157 BELVEDERE ST - SIDING ,..,,,„.,,,,,,
,, ,, ,.„,
cs\..- CITY OF ATLANTIC BEACH
-
800 SEMINOLE ROAD
!,2,10 .. - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\0131 9r
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SIDE-457
Job Type: SIDING PERMIT
Description: SIDING
Estimated Value: $18,000.00
Issue Date: 3/3/2016
Expiration Date: 8/30/2016
PROPERTY ADDRESS:
Address: 157 BELVEDERE ST
RE Number: 170584-0000
PROPERTY OWNER:
Name: BURCH, ROBERT & LESLEE ANN, *
Address: 157 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: JEP CONTRACTORS INC
Address: 1416 FOREST AVE QA JOHN EWEL PEARSON, III
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $70.00
BUILDING PERMIT FEE $140.00
STATE DCA SURCHARGE $2.10
STATE DBPR SURCHARGE $2.10
Total Payments: $214.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 OFFICE COPY
Office (904) 247-5826 Fax (904) 247-5845
Job Address: /57 R _f 0'&- re_ j-t-, Permit Number: /6- S/D6.- - VS.9
Legal Description L,at-51s f . �.-f�is 1 IS 21
Floor Area of —�'Sq. � Parcel #`
Valuation of Work$ / o�'o Proposed Work heated/cooled G 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
If an existing structure,is a fire sprinkler system installed? (Circle onck—esiden es
Florida Product Approval # /3/12. N/A
p y
For multiple products use product ppra orfT m
r / /6e./-
Describ�e in detail the type of work to/be performed: /n 5 W 1:_it><-`c�- S'jt1111L 'yt
�'X l ten, k ,� -�h ,S/�t 1 > .¢s�/ 7 ,ff
/ / hC.ccss,r-y) ho .A.t�n..j" v a .,r- N"t✓'rxr-
PropertyQOwner Information: c �°)41:57;,
Name: (..)h e (' + Akre Address: l `.� 7 Q,c( V e d r e ��'
City 4 f / n i : c CO.c StateF LZip 3,2.2 33 Phone j 64 g S 3 -6,6,G
E-Mail or Fax#(Optional) (SM. 7 e to„ ,h a A T. NC T
Contractor Information: CONTRACTOR EMAIL ADDRESS: 3E F .v►,f t—act'vr ( ?c:c al ca S It
Company Name: T E.P Co 1r&C-r j `nc Qualifying Agent: J in Pea_r$oVl
Address: (414, ,cvr-e st Ave City/V�/,-Ft;t,) Pead State Ft_ Zip 3 2_2_66
Office Phone YdV- 2 q 7- 9525 Job Site/Contact Number Z Z ei - 42 32. Fax#
State Certification/Registration# CG C U5 D'f 3
Architect Name &Phone#
Engineer's Name&Phone# (LJA
Fee Simple Title Holder Name and Address S,yniP .4-, cx_,-, ,/-
Bonding Company Name and Address A14
Mortgage Lender Name and Address !QA-
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert 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 ElectricalWork, 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 YOUJR 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 of 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 give authority to violate or cancel the
9rovisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner
/44,71- 4Signature of Contractor actor --.412---, 31,---SAdoe..-... �
'Tint Name tl.C'..r- + a U r CA Print Name
/7....Ah E........./2.q►-s awl R-rtt-
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'iis 2"L Day of Pei, 20 l( B
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lotary Public 1 (;1011,zdtsii-° Notary Public-State of Florida ;� �:'+LL� Graham
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Doc#2015182291,OR BK 17262 Page 776,
Number Pages:1
NOTICE OF COMMENCEMENT Recorded 08/07/2015 at 01:31 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
State of 12-- County of QUVa' Tax Folio No.— RECORDING$10.00
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
L or 595, 5e_ 10- I 1 .5 �L r*f
Address of property being improved: /5 7 /V ed t k re $t; hue- r c j FL- 3 zz 3 3
General description of improvements: /iijf&Y/�t— Y 2 dfh4 4 ..,aL,;.1S:
er: 0%421-k o - ,-rte Address: ' 2\.v2de.� S�,F�c�lc .ic �L32
Owner's interest in site of the improvement: ISDkj..3 (N.e.r
Fee Simple Titleholder(if other than owner): 7A.
Name:
Contractor: (f Gori-f�-�fia r5 hG.•
Address: /L/1.4
Telephone No.: ?eV.- 2'7- 9'5"-z.s"- Fax No: -
Surety(if any)
Nifi
Address: Amount of Bond$
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 Florid::: 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: `\V{lk
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
Signed: Date: \ ``S
Before me fhiss (� day of U._( '4-"Ol the Courity of Duval,State
Of Florida,has personally appeared ( Q`� �� (A-C
;`ter P••,,, SUE C.HECKLER Personally Known: or
•r° , o- Notary Public•State of Florida Produced Identificatt�:
!` . My Comm.Expires Jun 18.2016 Notary Public: ( t V/>♦I/ate
Commission#EE 176887 My commission expires: lCAL t. (,$ I ( tp
"%'�� Bonded Through National Notary Assn.
;;syL�lo, City of Atlantic Beach
T.',Jt • ',, ► Building Department APPLICATION NUMBER
!� 800 Seminole Road (To be assigned by the Building Department.)
-- . Atlantic Beach, Florida 32233-5445 - ��� _ ��?
Phone(904)247-5826 • Fax(904)247-5845
"�1J;119'' E-mail: building-dept @coab.us Date routed: 2 IMF /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 46'7 /va ' Departmen Jh7_ Department review required q d Yes No
Building
Applicant: )f—j. P anning &Zoning
C Tree Administrator
Project: G I)� _ Public Works
Public Utilities
'f/i n-]K. rEek 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:
APPLI ATION STATUS
Reviewing Department First Review: I Approved. ❑Denied.
(Circle one.) Comments:
BUILD ■
PLANNING &ZONINGS
Reviewed by: Date:&/c79/A>
TREE ADMIN.
Second Review: DApproved as revised. DDe • d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: DApproved as revised. °Denied.
Comments:
Reviewed by: Date:
tevised 07/27/10
i
I