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225 2ND ST - KITCHEN REMODEL ?N CITY OF ATLANTIC BEACH "-,y 800 SEMINOLE ROAD el �v — ATLANTIC BEACH, FL 32233 ii: -.0s; ! INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0164 Description: kitchen remodel-cabinets, countertops, flooring Estimated Value: 26000 Issue Date: 9/18/201.7 Expiration Date: 3/17/2018 PROPERTY ADDRESS: Address: 225 2ND ST RE Number: 170197 0000 PROPERTY OWNER: Name: SCHRYVER PATRICIA BETH Address: 225 2ND ST ATLANTIC BEACH, FL 32233-5204 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: OSBORN BUILDERS LLC Address: 2157 POINCIANA RD 2157 POINCIANA RD NEPTUNE BEACH, FL 32266 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work i exceeds and estimated value of$7,500. r�a,y;:�� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) y�v tJ 800 Seminole Road p /_sI — �l /_� ', Atlantic Beach, Florida 32233-5445 f�—G (0 \- ^ ~ Phone(904)247-5826 • Fax(904)247-5845 7/10 / rn / '--40,09.,- E-mail: building-dept@coab.us Date routed: 0 `` `� &&- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: aaSt— a•N 5+. Department review required Y7No CBuildin) Applicant: O S boi n ey A &“ % u'C Planning &Zoning 1� I► ,, e� Tree Administrator Project: '-1 vJ�Q.f ( inD�t1( Labirt.C�s, Public Works Public Utilities COULC &( l,OOf►f15 Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By _ 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. ❑Denied. Not applicable (Circle one.) Comments: fj BUILDING L/ PLANNING &ZONING 9•i L/ l Reviewed by: f Date: 7 TREE ADMIN. Second Review: I 'Approved as revised. Denie . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 OFFICE COPY e*,.. .) BuildingPermit Application p p 11 City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 ^'`"SPhone: (904)247-5826 Fax: (904)247-5845 Job Address: (Z5Permit Number: Legal Description 5=61 )6—a5 --.9f 7440thr ie,KA 101-1 fBIK„9I RE# /7 net 7- COO o Valuation of Work(Replacement Cost)$ •26/0170. et Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition(Alteratio 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 No 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: Sas.e k,/64s,tttax-0-ela . / Ja. a c c-ht .att / ,C dr+1 t►a_ I4o/k,YLC�v✓COr..41 �. as-J s Oeste-/?Qit.� �}o 017-r-it..... ', A1. o'GiGe'�i•ic o..,��' Florida Product Approval# for multiple products use product approval form Property Owner Information L Name-;(01 J Ai•ti ver. Address: .72S 2 5i7',4— City A tr /S � State �L Zip 3.2.2-3-6 Phone ( yCa .' —O2 2 E-Mail G)a-rt-7.1-7.)-Le- Owner Gs7"7�1 .)-Le' Owner or Agent(If Agen ,Power of Attorney or Agency Letter Required)_ Contractor Information �1 Name of Company: 253O2iv B,Vliwia-.5 1'- Qualifying Agent: Favi, 0cand�^- Address .::21 S'7 fr ihri teteif/200•V City 44111424808-01 State PL Zip 32-2-eC Office Phone (gDy).3./' —o'7z2 Job Site/Contact Number (T0'1) $60—/73'7 State Certification/Registration# C 8c-123-135-o4 E-Mail 0.5t3aelV 12.0/1.430.42-S 6.E1--`SDt - .SET” Architect Name& Phone# Engkes Name Phone�'�4 Workers Compensation _ Exempt/Insurer/Lease Employees/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 regulationg 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. 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REDING YOU• NOTICE OF COMMENCEMENT. , :f_ `VXCA‘ i. ...qr.- - I / — ... ._.. . . . „, , :2z; ,, ._. c.a ._,.. .., ,_, __ >,,,, (Signature of owner or Agent in,luding Contractor) (Signature of Contractor) N f 15 Signed and sworn to(or a . ••-• •-'ore me this 2'- day of Signed and sworn to(or affirmed)before me thisLi d. 1750 c‘iLL U -r , 2011 by‘ \ \Ct ei b. EX Xl t y\fX 0,-, , 2X -7 , by . Z N LL 2 � ��Heather Mooney ,�� a _ _ Z = T State of Florida N • (Signature of Notary) J (Signature Notary) ' a E E 1 v_My Commission Expires 02101/2021 •• a _ � E Commission No.GG 68713 Z 2 m ``, %,,,0,,, ( ]Pe ovally Known OR ( ]Personally Known OR .•�o.•.. ao�: roduced Identificati ;�/. . [• ..Produced Identification E �I_.,LL= Type of Identification: 1O1 lokci VI IV'e5 L_►C S'e 'Type of Identification: 1 L :`d'. 2)/14114) NOTICE OF COMMENCEMENT Doc#2017247291,OR BK 18166 Page 1688, o fI °�SOD® State of Number Pages:1 INo. / 7 Recorded 10/30/2017 02:27 PM, , County of RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL .'• (r. COUNTY To Whom It May Concern: RECORDING $10.00 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: 5;' 6.1 /6 $ &AA! r--/, 3P-D-3 Address of property being improved: .2a5 Skeed- /971-f�4p-b4.c Ree&g/h../ )L g a� 3 General description of improvements: eF,1 ✓Xer — /?.Gs.✓cbv � Pl��'1d�=✓ - 790.7„6,-„s Owner: /"A3 i7 te-it Shri(✓.Grt" Address: da.�a"=i1-4,1J`vn�� ' �F'- 32233 Owner's interest in site of the improvement: ©wnc-r/ • Fee Simple Titleholder(if other than owner): Name: Contractor: D�oeiAhern ©. 0/2.✓ /214z&23 i_z_C • Address: all s7 4iitCil'ti'tA Oat, /1/,(12)1114-A � co Telephone No.: CcJOO 566 "l7? Fax No: (1%09) OW"6-377 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 -• Neither Mooney Signed�a�? ' - / Date: gr-Q�-0(i1� Before me this 2.' t' •r of I C _ion in the County of Duval,State a'""% State of Florida Of Florida,has personally a.peared Ct . 'f-r My Commissionires 0210112021 Notary Public at Large, Sta of = d County of Duval. ®0 Commission No.GG 68713 My commission expires: () t)t 202% Personally Known: - or pc()C(OC-eCi : FlOrid CI •17f iy-eAr5 LiC-e'1 4,1C ' 'ma 02asa - �fv„ _ OFFICE COPY (I/i S ry bly✓� C.q-iz v 1104> ti-�rc d" of - Ro7 ate- ,,3h L /11/NO2 Dr �,, 1'x21 z" /1/o 5/17"vc ivi--r�/-/41/5 7Yeki, 0�. Girt ri�C��vy ose azA) L31)12-D-et25 ZLC 9i �7 lb,s-LGih 120-ecci fre&ize ee.A.e (1?1/)) W1 -173 -7 kiN ....-t. Z... 01 ‘11 t ..,... #el tl 143 r. (r%ti i '' i 0 WI -n C) - rn C3 a ti W p R; IS. N A tiVV I _ Iia. - i . ;.; ,'''o, 1Z 144 i t'l ' S' 'ii-' th :0 M . , k. 4,- 5 , k. 1.),N VO R al 1 { l f i I ( 1 9 it ._ _ 1 W OG.r.,,/ 8LY/' . Ili . i --.• I.g7-0-161-1 ;6-177) '031'• i--iro ItAwa 0 0 j"„IS 1 p , g '1"1 -1-1 M c..0 r:...,6, ‹., -...I N -t.‘k •l':?.3..18 ---37'. '',:-.-- . ---36 6.."6 ---15----36---•- . . .. .., • - , -- . . _,_ • cp .1 -I 'Via)., .,' ' ',:•-:: .',i i II , ._. 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