Permit Windows 885 Seminole 2011 j
jk
s s , � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
' * ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001894 Date 4/12/11
Property Address 885 SEMINOLE RD
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 10141
Application desc
REPLACE 12 WINDOWS
Owner Contractor
GEBHARDT, KURT J THD THE HOME DEPOT AT -HOME
885 SEMINOLE RD 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 . . . 105.00 Plan Check Fee . . 52.50
Issue Date . . . Valuation . . . . 10141
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 105.00 105.00 .00 .00
Plan Check Total 52.50 52.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 161.50 161.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION 3-ph S9I , 0 c2.
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 I 1
Office (904) 247 -5826 Fax (904) 247 -5845 � , ,
AP I ' 1 3 t
- J
Job Address: 2 9 3 S e m i t A>D/ e & 2 A +l a c, g eael P) .32-2-13 Permit Nurper: // '�1 O / 7
Legal Description 5-0 I ■, 6lS- 9'C, f31- ice■+;. Ie ttrh Parcel # noo cello -% o
Valuation of Work $ ) t I (. `
Class of Work (circle one): Ne A• • ion Repair . • • - ! II olition pool/spa window /door
Use of existing/proposed , • 1 r : s - • 1 Commercial- ' - ident' . 1
If an existing structur • K a fire sprin . er s • . 'nstalled? (Circle one): es No N /A
Florida Product Appr ` al # t "F. .
For multiple produ • use pr • • uct approva o , ' i
Describe in detail the , of work to be perfQ ■■ ed: • • 10 . - ate_ :A , - .: ., -
im .,--irvicpcS
Property Owner Information:
Name: / f t��f G e,p .9E oil Address: gi- e S'e : N 01.e , o
,
City }{r c /3 eac■ State Pi Zip j2233 Phone 9 p q -- c if I — G 44 r
E -Mail or Fax # (Optional)
Contractor Informati f
At -Home Services, Inc. ., , i
Company Name: 207 Kelsey Lane, Suite K Qualifying Agent: i-e �Otn - dJ
Address: Tampa, FL 33619 City State Zi
,; 2
Office Phon(Sta, 1 4k00-3 Job Sit: _ — — . • • - to • — 0
State Certification/Registration # ' 1 4(c M i 1 !y , i . 1 0 • 0 l , • �_ • ...
Architect Name & Phone # 'W I
..... !1 Vi . rl1101 y 1111;1 KAN ;
Engineer's Name & Phone # � =� t � •�• r • � •� I �� i
Fee Simple Title Holder Name and Address
Bonding Company Name and Address I '• • • • �-+ \ ' .:: . • immi
Mortgage Lender Name and Address 1 . ti r r n� t _ .:a fi ... �►�ii7A� I
Application is hereby made to obtain a permit to do the work and installations as rna f tea. t certify tear no % or r1) • n has commence' p rior o t
issuance of a permit and that all work will be performed to meet the standards of all 1 • s 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 f6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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 placation 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, st e, or local law regulating construction or the performance of construction.
4 r
Signature of Owner i / Signature of Contractor V a eca_._ -C
Print Name ✓ 1'
jr f14 1 7' Print Name
Sworn tp, and subscribed before me Sworn to and subscribed before me
this Day of aPn I , 20 I( this 4 , Day of (�-pr', , 20/ 1
1 > E
Cf. - �. __
Notary Public ...... —APR., . N• .. 'ublic
RONALD ALLEN REEDY a ; 6, A ktAa' A
:p sni r L : c, Revised 01.26.10
. . ti� v p „ •, Comm# DD08 47844 - }y � ry q
, Expires 12/29!2012
'•' 7,,, `,, Fb rida Notary Assn., he 9 3 17 a7
, mmn 3 ,z4i14
S 1 4 v City of Atlantic Beach APPLICATION NUMBER
f 9 ; ! " y ..;. Building Department (To be assigned by the Building Department )._;
-- 'Y� ` ¢..'� 800 Seminole Road J�
; Y � 5, Atlantic Beac Florida 32233-5445 ' `
` Phone (904) 247 -5826 • Fax (904) 247 -5845
....;„,-,-;,..z
ft s-)''' E -mail: building- dept @coab.us Date routed 1 ,
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property /t / / 01L 'd ' - _ - 4 I ent review required p Y Address: fI(
Building
. : Zoning
Applicant: . cr) Q J -
Tree Administrator )
Project: � �, 0r"�111iiJ ( iz ) Public Works
Public Utilities
Public Safety
Fire Services
" c '"y T FS ci^' ev`G ) p ..s a`° �' x i N 3 + i .t �, :M`3 ¢s y � � ; � J " `1 I $ t m71
sa c. �..S` kl - 7� . w x s�L F u e � c t, h ,, j i x/P
Rev ew fee $ �.OPta�.. itir" � b1R)1 s s P.A Ti ar, :104,._,
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:
APPL ATION STATUS
Reviewing Department First Review: LgApproved. ['Denied.
(Circle one.) Comments:
i
CICJL( DING
PLANNING & ZONING Reviewed by: / ► Date: -7 -�J
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. I !Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Doc # 2011078690, OR BK 15566 Page 1530, 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 At-Home Services
207 Kelsey Lane, Suite K
Tampa, FL 33619
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. fl for e ccx>
State of Floricki
County of T T (S4(.00 SaD
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Statutes, the following information is provided in this Notice of Commencement: Chapter 713, Florida
1. Descri ption of property: (legal description p of pr an4
e y y pd
2. General description of improvement: 1 •■
3. Owner information /�
(a) Name and address: k.t4 &eb »AtoT 8 S vykle LC? 44101/ 61o( j
(b) Interest in property: Oa,
(c) Name and address of lee_ pimple titleholder (if other than owner): 32.Z. 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 IA
(c) Phone number:
6. Lender
(a) Name and address:
(b) Phone number:
7. Persona within the State of Florida designated by Owner upon whom notices or other d
713.13(lxa)7., Florida Statutes: ocurnetrts may be served as provided by Section
(a) Name and address:
(b) Phone number: N'r
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(lxb),
Florida Statutes:
(a) Name and address:
(b) Phone number. Pi f 14
9. Expiration date of notice of commencement (the expiration date is I 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 111E 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 COMMENCENIENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU r a - • TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDIN • YO
EF CO riot CEMENT.
lo. 9e1
Si -of • , a y . - 's Authorized Officer/Director
Partner/Manager P
Signatory's Title/Office
$e (are8Oin6 inhumeat was eclmow(edged l�etore me th 13 day of K a_4_, by 1 a ✓-t•
t (name of person) as gi P✓ of authority, e.g. officer, truce a
►► vivispf aagat.�i {ui &' of whom instrument was executed). is fact) for
RONALD ALLEN REEDY
`vo" Comm# DD0847844
r ,� � Expires 12/29 /2012 afNotay —
�a ? , pa Florida Notary Assn., Inc _AND--- bona Aar Prodnoed Identification
Vivification Pursuant to Section 92.525. Florida Statutes
Under penalties of per jury, I declare that I have read the foregoing and that the facts stated is it are true to the beat of • ,
p
i, /
Revised 7/1/07 : r 'i&aiag (in Una410) Above
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