337 Plaza RES18-0231 CITY OF ATLANTIC REACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL-ALTERATION RESIDENTIAL
MUST CALL BY 41PIA FOR NEXT DAY INSPECTION: 247-S814
PERMIT INFORMATION:
PERMIT NO: RES18-0231
Description: Replace Siding
Estimated Value: 14000
Issue Date: 7/17/2018
Expiration Date: 1113/2019
PROPERTY ADDRESS:
Address: 337 PLAZA
RE Number: 170001 0000
PROPERTYOWNER:
Name: MALZAHN PAUL NELS JR
Address: 337 PLAZA
ATLANTIC BEACH, FL 32233
GENERAL CONTRACrOR INFO
Name:
Address:
Phone:
Name: DURABILD SOLUTIONS INC
Address: 4348 SOUTHIPOINT BLVD SUITE 311
JACKSONVILLE, FL 32216
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 CTo be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5"5 kE;S Tr-6 2-31
Phone(904)247-5826-Fax(904)247-5845
E-mail: building-dept@mab.us Date routed: IF
City web-site: hftp:1Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 351 CLz"::" Department review required Y No
Builgi"Di
Tree Administrator
Applicant: �n -k Planning &Zoning
Project: Public Works
Public Utilities
-Public Safety
Fire Services
Review fee $ Dept Signature
--ke—view or Receipt
Other Agency Review or permit Required of Permit Verified By Date
Dept.of Environmental Protection
Florida Dept.of Transportation
St.-Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: — I
APPLICATION STATUS
Reviewing Department First Review: 24-proved. [-]Denied. ONot applicable
(Circle one.) Comments:
(!n� 716' )ol
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review: [:]Approved as revised. E]Denied [:]Not applicable
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLICSAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: [:]Approved as revised. [:]Denied. [:]Not applicable
Comments:
Reviewed by: Date:—
Revl"d OSMW2017
Building Permit Application 'ladm,d 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FIL 32233
Phone:(904)147-5826 Fax:(904)247-5945
Job AcIdness: -33-7 FLA7-A A-rIAATIC 06AOP� r.I, S 2 113 Permit Number: P, -023(
Legal Desoiption �-(aq I L-Q, -;Z 7 E- ATIA-M e .66,,cA z,-T 18 5L.K- I I JIM 17"'01 - 0"00
Valuation arl'Work(Replacement Cost) 12� Heated/Cooled SF i 8 6 0 Man-Heated/Cooled
Alteration Repair Move Demo Pool Winclow/Door
• Class of Work(Circle one): New Addition I2�
• Use of"Isting/proposed structure(s)(Clicle one): Commercial do�
• If an misting structure,is afire 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 ofwork to be performed:
Florida Product Approval# 14A01e O.A 0-7- 01`16.04 for multiple products use product approval form
Property Owner Inforin'tf
'w1iQ,, -53-7
Name: 141RE-S Adb CAf-K'rr1JA AAAL-T-Aw�) Address: FL-^7-A
City I-^ATIr- OC-ACIJ State FLI Zip Phonej��j�) -7bO
E-Mail lf)elSul Ind CV1 r1j;-Iri nc�&
Owner or Agent(if Agent,Power iyfAttcrryy�crrWe�ncy L.Z,Required)
Contractor Information
NameofCcyrnpany: LO"P'L-b S01"TIOAS, 1140' Qualifying Agent: f06�64 C047-le
Address-3061 T`141�iPs "1411 Swffi 10Z, City_qk�I"�-AO� State P� Zip '3��7
Office Phone C9 0 �C5 1 -S::)'13-3 Job Site/Contact:Number C4 v T)14 63 -Z�q 6
StateCertIficatIo./=w.ti-.n# C4,-C KM72-& E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exym,t/mona,/Las.Employ.I Expiration Did.
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 al I work will be performed ta 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,TAN KS,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
REC7;!;Z WYRN 'T E OF COMMENCEMENT.
er or Agent) ll� (SignatureofContractor)
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NOTICEOFCOMMENI Doc#201815a467,OR BKIa446 Page 1018.
Number Pages.I
Recomed 07M=18 08 16 AM
State of ONNIE FUSSELL CLERK CtiCUIT COURT DUVAL
OFFICE COPYCOUNTY
County of DOVAL RECORDING $10.00
To Whom ft May Cancuent:
The undersigned hereby reforms;you did improvements will be made to certain real property,and in acccorchume with Section 713 of
the Florida Statutes,the following information is stated in this NOTICP OF CONI]MENCENEENT.
Legal Description ofproperty being improved: S 1 14-JS-Alp_ A-TC.A-I`rlC Gr-AC44
L.0-r 15 2��V- 1)
Addr,,,ofpmp,tybcmgi.p.vrj: 17LA" , ATLA,,fil(- BEACH Fi, 32C33
General description ofimprovements:
Clymer: NELS A.,Ib C1441S-WA M^1-7�A4,J Address: 351 PEJ,-ZA A-1 L�,171 C, %,6A CIA I :j")3
Owner's interest in site ofthe improvement: hiew 6tplNq
Fee Simple Titleholder(iforber than owner):
Name:
Contractor: 'j>UR-A6jL-b SOLLIT-104S j W':
Address- 31261 t4 W4 , SL))TC-, '0 SixCIV'Sod"" FZ: 3��07
Tolephortablo.: (11* -5 Z
S51- 5331 Fais No: ) 7,
Surety(if arry)
Address: Amount ofBoud
Telephone No: Fear No:
Name and address of my person malcing;a low for The construction ofthe improvements
Name:
Address:
PhomeNo- Fat 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: Far No:
In addition to himisialt owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statmes. (Fill in at Owner's option.)
Name:
Address:
Telephone No: FaxNo:
Expiration date ofNotke of Commenoembert(the mpiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ON NER 211
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am. Date: 96joi-ZOJO
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Dooftission*as 962536 My commission expires.
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produced Identification: