1945 BRISTA DE MAR RES21-0273 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SIMON KENNETH 1945 BRISTA DE MAR CIR 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:
169506 1660 SELVA NORTE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1945 BRISTA DE MAR CIR RESIDENTIAL
WINDOWS/DOORS 4 WINDOWS AND 3 DOORS $10479.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $161.86
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
RES21-0273
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 10/1/2021
PERMIT NUMBER
RES21-0273
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Doc # 2021229254, OR BK 19892 Page 1369, Number Pages: 1,Recorded 09/01/2021 02:20 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTYRECORDING $10.00
5R7-Al
NOTICE OF M ENC MENT
Permit No. '?_E., 73 GSc^(e--14(e0T.,..... it)
Count'of U U V/11.
To wham itmay concern:
The undaslgned hereby informs you that temrove>fl is will be made be cetsin real property,and inaccn. ar+re with section 713 altheF3oridaStatues,rhe fallowing infardndans stated In rids NOTICE J:COiz74<.3NCEMEN'i'.
Lege dtrsipdon of property being improved:_±.{0-37 09-'a C_-a98 ..3.[._ y. x_ .ErF tierT1.43 LAT" g'S(s)4' Pi "tem ale t75-69-N)_
p Address of property beim;immraed: (G 4 i f;51 7 PcHbeMartar in1l'7L.i frlr1.1, FL "?
General description ofimpro v^ements -Re?IQC'PPnem1m- laf)0rttuuS
t1[8/9lri
Owner. Kell rv4 - Juni-)
Address /Ci q5 "rir; .1 111(144- ej.rc\e )*:lank.'- kc 1 FL . ---i,-'-tOwner's interest In sitz ofthe improt•emenC.N/A.
FeestrapTitleholder(ifother than home owner)._VA
Nam N/A_...
Addr.es N/A
Contra ctsrt._AMERICAN WINDOW PRODUCTS.INC
ACdresic 2633 POWERS AVENUE-)ACKSONr.71.LE.:L 32207
PhoneNo:_906-731-2247 Fax No.804.731.8824
Surety(ifanyj N/!ti_
Phones i_tilathen.No N;3
Name end addressotan-po=ems=Floga loanMrthe cur •us-don oftateimp,-ovememm:.NameL,N/A
Addresac_N/ft...
Fhtme N3Ji/f: Fax No`s;A
Name ofparson within.the State of Florida ether r' himself,designated h5'ownerOponwaom 20GcES or ether dxurae:its niay be served:Narc: N/A
Address:N/A Phone ' —N/A
In addition to timsaU Homer designates the followic on to receivea copyof thel.ier,or's Nonce.s provided ie Section.712.06(2)(b)FrondsStatues(Fill to at owner'e option)
Nawe`N/A._
AddresSi/A Mona No,_ ffis,
Expiration dateof NoOce OfCommencement(the expiration date is 1 yearfon damofrecatding=lass a different data isspecfied:_.N/•
rSigned:NM_ &—(
11.7:;Wbeforeireta;s I day ofjaTe-Vida I int:ie County of
Din Statecf'_bade T2s pets::in.}'aaxual:
P.riliP..'f41 ,,!s'1 DrJ p_.:t..0,-0Jh=_rse:fand affirmstheescceauonedx_ialrlons rosin areaveand accurate.
Th egging Instrument was acknowledged before me by means a!:Physical pemeraner_tlE Onlint notarization
THIS SPACE all RIIFORCORDl'RS USE ONLY l_
NemryPubrcacsrge5t too' It nay0_. ,L `.IBJ f'/
My Commission top-_.• /
Produced ldentEcaton; __
RYAN AUYA1LIT
Conmsawn p HH QCd?7T
Expires Jun-S,2024
r3r FLt' Scaled Ti..fiat.;Neb.asrW
RES21-0273
RES21-0273