890 SEMINOLE RD - TRUSS RECONFIGURE _11,yr
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, CITY OF ATLANTIC BEACH
0.- ' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"!9,319INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0299
Description: Remove Truss & Install Vault System
Estimated Value: 30000
Issue Date: 9/6/2018
Expiration Date: 3/5/2019
PROPERTY ADDRESS:
Address: 890 SEMINOLE RD
RE Number: 171970 0000
PROPERTY OWNER:
Name: Phyllis Cadle
Address: 890 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5446
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.
�SL�I City of Atlantic Beach APPLICATION NUMBER
S BuildingDepartment
�,, (To be assigned by the Building Department.)
800 Seminole Road c
0 Atlantic Beach, Florida 32233-5445 R 5I �2
.4111;
Phone(904)247-5826 • Fax(904)247-5845
�J;i195 E-mail: building-dept@coab.us Date routed: 2
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 0 10 Se{n tin 0(e De•artment review required Yi7 No
:uildin•
Applicant: 1 OS CO - .nning &Zoning
Tree Administrator
Project: R \c \Je_Trut_s si in s--z - ( vaAj1Gblic Works
Public Utilities
S S' Y'�, Public Safety
�J Fire Services
Review fee $ Dept Signature . . ... w j
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: r9icproved. ❑Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: '/j2
)i Date: 9- '
TREE ADMIN.
Second Review: I 'Approved as revised. I (Denied. ['Not applicable
PUBLIC WORKS Comments: .
PUBLIC UTILITIES '
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I JApproved as revised. nDenied. UNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole R ad,Atlantic Beach,FL 32233
S,0
Ifione:(904)247-5826 Fax:(904)247-5845
,bb Address O 90 S E/►1%/y/0 Le A 9 09'774 1&N Permit Number:ge-s/3--oc;99,
kyr..?
Legal Description 2-t-)-7 ✓ `?J— -7 -Sfl•✓A Mf}'2 wig siw1r 3 AAC7 RE# /7/Q7o — 00 40
Valuation of Work(Feplacement Cost)$ 3&,19 a J Heated/Cooled 57= 119/r- Non-Heated/Cooled /3
® Class ofWork(Qrdeone): New Addition erar Fepair Move Demo Fbol Window/Door
® Use of existing/proposed structure(s)(Qrde one): Cbmmercial Fesdent
HI If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N/A
® Sabmit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Iemoval
Describe in detail the type of work to be performed:
g FAl o1/tir6 fid'r r0�1 Ge R_D 0F TR V I1 I f fl Yom'6 ,e_,✓6/4'e efe V'? r 1 y r r
/A/Lc-row-LOP.
Florida Product Approval# A for multiple products use product approval form
Property(Miner Information
Name: P/}yM.lf L/C.rg JL friRyip° Address: /7-5-7 SES wol-e- R D
Qty /,-7-449w7-1 C 6E, Sate t/- Zp 33.2.33 Phone ,Sb - ° Qi-yZ/
E-Mail ea{�AOL .Lp,ry o6�-
Owner or Agent Of Agent,Fbwer of Attorney or Agency Letter Fequired)
Contractor Information
Name of Cbmpany: $S GO inti i-PPV 6 caerR qe 7M'S uualifying Agent: roPP fj0J 0
Address �/1 S MAyfRT RD• QtyT14Gkl•o,✓ed/G Sate cL Zp
Office Phone ?44- -tri 3z0 ..bb Ste/Contact Number 9B4- -
Sate Certification/Registration# E-Mail 7 ?)DA@, c fi C- GQ M
Architect Name&Phone# /!4
Engineer's Name&PC e# 6-Eo rec. `RRD, -i ?Oci 6,0 . 03 6}L
Workers Compensation i.D y S tE� fo�j^%e/u z,-Llzj/-w '
Exempt/Insurer/Lease Employees Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in thisjurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SGN$
WFI I FOOLS RJF\IACP BOILERS HEATERS TANKS and AIROONDITIONERS etc.NOTICE In addition to the requirements of this
permit,there may be additional restrict ions 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 agendes.
OWNERSAFlRDAVITCLlertify tLitt all t4lforegoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and coning.
WARN!NG TO OWNER YOUR FAILURE TO RECORD A NOTICE OF OOM M BVCHVI ENT MAY
RESULT INYOUR PAYING TWICE FOR IMPROVBvIBVTSTOYOUR PROPERTY. IF YOU INTH\JD
TO OBTAI N Fl NANQ NG 013NSJLTWITH YOUR LENDER CR AN A BEFORE
RECORDI NG YOU ► • Ie OF COM M B\ICB 1 ENT.
- /
(Sgnat ure of Owner or Agent) (Sgnat ure of Contractor)
(induding contractor)
S ed and sworn to(or affirmed)befqre me thi2t day of S ed and sworn to(or affirmed b for me is day of
- ,291 ,by flintIOls Coal lam ' 20‘b ,by Sc..D
(9gnature of Notary) (Sgnature of Notary)
Denise A.Ennis •
Denise A Ennis
Personally Known OR NOTARY PUBUC Personally Known OR ;•-- NOTARY PUBLIC
[ ]Produced Identification f[ ]Produced Identificatio lrJ STATE OF FLORIDA
�,/I� : STATE OF FLORIDA
Type of Identification: _.L:Lie: _._ Type of Identification: �� ' Corrine FF966426
Expires 3/1/2020 Expires 3/1/2020
1l I I . vvl I
NOTICE OF COMMENCEMENT
State of r7-0 I
��
Ar" ? ��sig-`v`99oNo. /7/77a-0
County of 09-`'
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:
.,2f-7.7 I6 - S -Ale -r..114,141e->4Rivit allr'r1 L07' '3 QLK 7
Address of property being improved: S5�0 -CO/11/4/a L e RO I G �L- A17-44 C ITC_ 3,,,,1.3_3'
General description of improvements: /"ei e IX- CSU-/A'6 7a Ww8"e- 1/44-44-7-
Owner:
"GLLTOwner: PIfy1.L1S G8Pl.F/GRR9LG /'/f+yiPO Address: //S) -CFA id04r TTL. ikli
Owner's interest in site of the improvement: /Ef-f iA'17 C 'G
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ,B®$C D fay! i'l-D/.t/'6 CO R etc re ass_z-iY G
•
kt' Address: a I S'S ,,,14 4 yet)re T R D,
Telephone No.: 984- a-4i- O3>0 Fax No: 'bit---9"/– 03-24
Surety(if any)
Address: Amount of Bond$
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
Signed: Date: v v • ./i
Before me this ZSi''t dayof u 2 C 1 in the Countyof Duval,State
y 1% C.Q b.1C
Of Florida,has personally appeared tS
Doc#2018203554,OR BK 18507 Page 2473, Notary Public at Large,State of Florida,County of Duval.
Number Pages:1
Recorded 08/28/2018 03:06 PM, My commission expires:
COURT DUVAL Personally Known: or
RONNIE FUSSELL CLERK CIRCUIT
COUNTY Produced Identification: De •se A.Ennis
RECORDING $10.00NOTARY PUBLIC
/K�J :4144 , STATE OF FLORIDA
. �... . Gomm*FF966426
'11° Expires 3/1/2020
OFFICE COPY
Doc 1 2018185893, OR BK 18484 Page 186, Number Pages: 2,
Recorded 08/08/2018 10:08 AH, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18.50 DEED DOC ST $4795.00
Prepared by:
Beth Murphy
Richard T.Morehead Titk&Escrow,Inc.
444 Third Street
Neptune Beech.Florida 32266
File Number. 1882489
U\C(\ 6
General Warranty Deed
Made this August I,2018 A.D.By John H.Lining and Linda B.Lining,husband and wife,whose post office address is:1544
Harrington Park Drive,Jacksonville,Florida 32225,hereinafter called the grantor,to Carole Anne Mayedo and Phyllis Elizabeth
Cedle,a married couple,whose post office address 0: 890 Seminole Road,Atlantic Beach,Florida 32233,hereinafter called the
grantee:
(Wlrnerer used herein the terra'panid ma'paniee inGuee all ma p rtla to this Yunrnent rad the helm kW represeatelves and mires of
l divld.alt,and the aKceston rad mins of corporations)
Witnesseth,that the grantor,for and in consideration of the sum of Ten Dollars,(510.00)and other valuable consideration,
receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the grantee,
all that certain land shunts In Duval County,Florida,vir
Lot 3,Block 7,Schee Marina Unit No.3,a subdivision according to the plat thereof recorded In Plat Book 29,Page 27,of the
Public Records of Duval County,Florida.
Parcel ID Number.171970-0000
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining,
To Have and to Hold,the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said lend In fee simple;that the grantor
has good right and lawful authority to sell and convey said land,that the grantor hereby fully warrants the title to said land and will defend
the same against the lawful cloths'of all persons whomsoever;and that said land is free of all encumbrances except taxes accruing
subsequent to December 31,2017.
DEED Individual Warranty Dad-Legal on Fats
TREE REE & VEGETATION AFFIDAVIT
7,„ City of Atlantic Beach
I j Department of Community Development
D-1 Planning&Zoning Division
01119; 800 Seminole Road Atlantic Beach, FL 32233
(P)904 247-5800 (F)904 247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION (x` Owner(s) r Legal Authorized Agent*
NAME OF APPLICANT Carole Mayedo and Phyllis Cadle
NAME OF COMPANY Bosco Building Contractors
ADDRESS OF COMPANY 2158 Mayport Road,ste 5,Jacksonville Fl 32233
PHONE (904)241-0320 CELL (904)422-8060 EMAIL Dale@boscocbc.com
CONTRACTOR CERTIFICATION NUMBER 1250212
ATLBCH BUSINESS TAX RECEIPT NUMBER MC772309
SECTION II-SITE INFORMATION
STREET ADDRESS OF PROPERTY 890 Seminole Rd,Atlantic Bch,Fl 32233
If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
LEGAL DESCRIPTION 29-27 16-2S-29E Selva Marina unit 3,lot 3,blk 7
LOT 3 BLOCK 7 SUBDIVISION Selva marina
REAL ESTATE NUMBER 171970-0000 LOT OR PARCEL SIZE: 26328 SQ FT 1985 AC
RESIDENTIAL X COMMERCIAL OTHER(SPECIFY)
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of
Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,I ar' that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed
from the above-described• .a• acent properties in conjunction with this project.
_ flititeLtS -114h,.0
SIGNATUR OF OWNE' SIGNATURE OF OWNER
Signed and sworn before me on this 28 day of VA , Zo IB ,by State of id ft.
P�nyflts C° c k. , County of 0u•vG�L
Identification verified: �(�r�r; , t., ky�ay.) NV—J
Oath sworn: r Yes r No . 4 • - Denise
O iseA.Ennis
N
I STATE OF FLORIDA
IC
No ary Signature
Expires 3/1/2020
REV-TVA-v10.12 My Commission expires: