Loading...
1369 Rose St - Kitchen & Bath Remodel 411V :, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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 -308 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: 1369 ROSE ST RE Number: None GENERAL CONTRACTOR INFORMATION: Name: PLUMBING BY JOSH Address: 5677 FLORAL AVE THOMAS R PORTER Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $45.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 BUILDING PERMIT FEE $90.00 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 P CITY OF ATLANTIC BEACH C COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 (, (, - R Pt AR - -5 0 8 Job Address: _ -1 .geq o5r:._ 5+ 44 i sAtZ l&Ai I Permit Number: Legal Description Parcel # 1 10,., — 0I 10 Valuation of Work $ cJ _ F oor Area o q. t. q. t Proposed Work heated /cooled h© 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 identia If an existing structure, is a fire sprinkler system installed? (Circle one): es No r N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: 2EP A - [ Lt-7- (2)1+- E /iveTS 2 -6O * , ixikAS , PA-1w -, ovrve -t 0l� bcok , Ti L.. S Property Owner Information: Name: r) 0 1Z J�lectg 14? LJ i Address: 2Z 6 7 A 34 -4/41:71A City -,\,Cx (3c^ Pt- StateZip 32)-co Phone 9• 33? 6607 E -Mail or Fax # (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: � /j.J, ,fj 06 7 'L , � Q / Address: $ Ho / Qualifying A ent: /C Office Address: . — / City State f L Zip � 700 Job Site/ Contact N amber o 7-x'0 Fax # State Certification/Registration # G 1 aS 13 9 Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address al .2 • 6 - 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 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 f 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 Electrical Plumbing, Signs, ells, 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. l hereby ertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances gove ning this !ype of work will be complied with whether specified herein or not. The granting of a permit does not presume to giv authori to v'.. te o7 ancel the 7rovisions of any other federal, state, or local law regulating construc ion or the performance of construction. >ignature of Owner OL �(pt0t i // �� � � Signature of Contractor r_ 'Tint Name 011 VIZ- a K � l Print Name ��5 R 0 2:-- ef• 3 - , 4 Bef•, its v gay of i �� 2 0 this MP Da of 4 .1r,4111 , 2J fotar ' Lie ��� . vti . r. ` a . +n,:s. ., y toter 6,2019 Not r� ` : - ° ES: October 6, 2019 "c/f, `�'" Bonded Th., Notary Public Un9a 4 i ""°""'. ":fie • -- 1 1.26.10 Peryn, it /l 12 -/MR- 303' NOTICE OF COMMENCEMENT State of 4' �� t 1 � OFFICE COPY County of .� U L1 ,4 [ To Whom It May Concern: Tax Folio No. The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 the Florida Statutes, the following information is stated in this NOTICE OF COMMENCE ENT. Legal Description of property being improved: _ of tJ 3 3f� 23_ Address of property being improved: ( ' C' General description of improvements : n� ,�,�`- Cam,.,, � c �' d%K,C1 ki CZA,1.4 . 14- , Owner: Lt V1=1� �,kL c '(3, , I'C;� i.' °_.. (,� 7� Address: Z.�_ `( � Owner's interest in site of the improvement: /CO ti �� Fee Simple Titleholder (if other than owner): • • • • p � k Name: 1 Contractor: P v VA 31 k& .fi- 1\0( Address: ` 4A Telephone No.: q0L " 237 5 0 Fax No: Surety (if any) Address: Telephone No: Amount of Bond $ 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 Florid:, other than himself, 'designated by owner upon whom notices or other documents may Name: y be • 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 pecked): • LEIS SPACE FOR RECORDER'S USE ONLY OWNER ,,� ry • Doc # 2016929925, OR 6K 17455 Page 2210, Signed: ' t _ Number Pages: 1 Date: 2 - I �O Recorded 02/09/2016 at 02:31 PM, Before me this r day of • Ronnie Fussell CLERK CIRCUIT COURT DUVAL Of Florida, has . ally appeared in the Coty of Duval, State COUNTY PersonallyKnown 4 �t o`y or RECORDING $10.00 yea + rri iss i et.,: 6 'ry i I •' ' '' - p °°'- Bonded Thru Notary Public Underwrite dclIZ- I' ,- 51.mr City of Atlantic Beach APPLICATION NUMBER j Building Department ca (To be assigned by the Building Department.) 800 Seminole Road J� � - r) Atlantic Beach, Florida 32233 -5445 16- � .. 0 � Phone (904) 247 -5826 • Fax (904) 247 -5845 " E -mail: building- dept @coab.us Date routed: 48 b c„, City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 3CDc) Rose. I D- • - ent review required Yes No ild'. • Applicant: PLo, A 6i , Ey \ os[`-t Planning & Zoning Tree Administrator Project: 1 Nt. R i ©G� R, d„L Public Works Public Utilities k cr t-E C; IV (- /ok- 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. I 'Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING /,� Reviewed by: " Date: `J/ TREE ADMIN. Second Review: l (Approved as revised. I 'Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: 1 (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10