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