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2031 BEACH AVE - INTERIOR REPAIRS ,,,v.,j...4.4 (...._ 'iitsy CITY OF ATLANTIC BEACH r M y, l -,,:.` s) 800 SEMINOLE ROAD 154ATLANTIC BEACH, FL 32233 '4.J;; �% INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0023 Description: INTERIOR REPAIRS Estimated Value: 23180 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 2031 BEACH AVE RE Number: 169710 0000 PROPERTY OWNER: Name: WINDSOR H BISSELL LIVING TRUST Address: 2031 BEACH AVE ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Belmar Contractors, Inc. Address: 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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.m- City of Atlantic Beach APPLICATION NUMBER .r.' 40- `'!•_*,‘ Building Department (To be assigned by the Building Department.) 800 Seminole Road R �c \ F - 0023 r s) J - �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Pio t19'' E-mail: building-dept@coab.us Date routed: 1 / I p) (r. p) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Adan Z0. I el, �Rok_k Ni G D .part ent review required Yes No (Building. Applicant: E-1- (r� rCCoQ ( Planning &Zoning Tree Administrator Project: t K) C 1Z t Q R Rc P-P( faC 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: [ t proved. ❑Denied. ❑Not applicable (Circle one.) Comments: :UILDING PLANNING &ZONING1-2^9cx Reviewed by: 2,„ Date: 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. nDenied. ❑Not applicable Comments: Reviewed by: Date: `5/19/2017 ''----- OFFICE COPuilding Permit Application Updated 12/8/17 w11. City of Atlantic Beach -.,.,,1,- 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 R � �� ©� Job Address: t'�''J1 ' ,,5..t ek AJe A{lac�ir �Xi v .tl�,c1 1''..> Permit Number: Legal Description k) Rtle`.Ulic, xc-tn L)vti.+ I0c '3 fid ' lot: (04,hG RE# ((oil'(10 - Gpr,c., Valuation of Work(Replacement Cost)$ .917 i I46U.t>:) Heated/Cooled SF 1425I Non-Heated/Cooled 2141 • Class of Work(Circle one): New Addition AlteratioRepair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esiden. • 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: Re_pc�Yf ,„,. ,,, ,, c>r9.;,,..wae bot y.G Mv,rr; ,A,e_ m,,,,,0.• Florida Product Approval# i1Dv - 1 _:, - a -P.+ _ for mu •: e products use product approval form Property Owner Information r Name: c v- jl7;S',e11 Address: X31 Se.cu(n Ave . [I-rkAmtit a.Ui,-q, 2 33 City lrfiiekntir_ v1',,.,v, State 1=1 Zip -'1, �i3 Phone ( 04) 2H1- >-i9V-t4j E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: f - C .ertvw itx-, a-t,•g_ Qualifying Agent: -.Xih,n AA 4,Zvtv,et -cr Address ceb 4 1,ttiter e_ City ikyxn,,AL i?ri State El Zip 3aa- c7 Office Phone Ord.) (vii,- *lc" Job Site/Contact Number 0104) Cola geiG75 State Certification/Registration# CU_Oil Li79H E-Mail Delo,tom ccArrlratio:S (0(&Lucas*. Aer Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Q,i(ett ipt 1 e3LpiWPS 6)'h i 115 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 requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 Y 0 UR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN 'INAN ' ING, CONSU 0 WITH YOUR LENDER OR AN ATTORNEY BEFORE ' �,,-,_REC e''DI YO ' N' c E F OMM CEMENT,. ' , a1-- • I• I.,: �'-'� (Signature of Owner or Agent) 1 (Signature of Co ractor) C 100*4*,\0;.: <"` \incl ing contractor) p., o m Z ''gned andnsworn to(• a es)before me this ( day of i ned and sworn to(or . m;• b ore - this (� da of n`) n o a NLAQl l , +JDeR �} - 't�jlS5.FLi_ . � 1: by It. ► 1 ►� iA. 7 9 a v v •- Ii1i ifilailiall o , (Signature of Notary) -(.1:n3.7-1%1''otary) a '2 Zx —, L Nct n T a> z Personally Kn rwn OR (Personally Known OR s g oa z I .'roduced Iden 'ficatio [ ]Produced Identificati. 0..;g", `� n :^_ pe of Identification: rt-s -tc:I '-i gP ? Type of Identification: ' - ,, .,,„ ., . r .,,.. D N t0 O iil H g co a „�•i1�-_?0 Expires July 15,2018 • up p' I, ''A,p4.10 Bonded Thru Troy Fain Inwr.na 800486-701B OFFICE COPY Artm4 fzk-s/8-- ooZ3 NOTICE OF COMMENCEMENT State of Floe% County of -r)cwa1 Tax Folio No. 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: 11) PrHe Aiic ,e_a_ v, Jvt;# ll)a 5 ?-r I Coq,10 Address of property being improved: .01)31 3ac,_c.v, Ave. , Ab bloc. 6i'tA;_.L, , , X33 General description of improvements: -2,cje,1r i Mee. aww Je atm o 't e v`e- Owner: (41)-pnac,crr t),-ne\1 Address: X2 eXIMA 1 l% e.1 /441At ic. actin F1 r '�‘5613) Owner's interest in site of the improvement: D e)r Fee Simple Titleholder(if other than owner): Name: fContractor: 1 IvV)DY. l.p(s Tic, } Address: S1ne-c - Prue, { �,ul� %env lk Seca.), A Telephone No.: C4eki") (ota-wk.,' _ Fax No: Surety(if any) NI Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: f�)I A Address: 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: I.) 114 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: A)Ii- Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(' year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY O (//Z°/ Sign . / -VDate: Before me I's I day of 3-4,o c�/9A.)/a°16 in the County ol,State Of Florida, 1.• per,t o ✓appeared -.) i 5 0 it 44 15 i er5 Co— Personally Kn k n: or Produced Ide+`i\, o iL o le-t ye'\ 3- r� ✓v�v t�F,.+�o Notary Public: �- My commissin+ - ,ires: D Qe (got"! Doc#2018012075,OR BK 18253 Page 243, ALBERT MORENO Number Pages:1 __�`'--Y--\4; Notary Public-State of Florida ! Recorded 01/17/2018 12:14 PM, * �s\1 • Commission#FF 239295 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL -� "1);c MyComm.Expires Jun 9,9519 RECORDING $10.00 ' COUNTYS'O;;�s" Bonded through National Notary Assn. ,�L��_.,-,-�--;—., OFFICE COPY BELMAR CONTRACTORS INC . E322 Li el - s- 934 Sheffer Ave. Jacksonville Beach, Fl., 2 50 Lmail: •- ��- •� • n Joe Soares#(904) c.#CB-C046774 48 John M. Hanna Jr# (904)612-9903 SCOPE OF WORK DETAIL OF WORK TO BE PERFORMED: RE: Repair damage caused by hurricane Irma. Bedrooms 1 & 2, the hallway and closets and the foyer. 1. Replace all of the electrical wiring in both rooms and install new outlets and switches. new overhead light in each room. The allowancedfordeach light is $70.00 32. Installeone furring strips or framing as nee 4. Secure and/or replace ducts, boots and grills with new flex duct, n boot and a white ase per 4. Replace the of 5. Install new insulation in the ceiling and exterior and bath wallsexposed building code. g the n 6. Install and finish drywall through out all roomsceilings to'Ihave a do bele knock down decorative concrete block in the foyer. The texture. nst new 7. Install new 3 1/2" baseboard, new wood window sillswiiitth ll tpaprons, ie saalll gra dean interior doors and 2 1/4" casing through out all room finger joint pine. oice of i 8. Install new door locks on each room and closet doors. Owners done hallini sh. and 9. Install new closet shelving and hanging bedroom rods in the installs 9 helvin in the other hall closet. All shelving to be made with 3/4" paint grade plywood and the rods are to be heavy duty metal with a white finish. 10. Paint all walls, ceilings and trim with two coats of latex paint. Owners choice of colors. 11. Clean the floors.