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1985 BRISTA DE MAR CIR .11 t, CITY OF ATLANTIC BEACH A, ,800 SEMINOLE ROAD `' v ATLANTIC BEACH, FL 32233 n �%' INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESO17-0002 Description: REMOVE AND REPLACE DECK- LIKE FOR LIKE Estimated Value: 0 Issue Date: 5/26/2017 Expiration Date: 11/22/2017 PROPERTY ADDRESS: Address: 1985 BRISTA DE MAR CIR RE Number: 169506 1676 PROPERTY OWNER: Name: SHEKLIN MICHAEL A Address: 1985 BRISTA DE MAR CIR ATLANTIC BEACH, FL 32233-4525 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PILLAR LLC Address: 2232 Corporate Square BLVD JACKSONVILLE, FL 32216 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF II 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 RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. 0 1 r .i. t y- City of Atlantic Beach APPLICATION NUMBER 41 # f> Building Department (To be assigned by the Building Department.) 800 Seminole Road R ES 0 I _ o©O Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �vr t o• E-mail: building-dept@coab.us Date routed: 3/5/17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( l v rJ RR,s-ra E hi � De ment review required Yes No Building Applicant: P I L L_R R Planning &-Zoning Tree Administrator Project: �� C P LA CC Public Works _ 11 (� Public Utilities (' LA l'C G 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: (pproved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: /7)1 r Date: 6".(9 TREE ADMIN. Second Review: Approved as revised. ❑Denief PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ' WVirit Building Permit Application Updated5/5/17 %tCity of Atlantic Beach J.-. rt.,. '.' 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: / gefJ LOC. %e M4,•-• er'Y-t Permit Number: R CSOV / -coo Legal Description RE# Valuation of Work(Replacement Cost)$'OtU_UO Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteratio Repai Mov- Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No NA • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal scribe in detail the type of work to be performed: DMovi- G•d r'r-,Lt, 0(ea kr4(k `•4;41.1711 "n(G- 1 it,M4l'z' 1 ScM" cc PAI-l/1441.. Florida Product Approval# for multiple products use product approval form Property O, wner InformationX' /1 Name: /u'Y/e/!/,SEL NEA/AT Address: •�y���fVis.z-AQ 46:-/VAR. chec_.LE City /TL 4NTi�Vie:/'&-A-4.' CN State �=L Zip 32 Z 3:3 Phone 4)4r 2/ / !--/2-#7 E-Mail YY1s he-Xi�(1h �. Gcwtas t. ne.t Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information I Name of Company: , ,4-}-t0Jr. bsvi O94-p'/L 1a6alifying Agent: 6\3 rJ (3-4,40.4-7Address RC' A/cf\lrA B/.e,( �i L4- Bccc,L fL (72 City /14., „,,,_ $,t State Zip ,'22`( - Office Phone C 0.1 74 3521./ / Job Site/Contact Number 72S Z7 State Certification/Registration# Cr -APAR, E-Mail : 64,,' _ i I/ . d G - _ M Architect Name&Phone# it © i pj 1I a r Ilotri.• co vv-•. Engineer's Name& Phone# /1l-`7 / Workers Compensation Exempt/Insurer/Lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 REORDING YOUR NOTICE OF COMMENCEMENT. ,t)-</ gnature of Owner or Agent) ignatHre o ontractor) i ^ (includingc•ntra tor) i•ned and sworn to(or affirme.)be r.re . thi I '•ay of S' ed and sw r o(or affirm_.) .-foreii this 1 �.y of • b TONI GINDLESPERG , 1 ,AIM MY COMMISSION if FF 924951 ,/ _ ' J EXPIRES:October 6, I..ture of otary) (Signature of Notary) IF .1 ..<'':•'' Bondod Thru Notary Public Underwnt-rs g r :irY TONI GINDLESPERGER °,.: is .*: MY COMMISSION#Fr”924951 _.tad EXPIRES:October 6,2019 [ ]Personally Known OR [ ]Personally Known OR ,,pee.... p,„�� 3cnd2d Thru Notary PubDc Undenvnt'ez [ ]Produced Identification m —�/� C ) �+,p,yProduc:dIdentification r/-(}5 45 `J 4 � 4 ! - pe of Identification: JZ I — f FILE COPY • NOTICE OF COMMENCEMENT ENT State of rt County of IG v&I Tax Folio No. 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 4tited�'r�,this N TIC OF COMMENCE NI'. Legal Description of property being improved: 6'` :19-V ••••:4, 'f -'0C‘s '' i Zit&Arem4-C. Lie,/A/All,o /pot 5 Address of property being improved: fes( .PS- In.,f i. 4 /hc,a CL scri • G�}Z'( . c �Pti't 61 t 2?2J • General description of improvements: P m ,. • 11 /t @,k . 2 f i ("-'/1< le ee Owner: /14,1 ei-/1'"1._ ,4 U/-jE/<L/A/Address: /1 iir ir'.iS rig L�/11/9,Q CZ/ti e,4,� 40- Owner's•interest in site of the improvement: / TL/I��", .,�".n Cfie F,[ 322 33 ee Simple Titleholder(if other than owner): Name: . ontractor: 7 A )16,44 A / e% - - ,��`,(i' �' n,{ —6114, f,w • c ►p'. ,+ R.ril9 Address: ( ��- A 4/tea( . /VPr L4, ast4J 1 i M ?2 Gti/ Telephone No.: CiaLt .7- .3-"z-JS--1,6 Fax No: , Surety(if any) /'( / Address: d Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: //4. 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: y4714' - 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: , . "I'M • Address: 11 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 I/ specified): IBIS SPACE FOR RECORDER'S USE ONLY OW e 4 •,• � y Signed: Date: /` A dD 1 Doc#2017112801,OR BK 17982 Page 552, Before me this I day of 1 V, _7 in the Coui��of Duval,State Number Pages:1 Of Florida,has personally appeared '2.« Recorded 05/15/2017 at 02:04 PM, Personally Known: or Ronnie Fussell CLERK CIRCUIT COURT DUVAL Produced Identification: W _ c. . - . _ — C? _ COUNTY Notary Public: �(�a� RECORDING$10.00 y . .. ,,,,� mir�.A. __ ____ ___ ''iv+:r's;',•, TONIGINDLESPERGF-• 1 _ A.--, °' MY COMMISSION*FF 924951 IsVS dal. 1-....„)„..41-.4,1 EXPIRES:October 6,2019 i • •%'8 7:1;;P Bonded Thru Notary Pubts;Underwttets ,