470 Orchid St alteration permit CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
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-2069
Job Type: RESIDENTIAL ALTERATION
Deswc:riptlon: INSTALL HARDIE PLANK OVER EXISTING T1-11 SIDING
Estimated Value: $11,000.00
Issue Date: 9/23/2016
Expiration Date: 3/22/2017
PROPERTY ADDRESS:
Address: 470 ORCHID ST
RE Number: 170869-0020
PROPERTYOWNER:
Name: RODRIGUEZ, ANNIE & EDUARDO J,
Address: 470 ORCHID ST
GENERAL CONTRACTOR INFORMATION:
Name: MARTIN HOME EXTERIORS
Kenneth Brian Martin,CRC057030
Address: 5749 HAVEN RD QA KENNETH BRIAN MARTIN
Phonw�
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $52.50
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $161.50
PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ray of Atlantic Reach - -APPLICATION NUMBER- -
Building Department (To be assigned by the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 (0 -RAAP, -�:C)(�'9
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coalb us Daterouted:
Citywelb-site http//�ccalhus
APPLICATION REVIEW AND TRACKING FORM
Property Address: 470 ORc-, ul r) Q t review required Yes,�No
M,11,1Z�TJ [jfo(yti�
Cj ,-Building
or
Applicant: V
_JeIC2 _5� Planning&Zoning
Thee Administrator
Project: PublicWorks
Public Utiliti as
Public Safety
Fire Sewices
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Recall'
of Permit Verified By Date
Florida Dept.of Environmental Protection
Flonda Dept.of Transportation
-St.Johns Rver Water Managennent District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: P4-proved. DDenied.
(Circle one.) Comments:
ED
PLANNING&ZONING Revievied by:
TREEADMIN. Second Review: ElApproved as revised. OlDemed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Revievved by: Date:
FIRESERVICES Third Review: ElApproved as revised. DDemed.
Comments:
Revievved by: Date:
Revis.d 07JU/10
BUILDING PERMIT APPLICATION
OFFICE COPY CITY OF ATLANTIC BEACH
800 Serninstic Road,Atlantic Reach,FL 32233
Office(904)247-5826 1.(904)2417�5845 16' —P\PsAP'—z0C09
Job Address: -7 0 (9 ac L, I Permit Number:
Legal Description IV-��l t 7-2S —25 f , I oo Parcel# ' -'L' uozo
Flinarr ixiva or Sq.R 7q- "
Valuation ofWork$__U �)o roposed Work hicated/cooled ..�hewtcd!ld
_t� —
Cl.as.fWmk(cir,l,me) New Addition Attention <Zziwip M.,c Desoolitirm P.01/spa Md,A/d.,
11.ofie.bli,ppmrsed structure(s)�,ircle one) Commercial (IMMEaa>
ffam existing stem,ure,is afire sprin ler system installed?(Cirele one) -Tcs No
Florida Product proval is
F............c p&.cts use p6-
D-�,,FFFm derail the type ofwork to be performed- T^ 1, IT 0�e -it
Promorty(yoner Information,
Name 4�� kjAtL4 ,, ROJ Q 1 Q U adhass 470 0 /7c- a
0tvil-tia�A I, �sia2a`�� StracOL41P-11-Unore �q 7
Contractor Information:
CMmpanyNMMcjMA,-j� - U,, e Qualifyi.gAgcm kle
Addre.: tZ!jN HA�, Re COY ;jAcir,J�,nVe Suite 4c- Zip TOZ /1
offire Phone Cr!;�l N so Fas#—
State bure 7 _ , .
Cc softg.......in
Architect Name&Phone N
Engineer's Name&Phone 0
'ce Simple Title Holder Name and Addrcss AA trZ, n P-'4
Flooding Conaparry Name and Address
Mortgage Lender Name and Address
..........d........the
1--1.1-11 he red.... 'Zp e
dW gO'�i. OsMis ficenor
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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 FINANCINGfONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOTICE OF
COMMENCEMENT.
pr'-0anyorserjea,mr, J�dawre
�s
Signaturcol'ouenct Signatrue ofConstrar(or
M.tN.c Prin(Narric Ke ,% MA�1 —
Sworn to d h h d h fi Severn or and subscribed before me
this I 'k E., of 20 it this v C, 20 46
LkAork— 6 VEZ
Lt
EDWARD L.RHODES Notary Public
"o"'y public-Shile Of Florida EDWARD LjRK
�01
Com Isshin 4 FF 034' 4 Public_ a,':FlIoNda
My COMM. Expires Al 9 2017 SA Nocary
Is
Banned T Main sent. .-F MYCirmumExpossi.19.2017
COMMi"JORIFF03180,
i Hour Aim os
"4- Sordlow Mouth gon,Wary Asur
KM
NOTICE OF COMMENCEMENT OFFICE COPY
AAW— (PFEP7 IN DUPMATE)
Permit No 16 Tax Folio No �,I��46 ty -L
State of IL County of
To whom It may concern:
The andersigaread hereby informs you that Improvements will W made to certain real property,and in
acoordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
I-egal d7lf,�.,'lipr beg,17yed:
'. �
?- 13L"� I
Address of phaperty being Improved. �j -71? Or, 4 d S+ AJ6,i: 1 AIN,
-3 2, '2 -4 '31
Generalceschiptionctimprovernernis siding, windows orscreen room
Owner VA� �,, .17;
6r kl�X��
Address It 7 0 3 ZZ33
Owner a interest in M of the improvement
Fee Simple Titlerolds,W omer than owner)
Nam
Addres.
Consul Martin Home Exteriors Inc
Address 5749 Haven Road,Jacksonville,I'L 32216
phone No.904 737 50W Fax No 904 594 30�
Surety(ffany)
Address Annount of bond
Phone No. Fox No,
Name and address of any Person making a loan for the construction of that improvements.
Name
Address
Phone No. Fax No
Nam of peri within Me Staft of Florida,other than humi designated by owner upon whom notices or other
documents may be served
Nam.
or
Address
Phone No. Fsk No,
rr
In adifirtion to himself.owner designates the following person W receive a copy of the Jencirs Notice as Provided in
Section 713.06(21(b).Flosids Statutes.(Fill in at Owner a option).
Nam
Address
Phone No. Fax No, Ai
Expiration date of Notice of Commusicament(Me expiration date is we(1)year from this date of recording unless a :a
different date is spedfired):
THIS SPACE FOR RECORDERS USE ONLY
zz*
Rmdi V' krm Anly-W�l
OW ra 2016212624,OR BK 177M Page 11 sty
Numi pages 1 a�wd..
R Recurde"09/14rX16at 11:10AM,
.me Foil CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10 00
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Passed� 5�