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322 MAGNOLIA ST -FIRE PLACE -<,!..."\I-1 , _ \,.-)' '- ‘.- ** CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ,j — ATLANTIC BEACH, FL 32233 ',f,,. _ ../l INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-RAAR-3648 Job Type: RESIDENTIAL ALTERATION Description: REMOVE AND REPLACE WOOD BURNING FIRE PLACE Estimated Value: $6,500.00 Issue Date: 4/10/2017 Expiration Date: 10/7/2017 PROPERTY ADDRESS: Address: 322 MAGNOLIA ST RE Number: 170445-0510 PROPERTY OWNER: Name: CHALOT, JENNIFER A Address: 322 MAGNOLIA ST GENERAL CONTRACTOR INFORMATION: Name: INTRACOASTAL BUILDERS CORP. , CGC062894 Address: 14286 -19 BE BEACH BLVD APT 242 QA MATTHEW LAWRENCE REIMER Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $41.25 BUILDING PERMIT FEE $82.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $127.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WI'111 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. „,:o- `pr,., City of Atlantic Beach �`� tillik, Building Department APPLICATION NUMBER r 800 Seminole Road (To be assigned by the Building Department.) r Atlantic Beach, Florida 32233-5445 (7._ R t2 — 3 K.: Phone(904)247-5826 • Fax(904)247-5845 `'a;31y' 4 8 r E-mail: building-dept@coab.us Date routed: 4 2 City web-site: http://www.coab.us / `��! 7 APPLICATION REVIEW AND TRACKING FORM Property Address: 32 z 1/\&6c,NOLs A S'7” I - : : 'lent review required Yes No 1 :uildin. Applicant: 1 1V`i'R fl('_C7RSTn C._ E 0 1 CiDefaS anningz,L Hing RC,40(_Pief7 [7-7( Tree Administrator Project: R PUc\eE Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: l�Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: /1"9 Date: 41'6 i 7 TREE ADMIN. Second Review: ['Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: >vised 05/14/09 BUILDING PERMIT APPLICATION - CITY OF ATLANTIC BEACH -800 Seminole Road, Atlantic Beach, FL 32233 // Office(904)247-5826 Fax (904)247-5845 ( 7- R(aAR-J(�48 Job Address: 322 Magnolia St. Atlantic Beach, FL 32233 Permit Number: Legal Description - 16-2S-29E SEC 2 SALTAIR LOT 292 Parcel# 170445 0510 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 6500.00 Proposed Work heated/cooled 50SF non-heated/cooled N/A Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes "1 jo 07:13--Th Florida Product Approval# For multiple products use kauct approval form Describe in detail the type of work to be performed: Remove and Replace Wood Burning Fireplace Property Owner Information: Name: Jennifer Cholat Address: 322 Magnolia St. City Atlantic Beach State FL Zip 32233 Phone 904-563-6117 E-Mail or Fax#(Optional) chalotj©gmail.com Contractor Information: Company Name: Intracoastal Builders Corporation Qualifying Agent: Matthew Reimer Address: 1020 Theodore Ave. City Jacksonville Beach State FL Zip 32233 Office Phone 904-509-1196 Job Site/Contact Number Cholat Renovations_Fax# 904-513-9204 State Certification/Registration# CGC062894 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 penod of six 16)months at any time after work is commenced. I understand that separate permits must be secured for Flecitical Work, Plumbing,Sigxs, Wells, Pools, Furnaces,Boi e's,H , Tanks am Air Confrtioners,do 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. I herebycertify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governin this type ofworkwill be complied with whether specified herein or not. The granting of a permit does not presume to give au . 'ty to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner 4,U4446. At,Q-l Signature of Contractor Print Name juga e.7 4 Print Name 1 Swo • t. and subscrib-• before me Sworn to and subscribed before me this _. Da 1•f •.vc l,. this ( Day MA(c_. ,20 )7 \O' (r: Notary 'ubltc f EXPIRES:JAN 27,2018 NO DI1C ',fir #EFF066868 EXPIRES:JAN 27,2018 Revised 01.20 I Penn-i) / # /7- QRA2- �6Y rl NOTICE OF COMMENCEMENT COPY State of Florida Tax Folio No. County of_Duval To Whom It May Concern: 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: 16-2S-29E SEC 2 SALTAIR LOT 292 Address of property being improved: 322 Magnolia St. Atlantic Beach, FL 32233 General description of improvements: Remove and Replace Wood burning fireplace and chimney Owner: Jennifer Chalot Address: 322 Magnolia St. Atlantic Beach, FL 32233 Owner's interest in site of the improvement: Owned Doc#2017074688,OR BK 1 7930 Page 1081, Fee Simple Titleholder(if other than owner): Number Pages:1 Recorded 03/31/2017 at 02:50 PM, Name: Ronnie Fussell CLERK CIRCUIT COURT DUVAL 19 COUNTY Contractor:_Intracoastal Builders Corporation RECORDING$10.00 Address:_1020 Theodore Ave. Jacksonville Beach,FL 32250 P91Telephone No.:_904-509-1196 Fax No: 904-513-9204 Surety(ff any) Address: Amount of Bond$ 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: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: 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 OWNER • / JUSTIN VonHA6EN I..� MY COMMISSION.8868 Signed: )kA a.NA EXPIRES:JAN 27,2018 Before e s 7,1 day of P A re 1 k. t o 4 't" Of Florida,has personally appeared Jeer is. C 6thht - Notary Public at Large,State of Florida,County of Duval. My commission expires: Ja v% . m r.) 2 I Z t71 g '• snail Known: or atoz•iz Nvr:s3a roduc.. n•fication: 3o — y 21 y 8 S Io $ -0 aw*NOISSIwtYO3 AR N3JYNuoA NI1SI11' u�,rio• u1/4 L 1