Permit Windows 545 Cruiser Ln 2011 r 1 (4
f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
'" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002714 Date 10/04/11
Property Address 545 CRUISER LN
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 3928
Application desc
REPLACE 3 WINDOWS
Owner Contractor
DAVID FLORIDA HOME IMPROVEMENT
545 CRUISER LANE ASSOCIATES INC
ATLANTIC BEACH FL 32233 4060 SW 30 AVE
FT LAUDERDALE FL 33312
(954) 792 -4415
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . 35.00
Issue Date . . . Valuation . . . . 3928
Expiration Date . 4/01/12
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.
City of Atlantic Beach APPLICATION NUMBER
J Building Department
s o (T o be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233 -5445 °� �/ 4/
Phone (904) 247 -5826 • Fax (904) 247 -5845
F E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �` 6 `7? Department review required Ye No
uildin�
Applicant: 2 /rj 3 /tnpri & Zoning
3 / , t Tree Administrator
Project: "P� l�y� i✓ t / it i 0 tc)S 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
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:
BUILDING
PLANNING & ZONING Reviewed by: 17 Date: 9 - 1/
TREE ADMIN. Second Review:
❑Approved as revised. ❑D Hied.
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 ° ,D
Office (904) 247 -5826 Fax (904) 247 -5845 Sep ��
Job Address: 543 CI \Se r Lin �C�t/V(, "h� : Permit Num • _./Iri, _!
Legal Description SOOISQ Loi 3-k 'b K, Parcel # nD) O •
Floor Area of Sq.Ft. Sq.lit
Valuation of Work $ 5`'),)- i Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration MIS Move Demolition pool /spa window /door
Use of existing /proposed 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 # FL /3967 -- , , R
For multiple products use product approval form I c
Describe in detail the type of work to be performed ,p lCit L e 3 k 1 vl. w J
Property Owner Information:
Name: ■ A ddress: SAS CvO \Ser U _ - -- - - _ .__ City A 41 C. b (!✓1 State Zip 32.2: 0+ I
E - Mail or Fax # (Optional) Mil l ■ N . J
Contractor Information: �. _ ,
Company Name: ' t . 40 aIT1 P a WL
\Pe(2AT Qualif ing Agent:L) kenre `monicr„l. X1.. 2 6 `
Address: Z 0 0 Ct \ .A-- City ti%Ditt..06 a cll State -1t Zip33?,l7„
Office Phone lati lai; :. -- -- :- . _ _ —__ _ --,, • 1- 15 Fax # I U) 4)2 3 0
State Certification/1 -;� M111 al" i , r ;. t :, frlit t�'► , , , sr •. W 1
Architect Name & hone # 11 II a , w , .. - _ ' _
s Or
Engineer's Name Phone #
Fee Simple Title 11 Ider Nat I I
Bonding Company' ame and Address . i —M `
Mortgage Lender ; aR t, :‘.. A , r� FIA ! / 2 • r
■
Application is hereby made to obtain a permit to do the work and insta ations as 1 • • • • . 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 a period 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, 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.
I hereby certify that I 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 construction or the performance of construction.
Signature of Owner ,Y)/ CIO Pi ' to Signature of Contractor , ' � �"_ ∎A , ►
Print Name e0 C,�f eit M • ()f u h/ 0 L' �� ti
'''cN 1t4b- rin Name w�1v1 5 . `
Swor o and subscribed be fc.r me � pp tio .,rn to and subscribed i . e me `` y ' � o`' �e`� ,�
this Day of .11C ' p� 0 2 3 ' is C of �L! ••• \5 e
00 „ ,,,,,-A.:° _,,c,.. OR CY 3 5• s�
Notary Public {;,:;;�., �t Q �� ���'" Notary Public :':.,
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OCT - 4 -2011 09:19 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT N Number Pages�l t' OR OK 15729 Page 5,
Recorded to/042011 at 09:34 AM,
1 r JIM FULLER, CLERK, CIRCUIT COURT DUVAL
Permit Nu. 1 I a L �� COUNTY
Tax Folio No. II )a 11-m.3 RECORDING $10.00
'I'FIE 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 descript ,n)_ , _ �i a .1
a) Street (job) Address: 5 S - r.. .CUi l e.t_ "64/ t
2,Gcncral description of improvements: kko
3,f)wncr information p _ --� .� + . _____
a) Name and addreas: �f3� .0 t. 41pt 1t ' 5°1 S �.d(j1 WI( t.n p, Ci 1 }lc, j(7 T,_,
b) Name and address of fee simple titleholder (if other than owner)
c) Micros". in property 0, 3 . N� tI,..
4. Contractor Tn fomiali(,n
a) Namc and address: Balch Ho linl rementAgeoc,
h) Telephone No.: _ 4070 SW 301h Ave _ _ Fax No. (Opt,)
i )ilii)
S.Surety information I33312
a) Name and address:
b) Amount of Bond:
c) Telephone No,: Fax No, t.)
6, Lendcr
a) Name and address:
Phone No.
7, identity of person within the State of Florida designated by (mner upon who tt notices or other documents may be served:
a) Name and address:
b) Telephone No.: / Fax No. (Opt.) —�
Bin addition In himself, owner designates the following person to receive copy of the Lienor's Notice as provided in Section
715.13(I)(b), Florida Statutes: _ - • a) Name and addre>:.a:
b) Telephone No.: _ Fax No. (Opt.)
9, Expiration datc of Notice of Commencement (the expiration d .t is one year from the date of recording unless a different date
is specified): —_
WARNING '1.'0 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.
ENCEMENT.
C OIN ar P P NEL LA5 jdt. ,, 'u do , _ darn e I I ', t Tt AT ( MNEL
Sign, tur, rrf Ownnr ui Owua Auttrto.i,W C)Mei/DircctorfrartaveManascr
_&1)CCa If 0 M . O1:1r/i0
l'rrtft Name
The foregoing instrument was acknowledged before me this day of r - .L7 7 20 1 , by
ti
a ►11 as (type of authority, f;, offerer, trustee,
•
attorney in fact) for _ (name of party on behalf Nom ins was executed).
Personaliy Known ./' OR Produced identification Notary Signature fl, j)
Type (print) p, '�1N�+
T e of identification Produced Namc ►
OR • t� - tiP' # °u p'2
Verification pursuant to Scction 92.525, Florida Statutes. Under penalties of perjury a"�v- are Oi a- t 0 � 1ari gpon • . that t
the facts stated in it are true Id the best of my knowledge and belief. �;.. . ; �''-
NfMARV tx:,iv,d201u o'T
Sigrtatvre Of Natural - ft '1, :F" e 10.3 Above
kan •