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Permit Wind/Doors 1757 Seminole Rd 2011 i 1.1.Ly7. -) ' . «�' it - sA CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J t� v ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 �J1319r� Application Number 11- 00002788 Date 10/24/11 Property Address 1757 SEMINOLE RD Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 3930 Application desc INSTALL 3 WINDOWS AND 1 NEW DOOR Owner Contractor WELLS HAROLD D WCI GROUP, INC. 1757 SEMINOLE ROAD 1100 SHETTER AVE STE 203 ATLANTIC BEACH FL 32233 QA KEVIN PATRICK FITZGERALD JAX BEACH FL 32250 (904) 242 -4444 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee 35.00 Issue Date Valuation 3930 Expiration Date . . 4/21/12 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. ' :111, +a , City tlantic Beach APPLICATION NUMBER ` �;• Buildin g A Department (To be assigned by the Building Department.) t 800 Seminole Road / '-' `µ Atlantic Beach, Florida 32233 -5445 // ??CU Phone (904) 247 -5826 • Fax (904) 247 -5845 -..h?aa3 1„a- E -mail: building- dept @coab.us Date routed: j° — /Cf /l City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 7-5 2 � �, Department review required Yes No Building Applicant: b }e 7 6 _ Planning & Zoning ��J ` Tree Administrator IN Project: t rI 10 . ate-.- Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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. /4c; Li..., (Circle one.) omments: UILDIN b ' 1 -� PLANNING & ZONING Reviewed by: `riq Date: /0 9" / / TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. 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 . 1 7 // - 27 3 $ //> /'-�„' CITY OF ATLANTIC BEACH 1 1 1 I " ''� 800 SE MINOLE ROAD, ATLANTIC BEACH, FL 32233 I %�! OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 r»' BUILDING - DEPT @COAB.US ', 43 ' = ,- BUILDING PERMIT APPLICATION DUVAL COUNT 1. JOB ADDRESS: 2. VALUATION OF WORK: 3. SO. FT. UNDER ROOF .� W'�"•' 1 7.5 •x 7 � 0 i / , ', q3 , e ' 4. LEGAL DESCRIPTION: 5. CLASS OF WORK. 6. US STRUCTURE: � +a f ❑ NEW BUILDING ❑ DEMOLITION -` 'ESIDENTIAL / LO BLOCK _ � 6.644 SUB DIVISION 5 ��� � N�� , ❑ AD N ❑ CONVERTING USE ❑ COMMERCIAL 7. DESCRIPTION 'OF ,, //�,�� Voce, _ ,/� / TERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: 1 ��/ /� �J �f/I�Vt/fJ[�S� (/(,XJ /G , ,`.•• -- ❑ ,,, REPAIR ( ■ , W , PAIR ❑ POOL / SPA ❑ YE ❑ N/A +1 � '. �a 6 _ PROPERTY OWNER: ' CONTRACTOR: ❑OTHER ARCHITECT /ENGINEER: t• 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: ! ,. ���.�,,`[� � G/ ' `' 44jC 6Ve/PM/ t - � D _ G /.f [ / \ ` . � (I V 24. LICENSEE NAME: ■ - ✓ Z V 4/ il�lM l' 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO 2 5 . STATE OF FLORIDA LICENSE NO.: ' .I< l ' •.. /7�' smote Eel C.c. `z -ice --: ...,.... 18. ADDRESS: 26. ADDRESS /i ►'T!C 11 3l d /�sc2 s1 M 3 /'� 11. OFFICE PHONE. 12. FAX NO.: ."J"'Z5g2 - 0,: Z 27.OFF`CF Pun F�� 28. FAX NO. , % ` 2 '/ i I `/ ] �� C P.HONE:4 21. CELL PHONE: 29 CELL PHONE: � ' ' !7�/�' Y O '� �//9 .` �ff rr . I 14. EMAIL ADDRESS: 2. EMAIL ADDRESS: [ c_ 30. EMAIL ADDRESS: r . z r FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MI � O or OTHER THAN OWNER) MORTGAGE LENDER: . : u E 31. NAME: 33. NAME: • Q 35. NAME: /•�� z • 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: t a O A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or ins : II • commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating constr 1 tio ' r r� jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is s /.p Z ■ abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must b= .ee o Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. f (((7777WWyyyy Mb fffW��� OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with III .Ili I j laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections a ( f n . ' - Eia 1. 04 prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. rr���11jjj on rs 1 *** WARNING TO OWNER: *** U ' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YO PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF L- COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOR - -- FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent, Power of Attorney or • . ency Letter Required) A, (0 aifier Only) y) / � g ' ' , / � S i ned:�. �_ te: � "��f/� Signed: %ate "'i v / S /41 /eF // j _ at e: Before me this day of^ 2000n the county of Before me this `A da .. �- Y • i [Mt! . • • In the county of Duval, State of Florida, has personally appeared Duval, State of Florida, .ersonally appeared herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all stat- . ents and declarations are true and accurate. true and accurate. 7) Notary Public at Large, State of nett (Ida , County of ` A,4d�t l Notary Public at Large, State of - if�� l� ounty of ) G/ 1' - Its/ 1 P ally Known f ^ T ❑ ersonally Known �J '" p D rffi Ide D t... W 4:2D # 30 V roduced Ident - �„ /�,, I • 2 ❑ ' Notary Signatur• r- R� ► Notary Signature: t c I• � ..y j ■ ," _ A Notary CHRISTI,* WATSON =..' ' 'rry' TINA M. JONES 2 - A ry State of Florida = *; 4. • miss # EE 083463 BL Permit ppli•;:R*.l dg: 'EVISE % • *ittfes'am#DD984t07 = � •.. Expires I 28 2015 My Comm. expires Apr, 21, 2014 4, SaMkTomTroyFrl .385-7019 980'7038b WARRANTY DEED ATIV TTTT ' PJ J' ADr u THIS TN.CrPTIMRNT WAR PRRPARRTI TN(".IT)R.NTAT, Tn Book 9160 Pg 377 THE WRITING OF A TITLE INSURANCE POLICY BY AND RETURN TO: CRAIG J. MULDOON ADVANCED TITLE RESEARCH SERVICES, INC. :la : 'i L tot) 6700 SOUTHPOINT PARKWAY. SUITE 100A p9 7 377 ^n JACKSONVILLE, FLORIDA 32216 Filed & Recorded 12/14/98 Property Appraisers Parcel I.D. (Folio) Number(s): O1 7 517 02 P.M. 169637 0500 HENRY W. COOK CLERK CIRCUIT COURT DUVAL COUNTY, FL Grantees) S.S.N(s): REC. $ 6.00 DEED $1,232.00 SPACE ABOVE THIS LINE FOR PROCESSING DATA ■ SPACE ABOVE THIS LINE FOR RECORDING DATA This Warranty Deed Madethe 3RD dayof DECEMBER A. D. 19 98 by FREDA LAROCHE, a Single Woman horoinnfror ennod rho ornnrnr rn WAIWILn n WFT,T..Q and v5T,nT1 r WRT,T . . hiinhand and wife whose poslofice address is 1757 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 hereinnftor rnlleA rho ornntao• (Wherever used herein the terms "grantor' and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth: That the grantor, for and in consideration of the sum of S 10.0 0 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confrrntt unto the grantee, all that certain land situated in DUVAL, County. Ronda, viz: SOUTH 1/2 OF LOT 45. OCEAN GROVE. UNIT NO.2, ACCORDING TO PLAT ) THEREOF RECORDED IN PLAT BOOK 20, PAGE 20, OF THE CURRENT II rues ..iv nuvvi.u.., v.. uL.ulai.■ .,vvivLi, 12.1 I Together with all the tenements, hereditament: and appurtenances thereto belonging or in anywise appertaining. T o Hove and to Raid. ,h..nm, im tee ri,wnl, forever, And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple, that the grantor has good right and lawful authority to sell and convey said laid; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 1998, restrictions, reservations, covenants and easements of record. In W ess Whereof, the said grantor has signed and sealed these // `Ol s' "V L.r`-�C..� presents the day and year first above written. ,Signed, � d and deliverer presence: 4A-C_Geet- L.S. „- at ''° SAWYER FREDA LAROCHE, pct I6L4....4.2.4 .Lti witness sigfla1U5 F UFRSTER Printed Signature L.S. Witness Signature . ,.,,w.. u,e„uau,,. •vat,. v,..,.v .mats.Pura Witness Signature rrinteu Jtgawlule STATE OF FLORIDA .� ....• .... TITTTTN r The foregoing instrument was acknowledged before me this 3RD day of DECEMBER 19 98 ,b FREDA LAROCHE, a Single Woman who is personally known to me or who has produced DRIVER'ICENSE as identification and who did not take an oath. ✓ q(EN C. SAWYER dry Signaarc ' %, M Y ION ! CC 101701 e . , pg �:OSaelnhar9,200, � � • ER , . Barden Thar Homy Punic tar4la I Rat pelt My Commission Expires: Doc # 2011226270, OR BK 1574;3 Page 1621 Number Pages: 1 Recorded 1018/2011 at 02:42 PM. JjM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10. Permit No. j 1- a ? 8 ( f Tax Folio No. NOTICE OF COMMENCEMENT I St.+ti of 2 - County of V T1 undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: ,,, O Ze) e,g-. —of 2 General description of ; mprovement: / d, ',, -L- . 3 ' /114VC :. 5 / R'f"Pa 3 e/oi b d'c►2 A/ liar ,/ t 3. Owner information: /.4./ � a.. am- and. - dress: 44_ . , _ / t`: f.r . - ,j;"',, /t—/ Air " ����� � ..�' - ' b. Interest in property 1. r� we _ c. Name and address of e� e simple titleholder (if other than Owner): 4. Contractor Contractor: WCI Group, Inc. 1100 Shetter Ave. Suite 203 Jacksonville Beach, FL 32250 Prep By: Contractor's phone number (904) 242 -4444 (Fax) 242 - 7077 5. Surety a. Name and address: _ b. Phone number: c. Amount of bond: $ _ 6. Lender a. Lender Name Et Address: b. Lender's phone number: 7 a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as p: ovided by Section 713.13(1)(a)7., Florida Statutes: _ b. Phone numbers of designated persons: _ 8 a. In addition to himself or herself, Owner designates of to receive a copy of the I_ienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 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 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 WITH YOUR LENDER OR�TTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. .nature of Owner Date ~ iw T !•,e foregoing instrument was acknp�ledged bef9rQ m th �0 day of "', (, in the County of Duval, State of Florida, has personally appeared l a ra` d we,! 5 herein by himself /herself and affirms tihat all statements and declarations herein are true and eiJrate. 2 . ovally Known OR Produced Identification _�L I ype of Identification ` ... . - . (— C ` ` e q _ t�� CHRISTINEWATSON ; .,cature of Notary Public - State of Florida Print T p ,n',, p Cov l #1 4104btar •ublic My oomm. expires Apr. 21, 2014 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 X- d- • :nature of Natural Person Signing A e I „ .. H. o tr) ( -4 i I ., ai9 , .• z . IA, , x 0 > i . 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