1755 Beach Ave alteration permit CITY OF ATLANTIC REACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALTIOTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-RAAR-2136
Job Type: RESI DENTIAL ALTERATION
Description: interior renovation, window replacement, repair/replace
wood rot
Estimated Value: $220,000.00
Issue Date: 9/27/2016
Expiration Date: 3/26/2017
PROPERTY ADDRESS:
Address: 1755 BEACH AVE
RE Number: 169672-0000
PROPERTY OWNER:
Name: Swanson, Jeffrey D
AcidnH;s: 1755 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
,CBC1250212
Address: 2158MAYPORTRD CIA TODD ALBERT BOSCO
Phone; - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $840.00
STATE DCA SURCHARGE $12.60
PLAN CHECK FEES $420.00
STATE DBPR SURCHARGE $12.60
Total Payments: $1,285.20
PERAIFF IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES A" THE FLORIDA
BUILDING CODES.
Cilty�J[AtlanfiaBeach - APPLICATtON NUMBER
Building Department
800 Seminole Road (To be assigned by the Bulding Departm]ent.))
Atlantic Beach, Florida 32233-5445
Phone(904)247.5a26 Fax(904)247-5845
E-mail: building-dept@coeb.us Date routed V0
Citywelb-site, httip://�coabus
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1,TS-E et" A\)k - Delartment review required Yes Ao
Callidang-J —::v—
Applicant: ttA41OLabir-3 Planning&Zoning
Tree Administrator
Project: t Iftit-4 IN JL,0()dtJ 1kS.14L-�a JQVdj*J P.blicWaks
I Public Lifilifles,
fQ&-V1fLfLf(Lf_ VOO& Public Serially
_F�lre Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection of Permit Verified By
Florida Dept.of Transportation
St Johns River Water Management District
Amy Caps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: D[Appmed. E]Denled.
(Circle one.) Comments:
� BUILDI
PLAIN�8,ZOI, ING Reviewed by: lfqnk!:� Date:
TREEADMIN. Second Ravi": DApproved as revised. E]De Lf
med.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRESERVICES Third Review: ElApproved as revised. DDenied.
Comments;
Reviewed by: Date:-
Revised 071VII0
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5945
JobAddress: 175513eachAve Perrinit Number: I U_?-;k)kV-- D Ca6
Legal Description 15-10 09-2S-29E N ATLANTIC BEACH UNIT NO 1 parcel# LOT 32
1-1 rAmot sq.Pt. Sq.Ft
Valuation of Work S ,2) 0, OOOPmmposed Work heated/cooled non-heated/cooled—
epair Move Demolition pool/spa
Class of Work(circle one): New Addition Iteration (ED
Use of existing/pro used structure(s) circle one): Commercial EM-de-nfi-all
If an existing strucrIure,is a fire spriler system installed?(Circle one):s-feT--"o MIA
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Interior renovation,windoeb,replacement, and repair/replace wood rot
Proverty Owner Information:
Name: Jeffery D. Swanson —Address: 1755 Beach Ave
City Atlantic Beach State FLZip_12233 Phone
E-Mail or Fax 4(Optional)
Contractor Information:
Company Name: Bosco Building Contractors, Inc. Qualifying Agent: Todd A. Bosco
Addimss: 21SOMayportRd Ci Jacksonville State- FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 1-0328
State Certification/Registration# CBC 1250212 11 tl —
Architect Name&Phone# IIUJI I
Engineer's Name&Phone# i
Fee Simple Title Holder Name and Address SFP � 1 11 111
Bonding Company Name and Address
Mortgage Lender Name and Address
Applifeatim"is hereby made to obtain operant to do the work and installations as indicated. Ic to k a,bqlz�zq�i -in armthe
e ,I .
,�.�Mmhn % elin his i mis
issuance,ofspermit and that all work will be XZ-rowd to meet the standards atoll laws regulaing emis me ion IF a"null
'work is a i months,or ticonstruction or work is grWedor abosdonedfor ad othims
a eig stmiioss�. o�tipm;ger
,inseamcial. lunderswndfttnparatepemiumwtbe�umdforEle�i Work,Plumbing,Signs, =�� R tes,
work is d Pa.&,
Tanks andAir Conditioners,de,
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 Y6M NOTICE OF
COMMENCEMENT.
lhere7certodealhava reesdandsoommedthi, Allpreeishms �fkrwsand rd ices,avembethis
'work will be win rjrd lobster or
plied with led herein a,.1. the growing or.permit does net post'1.groe thr% asneel the
,o.vwkmw,ra,i,mhe,fed.mal,some,or Wed 1.reglatsig construction or the pei�mmmws ofoonsweeivis.
_7) 0Pz 7
Signal=of Owner Signature of Cat5
Print Name
jif Jeffery D.SWanson Print Name Todd A. Botem
................................................................................ ..........................................................................................
Swom to and subs=bed SwopLto and subscribed before rpe
this C Day of .20 L, this W Day of Q� .201L
Nottuyf�Wh. NOTARY PUBLIC Revised 01.26.10
STATE OF FLORKIA TATE 0
Commil FFNU26 Course FP98M26
T. , Expires 31IM20 Explings 311,11M
Dc� # 2016207364, OR RK 17700 Paa 2446, �ax Pagcs: 1,
09/08/2016 at 09:02 M, Rocceis, Fussell CUM CIRC(JIT COURT D� CO�
RE�MG $10.00
OFFICE COPY
NOTICE OF COMMENCEMENT
peenglN.-16—MAR cpiK, Tsx Folio No,
Seen offlorida County ofDaval
THE UNDERSIGNED hereby give notice dut the miprovement will be mede to,certain real property in mverdsonv with
Cleapter 713,Florida Sistates,the following infiecestion is prorvided in this Notice ofCommoseemacer.
I- D=dPti---fPMN*(I-Sel dessiption,ofleoperly end addeves ifareflable):
JM Bely;b Aw—62joli BessQh FL 32233 15.10 DEZP�29E N ATLANTIC BEACH LlNrT NO I LOT 32
2. General Description
Removalm.of existing struchum,arld mPlagng Vvinggo ancl down.
3. Ownerimmenation;
a)Notes,Seed Address:Jeflary D.Sagmen.1755 Basset Awn,Afingge,BgmI%R
b)lesseenot I.Property lame-0
)Name and add. fsi.pl.thleltsold.,(irclew then ommsme�
4. Contractor Information:
a)Nmer,end Address,BMW Building CordreC100s,Irg.2158 Mayport Rd,Jaclueorrvide,Fl.32233
b)Phone Number:.(90q2WU329--
5. Seedy 1.5orsetion:
.)N.and Addems:
b)M.Number
.)A.MofB.Z--$-
6. Leader Information:
v)Nars,end Addr,
b)Phers,Nurnber,.
7. Person wilidn des Stake ofFlorlda dentSuded by morcur upon whom notices;or odeer doccussents nory be served as
provided by 713.13(1)(a)7,Florida Suggest
a)Name and Address;
b)PM..N.b..f
8. In addifics.as himoulftervelf,0.denips,, Of torcemrs.
copy cl�flvc Linesmen Notice at provided in Section 713.13(1)(b),Florkht S�--
.)Necon,and Addreene
b)Flamm Nuenlecer ofpceren or entity designated by
9. Expireflos dee,of'Nodem ofCommencennest(fits expiration dam anty ong be befin,the compleding ofoommeeflont
and End P115mment to the ventgnins',bg.01 be.(1)ym ft.dee" fl.0,T.9..Is n difft door is
specified:
N WAMING TO OWNEE-' � PAYMENTS MADE By THE OWNER AFTER THIS EXPIRATION OF THE
OT[CS OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART L
SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN yOUR pAyING TWKM FOR
IMPROVEMENTS TO YOUR PROPERIT. A NOTICE OF COMMENCEMENT MUST HE RECORDED AND
POSTED ON THE JOB SITS BEFORE TIM FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCWG�
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING woRK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty efpcjury,I dedge,dont I have;rand the foregoing nolion ofcogM,,,,,c,and de,the fica,sW,d
geemin me,true to the beg of my knowledge and bcHeE
A/y
k"-t I'AmediN.&TIflai0filess
Tle,ftWbg instrument wes acknowledged befism reethis Q dayof �`ggj2kj=r 201g,
b
Y6
As%,vsgsAv
41"'llit WWArscbe�,JM N u i NAK WYP ftub lul ZC,&S T FAM E�OF F L 0 R 0 A
PricaNnes: D-;,� A .
Personally roman
IdealffkatiouT*m
Revised 3/15/12