1640 SEA OATS DR - ALTERATION A
f. ✓J
js CITY OF ATLANTIC BEACH
MINOLE ROAD
- �. ) 800 SE
JATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\J131);
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-3427
Job Type: RESIDENTIAL ALTERATION
Description: convert master bedroom & bathroom into 2 bedrooms
Estimated Value: $42,000.00
Issue Date: 3/22/2017
Expiration Date: 9/18/2017
PROPERTY ADDRESS:
Address: 1640 SEA OATS DR
RE Number: 172020-0238
PROPERTY OWNER:
Name: PATTERSON, JARED M
Address: 1640 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
, CBC1250212
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $130.00
BUILDING PERMIT FEE $260.00
STATE DCA SURCHARGE $3.90
STATE DBPR SURCHARGE $3.90
Total Payments: $397.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY UI' ATLANTIC BEACH ORDINANCES AND 1•IIE FLORIDA
BUILDING CODES.
rs=i-vi . City of Atlantic Beach APPLICATION NUMBER
:,
Building Department
sd�r (To be assigned by the Building Department.)
._:, , ,..... .4] ...1..„ 800 Seminole Road
-)Iiii Atlantic Beach, Florida 32233-5445 II--C-/ A? 3 c1a�
Phone (904)247-5826 • Fax(904)247-5845
\o;ns.)r E-mail: building-dept@coab.us Date routed: 03 Io 6119
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t L940 S QGt. Ca-k-S b (. Department review required Yes No
Building
Applicant: e• Go t Ct..1 . e,6(14CALACCS Planning &Zoning
Tree Administrator
Project: Wn.i 4,(*- v\1LS}-L,( b Qt cd-,b&1-v) Public Works
i nib a- �A.(U o M Public Utilities
S 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.
pp ❑Denied.
(Circle one.) Comments:
:UILDING
PLANNING &ZONING J/
Reviewed by: Date: V2/ l
TREE ADMIN. Second Review:
Approved as revised. ❑Deni 2
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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: 1640 Sea Oats Dr, Atlantic Beach, FL 32233 Permit Number: -AAe.-3 4Q1-
Legal Description 34-51 09-2S-29E SELVA MARINA UNIT 6 LOT 17 BL1Ptf6el# RE 172020-0238
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $142.1- Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition . iteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial •esidential
If an existing structure,is a fire sprinkler system installed?(Circle one): • - io
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Converting a master bedroom and bathroom into two bedrooms and one
622
/A ro Or"
Property Owner Information:
Name: Jarod &Jennifer Patterson Address: 1640 Sea Oats Dr
City Atlantic BeachState FLZip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosco Building Contractors, Inc. Qualifying Agent: Todd A. Bosco
Address: 2158 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326
State Certification/Registration# CBC 1250212 - -_---_
Architect Name&Phone# ii ) [ (
Engineer's Name&Phone# f
Fee Simple Title Holder Name and Address
Bonding Company Name and Address MAR - 6 2017
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.
I herebycertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of ork will be complied with whether s eci led herein or not. The granting of a permit does not presume to give auth•nit o folate or cancel the
provisions of any other ffileral,state,�or to�'regulating construction or the performance of construction. /
Signature t` � `R4 /
gn a of OwnertiQ, `� Signature of Contr. for `/
Print Name 0.. ' et Print Nameeyk-kr--Cdr) T.QdGI..A.....l3oS.cp
Sworn to and subscri a before me Swo o and subscribed before me
thi. Day of ())o,4-dn ,20 -1 this Day of (lfp..C-cin ,20 11
✓ ,�p-
Notary Pu lie No . Public
Denise A.Ennis
l' NOTARY PUBLIC Debase A.E �Itevised 01.26.10
p^ 4=-STATE OF FLORIDA -:1-I ' NOTARY PUBLIC
-v"' -STATE OF FLORIDA
•,._ ComnMR FF 1 226 r:•: _,. Corn*FF986426 -EX.P 3 I L I2o2a
Expires 3/1/2020 �.
Permit No. 7- pZ�} q _ NOTICE OF COMMENCEMENT OFFICE COPY
State of Florida, County of Duval Tax Folio No.
THE UNDERSIGNED hereby give notice that the improvement will be made to certain
real property in accordance with
Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
1640 Sea Oats Dr Atlantic Beach FL 32233 34-51 09-2S-29E SELVA MARINA UNIT
2. General Description of improvements: LOT 17 BLK 13
Convertin. a master bedroom and bathroom into two bedrooms and one bathroom
3. Owner Information:
a)Name and Address: Jarod&Jennifer Patterson 1640 Sea Oats Dr,Atlantic Beach, FL 32233
b)Interest in property:General
c)Name and address of simple titleholder(if other than owner):
Ilk Contractor Information:
tipf a)Name and Address: Bosco Building Contractors, Inc. 2158 Mayport Rd, Atlantic Beach, FL 32
Vj b)Phone Number:(904)241-0320233
. Surety Information: rte—
a)Name and Address: IF)) l �� \!i I` i�;:
b)Phone Number:
c)Amount of Bond: $ A R - 6 2017
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a)Name and Address:
b) Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not.be bet'8�fhe completion of construction
and final payment to the contractor,but will be one(1) year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS'TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the b-st of my kn•wledge j ,elief.
0 .►1 `�Z:� • '�a-cSSorl0tJner
Signature of Owner or Ow "7 Auth•r Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this 3day of M4a.k1 , 20
by C ni e - -pR4C5o ll as c)w'-ve c for •
(Name of Person) (Type of Authority,i.e.Officer/Attorney) (Name of Party Instrument was Executed for)
• ' -
Denise A.Ennis • ARY PUBLIC, STATE OF FLORIDA
>r' NOTARY PUBUC
: STATE OF FLORIDA Print Name: CY r i se, A. -E.rail IS
:44::,..,0ComntikFF966426
Expires 3/1/2020 Personally Known
❑ Identification'Type:
Doc#2017052334,OR BK 17900 Page 890,
Number Pages:1
Recorded 03/06/2017 at 02:49 PM, Revised 3/15/12
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00