1660 Beach Ave Unit 2 2011 window permit A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ,, :'' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
ti t: j3 a
Application Number 11- 00002658 Date 9/27/11
Property Address 1660 BEACH AVE UNIT #2
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 3200
Application desc
REPLACE 2 2ND STORY WINDOWS WITH IMPACT GLASS
Owner Contractor
NIXA DAVID A ULTIMATE CONSTRUCTION
1660 BEACH AVE. #02 4054 ARBOR LAKE DR W
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . 35.00
Issue Date . . . Valuation . . . . 3200
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 2.00
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
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: WO &Ac rI AvE 14 ,2 A?t,ANrc- RE/Uri iL Permit Number: / / -a 6 Sf?
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 3 200. 00 Proposed Work heated /cooled non - heated /cooled r>
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa �indow /doo)
Use of existing/proposed structure(s) (circle one): Commercial ' esid- i is
If an existing structure, is a fire sp�rinkler system installed? (Circle one): • es o N /A
I
Florida Product Approval # 9 I . 2
For multiple products use pro approval form n
Describe in detail the type of work to be performed: R E ivi 0 v E / R4 PLAe E Iwo u/,NOow
N �
VN IT,y op se6opO STO (ANDER ws' I r
Property Owner Information:
Name: ► I _ Address:
727 'ELI) 0 Ro
r
City StateCQZip ,J 4, Phone ;'. " - . I r `
E -Mail or Fax # (Optional) -c f10 2 1
Contractor Information: •»��
er
Company Name: VI-11M A T e C01✓ST R ✓c T I ON iNG Qualifying Agent: JAMES R YAa 4SAAL£
fY� g g
Address: x/0.54 ARBOR LAKE bit tA✓ City JAcreso' /rac£ State FL Zip 3 2245
Office Phone ' 0(4 - 6 • . . - ontact Number Fax #
State Certification/' egistration # iil't' ' r; - 1
Architect Name & Phone # •� • � F R CODE COMPLIANCE
Engineer's Name & Phone # CITY OF,ATLA ►T' flt PEACH
Fee Simple Title Holder Name and • a dress SEEP ton. • r l e s rr . , . e
Bonding Company Name and Addr-� s qv* $ '4 'I ' •Tyr • . s rr • . �rAf�'
Mortgage Lender Name and Addres l „ , r 'A..� :%� 1
- . i - „ JD : ' • / /al DATE: I I
Application is hereby made to obtain a per •-- .... •• ..:,r! : • • • • • All • , • , . rk or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the sta '• ar• o a aws re: • • • • • 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 16) months at any time after
work is commenced. / understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, 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.
/ hereby certify that 1 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 regulating cpnstruction or the performance of construction. I
Its l
Signature of Ow r ` "'-- _,Signature of Contractor A,. �
4
Print Name (/ CG ��,01,4 L /,k Print Name J�} ME I f9 . ..r soiLE
... + ,i‘ f ?ikon i ri*tt
Sworn to and subscribed befor • �� ' i R f C _ Swo and subscribe • • - fore 1 e
this II, Day of - • . ; ` .•*• .......... t ( c�i ,� this 0 D. • . � ►2k14. 'i 201
r
_ gt
_ BLAKE P'UTNAL
Notary Pp c ; ; N ME Nota Pu • i s w Co EE 58765
a Z. N •A •. • 0 � o Revised 1 . rtl• teaJanuary26,2015
- :-- ••••.. ok Q,P ,, • FM/ Vtrif &Q ror Jr c vfkNAr -&QP ,F 001,1.
.a,�;� City of Atlantic Beach APPLICATION NUMBER
�= r Building Department (To be assigned by the Building Department.)
s 800 Seminole Road
j • •, Atlantic Beach, Florida 32233 -5445 1/- ?Z
• Phone (904) 247 -5826 Fax (904) 247- 5845 /�
os;19%' E - mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /J 6a(L �- Department review required Yes No
Applicant: R, , tinning & Zoning
�� Tree Administrator
Project: W C tt�t9it! S "-- Public Works
Public Utilities
Public Safety
Fire Services
i ", 2 n'�'�''. "i'D � ( F ;� � i �'ai�N�il�fi r 2'9 +�� "r �,. �1i ai N ����,z'r"=�{'� `� k `� 7 -r ��; �%
� n( �� , ( _, �l �;^" Gi i�d ='b7 „ a �i ignatu r�i s�rx i ,x,^tH- ,' , rsS
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection (41--a
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: [Approved. ['Denied.
(Circle one.) Comments:
UILDING
PLANNING & ZONING Reviewed by: Date: ?
TREE ADMIN. Second Review: Approved as revised. ❑De ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
SEP -27 -2011 08:27 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
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 descriptio . of property and address if available):
J66o gEAcN flJE 44 . RulusLrfL REACH FL
2, General Description of im rovements:
gf P A c. E - Two 1 Wkbewv O,✓i , s ON .5Ecgo fr-ic
3. Owner Information:
a) Name and Address: u fwiA A NI+ c+i 727 Sit tE L0 0 R ,20,. v3355 co el ` -cyft v
b) .Interest in property:
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information: ,, q0; K BOA L A ieE 0a t 1)
0
a) Name and Address: . 1 • —E ,, , yr ' ✓a 1, 1 a ✓i a 1'r' L lies'
vti b) Phone Number: ( c .f) 2.3 y — 25
V I Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Namc 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT.END TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR .AN ATTORNEY BEFORE COMMENCING WORK. OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
w
The foregoing instrument was acknowledged before me this /6 day Of _ , 20 ( fi
____,
D Av "J P'cr• Pik.' ; •.- ..,.,Iu . M „ SU!-e. v F . Cc°tkeal._
`1 �, 0I 1. ... NOTARY P C, S~T' G ° 45 r-4"P' ,� .
%:N'-^e' � ; / /k F?
Ors , . � '? .. �.` Print N ame: / Irifs��tl�r� _. .
Zt MANtE - \ .
w : M p $ "' ❑ Personally Known
4 1 , , i` ° entification/Type: __ de? e}d `• eg
VcrxEca ; T , 0 .. `. 92.525, Florida Statutes. Under penalties of perjury, 1 declare that I have read the
foregoing ands °.': :''. • `hated in it are true to the best of my knowledge and belief. .
. - - _ _ _ _ _ -- -. -. _.,_.
Doc # ::1112490[x3, OR 8K 15722 Page 'r 437, S la : C of Property Owner
Number Pages: 1
Recorded 09'27;2011 at 08:41 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL,
CouNrY
RECORDING 51000
Revised 10/1/2009