154 BEACH GARAGE INT REMODEL 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0046
Description: garage interior remodel
Estimated value: 30000
Issue Date: 6/21/2017
Expiration Date: 12/18/2017
PROPERTY ADDRESS:
Address: 154 BEACH AVE
RE Number; 170209 0000
PROPERTY O WNER:
Name: Curtis Long &Dawn Hudson
Address: 154 Beach Avenue
Atlantic Beach, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EASTERN SHORES CONSTRUCTION
Address: 1015 ATLANTIC BLVD CA ROBERT ROY LEINENWEBER
ATLANTIC BEACH, FL 32233
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
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.
City of Atlantic Beach APPLICATION NUMBER
�) , I(
Building Department (To be assigned by the Building Department.)
800 Seminole Road e� W"lb
' Atlantic Beach, Flonda 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: buildingdept�coeb.us Date routed: OSI3IIaaI�-
---- Cityweb-site'. http://w coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I.�`-1 l3eac " Reit review required Yes o
Buildin
Applicant: �diS -(n Shaf 1.5 ' Sk(tAL1iJr\ Planning&Zoning
(� .v� J Tree Administrator
Project: tam tM
iirik/1Dl I041 Public Work
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept of Environmental Protection
Florida Dept of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ,Approved. ) ❑]Denied. . ❑Not applicable
(Circle one.) Comments: Co rl7V � $rip/� • OV L 2 Pn f,rsy CA r6/
BUILDIA
NG n vin 4 bphjr � 1 SSv1 r15 Pe rm'f fr
PLANNING&ZONING Reviewed by: Dale: /•6,/7
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den' d. . ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied. . ❑Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
,.IV t , CITY OF ATLANTIC BEACH
J`S 800 Seminole Road
�) Atlantic Beach,Florida 32233
r ; OFFICE COPY Telephone(904)247-5800
. FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: t S� Received by: Resubmitted:
Permit Number: 7 —00
Original Plans Examiner: Project Name: Lana N I AS d A
Project Address: S
Contractor: �,N)�'4. I r�r .)11" ... Cent
on tName: Qe .�� � 'ti .ne
Contact Phone : `1.0-i _S-tS-'IS'lQ c '1.
Revision/ _ ermit Fee(s)Due: $ 50,
Description of Proposed Revision to Existing Permit:
�-.� tl..yr-h t—�•a c .
Additional Increase in Building Value: $ Additi
Site Plan Revised: Public W/U Approv
Bysignin below.I(pdntname) affam that the above revision
is inclus' a of the proposed changes. JON
Signature of Contractor/Agent(Convector must sign if incase,in valuation) DBuilding Department
Odce Use Only
City of Atlantic Beach. FL
X
Date: Approved: /t Rejected: Notified by:
Plan Review Comments:
Lmn rot ;A- /o 11 9 Engora..r Ar /d rmahct Card {ro ws
o4�0Rri
a �e 9 BSinte
a DE r ,
Department review required Yes No {'YI
m m
Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities 6-6-1 ,7
Public Safety Date cnowauns Re,I
Fire Services
Asks Building Permit Application uipd>red 5/5/17
City of Atlantic Beach OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
1, APhone:(904)247-5826 Fax: (904)247-5845 /�
Job Address: 134&c.L fTV��� P�g1lt IC Number: 817 - 00��' -
Y4t bait
Legal Description Lb Y 4I ink.L4 7 fie S 5,L•�;�•M • �' b�•u- LA RE# __,,/
Valuation of Work(Replacement Cost)6 O 060 !i--, Heated/Cooled SF 599 Non-Heated/Cooled,
• Class of Work(Circle one): New AchiltioWe here I_ Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Reside.
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit No Tree Removal f
Desnibe in detail the type of work to be performed: Q�s� Ou �4f`b` sM. V h k�' j-ow'•GL...i
Florida Product Approval# for multiple products use product approval form
Pro ert Owner Information
N •uwnj 122, " O�-A k)lJc%a'3 Address: %VV-AA Aw
qty ko—Ankle, fSVa'c A StaterL ,zip '522-5 D Phone V^
E-mail ® '^i"CZ 1 TTVLOCAOV ZOO
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) 'wr•zxm
Contractor InformationC•a
S� rr__ H jk ��
Name of Company: %.t at'4w ,r14 GAab•LIw J04auali ing Agent:
Address olS hk)ws-c OLrI C,t4 yle city_$Vtt•••ti. T4lxstate zip�L2.1 '3
Office Phone a -I Q lob 5tte/Contact Num S ow-g,
State Certification/Registration# 9' E-Mail 116615 , Ls LC+si'•` r�al•-
Architect Name&Phone# ary.. A _
Engineer's Name&Phone#
Workers Compensation Else
Exempt/In tiease9�f�,�4G s Erpindon )
Application is hereby made to obtain a permit to do the wo `O�i staRat9ons#s n"Id.1 " rt N that no work or installation has
commenced prior to the issuance of a permit and that all wotk,}w(,yl a performed to meet th letldards of all the laws regulationg
construction in this jurisdiction.l understand that a separateperm RICALWORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIP I certify that all the foregoing information is accurate and that all work will he 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 RAN ATTORNEY BEFORE
RECOT113 Iq G YOUR NOTICE OF COMMENCEMENT.
Isgmture of owner or Agent) (signature of ConttattoQ
(Including contractor)
Signed and sworn to(or affirmed before me this]fQ_day of 'Signed and swom to(or affirmed)before me•thiGfay of
17 by Ud'H L,pr (i-Jn ,/ , ao/ 1 .by lcoh ij L tie c�wd
` 7—
( � Na(s,„goatur�e�of Notary)
.k,Y: MNIBlAETA VNERI
MY COMAYSSIONYFF 1559U ,}."••�. R08BNAYAMNWEIm
:...
`i E%PIKES,Oecem5er 21,2118 yA' ` 81Y COMMISSIOIit FF 189912
4,e!n ao-wetnuwvrvwecuw•r, �y.. EXPIPES'.Feb p7Ea1a i.
Vl Personally Known OR enonaily Known OR n, R� &nAadllxu tplM•weeureernwrs
( ]Produced Identification I I Produced Identification
Type of Identification: _ l ype of Identification: -
Perml '47 �ES17� oo�/G
NOTICE OF COMMENCEMENT OFFICE COPY
State of F L Tax Folio No.
County of 01"Val
To Whom B 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 Statues,the following information is stated in this NOTICE OFrfCOM
MENCEMENT. A ,
Legal Description ofproperlybeing hnproved: La±4 $lock 31 YI4+ ma ) SJE7ck•Ji510ns,A '
�ecDrded :a Plrtl -Book 5 Pnoc. (A
Address of property being improved: 15�{ }7iP��1� Me
General description
description of improvements:BJt�I ea oT C'YK�m
Owiier:`O/ "ria � Address: 15c-4(�n '�
•Lk )P
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:;` 1'
ontractor. Q*ry1 AlLVrPS 0w.-sjgKf' &n y- 'L
0-
Address: )0)S 2Q't 6 k,- a)lfA S7 k .s00 `fI. E 3zz 3 3
Telephone No.: 904.545• T
P 7g 7$� Fax No: N f f1
Surety(if any)
Address: Amount of Bond$
Telephone No: Far 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 O
specified):
THIS SPACE FOR RECORDER'S USE ONLYOWNER
Daci2017127448,ORBK18001 Pagel746, Signed: Date: 5 )
Number Pages:1 Before me th day of in the County of Duval,State
Recorded 06/01/2017 at M 51 AM, Of Florida,has ersonallyappeared Yrll'f f
COU NNusaeII CLERK CIRCUIT COURT DUVAL Notary Public at Large,State o •lorid Cc u {ya val.
RECORDING$10.00 My commission expires: LVlEH
Personally Known: n_ SPIV W155343
Produced Identification: EXPIRES:December 27.418
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