Permit Windows 1870 & 1872 George St 2011 J,
's CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002793 Date 11/04/11
Property Address . . . . . . 1870 GEORGE ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6004
----------------------------------------------------------------------------
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 . . . . 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
;J 800 Seminole Road /�_ p? 7 3
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .10 apartment review required Yes No
Applicant: .—/)7?e rrl 5 Planning &Zoning
Tree Administrator
Project: /,G�s 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: proved. [—]Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING
Reviewed by: Date: L0"
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den ed.
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
Job Address: 1870 George Street, Atlantic Beach, FL 32233
Legal Description 19-16 17-2S-29E Parcel#
Floor Area of SO.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):installed?
Residential
If an existing structure,is a fire sprinkler system nstalled? (Circle one): Yes No N/A
Florida Product Approval# 13575.01
For multiple products use product approval form °f
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
4,4
City Jacksonville State FL Zip 32202 Phone 904-630-3810 .�-
E-Mail or Fax#(Optional) '<
>r;
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 REVIEWED FOR.CODE COMPLECWE
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and AddressREVIEWED BY: t
DATE, 7
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert t t no word or ins a a i ed 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 or work is suspended or abandoned for apertod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrics[ Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Headers,
Tanks and Air Conditioners,eta
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 this a lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether sppeci ted herein or not. The granting of a permit does not presume to give auth violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner f.� Signature of Contractor
Print Name Ic—
......... ................../ n i�Print Name . . i.} v . k ...
Sworn to and subscri ed tefoue in Sworn to and subscribed before in
this V7 Day of 20 this Da 2011
;:F"Y•"•gym ; JONATHAN B BERTHIAUME ;gip+!"Y"•� JONATHAN B BERT'HIAUME
Notary Public i a
'•','rn � EXPIRES June 28,2015 EXPIRES June 28,2015
(407)3!
3 FloridallotaryServic,.com (407)39A•0163 Florid&mbe"(1�26.1
Doc#2011225874,OR BK 15743 Page 566,
NOTICE OF COMMENCEMENT Number Pages: 1
Recorded 10/18/2011 at 11:42 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. 1 1 — a7 9!3 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): 25-68 17-2S-29E
a)Street(job)Address: 1870 George 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
COMMENCINGR RE nnvr vni1R N CE OF COMMENCEMENT.
;WWI' °�"iJONATHAN B BERTHIAUME
STATE OF FLORIDA '= My COMMISSION#EE107642 C
COUNTY OF PINELLAS =y'• �` 10,
(407)3g8•g153 Floridallotar
EXPIRES June 28,2015
Y Signature of Owner Q,.�1 er'$Authorized Officer/Director/Partner/Manager
Service.com 1 int, L—' V-,\
Print Name 11
The foregoing instrument was acknowledged before me this '\:I day of 20 `\,by
as r� � "'1`�' � (type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on bee of whom instrument was executed).
P ' OR Produced Identification Notary Signature _
Type of Identification Produced Name(print) -T° l
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.
FORM3/NOC,ry d2010
Signature of Natural Person Signing(in line#10.)Above
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002794 Date 11/04/11
Property Address . . . . . . 1872 GEORGE ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6004
----------------------------------------------------------------------------
Application desc
remove replace windows
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JACKSONVILLE HOUSING AUTHORITY E B MORRIS GENERAL CONSTRUCTIN
1300 BROAD 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 i0e In i 79
Job Address: 1872 George Street Atlantic Beach FL 32233
Legal Description 19-16 17-2S-29E Parcel#
Floor Area of 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/proposed structure(s)(circle one):installed?
Residential
If an existing structure,is a fire sprinkler system nstalled? (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:
Name: Jacksonville Housing AuthoritL.Address: 1300 Broad Street
City Jacksonville State FL Zip 32202 Phone 904-630-3810 I r
E-Mail or Fax#(OptionalJODV)
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 04 838-2929 Fax#904-998-9584
State Certification/Registration# CGC 057425 REVIEWED FOR CODE COMPLIANC
Architect Name&Phone# CITY 01P AlL-AIN 111C_BWH
Engineer's Name&Phone# SE )RADDIT4C)NA1
Fee Simple Title Holder Name and Address REQUIREMENTS AND
Bonding Company Name and Address
Mortgage Lender Name and Address DATE:
_n
Application is hereby made to obtain a permit to do the work and installations as 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 tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six p6)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.
1 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 o1 certify
will be complied with whether specified herein or not. The granting of a permit does not presume to give author,' violate or cancel the
provisions of arty other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name 7v►� [�1 Print Name ��I C- "a/iau
_ NhjR.h.Vr_S.1. ......................................................
Swo d subscrib fore me Sworn and ubsc ' e be or me
this VA. p this r11
SERTI. 0
'
MY COMMISSION#EE107642 MY COMMIS ION#EE107642
Z6 = ;,r;
U 11 '•,9k^t, •• tAFIKESJune 28,2015 NotarTilCArMtO 20 t
(407)398-0153 FloridjNotary5ervice.com (407)398.0153 Floridallolary5ervimcom
Revised 01.26.10
Doc#2011225873,OR BK 15743 Page 565,
NOTICE OF COMMENCEMENT Number Pages: 1
Recorded 10/18/2011 at 11:42 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
�! a7 9
Permit No. V COUNTY
Tax Folio No. RECORDING$10.00
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): 25-68 17-2S-29E
a)Street(job)Address: 1872 George 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.)
8.1n 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.
STATE OF FLORIDA ;?0YP�B' JONATHAN B BERTHIAUME ^�
fE
COUNTY OF PINELLAs =`�
'•3`' '� MY COMMISSION#EE107642 10.
A♦Y�
'S.9f. c EXPIRES June 28,2015 \
Signahue ofOwne or Own_ ffi Owner's Authorized O /Director/Partner/Manager
(407)398-01s" rlorid9Notery5ervice.com 1 � � �1�,�'Q�V(S
Print Name
The foregoing instrument was acknowledged before me this \--I day of ob�r ,20` �,by
(type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on be of whom instrument was executed).
Pe Knowri OR Produced Identification Notary Signatu e
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.
F0RMS/N0C,md2010
Signature of Natural Person Signing(in line#10.)Above
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
�J 800 Seminole Road /� _
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 2
g- p @
AL
E-mail: buildin de t coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
9 De artment review required Ye No
Property Address: ��g s,
Blan n
Applicant: �" ' 5 tanning &Zoning
Tree Administrator
Project: M Q A�O 4S 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: [9/Approved. ❑Denied.
(Circle one.) Comments:
(!EL D71 N
PLANNING &ZONING Reviewed by: m Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
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