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2338 W OCEANWALK DR - SIDING CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 SIDING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SIDE-2441 Job Type: SIDING PERMIT Description: SIDING Estimated Value: $12,000.00 Issue Date: 10/21/2015 Expiration Date: 4/18/2016 PROPERTY ADDRESS: Address: 2338 W OCEANWALK DR RE Number: 169463-1072 PROPERTY OWNER: Name: LAZARUS, JASON Address: 2338 W OCEANWALK DR GENERAL CONTRACTOR INFORMATION: Name: MARTIN HOME EXTERIORS Address: 5749 HAVEN RD QA KENNETH BRIAN MARTIN Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $55.00 BUILDING PERMIT FEE $110.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $169.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s rS��.,1 City of Atlantic Beach APPLICATION NUMBER s¢` Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 �, 5//J - p2��i Phone(904)247-5826 • Fax(904)247-5845 J ti psi or E-mail: building-dept@coab.us Date routed: /� f�l/� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:472331 U" .eeemd zonJ, Department review required Yes No _uilding� �— Applicant: /�� 6 61-teitie ng &Zoning Tree Administrator Project: S/1) //1/9 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: -pproved. ❑Denied. (Circle one.) Comments: :UILDIN PLANNING &ZONING Reviewed by: f1 Date: /0190f Sr. TREE ADMIN. Second Review: Approved as revised. ❑Den 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 BUILDING PERMIT APPLICATION /S— 3/De- -79tj l OFFICE COPY CITY OF ATLANTIC BEACH EC- OVE — 800 Seminole Road, Atlantic Beach, FL 322 .1 Office(904)247-5826 Fax (904)247-584 Job Address: 2338 W OCEANWALK DR Permit Num r , iorim Legal Description 42-74 37-2S-29E Parcel # 169463-1072 Floor Area of Sq.l•'t. ,q. t .�.r..... Valuation of Work S 12000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New 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 # FL 13192.2- Hardi Plank, For multiple products use product approval form Describe in detail the type of work to be performed: Replace siding with Hardi Plank Property Owner Information: Name: LAZARUS JASON B Address: 2338 W OCEANWALK DR City Atlantic Beach State FL Zip 32233 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Martin Home Exteriors Qualifying Agent: Ken Martin Address: 5749 Haven Rd, City Jacksonville State FL Zip 32216 Office Phone 9047375009 Job Site/Contact Number Fax# State Certification/Registration# CRCO 57030 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(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical- 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/have read and examined thisplication 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 Owne Signature of Contractor Print Name o 1—c1,--1,19 t" S Print Name I t✓t, ,i,.).. Sworn and subscribed b ore me Swo 4nd subscribed a me this (-Day of (' ,20 this ' Day s . 1 7-01 ,20 /!� t YP I� .I� HO Notary 'ub tc •M • = N • � o ary u c- fate of lorida .0'1' MY COMMISSION#EE188854 _• •° My Comm. Expires Jul 9,2017 ,:t EXPIRES April 12,2016 % �;:� oc Commission# FF 0341tak is d 01.26.10 • p ory6erNeoeom ,°,,,,,`` BondedTh-ough National Not3ryAsk' 1407136,64153 NOTICE OF COMMENCEMENT OFFICE COPY (PREPARE IN DUPLICATE) Permit No. / / 135"a Y / Tax Folio No. 169463-1072 State of Florida County of uuvat 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: 42-74 37-2S-29E OCEANWALK UNIT 3 Address of property being improved: 2338 W OCEANWALK DR Atlantic Beach FL 32233 General description of improvements: windows, siding or screen room Owner LAZARUS JASON 2338 W OCEANWALK DR Address Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Martin Home Exteriors Address 5749 Havpn Rnarj ,Tark'nnvi 11 p FT. 1791A Phone No. 904-737-5009 Fax No. 904-737-5029 Surety(if any) Address Amount of bond$ Phone No. Fax No. ` Q Name and address of any person making a loan for the construction of the improvements. Name L Address J 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 _AIL Phone No. Fax No. ",,,, In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in � s/J,0 Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). ,oq , ,,,,,,,,,, Name o z Address 3 c r,a Phone No. Fax No. N 3 3 v 3 K Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a d � a_ different date is specified): g rr .n N IY T G.. O~ _ THIS SPACE FOR RECORDER'S USE ONLY `� •WNER o e /� a. y. Signed: DATE D / O. ro Before A • day of !q .{- 'j c,�'� in the ,r, �+°a County/ a al,State of Florida,has'per onaalry appeared 1; M Doc#2015183938,OR BK 17264 Page 1360, herein by Number Pages:1 himself/herself and affirms that all statements and declarations herein Recorded 08/11/2015 at 11:25 AM, are true and accura Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Notary Public at Large,State of , County of My commission expires: RM — Personally Known or Produced Identification /Z(_ L)L_