260 CAMELIA ST RES18-0033 Siding ,7,- SLA.NJ
J
- ;, CITY OF ATLANTIC BEACH
" s) 800 SEMINOLE ROAD
T.'..)varz,
ATLANTIC BEACH, FL 32233
4''; 9 INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0033
Description: NEW VINYL SIDING
Estimated Value: 8000
Issue Date: 2/6/2018
Expiration Date: 8/5/2018
PROPERTY ADDRESS:
Address: 260 CAMELIA ST
RE Number: 170865 0000
PROPERTY OWNER:
Name: NEAL JOYCE J
Address: 260 CAMELIA ST
ATLANTIC BEACH, FL 32233-2515
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: FLORIDA INTRACOASTAL BUILDERS INC
Address: 1614 Cocoanut DR
JACKSONVILLE, FL 32224
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.
(.av ;� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r c800 Seminole Road
1r) E
w Le Atlantic Beach, Florida 32233-5445 Rs C — 0 03 3
Phone(904)247-5826 • Fax(904) 247-5845 ' F)
,: ! E-mail: buildin de t coab.us Date routed: 1 Z 1 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z Ci-t,0 e -mi.-- Department review required Yew No
rBuilding ✓
Applicant: F La R. OR 1 ry Tr- A C O p { ( nning &Zoning
\ Tree Administrator
Project: V {N YL (DOG, •i,,�(. Public Works
Public Utilities
20 L I Oi' woo , 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: I Approved. Denied. I INot applicable
(Circle one.) , Comments:
BUILDING
PLANNING &ZONING
Date: -—G-da 8—
Reviewed by: ,
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
<4„,,.., Building Permit Application Updated5/5/17
4 City of Atlantic Beach
r"
0 800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)XR
247-5845 B
Job Address: 2167.2 /2/1-/17e7`lf SIT. 6 /2APermit Number: Est - 003 3
Legal Description r/f' 3y 3 g --i2. 5 - 2' b die C 1* /r 41,k /Ot) RE# ! 7o c D0 O 0
7T
Valuation of Work(Replacement Cost)$ Ovc, Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio RepairrMov Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial ' ential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 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 pperformed: ;N >° c•-•=y5 57'-%^' 7la S,--e„(, A-1... 11--11 Ty 0/<
�rrnif' N€& j�.rrNa/ S,Ar .t/4.
/Z « d
epi- E kJ) /v A) iv,'Aril)w 7-?2,. m
.
Florida Product Approval# ire,ii SO Z 3 for multiple products use product approval form
Property Owner Information
Name: 7O G f /V 4Z— Address: Z .0 efi -e.7// Cr--
City
i'City r'1 �« State . Zip 327 3 , Phone 9'1( 53 3i'51
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information / n
Name of Company: ed. 6M -/-/'rI or�oc,5 i( 4./ 4SQualifying Agent: ,U 14- -77`�4-1�2
Address /4,/L, C'pc pe,sVrrf /L/' City 7-cicZ S--4//I/L- State LA Zip 3 L)2
Office Phone `,., G7 7 , G?G ( Job Site/Contact Number U !(
State Certification/Registration# C.A I /i G 03', 7 E-Mail /t "67//V7r✓'6 en,,,v.%(hv,14 ft 5 6 L rh,,/, W oi
Architect Name&Phone# r- A.)
1"
Engineer's Name&Phone# n,di o e.1 S4 i 'Q r /R q
Workers Compensation ' 3/2 c Q, /1 !
Exempt nsurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to .= - 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.
XV7iG r d'e- (,_ "--4"-C---Deed- #Z-
/ An.ture of Owner or Agent)
'7 ft -7,17--,cal47-)
(Signet re of Contractor)
(including contractor)
S. ned and sworn to(or affirm-• before me this ,day of Sig d and Sw rn to(or affi ed •efor• me this ay •f
an ,ZO1 ,by g. O tshQ an ,2O13, by Ai . .• w.416. i ker-
iampa
?.***1: TONI '1,•"1,..�d' 5o 1, tart', ature •------ ------4----;77-'--
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:, MY COMMISSI•` MY COMMISSIO F 924951
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'" : EXPIRES:October 6,2019 "` ,n '•` EXPIRES:Oct..er 6,201
d< Bonded Thru Notary Public Undervniters '� d' Bonded Thru Notary Pub . •
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[ ]Personally Known OR [ ]Personally Known OR
[ ]Produced Identification L Z / O` A 3•�-5b� (]Produced Identification s3 67.- C 48—7 3-
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Type of Identification: L �P `ice ype of Identification: J "((D V
Pe rrn r, # 2& Si E' -c o 3.3
NOTICE OF COMMENCEMENT
State of Tax Folio No. /76'g 5-- O 2 Q
County of 13c,va r OFFICE COPY
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: 4 3t.,/— 3 S 25— 2 '5 Sec
Address of property being improved: 266 C'9-M e 5r- /V744 NiAv- 3z2 3
General description of improvements: W// p 77/-1.1_ if
% vhk� E.e s,`�P i,// ,yiv4(
/2eply 4,I-4-e"i 1-1%"rkw �-1L;✓1 I j
Owner: ✓Gy f1/6-4-1 Address: Z6 /I-�•�
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: / 9 F/o7/'D
// /
Coil actor: tiG di cx i! i S(7'Ly /! 4,, --Tiv orlDg 5'Fr'l I A3v��fd „,,
��e Address: /l./ f CDCO`AJjF !tel J/lck .
sv✓4 6/E- Awt,s'`7 32-24Y
cbA Telephone No.: 901 4,7 7_ 67 e?C? Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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:
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
i
Signe, I D /�N Date: —
Beforr th•. .!ef day • s► q ` •in the ounty of Duva,State
Doc#2018026536,OR BK 18271 Page 2299,
Number Pages:1 Of Fl• da, as person., y appear •/�� Alvid
Recorded 02/02/2018 11:40 AM, Notary Public at Large,St. • • ' •rida,Coun17.13al._./
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: i e
COUNTY Personally Known: — or
RECORDING $10.00 Produced Identification: APTiPAIN �i i. ��,L3��Z_ —
s
TONI GINDLESPERGER
. MY COMMISSION#FF 924951
,a •n EXPIRES:October 6,2019
Rf,tP Bonded Thru Notary Public Underwriters