1301 Gladiola St alteration permit 4 ?$L.LyfjrI
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
U 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-2061
Job Type: RESIDENTIAL ALTERATION
Description: NEW HARDIE PANEL SIDING - 2ND STORY
Estimated Value: $4,950.00
Issue Date: 9/23/2016
Expiration Date: 3/22/2017
PROPERTY ADDRESS:
Address: 1301 GLADIOLA ST
RE Number: 171032-0000
PROPERTY OWNER:
Name: CHEEK, EMILY
Address: 1301 GLADIOLA ST
GENERAL CONTRACTOR INFORMATION:
Name: E & R ENTERPRISES OF NORTH FL
,CGC1504158
Address: 2628 WEST END ST QA EDWIN CHARLES PUTTBACH
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $37.38
BUILDING PERMIT FEE $74.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $116.13
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CIN OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
600Seminole Road I
Atlantic each, 325
Phone(904)247-5826Fax(904)
247-5845
E-mail: building-dept@coab.us Date routed: I
City web-site'. hmp:l/www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: IWI GLAbiOL-A Y Department review required Yes,-No
Applicant: £ FirJ7 &Zoning
Tree Administrator
Project: ��� (a21�1c SI�jIJ Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review orReceipt Date
of Permit Verified
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns Fiver Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
L.]
Reviewing Department First Review: Approved. [-]Denied.
(Circle one.) Comments:
UILDIN
PLANNING&ZONING Reviewed by: Dale: 9IS'�b
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
ILvb.d omnia
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: IS01 4&ft / lA S?
- Permit Number:
LegalDescripfion_/8- 36-QQ —a4E . 5) seco LOTParc8L.4 1'
Wif7/Oa2-OebO
Valuation of Work$ 57.ap oar Areao
Proposed Work bestet,d/cooled q t
/'''� non-heated/cooled
Class of Work(circ/prolUse of c�d�tie one): New ( Addition Alteration e� nalr Move®Demoliflon Pool/spa window/door
If an existi gstmefare Isafi enap�mkletrsystem'imtalCommercial
eod?(Ci cleeoo"ne): Yes "- No N/A
Florida Product Approval#
For multiple products use pro uct approve arm
Describe in detail the Type of work to be performed:_ hjjN Slb tFA(q 21la
kayo; n ?an 5t-I W/ 6 S�oal� otJty
e��1+ n S '�vios
Property Owner Information•
Name: EM'lysl ale Address: 01 lad (u V-
City�} state FLZip 3a%3) Phone LgQ!J) 2q'l --9'079
E-Mail or Fax#(Optional) r.lnmknr� t? (�oh+,au 1. cnrLi
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: E'4 g g —_l !N
Address: 2y -Ff Ij'Vfl ,s'I' ifyin Agent: ! ' PH` �-(r,
Office Phone Cny 47LA' tTrC ABC-H. State 2 Zip X2233
State Certification/Re stmtion# lob Site/Contact Number Ts ie?l.-SDS o,►
Bl CQ IS'041ri R ---�Farz# win6atl'�q Go ws
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 certify that no work or installation has commenced prior to the
issuance
aadvoid(work istnot commencework
Thin su(6)dmonih;pep standard oak ill s sus pee�ained gtoo�onetdfor a_hisiodofslon. Th npe at becomean ll
work is commenced. T understand that separate permits must be secured for Eleetdca/Work,Plumbing,slim, pis/le,Pools, Furnaces,Bot/ers,H ers,
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.
yVI herelJbyy certify that Ihave readand asaminedthu)ap¢plication andknow the same to be true andcorrect. Allprwisionsoflawsandord(namesgoverningthis
ov+s,O tarry o Fe fedehra sta a olocawhether!l.w regdu7 g�oru�huctioT she pe8r farmaifcaestruetiaa�oume toAgive authority to violate or cancel the
iignattve of owner S'.vH+f� ,�n a e)i Nom/.v- C
e Signature of Contractor !!//II«"rV
'Tint Name until c��.. --
.. .. .......... ........ Print Name EDWNN C
_......._ T.a-!A
lefore pp - ----
ns j ay of S �' b.rr (. Befori ppe
this M Day ro-f���
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`otary Publ c { ' �jNOtary Pu lic r i rn"""°
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Perm71 -#r l6 - 9f1Ae- .,?o6/
NOTICE OF COMMENCEMENT
State of El ara'1Ls County of y V V i0 Tax Folio No. 1'110
To Whom It May Concern: �✓2' 0000
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 COMMeNC
Legal Description ofproperty being improved: EMENT
+} �Q-�aS _aq � sl S1laG
i.oT 1 SLK 21 i k !B-3
2 it aHa.+#c Bch
Addressofpropertybeingimproved: 111a0JI GLAD roma S"r'
Azu Jr� >EtW FY az s
General description of improvements:
Owner:_eutu/ GNEEK Address: 13OI GLgploLa4 S� ,t.Ia � ry
Owner's interest in site of the improvement: 3-22
RaMiG r`'
Fee Simple Titleholder(if other than owner):. J aZ32
Name:
imctor. Ic PJ' D�f7S'fS Of Plof(d�
r
Address:-2k'43
'pT-----
Ewd 51, AflaAe, gcln. FL.. �2z33
Telcphoue No.: Fax No:
Surety(if any)
Address:
Amount of Bond$
Telephone No: Fax No:
Name and address of anyperson 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
served: Name:
Address:
Telephone No: Fax No:
In addition to himself owmer designates the following person to mceive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Smtues. (Fill in at Owner's option)
Name:
Address: -
Telephone No: Fax No:
Expiration dam of Notice of Commearzmem(the expiration date
specified): is ane(1)year from the data of recording unless a different date is
TMS SPACE FOR RECORDER'S USE ONLY OWNER
Doc Y 2016211]96,OR BK 17707 Page 934, Signed-
Nurater
Dete: 9 t je/(e
Before me this sc in the County ofIAval,Stara
Recorded Pages:13=16 at 02:23 PM, OfF7orida,hes pm alll appeam 1
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Personally Kea : ✓
COUNTY Produced Identification:
RECORDING$10.00 Notary Public: Yod{yapt6yygpnW j
Mywmmissionexpires: I iy( .r larlt
sMon FF 0a12BJ ,
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