1957 SEMINOLE RD - INTERIOR DEMO - ,,
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N S f CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-1550
Job Type: DEMOLITION
Description: INTERIOR DEMO
Estimated Value: $200.00
Issue Date: 7/8/2016
Expiration Date: 1/4/2017
PROPERTY ADDRESS:
Address: 1957 SEMINOLE RD
RE Number: 169542-0512
PROPERTY OWNER:
Name: BOYLE, JOSEPH F
Address: 1957 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
FEES:
Demolition Fee $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845 1 G -D E/r o-(G S C
Job Address: 1957 Seminole Rd Permit Number:
Legal Description 42-14 09-2S-29E BEACHSIDE Parcel# LOT 3B BLK 1
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move(Demolition ,pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residential
If an existing structure ,is a fire sprinkler system installed?(Circle one 1\ 1 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, preparing for interior renovation.
Property Owner Information:
Name: Carole Mayedo Address: 1957 Seminole Rd
City Atlantic Beach State FLZip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosco Building Contractors, Inc. Qualifying Agent: Todd A. Bosco
Address: 2158 Mavport Rd City Jacksonville 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
Application is hereby made to obtain a permit to do the work and installations as indicated. I certifr 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. 1 understand that separate permits must be secured for Electrical Work,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.
1 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances•.verning this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority t, at or ca cel the
provisions of any other leder. , •,or local law regulating construction or the performance of construction.
Signature of Owne / Signature of Contr.'s
Print Name Carole Mayedo Print Name Todd A. Bosco
Sworn jo and subscr'i;d b;fore me Sworn to and subscribed fore me
this Day of ,20/c this (' Day of if ,2014
-£. r.
Notary Public ,„� Not — -- —
' tit WIWAM L POPE ,i WILMA L POPE
• ..1 MY COMMISSION#FF 242630 "' .. MY CQA9MSSIOPI#FF 2 vi. d 01.26.10
EXPIRES:October 19,2019 EXPIRES:October 19,
�t +? BondM Thiu Nofry Pubk tMdeiwritsi$ • .,` erdsd mei hoary Pubic thdruulln
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):
1957 Seminole Rd, Atlantic Beach, FL 32233 42-14 09-2S-29E BEACHSIDE LOT 3B BLK 1
2. General Description of improvements:
Precise Interior Demo, preparing for interior renovation
3. Owner Information:
a)Name and Address: Carole Mayedo 1957 Seminole Rd,Atlantic Beach, FL 32233
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, Jacksonville, FL 32233
b) Phone Number:(904) 241-0320
5. Surety Information: Doc#2016156304,OR BK 17627 Page 1364,
a)Name and Address: Number Pages:1
b) Phone Number: Recorded 07/08/2016 at 01:44 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
c)Amount of Bond: $ COUNTY
RECORDING$10.00
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 Xa) 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 THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
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
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein ar• , • . the best of my knowledge and belief.
Carole Mayedo, Owner
Signature of Owner or Own-4s Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this v day of ,20 /f ,
by CARal--C r-fas �;�;���; for A-762.1 co •
(Name of Person) (Type of Authority,i.e.Officer/Attorney) (Name of Party Instrument was Executed for)
wlwnM L POPE NOTARY PUBLIC, STATE OF FLORIDA
r*: ' MY COMMISSION t FF 242630
•'•.%�a EXPIRES:October 19,2019
,�• Print Name:
R.,(,.••' Banded fiti Notary PubFc Underwriters
Personally Known
IdentificatiorrType:
(Affix Notary Seal Above)
Revised 3/15/12