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65 Coral St RES21-0032 Int RemodelOWNER:ADDRESS:CITY:STATE:ZIP: PROSPERINI MARCO 100 NORMAN PL GREENVILLE SC 29615 COMPANY:ADDRESS:CITY:STATE:ZIP: TRI-H CONSTRUCTION LLC PO BOX 331118 ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169594 0160 OCEAN GROVE UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 65 CORAL ST RESIDENTIAL ALTERATION RESIDENTIAL INTERIOR REMODEL $1000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 2/5/2021 PERMIT NUMBER RES21-0032 ISSUED: 2/5/2021 EXPIRES: 8/4/2021 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 2/5/2021 PERMIT NUMBER RES21-0032 ISSUED: 2/5/2021 EXPIRES: 8/4/2021 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 RES21-0032 Address: 65 CORAL ST APN: 169594 0160 $94.00 BUILDING $60.00 BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN REVIEW $30.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R14812 $94.00 Printed: Friday, February 5, 2021 1:15 PM Date Paid: Friday, February 05, 2021 Paid By: TRI-H CONSTRUCTION LLC Pay Method: CREDIT CARD 420590167 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R14812 ~+; CENTRALSQUARE RES21-0032 ·• 1!,;\,~r/~·-;;,\ Building Permit Application ~ ~;uu., fd City of Atlantic Beach Building Department rJ' Updated 10/9/18 *"'All INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.u s Job Address: 65 Coral Street Permit Number: ___________ _ Legal Description 18-82-2S-29E OVEANGROVE UNIT NO 1 S/O PT LOT 7 W30FT LOT 18 BLK 8 RE# 169594-0160 Valuation of Work (Replacement Cost) $_1_,o_o_o._oo _____ Heated/Cooled SF _____ Non-Heated/Cooled _____ _ • Class of Work: □New □Addition f21Alteration □Repair □Move □Demo □Pool □Window/Door • Use of existing/proposed structure(s): □Commercial ½21Residential • If an existing structure, is a fire sprinkler system installed?: □Yes ½21No • Will tree(sl be removed in association with orooosed oroiect? □Yes (must submit seoarate Tree Removal Permitl □No Describe in detail the type of work to be performed: Interior renovations for new cabinets, new tile, new flooring, interior painting , New plumbing Fixtures, New electrical devices, new cook top, new interior doors and interior trim. Florida Product Approval # ____________________ for multiple products use product approval form Property Owner Information Name Marco & Josie Propserini City Atlantic Beach E-Mail marco.prosperini@flamespray.org Address 65 Coral Street State FLORIDAzip 32233 Phone _8_64_-_34_9_-_92_0_3 _________ _ Owner or Agent {If Agent, Power of Attorney or Agency Letter Required) ____________________ _ Contractor Information Name of Company Tri-H Construction LLC Qualifying Agent Anton (Tony) Harasz Ill Address P. 0. Box 331118 City Atlantic Beach State FLORIDA Zip_3_2_23_3 ____ _ Office Phone _9_04-_54_5_-9_9_7_8 ___________ Job Site Contact Number _9_04-_54_5_-9_9_7_8 ____________ _ State Certification/Registration# CBC022201 E-Mail tony@trihjax.com 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. RESULT IN YOU TO OBTAIN FIN RECORDINGY M Personally Known OR [ I Produced Identification URE TO RECORD A NOTICE OF COMMENCEMENT MAY MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 1TH YOUR LENDER OR AN ATTORNEY ENCEMENT. (Signature of Contractor) Signed and sworn to (or affirmed) before me this ~Y of ~Af\~ I 2ov( •~a-~ (Signature of Notary) V]Per sonally Known OR [ ] Produced Identification Type of Identification: ______________ _ Type-of Identification: --~~~~~f!Y!.~~~~6'.~116---- RES21-0032NOTICE OF COMMENCEMENT State of _F_LO_R_I_DA ___________ _ Tax Folio No. 169594-0160 --------------- County of _D_U_V_A_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 stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 15-82 09-2S-29E OCEANGROVE UNIT NO 1 S/D PT LOT 7 W 30 FT LOT 17 BLK 8 Address of property being improved: 65 Coral Street, Atlantic Beach, FLORIDA 32233 General description of improvements: Interior renovations to 3rd floor master bathroom, new tile, re-texture ceiling, new plumbing fixtures, new electrical devises. Owner: Marco & Josie Prosperini Address: 65 Coral Street. Atlantic Beach, Florida 32233 Owner's interest in site of the improvement: Fee sinple Owner, Occupant -------------------------------- Fee Simple Titleholder (if other than owner): ______________________________ _ Name: __________________________________________ _ Contractor: Tri-H Construction LLC C/0 Anton (Tony) Harasz Ill Address: P. 0. Box 331118 Atlantic Beach , FLORIDA 32233 Telephone No.: _(9_0_4_) 54_5-_9_97_8 ______ _ 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) yeai:_ from the specified): . '\. \ I . THIS SPACE FOR RECORDER'S USE ONLY OWNER , l/ I I; Doc# 2021022823, OR BK 19557 Page 1734, Number Pages: 1 Recorded 01 /26/2021 02:58 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Signed: ----;;;-;.,--.;~-if-----,r,-.--;-:-:----.r.:-=-:- ~efore me this~~~-day of~~~~~~~ )f Florida, has personally appeared ____ .....,....._ __________ _ lotary Public at Large, State of Florida, County of Duval. ny commission expires:_~_· -3:;..l,...lOl:=-"--'~"'---------------- ersonally Known: ___ i7 ____________________ or reduced Identification: ____________________ _