94 STANLEY RD - FLOOD DAMAGE REPAIR ,� I -)JJ.Jn
ry 0v CITY OF ATLANTIC BEACH
'Q \S;)1
V 7:? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.\� F31 Jr
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2680
Job Type: RESIDENTIAL ALTERATION
Description: FLOOD DAMAGE REPAIRS UNIT 1 AND 2
Estimated Value: $45,000.00
Issue Date: 11/17/2015
Expiration Date: 5/15/2016
PROPERTY ADDRESS:
Address: 94 STANLEY RD
RE Number: 172184-0000
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY
Address: 1671 FRANCIS AVE
GENERAL CONTRACTOR INFORMATION:
Name: 201 MAYPORT CONSTRUCTION MANAGEMENT
Address: 2768 STATE RD A1A #701
Phone: 904-334-1202
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $137.50
BUILDING PERMIT FEE $275.00
STATE DCA SURCHARGE $4.13
STATE DBPR SURCHARGE $4.13
Total Payments: $420.76
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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;:51-=1;%;. City of Atlantic Beach
�' Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.
a. - -`0, Atlantic Beach, Florida 32233-5445 _ )/w j�'
Phone(904)247-5826 - Fax(904)247-5845 l i e- �"(� (p�
/.o;; ��. E-mail: building-dept @coab.us /�
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address:
v i / 2 Department review required Yes No
Applicant: �Q , �/ (Building `�-
; / ��� '
arming &Zoning
^ Q Tree Administrator =IR
Project: 0# ,6 ) i �0 f/.-j�s Public Works •_
Public Utilities =;:
Public Safety _IN
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental Protection 11111111.11111111111M
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
IMIIMMMIIIMIIIIIIIIIIIIII
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
IIIIIIIIM
APPLICATION STATUS
Reviewing Department First Review: Ipproved.
(Circle one.) ❑Denied.
Comments: ,.a.,
BUILDING
PLANNING & ZONING
Reviewed by: Date: t t % i•j
TREE ADMIN. -
Second Review: []Approved as revised. ❑Denied.
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
Nov. 12, 2015
Mr. Dan Arlington
Building Official
City of Atlantic Beach
800 Seminole Rd.
Atlantic Beach, FL 32233
Dan
Attached are the following materials in support of Beaches Habitat application for the
building permit: 94 Stanley Rd. (units #1 & 2) COAB, 32233
1) One(1) copy of the Building Permit Application each unit
2) Two (2) copies of the Florida Product Approval form
3) One (1) copy of recorded Notice of Commencement
Please let me know if any additional information is required. Thank you,
Sincerely,
L
Robert Peterson,
Construction Director, Beaches Habitat n
904.334.1202 TCEOVISq
attachments NOV 1 3 2015
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: 94 Stanley Rd, (Unit#1 &Unit#2)
Permit Number:
Legal Description 19-16 17-2S-29E Donners R/P PT Govt lots 23 Parcel# 172184-0000
Valuation of Work $45,000 Proposed Work hoed/cooled 1300 no heated/cooled
Class of Work (circle one): New Addition Alteration Repair (X) Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential (X)
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # attached
For multiple products use product approval form
Describe in detail the type of work to be performed: Remove and Replace all flood damaged drywall up to 4', Remove
and replace all cabinets, vinyl flooring, interior baseboard trim and doors,
Property Owner Information:
Name: Beaches Habitat for Humanity Address:797 Mayport Rd.
City Atlantic Beach State FL Zip 32233 Phone 904-241-1222
E-Mail or Fax #(Optional)
Contractor Information:
Company Name:201 Mayport Construction, LLC Qualifying Agent: Robert Peterson
Address:2768 State Rd. AlA #701 City Atlantic Beach State FL Zip 32233
Office Phone Job Site/Contact Number 904-334-1202 Fax#
State Certification/Registration#CGC-1506666
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 wok or installation has commenced prior to the
issuance of a permit and that all work will be perfumed to meet the standards of all laws regulating construction in this jurisdiction. This permit beco�r4 null months at and work void if ommenced.not commenced understand within t separate permits or must construction or work is be secured for Electrical Work,Plumbing,Signs,a Wells,P ols,XFurnaces,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 1 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 ,e complied with whether speci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any o • federal,state,or local law regulating construction or the performance of construction.
Signature of Owne .r.dhja
fir
Signature of Contractor
Print Name ` 'l '
Print Name P..„,17.4.,4- Pr_4r✓s.,r�
Sworn toQj�nd subscribed bef re Sworn to and subscribnd befpre me
this 12,—Day of ,20 l S. this _l Z'''t-Day of A/ov..-.ba ,20 tc
KYLE MURRAY 04k4 KYLE Notary Public MURRAY
EXPIRES April 02.2016 :•! jt MISNON I EE186723
EXPIRES April 02.2016
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NOTICE OF COMMENCEMENT
State of Florida
County of Duval Tax Folio No.
To Whom It May Concern:
The informs
and in accordance with Section 713 of Florida S atu es, the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved : 19-16 17-2S-29E Donners R/P PT GOVT Lots 2,3
Address of property being improved: 94 Stanley Rd. (Units#1 &2)
General description of improvements: Remove and Replace all flood damaged drywall, cabinets, interior trim and doors, vinyl
flooring
Owner: Beaches Habitat for Humanity Address: 797 Mayport Rd.
Atlantic Beach, FL 32233
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Habitat for Humanity of the Jacksonville Beaches
Address: 1671 Francis Avenue,Atlantic Beach, FL 32233
Phone No.: 904-241-1222
Fax No.: 904-241-4310
Surety(if any):
Address:
Amount of bond$:
Phone No.:
Fax No.:
Name and address of any person making 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:
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 Section
713.06(2)(b), Florida Statues. (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 form the date of recording unless a different date is
specified):
Warning to owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper
payments under Chapter 713, Part 1, Section 713.13, Florida Statutes, and can result in your paying twice for improvements to your
property. A notice of commencement must be recorded and posted on the job site before the first inspection. If you intend to obtain
financing,consult with your lender or attorney before commencing work or recording your notice of commencement.
THIS SPACE FOR RECORDER'S USE
OWNER Ili
Signed: 401 Diate: ii Ii '- %S—
Before me this I z 0-- •ay of dch,l<c in the County of Duval,
State of Florida, has personally appeared 1>tfpo;a]rjfps
Notary Public at Large, State of Florida, County of Duval
My commission expires:
Personally Known: or
'produced Identification:
Doc#2015260728.OR BK 17367 Page 1023.
Number Pages 1
Recorded 11113/2015 at 08:24 AM, .u� Z-71.--
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
KYLE MURRAY
='t 4 •'? MY COMMISSION#EE185723
EXPIRES April 02,2016
3641 Hwnrvs ewci c .