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1953 SEMINOLE RD - SIDING PERMIT / ( _ / , . -\ CITY OF ATLANTIC BEACH '� SS. 800 SEMINOLE ROAD J ^ '-� ''vim 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-2137 Job Type: SIDING PERMIT Description: T1-11 Estimated Value: $24,753.00 Issue Date: 9/11/2015 Expiration Date: 3/9/2016 PROPERTY ADDRESS: Address: 1953 SEMINOLE RD RE Number: 169542-0514 PROPERTY OWNER: Name: HERZIG TRUST. NAOMI DOROTHY Address: 1953 SEMINOLE RD 1953 SEMINOLE RD GENERAL CONTRACTOR INFORMATION: Name: BETTER HOME IMPROVEMENT Address: 538 PARK AVE KEVIN SEAN HURLEY Phone: -- PERMIT INFORMATION: FEES: PLAN CHECK FEES $86.88 BUILDING PERMIT FEE $173.77 STATE DCA SURCHARGE $2.61 STATE DBPR SURCHARGE $2.61 Total Payments: $265.87 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,,51.Ai ., City of Atlantic Beach APPLICATION NUMBER �i Building Department (To be assigned by the Building Department.) . s-)`a 800 Seminole Road Ac---5/LT - 2 /3 7 • Atlantic Beach, Florida 32233-5445 PL` Phone (904)247-5826 • Fax(904) 247-5845 / E-mail: building-dept©coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 9( ...CM4t,WO- f ed Department review required Yes o :uilding Applicant: � ` 2 M9n7 J4ipiV1, n7 - ng &Zoning Tree Administrator Project: S).1)-1.117 Public Works 1 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: BUILDING PLANNING &ZONING 9, y?, /5- Reviewed by: Date: TREE ADMIN. Second Review: I ]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES r Third Review: I ]Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 _,. crlpy Office (904) 247-5826 Fax (904)247-5845 Job Address: t/v` Gil !It J 3 S _ 7 Legal Description L/ -I/ 09 -a a9t & h x. L0- I Parcel# /(07 - (1.x/1 2 door Area of Sq.Ft. Sq.Ft Valuation of Work$ ��7 7 J Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Additio Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed.structu : -. ;. e :• Commercial Residential If an existing structure,is a • sprin er sys • - I stalled?(Circle one . es o Florida Product Approval • V.-L-1 3 ICY a For multiple products use : oduct approva Describe in detail the type of work to be performed: 41, Ltio S J + I /kiv Property Owner Information: /f Name: N 0 i �--�,�.r 2 1 Address: /95-3 S.Qmm)I/1o� City V Statt Zip 3a-2 3 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name:Ap_ikt" two o/a✓tirnv Qualifying Agent: 6..v-in l/((ty Address: 4-3 Par W.- t— City Oro cJR State /-1' Zip 32027 3 Office Phone 1G t-(-07$-CfC' Job Site/Contact Number Cy('5 ?-/f5-7g Fax# State Certification/Registration# CAC /4l 02 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 if 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,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 of work will be complied with 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,state, or local law regulating construction or the performance of construction. Signature of Owner ' ' Signature of Contracto Print Name /.(A...O.ty1...,� rid.( Z I... .._..._ Print Name ..I/...t°!/'1 ✓i t.li.l(ey Swo j o and subsc ibed befor- me Swo • and subscribed before me this Day of .l •_t, 20 thi.A f Day of • ,,. 21 /.5 • ub ; ! :*= MY COMMISSION tr EE829175 Notary : f " �*: MY COMMISSION g 829175 EXPIRES September 10,2016 ', ' EXPIRES Septeiileeri>; 6ga•..1 0 4t„ (407)395-0153 FlorldeNobuySeMee. (407)398.0153 FlorldeNoWySer/*.00m • _.OTICE OF COMMENCEM,. _,IT • (PREPARE IN DUPLICATE) Fp Li copy r Y Permit No. /555'/DE-07/32 Tax Folio No. V 1llliiii • . State of Ft_ County of 13t,mck12._ 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. 1 Leg i description of pr erty being im roved: o- `1L © �s — D- 16 a.eac�a tc Lam-} y 6111- ( Address of property being improved: 3 S.e,„I.l q A+-k Marti 0-,1-3^__D General description of improvements: 5b/1 _ Owner [evner f �� 4r 7- ,. Address ' _ .&t, d Is 1411112IMNIFOIN. ? • 3 Owner's interest in site of the improvement . :11a)c.) Fee Simple Titleholder(if other than owner) Name Address Contractor _•, ._ •r"-- VIOL • Address 4, 3 _ • Th Phone No. Fa 9o. Surety(if any) - Address Amount of bond$ Phone No. Fax •. Name and address of any person making a loan for the construction of the i = ovements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon who notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive- spy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option) Name Address Phone No. Fax No. • • Expiration date of Notice of Commencement(the expiration date is one(1)year r• •- date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY • OVER ffh o Be o fie") DATE e �'/� Before m s day of �/ County of•.va�State� ot Fl a. pe onally appeared 0 Doc 2015206958,OR BK 17296 Page 566, Number Pages:1 + herein by hlmselU�•I rsell and affirms that all slat is and declarations herein Recorded 09/09/2015 at 12:58 PM, are trund accurate Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY �� RECORDING$10.00 I ,,,i, . 1 • ma/ `otary P blic,k '•r• . o aunty My commissi. Ltxpi`.-: ••c MY COMMISSION • 4 Personally K '.-'i- •• or Produced ide till.:1`'":,'` ' - ='• ' •' I, '• . Ft_0( (407)399-0153 FIorldeNotery$aN p.00m