2251 FAIRWAY VILLAS LN - REMODEL cJ �� CITY OF ATLANTIC BEACH
S9 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-1783
Job Type: RESIDENTIAL ALTERATION
Description: remodel of kitchen, baths, flooring
Estimated Value: $20,000.00
Issue Date: 8/12/2016
Expiration Date: 2/8/2017
PROPERTY ADDRESS:
Address: 2251 N FAIRWAY VILLAS LN
RE Number: 169398-1084 _
PROPERTY OWNER:
Name: CARRUBA, PHILIP
Address: 2251 N FAIRWAY VILLAS LN
GENERAL CONTRACTOR INFORMATION:
Name: Budget Remodeling Contractor LLC
Address: 223 River Run BLVD
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $75.00
BUILDING PERMIT FEE $150.00
Total Payments: $225.00
11
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i� I;..,,. City of Atlantic Beach APPLICATION NUMBER
��
,f,; Building Department (To be assigned by the Building Department.)
800 Seminole Road , b— FAA V-_
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
d os 1 '
E-mail: building-dept@coab.us Date routed: Q o
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: •43- FC.AII.oay \h ll',LS LA Depa tt ment review required Ye/ No
Building ✓✓
I ,�
Applicant: f31,414.31/4 �,� d r Planning &Zoning
�J `` Tree Administrator
Project: (Q- oA to � nbLrmS� ��l Public Works
( Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By_
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:
4 APPLICATION STATUS
Reviewing Department First Review: proved. ❑Denied.
(Circleor Comments: ç,i
BUILDI--_
PLANNING & ZONING Reviewed by: / Date: k10"16
TREE ADMIN. Second Review: DApproved as revised. Denied.
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
FILE COPY
.. w)r'n,. BUILDING PERMIT APPLICATION
a VV :r CITY OF ATLANTIC BEACH
. 800 Seminole Road,Atlantic Beach FL 32233
`nitt)r Office:(904)247-5826 • Fax:(904)247-5845
Job Address: j 51 _Fri:, LA"I‘.( U;llc,s /t/L4ø( 3<)-.?3 Permit Number: ‘tiP-Q—h ftQ-' 11-16
Legal Description 31 - 1. OA - ),.5- a,9 RE#_
Valuation of Work(Replacement Cost)$ ‘)O k. Heated/Cooled SF 1O6).- Non-Heated/Cooled ,.(n N
• Class of Work(Circle one): New Addition OrZiagisr Repair Move dflo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial ."est enttab
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes i N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
(?0Piol.)e 1 G f ki'tc heA, b,,-1-1!_r c'.,7.4), ilric
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Ai&ht r'/ 6i(4 )C'(-- Address: )-3-3 det'veIati.-1 /3lvc),
City 1 Afe t/eJrA Staten-Zip,4t$1 Phone 'Toll k sal c 'G 5.1
E-Mail /;ud212 I.- ie Pi odel,A9 Tc, x 0 gae os.aorl4,'1-G0"
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: Rude e 4- (er4.t/e/r4)Com(La''Qualifying Agent: /12.174.e/ C/'.4 l>ef
Address: )-)-2 R.-Lei 7-)u./1 13/t el City Pc.4te Ced(4 Stat ip ..)ao&1
Office Phone 46q Cl t-t 4 N4. C3 Job Site/Contact Numbe _c,c( uy Lt a-5 .'
6 1-RState Certification/Registration# R L i 2-.0 777 T E-Mail 4 clo til- Pc/+ode 1. - ). $-Q 9614,7•cc M
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation S/3 7)-015)
tt, I Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced
,Qnor to the issuance of a permit and that all work will be pe►formed to meet the standards of all laws regulating constntction 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 o(six(6)months at any time after work is commenced. !understand that separate permits must be secured for Electrical Work,Plumbing,
Signs,Wells,Pools,Furnaces,Boilers,Heate Tanks and Air Conditioners,etc. �/J /..
Signature of Property Owner. i � YJ^"' Signature of Contractor: ! 1 i
uctiBefmeDay of P `r+ Before me this_ C( Day of ni..c,i-.1 : a)le
Notary Public:l Notary Public. •'44
I hereby ecrti'that I have read and examined this application and knout'the same to be true and correct. All provisions of laws and
ordinances governing this t}pc 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 provisions of any other federal,state,or local law regulating construction or the
performance of construction.
Rev.3/14/16
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FILE COPY
NOTICE OF COMMENCEMENT
State of r ip County of ');,Lifk1 Tax Folio No.
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;Bled his NO CE QF CONt(vI NCEIMII[t, ,rrI`Qs ��
Legal Description of property being improved: ' t7(J �L1 G f-QltilK�C(/ V i
Address of property being improved: )-)-. ) FA; t/;11&c /V Lig,,,t e 1a(1 (, I?e4.Ut I I-, 3) 31
General description of improvements: 2e Mccie i,‘d 9 6( k:-€6,764, h6 f of /�Ic7G4 c> —_—_--
Owner: AG(Ng( 6/IL( be l Address: ?- (;_vtr 2-ta f31vd' Pa k'Uec)nfl'I'J1e 1
Owner's interest in site of the improvement: (?C/Kcdel
Fee Simple Titleholder(if other than owner): _-.-__-
Name: /
rp91/\
Contractor: r 4d9C 4- (? ►cdeI,h, 66.1+4[.tc{ G L Address: IZIL e: l2 t. Ur) 6'4 e t 3�Gc I
Telephone No.: qc,a ci C c.( Ri S 3 Fax No:
Surety(if any)
Address: Amount of Bond S
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(I)year from the date of recording unless a different date is
specified): - -- — —THIS SPACE FOR RECORDER'S USE ONLY OWNER �//"f l
Sign : — _ Date: Q O/C 16)
Before me this day of ANnt)Sk TA 16 in the County of Duval,State
Of Florida.has personally appeared M'.0.^:.2 or
Personally Known: -----.—
Produced Identification: U Ota
Notary Public• — " NEL r ',,,
•
My Comm.Expirest
Goo#2010179104,OR BK 17660 Page 386, � .-
Number Pages:1 - January 05,2020 t
Recorded 06/04/2016 at 09:41 AM, N��•�•FF 948073:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL °!•111...•::08.• L�G••�P\ •i
COUNTYM•••.•
RECORDING$10.00 �I,�F OF p_Q %%'
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