403 Oceanwalk Drive North RES19-0376 5 Windows .( -1—�"s RESIDENTIAL PERMIT PERMIT NUMBER
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;�f, RES19-0376
iiis, CITY OF ATLANTIC BEACH
�r ISSUED: 1/8/2020
800 SEMINOLE ROAD
�` i1`'" ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM 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 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:
403 N OCEANWALK DR RESIDENTIAL ALTERATION 5 WINDOWS $8700.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 1520 OCEANWALK UNIT 04
COMPANY: ADDRESS: CITY: STATE: ZIP:
EQUITY BUILDERS OF
FLORIDA LLC 2650-2 ROSSELLE STREET JACKSONVILLE FL 32204
OWNER: ADDRESS: CITY: STATE: ZIP:
ABRASS LINDA J TRUST C/O LINDA J &JOSEPH D ABRASS ATLANTIC BEACH FL 32233-4684
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 t°
Roll 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 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $146.64
Issued Date: 1/8/2020 1 of 2
s
11Anr6 RESIDENTIAL PERMIT PERMIT NUMBER
1 '� � RES19-0376
�� CITY OF ATLANTIC BEACH ISSUED: 1/8/2020
800 SEMINOLE ROAD
``013 �V ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020
Issued Date: 1/8/2020 2 of 2
NOTICE OF COMMENCEMENT
State of r/a/7' . Tax Folio No.
County of 25 rti i/2 G
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: .-/ b '7 -.,2 - :1 j , sir c.4 (..e_.„ /.>r //,,7 . l.
f //:
Address of property being improved: /"3 /7 r��it i.,:a_,G. s)'r,1/' • _
General description of improvements: ,Q..,.�,t/.! 747,/i. .i..4_,,a.p%r ,ie___—:� sty' ,. -,-,: , --,
iA A) ./.4_/:? rte/ /-...-/-rt-9;:: ;.J i" /
Owner: ,.lv r.-/ ,'l ,r: ,,- Address: /o3 A (�-.�.1/ ri, %/T ,—, c1L..
Owner's interest in sitesof the improvement: i," o ri, —
Fee Simple Titleholder(if other than owner): Ai _
Name: 4
•
Contractor: e vi 747/ i,'✓i /6...,-f c- 7L/{1 Y-, ,-1A_
Address. , 1,7 f —? s K. -s fy�f :!:_ ,r��-el ,./Z- / - .1?—2-o SL
Telephone No.: 9‘1,/
•y' /f-' 7' Fax No: �9e y .3y& .;7:s-yo—
Surety
:S sl—
Surety(if any) ,I / _
Address: 4 Amount of Bond$
Telephone'No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: /L: I
Address: 4
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: A-
Address: ,4
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: Al
Address:
74.
Telephone No: Fax No:
c....,.---+,,,.,,-lte„f ni.,ti.-..of('nmmonrcmcnt Ithc ovniration date is one(1)year from the date of recording unless a different date is
Doc#2019289802,OR BK 19043 Page 1556,
Number Pages: 1
—
Recorded 12/19/2019 01:20 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL DINNER
COUNTY
RECORDING $10.00iigned Date: �;-- /
3efore, a this /9 day of �—..._,.,,i...� c°/`,ff,the Coun y of Du.al,State
f Florida,has personally appeared k37::s 4 .4..s rj-
-Jf
OSEPH INDRIOLO otary Public at Large,State of Florida,County of Duval.
Public-State of Florida commipirj,'."mission #FF 941876 sm.Expires Mar 30,2020 roduced Identification:hrough National Notary Assn.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road f�assigned
b i _C 3 7�
-in Atlantic Beach, Florida 32233-5445 I GJ lJ
� Phone(904)247-5826 • Fax(904)247-5845 I z L t
-,;;a,: E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: z7 c) , 'lxQ k De•artment review required Yes/'No
4 Building ) {/
Applicant: 6 ( `" r - - - - •-&Zoning
Tree Administrator
Project: V ) ( ;\_ 0C.�,. Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ — Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection '
Florida Dept. of Transportation t
St. Johns River Water Management District Oi
Army Corps of Engineers ,
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments: f1)
/�J
:UILDI► C. V`
PLANNING &ZONING �y�
Reviewed by: ! ' ( Date: /2.,.._/2.,.._-d-' lG)
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
''`lF ICE COPY
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
1,5
»us: - 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 0>.55' `Y c�'--1,4 4i a// /r/!Vo_ Permit Number: IR S I 037
Legal Description /1' Y7--„,-;_:: - d y 6 06 4t a t),4,14 `f/./pt) //,', 7 ,✓`-/•' ,27'
Valuation of Work(Replacement Cost)$ g_.)(.--) Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New EAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool Window/Door
• Use of existing/proposed structure(s): ❑Commercial residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes /ONo
• Will tree(s) be removed in association with proposed proiect? EYes(must submit separate Tree Removal Permit) o
Describe in detail the type of work to be performed: A
Florida Product Approval# �= ' , ` r. z-( / / 6-!/,%, ,.5 • multiple products use product approval form
Property Owner Informa i•
Name ..7-6.,;(--/e4 Mi.-4J _ Address ,✓ /V 69( ` L./ol� 2'/ li,-
City c ..1 /',' ,2 K2 State /-----L Zip j7,";2- ,f 3,7 Phone 7e3,4 "7.7.J , f.71. ,,?-
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Z ,�it i/a�x/t, t.fi „t,,fes Qualifying Agent ,../i7 S...-e--,/ am A`, :/,.2
Address, SU--� ie c, /' i fz-.<v� / City .,,, &„/,'s'6,i Pi/b/State 7=6., Zip ,377-351
Office Phone :j7/_`'•/,e.)/$1 Job Site Contact Number ='c ; i 71, ice/ -- Q
, G;�
State Certification/Registration# ("E,G/,�//76 E-Mail fi4 , ,9/0 ('' p/l,_Sfiu"✓/ae-. e-.,.1- 0
Architect Name&Phone# X / Cb
Engineer's Name&Phone# /A W
M
Workers Compensation Insurer ,,1/,,ei'y z Af,i/-- r.., /, u ii OR Exempt❑ Expiration Date 7 ,,,;'; '?Og
ri
Application is hereby made to obtain a permit to do the work and instal ations as indicated.I certify that no work or installatid hr „•i z
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulago Z 9
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGf d 0 — \
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements( ti s H Z FLL-
permit,there may be additional restrictions applicable to this property that may be found in the public records of this countyclnJ a U a
there may be additional permits required from other governmental entities such as water management districts,state agenckL,pc a p
federal agencies. CID Z CC'ft co �,,,,,O o. a
N
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with�a�l
applicable laws regulating construction and zoning. CC Q I_" W
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAt 0 w w
i:
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND. w 5 Er o
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE w 0 N w w
RECORDING YOUR NOTICE OF COMMENCEMENT. W w
(Signature of Owner or Agent)
/- (Signator- • Contractor)
Signed/�)) and sworn to(or affirmed)before me/thi_s( 'i/,day of Signed an syGorn to .r affirmed)before me this/'' day of
P ( tole( by ,;7si �,,,:✓ ( / ( i by1�n -.ri�y, Y
(Signature of Notary) < (Sign.ture of Notary)
_/:. , JOSEPH INDRIOLO ,,"""'•
el,'ii .::„.0..Pa'Puo',,,, STANTON HUDMON
�[/rPersonally Known OR' :it--- fit: Notary Public -State of Florida personally Known OR •+°"c Notary Public-State of Florida
Commission # FF 941816 r Produced Identificatio :r iii Commission FF 937739
[ ]Produced Identification c SIO �c
��� My Comm.Expires Mar 30,20 My Comm.Expires Mar 16 2020
Type of Identification: ''+, °' Assn. a of Identification: ''-,4 of 7,?"'
:pose, roup . . .