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331 7TH ST - BATH 77.....---- CITY OF ATLANTIC BEACH _ ..7, J 800 SEMINOLE ROAD -i-' ______1f) 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: 17-RAAR-3319 Job Type: RESIDENTIAL ALTERATION Description: add full bath to guest room Estimated Value: $16,055.00 Issue Date: 4/3/2017 Expiration Date: 9/30/2017 PROPERTY ADDRESS: Address: 331 7TH ST RE Number: 169922-0000 PROPERTY OWNER: Name: Davies, William Address: 331 7Th ST GENERAL CONTRACTOR INFORMATION: Name: BOSCO BUILDING CONTRACTORS , CBC1250212 Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $65.14 BUILDING PERMIT FEE $130.28 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $199.42 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Vii► . yf City of Atlantic Beach APPLICATION NUMBER els tikkA Building Department (To be assigned by the Building Department.) C•� 800 Seminole Road p /► p-�� C �r Atlantic Beach, Florida 32233-5445 4—A f —33 Phone(904)247-5826 • Fax(904)247-5845 04 l 4 3 I'1 .4"...011 91'1 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 ' Sf ment review required YrNo (� (� �` Buildinc Applicant: 1�17 SC,C1 �k(�(J, • 1ON (LC-Ali`S Planning &Zoning Tree Administrator Project: Cda Gl J\i-Q-SA t h b ir) Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING by: Date: d vg��' TREE ADMIN. Second Review: ❑Approved as revised. ❑Den PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ElDenied. Comments: Reviewed by: Date: Revised 05/14/09 OFFICE COPY NOTICE OF COMMENCEMENT State of Ai .W//7 Tax Folio No. �b 22aUDO County of ��/�L / / To Whom It May Concern: P raj 4/ ! 7" RA33 9 The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. ��`� Legal Description of property being improved: S b? / ' - ,25S olQ6 /97-zA rs ,L`�✓zx G ion"/2 46e q Address of property being improved: 3.3/ 7T/f ,fehei ,, General description of improvements: nga 15i9rt/ T 1�i9/ Owner: % L4 /i Address: 4313/ 7/7/ it Azidr g . v,35 Owner's interest in site of the improvement: / K Fee Simple Titleholder(if other than owner): Name: Contractor: 625C0 `x•(, r Address: �� / A,r ,O Z.)re ,C 7 3275, Telephone No.: 'O7 -03ob Fax No: 'OV �i ' - Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Doc#201 042680,OR BK 17887 Page 123, Recorded X22/2017 at 04:22 PM Name of person within the State of Florida, other than himself, designs Ronnie Fu sell CLERK CIRCUIT COURT DUVAL served: Name: COUNTY RECORDING$10.00 Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: . Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE .\ • Signe • -- ! -eQ Date: r, Dense A.Bras Before me this S day of in the County of Duval,State NOTARY PUBLIC Of Florida,has personally appeared VN)t t 1\a-w► a►J%es.Cyt -STATE OF FLORIDA Notary Public at Large,State of Florida,County of Duval. 14" -'' Come*FF906426 My commission expires: Expires 3/1/2020 Personally Known: or Produced Identification: X10 pct(-� eu_bV G OFFICE COPY ilk Bosco Building Contractors, Inc . 2158 Mayport Road, Atlantic Beach, Florida 32233 Dear Plans Examiner: Please let me know if you have any questions pertaining to the plans. The photo copy is taken from the as built, with the darkened walls showing the new separation. The guest room already exists as is, as does the office. All we are doing is adding a new guest bath. There are no changes to anything structural. Feel free to call me if you have any questions. Brad Ashmore (904) 237-5560 I I I I I I I I I I BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 33/ 7 W t%14J1sz,,44/krmit Number: 1 V-AR Q-' 33 lc/ Legal Description i---6q /6:"5'a96ig. dor i 2 Parcel# /699Z? -az'Floor ea of Sq.Ft. Sq.Ft Valuation of Work$ /IZ/ .OD Proposed Work heated/cooled P' non-heated/cooled • Class of Work(circle one): New Addit . Alterati la a Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Resid=•uisuln' If an existing structure, is a fire sprinkler system installed? (Circle one : Y= No N /A Florida Product Approval # For multiple products use product approval form ��/Describe in detail the e of work to be performed: 0�-�� /TUU.- 6/90/ / v �E� /� Property OwnerOInfo r :tion: Name: .I fs„ if-6 Address: 33/ 7111 i/ i City ' li g State Zip Phone 5eZ ) 6 7(7- 645, E-Mail or Fax#(Optional) C Contractor Information: Company Nam .62.O14,-08. Qualifyin t A e]p�t: O. 0 Address: ,2/&/,,,,e0 Cit . icI _ St. a Zip ---",0-5 Office Phone D Job Site/Contact Number L,1J7 6O Fax# ''i o? / i' 6 State Certification/Registration # C / 50,2 Iv2 Architect Name & Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners,etc. 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 YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority ti violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. II Signature of Ow -rg 1 /�"" Signature of Contras or g- � Print Name i 1 li 1-Nl. - '4J 't;S Print Name Tadd A- SLS c.o Sworp to and subscribed before me Sworn to and subscrib d before me this 15 Day of - � -° � ,20\' this IS Day of r b � , 20 1-1 Notary Public Notary Public Revised 01.26.10 Denise A.Ennis Denise A Emil �'. , NOTARYPUBUC 1�f� STATE OF FLORIDA •�:' NOTARY PUBLIC ''�� ' Cam,* r *, STATE OF FLORIDA • , -''• Commit FF966426 Expires 3/1/2020 . 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