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Permit Windows 82 & 84 Dudley 2011 � r CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J ,. = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002795 Date 11/04/11 Property Address . . . . . . 82 DUDLEY ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3126 ---------------------------------------------------------------------------- Application desc REMOVE REPLACE 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 . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 3126 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 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 Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 c� �tl;yr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 0 Z Dia)/s_ De artment review required Yes o Building Applicant: ll'7,4 ltanning &Zoning Tree Administrator Project: ✓\ V 6 /A1�'6 /AlAf 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: VApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: /0 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: Reviewed by: Date: Revised 05/14/09 NOTICE OF COMMENCEMENT Doc#2011225878,OR BK 15743 Page 570, Number Pages: 1 Recorded 10/18/2011 at 11:42 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL Permit No. 1/—OL7 9 $' COUNTY 77.74__ Tax Folio No. RECORDING$10.00 TBE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Sec C 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. C 19-16 17-2S-29E c 1.Description of property(legal description): a)Street(job)Address: 82 Dudley Street, Atlantic Beach, FL 32233 drd� 2.General description of improvements: Remove and Replace windows was=*3.Owner Information .R a)Name and address: Jacksonville Housing Authority, 1300 Broad Street, Jacksonville, FL 3 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., Ja 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.) 61ender � W � a)Name and address: O Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be sery a)Name and address: A b)Telephone No.: Fax No.(Opt.) a 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in S ti 713.13(1)(b),Florida Statutes: H a)Name and address: C) b)Telephone No.: Fax No.(Opt.) tx W 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a d is specified): WJ rr� WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE ICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECT 13.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YO PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE 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 ,2o, Y'p'°4;� JONATHAN B BERTHIAUME COUNTY OFPINEL 9` `� MY COMMISSION#EE 107642 10. '? q° EXPIRES June 28,2015 Signature of Own r or Owner's Authorized Officer/Director/Partner/Manager (407)39®•0153 Fl dallotaryservice.com Print Name The foregoing instrument was acknowledged before me this V N day of U -Ap 1,0 20_�_V,by as `�j., �` t�CrE'f/l� (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf of wh�omm instrument was executed). P rEal Kno OR Produced Identification Notary Signature Type of Identification Produced Name(print) ��Circe "7—R>`E' t�"-.1-op— OR .1- —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. F0RMsmr0C,rnd2010 Signature of Natural Person Signing(in line#10.)Above BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 Job Address: 82 Dudley Street,Atlantic Beach FL 32233 Legal Description 19-16 17-2S-29E Parcel# oor ea Sq.Ft. Valuation of Work$ 3126 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 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 Proaerty 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 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 Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and inas indicated. I 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 f work is not commenced within six(6)months, or if construction�r work is suspended or abandoned for a period of six6)months at any time after work is commenced. I understand that separate permits must be secured or 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 application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 certify will be complied with whether sppecijted herein or not. The granting of a permit does not presume to give authori o violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner 1 Signature of Contractor Print Name �� .�QV�� Print Name /,�lOA R&j ........................................................................................ Swo o and subscribe b ore Swo and subscribe be re this Day DeOXA."-, 20 this Day of U 2p • JONATHAN B BERTHIAUME ,; �;►u'.,!t�,: JONATHAN B BERTHIAUME Notary Public y .= Notary Pi COMM! SION#EE107642 EXPIRES June 28,2015 L(407) py,�pirXPIRES June 28 2015 (407)398.0153 FloridallotarySerwce.com 388.0150 F1ork7�gb{� 6.10 ?i!'=L`I�J. CITY OF ATLANTIC BEACH �) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 19 Application Number . . . . . 11-00002796 Date 11/04/11 Property Address . . . . . . 84 DUDLEY ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3126 ------------------------------------------- Application desc REMOVE REPLACE WINDOWS ---------------------------------------------------- Owner Contractor ------------------------ ------------------------ JACKSONVILLE HOUSING AUTH E B MORRIS GENERAL CONSTRUCTIN 123 S 8TH STREET 7011 BUSINESS PK BLVD 101 JAX BEACH FL 32250 JACKSONVILLE FL 32256 ------------------------------------------------------------ Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 3126 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 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 Building Department (To be assigned by the Building Department.) 800 Seminole Road 7 j Atlantic Beach, Florida 32233-5445 �� ? Phone(904)247-5826 • Fax(904)247-5845 ,t ujt �r E-mail: building-dept@coab.us Date routed: I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: i1�lf �� De ent review required Yes No QQBuil 'n Applicant: �y ��rf i 7511anning &Zoning A1 Tree Administrator Project: l�td��� J4�` 1/v1-��(� 5 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: 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 fie P17? �! ' ��—,;2 7 96 Job Address: 84 Dudley Street Atlantic Beach FL 32233 Legal Description 19-16 17-2S-29E Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 3126 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of egisting/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 Property Owner Information: ' 'IOWA 1 Name: Jacksonville Housing Authority Address: 1300 Broad Street 1, FILE C 1 City Jacksonville State FL Zip 32202 Phone 904-630-3810 E-Mail or Fax#(Optional) b 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 —RMITRAWD FOR Architect Name&Phone# CODE COMPLMuE Engineer's Name&Phone# 'CITYN1LANTIC BEACH ITS FOR ADDITIONAL Fee Simple Title Holder Name and Address SEE Bonding Company Name and AddressQUIREMND ONS. Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work an I insta a tons ate . r r 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 aperiod of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Elecoical 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. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume to give au to violate 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 •-er Print Name , I �ry� . i 2,I/tiV Y �J� Print Name tx I C- t4oAl& Sworn to and subscribedft ore m Sworn to and subscribeoAefo;e T this Dayof this ay ,ZRWIAI MAN b�Lv MY COMMISSION#EE107642 'c MY COMMISSION#EE107642 VPI B BERTN Public ,,�' June 28,2015 tary Public ,.•' EXPIRES June 2s,Zo15 (407)3©8.0135 Floridallota Service.com (407)3�J8-0153 PloridallotaryService,com Doc#2011225877,OR BK 15743 Page 569, NOTICE OF COMMENCEMENT Number Pages: 1 Recorded 10/18/2011 at 11:42 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL Permit No. 11-0 794 COUNTY RECORDING$10.00 Tax Folio No. TILE 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. ro 1.Descri tion of e 19-16 17-2S-29E p property rty(legal description): a)Street(job)Address: 84 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 FaxNo.(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(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.ENCEMENT. STATE COUNTY OF e JONATHAN B BERTHIAUME / 4 svnu' Ij. COUNTY OF PINELLA 'r°•' L= 1 Q, �,_ MY COMMISSION#EE107642 Signature of O er or Owner's Authorized Officer/Director/Partner/Manager EXPIRES June 28,2015 (407)306&0163 FlorideNolar Service.com Print Name Theforegoinginstrument was acknowledged before me this �� day of Q�.`�O � -,20_\�,_,by \` ��`�� ►�'f S` s � Q�.�.� (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf of whom instrument was executed). Peo!najyo OR Produced Identification Notary Signature Type of Identification Produced Name(print) '-��� � �� �,s"`-�l t i a-o i -( 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(in line#10.)Above