVAL
0
0 m To Whom It May Concern:
CA a�
0)U The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
at 0 v CC the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
V Legal Description of property being improved: 42-14 9-2S-29E BEACHSIDE LOT 48 BLK 1
it m Y
0 to iX g
_V is> Address of property being improved: 1949 SEMINOLE RD ATLANTIC BEACH,FL 32233
0 °'O N 0 WINDOWS
«� to� � z General description of improvements: REMOVE AND REPLACE EXISTING SIDING AND
O
#�� _yz00
B Owner: KAUNATI-I TERESA MAZUR 1949 SEMINOLE RD ATLANTIC BEACH,FL 32233
�i o O w Address:
0ZXCCOM
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
ALESCH CONTRACTING,INC
Address: 1946 BEACHSIDE CT ATLANTIC BEACH,FL 32233
n Telephone No.: 904-613-6517 Fax No:
I` Surety(if any) N/A
ddd Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: WA
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: N/A
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: N/A
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):
0 THIS SPACE FOR RECORDER'S USE ONLY OWNER .
Signed ' Date: '64 ,Jsr
•
Before a this_ y of e. _> in the County of Duval,State
Of Florida,has personally ared #:./..
Notary Public at Large,State of Florida,County of Duval. ���` ��� 'S
,�;N`t 4.,, PAUL FORBES 0
r ,y= Notary Public- My commission expires: ",^ ra a — 1
, _ .s State of Florida
�� 'My Comm.Expires Sep 22,2018 Personally Known: or
1 tt ��
ds. Commission#FF 161974 Produced Identification: V U
Bonded through National Nary Assn.
0