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1227 Violet St - Interior Remodel J j � ; , l s' CITY OF ATLANTIC BEACH V , j 800 SEMINOLE ROAD J 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: 16- RAAR -16 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL Estimated Value: $8,500.00 Issue Date: 2/11/2016 Expiration Date: 8/9/2016 PROPERTY ADDRESS: Address: 1227 VIOLET ST RE Number: 171009 -0000 PROPERTY OWNER: Name: HSBC BANK USA NA, hsbc Address: 385 5TH ST GENERAL CONTRACTOR INFORMATION: Name: SOLAR HOME DEVELOPERS LLC Address: 2425 Bentshire DR Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $46.25 BUILDING PERMIT FEE $92.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $142.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. �.J S {/Z ZLPy/ State of _ ,F�; _ ka Tax Folio No. � �/2/) — -- County of f 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: [ / T� -_________________7 � 'Z S - Z ' > / 5i2 f c- Address of property being improved: 1 Z 7 t'r Q `e 'r- 5 r General description of improvements: 7 /- I-p(V lO y az, ',1 Address 9 f s .• / r ,r C4 2 Owner's interest in site of the improvemen .� 3c� 3 Fee Simple Titleholder (if other than owner) 5r h .2 —� Name Address Contractor ■ i.r"" ! dr r t / - Address Z Y25 ae„, 5_6_ O,o SO V / 22 q 6, Phone No. el 041 Li-72 j y � G j Fax No. 47 i n L/ 37C3 I f ? Surety (if any) Al/ ''f ^ Address _ Amount of bond 3 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 ;..ner upon whom notices or other documents may be served: Name Address Phone No. Fax No, In addition to himself, ovmer designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b). Florida Statutes. (Fill in at Owners option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year 'rort the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY I / • 0 ' . Signe 1 r... ` r — _•ATE U i _ Before me this G ., y o: - _T:_y C 2 In the t County ofD Val, S,tx' ;,iFlu::y'. I'.,,� person uya• . eared `,s •rtV P o A 5 hhnsels' heneff and ararn —.: that.: that an s; mcnn and declarat here e * Nota Florida are t an at<urat - ♦ ♦♦ = •, i° a • c My Cc, - -N , na - Y 25, 2 017 r^ •) ,.��� o�: Cc 73459 Bond Notary Assn. Notary Public at Lora, : ..T — '.....' My commission expires: -- rtF �' � -: Personal Known v� - _ ,`� � _BERLY A. E Prod Idemiflt - - - -- 1y,�t NU19��I PKIMublic Doc # 2016030854, OR BK 17457 Page 187, Stet GRE of Florida l Number Pages: 1 7,,,' „ � MY C , :017,, R 02'10;2016 at 01:03 PM, �� r Commission o mmission # EE 87345 R onnie Fussell CLERK CIRCUIT COURT DUVAL nr� Bonded Throu National Expires Feb Notary 25 OUNTY RECORDING $10.00 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 OFFICE COPY Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: / Z Z 1 / IQ le+ 4 I- Legal Description / � 3 y 17 S'- 2 -2(1 / Permit Number: —�/� _!b naN / Parcel # 1 ` � 1 D Valuation of Work $ S 1) . Proposed oor Area o q.Ft. - fl00� Proposed Work heated /cooled q. t non - heated /cooled�� Class of Work (circle one): New Addition - teration Repair p Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one If an existing structure, is a fire sprinkler system installed? (Circle one): esi de es Florida Product Approval # � - / 3 Z, 1 r t2 p 5, N /A For multiple products use product approva orm Describe in detail the type of work to be performed: T 1, f , m 1\./l- t ES - 17 r,,, *11 14 4_,m, / 3 ' f 5; - ..� Pro er Own Information: Name: ' ■ 'ice io∎ City -� f i �,/� Address: % 8 0 ` "7 , e d • State E -Mail or Fax # (Optional) ��ZipPhone � 3 s-� 0 7 Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: • te v ) , w-P Cie �� Address: _ Quali ing Agent: ke-v/ y � 7 - , Office Phone ,� et • - O t V Y " City "�a ' Job Site/ Contact Number State C_ _ Zi State Certification/Registration # ©U - y 71- I �i Q Fax # Zip 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 cert that no work or installation has commenced issuance of a permit and that all work will be per formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes and void if work is not conznzenced within six (6) months, or if construction or work is suspended or abandoned for period of six (6) months at any time work is commenced o understand that separate permits must be secured for Electrical Worry Pluntbin� He aters, prior to the Tanks and Air Conditioners, etc. pp p omes null d , Signs, Wells, Pools, Furnaces, Boilers, Heate WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F NANCING CONSULT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI WITH MMENCEMENT. CE OF hereby certify that I have read and examin / this a plication and know the same to be true and correct. All provisions of laws and ordinances governing pe of work will be complied with whet, -r s,eci zed h• -in or not. The granting of a permit does not presume to give a uthority to •ovisions of any other federal, state, o - ocal . - ating construction or the performance of construction. violate or ca � el the g g this gnature of Owl - Alow-'" N. Signature of Contractor __,/ gor int Na t vL, Nj ;f le Print Na TIP_ ke--V)n C ' Y 1� 1 ,. a : _ (- -t rmi G!NDI. SP..* Before ne N � iES: October • 2ots thi- ll . y of ...0, u . ' ; . , r % � . 1 I . Pub u.nder,r R ••: ,� :q:;' -��p ., Thw Notary . MY *MISSION t FF 924951 411 tary Public — •& I (ir Notar".11e : Octobers, tots Revised 01.26.1 0 rt OFFICE COPY OWNER'S AUTHORIZATION FOR AGENT k - e v v \' C trri is hereby authorized to act on behalf of RO A°. CIL (t Lia LL(- , the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required. in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to: ❑ Zoning Variance ❑ Comprehensive Plan Amendment g Use -by- Exception ❑ Zoning Map Amendment Building Permit Plat, Replat or Lot Division ❑� Sign Permit Tree Permit /S !" S1 ► cr -r BY: � -1 � S i at we f Owner a1 n ck., to ter Print Name Signature of Owner Print Name 305 a30 v Telephone Number State of L_ County of I Q rnl DC' L t 1 ...,,,,, KIPASERLY A. GREEN Notary Public - State of Florida Signed and sworn before me on this a 3 day of, 20 ���� = M y Comm. � ri „ u Expkes Feb 25.2017 By b\ L A= C # EE 873459 .. 6:11sd Through National Notary Assn. Identification verified: p &Crna 1 VI 1 v'` r Oath sworn: 1/ Yes No t j „ f,ocida 25.2017 Notary Signature •-c 873459 ,t Notary Assn. My Commission expires: S , ? i� - � � ;y �� City of Atlantic Beach APPLICATION NUMBER � A Building Department (To be assigned by the Building Department.) z 1 v 800 Seminole Road / /„ u4 • ' 0 / Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 't E -mail: building- dept @coab.us Date routed: / /7/9)e; / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /2 2-7 V / Q kr c3'7 D nt review required Y Building Applicant: c:750 //1 /1 Arn6 * Di V ning & Zoning / Tree Administrator Project: E I4I d L In TEL / G 1t.. Q . Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required 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.... BUILDING (� __....... PLANNING & ZONING Reviewed by: Dater -( 1 - 1 1 6 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: I Revised 07/27/10