2233 Seminole Rd #28 stucco repair permit 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: RES18-0019
Description: STUCCO REPAIR & DECK REPLACE ATOP SUNROOM
Estimated Value: 16522.54
Issue Date: 1/26/2018
Expiration Date: 7/25/2018
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 28
RE Number: 169519 0101
PROPERTY OWNER:
Name: DAVID M LUCKIE
Address: 2233 SEMINOLE RD#28
ATALNTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MICROTECH
Address: 11235 St Johns Ind Pkwy N #5
JACKSONVILLE, 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.
t
Building Permit Application Updated 12/8/17
City of Atlantic Beach
x�`^ 800 Seminole Road,Atlantic Beach, FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
32
JOJob Address: kil � Permit Number:
Legal Description(- 26.299- _,q,
RE#
Valuation of Work(Replacement Cost) f3� Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repa Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esEential
• 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: eA M (f1,Q rep Ct Gl✓14 C_G �,
SUAIV-60rVI vy_f?1C.,c1V1,1 :K L�`JJ - ► 5
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Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name:7D IA ►�t, �,�e, Address:'�233 Sicimtriple, V--J�" � ,tr'
City �-� S �l�Zip Phone Q'Dy
E-Mail I/
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 113—
Contractor Information Q
Name of Company: l,�(orr� (� t. qualifying Agent: l- rlakg SoyxleLOSk c _U
Address City !JL State P't._ ZileW
Office Phone d �tc) dJob Site/Contact NumberV
State Certification/Registration # QV, 12S 162);t5 E-Mail I'r'1-FC) rytt[y h CJb
Architect Name& Phone# L._
Engineer's Name&Phone# - LL_
Workers Compensation 69 �?t� (D
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.NOTICE:In addition to the requiremerLtj of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this cou ,and f
there may be additional permits required from other governmental entities such as water management districts,state age9e or U) M
federal agencies. a O N
IL Z i=
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wLM
applicable laws regulating construction and zoning. Oma0
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MWI H a° o °
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN&J& a
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 0 � � z
RECORDING YOI R-�NO,,T-IC OF COMMENCEMENT. O LL W
-'� 0 O a ¢ m
W 0
(Signa re of Owner or Agent) Signature of Contractor) W Q W
ncluding contr ctor) W V N W �?
cc W
Si ed and sworn to or affirmed) fore me this day of Silfned and sworn to(or affirmed f me this�y of w
b %261e, by
(Signature of Notary) Signature of Notary)
[ ]Personally Known ORP
ersonally Known OR
X
�,/� oduced Ide
PI ' t ] roduced Identification yoye TRENAEWSON
Type of Identific Type of Identification: ? ;e. RENArUNISON ii O 125889
=il ;MY COMMISSION FF-25889
EXPIRES:June 2.20ta _ EXPIRES:June 2,2018
t
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. �v' Ale
County of Duval
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 COMMENCEMENTj.
Legal Description of property being improved: I)q- 2.r.- ?9 E ()P&n V l j 1QAC Orle,
Condo munm m I)Loe-tlt" L-nkS _t
Address of property being improved: 13 3 sGrn l rl o I t RA A,- QI 'ti c &—ti, (:LL S2--233
General description of improvements:
Owner:�aV id 1x1'1 . L.U.0-K1e- Address: 27!33 �xyunolc Ed 28 AM( 4v,66,R
Owner's interest in site of the improvement: h u—wLe 1-
Fee Simple Titleholder(if other than owner):
Name: G_ L
Contractor:M1 e ro �o�IJL'FID Yls rr l� C
Address: %IZAAj``s"� 6k To&in S ky1dus-F . P4�.j N. S T&)4
Telephone No.-1cT4 IALIrk 16 30 Fax No:
Surety(if any)
Address: Amount of Rnnri e _
Telephone No: Fax t Doc#2018020272,OR BK 18263 Page 1020,
Number Pages:1
Name and address of any person making a loan for the construction Recorded 01/26/2018 09:37 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
Name: COUNTY
Address: RECORDING $10.00
Phone No: Fax No:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWN
Signed: Date: l l5 —($
Before a isday of in the County of Duval,State
Of Florida,hasnally peared
TRENA ELUSON :Notary Public at L S e of Florida,County of Duval.
MY COMMISSION N FF 125889 My commission expires: t_�t '1 b
; ,. EXPIRES:June 2,2018
Bonded Thru Notary Public Underwriters Personally Known: or
Produced Identification: