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Permit Window #28 2233 Seminole 2011
0 l ,1:2. `r CITY OF ATLANTIC BEACH r 414 1 y 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002125 Date 9/07/11 Property Address 2233 SEMINOLE RD UNIT 028 Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 3745 Application desc replace all windows Owner Contractor LUCKIE DAVID WINDOW WORLD OF JACKSONVILLE 2233 SEMINOLE #028 8110 CYPRESS PLAZA DR #405 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 443 -7001 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . 35.00 Issue Date . . . Valuation . . . . 3745 Expiration Date . 3/05/12 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 70.00 70.00 .00 .00 Plan Check Total 35.00 35.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .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 ' / 2 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 02-33 Sr MY1 I CV .e e- i u v if Per Numbe © Mfr -47&= Legal Description C4 -2-5- Z9E Ckt. AR ki ; ��c�Qe °Ulf ` ,to e , ; iA u Pa rcel # / M q y , , te r, Floor Area of Sq.Ft. Sq. ' 't l � f ~ ~� Valuation of Work $ ET Li Proposed Work heated /cooled /' , n ■ eated /cooled' / ` L Class of Work (circle one): New Addition Iterati Repair Move Demolition pool /spa wins': • sor Use of existing /proposed structure(s) (circle one): Commercial es�dentia If an existing structure, is a fir sl�ri kler sy tem installed? (Circle one): ''Yes No Florida Product Approval # 1 tp`l- - /? / 3 y -le 7 For multiple products use p duct appro a form Describe in detail the type of work to be performed: RQ 'aC- � LAD 1 r1 c\-0 S Property Owner Information: Name: DA-0 + D IV L ILC �i'e Address: 2233 SE: et4, ; AO to P 1 2 Y City (4 {1a•4-4° c pCN State Zip 37133 Phone 303 -- 336P-- E -Mail or Fax # (Optional) Contractor Information: r i.,_ Company Name: VJ t• t? o bOnv Q ualifying Agent: aior IP c Address: 111 t. / f �'SS .er City TAY State FL Zip j22 S'7. Office Phone ' Or 00 1 Jo ._ -:_ • • act Number 303 . -S3 � (c - y Z Fax # (- 7'' State Certification /Registration # Cr_ '_ .I '!G y.4 1 Architect Name & Phone # Engineer's Name & Phone # 1 YY _ P • I. : Fee Simple Title Holder Name and Addres . .` $ _ III 1, fi Bonding Company Name and Address I 12E1 ; _ , , ) DITION : l I ,f J 5 1 '1 1 ) _ II i Mortgage Lender Name and Address 1 , _ ' I INDITIO4 l' _ 0 • ......_. L ' ' 1 " DBY: Application is hereby made to obtain a permit to d . ' """:- °�•— ..... ..,:._ a 2 �' .J / .,,. s .w ,k:,,, j pr ior to o � + is a � ed stallation has commenced pr the issuance of a permit and that all work will be performed to meet the stan� n• • •"I .. .* A . t at no work or .• . t r' a urisdiction. This permit becomes nil and void if work is not commenced within six (6) months, or if construction or work is suspen #e• • ° ° - -- ._ _ riod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, "e Is, Pools, Furnaces, Boilers, 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 / have read and examined thisplication 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 regulatin_ •nstruction or the performance of construction. N I 4P \ C , Signature of Owne ' (} _III rs Signature of Contractor ,K\N-- _ Print Name - 1)A... N\ - . 9-- Print Name GeTil `-'' Swore o and subscrib • before me r Sworn to and subs ibed before me �.�\ .X' " ' •+• ' . s )% Day of , M , 20 t C this Day of e /. hJ 1� \ *4 ��' .: �� QRE80RY RAY RTE ` el � ` t ',� ,, MYCOMMISSIDNi = 4- ' ° Nota Pudic 7 EXPIRES:AQt01,2013 Notary ublic �* ' ' y�po''► _A 4 � ' � k X 440, F , Banded Du Was : Z '• Ba,dea sterr `-'.'s':3‘... Revisecrtic26:•llt. NOTICE OF COMMENCEMENT Number Pages:11 OR FMK 15608 Page 2037, Recorded 05/23/2011 at 03:15 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Permit No. "'o2 oZ 5 COUNTY Tax Folio No.l'(�7 j}]�, RECORDING $10.00 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): , 'w kij 0 a) Street (job) Address: 22 3 d r `� n rar _ ie.. 3J 2.General description of improvements: t 41. °' 1, _,.. - 3.Owner Information r 1 a) Name and address: al t L, e < 7 - 7 - 5 � 0 `' pi �_1 2.� I b) Name and address of f- - simple titleholder (if other than owner) J I ( R , c) Interest in property 37;Z if 0, 4, ontractor Information C a) Name and address: %+ vt ��t x �; ,..,� <( ' P a . ' i b) Telephone No.: [} f f 5.Surety Information �'� 3 ' ( Fax No. (Opt.) P11t �' S L 7`'� -. a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA • COUNTY O}FF1' $ _..... 1>ti a °S PR ••� GREGORY RAY R E l O Signatur, of 0 ier or Owner' • uthor ■ e. 1 lcer /Director /Partner /Manager * ,, * MY COMMISSION # DD 878401 1 /1kA �� 1! EXPIRES: April 1, 2013 'T'T Foe Bonded Tin Budget Nobly Sees Print Name The foregoing instrument was acknowledged before me this f ( day of „ , 20 (4 , by as (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instr ment ,p s executed). Personally Know - OR Produced Identification Notary Signature ' ,, � 4, Type of Identification Produced Name (print) 7/77 / - ( OR e Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMSMOC,rvsd 2010 Signature of Natural Person Signing (in line # 10.) Above s 1 >>9& City of Atlantic Beach Buildin De artment APPLICATION NUMBER 1s�1 g p (To be assigned by he Building Department.) 1 800 Seminole Road f Z r . s' Atlantic Beach, Florida 32233 -5445 r Phone (904) 247 -5826 • Fax (904) 247 -5845 ',,f,2,. > E -mail: building- dept @coab.us Date routed: S `�- 3 /// City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -) c_/17//,T) / '5" epa ent review required Yes No / J f uildin c_ A licant: �t1 f��l� (0_ pp fanning & Zoning Tree Administrator Project: 6 h S Public Works Public Utilities Public Safety Fire Services Review fee- $‘ Dept Sigr'eture , , ... , ,, 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: pp / roved. ['Denied. (Circle one.) Comments: BUILDING ' PLANNING & ZONING Reviewed by: in Date: 5 V/ 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. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 •