31 Seminole Rd DEMO19-0018 Coolers Only "-%> DEMO PERMIT PERMIT NUMBER
CIN DEM019-0018
OF ATLANTIC BEACH ISSUED:
800 SEMINOLE ROAD EXPIRES:
2 D" ATLANTIC BEACH. FL 32233
• ' t ' • • NEXT DAY INSPECTION.
ALL • . INSPECTION
•CONFORM TO EDITION t OF • • EA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FNOTICE: In addition to the requirements of this permit,there maybe additional restrictions applicable to this property
ay be found in the public records of this county,and there may be additional permits required from other
nmental entities such as water management districts,state agencies,or federal agencies.
JOB ADD. r • OF • '
31 SEMINOLE RD DEMO PARTIAL COOLERS ONLY $2000.00
TYPE OF SUBDIVISION:ZONING:
CONSTRUCTION: NUMBER: GROUP:
170667 1000 SALTAIR SEC 01
COMPANY: ADDRESS:
BOSCO BUILDING 2158 MAYPORT RD ATLANTIC BEACH FL 32233
CONTRACTORS
• ADDRESS:
JULIAN JACKSON PO BOX 24930 JACKSONVILLE FL 32241-4930
PROPERTIES
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 off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
DEMOLITION 455-0000-3R-1000 0 $10000
PW REVIEW BUILDING MOD OR ROW 001-0000-329 10M 0 $35.00
STATE DBPR SURCHARGE 455-0000208-0700 0 $200
STATE DCA SURCHARGE 455-0000-208 0630 0 $3'�
-E TOTAL:$129.00
Issued Date: 1 of 2
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone:(904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED.
EQ�a
Job Address: s�i`fINO/t RO Permit Number: 1✓ MC) t9 -00(
Legal Description / 0- 9 2 a -as -19t . /D.* RE#
Valuation of Work(Replacement Cost)$ '4-0 d0 Heated/Cooled SF Non-Heated/Cooled
• Classof Work: ❑New ❑Addition DAlteration ORepaiirr _DMoveADemo []Pool ❑Window/Door
• Use of existing/proposed structure(s): Commercial ,Residential
• If an existing structure,is afire sprinkler system installed?: ❑Yes ONO
• Will treelsl be removed in association with proposed ro'ect? Ves must submit separate Tree Removal Permit ❑No
Describe In detail the type of work to be performed. " U.E/"TB Lz,T`799' OF" wr*41aR B.✓Lj� -
T#CR +a6 Md S-fWdRRAL v1,ga -1 0,117NL /i rc.QroR o1' TN6SeL0"rd` /^10 My
Florida Product Approval# - for multiple products use product approval form
Property Owner.�Information
Name— 3'Ac.'T}' Ili /ft YPPr ress. c'�6 St/'"tN/� !eb
City ?RehrAry,iib state �A 2ip Phone 764— 71-7- Fr/P7
E-Mail 4A6-r, J.7Y e! Ws Can
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a
Contractor Information
Name of Company $OSLO eTr/.'Lp/.•^6 Cb n.4fl { Qualifying Agent 'Taw BQr"
Address 3/Y'?� .NRy/ear , City-TJ44f&0,Wi7fC State Al- zip J}yy
Office Phone dJl1 2F/ a11t Job Site Contact Number 99s- 134-0991
State Certification/Registration# Gfff 1arh�/2 E-Mail 7 OJP17CSb Flo$ CBL C9.o
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer .S�A9O.Y JYWJq L&a FL✓1 t1✓ OR Exempt❑ Expiration Date �/ 4
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 regulating
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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC G Y * Z1 OMMENCEMENT.
%- ((� Signa gent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this y&day of Signed,aan`dd sworn to(or affirmed)before me this 9 qday of
.20/f by �'Lew.n� /SfRD JL. X'u/9 .by Goo I-f0l[0
/'' VF
(Signature o'Notary) (Sigpat:r, o— o l
vil
RS :f MY COMMISSIONt`F 2420 � L PAPE
1'Q,p rzonaly< is ersonally Known OR iM1,"' TEXP71i
ONr'F21P53p
t E%PIREB:Ocld+et 19,2919 Produced ldentificatio
l IPr�duced ld . ao avarrw9vuyvuetiumer..mrs I I er l9,an,Type of ldentlfType of Identification: tgPaticMq•yyy,-
NOTICE OF COMMENCEMENT
State of f/"6 R 1018
Tax Folio No.
County of DN Ow
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 properly being improved:
/0-& ;LD-as- ;z 3191-7-414 Act- 1 PaRce/ b
Address of property being improved: '90 —47%. ,36h• y2 '54x-? 3
General description of improvements: PRON)p P&7-OA.rf-AN 'JA 0u/Y
Owner: X4 7-y �Au'S NEAtTM;Ly �+�'4lUKrAddress: lf'F•`tIr/ytrtt &4 - igTa. /sett
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): '^
Name:
Contactor: 4%S-CO QU/�OM^s CG.W77CAe^r/L3
Address: A/a �Y,4!YPoB4- K.O. —TRcCre v1/i/a, /� 3sz Ts
Telephone No.: FacNo:
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):
Dec t{2019108338,OR BK 18786 Page 1938, INNER
Number Pages:1
Recorded 05/09@01903:13 PM, sued: Date:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ;fore A / the County of Duval,State
COUNTY Tlorida,haspersonallyappenn, - .73
RECORDING $10.00 ltary Public at Large,StateofF ori}p§�::Cou�tS'o oval.
y commission expires: k�,Gl04r. f•, u.
h or
deuliticgtlA
f MYCOMMIb310N r FF 142830
' EXPIRE$:Wober19.2019
a..Thru"Nat Iar4ew.in