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10 10TH ST # 23 - KITCHEN RENO PERMIT (;:c•-o:--Tr--!b r%, RESIDENTIAL PERMIT PERMIT NUMBER s" RES18-0368 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/9/2018 �� ATLANTIC BEACH. FL 32233 EXPIRES: 5/8/2019 MUST CALL INSPECTION PHONE LINE (904) 247- , "BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6T 1,..,—.1-1-4., Y1ON (2017) OF THE FLORIDA BUILDING x CODE, NEC, IPMC, AND CITY OF ATLAN j6EACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPL'4 LEASEREAD CAREFULLY. r T i..k k y,... 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 �� I ' ;. DESCRIPTION: VALUE- OF WORK: RESIDENTIAL ALTERATION 10 10TH ST Unit 23 RESIDENTIAL Kitchen & Renovation $125000.00 TYPE OF REAL ESTATE I p. ' T,.I BUILDING USE` ` 1 i• ,sir; " SUBDIVISION: CONSTRUCTION: NUMBER: , ,'; d GROUP: 170237 0058 THE CLOISTER CONDOMINIUM COMPANY: ADDRESS .. ., , CITY: STATE: ZIP: Noble Construction Group 6999-02 Merrill Rd Jacksonville FL 32277 Inc. OWNER: ADDRESS; CITY: I STATE: ZIP: • RYALS JOSEPH ET AL 8153 MIDDLE FORK WAY JACKSONVI FL . 132256 W\ICI6(.63 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. Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. FIIIIIIIMIMIIIV- ,, DESCRIPTION ACCOUN 1 QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 $555.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $277.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $12.49 STATE DCA SURCHARGE 455-0000-208-0600 $8.33 Issued Date: 11/9/2018 1 of 2 , oLAi'ir,., PERMIT NUMBER RESIDENTIAL PERMIT ...., �, RES18-0368 .... uro, s-) CITY OF ATLANTIC BEACH :4 =" ISSUED: 11/9/2018 800 SEMINOLE ROAD -`'; r-) ATLANTIC BEACH. FL 32233 EXPIRES: 5/8/2019 TOTAL: $853.32 Issued Date: 11/9/2018 2 of 2 • NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordan a with Section 713 of the Florida Statutes,the following information is§tated in is NOTICE OF OCE NT. �� • egal Description of property being improved: 6 ,— E. IF��NQ GINS ��UY IlitOm In lUIM thiVV.3 WO- property being improved: 3 + 23 A+10 -hL, ctC,h FL 3-)- 33 Address of roPe roved: j i7 �' � 31 - vh� � General description of improvements: New KAA-c u..v (LV\cL CiA0Vall(f� Owner: Jf,s,p1A, Address: 'IBJ c L . .(1 FLJ o$ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: i#,J Contractor: MOO W,PSk ^)/-4 , (v Address: 601l9 -n2' Oneirri RI 43010 J is FL 3V?-fl Telephone No.:c/04. %95.-151-3 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 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: 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 401, joir Signed: Date: J�/3 jr Before Before me '� , , day of n the County of Duval,State Of Florida,has personally appeared lotary Public at Large,State of Flori '^.' ° '�� !; TY COOK �l Doc#2018266254,OR BK 18593 Page 445, Ay commission expires: I —\S" 4 • " ''s p :-,isle ct Fiosida Number Pages: 1 !ersonally Known: !p5 Q 1j (' Notary' �, a '%or Recorded 11/09/2018 09:03 AM, / Ccor: FF 9283 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL produced Identification: / �; ' * � try ,u,.�;, :as ran 13,20,_J,: COUNTY ,1_,L • �c��:``' Bontlr..''_:: . n:'Hotrry Assn.i? RECORDING $10.00 v 3'-' .. ° ,\nr 800 CitySeofmAtlantic inole Road ,, sr) ii-:•t• r Beach l�� I APPLICATION NUMBER JS ?t1 Building Department (To be assigned by the Building Department.) KeS1?— G �� Atlantic Beach, Florida 32233 5445 03(a O Phone (904)247-5826 • Fax(904)247-5845 "!.v.ro0 E-mail: building-dept©coab.us Date routed: 113 61 I I a City web-site: http://www.coab.us l G APPLICATION REVIEW AND TRACKING FORM Property Address: 'D ' 6--.6 Z3 =)•tment review required Yieyflo Applicant: I v OLO(tD Co n t&C-10 n Planning &Zoning Tree Administrator Project: V. { e�') 4 Re4' O Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature j Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By tj5C\9 . 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. I 'Denied. ❑Not applicable (Circle one.) Comments: BUILDI► , /j JVv PLANNING &ZONING Reviewed by: / , ' Date:// 7-/(� TREE ADMIN. Second Review: A roved as revised. ❑ pP I 'Denied. v I INot applicable PUBLIC WORKS Comments: ' PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. I 'Denied. I INot applicable Comments: Reviewed by: Date: Revised 05/19/2017 7, "taw. Building Permit Application # Upda 8/17 K tip f� City of Atlantic Beach �+r r I 4. �/ V f 800 Seminole Road,Atlantic Beach,FL 32233 1 Phone:(904)1247-5826 Fax: (904)247-5845 C �/� Job Address: / D /O+4 S!Y'[t'f t'4t•i -3 Q /4M/-�swi,LL Permit Number: etsig- Dye Y Legal Description I64S-eFl E lit 00*r C6 1cib ktifl VK'1' 7�j3 RE# I1 00").-3�`(7O5 Valuation of Work(Replacement Cost)$ IL-5,L U()—Heated/Cooled SF (kin p Non-Heated/Cooled N 14 • Class of Work(Circle one): New Addition Clterat!on Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: New VAVGIADAn a,ld�- rernovr icry\ Florida Product Approval# 1 1-749 .2- for multiple products use product approval form Property Owner Information �^ Name: Z /2acs Se,I, Address: ?I S 3 M5IA?k 1Ck ai City T CkTenvi t State FL Zip 3 5o Phone .904-SS344-0- E-Mail .. .•ca. at Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information / /� ANG Name of Compafi y: /J/o8/ I1US7Idt7' 'L) bib Qualifyin Agent: 44/ " 41144S Address 41,99-'02 /✓!f26/ AO itt 30 City X�y , 'tate SZ. Zip 3 2-217 Office Phone f&)1 rgc-niv Job Site/Con ctNumber 'ef ) , Fs- �- � ' 0 •�'/ d . State Certification/Registration# CQ t ,S 6Y3 S E-Mail ,. eNd /-e. ),JS e aids p% G//1/l q. Architect Name&Phone# Engineer's Name&Phone# _ L Up 9 04- (cit 0• �, Workers Compensation of efM CIeeACC2��Cvumel0s 3 441•( -7 Sall -9 3 0 Exempt/Insurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify tt no work or installa�ti .n as commenced prior to the issuance of a permit and that all work will be performed to meet the standards of atI-the-few est ulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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. 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. 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 FIN , 1 ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN 'OU ' ► = • OF COQ i ' ENT. / .e (Signature of• +ter or Age ' -4111111.. (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this 3 / day of Signed and sworn to(or affirmed)before me this 3 day of by / /, Ts4 ,by • 4r" U � ��.Yt^''i is 3�W_ �'�'(.a:�'�P,��.AC '031 i, W Notay. - t. • v r a 1 1 cam= cmm! sion#FF 520346 ` Corn Is on#FF 920349 [ ] 5 [ ]Personally Kri' 1,1 r PersonallyKnown .q ,►� ° �''+y Comm.Explres Jan 1.,2020 0$ My Comm.Expires Jan 1a,2020 °%��`F�°`' Bonded,�,s;hNatior.^'.a.ot^rj A [ ]Produced Ideitict'� .•° Bonded through NaUona!dot°n,°i+5s1.1;' [ ]Produced Identificatiorf'°'°°° Type of Identification: u=-.: Type of Identificatiort