701 Beach Ave #204 alteration permit '5'� �J'jp �
CITY OF ATLANTIC BEACH
800 SEMINOLE 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-2088
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR - FIRE DAMAGE REPAIR
Estimated Value: $82,446.00
Issue Date: 9/28/2016
Expiration Date: 3/27/2017
PROPERTY ADDRESS:
Address: 701 BEACH AVE 204
RE Number: 170237-0716
PROPERTYOWNER:
Name: VERMILLION TST,CHARLES & SALLY,
Address: 704 BEACH AVEAPT204 704BFACHAVE#204
GENERAL CONTRACTOR INFORMATION:
Name: HOWARD CONSTRUCTION (GC)
Donald Towery, CGC1512940
Address: 580 WELLS RD STE 3 QA DONALD TOWERY
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $204.89
BUILDING PERMIT FEE $409.78
STATE DCA SURCHARGE $6.15
STATE DBPR SURCHARGE $6.15
Total Payments: $626.97
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
IWILDMG CODES.
City of Atlantic Reach APPLICAT40N NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 tG-RP,,qR --jzoes
Phone(904)247-5826 Fax(904)247-5845
E-mail building-dept@coab us Date routed: =9
City web-site http f/www web us
APPLICATION REVIEW AND TRACKING FORM
Property Address-'_70LaIEAC4,( 1�� Department review required Yeryo No
Applicant: HOLuARID 0-06"ps-r- t�,I=19 8-Zoning
Tree Administrator
Project: IRE Z)FAir" Ael-45, RSP(3,12_ PublicWorks
Public Utilities
Public Safety
_r6JZ_A Og. op-D I Services
Review fee $ Dept Signature `
Other Agency Review or Permit Required Revrew or.Recep' Date
Of Pe It V "Bad By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns Pjverwater Management District
Amy Corps of Engineers
Division of Hotels and Reetaurards
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: MApproved. E]Denied.
(Circle one.) Comments:
EE�)
PLANNING&ZONING Reviewed by: P-,m Dister—U-0_V&__
TREEADMIN. Second Review: DApproved as revised. E]Denled.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviesived by: Date:
FIRESERVICES Third Review: E]Approved as revised. [-]Denied.
Comments:
Reviewed by: Date:
�lsed 07127110
BUILDING PERMIT APPLICATION
OFFICE COPY CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,Fl,32233
Offim(904)247-5826 Fn(904)247-5845 G -RA i)P,-
Job Address: 701 Beach AvO-204 —Permit Number:
L:gsJ,Desr,rT 2S-29ELE QHATEAU0FATLANTIC-EACH ON MIN�U DWELLINGUNIT204
P To, d Von:
- 237_A4 rj0r1,,nmm, Sq.Ft. Sq.Ft
Valuation of Work S 82A46.94 Proposed Work hested/couled-1701 noo-ke.ted/couled 1701
Clan of Work(earele one): New Addition Alteration Repair Move Demolition Notopa window/door
hatilimr.thina(s) it'lemin): Commercial Residential
theolexhifing/pre C � ,tim,,,,J?(CiTrNmm): Y. No N/A
Him.shm.g.j., reu.ittesprie era
proval#
Florida Product Atieft an
For multiple p pirow"-"
Deacribe in detail the type of work to be performed: FlRE DAMAGE REPAIRS
Property Owner hafteasalkint
Name: CH U FS&SALLy H VERMILLLQN_Addree. I B AVENLJE#2� -ntot
Zp__UID_Ph ..90,1-241
E-Mail or I'm#(OP110nal)—
Contractor Information:
Laminate Name: WARD CONSTRUCTION QuidityurigAgent: DONTOWERY
Addoahs: 58(1_3 WELL:SjZa"6njj�City ORANGE PARg gone FLORIDA Zip 32233
Offiroph.. qth,_�1_1112 Job Sitc/Cxamart Number MIKE GALAS A20L2L4_49&Fux# 9Q4-54l-ll03
Same Conification/Registraturs,# CGC1512840
Arendect Name&Phone#
Engineer's Nome,&Phone It
Fee Simple Title Holder Name and Address
Loading Company Name ad Address
Montego tender Name and Address
Applood mee to o&aim a�s to aho the wrk to,
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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 FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y614i NOTICE OF
COMMENCEMENT.
t doe e ho give oes"ri to Wohoo or.1'he
tork%di be,cor,11of Woh ehloh-'Cd.ahed"Ilm—or�t one"'od's o'a pe"i toot
or,theoeitb—ceof
SignatureofCst tor
'Food Me #��txwlb� Print N. ---------- --- --------
S and subser, before. sworn also bcdo r f 20
ay.f 6 t's? A 20 this 1FDay,of
otary Public may he Revised 0 1.26.10
.......... ALBERT MORENO
s Notary public.State of Florida
e MiCHAEL GALASKA
.2 C,,mission*FF239295 NoWy Public Stan.at Florl]ds
I My Comm.Expires J.n 9.2019 Commassion #IF 111253
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MICHAEL"LAIgA
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Commission Ff 18253
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My Comm Expires Sep 2.HIT
;CC.1.1M7'PC.'H1,k;-11 2 2
NOTICE OF COMMENCEMENT OFFICE COPY
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of F".�ida Countyof ]Xrval
To where It may concern:
no undersigned hereby imorms you that Improvements will beI made to carbon real property,and in
accordiance with Section 713 of the Florida Statut",the following Inficurneation Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of pnelperty,being improved:
DWELLING UNIT
Address ofpmperty being improved: 701B�CHA�NUE�MA�CB�CHM�IDA=
Gersual description of improvements:
Omer
Add. 701 BEACH AVENUE#2(xI ATLANTIC BEACH FLORIDA=3
Owners Interests,site offt Improvement �er
Fee Simple Tifleholder(it other than owner)
Name
Address
Contrador HOWARD CONSTRUCTION, LLC
Address 580-3 WELLS ROAD, ORANGE PARK, RL 32073
Phone No. 904-541-1112 —FaxNo. 904-541-1103
Surety(if any)
Address Amount of bond$
Phone No. F.No.
Name and address of any person maldng a loan for the winstruction of the improvements.
Nam
Address
Phone No. Fax No.
Nam of person within the State of Florida,other than himself designated by owner upon whom notims or other
clowments may be nrved:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following persom to receive a wN Of the Uenors Notica as provided In
Sedlon 713.0(2)(b),Florida Statutes,(Fill In at Owres's option).
Name
Address
Ph..No. Fax No.
Expirintion date of Notice of Commenoement(the expiration data Is one year from the date of mooncing unless a
different date is spedfied): ......
THIS SPACE FOR RECORDER'S USE ONLY
�.d: DAn a Lc
Dy-round!
Dec#2016212955,ORSK1708 Page2143,
Number Pages 1 q
Reoemed 091142016at 01:06 PM,
Forms Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$1000
P—I,y xn—