64 13th Street West INTERIOR REMODEL f_5'
APO
S CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2554
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL - NEW DRYWALL AND FRAMING
Estimated Value: $7,996.00
Issue Date: 11/3/2015
Expiration Date: 5/1/2016
PROPERTY ADDRESS:
Address: 64 W 13TH ST
RE Number: 170805-0010
PROPERTY OWNER:
Name: LANG, MARY E
Address: 64 W 13TH ST
GENERAL CONTRACTOR INFORMATION:
Name: JWB CONSTRUCTION GROUP LLC
Address: 7563 Phillips HWY # 109
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $44.99
BUILDING PERMIT FEE $89.98
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $138.97
PERMIT' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rsyA)12l, City of Atlantic Beach APPLICATION NUMBER
�.''°i r ,9` Building Department (To be assigned by the Building Department.)
� 800 Seminole Road r� /�
r J '.":.,,,r) Atlantic Beach, Florida 32233-5445 1 S — R Pt sR-Z3 j-
Phone(904)247-5826 • Fax(904)247-5845
`-moo;; 9:• E-mail: building-dept @coab.us Date routed: /zoics 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: w 1 D cS a ent review required YieyNo
Building
Applicant: J C Q r,.)�--RUC y( OA3 Planning &Zoning
Tree Administrator
Project: t h r Rto 2 REro■ pEL 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:
_....:c.,___?
BUILDIN
PLANNING &ZONING /� - 5.-
.
Reviewed by: 1 Date: /�
2-/
TREE ADMIN. Second Review: ['Approved as revised. ❑Denie .
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
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845
Job Address: co -i ti, non S�. j4- \f i v\ e iat(LLl.1 i 33 Permit Number:
Legal Description its-3q 3&aS.GE . Ll - Parcel
# c2c?iO
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ -3`19(o, it Proposed Work heated/cooled Il S 1 non-heated/cooled
Class of Work(circle one): New Addition Alteratio 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: tq{(Ct Gtvtl ik)ci Y'.i'--Gravikg
PX iS �v�U I3 C\V()out& UOai\ •
Property Owner Information:
Name: 13W,L 1,1 �Q Address: �SC�3 �A� \Xt 1-1v�7(-- SWt-Q IOC{
City ‘ic,Cisovly■1 Statea,Zip Sa 'o Phone q014 (o`-4-4-4
E-Mail or Fax#(Optional)
Contractor Information: I
Company Name: ; en of L&L i • t • Quali in Agent:` 0.3A/v 'S VS 1�'
Address: !. • ; ., [1Z City tlbl&Ut t State cL-
Zip°�S Co
Office Phone /("711-( 4 ---(0-q-1-+ Job Site/Contact Number 401-1-D3ct—00"3 D. Fax#
909-(0-F�—(off
State Certification/Registration# CfaCa.S0-4(.2%-S
Architect Name&Phone# 14/ik
Engineer's Name&Phone# t itk
Fee Simple Title Holder Name and
Address tiiM
Bonding Company Name and
Address /J4!k
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_j_or 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
I v
Signature of Owner Signature of Contractor AIIIiiii
Print Name AletWt q_44vtin..-11 Print Name Ji.. W a an
Swow.tund subscribed before me Sworn to and subscryhefofre me
thisoPS"Day of (1)C:1-CirY'r ,20 1. --) thi-101 'Day of Cs. .)6 .20 1
Notary Public Notary Public
Revised 01.26.10
:-.4*,"?"- % KAsANDRAJoYNER
,, r,-i..1 MY COMMISSION/FF229035
IGSANDRA JOYNER
COMMISSION 1 FF 229035
Bonded Nu kotaly Pubic Undenruiters i*: taj :al . 1
EXPIRES.July 4,20 9.
...t.e.:0.• Bonded Tim Notary Public Undemters
pc-^ 0 py
NOTICE OF COMMENCEMENT r •—�- C
State of R40066._ Tax Folio No.
County of POa)al
To Whom It May Concern: peT Yn 7 1 5
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: 1 _ .-I C $ -- �t, Oaf Sakti on
flu vt C a.Lc)v, to. '-� ,c i.C) �. , W 0 . UJ .20f1
Address of property being improved: 214
General description of improvements: e_Lp ,i gi___ Lj Q Qgga �� A 9
Owner: 13CL 4 L G Q Address: 3 Tom; Hu.34 S `.fie. 10 ci. SZa
r
Owner's interest in site of the improvement: _
Fee Simple Titleholder(if other than owner):
Name:
Contractor: tt""
Address: (o 1 �t (SUY s u Q _K Vii c;� }'�`l
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: _
Name and address of any person malting a loan for the construction of the improvements
Name:
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:
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:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is le(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER •
Signed: /' Date: 471/
Before Mme K..9 ,9 g" day of
Y ip the
County of Duval,State
Of Florida,has personally appeared 1 �yar)
Notary Public at Large,State of Florida,County of Duval, / P
My commission expires:_ �J
Personally Known: - --Produced Identification:Identification. f NNL ..*
,11e c E1R 4 2018
Undennters
E00 .d XVd Wd : I O Q3M/S I OZ/8Z/130
NOTICE OF COMMENCEMENT
State oft{?r cff Tax Folio No.
County of DE t�l ll.l
To Whom It May Concern: Pe r m s - R fi
nd2 -acsy
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 inform.ation is stated in this NOTICE OF COMMENCEMENT. c,'+ �{
Legal Description of property being improved: I -1 1-i 5 -- C't L 0 Q� 5
3 ; (ji 1O6'1 1T
Address of property being improved:
General description of improvements: .C., Oka C141V11 (IV-L.4' _• 1 ' ` z ri'- ! r GL`,(V\--011
rr
Owner: IK, Li LAO__� Address: J' "3 , SOS HU- Si)-1-Le.. [0 -3 DS-(t�
r
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: t,_,b CoF' ' Ch i C�A Gi..o
1., , `
Address: 7s-&. t i S a ' _ 2 . [01 . 0s- L�, .0 U, L.. I • D SIO
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond S
- W --1A
Telephone No: Fax No: L)
'Z
Name and address of any person malting a loan for the construction of the improvements 11J � Z ' d z 2 f\1
Name: • 0 a V 2 O
Address: 0 [n Li. I"' 0 m N
Phone No: Fax No: 0 = 1±' n W V Q • g
Name of person within the State of Florida, other than himself, designated by owner Ow acealor.ther d lay be
served: Name: 5 Ea Z � U. 1 ��
Address: _ co W 0 _ 2t = 1 1
Telephone No: Fax No:_ a N 7 U G
In addition to himself, owner designates the following person to receive a cop: off-idle Deno! l<e as prcd iti acti
713.06(2)(b),Florida Statues. (Fill in at Owner's option) I.'. W W C.) m urf
Name: j 1� _.
Address:_ 4S. cc
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is CIF e (1)year from the date of recording unless a different date is
specified): -
•
THIS SPACE FOR RECORDER'S USE ONLY OWNER i
Signed: .� _ Date: /O/ . 2 21.5
Before me is l ,9 F` day of C1Cr(C V- cif j ip the County of Duval,State
Of Florida,has personally appeared O .1/ '' h..1 r�Y )
Notary Public at Large,State of Florida,County of Duval. — /', �c� c .
My commission expires: _ ‘-^a..
Personally Known:_, I ,...T,; — —
Produced Identification: NZ,. pa is •,
i:-. ' EX.PIRES Jufy 4,2019:.
41f,,,h" :,oneee Thro Hoary PuDGcUoderw,;
800 'd ',li d did ZS : 10 QdM/51 OZ/8Z/1,00
ti
J \s CITY OF ATLANTIC BEACH
�
'.. "�''_ - } 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
(9
04)247-5800
NOTICE
THE 5TH EDITION OF
THE FLORIDA BUILDING CODE
TAKES EFFECT
JUNE 30, 2015.
ALL BUILDING PERMITS, APPLIED FOR, ON OR
AFTER JUNE 30, WILL BE REVIEWED AND
INSPECTED UNDER THE FBC, 5TH EDITION.
BUILDING PERMITS APPLIED FOR BEFORE JUNE
30, WILL BE REVIEWED AND INSPECTED UNDER
THE CURRENT 2010 FBC.
6 4 \-7- (
STOP WORK
CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
General Construction Mechanical
Concrete and Masonry Electrical
Plumbing Gas Piping
IS NOT ACCEPTED
CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK
OALTAtiA______IY‘4_1!_• _De t gpsww 04 %-r-
Folk
RiwtoDI .
DO NOT REMOVE THIS NOTICE
Inspector: %1,6A A Tn t Date: I O/I r
Failure to respond to this Notice within 10 days will result in this violation being forwarded
to the
CODE ENFORCEMENT BOARD.
The posting of this Placard by its contents shall serve as due notice.
NMI"