250 Beach Ave RES20-0274 Framing around Win RESIDENTIAL PERMIT PERMIT NUMBER
� CITY OF ATLANTIC BEACH RES20-0274
800 SEMINOLE ROAD
ISSUED: 10/7/2020
j`'� ATLANTIC BEACH, FL 32233 EXPIRES: 4/5/2021
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:
RESIDENTIAL ALTERATION WOOD FRAMING AROUND 6
250 BEACH AVE WINDOWS ON THE 2nd $4055.00
RESIDENTIAL
FLOOR
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170195 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
BIG D BUILDING CENTERS 1325 WEST BEAVER STREET PL JACKSONVILLE FL 32260
OWNER: ADDRESS: CITY: STATE: ZIP:
WEED WENDY A 250 BEACH AVE ATLANTIC BEACH FL 32233-5214
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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
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 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$116.50
Issued Date: 10/7/2020 1 of 2
Doc k 2020210457 , OR BK 19382 Page 1498, Number Pages : 1 ,
Recorded 09/23/2020 03 : 42 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
JOB COPY
NOTICE OF COMMENCEMENT
State of cc:kr Tax Folio No. _
County of--7") ,\J Ys\
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florica Statutes,the following information.s stated in this NOTICE OF COMMENCEMENT -Q
Legal Description of property being improved: S -(21.5 - 4_ flA\at,•1-
�1 Y
Address of property being improved: of Sib , \Q a \rm.. -c-e- 3aa6?,
General description of improvements—A0 f C\\, 11-cic -sem
c cki o.,tr � 11 \ U rN. . - n
Owner':3‘ . T�NV+L s7 _.._
Address:a 5C) cJirh pri242_. s r, G9G�
Owner's interest in site of the improvement: \ j\t .,.1,..c.cko-_L3a-33—_,_ . __
Fee Simple Titleholder(if other than owner):
Name:
(i
Contractor: m .3 A
Address:\?j,;a((Z ��' - ' `
) % z r _ ..
Telephone No��1r-\ ESQ u,LQ 00 Fax No:r\15\-\ -
Surety(if any)-_
Address: Amount of Bond$__
Telephone No: Fax No:.
Name and adorers 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 lienors 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 /�.
`t�li('Z1J
Signed. Date
Before illus'. day of oZ_DO�n in the County of Duval,State
Of Fluiida.has personally appeared ‘c C_eo�¢lTh.. - -
Notary Pubic at large,State o a Tt
My'commission expires f ` - JuorN sou x cxi'c -.._
�totiry Pelt"sr
•
Personally Known: • 'r fht �
Produced identification ( '•_ge' MY tame.Lies Wy_l.2II7a� •
_..Bawd thray!••,Natural Notary Uvi
JOBCoPYREVIEWED FOR CODE COMPLIANCE 10.7.2020
Building Permit Application Updated 10/4/18
City of Atlantic Beach Building Department i`!/ ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
• • IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: X) �C.1� 'Ay _ �Clr>�C ‘.c �j V Permit Number: 1 \ 5 Z C� " L�C�-7
3
Legal Descriptions-\� t�-a5 �G��. �� �'c �L�i a� RE# l7( -52. 4
Valuation of Work(Replacement Cost)$L,O S S Heated/Cooled SF Non-Heated/Cooled_
• Class of Work: New ❑Addition [Alteration .�`Fj tepair ElMove [Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Vtesidential
• If an existing structure,is a fire sprinkler system installed?: L7Yes LIN°
• Will trees)be removed in association with proposed project?i 1Ves(must submit separate Tree Removal Permit) .No
Describe in detail the type of work to he performed: 1..1 v,,l�\6,-a S
�\t W 000\ }� ,r.
o`er s ` on
sc\4- \-\ 0.vvn 5� 5r..a03.hs"-1 C-,•4"
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name CY Address _ _
City Q$\--\c\• c cct..1-\ State Zip 3-aa Phoneme \Lp L''\(:."1
E-Mail _—�--
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company � Askcturs.%."—t-- Qualifying Agent c' P \r\ \A-LAX-A-\ c '1
AddressV • \J cAslCiAY . City-3qc_,o„y\v',\� State &_ Zip3�1�o�
Office PhoneCWA SC--)CD • 1,_.4 Job Site Contact Number
State Certification/Registration# C �L\�,lp`11 J E Mail\E -A O ,\o (d-\iTh`)d )k-kr\c� ry_s-r‘.\.e-r
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt : Expiration Date
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 the laws regulating
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 FINANC G, CONSULT WITH YOUR LENDER OR A a ORNEY BEFORE
RECO I18II Y OTICE OF COMMENCEMENT.
It
(Signature of Owner or Agent) rll��le►e of Contractor)
LL
Signed and sworn to(or affir ed)befor me this /L day of Si ned and sworn to(or affirmed)before me this 'tfay of
t4? •viii 20 ,byK:C fOtt9 11. -rj '— C by 2{ . a•••‘• C i f
.0111 CIMPAPdir:
(Signature of Notary) 1 (Si:nature of Notary) kr
tri JUDITH BEALI.LAYLAND I � JUDITH BEALL LAYLAND
'�• Notary Public Slate of Florida ,�• Notary Public State of Florida
OKIPersonally Known 011 : ' I Personally Known OR ? �$ Commission N GG 963540
Commission GG 9a5l140
1 1 Produced Identihcatibrl an,.:' My Comm.Expires May 4,2024 f ( I Produced Identification My Comm.Expires May 4,2024
Type of Identification: 11 Bonded tfirouyh National Notary Assn. I Type of Identification:
Bonded Through National Notary Assn.