74 OCEANSIDE DR - INTERIOR DEMO CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DEMOLITION PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-1774
Job Type: DEMOLITION
Description: INTERIOR DEMO
Estimated Value: $3,000.00
Issue Date: 8/4/2016
Expiration Date: 1/31/2017
PROPERTY ADDRESS:
Address: 74 OCEANSIDE DR
RE Number: 168846-5155
PROPERTY OWNER:
Name: SHUSTER, ELIZABETH A &, *
Address: 74 OCEANSIDE DR 74 OCEANSIDE DRIVE
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: $104.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 ( (D_ b Efy‘o_ I7 74-
Job Address: 74 Oceanside Dr Permit Number:
Legal Description 44-34 37-2S-29E OCEAN SIDE LOT 11 Parcel# RE#: 168846-5155
���=JCJ Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 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 structure(s)(circle one): Commercial iesidential
If an existing structure, is a fire sprinkler system installed?(Circle one): t'Cb o au
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Precise interior demolition to prepare of kitchen remodel
Property Owner Information:
Name: Marvin& Rosemarie Mazor Address: 74 Oceanside Dr
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 certifil 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. l 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.
I hereby certify that I have read and examined thisplication 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 speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Ownermoa,,.s_ 0..� Signature of Contract
Print Name . SQcl iz_. Print Name Todd A. Bosco
Swornhand subscribed efore me Swo to and subscribbi�d bef re me
this a'," Day of w .20/t this "—'Day of /J0/.5 ,20 /4
No '- ' e _ r iia.. L. Notary Public t / '�w
MYM�AWL'OpE is
' MUM vised 01.26.10
rt1/4 COMMISSION I FF 242630 iMr00A�NIS�I L a FF242g0
441 EXPIRES:October 19,2019 .
YerMee Dm Notary Pubic ere ` .'r 8oeeee EXPIRE ober 19,2019
TIN Notaryuneennimrs
Doc # 2016180121, OR BK 17661 Page 1570, Number Pages: 1, Recorded
08/04/2016 at 04 :28 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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):
74 Oceanside De, Atlantic Beach, FL 32233 44-34 37-2S-29E OCEAN SIDE LOT 11
2. General Description of improvements:
Precise interior demolition to prepare for kitchen renovation
3. Owner Information:
a)Name and Address: Marvin&Rosemarie Mazor 74 Oceanside Dr,Atlantic Beach, FL 32233
b)Interest in property:General
r." c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
)Name and Address: Bosco Building Contractors, Inc. 2158 Mayport Rd, Jacksonville, FL 32233
)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(1xa)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
I specified:
E
1 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
i POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
i CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
I YOUR NOTICE OF COMMENCEMENT.
R Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
sel /Vcc-)-e..1,Y\CC,..).1) \f' Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name& itle/Oflice
t