Permit Windows 91 Dudley A 2011 (e"
\\ss CITY OF ATLANTIC BEACH
A 800 SEMINOLE ROAD
.1‘,,, ,, , ,',. , ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
'''--.011
Application Number 11- 00002704
Date 9/30/11
Property Address
91 DUDLEY ST A
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 3166
Application desc
WINDOW REPLACEMENT
Owner Contractor
JACKSONVILLE HOUSING AUTHORITY E B MORRIS GENERAL CONSTRUCTIN
1300 BROAD STREET 7011 BUSINESS PK BLVD 101
JACKSONVILLE FL 32201 JACKSONVILLE FL 32256
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee 35.00
Issue Date Valuation . . . . 3166
Expiration Date . . 3/28/12
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.
014' b.4., City of Atlantic Beach
:i Buildin Department APPLICATION NUMBER
,. S 800 Semi le Road To be assigned by the Building Department.)
, ,, :r: A tlantic Beach, Florida 32233 -5445 - 0 7
Phone (904) 247 -5826 Fax (904) 247 -5845 ___2/28.1.4/
' .,r f �» E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9i � a<) /E ,ST Department review re Yes No
y �uilding V-1 Applic ( A , ri Planning & Zoning
Tree Administrator
Project: b) /)A �,() � f � � a ,f) CC 7 Public Works
Public Utilities
Public Safety
Fire Services
} 59Ip i3 t` UjT a m f* f M i •Sg ur ,
s,, � n, l%� ��e � anal +r a. �i t � �7 lath 1•1
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: Approved. ['Denied.
(Circle one.) Comments:
PLANNING & ZONING Reviewed by: Date: 7v"//
TREE ADMIN. Second Review: DApproved as revised. ❑D vied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 il J 70 V
Job Address: 91 Dudley Street, Atlantic Beach, FL 32233
Legal Description 19 -16 17- 2S -29E Parcel #
Floor Area of S.Ft. S.Ft
Valuation of Work $ 3166 Proposed Work h ted /cooled n - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/sp. w d. /door
Use of existing/proposed structure(s) (circle one): Commercial ' side • ial
If an existing structure, is a fire sprinkler system installed? (Circle one): - s No
Florida Product Approval # 13575.01
For multiple products use product approval orm
Describe in detail the type of work to be performed: Remove and Replace Windows
Property Owner Information:
Name: Jacksonville Housing Authority Address: 1300 Broad Street
City Jacksonville State FL Zip 32202 Phone 904 - 630 -3810
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: EB Morris General Contractors Qualifying Agent:
Address: 7011 Business Park Blvd., N., Suite 101 City Jacksonville State FL Zip 32256
Office Phone 904 - 998 -9584 Job Site/ Contact Num, - • • , Berthiaume 904 838 -2929 Fax # 904 - 998 -958°'
State Certification/Registration # CGC 057425 REVIEWED F 1 R CODP COMPuAN Zoom-
,
Architect Name & Phone # 1 Mb II . 1 . A. ... I in Engineer's Name & Phone # SFP PER 1TS r0R ADDITIOi fHL ' . , "
Fee Simple Title Holder Name and Address 111). ; „ 01 16
Bonding Company Name and Address 1 1 I
Mortgage Lender Name and Address 1 REVIEWED BY: if I: w • " ' " 11111111M1 1
umssimig gimaiw i 'all______ J
Application is hereby made to obtain a permit to do the work and installations as indicated I certiAr that no wore or insta a ton TA co 'n or .:'the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Thi . r r ' ecom Ii_ull
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) m • ` , cater
work is commenced. I understand that separate permits must be secured or Electrical Work, Plumbing, Signs, W ells, Pools, urna. , : o : -rs,
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 cert that I have read and examined this a placation and know the same to be true a correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granti and correct. 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 i 4 ) Signature of Contractor
Print Name lim lAi ..►. e. '' Print Name g ,e /•10A4/.S
Sw.. 1, to and subs ribed , - for m- r Sworn to and subsc 'bed ■ -fore e
this. , ` Day .f " Ai at d 20 ` this Da of • !:r` , a 20\
1 .
Notary P . is No . i 1 ,c
Revised 01.26.10
•
NOTICE OF COMMENCEMENT Doc # 2011210112, OR BK 15724 Page 9'I ,
Number Pages: 1
Recorded 00/28/2011 at 09:36 AM,
JIM FULLER CLERK CIRCUIT COURT lUVAL
Permit No. // 2 7c T RECORY
RECORDIPy�,; $10.00
Tax Folio No.
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.
].Description of property (legal description): 19 - 16 17- 2S -29E
a) Street (job) Address: 91 Dudley Street, Atlantic Beach, FL 32233
2.General description of improvements: Remove and Replace Windows
3.Owner Information
a) Name and address: Jacksonville Housing Authority, 1300 Broad Street, Jacksonville, FL 32202
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information
a) Name and address: EB Morris General Contractors, Inc, 7011 Business Park Blvd, N., Jax, FL 32256
b) Telephone No.: 904 -998 -9584
S.Surety Information Fax No. (Opt.) 9 04 - 998-9584
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.
6.Lender (Opt.)
a) Name and address: Pne o.
7. Identity of person within the State of Florida designated by owner upon w om notices or other documents may be served:
a) Name and address:
b) Telephone No.:
8.In addition to himself, owner designates the followin g Person to receive a Fax No. (Opt.)
713.13 1 xb) copy of the Lienor's Notice as provided in Section
( , 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 OF PINELLAS
10. / r , ._.�
Signature of r or Owner's Authorized Officer/Director /Partner /Manager
Mime 1,3 ��
Print
The foregoing instrument was acknowledged before me this o day of CS ' j.- , 20 \ , by
I I� 1�J��hf \ Jv as k7VA (type of authority, e.g. officer t
f rus tee,
attorney in fact) for r� h�i 14'
) 1 1(!t�
Notary of pa on half of ; II instrument was executed).
ersonally Kno
wn OR Produced Identification I
ary Signature
Type of Identification Produced
Name (print) 611 4 g +c�.�rl,✓t�'....-
Verification pursuant to Section 92.525, Florida Statutes. Under penalties o ' pen • J ., - , _ , , r _
the facts stated in it are true to the best of my knowledge and belief. JONATHAN B BERTHIAUME going and that
/ T, •'e MY COMMISSION # EE107642
FORMSMOC,rvsd2010 'y� - f �
''�aFld;`' EMPIRES June 28, 2015
Signature of ; {�;,r• ' y;, Si i ;ip *vim toldxwe