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1365 Rose St - Kitchen and Bath Remodel \,, `" "' i ._, CITY OF ATLANTIC BEACH l 2 f,-.) 800 SEMINOLE ROAD J -- _ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 \ 0.219 ) - RESIDENTIAL ALT /OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16 -RAAR -306 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL - KITCHEN AND BATH ROOMS Estimated Value: $8,000.00 Issue Date: 2/18/2016 Expiration Date: 8/16/2016 PROPERTY ADDRESS: Address: 1365 ROSE ST RE Number: 171064 -0110 PROPERTY OWNER: Name: SOVEREIGN INVESTMENT GROUP LLC, * Address: 2728 DAVIE BLVD SUITE 134 GENERAL CONTRACTOR INFORMATION: Name: PLUMBING BY JOSH Address: 5677 FLORAL AVE THOMAS R PORTER Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $45.00 BUILDING PERMIT FEE $90.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $139.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • BUILDING PERMIT APPLICATION OFFICE COPY ` CITY OF ATLANTIC BEACH • 800 Seminole Road, Atlantic Beach, FL 32233 _ Office (904) 247 -5826 Fax (904) 247 -5845 (( - R R Job Address: 1 34: _ $) 41 i 7((, ge(1 FL Permit Number: Legal Description Parcel # 17 /0 Floor Area of Sq.Ft. S , Valuation of Work $ ( 49617 ` Proposed Work heated /cooled q 1 40- non- heated /cooled Class of Work (circle one): New Addition Alteration pai) Move Demolition pool/spa window /door Use of existing /proposed structure(s) circle one): Commercial If an existing structure, is a fire sprinkler system installed? (Circle one): 1 es N /A Florida Product Approval # - For multiple products use product approval form Describe in detail the type of work to be performed: PL A er 1 -7- d. j IZ -loo * oN . ►iA5 PMit T !N`i - tee b O °T(L t 5 Property Owner Information: Name: ())...l Jl:iZ Jwoi J ` Address: 226 I A-LL.kN$34 4 Cit .1 A} J� f cV FL State Zip 32240 Phone 90I/ .— 3v- 6( E -Mail or Fax # (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: f jf � t f.� 5 47 rx.c4 uali Address: X 6.5 I/c / / / 4 ( Q fy�i�ng Agent: '7 0 i / 4- 7 - < ---- to Office Phone 1 — 7000 er ;X'" ` State L Z Job Site/ Contact N tmber o' 7. - _5-7 6 Fax # State Certification /Registration # L/C_ / aS ) 39 Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address GO j v�.8 e 6 00 Viz- - Bonding Company Name and Address Mortgage Lender Name and Address issuance Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certt& that no work or installation has commenced prior to the and void f work is commenced iced within six performed 6) months, meet the construction or of all is suspended or abandoned for a h pe jurisdiction. iod s 6) months at any tine after work is commenced. I understand that separate permits must be secured for Electrical 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 hereby certify that I have read and examined this a plication and know the sane to be true and correct. All provisions of laws and ordinances gove ning this type ofwork will be complied with whether specified herein or not. The granting of a permit does not presume to giv- .uthori to v'. Rte o� ancel the 7rovisions of any other federal, state, or local law regulating construc ion or the performance of construction. / gnahue of Owner �J( Noir i.L. Signature of Contractor y• _ w 'Tint Name 0/-1 VF1?_ a �� l ki 1 Print Name R 6 a.�- 3ef.,i - 1 -, Bef• , a its . G ay of AN 20 this li�i a of 0� • rotary " Wall _ :r ,'1 I I _ � 'ri �� ;,. tl ll .lic °* owi • tober6,2019 . ir a Bonded Thl Notary Public Underwrlten; `-'g= E$: October c 6, ?.019 j .`' `'+Sof ` Bonded Thy�i rotary Public thrill n' : � ...en .,�.• ;� c-.: D .o.. =". 1 1.26.10 ,4 g- Frn 1 '1)/ -3o6 NOTICE OF COMMENCEMENT OFFICE COPY State of 0-02t County of - O VA Tax Folio No To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, the Florida Statutes, the following information is stated in this Ng - r TICE OF COMMENCE ENT.d in accordance with Section 713 of Legal Description of property being improved: SEC_ (4 4-1 l S 2. Log- joT 3 31-K-- 235 ` • Address of property being improved: f General description of improvements: 14J 1 - Li J _ Owner: 1(/JZ, �1ECO 3 f1�Q Address: Z . L LA.4000 t 1C ' / .2. Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): • qny/►��' Name: `/ " 1 Contractor: � -^� Address: ...ckg? FA / Iv Telephone No.: pt./ 2 — 5706 Fax No: d Surety (if any) • Address: Amount of Bond $ Telephone 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: . Telephone 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: 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 date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Doc # 2016029924, OR BK 17455 Page 2209, Signed: � ( _ ' Date: 2 1 t" Number Pages: 1 Befo ^ Before me this 8 day of p ID in the County • f Duval, State Recorded 02/09/2016 at 02:31 PM, Of Florida, has pers. • 1 a • seared � Ronnie Fussell CLERK CIRCUIT COURT DUVAL — !`0.J COUNTY ' - - _ ..� N r7 RECORDING $10.00 $de l►j �,; E v, or • :,., ` 'fig �..�� L 'n SAmwdecktpit+liry Pubfi�i I f I r ii lla ;0.-tik r , City of Atlantic Beach APPLICATION NUMBER 4 "4. - 1,1 6 Building Department (To be assigned by the Building Department.) 800 Seminole Road o Atlantic Beach, Florida 32233 -5445 _ (� 2 _ -30 Phone (904) 247 -5826 • Fax (904) 247 -5845 '' o; ;ii.r E -mail: building- dept @coab.us Date routed: Z 7(5— cp City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 3 RA v Department review required Yes No Applicant: Pa Q (N G (, ' n &Zon i ng Tree Administrator Project: L k)`f' © R 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: I roved. 1 (Denied. (Circle one.) Comments: UILDIN ~ PLANNING & ZONING Reviewed by: Date fi Y/( TREE ADMIN. Second Review: 1 (Approved as revised. 1 '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