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Permit Wind/Door 1632 W Park Ter 2011 a . CIT OF AT w�, S . ATLANTIC BEACH -; ' > 800 SEMINOLE ROAD ?)s� ,, = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Ji3 r.) Application Number . . . . . 11- 00002564 Date 9/27/11 Property Address 1632 W PARK TER Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 18000 Application desc REPLACE WINDOWS AND 1 DOOR Owner Contractor AYCOCK DKB ENTERPRISES INC. 1632 PARK TERRACE WEST P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5885 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 140.00 Plan Check Fee . . 70.00 Issue Date . . . Valuation . . . . 18000 Expiration Date . 3/25/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC 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 2.10 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. �I A , TIC B Fti 32233 BUILDING PERMIT APPLICATION s CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: . Permit Number: /7 ( 37 S V Legal Description / , , Floor Area of Sq,Ft. Parcel # S Ft Valuation of Work $ Q(.6 Proposed Work heated /cooled n - heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure s) circle one): Commercial Residential If an existing structure, is a fire s . ' i , • r sy ;te • ' i st.1 • d? ( ircle one): Yes No N /A Florida Product Approval # �t� For multiple products use pro • u a pprova orm Describe in detail the type of work to be performed: ret.(1,6 601 ArDo 60 / D a Property Owner nformation: Name: / Ci 6 /(IJCC� Address: z' Iv far 4 ✓ �/`� �' State _ Zi E -Mail or Fax # (Optional) p Phone Contractor Information: Company Name: T4, c� r/3eS Qualifying Agent: I'll Address: g A g� 23e � rn 1 ¢ Office Phone Job/$i !!- , / City State / Zip - .- 1 ct lu ber73 Fax # State Phone # l! 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. 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 ElectricalWork, 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 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 speci ied 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. Signature of Owner Signature of Contractor Print Name �---4 1 -- . - - - . - Sw orn to this l _n to al scribe se •re e I I II • : 1 I ^ 1 . . f CE this Day of - , 20 _ II 1 . Y t 6 , . a «�........, »,.. .M.« - .1��.: .. Notary P • lic SEE PERMITS FOR ADDITIONAL Not ..._ --• REQUIREMENTS AND CONDITIONS. 4 D ATE: 3 al F C OP R sed 01.26.10 REVIEWED BY: / � I �' it ;` .... _ _ NOTICE OF COMMENCEMENT — /1 S / Tax Folio No. Permit No. T' State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): L.c T /8 , /� j coc k- C SF // MMUNR (-Miff t^ / / ...-> 2' ( c - k5,;" 01 ;)/< / 2. General Description of improvements: ,�. /t - o ci L- 3. Owner Information: , C d a) Name and Address: vr» S /// � 4J E ��+ U , e b) Interest in property: / 04 1 120 c) Name and address of simple titleholder (if other than owner): 4. Contractor Information: l3`��� FG a) Name and Address: �r 3 � 6'5 .2 / c� r � � 82233 b) Phone Number: 02'(� — $ f sci\ Surety Information: a) Name and Address: b) Phone Number: c) Amount of Bond: $ 6. Lender Information: a) Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a) Name and Address: b) Phone Numbers of Designated Person: 8. In addition to himself /herself, Owner designates of 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 of person or entity designated by owner: 9 Expiration date of Notice of Commencement (The expiration date is one (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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. THE FIRS INSPECTION. IF O F YOU INTEND TO OBTAIN FINANCING, POSTED ON THE JOB SITE BEFORE ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me th Z day of , x(11/t't 20 i 41_,H 6c ofi1, C c ciL l:J ,, '',�, '' �f NOTARY PU L I C" ST A' F'F OF F ORIDA NOTA , Print Name: --b t ' � 1 '; %_ ❑ Personally Known Identification/Type: )-�L 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. e.- / -"'5 Signature of ' ` operty Owner Doc # 0.11116937u uR BK i 569rs Page IAA Number Pages: 1 Recorded 0$,3012011 at 10 34 AM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Revised 10/1/2009 s J CI y ..f0 U'� , s o an i 0 In "0 N ct I� .1 N ,--,, E 4t o r v �-0 0 4-g''' i e, . i 0 Q♦ a) w o • �"� o , i5.4 o cn v v V cat ) . \j -a.,' N .o Q, s., Q, a g 1.---- 0 , ii. ‘1 1 W _- 0 o �� t O g �� i. ' � © ?' • H a) c� p" s o O i . 5° • - w cri 75 a) w � 3 -� � -0 $ ta, 0 t i 4! s e ` tel ' k.4 k o N ,_,o Pi (-e o .cs P H � -, o ' , � 1 A et o o s O `,. U o = o P....i " CI , S a -o Q �. nu O L. • 555551 ri o y I O .5 Q. o °' o -o 0 et cn by o Q 5 ,.- O i N IQ -8 "r1 M Q • o o 0 ' v ` d p Z c i x U Q 4 •, d a., w Ca o �•, oo a; o -4 � � � � ¢" � +�.+ W ,-.4 N m d v�i � --■ N Cr; � S ' � � � . - , A Ill 4 \� y VD CL) z `O A G 0 . 1111111 I T 0' 0 0 1111 a to 0 et t g co cu 0 o ; •� o ' ul - + i ce, . , N �I , b ^O GA 4-' V, ° ° 0 5 ° ; 1 { a o 0 0 a) ° OOd Z rn P H M 1E1-1 L7 C7 O O ci c/ W r� rte+ :A., r + N M \O [": 00 -- ,- -, ' - - - v • 4 t • 1 k i t i i o u a I j ao rpn w O A O _a 7 • 1 C t CO t Q V a c 6 CO 1 C b 4 0 pi 8 El P 'a . �" -� w "rt LA 1 t0 0 p d flh W O H u lif U U a.1 Ga v) O ra 1 ,r--- . a c‘i r; 4 v \.0 r co) (Ni ri ; ; I : � t 00. o .-+ CI. Cr). 1 1■1 I. U � W _ j- a . • cu' a) = O • O 1 O 4 g \N, cn O c,O • tr4 01. t 0 0 c 0 - 0 ( : ,4 ev O U U f N N 2 (f) O M ;-■ 4 4'. 5 d - • �-+ ..fl — v ` � 1 a> y ° O ow 1 , t^ rE U E °' 60 Q [=' `S . .c <, .,./., p n , , _ ,\D, \- N. ,-) U , . e•■•I ;...4 C4 a a i o o a M z B \� � b g 5 a0� V\ u W W O a4 8 ai �; ( ao c � a o Z 8 - o 0 0 ° �, d 0 g U = `� o.) c) „, U U U E� U 1..Altiz., City of Atlantic Beach APPLICATION NUMBER �S ArkA4 Building Department (To be assigned by the Building Department.) 800 Seminole Road /// S,r j r Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 p � ,� r it » E -mail: building- dept @coab.us Date routed: Ij ..2V / /1 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /1/3 2 Pa / Z" Irr De artment review required Yes / No V Applicant: 7)4 6 G anni Zoning Tree Administrator • Project: `tL fJ_), 'e0- eel Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection , / G fh Florida Dept. of Transportation y C St. Johns River Water Management District /n oi-d/ 6/ Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. [Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING F Reviewed by:� Date: 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