Permit Windows/door 1895 Hickory 2011 al
CITY OF ATLANTIC BEACH
;-. 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001893 Date 4/12/11
Property Address 1895 HICKORY LN
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 14245
Application desc
REPLACE 11 WINDOWS 1 DOOR
Owner Contractor
ZAZZARINO, EDWARD THD THE HOME DEPOT AT -HOME
1895 HICKORY LANE SERVICES
ATLANTIC BEACH FL 32233 207 KELSEY LANE SUITE K
TAMPA FL 33619
(813) 402 -3700
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 125.00 Plan Check Fee . . 62.50
Issue Date . . . Valuation . . . . 14245
Expiration Date . 10/09/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total 62.50 62.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 191.50 191.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION J D �y �4 7
Con,bO b - �{- SSOS y 7
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 C r ,1,,.--.--.::-.-
Office (904) 247 -5826 Fax (904) 247 -5845 1 ' t -' • , , 7
Job Address: 6,..C7/'i day L,Al 44/4-1;c_ ee tic t\ F'/ 222_0 Permit Numb r: f , ,
Legal Description au?-76 c -,tea - ice, e 5ie1 irpvr u'vt- Fa cel # 1 B-;. -OLD- 1 alt,
Valuation of Work $ 11fc0 + erg
Class of Work (circle one): New Addition teration Repair ov - !<molition pool/spa window /door
Use of existing/proposed structure(1) (circle one): erc ' - • I enti .
Ilan existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: I�p�QG t P < < lo l- 1 pa ----;� Ga
a t S1' e- t9( Si Z,e t„. / 1 fY eiv
Property Owner Information: / J J
Name:E t/go p Z e1,VO Address: /? H!. C1e)ti L .A)
City /441,44J/46 d6 Y� •e t3 a,. State Fl Zip P- Phone '70V - .?, t1 9 - L/ ag
E -Mail or Fax # (Optional)
Contractor Information:
rte.
Tfil) At -Home Services, Inc. �� ` �'
Company Name: 207 Kelsey Lane, Suite K Qualifying Agent: 'Ol l-P e.c r` ii, ( I pa '
Address: Tampa, FL 33619 City State Zi
Office Phon= 1., .. - 1- i Job Site . - - _' — . ( — 41 _ C= 11
State Certification/Registration # � ! .- � :_av I Dm 1 ii ! _ i _ s , ,
Architect Name & Phone # and V • w ' ' F 1
Engineer's Name & Phone # v• ` la AEiI
Fee Simple Title Holder Name and Address
Bonding Company Name and Address ' ' ' ;i•...
Mortgage Lender Name and Address REVIEWED BY: 1'1 , . „ �fZl-I , Alm
1 F
Application is hereby made to obtain a permit to do the work and installations as indica'ed. I certi t , no wor ► • & o `. on has commerme
issuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nu
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, F urnaces, Bo Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
3
r 1 ) �
Signature of Owner i .. - r \ , ° f - Signature of Contractor • 0 p 7/)
Print Name / -i. l ?,?J2 C '` " A--// 17/)
4/..1 Print Name X51 . n-c C�.I
Sworn 0 and subscribed before me Sworn to and subscribed before me
this ' . P Day of 'f r ` 20 1 t this Day oft ., 1 , 20 It
Imo__. i / t ../ Jo .4 4
N �
Notary Public _ Public
i RONALD ALLEN REEDY a 3P ",P f ., 1 KAAA
i „, r • , y t , Revised 01.26.10
;, Comm# DD0847844 l��13LIC
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Doc # 2011078691, OR BK 15566 Page 1531, Number Pages: 1, Recorded
04/07/2011 at 01:25 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
This Instrument Prepared By:
THD M -Home Services
207 Kelsey Lane, Suite K
Tampa, FL 33619
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 1 I Prt
State of Florida ((���n i c c'` ),
County of bk IC4 4 T9) C�Ws41 (
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida
Statutes, the following information is provided in this Notice of Commencement:
1. Description of property: (legal description o . ro . , and street address if available) it ' ■. . _ e . •
-
• -!.. ta ,Ac. Uryi a -
2. General description of improvement: a .4'
3. Owner information _ ` i'
(a) Name and address: t 1, ga Z*ZZ.# tQ I I✓D V S'S ? i e � QCy (J 1444 9C 0,244 ft
-
(b) Interest in property: Qr.Jaf
(c) Name and address once simple titleholder (if other than owner): ...?22,33
4. Contractor
(a) Name and address: THD At -Home Services, Inc 207 Kelsey Lane, Suite K, Tampa, FL 33619
(b) Phone number: 813 -402 -3700
5. Surety
(a) Name and address:
(b) Amount of bond N 1
(c) Phone number:
6. Lender
(a) Name and address:
(b) Phone number: N I A
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(IXa)7., Florida Statutes:
(a) Name and address:
(b) Phone number: N i 14
8. In addition to himself Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes:
(a) Name and address:
(b) Phone number: N I F1
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
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 COMMENCING WORK OR RECORD YOUR NOSE , • MMENCEMENT.
pe. —.4011L ' "
Sip atu e of Owner or i .
'Offiar/Dcxtor
Partner/Manager
Signatory's TitldO1 ice
a. foregoing iastnunent was acknowledged before me this of 72' I by fit . Y?a I
person) of pa[n) as apt ....--1 (type of
.---. 4)7, (pm igagitypa tghi if 0 whom instrument was executed). e.g. offih , testes, attorney in fact) for
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Under penalties of perjury, I declare that I have read the foregoing and that the Is stated in it are true to the best of m
Revised 7/1/07 ( "`� ofN ""^' i:7,7 , Lmnc#10) Above
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s+ rL�r City of Atlantic Beach
y APPLICATION NUMBER
;e - Building Department (To be assigned b the Building e artment.
800 Seminole Roa
�
Atlantic Beach, Florida 32233 -5445
qi' = "' Phone (904) 247 -5826 • Fax (904) 247 -5845
E - mail: building- dept @coab.us Date routed.,
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /t93 m z /1q,r ent review required Yes o
y Building
Applicant: /m1 L »,p Ping & Zoning
/1 Tree Administrator
Project: �� �/ ����� / ,�J , — o ( Public Works
Public Utilities
Public Safety
Fire Services
�k a .. 7s "_"�„- ,. "' f °, `�„- ` "'.'_' z r e ,�' - "r" v -'.. ar g ..crid, V '+ :7 3 �c- ' .13
R evlew�fee $ ,...�: 4 s ,Y i D e p t Sinature , k u 3 { J 14
:.:a:w ....�..ti.:,a..w..w:zs = s�.r.�., JHn'.. ? *�tn�. i,�..�..� ' . VU.�t s.z i�5 ..,r:.a
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. ❑Denied.
(Circle one.) Comments: N nftliej
BUILDIN
PLANNING & ZONING 9 -7--1/
Reviewed by: Date:
TREE ADMIN. Second Review: ['Approved as revised. ['Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09