1464 SEMINOLE RD - BATH REMODEL i J,r.
'' \
�S CITY OF ATLANTIC BEACH
-, 800 SEMINOLE ROAD
Oti yip . ; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�J111` r
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-2586
9 Job Type: RESIDENTIAL ALTERATION
Description: bath remodel
Estimated Value: $15,000.00
Issue Date: 11/20/2015
Expiration Date: 5/18/2016
PROPERTY ADDRESS:
Address: 1464 SEMINOLE RD
RE Number: 171954-0000
PROPERTY OWNER:
Name: SCHAFER JR, MAX EDWIN
Address: 1464 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: SUNSHINE COAST CONSTRUCTION
Address: 513 VIKINGS LN QA JOSEPH MARTIN RUMANCIK
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $62.50
BUILDING PERMIT FEE $125.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $191.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
r
FII 4 r COP 1 1 CITY OF ATLANTIC BEACH
ti ., 800 Seminole Road,Atlantic Beach, FL 32233 OA
Office(904)247-5826 Fax(904)247-5845
Job Address: N' Z SE rttiotE its° 46, Lt 3till Parcel Number:/5 R 94 '-,2 SSC
Legal Description 4 �b -2 S -29 �t 'A nA iiv4 uNir
Parcel# /7 / Y rY - 6000
vo Floor Area of Sq.Ft. t
Valuation of Work$ 1 sjo
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alterati• Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial ,. a
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes
Florida Product Approval# P/A'
For multiple products use product approva orm
Describe in detail the type of work to be performed: R e,"evE bxtsi,N4 Far uttEj z C45/vi,l, S,+/oa.F.4
444 pi A47 woo. a, RE /A. s 01r c
�4cE Q ucAl/o.v - level; 1 AtrEor NA'
Property Owner Information:
Name: P 4 K St RAPER Address: 19l t y 10"fr o.4 Q e 4D
City A6 States Zip 322.33 Phone 4oy I.% 7- b7ii
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: J°e Q Svnfil Ae Co q sr/4(,tom
Company Name: S V N5 li t Go4ii Co&SIR�i /(Vv( /~Qualifying Agent: -1°56'#
4014'' t
Address: 513 vlkIN6r to tit City A•(S State r Zip ?Zt/3
Office Phone (40'0 toil LA Job Site/Contact Number AA 60)Fax# 4/4
State Certification/Registration# CA, l t r6 3 SF
Architect Name&Phone# iv/A-
Engineer's Name&Phone# ///k
Fee Simple Title Holder Name and Address y/
Bonding Company Name and Address !1///
Mortgage Lender Name and Address it7 V
Application is hereby made to obtain a permit to do the work and installations as indicated. I certt&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 ElectricalWork,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 hereb 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 specif . herein or not. The granting of a permit does not presume to give authority t, violate or cancel the
provisions of any other federal,stat,or local iii r': lati : constratption or the performance of construction.
signature of Owner • 1111A, j,t,�4/ ; l d° o
,. �,� Signature of Contractor /l
'rint Name may' G. ..[.Irl. C..R..u- i Print Name �� / l� v M A ii,(/k
Ief. - ,p - w Q w Xl
Zis it ,►� o it i g a Be . e .,
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.. .. • Revised 01.26.10
City of Atlantic Beach APPLICATION NUMBER
�• ! ' ��,;1 Building Department (To be assigned by a Building Department.)
800 Seminole Road
v r Atlantic Beach, Florida 32233-5445 12/- s16
Phone(904)247-5826 • Fax(904)247-5845
\ /
; �� E-mail: building-dept @coab.us Date routed: 6
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property A. . ess
144
�t,Al,�/f� Q ment review required q Yes�.No
Building `/
Applicant: dm, JJ 0/_ ,L -�,�/_, Planning &Zoning
Tree Administrator
Project: h &t.6 c L 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: proved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING //-d_I
Reviewed by: in Date: 5—
TREE ADMIN. Second Review: ❑Approved as revised. ❑D led.
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
NOTICE OF COMMENCEMENT
State of f lAttio A County of pV vAL, Tax Folio No. 1 T 1 i 5--Li- 6000
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: 2. / (0 /6- Z. S -1. 1e 'SE t,yA MA 21A-4 (boil 2.
Address of property being improved: )`)b q SF i►'traoL lc, R oq ° 47t,Am-I c 0g4(u, 1Ci. fzz 53
General description of improvements: R L MuVF. Ex,it/A4 FI!Ct was / C/f S/4,'11/ 5 Nog..,f'C
A-tt 4 !"./ /3/#T Nano r► 9.. X6'OR Z' /.v f4ne L-Dt4r10 ' Leva 1 AL,k.
Owner: Jl'1 I I )( .GI f IFE/2 Address: MN, S EM/4.04,F_ # o4 O A4/Lt 3 2 2 52
Owner's interest in site of the improvement: 0 t.v sae R.
Fee Simple Titleholder(if other than owner): /A'
Name: Ni
Contractor: S Um ,,,,4. c,oA-S r C04,s T R Gc•r ioN //v t .
MAddress: 5 13 v f/�/,v�,S L 4 ,1 ,¢re.4 An-at ,3 64 I,' mac, f 2 2 3
Telephone No.: �y y1 20$ )��i Fax No: f'/P}
Surety(if any) /4/4
Address: 4/q Amount of Bond$ /L/,
Telephone No: 7114 Fax No:
Name and address of any person rpaking a loan for the construction of the improvements
Name: 4//
Address: "14
Phone No: /!///1' Fax No: //VA-
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name: /./4-
Address: /Z1/4'
Telephone No: Fax Fax No: 1/7/4-
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}n at Owner's option)
Name: fl//
Address: /////'}•'
Telephone No: /1//'p Fax No: MA
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified): 441--
THIS SPACE FOR RECORDER'S USE ONLY OWNER /
Signed: //JJ'd/IJi// / /" ate: 6-29 6
Before met V ,AS" day of fibMILIPIAr 1 the County of Duval,State
0 -lo i.: i■ sersonally a,pearedAr '
-''''--.,. Kno n• / / or
Doc#2015266359,OR BK 17374 Page 1003, Produced Identificatio • -AWAV /A� ��
Notary Public: i'�/////,(,///.1)l14/yM
Number Pages: tY „ �,Q1.,
Recorded 11/20'2015 at 09:21 AM, My commission e . res. r .��yi •
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ANDREA NICOLE CURRY
COUNTY , — NOTARY PUBLIC
RECORDING$10.00 P STATE OF FLORIDA
''r"4u Comm#FF128532
E 19 Expires 6/2/2018