254 OCEANWALK DR S - BATHROOM REMODEL 1A4.1:1•1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
V� 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: RES17-0105
Description: BATHROOM REMODEL
Estimated Value: 30000
Issue Date: 7/19/2017
Expiration Date: 1/15/2018
PROPERTY ADDRESS:
Address: 254 S OCEANWALK DR
RE Number: 169463 0508
PROPERTY OWNER:
Name: BRANDSTAETTER RAYMOND
Address: 254 OCEANWALK DR S
ATLANTIC BEACH, FL 32233-4676
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CORNELIUS CONSTRUCTION CO.
Address: 71 19TH ST QA MARGARET S. CORNELIUS
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$7,500.
s N- ' j] Building Permit Application Updated 5/5/17
4 's City of Atlantic Beach
.f
800 Seminole Road,Atlantic Beach, FL 32233
' s) Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: &,.5-14 OCE(M1C-J QL/'< De' S' Permit Number: R -5i-7~ (..)I 05
Legal Description RE#
Valuation of Work(Replacement Cost)$,30,,c 'p Heated/Cooled SF 4//2 Non-Heated/Cooled /t/,9
• Class of Work(Circle one): New Addition Alteratio4Repai)Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialresidential
• 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 oNo Tree Removal )
Describe in detail the type of work to be performed: 1,1/ES
r/«, v/tw/rye -2-70//- T, 7,W1
i7 i VA
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: 9 V v D1LA J ,C Aff,eA.VI.JIA,k-Ti d Address: 0259 [24E9 (/G//z& A' De. 070.
City r9rL./9 erre BCI-/ State FL Zip 3 22 35 Phone 904/• 2447 - zf .,7
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: (-OR NE 4/LIS �i41i Gf`T/DAJ Qualifying Agent: /92,9 kp,E'g7- lii2AoELia5
Address z/B ,'A 5T City,VEIfl�it/E , State 1L Zip `3226' '
Office Phone $Z 2Lq-q�Q Job Site/Contact Number
State Certification/Registration# 1BC6� lot E-Mail PEC'GY � CD �l-/USCDiUSZeUCr/CIV, (707)1_,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation /[/7
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
-\‘'(,_ _ 4-47, , Ryui, t-(-` � ' / ..
Si nature of Owner or Agent) (Signature of Contractor)
g g ) � ( g
(includi : ontractor) O_ 1a
S ne and sworn to(or affi •• before e this Iday of Signed and sworn to(or affirmed) before me this `U day of
0� , 2017 , by A Quik( , a o(1, by PVA4 ,g LI JZ.-1/4 CAI no.`,.,l S
ielffillilt AD •,
_ _ _
(Siea ure of • . (Signa are otary)
TONI GINDLESPERGER —
MY COMMISSION#FF 92 951 „,,,, JENNIFER JOHNSTON
s EXPIRES:October 6,2019 j; MY COMMISSION#GG 042984
[ I rrsonally Known OR "I ` '<,":'' P4ndadTnn,no:arrPebLcunden+rrers 4,1-Personally KnownFri:(:.
.�, ,i�i-P Y �. 4 EXPIRES:October 27,2020
Produced Identification [ I Produced Identific titir,{ ;r;p; Bonded Thru Notary Public Underwriters
Type of Identification: Type of Identification��- ' .
NOTICE OF COMMENCEMENT
State of7 /.Di9 County of ,///JVA L 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 stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: LoT 3 HJ U/1-)!1C t/p•IlT 2.
Address of property being improved: ...,1,5--q (,)ebw C!V,9LAC 2) ,.'
General description of improvements: fiATHePcc4 A 45/U/v19 T OA/
Owner: Z1 1J /47 5R)-9A).p.57,iq. k-z' Address: 75y DL XI,(,)v,41L,i, 27.e• JJ/ /f 77,. &'A'.
Owner's interest in site of the improvement: FEA .5/T 2/)G-1_ . 22g3
Fee Simple Titleholder(if other than owner):
kName:
tontractor: (m-,..------
0)()
2)JLIU3 (; z/S'-'021J C 710 Ai
Address: 2/ig ?/9 AzeprvA1 5 �� A-1,, 3224' c
iiTelephone No.: 9a 4' Z 7 -l'2* Fax No:
Surety(if 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
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)
--iv.. 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 jt
Signed�� L W& 1.C.4-42.--- , ' ' Date: 7/1 8
Before me this, le, day of 0 - in the Couof D val,State
Of Florida,has personally appeared / P.-•�
Doc#2017163719,OR BK 18057 Page 2326, Personally Known: or
Number Pages:l Produced Identification: 1( \ I I}/ /
Recorded 07/19/2017 at 11:55 AM, Notary Public: (( IR
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ! 1
COUNTY My commission expires:
RECORDING$10.00
.,1.:iv.' t yKa TONI GINDLESPERGER
1,,,'t •1:: ;'- MY COMMISSION#FF 924951
:;F;y, EXPIRES:October 6,2019
;il;;;; ' 6nnded Thru Notary Pubfc UnderMitors