1671 BEACH AVE DEMO (INTERIOR) ,'", Ak-, , CITY OF ATLANTIC BEACH
- 1. J 800 SEMINOLE ROAD
j ' ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\ � 0.21 c-f'
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- DEMO -907
Job Type: DEMOLITION
Description: INTERIOR DEMO
Estimated Value: $5,000.00
Issue Date: 4/18/2016
Expiration Date: 10/15/2016
PROPERTY ADDRESS:
Address: 1671 BEACH AVE
RE Number: 169658 -0000
PROPERTY OWNER:
Name: GAY TRUST, SHIRLEY W
Address: 1671 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
Demolition Fee $100.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 ) 60 — D 0 ~'1 o7
Job Address: 1671 Beach Ave, Atlantic Beach, FL Permit Number:
ATLANTIC BEACH UNIT NO 1 PT Parcel # Lot 15
1 5 -10 09- 2S -29E .240 - N A
Legal Description
,..
Floor Area of Sq.l~'t. Sq.Ft
Valuation of Work $ U 1 0C- Proposed Work heated /cooled 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 Residential
If an existing structure, is a fire sprinkler system installed? (Circle one). o N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Precise Interior Demo
Property Owner Information:
Name: Adam & Jenice Dunayer Address: 3309 Caruth Blvd
City Dallas State TX Zip 75225 Phone
E -Mail or Fax # (Optional)
Contractor Information:
9
Company Name:
Bosco Building Contractors, Inc. Qualifying Agent: Todd A. Bosco
Address: 2158 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904 - 241 -0320
Job Site/ Contact Number 904- 241 -0320 Fax # 904- 241 -0326
State Certification /Registration # CBC 1250212
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
issuancerona is permit hereby nd that all b work will be to meet the installations andards of all laws regulating work or
thu installation urisdcttion. This permit be to becomes null
and work void if commenced. work is n
of 1 understand that separate permits or mu t be secured for Electricar Work, Plumbing, Signs, a Wells, Pools, r months Bo s time
, Heat
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN ND TO OBTAIN FINANCING, CONSULT TO YOUR PROPERTY. IF YOU INTE LT WITH
YOUR LENDER OR AN ATTORNEY BEECORDING YOUR NOTICE OF
COMMENCEMENT.
1 pe r of work will be complied wit whether s eci n or not. The e true
and correct. All give authority governing
cancel the
type p
provisions of any other federal, sty , • , or local law regulating construction or the performance of construction.
t " -------*/' 1
Signature of Owner Signature of Contract
Print Name 1
� 44 Dm / F Print Name Todd A. Bosco
Sworn to and subscri ed before me Sworn to and subscribed before me
this / Day of •Oh.a
20I( this IS Day o f A k ■ , 20 t.
,- "."4"‘ AI Rib a - _4: Notary Pul51U 1 N:'^ Public
Denise A.Ernie Revised 01.26.10
,r t:a; °•" PEGGy LOUIS NOTARY PUBLIC
3 . Notary Public, State ate to of of Te Texas f,
• �,. NA: My Commission Expires - � /I _ STATE OF FLORIDA
"ZZ,;F; ;;V� February 19, 2017 's Cann* FF964426
' Expires 3/1/2026
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
1671 Beach Ave, Atlantic Beach, FL - 15 -10 09- 2S -29E .240 - N ATLANTIC BEACH UNIT 1 PT LOT 15
2. General Description of improvements:
Precise Interior Demo
3. Owner Information:
a) Name and Address: Adam & Jenice Dunayer - 3309 Caruth Blvd, Dallas, TX 75225
b) Interest in property: General
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: .
Bosco Building Contractors, Inc. 2158 Mayport Rd, Atlantic Beach, FL 32233
4 4 % b) Phone Number: (904) 241 - 0320
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself /herself, Owner designates
of to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction
and final payment to the contractor, but will be one (1) year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF
ART I
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, ,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND TO OBTAIN FINANCING,
POSTED ON THE JOB SITE BEFORE THE FIRST E BEFORE COMMENCING O WO OR RECORDING
CONSULT WITH YOUR LENDER OR AN ATTORNEY
YOUR NOTICE OF COMMENCEMENT.
Under penal - of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are -I: to th • be of my knowledge and belief.
�, / A Al itle /Office
Signature o Owner or Owner's Authorized Officer/Director/Partner/Manager irector/Partner/Manager Si gnatory s Printed Nene &
The foregoing instrument was acknowledged before me this
• / d ay of ^^ , 20 16' ,
'l.(�s � for (,!/h l�J
t, •ri for)
by u,�,/S as / �6. (Name of Party Instrument was Executed for
(Nam t fefson) (Type of Authority, e. Officer /Attorney) (N
4 ,111/ -- -1 - 0 -1 -ellA A
'"� -- PEGGY LOUISE STOWERS NOTARY P FB`L °_C, STATE OF SAT €X'J
:, n Notary Public, State of Texas Print Name: 7
,�;r� My Commission Expires I
"S74"•'� February 19, 2017
Personally Known
Doc # 2016086788, OR BK 17530 Page 1987, Identification'Type: �� (2.."'-' .-e)
Number Pages: 1
Recorded 04/18/2016 at 01:29 PM, Revised 3/15/12
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00