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150 2ND ST - PERMIT RES18-0193 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0193 Description: Interior Completion of Earlier Demo Work Estimated Value: 30000 Issue Date: 6/8/2018 Expiration Date: 12/5/2018 PROPERTY ADDRESS: Address: 150 2ND ST RE Number: 170211 0000 PROPERTY OWNER: Name: 194 Beach Avenue LLC Address: 1541 Shipsview Road Anapolis, MD 21409 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SONSHINE CONSTRUCTION, INC. Address: 447 ATLANTIC BLVD 05#5 ATLANTIC BEACH, FL 32233 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. 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. * 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 exceeds and estimated value of$7,500. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 14sc) 2 De nt review required Y7es No -Iff-u i I d i n q,.) Applicant: Co A$bud[m ��anninq & Zoning I ree Administrator Qublic Utilities Project: MV�' Or CbMA Ot iw� ublic Works Public Safety Fire Services 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: FlApproved. [:]Denied. [:]Not applicable (Circle one.) Comments: 0 (��BUILDING PLANNING &ZONING Reviewed by: Date: 6' 7 dolk_ TREE ADMIN. Second Review: E]Approved as revised. F]Dend F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ODenied. []Not applicable Comments: Reviewed by: Date: Revised 05/1912017 E-1- (D Copyilding Permit Applicatiorl 0 Uft 11 1 OFFICE M Ay:3 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: /�o Zo Permit Number, Legal Description �4 7 14—Zl' 47 Ir AIWIIlel , �41'5� 1641k RE# tWZ11—IM1014 Valuation of Work(Replacement Cost) 1P � Heated/Cooled SIF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration 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 J -V I — Describe in detail the type of work to be performed-,,,* K1Ad*A) DW171131" Je I. / fllo� K 17,0f-Iff Florida Product Approval# for multiple products use product approval form Propertv Owner Information Nam IqU On r1A A-1914UL I" Address: City OM�4&06 S te AAY) -zip 2_L_�Eo Pho'ne' 6&k)!7Z.J?3 17ZS; '2 E mail /zU H4 G< 3 blX 1044 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information 0 Name of Compan i_,41JR_A1JW ,y: 44&SI-01-111, Qualifying Agen Y, 6,v5r, ze& t: Address 90 bve-V C i t y 1H4n1-1,_&AIA State r-4- Zip Office Phone Y#y 6;W 75-46 3 Job Site/Contact Number &V!9T± 7J-45 State Certification/Registration#Ldc,=W/�E E-Mail e—W P,4(.( - Architect Name&Phone# Engineer's Name&Phone# Workers Compensation �M /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. 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y F COMMENCEMENT. i47 (S7ig%ure of Owner or Agent) (Signature of Contractor) (including contractor) "I/ 'I Si and sworn to(or affirmed)before f Signed and sworn to(or affirmed)before me day of VOC M&^h,9�I)f ,b_yJ Y?IVTW—,�............ of Notar aLry r8TATE1 OF FLORIDA rsonally Known OR [M Personally Known 0 CW"OW12743 1—produced Identification 0 Produced Identificati EXPkft 4r=022 poc�, Type of Identification: Type of Identification: RU ..... 4R CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 OFFICE COPY.0- ow Application Number . . . . . 14-00000429 Date 3/20/14 Property Address . . . . . . 1SO 2ND ST Application type description DEMOLITION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 --------------------------------------------------------------------------- Application desc interior demo --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WOOLVERTON DERICK R OWNER 3761 109 AVE NW PONTE VEDRA BEACH FL 32004 --------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . - Permit Fee . . . . 100 . 00 Plan Check Fee or Issue Date . . . . Valuation . . . . Expiration Date . . 9/16/14 ------------------------------------------------------------------------ Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 0 Plan Check Total . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 104 . 00 104 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. W'..'JL-& JL -----800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5814 INSPECTION PHONE LINE 247 OFFICE COPY Application Number 14-00000583 Date 4/16/14 Property Address 150 2ND ST Application type description ELECTRIC ONLY RES SF DISTRICT Property Zoning 0 ------- Application valuation ------------------------ ------------------------------------------- Application desc --------------- repairs ---------------------------------- --------------------------- Contractor owner ---------- ------------- OWNER WOOLVERTON, DERICK R 3761 log AVE NW PONTE VEDRA BEACH FL 32004 ------------------------ - - - -------- ------------------- - - - - - --ELECTRICAL PERMIT Permit . . . . 00 Additional desc 65 .40 plan Check Fee 0 Permit Fee Valuation Issue Date jo/13/14 ----------------- Expiration Date - - --------------------------------- 2 . 00 ------------------ -------- STATE ELEC DCA SURCHARGE 2 . 00 other Fees STATE ELEC DBPR SURCHARGE --- ---- -------- -----------------------------------paid Credited Due ---- Fee summary Charged ---------- ---------- ---------- ----------------- ---------- 65 .40 . 00 . 00 Permit Fee Total 65 .40 . 00 . 00 . 00 Plan Check Total . 00 4 . 00 . 00 . 00 other Fee Total 4 . 00 69 .40 . 00 . 00 Grand Total 69 .40 806 ATLANTIC BE. OFFICE COPY INSPECTION PHONE Li- Application Number . . . . . 14-00000584 Date 4/16/14 Property Address . . . . . . 150 2ND ST Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 8 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WOOLVERTON, DERICK R OWNER 3761 109 AVE NW PONTE VEDRA BEACH FL 32004 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc Permit Fee . . . . 111 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/13/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 111 . 00 111 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 115 . 00 115 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT State of Tax Folio No. County -D� 0 -L 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 statedin thi NOTICE OF COMMENCEMENT. , da -Y Legal Description of property being improved: Address of property being improved: rt General description of improvements: Owner: eaC� AVP,VjL4L Address: Owner's interest in site of the improvement: X 0;0;0 z 0 Fee Simple Titleholder(if other than owner): moom a 0 oc:zlo 3 1 Name: ozzau, * Fn M A r0Q CL-0 Cn g) ontractor: W M Address: V17 A4;0n�4c &s— t3rwz 0 0 CO 0 Telephone No.:?e�L,-W Fax No: A10 r-0 X M(0 X 6 co Surety(if any) 7,Cn 0> Address: Amount of Bond$ ;5-�: E 0 cn C Telephone No: Fax No: =i 0 0 Name and address of any person making a loan for the construction of the improvements C ;0 N -q Name: 0 C: 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 RECORD S WNER I d: Date: 06 me this ayof intheCla��, "ary ate 0 *0 has rsonally appeared 0 0 Public at Large,State o Elo County of Duval. 0 ;:�. \\ :�: - Missio exp 0 pto ally Known- r ced Identitication: