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Permit Windows 70 & 72 Dudley St 2011 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002797 Date 11/04/11 Property Address . . . . . . 70 DUDLEY ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6004 ---------------------------------------------------------------------------- Application desc REPLACE WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JACKSONVILLE HOUSING AUTHORITY E B MORRIS GENERAL CONSTRUCTIN 70 DUDLEY STREET 7011 BUSINESS PK BLVD 101 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . . Valuation . . . . 6004 Expiration Date . . 5/02/12 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONAL 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 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y;yJ� City of Atlantic Beach APPLICATION NUMBER �$ Building Department (To be assigned by the Building Department.) 800 Seminole Road 79 7 j Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �oj3 jr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �/ D nt review required Yes No P Y in Applicant: rri s Planning &Zoning Tree Administrator Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B 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: proved. ❑Denied. (Circle one.) Comments: BUILDI PLANNING &ZONING Reviewed by: Dater TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. 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 Per m 7 Job Address: 70 Dudle Street Atlantic Beach FL 32233 Legal Description 19-16 17-2S-29E Parcel# Floor Area ot Sq.Ft. q. t Valuation of Work$ 6004.00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one): Commercial Residential If an existing struc lure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# 3575.01 For multiple products use product approval form 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 mv E-Mail or Fax#(Optional) f Contractor Information: WOMM 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 Number: Jon Berthiaume(904)838-2929 Fax# 904-998-9584 State Certification/Registration# CGC 057425 Architect Name&Phone# Engineer's Name&Phone# OR ADDFHOMAE Fee Simple Title Holder Name and Address RP.0111111[21,11 Ca Bonding Company Name and Address t Mortgage Lender Name and Address REVIEWED BY: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work-or installation 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 tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of sixP6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,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 BEFR ENTE RECORDING YOUR NOTICE OF I hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type olYwork will be complied with whether specified herein or not. The granting of a permit does not presume to give authori folate 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 �.W�..........IOU' _L..`L.4 �S Print Name %G �yp�c2 ................................................................ Swo o and sc ibe b or me Swo and subs *bed eforeme, 20� is of _ this a of � . JONATHAN B BERTHIAUME 4�"•".�''; JONATHAN B BERTHIAUME j ublic +y ''� EXPIRES June 28,2015 O �9wF�; EXPIRES June 28,2015 (407)3 8-0153 Florid allotaryService.com (407)399.0153 Hp3jQpArajM2rMr4C#C0m J �j rL�l rJr� �� CITY OF ATLANTIC BEACH S ,m IS 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002798 Date 11/04/11 Property Address . . . . . . 72 DUDLEY ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6004 ------------------------------------------------- Application desc REPACE WINDOWS ---------------------------------------------------- Owner Contractor - ------------------------ ----------------------- JACKSONVILLE HOUSING AUTHORITY E B MORRIS GENERAL CONSTRUCTIN 1300 BROAD STREET 7011 BUSINESS PK BLVD 101 JACKSONVILLE FL 32202 JACKSONVILLE FL 32256 --------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . . Valuation . . . . 6004 Expiration Date . . 5/02/12 ----------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONAL 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 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 50 . 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 �O� 14 Job Address: 72 Dudley Street, Atlantic Beach, FL 32233 Legal Description 19-16 17-2S-29E Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 6004.00 Proposed Work heated/cooled non-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 sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# 13575.01 For multiple products use product approval form Describe in detail the type of work to be performed: Remove and Replace Windows Prouerty Owner Information: J Name: Jacksonville Housing Authority Address: 1300 Broad Street FILE C 11y Jac City ksonville 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 Number:Jon Berthiaume(904)838-2929 Fax#904-998-9584 State Certification/Registration# CGC 057425 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and AddressSEE PERMI I's FOR NAL Bonding Company Name and Address Mortgage Lender Name and Address r 19--11 Application is hereby made to obtain a permit to do the work and installations as to rca e . 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 sus ended or abandoned for aperiod 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, urnaces,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 hereb 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 ojYwork will be complied with whether spect ted herein or not. The granting of a permit does not presume to give aut ity to violate or cancel the prov:si.ons of arty other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name Tw vNij c,hvr, �� Print Name � eG < aaa u ................................................................................................................................ y ......................................................................................................................................... Swo o and subscrib b fo e e Sworn o and subs b or me this f this Day f -- E MY COMMISSION#EE107642 MY COMMISSION#EE107642 No ublic r91; ,•, une ,2015 Nt! -Publid ', ES June 28,2015 (407)398.0153 FloridallotaryService.com (407)39B-0153 FloridallolaryService.com evise 1"Zti'1 Doc#2011225879,OR BK 15743 Page 571, NOTICE OF COMMENCEMENT Number Pages: 1 Recorded 1 011 8/201 1 at 11:42 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit No. 11 -a79? RECORDING$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. 19-16 17-2S-29E 1.Description of property(legal description): a)Street(job)Address: 72 Dudley Street, Atlantic Beach, FL 32233 2.General description of improvements: Remove and Replace Windows 3.Owner Information Jacksonville Housing Authority, 1300 Broad Street, Jacksonville, FL 32202 a)Name and address: 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 Fax No.(Opt.) 904-998-9584 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) ceive a copy of the Lienor's Notice as provided in Section 8.In addition to himself,owner designates the following person to re 713.13(l)(b),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. STATEOFFLORIDA JONATHAN B BERTHIAUME / COUNTY OFPINEL 3;4 ": MY COMMISSION#EE107642 10' 7n4efu"Sigr or Owner's Authorized OfficerlDirector/Partner/Manager Yo}F EXPIRES June 28,2015 (407)398.0153 FloridNotaryService.com ^'~~ PP7rin Na e The foregoing instrument was acknowledged before me this 1 day of 0(-AXD\C1t---f ,20_`.\ •by �Yr � ehv��j�as ���� JAZ (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf of whom instrument was executed). PA onall-Kno OR Produced Identification Notary Signature Type of Identification Produced Name(print) OR 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. FORMS/NOC,ry=10 Signature of Natural Person Signing(in line#10.)Above "a"i �L City of Atlantic Beach APPLICATION NUMBER "v \ Building Department (To be assigned by the Building Department.) 800 Seminole Road `> - B Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: ll g City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z ����� �� nt review required Yes '-No Q Building Applicant: zc` �13arming &Zoning , 1 Tree Administrator Project: /�C� `�lJ t� J� 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 B 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: BUILDIN PLANNING &ZONING Reviewed by: Date: `0"1q"'1/ 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: i Reviewed by: Date: Revised 05/14/09 r Doc#2011225880,OR BK 157433 Page 572, NOTICE OF COMMENCEMENT Number Pages: 1 Recorded 10/18/2011 at 11:42 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL / p COUNTY Permit No. `I— 97 9 7 RECORDING$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. 1.Description of property(legal description): 19-16 17-2S-29E a)Street(job)Address: 70 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 Fax No.(Opt.) 904-998-9584 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),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. "ll.�"`•'Qa JONATHAN B BERTHIAUME STATE OF FLORID :`°•'• / ` y COUNTY OF PM a, MY COMMISSION#EE107642 10. n Signature of Owne r Owner's Authorized Officer/Director/Partner/Manager ".?•�F;,o�:' EXPIRES June 28,2015 �'''�"; (407)398-0153 Floridallotaryservice.com Print Name ` t The foregoing instrument was acknowledged before me this \� day of V C��L1b ,20 V\,by (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf of whom instrument was executed). rs na�In OR Produced Identification Notary Signature Type of Identification Produced Name(print) OR 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. FORMS/N0C,rvsd2010 Signature of Natural Person Signing(inline#10.)Above