2303 FIDDLERS LN - REMODEL (---,t ���r
t `* CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
\,v„,...” v� ATLANTIC BEACH, FL 32233
o;3 i INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0105
Description: kitchen & master bath remodel -cabinets, flooring, counters
Estimated Value: 26000
Issue Date: 3/22/2018
Expiration Date: 9/18/2018
PROPERTY ADDRESS:
Address: 2303 FIDDLERS LN
RE Number: 169463 0126
PROPERTY OWNER:
Name: EBERT WILLIAM P J
Address: 2303 FIDDLERS LN
ATLANTIC BEACH, FL 32233-4681
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: Sun Tech Industries of North Florida LLC
Address: 5203 Cruz Road
Jacksonville, FL 32207
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.
ifari;��, City of Atlantic Beach APPLICATION NUMBER
JsPr 1 Building Department (To be assigned by the Building Department.)
-� 800 Seminole Road
j ry . Atlantic Beach, Florida 32233-5445 �� =0
Phone (904)247-5826 • Fax(904)247-5845 ��,,-��
j;; �%' E-mail: building-dept@coab.us Date routed: I�U 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a3 03 B c.U_5 Ln • Deja nt review required Yes No
t^ 'T Buildin
Applicant: 11 — eth fi(\ctutSig^1 LS Planning &Zoning
Tree Administrator
Project: r\E,'1 `4- b c I Q kkkO ILI 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: Approved. _Denied. ['Not applicable
(Circle one.) Comments:
BUILDI /ij
PLANNING &ZONING y 21/201 r
Reviewed b : ` Date: !
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. I (Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY
Building Permit Application
f"f'' Updated 12/8/17,
City of Atlantic Beach MAR 2 n 2018
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: Z.3D 3 +P A i 1r { 3Zrm 3 pp -L
� / fdS � 1�7►ctH��i: �'c�C'(x �� Permit Number: 1�--L Si a �
Or
Legal Description 1-1 Z—l 0-7 '-7_� +� 6 RE# r(OQ #3 2.6
Valuation of Work(Replacement Cost)$ )., J d o6• Heated Cooled SF �J
/ J�� 13 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratior(R-e 9 Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Resident'
• 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 performed: Q _, _6 j C r
1��YNt C7R k(`_chm1 Q✓Lc� kSte ('
Florida Product Approval# for multiple products use roduct
Property Owner Information p approval form
Name: c,0 A-C'y\-\royv Address: 2.363 F d -1Z✓ 1 L A,r✓
CEiIVIail t 1a ✓►rrC eea C* State rt.. zip 322:3.3 Phone 1tr tl�'&6 _Z2
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) !
Contractor Information
Name of Company: J /k—e/-1 ri/e7/1.5-ree5 '/ G= ��
Address D��"' Qualifying Agent: //�f�� �iJLe��y.4:J
- e G�v� • City Jli✓C �:JL//e4e State ,i
Office Phone ( ;:,.,49 �I ?/ Zip 300,0J
`1- / Job Site/Contact Number (16`1) 22 �) '366,-0(0oKi..)
State Certification/Registration# e g52?7f/ E-Mail 6//A--'0,44.6 e) / C-4.'y
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation --‘._z,<y
surer/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 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.
(Signature of Owner or Agent)
(Signature of Contractor)
(including contractor) /
Si needand(sworn to(or affirmed)before me this/ day of Signed and wor to r affirmed)C•before me th1``sk lay of
\ �a6 by -ie.-ie. �C
-�4C1t , by 11G1Y1
' rA
0.0 Poe GINA PUTNAM BIRMINGHAM
.•••'•.4‘ (Signature of Notary)
* ,;� �MYCOMMISSION#GG 072419 (Signature of Notary)
. l a l gs� i tr)rary19,2021
[ '� clu aI )r � Sarvkes ['ersonaIly Known OR ce Pue�, GINA PUTNAM BIRMINGHAM
[ ]Produced Identification r
Type of Identification: Y *MYCOMMI$SION#GG072419
Type of Identification: N lqi ExptRES:February19,2021
4FOF F�.°Q Bonded Thru Budget Notary Services
OFFICE COP
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All dimensions size designations This is an original design and must Designed:2/24/2018
given are subject to verification on not be released or copied unless Printed:3/18/2018
job site and adjustment to fit job 2020 applicable fee has been paid or job
conditions. order placed.
Fenton Kitchen 48 Range Feb 24 2018.kit I El 1 I Drawing#: 1 No Scale.
OFFICE COPY
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All dimensions size designations This is an original design and must Designed:2/24/2018
given are subject to verification on not be released or copied unless Printed:3/18/2018
job site and adjustment to fit job22 w applicable fee has been paid or job
conditions. 1(10 order placed.
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OFFICE COPY
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All dimensions_size designations This is an original design and must Designed:2/24/2018
given are subject to verification on not be released or copied unless Printed:3/18/2018
job site and adjustment to fit jobapplicable fee has been paid or job —
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NOTICE OF COMMENCEMENT
State of Fig ick Tax Folio No.
County of i)u-Via
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: I to i Lim(3 - 012 to
Address of property being improved: 2 303 -Rad 1/Lir S Lane, , 44( i*. BettAra 322133
General description of improvements: + +e rci,{-k. . .A,tt k is ('emvc,v a.,#' S
Owner: i°VI n @,Vl Address: 9.,3a3 be k,vs 1-QYIQ f, 1, ,fa 3223'
Owner's interest in site of the improvement: N e✓love,'-(-jryl.3
ee Simple Titleholder(if other than owner):
Name:
/
.✓
ontractor: /i✓(J S77L" ES # L G Gt
Address:51 57203 G'.E'U r/, ��vt�c 'L- ,Zz-o z
Telephone No.: &of) 2I/-?a®T 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): l
THIS SPACE FOR RECORDER'S USE ONLY OWNER n P
Signed: /job Date: s f- �/
Doc#2018067554,OR BK 18323 Page 2168, Before meths j q,J day of nAtCh‘Z..DPI in the County of Duval,State
Number Pages:1 Of Florida,has personally appeared "$cMh F 14
Recorded 03/22/2018 10:26 AM, Notary Public at Large,State of Florida,County of Duval.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY My commission expires:
RECORDING $10.00 Personally Known: oto I.. GINAPUfNAMBIRMINGHAM or
Produced Identification: �....'''... _ , -: *MY COMMISSION#GG 072419
Nj " <7 EXPIRES:February 19,2021
� i,)FOF Fe Bonded MN Budget Notary Services