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369 10th St 09-00002000 foundation repair permit tf CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00002000 Date 12/16/09 Property Address . . . . . . 369 10TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9200 ---------------------------------------------------------------------------- Application desc STEEL PIERS TO STABL FOUNDATN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PILCHER, W. G. INTRON TECHNOLOGIES INC 369 10TH STREET 4859 VICTOR STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 292-4621 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 9200 Expiration Date . . 6/14/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00002000 Date 12/16/09 Property Address . . . . . . 369 10TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9200 ------------------------------------------------------------------------- Application desc STEEL PIERS TO STABL FOUNDATN ----------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PILCHER, W. G. INTRON TECHNOLOGIES INC 369 10TH STREET 4859 VICTOR STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 292-4621 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------------------------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 9200 Expiration Date . . 6/14/10 -------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 39 ST CONSTRUCTION SURCHARGE 7 . 05 AB CONSTRUCTION SURCHARGE . 78 STATE RADON SURCHARGE 7 .44 ------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 15 . 66 15 . 66 . 00 . 00 Grand Total 165 . 66 165 . 66 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. F7 `r^= :. CITY OF ATLANTIC BEACH OQ� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 e FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.FT.UNDER ROOF 3�'q '�, '),C-)0. 0 C) 1 G 7 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: '.� ❑NEW BUILDING ❑DEMOLITION PHQRESIDENTIAL LOT BLOCK�SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: �l t�REPAIR ❑POOL/SPA C1 YES El N/A Z T!}�.) 1 Z (1Ncl 'O ❑MOVE ❑OTHER RNO PROPER OWNER: CONTRACTOR: ARCHITEC /ENGINEER: 9.NAME � 15 COMPANY NA 23. O PAIN NAME: (\ 10'a l �t r L IJI I Gllzr/�r St ,trC� c'�4�IJ0 oC Ids 1AJZ c� n4/ c 1 E 24 LICENSEE NAME' I --5 W&-,J6 c r J-i -de 10.ADDRESS: 17.STATE OF ORIDA LICENSE NO.: 25.SATE OF FLORIDA LICENSE 0.: �3 /0 ti, �t c �s 3�s -5-9 1?9/ 1�yA DRESS. ,/ 2ey.ADDRE S: LX Vii fp✓ �f cPsD �reS` k 9 Aikn�rc 8'-rc6h, FL 3a�13 io-c wson v e 01 -To,C-1�Scnlsr 1 11c L 3d;;t-) 1 �1. FFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO,'. 27.OFFICE PHONE: 28.FAX NO.'./- - 13.CELL PHONE;, 21.CELL PHONES 29,CELL PHONE: 1�10y-s yY_--2-ve-�'? - 14.EMAIL ADDRESS: 22.ENTAIL ADDRESS: 30,EMAIL ADDRESS: - 10Gi 0) /7 nJr-e -- FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33,NAME: 35.NAME: -54 Ini ! 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** 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. OWNER or AGENT CONTRACTOR (11 Agen;'Po r of Attom r ge tter Required) (Qualifi Only) Signed: �1 '°G= ate: G' L i Signed: Cate: ' r ALI da Before me this y of �?C 2009 in the county of Before me this (t day of F' 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared U )L-LI +'rr C. b. I c61er -7�:)vu,('RNs L3t 'y 0 '�C- herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. (to ' true and accurate. Ft"Notary Public at Large,State of County of �. :�{- Notary Public at Large,State of ,County of �� - *Percs,.n ally Known / Personally Known ucedIdentifi/`�,ti (4� �� I. (r ❑Produced Identific - R \! Notary Signatu`r@: ti j i % Notary Signatule: - ,,,, SHANNON C.CLARK ,• YP�-,. � � OR CODE CO Y►o W "o8 #��; Nota ry Public-State of Florida • MYCOM ssion ExpINCfIl U ATLANTIC B S my ion Expires Mar n,2otz •. _ BLDGOI Pe i- REVe ffi%W(f DD E ITS FOR ADDITI mmission# DD 769556 1 %v'�a fid: g� rough National `� Through National Notary Assn. s ENTS AND COND 4� ;+ REVIEWED BY: DATE: 12-16_V b o - z o C I- z c 0 MO a' l�ciao oma• �.ap^ o•^' ao °a 'O a = r+ a C N R R CO aC mE * �. = AI. o A0. n.yE•<'000eoon O O O 9 N t J= Q O F n cr CL 11 m wCa° o o C g� Ono �oo � n � c �y a g c` _ oo co •o o �o F M O C C C4 N S to m T �w v Qo c o 00 d m �o =•to� ° w• 'o + + p c o�•y m C n C C Orr C dEp m 9 �' o - o rJ — � n c a c f 3 pr a LA W52 w 00 o a W lcl� ria = = ate -o CD txrl� N - 7d t,jj O 0=Q N A ... (D — C = S v E � n n W Ci} APP-29-2001 03:40 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1'1 NOTICE OF COMMENCEMENT (PREPARE IN OUPLICATE) Permft No. Tax F000 No. State of 7'1109-WA _ county of M>w.YR- I To whom It may concern: The undersigned hereby Informs you that fmprowments wlfl be made to certain reef property,and In accordance with Section 713 of the Florida Stptutes,the foilowing Information is stated In this NOTICE OF COMMENCEMENT. � l ,,n,��. Legal desalption of erry being Improved:� ynt��nl"1 LK"i Cf)�Al t� 3 —perry being ved� lo of pro1( 3 E� General dear%lon of Improvernents: Owner10-t- U V-f— s PG_ Address ,j fN'm C r Owner'a interest In site of the Improvement S m Q JF Fee simple TWehower(if other than owner) 5.9 Yh Name Address Contractor NUL LCC LX Address Q Q ,�lvq- 3 a;>-It-yj Phone No. Fax No. Q U '��i —lq y &,rety(if any) �"� Address Amount d bond$ Phone No. �! Fax No. Name and address of ainy on Ming a ban for the construction of the improvem". Name Addm-gs Phone No. Fax No. Name of person within the State of Florida,other than himself.designated by owner upon whom ncdfces or other documents may be served. /� Name �X!/ Address Phone No Fax No. In addition to himself,owner dealgnatoa the fonov.tng person to reGefho o copy of the Llenora Nonce ea prodaeht ori Section 713,00(2)(b).FloridayS� s-(Fill In at Owner's option). Nano X11 / i Addmas Phone No. Fax No. Eviration date 01 NotIce of Commencement(tine expirmtlon date Is one(1)year from the date of mcorling Unless a different date is specified); Im 9 SPACE FOR RECORDER'S USE ONLY �"NC Sena BerorrWe� s �dryy 601f�' Cou iAt »rOf ►e��`Na heck by hlmestr7 hareert ens emms that ae eWee rents ens dcdaradone rrerein —. ere me ens aauraro m.Nr SHANNON C.CLARK pec rr h10g3vi4ar.OR inn 15100 rage I Bdl, i `s, Nay public:• State of Fiends Nunther Pages: 1 2012 R,e'Crxded 1 2,1612009 at 10A6 AM, � �, _ g NfllC.cnMn�sio"9 DID 769 T,8 .JIM FUL LER CLERK CIRCUIT COURT DUVAL RRnryP�btroett_erae,stetear F Gou++ Comoafssiorn s DD 169558 COUNTY myWnrnisetonefpiew ThmugnNab"Notary Aw. r..r RECORDING$10.00 PereonaN Id" n. + U