1580 Beach Ave renovation permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NE]Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2402
Job Type: RESIDENTIAL ALTERATION
Description: Bed/bath/kitchen reno. New laundry room & guest bath.
Reno 2 baths. Replace siding. Demo balcony & put back w/new struc. members &
comp decking.
Estimated Value: $165,000.00
Issue Date: 11/1/2016
Expiration Date: 4/30/2017
PROPERTY ADDRESS:
Address: 1580 BEACH AVE
RE Number: 171875-0000
PROPERTYOWNER:
Name: March, Diane
Address: 1580 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: HORN BUILDERS INC
Charles It. Horn, CGCOSS802
Address: 12 HOPSON RD CHARLES R HORN
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $675.00
PLAN CHECK FEES $337.50
STATE DBPR SURCHARGE $10.13
STATE DCA SURCHARGE $10.13
Total Payments: $1,032.76
PERAHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed: L04_k
City web-site: http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: is e3c) &-arb R\t\,- ent review required Yes No
�Mlda�,,
Applicant: 4�0M Fk� el-S,Inc. 'PhnntW&Zoning
Tree Administrator
Project: --c—L , -(Ze Public Works
F-fu ce 5 Public Utilities
Public Safety
_061tr1c,"J 60!) Fire Services
Other Agency Review or Permit Required Review I Date
nrl
Of Pe By
Flonda Dept.of Environmental Protection
Flonda Dept.of Transportation
_i3tAothns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: B/Approved. ElDenied.
(Circle one.) Commente/W. A6et'4 r f'-C 1.3 Pe r ry�
I OUr
(IEU:_IL:DI�ING� cpf- Prcip/� appy-ovar-por-ry'r COIC-of Aes ).
PLANNING &ZONING Reviewed by: /M Date: /0-31-16
TREEADMIN. Second Review: DApproved as revised. E]Dvenied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: CApproved as revised, DDenied.
Comments:
Reviewed by: —Date:—
Revised 06114109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Senrinole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845
Job Address: /5-90 BeA� Ave Permit Nurnber.
Legal Description 10-11 I&-zS__1q;; n&LjALtLarjobLt43'gE# pjA4S'_ 00W
Valuation of Work(Replacement Cost)$j4S�"&H.2ted/CooIed SIT—No,-Hntd/C"Id
• Class of Work(Circle one): New Addition Alteration Repair Move Dens, Pool Window/Dwr
• Use of existing/proposed stracture(s)(Circle one): Commercial csidenti
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 0 N/A
• Submit a Tree Rernoval Permit Application if my trees are to be removed or Affidavit of No Tree Removal
Describe in detail die type of work to be onned: MA'3%z SED)ZATIA - Y-%"�
LAUmQe,f =6�A. i 'TFaATA ZL�& Z TbA1)Aa,. eX.0uF_ memi. �ej�-
r,*41. %4L4a'W - Pur %ACV— Wq -EL-0 zTeue. Hpibev� -4 C4-ip- De4xj,4-
Florida Product Approval# r mulfiplc products on product approval fiarra
Property Owner Information
Name:-DIA-F. VIARL" Address: (o CeAo4't%,�, _PL
city State04Zi AS&j& Phone
E-Mail FMAttj4eabF, - pjg:!: p
OwnerorAgem (wAgtP.�.fAu.,mAs.,isac,Rai
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
P ECORDING YOUR NOTId-E OF COMMENCEMENT.
Contractor Information:
Name of Company: '--Qualifying Agent: Cag—Lf-
Address:1111S 13 1,.o WLy %* .'
7 _CitylA�ILLL State Zip 4i-, 322Y-G—
Office Phone qo4-.p4a-Qeoo Job Site/Contact Number
State Certification/Registration# C(2C��_ jjo;t E-Mail 5E.M E! ko?_�F�uiu:e?b-Co�i
Architect Name&Phone#
Enginecr's Name&Phone# Lou %vpncc�
Worker's Compensation
obc main a'are'
32 nce
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period
Is'
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Sigrantin'of Prop
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Notary Pub PATWFJM
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EXPIFIES:SOPUdair 15,2017 M kititsSIONIFFM75
I hereby cercif&y�rhwl h re�dand�a is akPP=ronft"Vow the same to be true and correct. All a
ordinances goverm. 4 E"WIR'ES Siptenbur 15,2017
W'T th.typa go W 'rm4a'**ftri�a;
, a
rity t k will be complied with whether spected herein or not. 7he growing a W ermir oes not
Pr�oammea'o,give out a t a a ollatworr cancel theprovisions ofany otherfe eral, state, or local law regulaung construction or the
P, n �ofconsasic i n.
Rev.3/14/16
Doc # 20.16245429, OR BK 17754 Page 399, Number Pages: 1. Recorded 10/25/2016
at 04:24 PM, Ronnie Fussell CLEM CIRCUIT COURT DUVAL COUNTy RECORDING $10.00
Per m 1 7� 6c` -16 —gAge- .
NOTICE OF COM%IENCFMENT FILE COPY
Statai of `FL Cmty.f 't)bV4L TaxFolioND. /718-7,T-W640
ToWhorultblayC,,,,,
"cunden"Sund hereby W013113 You that iMplovearcent,Mll be made to certain,, pro O'd
the Florida Stattres,am fallowing inibultithat is stated is this NCrncE Up c Q Party,and in ac, are,uiti,Sorgoe,713 of
ONMENCE&fENT
Lc9slDwQupfiOA of properly being unproved, 10-11 'y
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Address of property being improved:_Zad ft4M I&E , 4-r
Generaldescriptionofimim,mmts: "-f _kg4_�71r= -
�0
Address.-
Owner's interaw,in site of the iminasmant:
Fee Simple 7itleholder(if other then ovw);
Name:
Addrm: M
Iff 'Cri J&B61, J� Wi-y *-7, ISACftat&ALL�F
TelphoricNo.: qW-,Pqa-,?&60 FzxNo:
Surety(if MY)
Address: Amount ol'Bond$
Telephone No: FaxNo:
Name and address Of any pence making a Iow,fbr the construction of the improvements
Name:
Address-
Phone No: Fas No:
Name Of person within the State of Florida,Other than himseK designated by oivner upon where notices or other docarmarts my be
served: Nam: 44
Address:
Telephone No: Fax:No:
In addition to himselt ov,nor desillasse; the fiellowing parsan to receive a copy of the Lience's Notice as provided in Section
713.06(2)(b),Florida Statuns. (Fill in at Ownces option)
Name:
Address;
TelephomNo:. Fax No;
Expiration dato of Notice of Cmucamears,(the
specified): "Pinsfim time is One(1)Yew fiam,the dae,of recording unless a different data is
TMS SPACE FOR RECORD)MIS USE ONLy 0
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EXPIRMSpinber15,2017
MAP SHOWING BOUNDARY SURVEY OF
LOT 10, BLOCK 63, AS SHOWN ON MAP OF
MANDALAY - REPLAT OF BLOCKS
449, 50, 53, 54, 59, 60, 63 AND 64, ATLANTIC BEACH
I
[AS RECORDED IN PLAT BOOK 10, PAGE 11, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. F7,A
CERTIFIED TO: DIANE & PERRIN MARCH; BRYAN C. GOODE III, P.A.;
SCALE: 1"=30' OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
DATE: 07/23/16
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OFFICE COPY
March Residence
1580 Beach Ave
Atlantic Beach, FL 32233
Occupancy Clas
. SinglefamilyR3
Applicable Code
Existing Building 511 Edition
INIGF:OCT 2 5
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