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85 Nicole Lane - Residential Alteration SS 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: RES18-0129 Description: interior renovation Estimated Value: 75000 Issue Date: 4/9/2018 Expiration Date: 10/6/2018 PROPERTY ADDRESS: Address: 85 NICOLE LN RE Number: 1695190830 PROPERTY OWNER: Name: BEIER ALEXANDRA DAROS Address: 85 NICOLE LN ATLANTIC BEACH, FL 32233-5979 GENERAL CONTRACrOR INFORMATION: Name: Address: Phone: Name: MATHIEU BUILDERS Address: 38 W 9TH ST QA DUSTIN MATHIEU BROWN ATLANTIC BEACH, 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. 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. —% IV, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road _ 0 -5445 Atlantic Beach, Florida 32233 Phone (904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: L4 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Ts- ( -O�t uarvc Department review required Yes 0 <:yRuildin6 Applicant: Planning &Zoning Tree Administrator Project: -k- L) p,1 a A-,zy) 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: P611proved. [:]Denied. [:]Not applicable (Circle one.) Comments: SWO Fe-*�% Art// 40 4,A-,s rx�(� Appl--L. PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [-]Approved as revised. F]Denied.L/ F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. OlDenied. F]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 12/8/17 f5- City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 APR JobAddress: 141441"C' dec'J'_ Permit Number: Legal Description �Y;�f-Tef Z-1Z,)"`__'R E# Valuation of Work(Replacement Cost)$ 26-ra 0, Heated/Cooled SF Won-Heated/Cooled • Class of Work(Circle one): New Addition Ci� Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial dz�ED` • 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: Auw; '4f ex,1�1,woz. X�/ Florida Product Approval# ror multiple products use product approval form Propertv Owner Information I Name: 4al,,,a iq�W,_5&,t4 A I,tr- Address: J? 1011 1_44 City -.41 41-;,- 1_,Kea�"k State Fz-- Zip 5 te-JT Phone 2 I-F.7 E-Mail A/CXZ406-k ceri Owner or Agent(If Agent, Power of Attorne;or Agency Letter Required) Contractor Information Name of Company: 11447%, '"It. Qualifying Agent: Dq5kk Address -3,Yti V-A 5,A City N144i,c- State r-t-- Zip 7?,Z'3 UT Office Phone Job Site/Contact Number State Certification/Registration# C Oc-tt r 7-1- E-Mail cl0k,A (19410-/-A ; e-t_ b-; c o,-t Architect Namle&Phone# F6'�t 1r& Z- 6 7 r, Engineer's Name&Phone# Workers Compensation (_E!!_M�p 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. OWN ER'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) ___Z__ (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this 01 day of Signed and sworn to(or affirmed)before me this I -?A- !day of 1� by !A�&A—Arn ey-i W Mqrck U17 by UA',f\ &OUJI111 N\iwAhJ4311 J�� (Signatu+of Notary) (Signature of Notary) Personally Known OR Personally Known OR NANCY K008 Produced Identification CommisWn#GG 074920 Produced Identificatio Notary Public State of Florida E Type of Identification:�_R txpiiies juqe 19,2021 T of Identification Heather=Brown 9 My Commission FF 239144 Bonded Thri Tiry Fain lnsurax*800.385.7D19 as 06/090/20 19 4100 Expires 06/09/2019 0%A ON Ph^ � -0— 2- NOTICE OF COMMENCEMENT I state of Tax Folio No. County of Dy V 4 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: $437-z-s"-am- Z-29�- Jz Address of property being improved: j�y Ae,611— Z444— General description of improvements: jo� 3 Owner:hkjw4im a4%m A;e Address: FIC614- lt4-- A11W Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: �Contractor: If-co 4-1 /."C-- Address:. T9 !W- Af-�-et 4-e, Ax c.,4 Telephone No.: tr Fax No: Surety(if any) Address: Amount of Bond$ 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 Doc#2018076307,OR 13K 18335 Page 1999, Number Pages:1 Recorded 04103(2018 10:53 AM, LY OWNER RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL�, COUNTY Signed: Date: �,\Z,7,0 LT RECORDING $10.00 Before Ine this 6V' dayof PcP)6X.,Wj5_ in the County of Duval,State NANCY K008 Of Florida,has personally appeared ounty of Duval. Notary Public at Large,State of Florida C Commission#GO 074920 My commission expires:, Co Bonded Thru Tmy Fain Insurafn 800-386-7012 Personally Known: or Expires June 19,2021 I Produced Identification: