1896 BEACH AVE - BATH REMODEL 01..A4-,...,,,
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td CITY OF ATLANTIC BEACH
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� 0 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'��;t a'' INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0257
Description: MASTER BATH RENOVATION
Estimated Value: 20000
Issue Date: 8/20/2018
Expiration Date: 2/16/2019
PROPERTY ADDRESS:
Address: 1896 BEACH AVE
RE Number: 169542 0600
PROPERTY OWNER:
Name: STUART FAMILY LIVING TRUST
Address: 1896 BEACH AVE
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$7,500.
Building SePermit Application Upd{ted12/&17
'I Qty of Atlantic Beach
_-,- , ( '
4i1
� 800 minole Finad,Atlantic Beach,832233
Phone:(904)247-5826 Fax:(904)247-5845
,bb Address /8 96 FM6/1' A-VF•- f /},f/77c 47(..0)47(..0) FL f�
Permit Number: I C----' t g' 02-S7
Legal Description `-.? - /4 07-. -•a-9 6 ifiviact 1.5)De koT- I. /69S'�i2.- Blo o c
Valuation of Work(Replacement(ost)$ aZ o, ,OU Heated/Cooled S= Non-Heated/Cooled
Fil Class of Work(CI rde one): New Addition Alteratio Fepair Move Demo Fbol Window/Door
® Use of existing/proposed structure(s)(Orde one): Cbmmerdal •.--'denti.
D If an existing structure,is a fire sprinkler system installed?(Circle one): Yes (I j N/A
® Sibmit a Tree F moval Permit Application if any treesare to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
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Honda Product Approval# i✓/A for multiple products use product approval form
Property Owner Information
Name://ARK tit K/Ai9 ff 4*7'vtR1T Address: /9 4 /0>k ti /91/E
Qty ATJ-A„,,,r/C B#0,9-CN Sate FL Zp 3.-A 3 ? Phone 6)9- 9/3-lir3
E-Mail Ef ,A./09 Ca 6'/ftf/,'L . GOr1
Owner or Agent(If Agent,Fbwer of Attorney or Agency Letter Fequired)
Contractor Information
Name of Company: /301-?& $L.4 L.P we, C-0Arreeicil+es,tic Qualifying Agent: TSP ,42, arc 0
Address _2 /rP,yHyp 7 RP. Oty*xvtroA/v,lie Sate FL Zp 3- -3 3
Office Phone 9m$._24/-03.2.0 .bb Ste/Contact Number 9# -.2.33-GAf-
SateCertification/Fegistration# C/ca.fo6,2/a- E-Mail -VvP0 6msor -ASC . c-oA
Architect Name&Phone#
Engineer's Name&PIhe# I
Workers Compensation 7c 2.Li, I, 't ?& 5C 4/(9
&- ,�
xi-Air •ager/Lease Employees/Eviration Date C
Application is hereby made to obtain a permit to tome 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 thisjurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK PLUMBING,SGNS
WFI I$ POOLS RJR\IAO-\BOILEFS HEATERS TANKS and AIRCONDITIONERS 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.
OWNEZSAFFIDAVITtertify tL I all tiforegoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARN NG TO OWNER YOUR FAI LURE TO RECORD A NOII CE OF COM M EN CEM WT MAY
RE JLT I N YOUR PAYI NG TWICE FOR I M PROVE 1 B\JTS TO YOUR PROPERTY. I F YOU I NTBVD
TO OBTAI N Fl NANG NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING iNOT10E OF COM M ENCB'A ENT.
/ ,2 ----1
Sgnature of Owner or Agent)/69'.-i
ature of Contractor)
(induding contractor)
Sgned and sworn to(or affirmed)before me thisday of Sgned and sworn to(or affirmed)before me this day of
Z-v1c� byI,ilIL--kk •Sh►51,c-k' �� 2cB ,by r --is..;„ 1, s CO
(Sgnatureof Notary) (Sgnatu eof Notary
Ft;rsonally Known OR --"'N Known OR
Dense A.Ennis Denise A.Enna'
[ )Produced Identification NOTARYPUEi,ii" [ ]Produced Identification NOTARY PUBLIC
Type of Identification: - Type of Identification: F �.
-- :'� Commit FF98641 -.►�'i•"•'�- Corm#FF966426
•Expires 3/1/2020 Expires 3/1/202C
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• NOTICE Ot C MMENCEMENT JOB COPY
` . perm s/ febS1 8 aas7
State of fl-.0 A.124 Tax Folio No.
County of 9(WI/f}L
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-.2-J¢- O q -- . .J -- 2.9k
13E,9c�ri.DF <.-vr30 g1 {s
Address of property being improved: 1896 QEAGH if VE. Art..114/7-7 96/1c,HI 1L 3a.X33
General description of improvements: .94774 FQDO/y /2g: IJ7�L
Owner:,'1 Aj2( , f{• d-KAgc4Q STN4i ' Address: /IN ir£AGH Avg -,4r"L9.vTt. aceri. 3s133
Owner's interest in site of the improvement: ,f3'/Den CE
Fee Simple Titleholder(if other than owner): ,v//9
ir Name:
� ontractor: 17o1Co Bu y LA/,,, C 0/v1-R /c7 J, .X/se C
Address: /i1 /''//Weal RD —,.0."--,9CG kre,✓✓1'l1 Ej rt., 3.Z 13 3
. r
�(WTelephone No.: 99A¢- .'z 4/ - 03.2•0 Fax No: 9f91--X41^-0 3.2.(
Surety(if any) y/iy
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: TO.P.fJ //. ./Ps1'G 0
Address: . -fr ' /44y, /& / F. -10?-G,r.rg+N'1Ivi/E/ F4. 3.2-,-13
Telephone No: 9'0 IL- 2+/-A3-1 o Fax No: 5'04-,,... /` #22 t
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
Signed: Date: 112.5(18
Before me thi day of in the County of Duval,State
Doc#2018176814,OR BK 18471 Page 1130, Of Florida,has personally appeared curie- 14 -�ilko. -+
Number Pages:1 Notary Public at Large,State of Florida,County of Duval.
Recorded 07/26/2018 04:10 PM, My commission expires:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �,.
COUNTY Personally Known: �1 __A.Ennis or
RECORDING $10.00 Produced Identification: •cit,INOTARY PUBLIC(> STATE OFFLORIDA�1� �r`p :iplif Cama##FF966426
Expires 3/1/2020