Permit 44 5th StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Buildin,~-deft cr~coab.us
Application Number . 07-00001351 Date 10/01/07
Property Address 44 5TH ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning TO BE UPDATED
Application valuation 5000
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Application desc
REMOVE/INSTALL WINDOWS
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Owner Contractor
------------------------ ------------------------
RICHARD BELL BLDG CONTRACTOR
1952 BEACHSIDE COURT
ATLANTIC BEACH FL 32233
(904) 249-0131
--------------------- Structure Information 000 000 ----------------------
Construction Type TYPE 5-A
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
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Permit BUILDING PERMIT
Additional desc .
Permit Fee 55.00 Plan Check Fee 27.50
Issue Date Valuation 5000
Expiration Date 3/29/08
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/'05-'06 SUPPLEMENTS.
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US
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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Fee'summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
55.00 55.00 .00 .00
27.50 27.50 .00 .00
82.50 82.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTTY OF ATLANTIC $EACH ORDINANCES AND THE FLORmA
BUILDING CODES.
h~:rtA T N
~' '"'~ ~; CITY OF ATLANTIC BEACH
=r 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
Jw ~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
r BUILDING-DEPT@COAB.US
~~j11>r BUILDING PERMIT APPLICATION
o7-f...o-~ ~... _~...~~ ...~
DUVALCOUNTY
9 A
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RESS:
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D TION OF'~NORK
2. VALU 3. 5a FT, UNDER ROOF ,
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4. LEGAL DESCRIPTION. 5 CLASS OF WORK. 6 USE OF STRUCTURE:
J.t fZ ,p~s ^ NEW BUILDING ^ DEM 1f0 /° RESIDENTIAL
LOT, BLOCK :?U6 C.`>":gib: v ^ ADDITION ^ CONVUV~ GUS ^ COMMERCIAL
T. DESCRIPTION OF WORK. ^ ALTERATION ^ ACCESSORY BLD e. FIRE SPRINKLER:
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S~ y~Qr,REPAIR ^ POOL /SPA
' ^ YES ^ NIA
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PROPERTY OWNER: CONTRACTOR: ARCHITECT /ENGINEER:
9. NAME:~9~,A,Lp ~~ ftdld,~iL
~' 15. COMPANY NAME:
RicNA-Rt> 8r; t[. Be.°r~DlruG ~n~', . fnrc. 23. COMPANY NAME:
?tIkR4~s/~,r~t G, pari+COy p... A~
16. NAME:
QiCTiar~ 24. LICENSEE NAME:
t~A~Ft~-~SToN G• i/~Lri~ 5
10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
~+~}- 5Y~ 5?, c13co ~~~ 3 ~z A ~. yob 4-9L
A,,~u~ TESL Qe~ t ~ ~ 18. ADDRESS: tetrj~ BeaCln4t~.a. L.-'~ 26. ADDRESS:
R"/t~(.r*H~ F"tia4GN ~2, ~~51'fjC t,~ . ~Z
11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
244.6 5>~• ~--4~t o -3
13. CELL PHONE: 21. CELL PHONE:
~~f34- • b ~ r'~S 29. CELL P ONE:
~P+7 ~°
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADD ESS:
FEE SIMPLE TITLE HOLDER:
(IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER:
31. NAME: 33. NAME: 35. NAME:
32. ADDRESS: 34. ADDRESS: 36. ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law.
~ WARNING TO OWNER: ~r
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.
OWNER AGENT CONTRACTOR
(If Agent. P~ r of Attorn or Apenoy Leo Rcquarod) (Quallfl r J
Signed• r _ Date ' ~' ~ ° ~ Signed: ~ _„_,,,_ Date: /v /~ r
Bef e,fne this ay of _ , 2007 in the county of Before me thi-day of _3 , 2007 in the county of
D v , S too Flo ' ,has personally a peared Duval, fate of Florida, has personal peared
herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate.
~ true and accurate. ~~~~ //J~
~F''y
~
~
, County of
Notary Public at Large, State of ,County of
!
Notary Public at Large, State of
^ Personally Known
~roduced Identification ~ ~ (^, ~Personally Known ~'/
l~Produced Identification - i~ V
Notary Signature: Notary Signature:
~~^
~ SARAH RICARD
Notary Public, State of Fk+rida
COAB FORM BLDG01: REVISED 8/2/ CommisslonftDD599789
My comm. expires Sept 27, 20t0
rr~r~air,rr~~r
i1ARAH RICARD
~~`~~ Notary Publk, State of Florida
Commissiontt D0599789
My comm. expires Sept 27, 2010
~.
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rj l..aJ`l;=~c~ (.I`9L`~ ®~` A J~'Ll~l~'I'!L~ ~~v+ t3.~
' ~ ' ~ 800 Seminole Road
~ ~r Atlantic Beach, Florida 32233
;-~ ~ l ~~ r (904) 247-5800
(904)247-5845 Fax
wwiw.coab.us
APPL9CA`TI®@~ TC~I~G F~~~
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PERiUIIT
APPLICATION ~
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REQUIRED DEPT:
Y N PLANNING
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Z V BUILDING
Y N PUBLIC WORKS
V N PUBLIC UTILITIES
Y 6d FIRE DEPT.
V N PUBLIC SAFETY
~ APPROVAL
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REQU ED
AGENCY:
RECEIVED BY:
INITIAL:
DATE:
w ~ N D.E.P FiUFSTETLER
C7
~ O V N S.J.R.W.M. CARPER
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= Y N ARMY CORPS of ENG CARPER
V Cd9 HOTELS i3~ RESAURANTS FIUFSTETLER
APPLIC~-TIOIJ STATUS
CIRCLE CNE: SITE BUILDIN DA AP REVIEWED BY: INI AL: D E:
® 1ST REV ® ' ~ /~
PLANNING
BUILDING
®
®
2ND REV
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
®
3RD REV
J~~tlm>r~ 1tHaa~ f®r~n >I:~ tl~~ ~>I~alaAgn~ Dep~>~aen~ ~~~~ g~~>Aa ~a~~~ ~»~~>r~a~ y~~r a®»nn~n~~nt~ a>~il® ~lia~ A~4®0.
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NOTICE OF CONIMENCEMENT
State of FLORIDA Tax Folio No.
County of DUVAL
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 infornation is stated in this NOTICE
OF COMMENCEMENT.
Legal description of property being improved: N. 1/2 of lot 5 and all of lot 6, block 21, plat No 1,
Subdivision "A", Atlantic Beach
Address of property being improved: 44 Fifth St. Atlantic Bch., FL 32233
General description of improvements: Repair existing window frames.
Owner: Donald Howell
Address: 44 Fifth St., Atlantic Bch., Fl. 32233
Owner's interest in site of the improvement: FEE SIlVII'LE
Fee Simple Titleholder (if other than owner):
Name:
Address:
Contractor: Richard Bell Building Contractor, Inc.
^ ~ Address: 1952 Beachside Ct., Atlantic Beach, Florida 32233
j,~~ Phone No: 249-0131 Fax No:
Surety (if any):
Address:
Amount of Bond $
Phone No: Fax No:
Name and address of any person uialdng 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 maybe served:
Name:
Address:
Phone No: Fax No:
In addition to himself, 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:
Phone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year From the date of recording
unless a different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE
Signed' Date: / ~" ~ ~ '' d
Befo e,me s day of m the County
of~-u'val fate of Florida has prs Wally appeared
Notary Public at Large, State of Florida County of
Doc # 2007306561, OR BK 14200 Page 2048, Duval. /~y"~
Number Pages: 1 My Commission expires: t,i"t r 2~ '~ i~ ~
Filed & Recorded 09/2612007 at 11:37 AM, Personally Known: or j `
JiM FULLER CLERK CIRCUIT COURT DUVAI. ~
COUNTY Produced Identification: ~ ~~~
RECORBING $10.00 ~..•--~ / ~---
$4~r SARAH RICARp
Notary Publlc, State of Florida
Commisslort# pD599789
My Comm. expires Sept. 27, 2010