Permit Wind 1480 Laurel Way 2011 v re /7 P
ORK
CIT OF A BEACH
BUILDING AND ` ZONI NG DEPARTMENT
NOT1
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The post of t his Placard by it "contents sha serve as due notice.
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01339 � Compliance Investigation Form
Investigation # Date of Request ! // Time of Request:
Name of Person Making Request: - / (a&60
Address: A/ GG�� 'I�GE' C� Phone # 4/99 9
Investigation Type:
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Location (Address) of Violation:
Phone Number: Property Owner/Manager:
Request Taken by: Investigator: 712jf 6/a0/1/
Action Taken: L(AP 4 l ' 80 � v kne r u ecr ri 4 u' 14. 14/ n S (id
o n 4 -30c4A Zcie o n er■-P a it opt S le 1 y le v l�
Pos S ?IQ fro Cm L// ✓ 4 - 1 1 frily NLsl C' S' C va t
Compliance: Ri / P-e r , f' Act e tv,ytold cv y i fret,
Legal Description: RE #:
F: \Code Enforcement \Compliance Investigation Form.doc Oct 9 2009
`r CITY OF ATLANTIC BEACH
, 800 SEMINOLE ROAD
t) CI = ATLANTIC BEACH, FL 32233
ry INSPECTION PHONE LINE 247 -5814
.ma F?F3
Application Number 11- 00002257 Date 6/24/11
Property Address 1480 LAUREL WAY
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 3100
Application desc
REPLACED 2 WINDOWS
Owner Contractor
BELL OWNER
ATLANTIC BEACH FL 32233
Permit W /W /O BUILDING PERMIT
Additional desc .
Permit Fee . . . 140.00 Plan Check Fee . . 70.00
Issue Date . . . Valuation . . . . 3100
Expiration Date . 12/21/11
Other Fees STATE DCA SURCHARGE 2.10
STATE DBPR SURCHARGE 2.10
Fee summary Charged Paid Credited Due
Permit Fee Total 140.00 140.00 .00 .00
Plan Check Total 70.00 70.00 .00 .00
Other Fee Total 4.20 4.20 .00 .00
Grand Total 214.20 214.20 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: / 2/4,11 L law Y Permit Number:
Legal Description Parcel #
X Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ od Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /pro osed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval orf m
Describe in detail the type of work to be performed: /) / tOS"
Property Owner Information: �f p /
Name: / 1 Address: / / o o L A Gt, t L L bt,)
City �J / Statef Zip :52233Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job • e/ Contact Number .x #
State Certification/Registration #
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 aperiod 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.
I hereby certify that 1 have read and examined this . application and know the same to be true and correct. All provisions of laws and ordinances governing this
.type o 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.
i nature of Owner
g Signature of Contractor
Print Name Print Name
Swo • o . : subscribe' before me Sworn to and subscribed before me
this ' Da o ; ' . `Z , 20 Ii this Day of , 20
444� � t. Nola '': U 1c _ r .1 :r_ d MO e v 1
A EXPIRES: February 14, 2014 Notary Public
of ■i:V Bonded ?hru Notary Public Underwriters
Revised 01.26.10
J it
CITY OF ATLANTIC BEACH
J% WNER / BUILDER AFFIDAVIT
<,D c.)
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7). FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF S2S,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLQYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER - BUILDER PERMIT.
/ MO LA ithy
ADDRESS / PHONE NUMBER
� a s. 7e, 1(
PalNt
Lew l�
'.- SIGNATURE DATE
Before me this L3I day of iirit . 2007 in the county of
Duval, State of Florida, has personally appeared
herin by himself / herself and affirms that all statements and arations a
true and accurate.
Notary Public at Large, State of rt. , County of ✓a-
C Known At j
r
�/' 1�� ' ' "sk , SHIRLEY L. GRAHAM
Notary Signature: 111 r �► . I � I g" MY COMMISSION # DD 957760
�`. - a~ EXPIRES: February 14, 2014
co » Fox awoo7, REVISED: 8/14/2007 � • 0.P Bonded Thru Notary public Underwriters
Graham Shirley
From: Jones, Mike
Sent: Friday, June 24, 2011 8:30 AM
To: Bell, Murry
Cc: White, Debbie; Graham Shirley
Subject: RE: Stop work order for 1480 Laurel Way
Yes, a permit can be picked up at the Building Department here at City Hall. If I am not here I will discuss the situation
with our permit technicians about the dilemma. All three of those methods of payment would be acceptable. I will use
the window sticker information for my plan review. Unfortunately the 2 new windows will require wind borne debris
protection(shuttering device) to pass a final inspection. I can not determine with the sticker information whether or not
the windows are impact resistant, therefore storm protection is required. The stop work order may be removed when
the window permit is picked up and paid for.
Thank you,
Mike Jones
Building Inspector / Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233 -5445
Ofc (904) 242 -3464
Fax (904) 247 -5845
From: Bell, Murry fmailto:MBeII@itelinc.coml
Sent: Thursday, June 23, 2011 8:52 AM
To: Jones, Mike
Subject: FW: Stop work order for 1480 Laurel Way
Mr. Jones,
1 found a sticker on the windows installed.
Series: Mark 40/50 HP
AAMA /NWWDA 101/I.S. 2 -97
H -LC30 -53x96
H- LC30 */50* -53x63
AAMA Certification Program Accredited by American National Standards Institute
A -L -I Validator
MFR CODE: KINCO, LTD - JAX, FL
Security tested
(can't read - too small)
Would it be possible for my wife (Alma Bell) to come byCity Hall tomorrow at 2:00 and get the needed permit with your help.
Also what form of payment is necessary. Cash,Check, or Credit card? We still have not heard from the contractor that installed the
windows.
At what point can we remove the orange stop work paper from out front door?
1
Thank you very much for your help.
NOTICE: All information in and attached to this email may be proprietary, confidential, privileged and otherwise protected from improper or
erroneous disclosure. If you are not the sender's intended recipient, you are not authorized to intercept, read, print, retain, copy, forward, or
disseminate this message. If you have erroneously received this communication, please notify the sender immediately by phone (904- 363 -0196) or by
e -mail and destroy all copies of this message (electronic, paper, or otherwise). Thank you.
2
t 4
ii7 -
NOTICE OF COMMENCEMENT
State of f7.0 Ie 4 Tax Folio No.
County of Da r a (--
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 information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
L /7 Address of property being improved: n 0 1 Ali e t t- 1) 4 i . ;1 IC!-1C3 c 4 (; ; , G' / ,. ,.,
General description of improvements:
Owner: LL �n-not � G//2a A ddress: / d Cry �� L l(
Owner's interest in site of the improvement: p
rovement: _ i
p .�rS �d r cal o �J, ��a � oft , �I.t to /fh
Fee Simple Titleholder (if other than owner): /V- /0 Z J i 7)73e.) 10
Name: e) a K S"
- LL. t k CB S /2 v .3 �2 6.
Contractor: `. ' IA / . A .. c_.. - << / 1 1 I . i f % + - '
Address: g /() /VA Al: da - C i ,_
Telephone No.: (c/) 3 33 •- Z 2 Fax No: L
1 Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No:
Name and address of any person making 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 may be
served: Name:
Address:
Telephone 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:
Telephone 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):
TIIIS SPACE FOR RECORDER'S USE ONLY OWNER ) r
Signed: �_ _) r. � _ _Date:'� `1;' i
Before me this
Doc # [0'f 11 iv60I, OR BK 156.35 Page 479, day of { .MY'r J_ _ ,r_ .,n`:: -- .__ ._l uva l, State
Number Pages 1 Of Florida, has personally appear- . a , t ; i _
Recorded 06 %24x2011 at 02:05 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires: Notary Public at Large, State of Fl n� �''! February 14 , 2074 Pf,,.• °onded , Un d ;. I
COUNTY Personally Known: , " or
RECORDING $10.00 Produced Identification: I Ada, •
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