145 8th St alteration 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-2723
Job Type: RESIDENTIAL ALTERATION
Description: removal of interior plaster& replacement with new interior
drywall & insulation as required
Estimated Value: $10,000.00
Issue Date: 1218/2016
Expiration Date: 6/6/2017
PROPERTY ADDRESS:
Address: 145 8TH ST
RE Number: 170323-0000
PROPERTY OWNER:
Name: Sellers, Jeffrey B
Address: 145 8Th ST
GENERAL CONTRACTOR INFORMATION:
Name: Construction Solutions, Inc.
Jason Douglass Hambrecht, CGC1517261
Address: 961687 Gateway BLVD
Phone:
PERMIT INFORMATION:
FE—E S:
PLAN CHECK FEES $50.00
BUILDING PERMIT FEE $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $154.00
PERNUT IS APPRONED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND WE nORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
800 Seminole Road , ft
Atlantic Beach,Florida 32233-5445 110
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date muted L�11 I bbuo
City web-site: hhplAvww.coah.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S+ 4=Dspad;ment review re uIred 7YesNo
Bwld�mg
Plan rig 0
Applicant: lann n"Oning
P I g
Tree Administrator
Project: Public Work,
Public Utilities
Public Safety
7Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Veffid By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [gApproved. E]Demed.
(Circle one.)
Comments
PLANNING &ZONING Reviewed by: Date: 0 7'/6
TREEADMIN. Second Review: EJApproved as revised. E]De((ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: E]Approved as revjsed. E]Denied.
Comments:
Reviewed by: Date
Revised 0511WO9
BUILDING PERmrr APPLICATION
Crry OF ATLANTIC BEACH
F COPY
800 Seminoe Road,Atlantic Beash Fl,32233
Office:(904)247-5826 - Fax(904)247-5845
job Address:_145 811, 6+yee,+ . A41AK4,L PAPArL EL, Uz;5 Permit Number:
Legal Description LOT f CAV13 AtAsjot.� swic, Z5 mfirtn puv4t. RE#
Valuation of Work(Replacement Cost)$ .0000 Ileated/Castied SIT Non-Ileated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair c P-1 Wind.mv/D..,
M!0
• Use of existing/proposed struclure(s)(Circle one): Commere ,,dmntil
o"
• It On existing structure, is a fire sprinkler system installecr?(Circle 'Yes No N;A
• Submit a Troc Removal Permit Application if my trees am to be removed or Affidavit oK��
Describe In cletaff the type of work to be performed: fe�ovA� or /N7E0coi? PLotsre-e s,
PC P�4'C M'�-r �/ V & L xe-a 'A
Florida Product Approval t! _ , 1__for,n.hij,kp pps�..l rorn,
Property Owner Information
Name: TFEExasy Set-i-ers Address; 1+5 0'�i, S+r e c.4
City ATLAAJnG BEIKIf State F�Zip]�2,�Z5 one �71 - 5��3 ��
E-Mail �e,:,,
Owner or Age
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT S TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor information:
NameofCompany:._C0A)5TILqCTlnj 50i,itTlosi QualifyingAgent: U-ftsoiv ifAmpoes:14t-
Address: 7"p, 9!!�ah)A V FLkoh' 4'Y�' 4p"!§ City "N S�ateZip
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ArCrueCl Name& rMM9 OFF,Ce OF AiLCIf JTVLW9C it
Engineer's Name& Phone A rN�m,cTi,� j
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State County of —DU Tax Folio No.
To Who,It May Conrad:
The undemagued bereby"buicarms you that improvements will be union to certain real property,
the Florida Statub,,,the following information I.,stated in""a NOTICE OF COMMENcEMENand in accordance with Section 713 of
Legal Description ofproperty being impurved: 1_0T o
CL-1,49 MAN
Addim.of properly being improved:
General description of impm,,,,its: ;3
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Owner's interest in site'of the imperovernart: -tZl L�
Owner Address: �,f
Fee Simple'ridelmide,(if other than owner):
Name:
Contractor: -n a;AJ
'kaldress: 81 6*17WAV
Telephone No.: F.No:
Surety(if MY)
Addease.
Telephone No: Fax No: Amount of Bond S
Name and address Of layperson making a loan for the comooction of
Name: the improvements
Addreser Dm#2016279678,OR BK 17802 Page 2216,
Number Pagae�1
Recorded 1�0812016 at 08 51 AM.
Phone No: FU No. Room*Fu,,,dI CLERK CIRC UIT COURT DUVAL
N�OfPersomt within the State of Florida other than COUNTY
served: Name: himself,designated by 0, RECORDING$10.00
Address:
Telephone No:
Fax No:
IQ addition an himself, owner designates the jodlo ,
713.06(2)(b),Florida Stalum. (Fill in at Owe",3 OPtWj"m)g person to abo"ve a copy of the Lial,017's Notice aux provided in section
Address:
Telephone No: Four No.
sEpxePcijfjetidm): date of Notice of (the Capirstior,date a one(1)your from the date Of ,auding unless a difficread date is
TEMS SPACE FOR RECORDER'S USE ONLY OWNER
Signed.
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JANE MARIE MALCOLM OFF
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