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1588 OCEAN BLVD - NEW RESID. PERMIT JAL '' �S, CITY OF ATLANTIC BEACH �: - J 800 SEMINOLE ROAD • ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-2204 Job Type: SINGLE FAMILY RESIDENCE Description: NEW HOME Estimated Value: $300,000.00 Issue Date: 10/21/2015 Expiration Date: 4/18/2016 PROPERTY ADDRESS: Address: 1588 OCEAN BLVD RE Number: 171886-0000 PROPERTY OWNER: Name: FUSSELL, HALLIE L Address: 1588 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: OSSI CONTRACTING LLC Address: 13349 STONE POND DR JACK OSSI JR Phone: - - PERMIT INFORMATION: FEES: - - ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $540.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $1,080.00 STATE DCA SURCHARGE $16.20 STATE DBPR SURCHARGE $16.20 WATER CROSS CONNECTION $50.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r ,.S LAN, 4000, S, CITY OF ATLANTIC BEACH . Ak 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 t\ INSPECTION PHONE LINE 247-5826 Total Payments: $1,852.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r rnov vlin NOTICE OF COMMENCEMENT State of Florida Tax Folio No. County of Duval To Whom It May Concern: d-/fl ST - 0 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: 10-11 Mandalay N 25ft Lot 5,Lot 6 Address of property being improved: 1588 Ocean Blvd,Atlantic Beach FL 32233 General description of improvements:_New Residential Single Family Home Owner: Ossi Development Inc. Address: 1112 3rd Street Suite 4,Neptune Beach FL 32266_ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor:_Ossi Contracting Doc#2015212652,OR gK 17304 pa Address:_1112 3rd Street,Suite 4,Neptune Beach FL 32266 Number 9e 316, Ronnie FuPages:sOsgell C 1 RK CIRCUIT COURT DUVAL Telephone No.: 910-610-3195 Fax No:_ COUNTY Surety (if any) RECORDING$10.00 Address: Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name:Forum Capital Partners,LLC Address: 9995 Gate Parkway North,Suite 400 Jacksonville,FL 32246 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: Commercial Loan Administrative Solutions,Inc. Address: 3168 US Hwy 17 S,Suite D,Fleming Island,FL 32003 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)(6),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 Signed: Date: () Before me this 16 day of , n the .. ty. Duval,S •to Of s personally appeared Aralfe 1� _ "v'"" Beth Ann Dowling Florida,/. , .� I COMMISSION FF 137922 Notary ie at Large,State of Florida,Co n .f u a. W W. ''�•' ' My co ,/fission expires: EXPIRES: JUL 01,2018 ': BONDED THRU Personally Known: or •,,,,, 1st FLORIDA NOTARY,I.LC Produced Identification: — ba - —A - ' - a L, 4 O 4 'V r 73�+ . p �r < Z r Z o 0 N � u{ N{ ���55 n 0 f]CD =� r (7 =° r u b 8 b n W E h�-1 O H , ° o N ° o g g 8 8 g rn : '� L Z7 0 1-1 i. f F £ II p d Q ,� D N �7 G7 8 8 Fi Co wO y d a m G7 a yn !^ cn z r n rn $ $ o $ v J V^1 y l l .4 CDK „ „ U VJ \ \'.'. 1 r `�td Z I °o d x z -- ---\-, 0o sz • M�sz (d)000s `o \°-'0 0 Z 9 O scia ,d (a,N=M 1 0 v1 vi co a) VI z Q•l'a'a.o sr-WI `� sr-WI r O w ,�0 . \ 0 o 07-8 x Z.3 caw 8 JAR p x.3 N V3S;l...... Ir L 0 4. os'rz a ..9-1 0 to ztil. .., t 00 .-3 a iA _ c7� Z F"� oz..1=- \,p.x W�CP ' r >: a l Q ......, " . rL\ tt tcl 1-3 � : t g. :. � a OVA • n •Q m 'm :moo .os5► E O Vi 0 z m sae 91 c I T• NpY31S ,ip Si �0 O H 0 AVM o ', �9 ti L � O d l 1 pp SZ fit 4- [+ O o wn r' i�AtlM�0 1H1 N O O ^_ 0 V N xws O _ ` / O Y �L u �_ _ � C) 3nRao x aisdw (sad ��a) 03.00 -13 r 9851# OFFICE COPY R-e, ' rse,d J4. fl 4,,, 4r t5 8 a4eG•, 9/Vol (...-- SITE LOT 6 AND NORTH 25 F] 51.401 AS SHOWN ' 7 MANI ' , Ad , , . AS RECORDED IN PL OF THE CURRENT PUBLIC RE )VERAGE GRAPHIC SCALE 5a f° 1 30 c is 3o LINE TABLE s Sq.Ft. 41 lirOlii uNE DIRECT ON ta+cm Lt(C) N5'00.00'W 75.00 L20) N5'00.00'W 75.00 VERAGE .3(0) N500'00'W 225.00 'S4 Fl ; ( IN FEET LI(P) N85Y10.00'E +25.00 5 Sq.fl. >dx 1 inch = 30 ft. 16TH STREET (50' R/W) - - _ -- ----- 11.00' 11.00' 20.03. soevreo<(me 4 .... ......FE a 20.50 10•Bill.. . N�.• Nt :Nm :OA 17 .60D' 15.17 OF m r i `b WYS �' � u: SECOND m �" ROCR � $ lid.-13 O '. ♦eY`.5 kiln 8 19.00' C +� o PROPOSED O� r ....111. YW0 STORY RETICENCE i••� N ": LOT 8 '•. SB-ar.53.51 ___ C�J m.BLOCx 84? -r.-, -- 0 ',ate- ... N R 'D 40483' ' "' NORTH 25• OF5Y K �� 20.50 d 8 t LOT I .. BLOCK 84 ,. NB5'00'66"E 125.00'1') 5.00' 5.00' 8 Ili \ SOUTH 25' OF 8 LOT 5 �— BLOCK 84 --� 5 -------r- ------ LOT 4 ; BLOCK ea < �2a0n- w \ 1 t 01.a.a f City of Atlantic Beach --------------- ------- APPLICATION NUMBER 45 J-• Building Department Rte(-'i 7 -'.1Z%' (To N „� ( be assigned by the Building Departmen ) 800 Seminole Road ( _ �zO 15v e Atlantic Beach, Florida 32233-5445 SEA 2015 S- �+ �� Phone(904)247-5826 • Fax(904)247-5845 j;;�gr E-mail: building-dept@coab.us Date routed: / LET4C. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /45.1 g Q eL t7 06/14 fitment review required Yes No B d Applicant: 05-C / (Planning &Zon; in ��� ` ' 'm L u l _Work trator Project: Public Work 'u. is Utilitie-. -1• ic aety 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: J /4/464d //V BUILDING PLANNING &ZONING .� 4 /(� Date: 91f/ - Reviewed by: a / TREE ADMIN. Second Review: /Approved as revised. 2n ied. C BLIC WORKS \ Comments: PUBLIC UTILITIES .5e4 1 . oc��› �6 '. mss PUBLIC SAFETY Reviewed by: Date:(4/0-1 FIRE SERVICES Third Review: Approved as revised. iP Denied. Comments: Ye. Ge felt/ i 44fifrept .� =- '-wed by: Date: td I ((a( 15 revised 07/27/10 (air/40,1,26,/-i_ I "e-t- 6g.l-A41 �""��� ,,,e0AA -- s�evi).. City of Atlantic Beach s r. APPLICATION NUMBER J 4i1 Building Department (To be assigned by the Building De artmen ) ,.. 7 800 Seminole Road y 9 p :54- "' Atlantic Beach, Florida 32233-5445 /.5 . S Fit - 2 2 o Phone (904)247-5826 • Fax(904)247-5845 J -k7,-a s»r E-mail: building-dept @coab.us Date routed: V/ 7/44 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f ril 8 Q eL 4.7 ad NQ rtment review required Yes No Applicant: 65.0 / Planning &Zonin ,/ // �m c 'lTeenistrator V Project: et.) Public Work u is Utilitie -`PU is a ety_ Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: I tor;proved. —� _- -��— Denied. (Circle one.) Comments: BUIL PL &ZONING Reviewed by: in ly Date: ID*" 1 • • 1 TREE ADMIN. — — -- — —Second Review: nApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: _________- Reviewed by: Date: sed 07/27/10 C y!�' �,. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Buildin∎, ti - 800 Seminole Road g Departmen�) A""` n Atlantic Beach, Florida 32233 5445 /�- F� _ �Z�Phone (904)247-5826 • Fax(904)247-5845 . E-mail: building-dept @coab.us Date routed: ///7/4c City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /( 8 Q eL4.7 eNd r -,tment review required No Applicant: ' Planning &Zonin• _- Net) dministrator Project: /V Ti fi-Pg7 r Public Work MI IC afety Fire Services -- Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: nApproved. .�Uenied (Circle one.) Comments: S . 1f 44.4 LG �1 BUILDING PLANNING &ZONING / / Reviewed by: �k/ (/ �'—Date: j TREE ADMIN. --Second Review: Approved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: --- ---- -- ��..../...- Date: i 0477�S FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: — — Reviewed by: Date: sed 07/27/10 S 1a�yr CITY OF ATLANTIC BEACH J �s r . , Building Department OFFICE �.. 800 Seminole Road L. J ;r Atlantic Beach,Florida 32233 to; (904)247-5800 OFFICE COPY PLAN REVIEW COMMENTS Permit Application # /5- 577-X- aaoy Property Address: /S 8 8' ©c eo n ,l' Applicant: 1 q Lac CS) Project: /Ue eel, [�vrr.� This permit application has been: LI. Approved ED Reviewed and the following items need attention: _ __ l L'0 a Sv ✓ve S? ec/ e Seca Je J Arc .SrcJ £' . z. i a le c/ out on Su i ve ; A-e eIttuia71io4s o f -1A-e corners o f )-ke 10 .4 S' G I ''fa tic/ P,l r,v. / # -ror 6-et ra Roil-,.r ;;//rrte� - i ./ ',0g.. . (1-let-' re-) • Please re-submit your application when these items have been completed. Reviewed By: Date: 9'd S--/ $ , FILE COPY S 1 R- 22°9 BUILDING PERMIT APPLICATION BEAM OF ATLANTIC BEA OBI t (800 Seminole Road, Atlantic Beach, FL 32231 D (Office (904) 247-5826 Fax (904) 247-5845 SEP 1 5 ans Job Address: 1681' OCjffN 031,A. Permit slum er: ili Legal Description 10 - / / ,97/I/i 44,7 Al Z51+ A,, Parcel#` ~'" Floor Area of Sq.Ft. s 4,4 c Sq.Ft Valuation of Work$ 300 Proposed Work heated/cooled. , >q y S.F.: non-heated/cooled 934/ S, ": Class of Work (circle one): (7 Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # For multiple products use product approval form / Describe in detail the type of work to be performed: /V i„� K,,,-k„ 4•,4'! /'717u sic Property Owner Information: Name: D l��!/,+C 90 3c-4 7 1 Address: . 3 a ,5'74c, ?� City ,� i State LZiplaab, Phone Iv - ( /a -3, E-Mail • Fax# (Optional) Contractor Information: Company Name: vcSS. 6i> - f >)ia / .,L Qualifying gent: Address: ( Z 3r Q Q- / City /1/ ,-u' State pi__ Zip 3 Office Phone / —6 /p / -Job Site/Contact Number Azic, U ,• Fax# State Certification/Registration# Architect Name& Phone# Q(,i/ e ��$i {�^J ^ 00V-7/ — Engineer's Name& Phone# 7 �• . _ v 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 0)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 and know the same to be true and correct. All provisions of laws and ordinances governing this type of .application work will be complied with whether 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 Contractor /119._, : Print Name JAR/.1/42 I.5/ Print Name / 76�s- Swo • a•. . .' ribed be': - • e Sworn . d subscribed befor r this / - of C..L ,20/c this i�i of _� 20 J ► / ��: �� NIT& 41 Notate`':• is lb Nota • 'u. ic - Revised 01.26.10 p. .„49, "`yen N.;'ary Public Slate of Florida u zt Notary Public State of Florida !"rl�y t3rahanl Shir,ey L Graham My 69mmi8€ion FF 086990 ,07' My Commission FF 086990 �� � �If��02/1 1/2018 .7OF% Expires 02/14/2018 • DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: //? 7-07 FI COPY Development Size Habitable Space 3, k9ys;F Non-Habitable 9' 3 y S. Impervious area Miscellaneous Information Occupancy Group R 3 Type of Construction V 15 Number of Stories a Zoning District S Max. Occupancy Load Fire Sprinklers Required Flood Zone X Conditions/Comments: F---- (,/‘,, '',,- .4,1':,j` CITE' QE A.TLA TTIC BEA C;� r.) PUBLIC UTILITIES \ 1200 Sandpiper Lane ATLANTIC BEACH FL 32233 "t U33�� ' (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: q-2/- /s- Project Address: /5 53 0 O 2i=-s4'n1 t.73/✓p No. of Units: Commercial Residential tX Multi-Family New Water Tap(s)& Meter(s) Meter Size(s) 3/y ii New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application#/s-S F"- -22.a Water System Development Charge $ .e' Sewer System Development Charge $ .0-- Water Meter Only $ Reclaimed Meter Only $ Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ �,q�) Other $ TOTAL $ Sa, od APPROVED: !Coyle Moore,PE (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED s' >>:�r City of Atlantic Beach APPLICATION NUMBER �' 3a. ii'• �s ' ,.s� Building Department 1 ' , , (To be assigned by the Bu "'e 800 Seminole Road Y Building Departmen ) '' """4f ) Atlantic Beach, Florida 32233-5445 /5-- S fie - 22o Phone(904)247-5826 • Fax(904)247-5845 SEP 1 8 2015 ''�0;tic/ E-mail: building-dept @coab.us City web-site: http:/lwww.coab.us 1131/, Date routed: 7 /� APPLICATION REVIEW AND TRACKING FORM Property Address: A r O 8 Q e L.c.ri , '6' 1 - . . ment review required Yes No 1 B ._. Applicant: oS-C / ' Planning &Zonin. /�f)) a�dministrator /V G Project: � /� 4 Public Work _ - " • is a ets — _ Fire Services Review fee $ 5Th Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date 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: — -- APPLIC TION STATUS Reviewing Department First Review: pproved. — �— (Circle one.) Comments: ❑Denied. BUILDING PLANNING &ZONING Reviewed by: ` Date: 2i If--TREE ADMIN. — -- — —Second Review: I ]Approved as revised. nDenied. • " WORK Comments: BLIC U PUBLIC SAFETY Reviewed by: — — -- Date: FIRE SERVICES Third Review: (Approved as revised. nDenied. Comments: Reviewed by: Date: sed 07/27/10 n o 0 o Y b b •- o Po v rn w m o. N !— C\ cn A W N Cs1 p N �• d _o Y d o v' O Y :h v� v� VD- c o o . �. -o co m 5 A� LL �• Q. 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