2215 ALICIA LN - PERMIT RES18-0182 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-SS14
PERMIT INFORMATION:
PERMIT NO: RES18-0182
Description: replace front& rear doors
Estimated Value: 3400
Issue Date: 6/8/2018
Expiration Date: 12/5/2018
PROPERTY ADDRESS:
Address: 2215 ALICIA LN
RE Number: 1695190755
PROPERTY OWNER:
Name: LEWIS GARY L
Address: 2215 ALICIA LN
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD
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$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 vo),
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us IL__�ate routed: t Eli
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
ent review required Yes No
L
Property Address: <
Applicant: &)�S( C) (SLk_'
id S Planning &Zoning
Tree Administrator
Project: 4 L f) S Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ElApproved. X—Denied. [:]Not applicable
(Circle one.) Comments:
10Q,
PLANNING &ZONING Reviewed by: Date: Vlblxas
4
TREE ADMIN. V
Second Review: XrApproved as revised. FjDenied. FINot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:6220/t
FIRE SERVICES Third Review: E]Approved as revised. DIDenied. F]Not applicable
Comments:
Reviewed by., Date:
Revised 05/19/2017
jlsuwl� RECEIVED
OFFICECMIring Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 MAY 18 2018
Phone:( 04)247-58 6 F.X(904)PV-5845
Job Address: 1�92 Mdz W13, ,Permit Number:
Legal Description 37-,;R,5-0?6- 4`6 1dQ0 RE# IKWft pjpj*ftent
relhkR j , FL
Valuation of Work(Replacement Cost)$ '��00-00 Heated/CooledSF �69% Non- tAgant9gleach
• Class of Work(Circle one): New Addit ti�n Re air lvlov�eD P Winclow/Door
• Use of existing/proposed structure(s)(Cie-��Om`merci Resident*
y
• If an existing structure,is a fire sprinkler system installed?(Circle one): No
• 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: �64_vcl 3 Avak 11�e
Q4- &a /0 ,A P60 1 , I QAX fo
Florida Product Approval# PL 9'41. 117A.1. 3 7 for multiple products use product approval form
Prooertv Owner Information
N a m e: 1AAaV ta)__V6 i Address:
City 6r" State zip W33 Phone /3(7 --3 5-0—0
E-N A a i I MAI ov
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Informatio
Name of ComDan Qualifying A4ent: &&0 R2
Address /V11V1W_r P6.4,19 City State F(— Zip 3-' -3-3
Office Phone 0 1.2D Job Site/Contact Number IqOY2 g3.7-5y,1C.,
.rtif
State Certifica�tion/Regi`strntwon# 60(- 1.15-91,2 E-Mail. Imo a�5&c,!k -60ol
Architect Name&Phone#
Engineer's Name&Phone# - I Z
Workers Compensation 9 , /S
Exempt/lnsu�Clease Empl&yees)Expiration Date
Application is hereby made to obtain a permit to do the work a 9 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 FINANC NG, CONSULT WITH YOUR LENDER OR AN BEFOR
RECORDING R NOOCE OF COMMENCEMENT.
7777
(Sigvtur'e(rf Owner or-'A'gent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirm!W)befo e this 1-1 day of
CaIA5 '20 1 by -10116 byl;M EK Cell
n iure JNoiaryT
M Owbe A.Ennis
i'k T
"',k Personally Known OR STATE OF FLOMDA ___T_1 Personally Known OR NOTARY PUSIX
P
Produced Identification V- . Conwn#FF906426 Produced Identif cation STATE OF FLOMA
M
XnIrm� / 0
Type of Identification: EViM 3/11/2020 Type of Identification: Convn#FFOW25
qWW E*rw 3/11/=
OFFICE COPY CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
t
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date jA///) JRevision to Issued Permit Corrections to Comments ZPermit# 1-12-/S-
Pro.ect Address
j "Ival� Aw z� 141z--
Contractor/Contact datmero FIQW
PhonerWV-),�37-5f- ,10 Email '411V'OA-�'eo 4�k-6V1
Description of P d Revision Corrections: Permit Fee Due
/2 171clWl
Additional lncrease�n ue$ Additional S.F.
By signing below,I A4pl'�' affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature ofg/ntractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
!D ent Review Required:
Buildin
L Z
;Z;cg�i &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
OFFICE COPY ATLANTIC BEACH,FL 32233
(904)247-5800
BUILDING REVIEW COMMENTS
Date: 5/30/2018
Permit#: RES18-0182 Site Address: 2215 ALICIA LN
Review Status: denied REM 169519 0755
Applicant: BOSCO BUILDING CONTRACTORS Property Owner: LEWIS GARY L
Email: brad@BOSCOCBC.COM Email: gary@clarealestate.com
Phone: 9042410320 Phone: 3179895000
9044228060
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Conjirir�rebts:
1. Pro��approval numbers with R values at the end of the number will not be acceptable. Number must
e na ecimal point number or just a whole number. If whole number submitted has multiple i
odel/styles under that number then that complete number with the decimal will be required and that
sticker will be so numbered when installed. For instance the number 17184 has 16 different models'
attached to that number, 17184.1 through 17184.16. Not all are installed identically as far as fa I ners
and their spacing requirements.
2 The Numa Door number submitted, 14752.4 and the instructions submitted with it do not ch the
actual product approval installation instructions from the DBPR website.
3. esubmit the correct valued numbers and installation instructions from the DBP s product approval
w site or the approved NOA documents. 2 Copies.
C-
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5844
Email:rnjones@coab.us
&mcrd-rol Plov, 9-�ev;,eL., "(—orr-w,*,,4-
A0 r�,nq 0"F2 OFFICE COPY
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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 COMMENC
Legal Description of property being improved:
&T- 9
Address of property being improved: 6zt,'j. &W ve- )q.
General description of improvements: &h/11-
Address:
Owner: AW Z-
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contrector,
04 Address:
--j2—
�W)
Fax No:
Telephone 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 Date:
Signed:
Tl-�fbre me this day of n t e luitay c Duval,State
Florida,has personally appeared LEN
ibs,
Doc#2018119516,OR BK 18393 Page 697, )tary Public at Large,State of Florida,County of Duval.
Number Pages:1
Recorded 05/18/2018 01:31 PM, y commission expires: or
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL rsonally Known:
COUNTY aduced Identification:
Omw*FF966426
RECORDING $10-00 E*res 311/2021D
STATE OF FLOROA
OFFICE COPY
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