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639 Aquatic Dr 2012 window f tom•'-��l;r , r CIT OF ATLANTIC BEACH 1 800 SEMINOLE ROAD s) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-c0001112 Date 8/29/12 Property Address . . . . . . 639 AQUATIC DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4763 --------------------------------------- Application desc window replacement --------------------------------------- Owner Contractor ------------------- ------------------------ BOHLIN ELIZABETH J AMERICAN WINDOW PRODUCTS 639 AQUATIC DR 2633 POWERS AVENUE ATLANTIC BEACH FL 322333852 JACKSONVILLE FL 32207 (904) 731-2247 --------------------------------------- -- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 4763 Expiration Date . . 2/25/13 --------------------------------------- ----- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON TEE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TC INSPECT FASTENERS --------------------- ----------------- ---------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------------------- ------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- - ------- . 00 Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 50 116 . 50 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY Of ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANT C BEACH 800 Seminole Road, Atlanti Beach, FL 32233 Office (904)247-5826 F (904) 247-5845 12 -40a JobAddress: 49W)_*C1 Dpz Permit Number: & —/// 2, Legal Description U C a td,,l 5 t6/ _:ac E Parcel# I'MIS- 53,5S oor Area of Sq.Ft. Sq.Et Valuation of Work$ '4MO_ Proposed Work heate /cooled non-heated/cooled Class of Work(circle one): New Addition ]teration a Re air Mov emolition pool/spa window/door Use of existing/pro posed•structure(s) (circle one): Commercial entia If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A Florida Product Approval# /2 3-2& 1 art d /4(M • S For multiple products use product approva orm Describe in detail the type of work to be performed: '.f Z t�•'1 Property Owner Information: / Name: 46:7/,,ZQh�I ���'C h n Address: D/2 City State Zip Phon -2-q9 �S'©S E-Mail or Fax#(Optional) Contractor Information: AMERICAN WINDOWC�—�- Company Name: PRODUCTS, INC. Qua ifying Agent: Address: 2633 POW RS Avm. City State Zip QN Office Phone�731-22�� 4t Number 1 Fax# -"7� - State Certification/Registration# 12 ..w< Architect Name&Phone# - Engineer's Name&Phone# Fee Simple Title Holder Name and Address S R ITS OR ADDITIONAT.. Bonding Company Name and Address QUI AND CONDTTI NS Mortgage Lender Name and Address .: : x Application is hereby made to obtain a permit to do the w prior to the ofa issuance permit and that all work will be performed to meet the standards of all l s r lating construction int is j4n7has�C`om'menced ion. This permit becomes null and void if work is not commenced within six(6j months, or if construction or work i suspended or abandoned for a_period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Ele cal Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,etc 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 YOUR NOTICE OF COMMENCE ENT. I hereby certify that 1 have read and examined this application and know the same to a true and correct. All provisions of laws and ordinances governing this type j work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the per rmance of construction. Signature of Owner P-/"4 IdAdezA --,��� '' ignature of Contractor _ Print Name rint Name .c .f�- ....C.7. .........., .t� .int............................................. ........... ............................................................................................................... ................ Swo o subscribe ore me wo to and subscribed pefore me this y of 20 t ' l Day of 20 1�- A /)t t.tl.C.� �.1••PRY Pie! (ti i Notary Public MY COMMISSION t EE 127990 Notary Public * . * MY COMMISSION t EE 127993 * EXPIRES:September 6,2015 EXPI E : eptemberti,201 BMW Thru BU*Notary Services 1 f3 ��odpet Notary ServicF: k C1.3 s x x � �\V x �=' 3 x � low x o � City of Atlantic Beach FDaft PLICATION NUMBER Building Department gned by the Building Depokm t.) SW SemkX*Adank Beach, Florida=33-5445 Phone(904)247-5M - Fax(904)247-5ti45 ' E-rnall: building-deptQc:oab.us ed: Z �7 .7— Ciiym"4ite: MiipJJan W.&Wh.ug APPLICATION REVIEW AN D TRACKING FORM Property Address: bA\ It _h'e� nt review mquired Yea No Buildin ApplicantA , A-) nning&Zoning Tree Administrator Project: / Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Ri Mew or Receipt Date of I lermit Verified Florida Dept of EnviroruneMat 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 Outer: APPLICATION STJ TUS Reviewing Department First Review: ved. ❑Denied. (Circle one.) Comments: UILD PLANNING&ZONING Reviewed b : Date: TREE ADMIN. Second Review: ❑Approved as rev . []DAed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b : Date: FIRE SERVICES Third Review: ❑Approved as revise J. ❑Denied. Comments: Reviewed by Date: Rawisod 01W110 NOTICEF C C 0 0 MEN EMENT Permit No. State of Florida 1 County of Dt.L'7 J The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. Legal escription of property(Include Street Address, if available) 66 C" General description of Improvements Owner f1i-Zabc--9- W, i rr7 Address ,jf !>, F : - Owners Interest in site 6f the Improvement Fee Simple Title holder(if other than owner) Name Address RICAN WMow 2-24-7 -�'Contractor M Address Surety Address An ount of bond$_ �-- Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owr er upon whom notices or other documents may be served as provided.by Section 713.13(1)(a)7, Florid Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Lienol's Notice as provided n Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement(the ex)iration date is one(1) year from the date of recording unless a different date is specified) Signature of Owner Printed Name of Owner I Notary Rubber SStta��m��ppp�See7al 1 I have lied upon the ffollowing identification of the Affiant *11 * * MY COMMISSION i EE 127990 EXPIRES:September 6,2015 Swo ' and subscribed befQthis day of 7 20 *�7bF Rd•P BOnd,d Thru Ik%W NO Ny$eIY m j t g _t 1 " i Notary i • Doc#2012186294,OR BK 16051 Page 1245, Number Pages:1 PrintedName Recorded 08l29i2012 at 01:24 PM, JIM PULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00