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10 10th St #12 - Interior Remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J � D " ATLANTIC BEACH, FL 32233 k , INSPECTION PHONE LINE 247 -5814 RESIDENTIAL ALT /OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16 -RAAR -241 Job Type: RESIDENTIAL ALTERATION Description: INTERIOR REMODEL Estimated Value: $20,500.00 Issue Date: 2/16/2016 Expiration Date: 8/14/2016 PROPERTY ADDRESS: Address: 10 10TH ST 12 RE Number: 170237 -0036 PROPERTY OWNER: Name: BENNETT JR, CARL A Address: 10 10TH ST APT 12 GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE BUILDERS LLC Address: 3818 Bettes CIR Phone: 904 - 200 -7530 PERMIT INFORMATION: FEES: PLAN CHECK FEES $76.25 BUILDING PERMIT FEE $152.50 STATE DCA SURCHARGE $2.29 STATE DBPR SURCHARGE $2.29 Total Payments: $233.33 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. \ CITY OF ATLANTIC BEACH '' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 .01219 DEMOLITION PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16- DEMO -240 Job Type: DEMOLITION Description: INTERIOR DEMO Estimated Value: $100.00 Issue Date: 2/16/2016 Expiration Date: 8/14/2016 PROPERTY ADDRESS: Address: 10 10TH ST 12 RE Number: 170237 -0036 PROPERTY OWNER: Name: BENNETT JR, CARL A Address: 10 10TH ST APT 12 GENERAL CONTRACTOR INFORMATION: Name: ADVANTAGE BUILDERS LLC Address: 3818 Bettes CIR Phone: 904 - 200 -7530 PERMIT INFORMATION: FEES: Demolition Fee $100.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 904 CC„ 247 -5845 Job Address: / v )Q 'r+ 4 57 UlJ jT -it B 12 A ?I q� ) 32; 3 Permit Number: 16'/_lA n 2y Legal Description lb -2S- ?A ' LO - 1 13 1 F oor Area o q.Ft. Parcel # / q. t Valuation of Work $ ZO 5'O0 Proposed Work heated /cooled I , n? non heated /cooled 2(aL- LE Va. 2' Class of Work (circle one): New Addition Alteratio Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial If an existing structure, is a fire sprinkler system installed? (Circle one): Ado .gar Florida Product Approval # WA For multiple products use product approval form Describe in detail the type of work to be performed: NO LOAD 13fp Pig G A LIE IVI DOW ADV LEI LIIJG FANS � pity', IN, FIX-f'uRF t.NAN�c UvT lVEbJ i- 11/QC. � l , ADp LMJTS 1i, I;iTC14chl 4 ELECTRIr,AL OUTLETS ALSO Property Owner Information: ALL WORK DONE !iglu tJWrr No Rou- 0 ' Name: a. ELAfiie 141X0N Address: 3 Si g 13E -f-E 5 GI&LLE City 1 omit I ,E State FL Zip 32-2-10 Phone ei0 79 - (,29 5 E -Mail or Fax # (Optional) N i x0147 E 1- 6 &A ,L . C om Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Att ANt4 G.C, ►3t.�i11 LI.L Address: i t Qualifying Agent: l'‘)/41k1 /Z P#4,11-1f5 012 k fat rtes (Atut.F City 1Ac. VILL6 State fr(, Zip 32 Office Phone 9 D 4- 2,o0 -'7530 Job Site/ Contact Number 1 0 4_ wo Fax # o/» State Certification/Registration # C Gc. 1511383 Architect Name & Phone # Vim cc BAR BeM LIc' AR 00 01 7S7 904 1693 Engineer's Name & Phone # Fee Simple Title Holder Name and Address WA Bonding Company Name and Address N/Q Mortgage Lender Name and Address )1/A 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 o 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, Welds, Pools, Furnaces, Bo Heaters, Tanks and Air Conditioners, etc. 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 RE�(ING YOUR NOTICE OF COMMENCEME Q 1 hereb certify that I have read and examined this a placation and know the same to be tru co. n � ' • o ns ape of work will be complied with whether specified herein or not. The granting of a per �� ll • •'� ons of laws and ordinances gov this 7rovisions of any other federal, state, or local law regulating construction or t , performance ` o _ \f�� n �' give authority to violate or cancel the >ignature of Owner , ' / '� (-^ �; �� G Om�� ` e'oC\ _ �� a��ontractor (149 'Tint Name �� JoHN 1 !'NILL1p -) / /v C ` • e "'"' Print Name R 1eoeme I • YVY ®r. tQ r 1 ,, t'tDa of (4/niU,i y s ' , " 0 /U ; N'. Before 1— of / U1l JJ �1�Day of 20 (� ' : •-4s tin RI LcciA D (.k.J to � ' o Public i '`' ,t &OR\O Revised 01.26.10 1.- tv..rr !' City of Atlantic Beach � ` 1� Building Department (To be assigned by the Building Department.) - : �I 800 Seminole Road Atlantic Beach, Florida 32233 -5445 C _ Z Phone (904) 2 47 5826 • Fax (904) 247-5845 APPLICATION NUMBER ''` \Jniol'• E -mail: building- dept @coab.us Date routed: 2 l City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t V (o S4. 6 i ` � e nt review required r No uildin Applicant: .w'A�7�(, o(t-c)S Planning /, Zoning Tree Administrator Project: t kD `r- _?R__ I. p R-- 010E Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: R4proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING d/y 11 Revi ewed by: Date: C� TREE ADMIN. Second Review: I (Approved as revised. 1 (Denied PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: 1 (Approved as revised. 1 (Denied. Comments: Reviewed by: Date: Revised 07/27/10 1 I BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 �I �� g Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 10 10 rN 5T 11iJ1T i3 iL MIA T s c j3 c44 312-33 Permit Number: /6 - 06410 — 0 .? Legal Description ik' 25 - zq E 71.1E CL0137c! (.IN it 812 Parcel # 170237 - OO 3,, /00 P ro r Proposed Work heated/cooled 1 3S Sq.Ft Valuation of Work $ 4fii p o heated /cooled non - heated /cooled 2_6(„ Class of Work (circle one): New Addition Alteration Repair Move (ISemolitio pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial - • • -1 If an existing structure, is a fire sprinkler system installed? (Circle one): Yes CND la& Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: REMOVAL OF ALL TRl1 'TILE / CAgi►JCTRy , CARPET _ PARr1 AL Ct:IL114 Nil LOA 13EARDJCY STRUcTliRAL p, ertkrioNs, ALL WORK bOtic R4 JDE ltiJ►T; FJC) Iwmp5TCR dN S 1TE Property Owner Information: 12EMovAL OF FIxTURrs Name: T ELQIhJ l -li Address: 3$18 ikTTEs c-1Qc K City :IA G1<50IJ jiLLE State FL Zip 3/Zia Phone 90LI` 7141 4329 5 E -Mail or Fax # (Optional) k I X0 N 3 EL 0 &M A i t_, , Contractor Information: ADVAl#'&< BviCbEQS, Llc Company Name: /4 Qualifying Agent: 70j (` PIIILL , 5r Address: 3 &15( germ ug City 5400 u v)LLf State FL. Zip 32 Office Phone 9 O4 7 - 0 ° '7530 Job Site/ Contact Number q 04- 100-7530 Fax # State Certification/Registration # c-GC 151+ 3S 3 Architect Name & Phone # Vi NC( 133 to w i1C h AR 000$7 Soy Engineer's Name & Phone # Fee Simple Title Holder Name and Address N/A Bonding Company Name and Address ,J /q Mortgage Lender Name and Address N //1 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six f6) 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 and Air Conditioners, etc WARNING OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN R� : �' AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ` �A , BATY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH 4 UR LE ' i`i °,cOR ANATTORNEY BEFORE RECORDING YOUR NOTICE OF ti ' 1010 COMMENCEMENT �h� mmiss�or� .6� atns 54� h�e�da 1 I ..°*' t* iave , tned this , ° placation and know the same to a , All provisions of laws and ordinances governing this type • rk will be ) ° "� %' w ith whether specified herein or not. The granting of y oe not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating constructio or the perfor S ta te c i d ctti a � ., EXpes�A Signature of Owner l �-✓LQ col 4, My G � t nttacctor P Print Name I fj.j- -1 GU E /7/ 1 't'"nnt Name JOH f( fz (-I IL1<,1 PS .Jk_ Swo to and subscribed before me Sworn to and subscribed before me thi .,. , Day of'S ■.O.r 0 14 LaShrendaM r ; VDay of � , 20) ip Yt Notary P I� �' � ! ate o , .�� otary Public . • bhc My Commisslar: Expires 10/09/2018 Revised 01.26.10 Commission vo. FF 167547 s1.-�`if City of Atlantic Beach APPLICATION NUMBER �� Building Department (To be assigned by the Building Department.) `, 800 Seminole Road 4 " Atlantic Beach, Florida 32233 -5445 Co Phone (904) 247 -5826 • Fax (904) 247 -5845 _ fi v �� -4"...01111.0' E -mail: building- dept @coab.us Date routed: Z i lCity web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM N t- 4 ra Property Address: C [C:5 De. - r ent review required Yr No Building Applicant: k - LO . _ _ • - . _ oning Tree Administrator Project: ( � R1 O (z „ E Public Works Public Utilities Public Safety • Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: I proved. nDenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date TREE ADMIN. Second Review: 'Approved as revised. 1 _Dens . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: 1 (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 NOTICE OF COMMENCEMENT State of FLoR1 q County of DU VA L Tax Folio No. 170 237 — c O36 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: 1 b - 2.3 - 29 E ME (L o 1.STER c ONDonM DWELLA)G. UN IT 12 °/Q 13K 4 $86 - 33 Address of property being improved: la J ST NH' BIZ ATLAI�j G B (H , FL General description of improvements: RE/h�DEL 33 Owner: 1 EL.g1 14 /XO Address: 3$) & 13(.7 cl R 05ICKS4 1L0 FL 32 2-/ 0 Owner's interest in site of the improvement: OWN Ea Fee Simple Titleholder (if other than owner): • IJ /A Name: Doc it 2016034560, OR BK 17461 Page 2363, -- Number Pages: 1 Contractor. t b � Q � - Recorded 02/16/2016 at 02:59 PM, E t�U1Cl I u________ C Ronnie Fussell CLERK CIRCUIT COURT DUVAL Address: 3S;I f3ETjr,S 6112 COUNTY ?gGKS /LI.F FL 327-10 RECORDING $10.00 Telephone No.: ct 0,4_ 742. _ 4 2,.95 Fax No: N/A Surety (if any) N/A Address: Amount of Bond $ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: P/A 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: NA • 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: N/4 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): THI 4144. R ER'S USE ONLY OWNER - , / Q t Signed: f--/-7?( 61-1 /-"c71' : -/ Z. ( m \tom L _ Before me this � t7� da of Date: y ..' in the County of Duval, State - t My G° y 5:20,/ i i Of Florida, has personally appeared • / o t o i , l ' 1; �, , 11 -F �4 Q PersonallyKno No' F Q ah.. T or . P ro duce d Ident' 0,ii, ewe d .ate N 'II la II W ... p 11 g�. C Z > ' Notary Public: , . I 1-, '// ' "'* �, � My commission :'. • es: S •, 1 '' `` `N �/