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1833 TIERRA VERDE DR ri r,'yr✓,, �'� ' ss1 CITY OF ATLANTIC BEACH `'` '"' ° s� 800 SEMINOLE ROAD 7.5v., zATLANTIC BEACH, FL 32233 '.ri;t TY? INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0122 Description: HARDIE BOARD SIDING Estimated Value: 16000 Issue Date: 8/7/2017 Expiration Date: 2/3/2018 PROPERTY ADDRESS: Address: 1833 TIERRA VERDE DR RE Number: 169542 5086 PROPERTY OWNER: Name: MCCLURE JAMES W Address: 1833 TIERRA VERDE DR ATLANTIC BEACH, FL 32233-4527 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Golas Construction LLC Address: 6318 Autlan DR JACKSONVILLE, FL 32210 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. .r�,1w;:,, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) `} 800 Seminole Road r j - •--- �r Atlantic Beach, Florida 32233-5445 1 \ J l 7" 0 ( z Z Phone (904)247-5826 • Fax(904) 247-5845 / / F�o;ttgr E-mail: building-dept@coab.us Date routed: ! i/ 1 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 633 ► T EKkA V -RDe, ment review required Yes No Building Applicant: 0 LAS e. .,_„ T Planning &Zoning Tree Administrator Project: J i L 1 j\_ �" 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: Approved. ❑Denied. I INot applicable (Circle one.) Comments: BUIL-DIN PLANNING & ZONING Reviewed by: ill/ Dater' 7 . / 7 TREE ADMIN. Second Review: ❑Approved as revised. rilDenieoV ENot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 7r>> Building Permit Application Qty of Atlantic Beach OFFICE COPY 7 41( I800 Seminole i�ad,Atlantic Beach,FL 32233 Phone: (904)247-5826 Fax (904)247-5845 -- (2,12A '/ R �5t7 o i z� ,bb Address: 1g t E U E 121)E- D l�- Fir/milt VA I > 2 Legal Description 3,5-2s 03-25- ,95 .CE1 (/ t � / e Lc27- l `7.J Valuation of Work(Fplacement Cod)$ /[� 000 Heated/Cooled g (�7 6 Non-Heated/Cooled /8 W aassofWork(ardeone): New Addition Alteration�l Move Demo Fool Window/Door O Use of existingrproposed structure(s)(Circle one): Commercialdent 0 If an existing structure,is a fire sprinkler system installed?(arde one): Yes No N/ CD SJbmit a Tree I'moval Permit Applicat ion if any trees are t o be removed or Affidavit f No Tree Rtarnov Describe in detail the type of work to be performed. i_ DIE� � D 5/9/A/6- /N74-1 L/rj(�f✓ ki !/ Ronda Rodud Approval# for multiple products use product approval form Property Owner Information Name: n r OLP 7()1tP II Address: • r E'_._ i 2 )Z City (17/..,Iffy 1 lC -13 f�-tr i aate F4. Zip • Phone t`r �i E•Mai( .`'je)F. 57QL,f r3G r35FZ.- 674,2 i(-1 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: it $ /Z{/" qualifying Agent: 2- i/z4 //L U 2- Address Address 6 31 ! ,i r;< ID rV City g, ; 0 ', ^late /1--(,, Zip 2 Z/e9 Office Phone 9Q - Zt -R1v� ,bbSteJCont.• Number "0/7 - 4 - /oma aate Certification/Ragidrat ion# rt3e/35E-Mail C2,54/+�$6,)�h/s),f7.5e Nj,/L . Up?/y Architect Name&Phone# N//i Engineer's Name&Fhone# it//4 Workers Compensation empt/ usurer/Lease Employees/Epiration Cate Application is hereby made to obtain a permit to dot ework and installat ions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulat iong construction in thisjurisdiction. I understand that a separate permit must be severed for laECTRCALWCPK PLUMBING,SGNS WELLS POOLS FURNACES BOILERS HEATERS TANKS and AR CONDITIONERS etc ONNBR S AFR DAVIT: I certify that all the foregoing information is accurst a and that all work will be done in m pl i anoe with all applicable laws regulating construction and zoning. WARNING TO OWNER YOUR FAI LURE TO FECORD A NOTICE OF OOM M ENCBVI ENT MAY RIL9JLT IM YOUR PAYING TWICE FOR I M PROVBVI HVTSTO YOUR PROPERTY. IF YOU I MIND TO OBTAI N R NANQ NG, OONSJLT W TH YOUR LENDER OR AN ATTOI'IEY BEFORE RECORDI NG YOUR NOTICE OF COM M BdCBVI ENT. ____,---.-7----- _= r!, OK CA-- -e K LU , ('gnattire of Owner or Agent including Contractor) (Sgrature of Contractor) S. •:• - .sworn to(or affirmed'�before me this3/ day of ed and sworn to(affirmed)before me this 2_day•f 7) (,Jy ,2e/7 ,by � eyit 5 (f) u i �G[,6l,by �1 „t ure of Notary) (:• - ure of Notary) 7 e/27( ,=off. �o.. JACQUELINE L. PAYNE [i} rsonally/11041./n's. MY COMMISSION#FF161659 [ I Personally Known OR [ ]Produced I.: '••',:••i7: [ I Produced Identification Type of Identif`atibY.'.`` ' EXPIRES September 21,2018 Type of Identification: (407)39$-0153 FlofidallotaryService.com . 7i' TONt GiO c ° °�:. �L�Sf'EnGEft �' �':•_ MY CC�1iViS51CV'rF924951 I`;; opo; EXPIRES:October 6,2019 —.;t, 6�r,?e;t Thru NotaryPublic Urcervri[ers JiV L.rLL VL' O/0,I4I6JRLAIAi1/000100.wfJ41 L(PREPAREOFFICE COPY Permit No.RE E /7-- Tax Folio £? iNo. State of FLORIDA 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: 38-28 09-2S29E SELVA TIERRA LOT 43 Address of property being improved: 1833 TIERRA VERDE DR Atlantic Beach FL 32233 General description of improvements: SIDING INSTALLATION Owner STOLP JOSEPH R Address 1833 TIERRA VERDE DR Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address '4 Contractor GOLAS CONSTRUCTION LLC � Address 6318 AUTLAN DR JACKSONVILLE,FL 32210 767 ! Phone No.904-487-8103 Fax No. Surety(if any)N/A Address Amount of bond$ Phone 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 he served: Name Address • Phone 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 Statutes.(Fill in at Owner's option), Name Address Phone 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 1 / OWNER DATE - �� Be melhis ��_day of in the ;totyof Duv:i.Stare of Florida,has pprsonalty appeared ht415;3' he:'if and a I. that all statements and declarations herein b' are true end accurate Doc#2017179685,OR BK 18073 Page 341, Number Pages: 1 Recorded 08'022017 at 11:01 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,y •iicatLarge,State of MEM County of /ms's COUNTY /" con •- on expires: „ 1;, 2 Personally Kneen C or RECORDING$10.00 Producedldent5cayyj+flon — , JACQUELINE L. PAYNE (.. ' `o MY COMMISSION#FF161659 :fo^. :,•r EXPIRES September 21,2018 (4071398.0163 Florldallotaryservice.com