332 Seminole Rd RES19-0278 Int Drywall, Windows, Stoop RESIDENTIAL PERMIT PERMIT NUMBER
RES19-0278
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/20/2019
19~ ATLANTIC BEACH. FL 32233 EXPIRES: 3/18/2020
MUST CALL INSPECTION . • a 1 i + BY 4 PM FORDAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL • i • OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
RESIDENTIAL ALTERATION INTERIOR DRYWALL,
332 SEMINOLE RD REMOVING WINDOWS AND $5000.00
RESIDENTIAL FORM CONCRETE STOOP
TYPE OF
O • GROUP:
1704310015 SALTAIR SEC 02
COMPANY: ADDRESS:
MASTERCRAFT BUILDER
1629 RACETRACK ROAD ST JOHNS FL 32259
GROUP, LLC
• ADDRESS:
BUSSEYJULIE A 332 SEMINOLE RD ATLANTIC BEACH FL 32233
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 . •
Fo
off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $80.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.65
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.10
Issued Date: 9/20/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole RoadC C I _ �Z-7
r
Atlantic Beach, Florida 32233-5445 l�J
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 1 _
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 �- �C1n►wUt p ent review required Ye No
Building
-2
Applicant: ST�2�('U. g &Zoning
Tree Administrator
Project: K) iN Public Works
Public Utilities
5TOO P Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: roved. []Denied. ❑Not applicable
(Circle one.) Comments: NOC , h 7 S 010 � as A real y SIT A Y 4-ed
(2BUILDING Ll 46 Ou4" Pv1 1 M S 4)%-eY t pe r m i j- 1P1ea -e_ daubl-e_
PLANNING &ZONINGd
O SSis^ Ck^y a��Pr �'r�S a STocra4-ld wi*k of s"O'
Reviewed by: ''yj` Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not 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 05/19/2017
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
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 332 SEMINOLE RD Atlantic Beach, FL 32233 Permit Number: Re�_,, 1ci, — uZ-
Legal Description 10-15 16-2S-29E SEC 2 SALTAIR LOT 268 RE# 170431-0015
Valuation of Work(Replacement Cost)$ 5 00 Heated/Cooled SF 1257 Non-Heated/Cooled 336
• Class of Work: ❑New ❑Addition VAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial VResidential
• If an existing structure,is a fire sprinkler system installed?: Dyes 9INo
• Will trees be removed in association with provosed ro•ect?Dyes must submit separate Tree Removal Permit VINo
Describe in detail the type of work to be performed:' Vwo.�_ a' ' 3 wwk'OL ywcLq
Removing 3 exterior windows y 01'_. o li tw '�,, !: C .!
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name BUSSEY,JULIE A Address 332 SEMINOLE RD
City Atlantic Beach State FL Zip 32233 Phone 904-338-5924
E-Mail busseyjulie@gmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) BUSSEY,JULIE A
Contractor Information
Name of Company Mastercraft Builder Group Qualifying Agent Bradley K.Shee
Address 1629 Racetrack Rd.,Suite102 City St,Johns State FIL 32259
Office Phone 904-385-4796 Job Site C -tact N mu Ger 904-534-2496
jaYmastercraftbuilder rouPcomState Certification/Registration# CGC1520611 E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer American Builders Insurance#11240 OR Exempt❑ Expiration Date 5/03/2020
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, N �i
WELLS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements ofihis t j
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 agens+ ''r
U
federal agencies. VV W A O Q
V � v o
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance witlllillip Q p
applicable laws regulating construction and zoning. u Z CC
t) QOQ
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MALY t Cn LL z
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN119NI] 2 W
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND OMAN ATTORNEY BEFORE a m
RE DING Y NOTICE OF COMMENCEMENT. / $ F= W o LU
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w
Signature of Owne or Agent) (Signature of Contractor) t:1 W
cc
Signed and sworn to(or affirmed)before me this (4 day of Signed and sworn to(or affirmed)before me this(q day of
August 2019 by 1 August 2019 by Bradley K.Shee
Alyssa R Livors4lu.oltt��
NotwY Public Sig of Notary) (Signature of otary) T
Stats of Florida
My Commission Expires 06/06/2021 .ems
Gomml511on No.GO 112239 TRUDIE BAUMGARDNER
63
na nown OR 0 Personal) Known OR :..0. ,�..
y Y 'o��� ;_ Notary Public-State of Flcr a
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[t]y,duced Identification [ ]Produced Identification r• ^� �€ Commission$GG ay 8,2
My Comm.Expires May 8,2022 #
Type of Identification: /�1(t\1i r� LZ �' Type of Identification: N//+ °. tary Assn.
Bon
OFFICE COPY
MATERftiEt: €I Mastercraft Builder Group
P.O. Box 600369
St.Johns,FL 32259
www.MasterCraftBuilderGroup.com
www.mcbgdisasterrestoration.com
1 IMG 4681 r T
Date Taken:2/7/2019
Taken By:Leigh Johnson
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2 IMG-4682 r� ��; y t 'tea.• J
Date Taken: 2/7/2019
Taken By: Leigh Johnson .
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MCBG-00519A 8/19/2019 Page: 8
MASTER. l.,;)H- . OFFICE COPY
Mastercraft Builder Group
P.O. Box 600369
St.Johns,FL 32259
www.MasterCraftBuilderGroup.com
www.mcbgdisasterrestoration.com
3 IMG_4687 '?`, }
Date Taken: 2/7/2019w
Taken By: Leigh Johnson `t <
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4 IMG 4689
Date Taken: 2/7/2019
Taken By: Leigh Johnson
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MCBG-00519A 8/19/2019 Page: 9
Doc # 2019218720, OR BK 18940 Page 387 , Number Pages: 1 ,
Recorded 09/20/2019 02 :25 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170431-0015
State of Florida County of Duval
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
10-15 16-2S-29E SEC 2 SALTAIR LOT 268
Address of property being improved:
332 SEMINOLE RD Atlantic Beach, FL 32233
General description of improvements:
Removing 3 exterior windows and installing sliding glass door
Owner BUSSEY, JULIE A
Address 332 SEMINOLE RD Atlantic Beach, FL 32233
Owner's interest in site of the improvement Fee Simple
Fee Simple Titleholder(if other than owner) N/A
Name N/A
Address N/A
Contractor MasterCraft Builder Group,LLC
Address P.O.Box 600369,St.Johns,FL 32260
Phone No.9D4-3854796 Fax No. 904-239-3160
Surety(if any)NIA
Address N/A Amount of bond$N/A
Phone No. NIA Fax No. N/A
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address N/A
Phone No. N/'4 Fax No. N/A
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
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone 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
Before m day of A 8 R LJVoff
County o D vol, tate of Flo d� a,S�p rsonelly appear d
�J herein rotary Publlo
hlmselV erself and affirms that all stdat ments andelle alions herein �9 Of Florid&
are true and accurate My Oommission EXPires 08/09/2021
Cammisalon No.GG 112238
Nota Pu c at Sate of County of
61y c isso Aires: 114
Perso ally Kno•.vn or
Produced Identification Yi t