900 Plaza #123 - Interior Remodel rj ;41 s J `S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t) r =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
JF�I �r
RESIDENTIAL ALT /OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -RAAR -347
Job Type: RESIDENTIAL ALTERATION
Description: UNIT 123- INTERIOR REMODEL
Estimated Value: $7,500.00
Issue Date: 2/12/2016
Expiration Date: 8/10/2016
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725 -0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: MASTER BUILDING CONTRACTORS, LLC
Address: P.O. BOX 11565
JACKSONVILLE, FL 32239
Phone: 904 - 463 -3895
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $87.50
PLAN CHECK FEES $43.75
Total Payments: $135.25
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
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 i 6 -R R
113
Job Address: 900 PlazaDrive Unit # Atlantic Beach, FL 32233 Permit Number:
Legal Description Portion of Royal Palms Parcel #171725 -0500
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 150 0, 0t Proposed Work heated /cooled 1) .3 non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes o N /A
Florida Product Approval # N/A.
For multiple products use product approval form
Describe in detail the type of work to be performed: N c : - C kJ t "t 1� l_c ) ei7 1 1
,,,
Property Owner Information:
Name: Sea Oats Acquisition, LLC Address:645 Mayport Road, Ste. 5, Atlantic Beach, FL 32233
City Atlantic Beach State Florida Zip 32233 Phone 904 - 247 -5334
E -Mail or Fax # (Optional)iklotz@amvestar.com
Contractor Information:
Company Name: Master Building Contractors, LLC Qualifyin . • • • n : Sean C. Jo n
Address: P. O. Box 11565 City Jacksonville State lorida Zip 32239
Office Phone ` , ;)k.. ( —L—(63 7 g % S Job Site/ Contact N mber ° J p'-1 `Lf (, 3 - � $ ei Fax #
State Certificatidn/Registration # CBC1255043
Architect Name & Phone # (A
Engineer's Name & Phone # N
Fee Simple Title Holder Name and Address 1.J k-
Bonding Company Name and Address NJ / f
Mortgage Lender Name and Address 0
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 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 16) 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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 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 ofwork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner D 4� � Signature of Contractor Or A
Print Name Sea 1, C1 * Print Name bA i n A
Swoc and subscribed before me SworrLto and subscr� t fire me
this l v Day of ftJD J , 20tIo this 1 C.) Day of H VOL. Y , 20
•
1
o ary Publi ? „ Notary Public saes of Florida Nota Pu • Itc ' Elizabeth E Footle • Elizabeth , o
i, FF 956906 comet F ss8
My 08
e. E � 02f22t2020 " ' � ' o U
tsr
AFTER RECORDING — RETURN TO:
�n Deets w s��0,� LLC
Ae tl k . • y �t & ci# . i . 32.133
PERMIT NUMBER
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY (Legal description of the property & street address, if available) TAX FOLIO No.: 171725 - 0500
SUBDIVISION Portion of Royal Palms BLOCK TRACT LOT BLDG UNIT
900 Plaza Drive Unit #lZAtlantic Beach, FL 32233
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Remodeling of unit
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a. Name and address: Sea Oats Acquisition, LLC, a Florida limited liability company
b. Interest in property: Fee simple
c. Name and address of fee simple titleholder (if different from Owner listed above): 645 Mayport Road, Ste. 5, Atlantic Beach, FL 32233 '.
4. a. CONTRACTOR'SNAME: Master Building Contracting, LLC
Contractor's address: P 0 Box 11565, Jacksonville FL 32239 -1565 b. Phone number: q f - 91.5- 7 (ri
5. SURETY (if applicable, a copy of the payment bond is attached):
a. Name and address:
b. Phone number: c. Amount of bond: S
6. a. LENDER'S NAME: N/A
Lender's address: b. Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
a. Name and address: Jeff Klotz
b. Phone numbers of designated persons: 904-247 -5334 ext 308
8. a. In addition to himself or herself Owner designates Erin Peters o f The Klotz co.
to receive a copy of the Lienor's Notice as provided in Section 713.13 (I) (b), Florida Statutes.
b. Phone number of person or entity designated by Owner 904 - 247 -5334 ext 309
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is
specified): May 15 , 20 16
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 L 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 AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
A4LA', Jeff Klotz, Managing Member
(• ture o t wner or Owner's or Lessee's (Print Name and Provide Signatory's Titie /Office)
Au orized 0 i cer/Director artner/Manager)
State of Florida
C oun t y of Duval
The foregoing instrument was acknowledged before me this 10th day of February 20 16
by Jeff Klotz as Managing Member
PAW) (type of authority,... e.g. officer, trustee, attorney in fact)
for Sea Oats AcgS Sl lob
(name of party on behalf of whom instrument was executed)
Personally Known X or Produced Identification Type of Identification Produced
•
.4
Q .►►r jc, Notary Public State Of Florida (Signature of Notary Public)
Elizabeth E Fourle (Print, Type, or Stamp Commissioned Name of Notary Public)
• 1 My Commlesion FF 956908
t „',:ow Expires 02122/2020
Rev. 10 -15 -12