1339 Camelia St RES19-0127 Porch Overhangs >„ RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH RES19-0127
800 SEMINOLE ROAD
ISSUED: S/2/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/29/2019
INSPECTIONMUST CALL • • t • FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
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.
• • ADDRESS: PERMIT TYPE: DESCRIPTION:
RESIDENTIAL ALTERATION replace existing drywall,
1339 CAMELIA ST RESIDENTIAL demo existing porch $3000.00
overhangs
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1710510010 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
TRUE EAST 111 DOLPHIN BLVD E PONTA VEDRA FL 32082
BEACH
• ADDRESS:
ACM Creative Properties
413 FILMORE DR Jacksonville FL 32225
LLC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll aff container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PT 455-0000-322-1000 0 $7000
a7ERMI
INGPIAN CH ECR 455-0000.322-1001 0 $3500
STATE DSPR SURCHARGE 455 WM208-0700 0 $4.28
Issued Date: 5/2/2019 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0127
800 SEMINOLE ROAD ISSUED: 5/2/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/29/2019
STATE DCA SURCHARGE 055-0 208-DEDD 1 0 $2.85
WORB WITHOUT PERMIT 055-0 122-1000 1 0 $180A0
TOTAL:$292.13
Issued Date:5/2/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned cby the Building Department.)
800 Seminole Road IBJ�- d- 'F
Atlantic Beach,Flonda 32233-5445
Phone(904)247-5826 Fax(904)247-5845 q
E-mail: butldingdept@coab.us Date routed: (7� I
Cityweb-site: hap://w .coab.us
APPLICATIONA �REVIEW ,1AND TRACKING FORM
Property Address: �33°I l-u-I°rt•Q-�` Ct S r eM review required Yes No
uildin
Applicant: ���� Planning &Zoning
Tree Administrator
Project: t�.P�4.1-�- �f L. Cttt *Ati to Public Works
Public Utilities
,r t l C in, oQ JJ S Public Safety
r``'• Fire Services
Review fee $ .
Other Agency Review or Permit Required Reviewor Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: RApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments: /t ' C) B 12/f[, ,�u2 L� Q
BUILDING I �/ l�
PLANNING &ZONING Reviewed by: Date: '� a
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Nat applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
Building Permit Application OFFICE COPY updated 10/9/18
City of Atlantic Beach Building Department
"ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Build ing-Dept@coa b.us IS REQUIRED.
Job Address: 1339 CAMEI-1AS77 92Z33 Permit Number: Vt,;,S1Ci- C) (-)�+
Legal Description 1 4 38-ZS-24.or saZW Arz^mciAff 10r.3 RE# 1-71115( —0010
Valuation of Work O(Re_p!ce�t�.11$ 30W Heated/Cooled SF 1329 Non-Heated/Cooled 1411
• CJassofWark: ONew DAcklition OAlteration III(Repair OMove 11116emo OPool DWinclow
• Use of existing/proposed structure(s): Ecommercial Wkeshlential A6'Rti 3 2019
• If an existing structure,is a fire sprinkler system installed?: ETYes W40
• Wil I treek)be removed in association with a roposed Prolect? El Yes(must s.h.it seria rate Tree Removal Permit)
Describe in detail the type of work to be performed: Pelf,40 eX4Sr1q& wrjowaa 0Aey6VAHL1- I
14FEW. DEmo jFjriSnAV`er 1POAcH 0110`64-HAIN16S ikiSrAu4ii i&y ta"VI&A
Florida Product Approval ft for mutiple products use product approval form
Property Owner Information
NamejIli CAEA7711i 0901949776S, LtC Address V3 F-14PACA16 DOME
city.- V)i State Fd� zip gazIRR Phone 14118&9-084P&
E-Mail IAIFo 0' &mc^60,7-015 77GS.Com
Owner or Agent(if Agent,Power of Attorney or AmgenqLetter Required)
Contractor Information
Name of Company T^46 ChalifyingAgent 404m" 0141,010 L-I&VAT
Address lift &-temw swo 64s-r City—pomi-elfiffid star. il zip M=sz
Office Phone - &71-13,111157 Job Site Contact Number V%3- 43191--f12
State Ceftification/RegistrAUDiV�,(Z,&Z,(itP Y E-Mail UAV&K4Xr Af.%4m.0-or-4
Architect Name&Phone# UJ
Engineer's Name&Phone#
at
Workers Compensation Insurer OWTIft AftrillAtS014042SCAORE-empto ExpirationDate Z
or instal I < 0
Application is hereby made to obtain apermittodotheworkand installations as indicated.I certify that no work 0ak r_
commenced prior to the issuance ofa permit and that all work will be performed to meet the standards of all the laws reg 1 0
construction in thisjurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLO BING,Sl !W Z
WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the r cherne h
Is
permit,there may be additional restrictions applicable to this property that may be found in the public records of this court,j;d<
there may be additional permits required from other governmental entities such as water management districts,state age t9etg
federal agencies. u- W
to I—
OWNEWS AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance wig all( Z
LL W
applicable laws regulating construction and zoning. U. M 2
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M M M
F- W Z 0
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN ag CW1 3w:
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 5 !9
LU >
RECORDING YqU5 N19TICE OF COMMENCEMENT. of
a—& );A I UZ
4V (grature of Owner or Agent) Signatu—
re of contractor)
Signed and sworn to(or affirmed)before me this ay of Signed a qd sworn,to(01affirmed)before me thIsZAaY of
of 1D,,f3qCt_. ZD14by 3kiIIA21e W;WeLV+
% ADIA ( (%10"AA
tSignat.rr.taFy) (SilriaturEet)f fro-tary)
MITTANY OMN BRITTOY 01.1jul
NourY Public-Sute of FIOHM;
Wle�rally Known OR IA-ft� 1 4. , NOtary Politic-Suite of'kkh,
onally Known OR Jr`2�
I Produced Identift.u.n f C.nrhAxi.8GG3IQ17 ]Produced Identification 'Sl& ) ConoxieforlIGG31017
Type of Identification:
mry., MYC=m.ExoirnMur19.202I Type of Identification: MY C...Emires Mar 19 2011
=� a lone a sonezef t of Notify fiono.
NOTICE OF COMMENCEMENT
State of F-1"19Tax Folio No.
County of Nu VA I-
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 OFCOMMENCEMENT. a p�aaJJ
Legal Description of property being improved:18-34 A
—7sSEC N nAAr y4.al
LaT T &44 225
Address of property being Improved: /339 CAME6/A $TRLfET AATLA�NnTICFL/ j2232
General description of improvements; HOMEQENOt/RT70N /NTfAAQ/9gic K/TcN6N 1rr Q4T'fi$
�� REMoOEL Q4nF �ATeH/ nIE_ w NpNpoLu ��tACE S/D/Nb _
'�(`t'.,�yl1rv+ner.16CM CrOfJF77yF, OYQPIER7fIESnf'LGG Address: N/3 f imigaS AM. TpOCa FL 3z22$
Owner's interest in site of the Improvement: RENOVATION
Fee Simple Titleholder(if other than owner):
Name:
Contractor: 21!4E
Address: ///&/.p" &40 E:Asr /7A/7L� �/ naaa FL -3 2-
Telephone No.: 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: TNE00" BEKI TpezE
Address:_y Z�3f ST. An USTUNIE BLIND. RCWSdNllltf.� �y FL 3zzs0
Phone No:�47' 963 - 163Z 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 Uenor'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):
Doc N 2019094494,OR SK 10768 Papa 337, OWNER U��.,
Number Pagm 1
Retarded 0425=1908:08 AM, Signed: Data: Z3
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Before"i is E_day of A1136 I ZOR hath.County of Duval,State
COUNTY Of Florida,has personally appeared SEMILI
RECORDING $10.00 Notary Public at Large,State of Florida,County of Duval.
My commission expires:
_-- Personally Known: !�""�--$glTtanrduN—
Produced ldentifiwtlan: Iaaq-WCIIc-Stasee�R&Ia
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