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1937 SEMINOLE RD - INTERIOR REMODEL - PERMIT RES17-0205 J j j��JfJJ`� 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: RES17-0205 Description: INTERIOR REMODEL Estimated Value: 3288 Issue Date: 10/19/2017 Expiration Date: 4/17/2018 PROPERTY ADDRESS: Address: 1937 SEMINOLE RD RE Number: 169542 0522 PROPERTY OWNER: Name: FRANKEL MURIEL TRUST Address: 1937 SEMINOLE RD ATLANTIC BEACH, FL 32233-5903 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. si. 'i , City of Atlantic Beach APPLICATION NUMBER ,j r Building Department (To be assigned by the Building Department.) 800 Seminole Road 1\ C 5 l 7 , U z0S u Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 i"!jri1g':- E-mail: building-dept@coab.us Date routed: I 0 ft 3 1 (7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 137 S e iry\,A of e Department review required Yes No `Buildin� pp A licant: 1- 05-::.C b l.) t C k fl eo,---t- r'annig &Zoning Tree Administrator Project: \0. Pc 0 or\ R E fvtzc� 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: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: :UILDIN PLANNING &ZONING Reviewed by: Yom' 1 Date: J •/ 9./7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑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 05/19/2017 -t L'. . Building Permit Application OFFICE COPY City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 ^`c'`", r Phone: (904) 247-58826 Fax: (904 247-5845 / Job Address: / 937 2 z / ,i,-2,,,,h.....j&,� Permit Number: R E 5 7- V Zo5 Legal Description 907'19 C9-a1,5 •OE,09 ,6ek/,1ixee ioTa 'GK / RE# /6;'/7,2 OcZ Valuation of Work(Replacement Cost)$ /© Heated/Cooled SF Non Heated/Cooled Zr • Class of Work(Circle one): New Addition Alteration Repair Move 0-... ••• . indow/Door • Use of existing/proposed structure(s)(Circle one): Commer '. Residentia '`) • If an existing structure,is a fire sprinkler system installed?(Ci - o • • No • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the typ of work be performed: d�i/th i' Eloal6P 3 4c3MICC, Florida Product Approval# id//7 1 , for multiple products use product approval form Propert Owner Information O � rj/ Name: e, —/l2LCE� i L r Address:/ /937 ie.-MI-4y City m� i . "if, ; St tee - Zip 3;1,733 Phone 9 63/-968a E-Mail '4e99 ECL -17iif UET Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Informationio� Name of Compan : 1✓Ii_it ,o. f o/.�, alifying Agent: ,, A� Address a0 4 / r ,#- City i/ i ` . ' Vitate Zip . Office Phone �(� i2v/ �3 U Job Site/Contact Number ��,L� 7 State Certification/Registration# It.R5O 2/2 E-Mail /3iQ4/9 / •CO/!J Architect Name&Phone# fJ/� Engineer's Name&Phone# r (/�j� 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 , ORN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. / / ,.)Z, -7‘,.-eet_.--0e----dr--4,2-e----e— (Signature of Owner or Agent including Contractor) (Signature of Contractor) Signed and sworn to(or affirmed)before me thisr2. day of Si ned and sworn to(or affirmed)before me thisl2.. day of CD zkeC, 2pil ,byb wC° c0.SSiS ,7.011 ,byiod'tt A• QcSCO (Signature of Notary) (Signature of Notary) Denise A.Ennis • Denise A.Ennis NOTARY PUBLIC \ NOTARY PUBLIC J Personally Known OR � _ STATE OF FLORIDA �{,�]Personally Known OR e : STATE OF FLORIDA • [ ]Produced Identification ;'-0' Cann* [ ]Produced Identification -' *t_,, . . �,.. . CommcommitFF9816426 Type of Identification: '''h31 .a .. Type of Identification: C Expires 3/1/2020 NOTICE OF COMMENCEMENT State ofier0/8/41 Tax Folio No. County of nt 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: a5 -079 . 9i 16.w4- Cora gal We /a5�/ /0-23Address of property being improved: 83 7 L iiir1 (E /r • IradT gale!" i 2' 32a3. General description of improvements: /. i i 2c 39 3 adrTsES alag 49413 Owner: jr" L 11/ Address: `r� 7 Owner's interest in site of the improvement: aI ( Fee Simple Titleholder(if other than owner): Name: tContractor: AeeD rej,f�.z k. �� Address: 415-- g �t� I Gdgala//Jl�1�'� ,2 3s,23, Telephone No.: 'O aD Fax No: 9D11 - Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Doc#2017234769,OR BK 18150 Page 1597, Name and address of any person making a loan for the construction of the improvements Number Pages:1 Recorded 10/12/2017 03:28 PM, Name: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Date: /O ,OZ-/7 Signed: Denise A.Ennis Before e this 2 day of O c.4o .C' in the Coupty of Duval,State co_c_ Of Florida, as personallyappeared bo Cba Ctz_. k gQSt S _ NOTARY PUBLIC PPe ; STATE OF FLORIDA Notary Public at Large,State of Florida,County of Duval. �.:t-",Comm.,FF966426 My commission expires: 1".". Expires 3/1/2020 Personally Known:v or Produced Identification: