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765 REDFIN DR - INTERIOR DEMO �� r=io„S1 CITY OF ATLANTIC BEACH Sr' 800 SEMINOLE ROAD ,� ~~ ATLANTIC BEACH, FL 32233 r f3 >% r INSPECTION PHONE LINE 247-5814 DEMO - PARTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DEMO17-0021 Description: INTERIOR FIRE DAMAGE REMOVAL Estimated Value: 4960 Issue Date: 12/20/2017 Expiration Date: 6/18/2018 PROPERTY ADDRESS: Address: 765 REDFIN DR RE Number: 171281 0000 PROPERTY OWNER: Name: REINIKAINEN DOLORES M Address: 765 REDFIN DR ATLANTIC BEACH, FL 32233-3901 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PAUL DAVIS RESTORATION OF Address: 5795 MINING TER QA MICHAEL G. MUMFORD JACKSONVILLE, FL 32257 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. -.0City of Atlantic Beach APPLICATION NUMBER s`' S, Building Department (To be assigned by the Building Department.) �4 800 Seminole Road _��� ,, Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 t . J;� 9', E-mail: building-dept@coab.us Date routed: (:)/ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '7�J I E.,0 I i/ .3- 1 (? Department review required Ye _No uildin pp 1 �Y D G--f�'1 U . . "Applicant: C7 tanning &Zoning Tree Administrator Project: Pa L C t---S. loo.C.p[z • t�, 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 /t Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS II Reviewing Department First Review: 11(.proved. ❑Denied. / 1 ❑Notapplicable (Circle one.) Comments: 1L'C16- ". PP m A G, 4 ken. J "f"h;S �1 S --1rL 1C.— BUILDING OPrri 0 © "iii, ....k_63PLANNING & ZONING Reviewed by: Date: /1'• 3-17 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 ,•,,,,v,. Building Permit Application OFFICE COPY a City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 '``''t'`' Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 7C5 R DF/N -1\ Permit Number: Dec 0 .- 00Z Legal Description,3o^o91'/ 1/-�.5 C YON- Pitir16 Or I phi RE# /7 U/ O0 03 Valuation of Work(Replacement Cost)$ /r 96.O Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Move emo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Resid ntial • If an existing structure, is a fire sprinkler system installed?(Circle one): es No 410 • 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: boos!) RR bRmP6 0TERIok Florida Product Approval# for multiple products use product approval form Property Owner Informat'on / /� Name: O 5 Ei iJKP tddA) Address: 765 RAF'//v ��. City I L(N 1ie_ ci-t State )Z Zip 303,3 Phone 90ost-393- 59 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Com anYy: �• c, 1 C V 57)- •T/O..1 Qualifying Agent: giC1-06e--/0(.# 9R-..b• Address a?/// , I RCkrY CitY_ __iC State Zi. 3e (966 Office Phone 9O '- 739- j oy 7 Job Site/ContactnNumber 'r0 -- • • ar �� State Certification/Registration# CBC, %a5�75c�. E-Mail I "D$Y. L I EN",(..) ,•QLbF3V6 - COM Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 8 gig rig-4k> C/}S )P - /'J6. 771/Qo)'$ Exempt Lease Employees/Expiration D to Application is hereby made to obtain a permit to do the w• .nd 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. ,,.,,,Li.„,li --- ---<- ---- Signature of Owner or Agent including Contractor). (Signature of Contractor) Signed and sworn to(or affir ed)before me t,:.(t(t ''c ay of Signed and sworn to(or affirmed)/� before me t 's 31 day of CX-r , D)-7 , b • • _:'w . ' ♦ r� OCT , aa)7,by MI C.Wif-1_ t)M (( N ` - - j2g...,,,,, ,ta.tA.,....,Aignature of Notary) �111 y p� M LIENAU ,,t.s< � 'Y,, 80BBY M LIENAU I ,'+°.`���`: Notary Public State of Florida °o�'" '' •; ••• •a Commission t GG 080085 r =, NotaryPublic-State of Florida '41R),„. rru • Commission t GG 080085 '; �� My Comm.Expires Mart,21121 ` Personal) Kno ;lint °C` , Y My Comm.Expires Mar 6,2021 [ Personally Y.nov�,d1 ..,.,.., Ba tied through National Notary Assn. [ ]Produced dent ca'tts'.. ..... Bonded through National Notary Assn. [ ]Produced Identi t1Ow Type of Identificat rr-— —— —— — Type of Identification: Doc # 2017248096, OR BK 18167 Page 1830 , Number Pages : 1 , Recorded 10/31/2017 11 :53 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 • , •• • • • • .... .. • • ... : • . •: ... NOTICE OF•COMMENCEMENT` • • • .. ' • :• :: •• . . ARE IN DUPLICATE] Permit•N•o•. �'fr �:a''• •d / • :Tax'Folio No:'1 State of FLORIDA•• '.. I' :. (County of DUVALZ$ -1 b0 00 To whom It . .. • •:. .• : _: N • - The undersigned hereby Informs you that Improvements will tie•made tocertafn real Property;and In.' - �� t '' • ,• •;, :- ':. accordance with Section-71S of the Florida.Statutes,the•following Information:Is stated In this NOTICE OF'-':.-•'•:•.• •.'. •'• '�J• :'' COMMENCEMENT;'.. •;. .':' .".:'I : • ' • Legal description of property beinglmproved: 30-094• "• • -17-ZS-29E•'ROYAL PALMS f1NIT:2 •LOT 8 BLOCKS: :.'�•• „ • e .. . 7.6"5 REDFIN'DR':•Atlazltic;Beach FL 32233 :' .:•.:. ::. :: :• : :': -i4diire. ..proper•ty'being impnwed:' . • ••• ..General d•escription.of Improvements:.FIRE DAMA GE'RE... •• .. ... _ . •• .. ., . .. .. • t�wrier ItEINIKA1NEly,,TjOL.ORES Ivry.. •: ' � •:.:: •• ' • :: •' ; : :• :: • :' ' ': . :'•:• •' : • Address 765 REDFIN DR.' Atlantic:Beach FL 32233''. ,` . ':: •• 'Owner's Interest in site of the Improvement RES • Fee.Simple Titleholder• (Noche. • ,...•. '. . N8R1@'NA ".'Andress. .. . • . .'• :��.:� .•:• ,.• . , .. - Contractor PAUL DAMS RESTORATION" i _. • • :., •: •:. •'... •'''.. .'. • :'•' '•' .. ':. '.'. -'':'' • '.. :-' • Address 21 11 N.LIBERTY STREET.JACI(SONNII.LS FC 322• 06'• '. ':• ' ' ¢o4- eoai.. :90h-7391596 Phone No. ..: FaX No. ::. • • :. - • Surety.(if any).N ••• :•''•• ' A' •gddress . • '�.' ' Amount of bond$' . .. • ,. ,Phone No.• •, . .•;• -.'• •:� '.fax Nle: � .. . : •, .• .• . ••' •Name and address of any person making a loan for the construction of the improvements: . • ::•••,".•'' . Name. A • .Address . •Name of person within.the State of FloridA,'other tFian'himself,•desigheted by owner upon whom.notices or other •' • documents maybe served:_ : . ,', Name� NA .. .:. :. .. ,, � I- .. .,. :. .. :. .. ,; :. ,' ..• .: �• Address _ • PhoneNo.:.. - • Fax No.: •• " ' • ' • •• '.•*• -.. •In:addition to himself,owner.designates the following person to-receive a copy of the Lienor's Notice'as provided Pi. •: • 'Section 713:06(2),(b),Florida Statutes:(Fill In at :•Owner's option). •:: :::•: ".•': • • ' • -' :' Address. :. :" •; ..�•Phonallo:•• ••F.aRNo: .. '.• .• ." . : - Expiration date of Notice of Commencement(the expiration date is one(1)year from•the date of recording unless :. •::• •• "dif(arerit date is.specNied):�-• . THIS,SPACE FOR RECO USE ONLY• , . _ �� " ER� f • .. signed:/r� . !•v rit,o� • • ' ' .. . • • • • • :: : - - • . Before ire this '-. •day of In the'. • Cgonly"of D al.S-ref lorlda,has personally appeared' . ll himself/trerse�af thlN 11<%�ynJL�n� liereln.tiy '� ere'tiue end exurele. ' '„ BOBBY M CIENAU.'. • i I :a,�d„tio:;. Notary StaG 00085 . • )' - •@F± Cammission8GG0BW85 I: • CIr R •. . '.: : ,t' /� '� My CommComm.Exp res .. 021,; w ,,. �' . • .. ; .. . _ N tory'Clt at Lerge,state o - • • . Personell Know. .". kg or • or . 'ro• ce• •en !Callon - .. - - •