1828 SEA OATS DR - SIDING . S!--L`,r
=1 ��`sA CITY OF ATLANTIC BEACH
A s) 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SIDE-818
Job Type: SIDING PERMIT
Description: REPLACE SIDING
Estimated Value: $1,500.00
Issue Date: 4/11/2016
Expiration Date: 10/8/2016
PROPERTY ADDRESS:
Address: 1828 SEA OATS DR
RE Number: 172020-0566
PROPERTY OWNER:
Name: BYRD, JOHN M & LISA A, *
Address: 1908 CREEKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: C & R HOME MAINTENANCE INC
Address: 4634 FOREST GROVE CT CALVIN H ROLLINS
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
PLAN CHECK FEES $28.75
BUILDING PERMIT FEE $57.50
Total Payments: $90.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
JS ` 1\ Building Department (To be assigned by the Building De artm nt.)
800 Seminole Road
� , �(D-�l�E- /
ups
J Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845
E-mail: building-dept @coab.us Date routed
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1(2.-f (%1S 2)sr _ e artment review required Ye No
Building
Applicant: M/i Planning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required 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: Fj proved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / ii Date: !•/l'/ 6
TREE ADMIN. Second Review: ['Approved as revised. ❑Deni .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION p �^e� •
CITY OF ATLANTIC BEACH �,
800 Seminole Road, Atlantic Beach, FL 32233 �°'""' "
Office (904)247-5826 Fax(904)247-5845
Job Address: 1828 Sea Oats Drive Atlantic Beach Florida
Legal Description 03465 Selva Marine Unit 09 Parcel
1500 Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration _ Repai Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residentia
If an existing structure, is a fire sprinkler system installed?(Circle one . ) N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Remove bad siding, install plywood and blocking, cover with
house wrap and Hardie lap Siding. Paint
Property Owner Information:
Name: JOHLISCO.LLC
City Atlantic Beach Florida 32233
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: C&R Home Maintenance Inc.
Address: 4634 Forest Grove Ct City Jacksonville State Fl Zip 32224_
Office Phone 904-564-9895 Job Site/Contact Number 9‘4/- S^ QC Fax# '1)0 A'C
State Certification/Registration# CRC 1329232
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
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. I 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 6)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,eta
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 centfy that I have read and examined this egoplication 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 e 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 Signature of Contract
Print Name j;i111 iyt Print Name CA-1 V,V /,1. Zil 4—L/ws
Sworn to and subscribed befor- me / Sw nt i and subscribed before me
this / Da f :r#r 20 1 (� thi Day of `\ ,20 1
Notary Public Notary Pu. is
Revised 01.26.10
CHRISTOPHER C.PEARSON � �" JUNECODNERKONGQUEE
+� Notary Public,State Florida ' ,.. Commission#FF 197289
>P Canml8s1oo a EE 878838 ="' = Expires Februa 8,2019
My coon.expires Feb.28,2017 ����/' r °:�� 9undea Tluu Trv/Fan Insurance 800395.7019
refinvi -44- /6 - 5//96' g
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No. FILE COPY
County of DUVAL
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:03465 SELVA MARINA UNIT 09
Address of property being improved:_1828 SEA OATS DR.ATLANTIC BEACH FL.32233
General description of improvements: INSTALLING HARDIE LAP SIDING
Owner: JOHLISCO Address: 1808 CREEKSIDE CIR ATLANTIC BEACH FL.32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: C&R HOME MAINTENANCE INC
Address: 4634 FOREST GROVE CT JACKSONVILLE FL.32224 Telephone No.: 904-564-9895_
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 �/�
Signed: �/ 1 16 Date: /( ' (/ i
Before me this / day of /4rF Z o i L in the County of Duval,State
Of Florida,has personally appeared J c c4D7 r
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Z(c
Personally Known: or
Produced Identification:
Doc#2016076031,OR BK 17516 Page 2291,
9
Number Pages:1
Recorded 04/06/2016 at 10:10 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
y CHRISTOPHER C.PEARSON
2 491' -' Notary Public,State of Fkslda
Ctammisslon#EE 878838
My comm.expires Feb.28,2017