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1877 BEACH AVE - INTERIOR RENO
-- oL,‘,,J:r.4., .� .r ° j CITY OF ATLANTIC BEACH N '? 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ''1,t).13 9 ISPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0296 Description: INTERIOR RENO FOR HVAC AND OTHER TRADES Estimated Value: 10000 Issue Date: 12/7/2017 Expiration Date: 6/5/2018 PROPERTY ADDRESS: Address: 1877 BEACH AVE RE Number: 169682 0000 PROPERTY OWNER: Name: HARPER JOHN F Address: 24448 MOSS CREEK LN PONTE VEDRA BEACH, FL 32082 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: FIRST COAST ENTERPRISES NE FL Address: 1089 ATLANTIC BLVD UNIT 20 NORTHEAST FLORIDA INCI1089 ATLANTIC BLVD 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. .9ai pry City of Atlantic Beach -APPLICATION NUMBER ry t: < T Building Department v (To be assigned by the Building Department) 800 Seminole Road I\ 17 Atlantic Beach, Florida 32233-5445 02-9 CC7 Phone(904)247-5826 • Fax(904)247-5845 (, oar.. E-mail: building-dept@coab.us Date,routed. �; City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I C]7�] 1 E s I—t. 1)Uc&Department review required Yr No Building�� Applicant: Ft RST CO f1--S T TC -Pg(s 6- Planning &Zoning Tree Administrator I Project: Iv TC-42_10g— R. -10 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: 4proved. (Denied. ['Not applicable (Circlepne.) Comments: BUIL-Dl PLANNING &ZONING n /2-- 7 "l7 Reviewed by: Date: TREE ADMIN. Second Review: nApproved as revised. nDeni Not applicable e PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: - Date: FIRE SERVICES Third Review: nApproved as revised. ['Denied. (Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 4,;;SYYPrir, Building Permit Application �i.' ,,;.. City of Atlantic Beach T4.;-::: : _:� OFFICE COPY 800 Seminole Road,Atlantic Beach, FL 32233 \`''"�� Phone: (904)247-5826 Fax: (904)247-5845 Job Address: It l 11 A d. A v Permit Number: Legal Description )S-57 Cxi -as-c)_ C, 0. 4-TL1* cia.* USK- I3o a P-i-Uri 43 RE# ilefi -QOoc.) Valuation of Work(Replacement Cost)$ \0(DUO?' Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: Rewou,„4 re.ptc�.ce �rywc.-l.t e.e: I•rb hi OUO„a aocit- f1.e.ynlate_w-e^k j\) 6ft,‘eLln, -"-.0 -[ CoA.ir- rt - Florida Product Approval# for multiple products use product approval form Property Owner Information Name: -Adnn 14 AlLfer Address: N41-1.k Alps& Cr-ectn, . City 'Pot .---., Qi"—.4..A at,ii State FI_ Zip 3a-Vcs'a- Phone g04- X73-- �c,,,,S E-Mail XFhcr r ©(o - (c,. \'e1 Owner orgent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information \ Name of Company: FAQ Co-- C-s•-re a-pc;SeS oP(WfL,Qualifying Agent: �2twc,LS ',lay- Address x Jw Address CID.° Ave,-N uk. (•},0;1- Pr City ,p.p Rc\,, State R__ Zip 3 aa-s u Office Phone C1,OLt53--4a-01,OO Job Site/Contact Number 9OLt- Lt105-4$c-1 State Certification/Registration# CQC- D42£sOI E-Mail Fi Q -r Cop.cs c-,.r+' 0 to LL.5 O1,-44 n�1 Architect Name&Phone# Engineer's Name&Phone# Workers Compensation .5Ul..ke4`N- Pers' e (re,-.c.cic UO --C(ckitc,c,, cr,,. 0.1 Lo( 7 Mt-tcl Exempt/Insurer7 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 RECORDINN 0 R i OTICE OF COMMENCEMENT. (..-. ....,_ :;-)2..,..-...-- (Sign, e of Ow - • Agent including Contractor) (Signature of Contractor) V�� Signed and s in to(or: meq before me this 7' day of Sig ed and sworn to(or affirmed)before me thi S din,of /0,EG , i17,by ./4) / ti i� .,20>7,by 7e.,,9,-,� / i / 2 -xy L Sign- 're of Nota, Sign• re of Nita 1 ti a , ia`:Lly''•., GEORGE RAY WASHINGTON ,, +Kris , GEORGE RAY WASHINGTON i '' =*: ; , MY COMMISSION#FF 942437 y: u, „t MY COMMISSION#FF 942437 1 hy,i ` ` EXPIRES:December 17,2019 •.•,:.•„ EXPIRES.December 17,2019 r ••��`-•" Personally Known OR • ;ju�,4a: Bonded TbruNotaryPublic Underwriters 1 ersonallyKnown OR ?o��(aa' BondedTaiNoUryPubrcUMenmters [ ]Produced Identification 4 [ ]Produced Identification Type of Identification: Type of Identification: ,QeI 4 47----:7-•e EY/7 - NOTICE OF COMMENCEMENT State of �L.1)cZ;,pa Tax Folio No. County of \,,.,,i,p 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: I5-S-) C)4 -as -- 40,6 k7 -rux Tl i.' u A(,}, ( cTr Ivo ".- Pi L T k-4-3- Address Address of property being improved: l(67. ) 13E„pc.h Ave N l LE A-Tl pd-rn-r Cc-, t li_. 3aa-33 General description of improvements: Q f w.a1 e., R pI 64 e. c i y Loci) Le i\;ft A—o r,...A,\0 £LAC_k No et1,4-9At\,•ey,,-a- kryy N.•eILA,t".,.IN.;u 1 C.o,.-1/2 2 Owner: SCk.k0 \A Art e r Address: v.)-y4y (to&c Cf 2•eAn. Lt-) • Pod/V,ed' (3J)PI" SgC Owner's interest in site of the improvement: i2 per Fee Simple Titleholder(if other than owner): Name: r- \ v Contractor: c7 sT c E�ra cT :r.� R g rd.r�S-P,,& 0 a O E E L , Li.c — 1-n A rJr.�s Jothf‘. ti I" Address: q ao s‘vs At.iE�t Liv,..),.1.-A .)f11< 2(1, R- a-a.�v Telephone No.: C104 -ND-0 I O J Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Doc#2017276603,OR BK 18206 Page 1697, Number Pages:1 Name and address of any person making a loan for the construction of the improvements Recorded 12/05/2017 11:31 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Name: COUNTY Address: RECORDING $10.00 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 specified): (YlA2[.Vs t)gO% . a THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed Date: JCC /'7 Before me this 11 day of,, =- in the County of'Duval,State "" GEORGE RAY WASHINGTON Of Florida,has per.o ally appeare(Fr �,.�'',.I MY COMMISSION#FF 942437 Notary Public at L. ge,State o F1' da,County of Duval. 11 s};r�.. EXPIRES:December 17,2019 .My-commission ex ires: DEL. /77i1 .e)/<7 :+ d` Bonded Thu Notary PubrroUnderwriters Personall Kn or Produced Identification: