953 HIBISCUC ST RES21-0276 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
Mark Edwards 953 Hibiscus St Atlantic Beach Fl 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
AMERICAN WINDOW
PRODUCTS 2633 S POWERS AVE JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170948 0450 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
953 HIBISCUS ST RESIDENTIAL
WINDOWS/DOORS 10 WINDOWS $6487.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $131.50
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: 10/1/2021
PERMIT NUMBER
RES21-0276
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
RES21-0276
Doc # 2021238251, OR BK 19907 Page 844, Number Pages: 1,Recorded 09/13/2021 08:36 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTYRECORDING $10.00
l
NOT10E.OF tOMMEN ENT
Patri.t o`I`, 4:X,- C..•.-'}rVQfl_D Tax%alto 4a iyA' O7.sbSlateoftj-• Couch•of A ti I-L,.
Towhat,itmay conform•
rho undersigned hereby mftumsyou that improvements will be made to certain real property,and in accordance with section 713 oftheFloridaScannas,tee fallow ng iafaraatiecfa stated in this NOTICE OF COKEENCEMRM.
Legal desciption of property being impraveo;__f_ii:
L.OTu, Ni/ rears {',1 15-7
Address cfpropertybeing improved: g553 lases Sf, j h, L 3 a-33
General description oftrnprovements elite*vie n- ut Mdnt s.q
Dunn- `Yau - -
Address: qlR J7
Owner's=WEEIIIsite oftPeitnprovementjl/A
Pee simple Titleholder(dotter than borneowner)1d;A
NatneLN/
Address.
ontracmr._AMERICAN WINDOW PRODUCTS.INC d '
Address,_2633 POWERS AVENUE-:ACRSONVlLLE a32207
Phone No:_904-731.2247 Fax No.924-731.8824_`
Surety(Ifany),N/A
Addresr,_N/A_
Phone No,.N/A
Nana and address ofaoypersonmaking a can for erconsaucttonofthelmpravemenn:
Nanta,_N/A
Address;_N/A
Picone ho,N/A Fax No. N/A
Nam ofperson within the Sate ofFlorida anter Czar,himself,designated by owner upon whom nocees c other documents may beserved:Nam.:_N/A
Address:N/A Pito Nt.,,N/A
In addlhon to btrnselfovmardesigner. die totlovii erson to receive azpy ofthe Motors Notice as provided In Section 71.3.05(2)(b;FloridaStupes(Pr7!In at owner's option)
Nemc;_NJA
Address_N/A_ Phone No`N/A
Expiration date ofNotice ofCommencement(the expiration data islyear from due ofrecording unless adifferent datelsIpegiis=:__N/A
SigSigned: F-' Date: 'H 3/202.
11
Before me dtts
J
day of"SV N fL- Z,',•4 Z to the County o!
Duval,State ofFlorida has personalty appeared:
k.,4iiCRaBt+Lr Ept azQJ ihoc- liandafrcra
that at:sraIoeeeuta and declarations herein are..a end accurate_
The foregoing instrument was arc-k-
trt.''
r;±r--trere ,., Vii.,,GOERkE0aPhysicalpresenceLJOp)(•.•
gg IPCoMMIsstoNxc6909e42 .
THIS SPACE IS FOR RECORDER'S USE ONLY
Sf
EXPIRES::rGyten6lt 6,2023
ar aRau Wary Patwu,aa.,,aeRj•
ctaryPubixt geStant ofPL County or I UV71
MyCommission res:
Personally Known*
343-51b-1(Produced iden3Utltinr f'0 tfV 0