63 Coral St RES20-0222 Front DoorOWNER:ADDRESS:CITY:STATE:ZIP:
COLLINS PEGGY L 63 CORAL ST ATLANTIC BEACH FL 32233-5815
COMPANY:ADDRESS:CITY:STATE:ZIP:
TRI-H CONSTRUCTION LLC PO BOX 331118 ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169594 0170 OCEAN GROVE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
63 CORAL ST RESIDENTIAL
WINDOWS/DOORS FRONT DOOR $3000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 8/18/2020
PERMIT NUMBER
RES20-0222
ISSUED: 8/18/2020
EXPIRES: 2/14/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 8/18/2020
PERMIT NUMBER
RES20-0222
ISSUED: 8/18/2020
EXPIRES: 2/14/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $113.00
RES20-0222 Address: 63 CORAL ST APN: 169594 0170 $113.00
BUILDING $70.00
BUILDING PERMIT 455-0000-322-1000 0 $70.00
BUILDING PLAN REVIEW $35.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00
STATE SURCHARGES $8.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12862 $113.00
Printed: Tuesday, August 18, 2020 4:29 PM
Date Paid: Tuesday, August 18, 2020
Paid By: TRI-H CONSTRUCTION LLC
Pay Method: CREDIT CARD 354350648
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12862
RES20-0222
NOTICE OF COMMENCEMENT
State of _______________________________ Tax Folio No. ________________________________
County of _____________________________
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: ______________________________________________________________________
____________________________________________________________________________________________________________
Address of property being improved: _____________________________________________________________________________
General description of improvements: ____________________________________________________________________________
____________________________________________________________________________________________________________
Owner: ___________________________________________ Address: __________________________________________________
Owner’s interest in site of the improvement: _______________________________________________________________________
Fee Simple Titleholder (if other than owner): _______________________________________________________________________
Name: _______________________________________________________________________________________________
Contractor: __________________________________________________________________________________________________
Address: _____________________________________________________________________________________________
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: _______________________________________________________________________________________________
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 rec eive 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): ___________________________________________________________________________________________________
THIS SPACE FOR RECORDER’S USE ONLY OWNER
Signed: ________________________________________ Date: ___________________
Before me this __________ day of __________________ in the County of Duval, State
Of Florida, has personally appeared __________________________________________
Notary Public at Large, State of Florida, County of Duval.
My commission expires: ____________________________________________________
Personally Known: ______________________________________________________ or
Produced Identification: ____________________________________________________
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