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1941 Seminole Rd - Remodel - Bathroom I j ` � CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD 1 "" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 \J, � l 9'' RESIDENTIAL ALT /OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16 -RAAR -228 Job Type: RESIDENTIAL ALTERATION Description: REMODEL - BATHROOM Estimated Value: $6,000.00 Issue Date: 2/11/2016 Expiration Date: 8/9/2016 PROPERTY ADDRESS: Address: 1941 SEMINOLE RD RE Number: 169542 -0520 PROPERTY OWNER: Name: LUCAS, DAVID 0 Address: 1941 SEMINOLE RD GENERAL CONTRACTOR INFORMATION: Name: PRO - BUILDERS OF FLORIDA LLC Address: 1115 S OAKS RIDGE DR LUIS EDUARDO ROSERO Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $40.00 BUILDING PERMIT FEE $80.00 STATE DBPR SURCHARGE $2.00 STATE DCA SURCHARGE $2.00 Total Payments: $124.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPS ; • 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 I 63 R 44 - 2z. Job Address: f 9 y 'S-efv►. fig II d AV (304 rL 32 Legal Description 1, s(3 /04 e� e # Number: S � � Parcel # oor A ea o q. t Valuation of Work $ �a Q �� Proposed Work heated /cooled t n - heated /cooled Class of Work (circle one): New Addition Alteration Re air �p � Move Demolition pool/spa window /door Use of existing /proposed structures) (circle one): Commercial If an existing structure, is a fire sprinkler system installed? (Circle on e) esi es No Florida Product Approval # N /A For multiple products use product approva orm Describe in detail the type of work to be performed: 84A r0o4 9 n Property Owner Information Name: 1111 Ant) d Q, l U c.:01 / City ;, Address: / 9 �l S_o ri„ > o E - Mail or Fax # (Optional) © State R_Zip _ a_Phone __ j r� � . z a df G'.a-M Contractor Information: CONTRACTOR E n �i MAIL ADDRESS: Company Name: Pi^e1 jj �� erg ��C v Address: 1// S S Oq/ l Qualifying Agent: � - 1 .5 A32,5er Office Phone ti /,q City Si E s °,� ° State L Zip Z.7 �j State Certification/Registration # Job Site/ Contact Number 96 y4, ! %Y9 Fax # 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. 1 certify that no work or installation has commenced rior 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__pperiod of six (6) months at any time after work is comnsenced. I understand that separate permits must be secured for Electrical Worlc, 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 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CON IMPROVEMENTS YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O TH COMMENCEMENT. F I the hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of I. s 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 . ts.r' • v � • * c a nc provisions of any other federal, state, or local law regulating construction or the performance of construction. ! Signature of ae- ',� w Signature of Contractor =� �= ?rint Name t) t US ! .- ■ Print Name �--�./ t S r ,1` Q__C) 3ef. his _� giay of Atli a 1 �, Be a� r• y , 04 _r Fitt T c . _ SPERGER th1 I ; y o f w • • ' e x,, TONI GINDLESP . �' - -MY -CAM L. %� / •...► _ lr,., ,,1 .t ISSION # FF 924951 1 " � + lotar ublic ' • • a S - EXPIRES: October 6, 119 ��•.� EXPIRES: October 6, 201 , 1 Boded Thru Notary P Underwriters ? � { Notary Pilo 1c , ,i. , :.:4 B onded Thni Notary Pubic Underwriters y In Revised 01.26.10 p .7 /6- k/9",- 224k-n NOTICE OF COMMENCEMENT r i 7 r , - - • State of County of U V ,61 C °? i To Whom It May Concern: Tax Folio No. - ' .. . - _ The undersigned hereby informs you that improvements will be made to certain real ro ert y, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. p P Legal Description of property bein improved: L,01 I CJ / l3 7 ------ Address of property being improved: 194/ 5 e 4i / dle - • ' General description of improvements: 3 0�,2 3 . Owner: 4 0 -i, (1, C1).,, I— U et-A --5 • Owner's interest in site of the improvement: !e 1 Address: / gel ,..#5.=//t. / ,e�� , � Ed '4/ Aj0 A �L 3, ,S d e.v 3 Fee Simple Titleholder (if other than owner): • • /1,9/4 • °- •Fwd.. s• Name: _ s ��...,:_..%= Contractor. f Po b v t t I-- C. 4,-o is Rose ry Address: / // �;$ Q E ( fi r 50•r,; 4 T4 C tscrh o i l l _ e _ c r ! 2 , Telephone No.: 9 —g �l Fax No: Surety (if any) Address: Telephone No: Amount of Bond $ Fax No : Doc # 2016020454, OR BK 17442 Page 1768, Name and address of any person making a loan for the construction of the imp Number P 1 Name: Recorded ded 0 01 /2 1/28/2016 at 12:43 PM, Ronnie COUNTY Fussell CLERK CIRCUIT COURT DUVAL Address: RECORDING $10.00 Phone No: Fax No: Name of person within the State of Florida other than himself, 'designated by owner upon served: Name: whom notices or other documents may be Address: . Telephone No: Fax No: In addition to himself, owner designates the following 7 13.06(2)(b), Florida Statues. (Fill in at Owner's option) person to receive a copy of the Lienor's Notice as provided in Section Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different specified): date is THIS SPACE FOR RECORDER'S USE ONLY 0 ignel: /-&./8-07.4/4 . Before me this l � �� Q Date: day of 0 in the County of Duval, State Of Florid. has • • y T .. : -.• , y.• _ow n: Il a ppe MI�' Q V d A C Or ` i' ONI ' J ' � �,..i t mu; • r ' �. U i ; Cry, � �1 ^? o ' Bonded Th , . , r , , I 1 , , » _ ! es: _ ��s r4i� r ■ s --A.v City of Atlantic Beach '' S, Building Department APPLICATION NUMBER A s) 800 Seminole Road (To be assigned by the Building Department.) ;� Atlantic Beach, Florida 32233 -5445 �, � Phone (904) 247 -5826 • Fax (904) 247 -5845 n \o,t»j E -mail: building- dept @coab.us City web -site: http: / /www.coab.us Date routed: �. / c!) APPLICATION REVIEW AND TRACKING FORM Property Address: 1 9.4 ( SRtni(10 (e, Rd Department review required Y Building Applicant: Pro jt jci,s ^5 6 4 T( Planning & Zoning �� /h Tree Administrator Bcx Project: (Roci C.� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: roved. ❑Denied. (Circle one.) Comments: C Bu1l 3 PLANNING & ZONING Reviewed by: Date: 3 TREE ADMIN. Second Review: nApproved as revised. ❑Den d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10