460 Sailfish Dr alteration permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
46i69
RESIDENTIAL ALVOTHER
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2739
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR DEMO AND REMODEL
Estimated Value: $15,000.00
Issue Date: 12/14/2016
Expiration Date: 6/12/2017
PROPERTY ADDRESS:
Address: 460 SAILFISH DR
RE Number: 171400-0000
PROPERTYOWNER:
Name: BCS ACQUISITIONS GROUP LLC
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ANDESCOINC
,CGC1505860
Addms: 7484 Scarlet Ibis LN
Phone: 904-629-8583
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $62.50
BUILDING PERMIT FEE $125.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $191.50
PERMIT IS APPROWD ONLY 0 ACCORDANCE WITH ALL CrrY OF A7rLANTIC BEACH ORDINANCES ANI) ME FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-SB26 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
City welosite: hthp:/Jw�wcoalous
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1,:) L--_> DeLartment review required Y No
_�'Buikln!5
Applicant: to _PMA"i ;&Zoning
Tree Administrator
Project:
Public Works
Public Utilities
Public Safety
Fire Services
RevjgllIliil�;Igiiilli�. Dept Signatu 6
Other Agency Review or Permit Required Review P'
of Pe mit= By Date
Florida Dept.of Environmental Protection
F borida Dept.of Transportation
St.Johns River Water Management Distnat
y Corps of Engineers
Division of Hotels and Restaurants
Dmision of�Alwholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: D 41oved. ElDenied.
(Circle one.) Comments:
PLAILDING
N�&ZONINC Reviewed by: Date:JC2 I
TREEADMIN. Second Review: ElApproved as revised. E]Deni,d. V
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date*
FIRE SERVICES Third Review: ElApproved as nsvised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 06114109
BUILDING PERmrr APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5945 -RAAR- _Z73j
Job Address: HO i� Permit Number.
Legal Description ��ot 6 %0-25-2-qU �POF TTOF L�a`psrcel#
kloor AM 01 N.Pt. Sq.Ft
Valuation of Work S ProposedWork heated/cooled 091M non-hented/cooled Z-66
OC2
Class of Work(circle one): I New Addition Alt o Kepair Move Demolition pool/spa window/door
Use of existing/pr stracture(a)(drele one): Commercial i zz
If an existing stn=reWis a fire sprmider system insto ed? (Circle one)6 icsNo N/A
Florida Product proval 4
For multiple paucts use product approval form
Describe in detail the type of work to be performed: V—�Pl c-ce- L�44/s" 1dSLz7r-
Pmpertv Owner Infonnatioll;
fNazne:2)C� 4Cqjj/ s;)-1#� Address-
city 1q7z,7-�JV) & 0('- J��PbDne !�!14P � 1-4 - 5-00 :1
E-Mail or Fax 4(Optional)
Contractor Information;
CompanyName: AA&SCO Qualif3dngAgent: t-kP-CO A-
Address: t A city
Office Phone !3Cq Q-q 05 153 Job Site/Contact Number Fax#
State Certification/Registration 4 cx�r_ 1,505860
Architect Name&Phone#
Engincer's Name&Phone 4
Fee Simple Tide Holder Nam and Address —
Bonding Company Name and Address
Mortgage Leader Name and Address
Applioanon is hereby made to obtain aperodt to do the work and inesailations as intlicated lcer*that no work or installation has conemmedprior to the
issuame fapemft and that all work will bepeyortned to met the standards ofall laws regulart - ri A
and void wbrk a not comnenced within six(6)movahs, or ffcom�tion or mk a s diction. Tispermilbecomsnull
work a costntenced I understand that separate,permets asses be sectiredJor ��wndqd or abandonadjbr aWeriod ofstro)months a any am after
Tmksa,,dAhrCond&1a�m mark PhonNns Mgns� 'dls�Pools, ffl�Bolie�s Reaters
WARNING TO OWNER: YOUR FAILURE TO RECORD A N017ICE OF I
COW*IENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR WIPROVEAMNTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING M!NOTICE OF
COAMENCEMEENT.
IhMoerrothealh.madandesan, , this hafinadknowthesa.tobs,,,wadcorrear. Allprovisions of laws and oniinanp,s li�rnieg this
oo a 'work will be com in or not The grastang of a pertnit ohes=C�I thorhy to wolats a,.1 the
phad with whe
proelsions of any atherje&fkral,state,or of construation or the perfomance ofcons
Ined arol
the wllwd-4ew
$Signatureof- -. - ?;7 Signature of Contractor
PrintName ed9,A1seX< Print Name Aazc-�
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Doc#2016276509.OR BK 17798 Page 903,
NMPer Pages I
Recorded 12(05/2016 at 12:17 PM,
NOTTICE OF COMMET Ronnie Fussel CLERK CIRCUIT COURT DUVAL
COUNTY
Stateof—Anadv, County of RECORDING$10 6FFICE COPY
To Whom It May Concern:
The undmigned hereby informs You that improvements will be made to certain real p P, d a 0 c
the Florida Statutes,the following injeorntion I,stated in this NOTIC to ItY,an in cc rdan o wit],Section 713 of
1,egal DeIuription ofpmperty being finprovad: �f)F CONMfBNCENMNT
�-57 'k IP 04� Ft OP eDyAl
-P'3(y"�S UII�T- j3 IK- W
Addreas ofproperty being improved: ZJ6 (2 SC,�( bg,�e 4�7- jS'rj0'jZC' p
tf '"'M Z
General description offiriprovements:
Own":
�OfS '4 1(e-- dbAddre= S
OWENT'sinfinestins oftheimpruvram:
Fee Simple Titleholder(ifother than ownff)�
Name:
Contractor:
Address: Btj _5CAaje�r ;KS5�14-zr-
Telephone No.: 2 Oq &29 Fwc No:
Surcty(ifamy)
Address:
Telephone No: Fax No:
Name and address Ofmy person making a loan fer the construction ofthe improvements
Name:
Address:
Phone No: F.No:
Name ofperson within the State of Florida,other than himsell;designated by owner Upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to Wimselt owner designates the following person to receive a copy of the LimOr's Notice N provided in Section
713.06(2)(b),Florida Statues. (Fill in at Ogmer's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Counmenceinent(the expiration date is cue(1)Year from the date of recording mll,, t
specified): diflervat dat is
SPACE FOR RECO"ERIS USE ONLY OWNER
Sii ad- D
B r . ethJs2PJWA day in c Couffty offluvI,4 suss,
Of haspersanallypp
Personally
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