1735 BEACH AVE - INTERIOR REMODEL=mew
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��� CITY OF ATLANTIC BEACH
,. .- J 800 SEMINOLE ROAD
\J� r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-1578
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL
Estimated Value: $143,700.00
Issue Date: 8/30/2016
Expiration Date: 2/26/2017
PROPERTY ADDRESS:
Address: 1735 BEACH AVE
RE Number: 169668-0000
PROPERTY OWNER:
Name: LANE III, EDWARD W
Address: 1735 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: MCANENY BUILDERS LLC
, CGC1508737
Address: 1010 EAST ADAMS ST LEONARD W MCANENY
Phone: - - —PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $305.55
BUILDING PERMIT FEE $611 .10
STATE DCA SURCHARGE $9.17
STATE DBPR SURCHARGE $9.17
Total Payments: $934.99
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING(:ODES.
•
•
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road {�
-6v .. y r) Atlantic Beach, Florida 32233-5445 1 /CJ_,`��k— f57
�,v Phone(904)247-5826 • Fax(904)247-5845 /
E-mail: building-dept@coab.us Date routed: 7/i 3 I I ,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t73 S AVE- 1 -.pa tment review requiredYes No
Buildin V
Applicant: MC lC A _ G.--11/4-)Li 6 Ul LO& .S. P a g &Zoning
Tree Administrator
Project: (� Tee-t O(Z, 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:
APP CATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
CUILDING
PLANNING &ZONING Reviewed by: Date:1.M11
TREE ADMIN. Second Review: Approved as revised. ❑D led.
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
e
rj'r1i`tY%,.
FILE COPY
s. BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
V
800 Seminole Road,Atlantic Beach FL 32233
<::.:1:E);11:)'� Office: (904)247-5826 • Fax: (904)247-5845 1 c R kt s-7 8
Job Address: /73S3' 14sf 4/64,t.F / V/7C 41Z 'ermit Number:
q-to-Z7$A,Ars 4'T/e farptey.rv.r yo/ PT
Legal Description.rlS,1 Y17-aleS3•/s*I S6/18-I" 6 73-Al RE# /e'666 — Oma
Valuation of Work(Replacement Cost) $ 1y37o0 o G Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Additioniteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 'esidential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: b.ctt,c ..-r - "Pm i v^117•vc 4 d0 eoT, Ci!iA-r/96 RATA 11 r.t-uus
qrYto 06 .t F-t `P ccz west.b rtoog,e l 1741,0u4. ,Z6.CAcL dAres ,r+Z.15 t p
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: S'7!✓� E- Address: /-7;c Arifeor Aft/raSer
City , 44q _ rE•4W State,Zip pig.? Phone
E-Mail
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:
-� ,y�
Name of Company: ,4 �i1/fi4f/ S►!/ �Gf 11-e- 4?wip /''/�e- Qualifying Agent: /'i 'r
Address: /0/O E' f SrO)F //f City -1140.4'//u..- State Zip / 32.LoL—
Office Phone y 3.i1-/756 Job Site/Contact Number
State Certification/Registration#LSC/Fo8939- E-Mail/401 e-/ifeArigt f/5i0104e5. e-ryi
Architect Name &Phone#
Engineer's Name &Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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
pnor 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 construction or work is suspended or abandoned fora
period of six(6)months at any time after work is commenced. I understandthatif separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc.
Signature of Property Owner:,k,e,4�,` /1�c w Signature of Contractor: /...7
Before me
this G) Day of I 2-()1VP Before me this 315' Day of Mali ' Li
O1L1
-4...) e"Y.!;'1it. JENNIFER MANS _ 4.4'1.!like, JENNIFERWILLIA'
Notary Public: . * MY COMMISSION t FF public * * MY COMMISSION lI FF`
i i EXPIRES:SeptemDer 9, i 1:
EXPIRES:September
°jFa�d•oe Bonded Budget NoYry Benita X44 . Bated Do Budget Nary
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o�ws andOI/Pii
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not P'
presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or thy:FF.t5V
performance of construction.
Rev. 3/14/16
V
NOTICE OF COMMENCEMENT
State of Pio(I £G& Tax Folio No. ug u b ` 000°
County of NA-'J a k
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:
Address of property being improved: (1 ge Q-r,l AN,en,t&t f►TIOI) th 13.ex/2V 11 .2z 33
General description of improvements:
Owner: �d / Y i W. Lau_ _ L11_ Address: l 02 2 Vc ' Sisv.ez tM t-e /303
Owner's interest in site of the improvement: OWVIPV
Fee Simple Titleholder(if other than owner):
Name:
Contractor: W\C.A-V�Q YIt/� lbUji I ALti4 LLC
Address: 1 0 I D Sr(—ed J Stns'-e [I► Tack—Som/4►J e� 322 2
Telephone No.: - ► 13(-0 Fax No: — 31g — 2
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
I COPY
r.
Name: NJ/A
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: /WA
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: N/A
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: t-e if Date:.6.r.v,e ', 2O/FA
Before m this 4t-- ay of TtAtaLr2CtLe in the County of Duval,State
Of Florida,has personally appeared �'Jo(LA) rdP Loc.ne. 2331
Notary Public at Large,State of Florida,,County of Duval.
My commission expires: " q (t
Personally Known: ttnc.v•PoVt. or
Produced Identification: ,o0'i`.::'a4, ,I�*)WERWILUAMS
MY COMMISSION#N.158293
* ''�n i' * EXPIRES:September 9,2018
°',rF Ft.&`Oo Bonded Thru Budget Notary Services
tb —IZ Alts— iS1-V
NOTICE OF COMMENCEMENT
State of f wd i(,k-ek Tax Folio No. \ Cii:71, y00.1.10
County of ol;'AJi.`
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: CI - 2.5 - 211£ , N AtI nTtC t;e.GCh U,'1 i 1" PT,
L t ZSf LL; 29- C£X 3-c1-) D! fL 5 Li)l3g- 3-7( bal3 -- 09
Address of property being improved: Cl 3S s?-)-eacrl .r,�ie.n us Man n t(13 cc th 3
General description of improvements:
Owner: (11/11i4t1 - UAW., 11-. _ Address: 1022 ti't{1C ctret ESatre, '3,z;3 -Sax,►=L
Owner's interest in site of the improvement: (,1,,,: { 3L24c1
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Mk , LLC t,
Address: (btl7 (zct.Sf- /1 dCtcr-S Si g- f St,i.i t-e Ill ��L tScc1�Jtkl t.. 4-L 322(31
Telephone No.: (i:�'-1 - 231(4- 1 �Q Fax No: (1 ^31cf, 3�f`g-t 2-
Surety
Surety(ifany) -
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of anyimprovements
person making a loan for the construction of the
Name:Iv/ ' �r-�+�+ COPY
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: N 1A.
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(2Xb),Florid Statues. (Fill in at Owner's option)
Name: ^1JA
Address:
Telephone No: Fax No:
4 Expiration date of Notice of Commencement(the expiration date is one(b)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2016189940 O Signed: C 51 Date:
Dumber Pages: R BK 17675 Page 1321, Before me this l L day'of AlMjt�l,Il in the County of Duval,State
�
'ecord
08/17/2016 at 10:23 q� Of Florida has personally appeared �dwG vd �. Li�YtL �
onnie Fussell CLERK CIRCUIT CO Notary Public at Large.State of Florida,County of Dual.
OUN7y URT DUVAL My commission expires: I c( I W
ECORDING$10.00 Personally Known: 491.P,0ve4, JEMiIFERWWI*
Produced Identification: ;Z()- LS-a) -231, >;,,,'I*CMY COWAISSIONTFF 158293
u 1l EXPIRES:September 9,2018
P'"/r, Bonded lbw Betel Notary Serirxt