621 Aquatic Dr 2013 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j s)
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
C 13 �?
Application Number . . . . . 13-00002239 Date 3/01/13
Property Address . . . . . . 621 AQUATIC DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5450
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Application desc
window replacement
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Owner Contractor
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SAVOIE, NICOLE SIDING INDUSTRIES OF N FL
621 AQUATIC DR P O BOX 840292
ATLANTIC BEACH FL 32233 201 BASQUE ROAD
ST.AUGUSTINE FL 32080
(904) 460-9367
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . . REPLACE 5 WINDOWS
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 5450
Expiration Date . . 8/28/13
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Special Notes and Comments
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
oC9N- O T M
FE)e 2 8 2013 BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Qy_ Office(904)247-5826 Fax(904)247-5845
Job Address: 1 l'a&,-f/ -Jrf"— Permit Namber:
Legal Description " 7 e 'ZS _.2 9 C 2-a`mr d G Parcel A
oor Area of :Sq,I t. q. t
Valuation of Work S J0 Proposed Work heated/cooled non-heated/coaled
6Y5-0.49e,
Class of Work(circle one): New Addition Alteration/ Repair/ Move Demolition pool/spa windo door
Use of existing/proposed structure(s)(circle one): Commercial L esiden ���
If an existing structure,is a fire sprinkler system installed?(Circle one): es S.`L N/A
Florida ProductApproval#
For multiple products use product approve orm
Describe in detail the type of work to be ormed: Ld9
Property Owner Information:
Name:�)-, I e cl E �t..,�_I_� Address: _ E 1, ry t-'r C
City rek, %`<iz4r.,6Stat -�:ZipY.. z`1 hone_ �ttt- ro"J3 G I�g �lnc n..e 1
E-Mail or Fax#(Optional)! C
Contractor Information:
Company Name: ��CYr✓L f' e/S i�r L� 8Agent: ('
Qualifyin
Address: 16 ,QXC G 2 C1 Z City S7—c�e...-r4r State�_Zip
Office Phone �(0 3 Co`•7 Job Site/Contact Number _�l 7 9 Z 3 Fax#
State Certification/Registration# C 2 C /3 2-7 5/3
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address °
Bonding Company Name and Address Ra
Mortgage Lender Name and Address _ '
H v ; R
Application is herebi•made to obtain a permti to do the x(rk and invaliannns as mateated t certnt-that no x•(trk or installation has commenced prior to the � Noearse�
+ssicance of a roar and that ail work will br performed w meet the standards of all laws regulwing�:nnr�:n rrnn in thisjurisdiction. This permit becomes null s-
and vatd t!work is not commenced within six(6i momhs.or i/ronsiruction(,r work is susnrndru +r o;trr.wird r•.r a ppert xl of sis 161 months at any time after
wTonksgaA menceir diNaners�f4 rc!that separdrr permih mart Mr secured/ur E/ecrrkvl'Work,Plumbing.S'l�gs, RWt,Poeta,Funtara Bonen,Neatas,
anionam $
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT L&-
MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF
YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
I M:reky certify that I haves read and etimtned this a rpivatawt and know the same to be true and cnmrr Alf provcslons oJ'laws and ordinances governing this
ope of work will be complied with whether specified herein or not. The Rrantigg y(a permit Dors n n l,rtsam: I.glvi authority to violate or cancel the
jvm•tstonr of any other federal,state,or local law wg construction or t to pe M ewrstructron. - -
Signature of Owner®
Print Name (C,--4r_ S
� t
S,�orn t and subscpbed before me a O
this-Day of r.i a ..
® QO Q
OZo�
PVB(�i
JOHN KELLEHER u t»
Notary Public State of Florida
My Comm.Expires Mar 14,2015 W
Commission #EE 69452 C (�
Bonded Through National Notary Assn. W
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FiL E COPS®
State of - '-
Tax Folio No.
County of
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 inthis NOTICE OF COMMENCEMENT.
Legal Description of property being improved: — ]I 3-,1 Z S
yy 62" -c,-,,+T-7 C
c-,,+T-7C ry r4{r'Cf
Address of property being improved: <21 U A 7—/ L /Z
General description of improvements: t
Owner. iurC :�(/'o/ze- Address:_ 4� LJ4+i-7C 7Jt2 fi-17rhti77C/i3 ,4e-�4L 3 zz 3'3
Owner's interest in site of the improvement: 5'a cam. r y 12 e-9 t Ct`'
- Fee Simple Titleholder(if other than owner): _ .�—
Name: �
Contractor. t t�t N S l� ✓�' YI=-3 OE lyoN'�' slrJJ ( — NC"_
Address: _ U tr✓SFO 2–`% Z S ! f +{v- FL_ 3 7_600
Telephone No.: / &{ 7F?3 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No:_ Fax No:
Name and address of any person malting 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 himselly 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 dare is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signe•. -. —� Dater'
I3cfoic ms 4hi5��—da+of za in the County of Duval,State
Of'r lorida,has per-,00ally apprised
Notary Public at Large,State of Florida, only o v11
My commission expires:
4 f {
Doc#2013052471,OR BK 16271 Page 1264, — — – j
Number Pages: 1 {��. JOHN KELLEHER
♦ ♦{iv P �
Recorded 02'2812013 at 12:33 PM, :o`" B'�:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL �r� ;�: Notary Public -State of Florida
c My Comm. Expires Mar 14,2015
COUNTY = `o`: Commission #EE 69452
RECORDING$10.00 o;:°
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City of Atlantic Beach APPLICATION NUMBER
J3 � Building Department (To be assigned by the Building Department.)
R; 800 Seminole Road Q Z Z3
x Atlantic Beach, Florida 32233-5445 J
Phone(904)247-5826 • Fax(904)247-5845
y >� E-mail: building-dept@coab.us Date routed: (J
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �2 G ment review required Ye o
Buildin
Applicant: �►�/� 06 Sng/ S Planning &Zoning
Tree Administrator
Project: /1/Ud lc, Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B �
Florida Dept. of Environmental Protection g
Florida Dept.of Transportation
St.Johns River Water Management District y� \
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [Approved. ❑Denied.
(Circle one.) Comments:
=BUILDING
PLANNING &ZONING Reviewed by: Date: _/13
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10