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1940 Sevilla Blvd W - Int Remodel - Bathroom Tile f:f ' � s CITY OF ATLANTIC BEACH J 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 -405 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL - BATH ROOM TILE Estimated Value: $6,300.00 Issue Date: 2/22/2016 Expiration Date: 8/20/2016 PROPERTY ADDRESS: Address: 1940 W SEVILLA BLVD RE Number: 169462 -0450 PROPERTY OWNER: Name: HILLEGASS, MICHAEL Address: 1940 W SEVILLA BLVD GENERAL CONTRACTOR INFORMATION: Name: JEP CONTRACTORS INC Address: 1416 FOREST AVE QA JOHN EWEL PEARSON, III Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $40.75 BUILDING PERMIT FEE $81.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $126.25 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Perm lG - FW /ge -yo,_ NOTICE OF COMMENCEMENT FILE COPY State of - C..., County of y D v v a( Tax Folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Se the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, Legal Description of property being improved: `6'5 Section 713 of 0 8 , z s - z - E e V1 , a. r. - 1. UK; Oa a 2 Address of property being improved: ' yo 5 _ Y - 2 ; cL W a is or - et( In L 3 zz. 33 General description of improvements: Oa. A r m o le. j Owner:. ' , - ‘ \'\ Address: i _ _ G dz, Owner's interest in site of the improvement: t ' ` ( 1 ...AA, � ,4. L, _ -1 3zz33 Fee Simple Titleholder (if other than owner): Name: Contractor: .TE P £o n f i al-i r Address: / 46 Fo 1^.6" f 4 v . 4 e .,- l�1 25� ac..l2 Telephone No.: �i! - 27-9-C?-5 � Fax �2�-� o: Pc� h PC- @ >urety (if any) a r C�.S / net Address: , �� . Amount of Bond $ Telephone No: Fax No: fame and address of any person making a loan for the construction of the improvements Doc r Pages: �t �' OR BK 17462 Page i 330, Number Pa Name: Recorded 02/17/2016 at 11:13 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING $10,00 Phone No: Fax No: _ _ Lme of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be ved: Name: W e . h. A . A �s� • Address: 7 3 r' C� ' . te. ,, c FL 3,-,_,„ . Telephone No: 1v 4 k - 2 i {(6 6 l 3 Fax No: addition to himself, owner designates ' the following person to receive a copy of the Lienor's Notice as provided in Section ;.06(2)(b), Florid Styes. (Fill in at Owner's option) Name: i `'\c y ` Address: L Z7 e-' N b 7 -- -14 -"V " 5.: , 111 ` � , �, J.. +L '3 Z-aSz3 Telephone No: C C- `f ZEE L _ 6 '7 13 Fax No: iration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is wed): S SPACE FOR RECORDER'S USE ONLY 0 1 ER Signe•. .air! Ak Before m- this : ' _ 4 in the County of Duval, State At.- Date: 2 -- 7' � / Tara Gonzalez $ A day of Notary Public -State z of Florida Of Florida, as personally ..pear- d ' Personally Known: �� Commission No. DD 1267596 Produced Identification: or Commission Tres , .12, 2017 Notary Public: 11011r7- � "!�'�— r / My commission expires: "'r" Ja , 1 . Q � ` .I.A :o, City of Atlantic Beach r S } ;, Building Department APPLICATION NUMBER I 800 Seminole Road (To be assigned by the Building Department.) ,� F �r Atlantic Beach, Florida 32233 -5445 1 _ C� , � J Phone (904) 247 -5826 • Fax (904) 247 - 5845 " 1 01115);= E -mail: building- dept @coab.us City web -site: http: / /www.coab.us Date routed: 2 17 1 APPLICATION REVIEW AND TRACKING FORM Property Address: 1 9 40 CV <<-LA S D' - ent review required Yes No pp Q� � Buildin. licant: J ©IU-T �' A � A (� � ©�� (N� P lanning & Tree Administrator Project: `��j�t G�Q� 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: Ppproved. (Circle one.) 1 Denied. Comments: (BUILDING PLANNING & ZONING Reviewed by: Date: a//9//6 TREE ADMIN. Second Review: (Approved as revised. 1 jDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES • PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: llApproved as revised. 1 (Denied. Comments: Reviewed by: Date: Revised 07/27/10 i I I • BUILDING PERMIT APPLICATION 7 CITY OF ATLANTIC BEACH i.....:J... t.,, ,.r: A 800 Seminole Road, Atlantic Beach, Office (904) 247 -5826 Fax (904) 247 -5845 / t / o - RAf\R - 4 Job Address: `i f S v i 1 lc, 0 j v 1 _ V\ J \ Permit Number: Legal Description 5 -7 0$ - 2S - 21E Sev t Catzkvts Lot oz Floor Area of Sq.Ft. �� Parcel # t Valuation of Work $ 3 oo Proposed Work heated /cooled < --5O non- heated /cooled Class of Work (circle one): New Addition e eratio n Repair Move Demolition pool /spa window /door Use of existing /proposed structures (circle one): Commercial • esidenti. If an existing structure, is a fire sprinkler system installed? (Circle one): ' es 4$ N /A Florida Product Approval # (1/,4 For multiple products use product approval form Describe in detail the type of work to be performed: ,pvo k' j 1, I S h a ' _Alt tit , Property Owner Information: Name: M (4YLael it fie3 61.55 A ddress: `9 Se v i ( a_ 8/vd W. City A, S State/Z. Zip32233 Phone E -Mail or Fax # (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: JE fl oh tra < E. ot- CoInca St . yttf Company Name: Tr f cc, 1, 4 torw, l//cc_ Quali ing Agent: WAn r2rtrso I Address: /6 Far 4v' City/ f tu'vw. Bee. c,k State Ft. Zi 3 b( Office Phone 2y-7 - 9 5 Z 5" Job Site/ Contact Number Z 2 R - 68 3 2 Fax # p State Certification/Registration # C. G C p 5 gQ 43 Architect Name & Phone # G eo v S W J ' R • 1 1 r d t . ; t a c t Q z J .I - - , " ) 1 ; ) 9 Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Al. A . Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the 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 null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora period of six (6) months at any time 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 same to be true and correct. All provisions o laws 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 : e authority to viola or cancel the provisions' of any other federal, state, • ocal law regulating construction or the performance of construction. ■ Signature of Owi - �/ _ /� / -L�t `1 Signature of Contractor I ��.�- ?rint Name VV\'t (Av.. c .,\ �1'\& ..F,.5 ' Print Name ��v il>1 P‹ u rS ci h 3efore ire Bef• fie e his - Day of t , 20 "_ � 2 �i this Day • ��- �,,;.;;�� ,, g R ♦ (' Tara Gonzalez ► 1 �y lotary e o No. DD 1267596 �/ � '�` - I SSI 'non I► NO • is ' a My Commission Expires Sept. 12, 2017 Revised 01.26.10