330 19th ST RES21-0288 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MARKEE JOHN A 330 19TH ST ATLANTIC BEACH FL 32233-4536
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:
172020 1208 SELVA MARINA UNIT 12
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
330 19TH ST RESIDENTIAL
WINDOWS/DOORS 4 DOORS $11681.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $110.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST
DAY OF WORK.
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
RES21-0288
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $169.48
2 of 2Issued Date: 10/1/2021
PERMIT NUMBER
RES21-0288
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
3 a-l NOTICE OF COMMENCEMENT
Permit No. tC Tax Folio No. 11 I c-4.)
State of rL. County of DI o f
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 Statues,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description ofproperty being improved: .)t(' CD 3 eq- S
SPL. /nhixtf UNIT Lc
Address ofproperty being improved: 3 JC /(1 111 ,S freer f"//%C. Plll P/ a 33
fGeneraldescriptionofimprovementsRE)0/1('t i21i do
Owner. l
1 h('15 C1 t11 P. `-- Tf1 Y1 \ iXr
tAddress: . 30 I-li' S 1t r 1V b4i C L f
Owner's interest in site of the improvement:_N/A
Fee simple Titleholder(ifother than home owner)_N/A
Name:_N/A •
Address_N/
Contractor:_AMERICAN WINDOW PRODUCTS,INC
Address_2633 POWERS AVENUE-JACKSONVILLE,FL 32207
Phone No:_904-731-2247 Fax No.904-731-8824
Surety(if anyL N/A
Address_N/A
Phone NoJ3/A
Name and address ofany person making a loan for the taction of the improvements:
Name:_N/A
Address:_N/A;
Phone No.}N/A Fax No. N/A
Name of person within the State ofFlorida other than himself,designated by owner upon whom notices or other documents may be served:
Name:_N/A
Address_N/A Phone o. N/A
In addition to himself owner designates the followin rson 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:_N/A
Address:_N/A Phone No.N/A
Expiration date of Notice of Commencement(the expiration date is 1 year from date of recording unless a different date is
specified:_N/A
II &-S
OWNER
Signed: M Date: ' 1 I
Before me this 8 day of d' in the County of
Duval,State of Florida,has perso: ly appeared:
C`\tic'rc\-isnv--\rotihimself/halfandaffirms
that all statements and declarations herein are true and accurate.
The f9aegoing instrument was acknowledged before me by means of:
Physical presence Online notarization
Y P..
THIS SPACE i5 FOR RECORDER'S USE ONLY 11I CCommission#HH 0008277
fires June 9,2024
S«ri:w
Notary Public to o, County o
Doc#2021246820,OR BK 19921 Page 1782, My Commission expires:
Number Pages:1 Personally Known:Recorded 09/21/2021 10:18 AM.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
Produced Identification.
COUNTY
RECORDING $10.00
RES21-0288
RES21-0288