348 PLAZA - WINDOWS & DECKING CITY OF ATLANTIC BEACH
r .• 800 SEMINOLE ROAD
J ti
J ` _ATLANT_IC BEACH, FL 32233
IN
SPECTION PHONE LINE`247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0224
Description: replace window& patch decking where leaking
Estimated Value: 1500
Issue Date: 10/31/2017
Expiration Date: 4/29/2018
PROPERTY ADDRESS:
Address: 348 PLAZA
RE Number: 169968 0000
PROPERTY OWNER:
Name: CASSESE JOHN J
Address: 348 PLAZA
ATLANTIC BEACH, FL 32233-5442
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD
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.
'YJ,.0; City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
§▪ Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 Date routed: �D
#-ID 9-sfr E-mail: buildin de t coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: i 4 l cl Department review required Yess No
, C7B'uili ii g,:22
,p
Applicant: iasco �l.l i U�`rl1(,t C-011-{ACW Planning &Zoning
` Tree Administrator
Project: (*fa 14 L\JJ.Oi cL ( Qck( Qf \15 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. ['Not applicable
(Circle one.) Comments:
UIL.DIN .'j
J
PLANNING &ZONING r
Reviewed by: /ten Date: /0-F0-17
TREE ADMIN. Second Review: nApproved as revised. nDenied. Not applicable
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
OFFICE COPY ..-------- ^a
t
7,1
1 fi
;`' v,f Building Permit Application tE — -{ -Up orad ;�7':rE
s IIij! ;II li
,r Y City of Atlantic Beach : ` ; I I?�I
�r 800 Seminole Road,Atlantic Beach, FL 32233 + I OCT 2 3 2017 'i JJs;
I i
"p""'jS}� Phone: (904) 247-5826 Fax: (904)247-5845 __ _l�-
Job Address: '416 OLAr2-A 4TL • NO Pi-- Permit Number:-- 5 oa- __
Legal Description 54'41- t 0- 2S- tj QlIZ W e764" 1s2T . / pj l'o RE# I °Gl I VO -0000
Valuation of Work(Replacement Cost)$ 15-0° Heated/Cooled SF ' Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration 410 Move Demo Pooindow/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidentia
• If an existing structure,is a fire sprinkler system installed?(Circle one): 411111. No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Desc 'be in detail the type of work to be performed:_ FAire l' `, fit w 1e�,P=4 A
ACe N5/X .4c .&..941,0 �1
9"
Florida Product Approval,% )-7-7 r 1_D for multiple products use product approval form
Property pwner Infos• o
Name:gjN� zlL N-1 4- i - Address: � A 'r
City All/ (c,tt State -PZip 32233 Phone 732 - 7S(I— 52-41-2-
E-Mail
242E-Mail SH' -epi�V►'►hIi IC0141 ,
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 1\4 1241_7 f1 CAAJ
Contractor Information /
c - �? `Com A s
Name of Company: `�.+-.�Qd Qualifying Agent:
Address 7-1 vIA 7O 1 (2-4 City A-iv tc State pl..- Zi 2-2-2>?.
Office Phone G(t7C 24 i - 03 W Job Site/Contact Number t — 4211- - V(p D
State Certification/Registration# E-Mail '1ArC.e-- 005 Uzi,GGA.
Architect Name&Phone#
Engineer's Name&Phone#
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
RECORDING YOUR NOTICE OF COMMENCEMENT. //
z te - ,,,
X-7716A4 --2 a K
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affir,•e. befgr- me this 23 day of Signed and sworn to(or affirmed).before me this2.3 day of
C , 2011 ,by czl l n _� & - t ( 20 7,by \,act A. .0GC CO
(Signature of Notary) (Signature of Notary)
Denise A.Ennis Denise A.Ennis
NOTARY PUBLIC
NOTARY PUBLIC STATE OF FLORIDA
STATE OF FLORIDA f
]Personally Known OR =.�,,��` ]Personally Known OR yrs,-
[ ]Produced Identification• .;•••...:::'9.: Cow*FF966426 [ ]Produced Identification • Commit FF966426
Type of Identification:
1' Expires 3/1/2020 Type of Identification: Expires 3/1/2020
Per:mr1 �- d r 022: yOFFICE COPY ?
NOTICE OFCOMMENCEMENT . -- r.
State of :. :County of. �1�1/1�Li.
II.
tS' TaxFolio:No. 6:��: ��OQ.:p000:: i:
To Whom It May Concern: '
:The undersigned hereby informs.you that:improvements:will be made to certain realp�'
P rope: , 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; rj=(el j 2s - e I hA, irvid: 66"4.6- : 01,0611 : 6 '
Ifir
Address of property being improved: J� Clga : A-II. ::: :` :: "1-ca- ,:-
General description of improvements:
1-7,4K'bar1,-. AtG—r.o..:W znjODw .
Owner f'/A21 tPi1 Address: 3 °' ?L,;/.1 ,4- AL. 0(� r, r-c vz- .
Owner's interest in ite of the improvement: rye-. 4.6 lv . .
Fee Simple Ttle • .er(if other than )
owner : .. :. . . :
(iv Name:
'U
! Contractor: ��''. v.a4 ..=.4.,..c..;..
v. , �{
Address: �lga I'41 ,7orW—:. Mi-151-19. :9 :: �A��tM.:Vv 1:::17 ., 9717 -7.
Telephone No:: [ 6772,0Fax No: `e- '2.41f'.0'7 2. ..
Surety(if any) -
Address::
AmountofBond$: :::
Telephone.No::
Fax No:
•
Name an address of any person_mak• loan for the construction:of the improvements ::
Name:
Phone No: :: Fax No: :. ::
Name of person within the State of Florida, other than himself; designated by owner uponwhom 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 Lienoi•'s Notice:as provided in Section
713:06(2)(b),Florida Statues, (Fill in at:Owner's option) :::
Naive:
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 IJSE ONLY ..•WNER .
...
1
Signed: /y1�— Date:.(0 23I.(�'gBeforeme i dayof CS �' ith�un_ of Dval,St
ate
• :: Denise A.EndsFlorida, s.pegs y appeared \].
Of personal e G1•-)c1 .S.Sc. ,
NOTARY PUBLIC
Personally.1C o
n wn. or
STATE OF FLORIDA Produced Identification:
.
- 5,i - CNotary Public:
an #FF966426
-My commission expires:
Doc#2017242313,OR BK 18160 Page 60, i - g 1
Number Pages:l' ...:
Recorded 10/23/2017 01:02 PM, -
RONNIE:FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY: