Permit Windows 2001 & 2003 Park St 2011 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
U 7 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002799 Date 11/04/11
Property Address . . . . . . 2001 PARK ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2336
----------------------------------------------------------------------------
Application desc
REPLACE WINDOW
----------------------------------------------------------------------------
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 . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2336
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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 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 {fie rm i fll49
Job Address: 2001 Park Street, Atlantic Beach, FL 32233
Legal Description 19-16 17-2S-29E Parcel#
Floor Area of S0.1"t. Sq.Ft
Valuation of Work$ 2336.00 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# 13575.01
For multiple products use pro uct 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 X��
City Jacksonville State FL Zip 32202 Phone 904-630-3810 - l
E-Mail or Fax#(Optional) ' ;`' rij r PnDVK
Contractor Information: `'
� f
Company Name: EB Morris General Contractorsw
Qualifying Agent: _ ...�,�. �..,<:....,•.,:�.�:.,: _.
Address: 7011 Business Park Blvd.,N., Suite I OF 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# REVIEWED FOR CODE COMPLINN 11
Engineer's Name&Phone# CITY OF ATLANTIC REACH
Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL
Bonding Company Name and Address REQUIREMENTS AND CONDITIONS.
Mortgage Lender Name and Address 014 A
fur.VwWrIv 15y: if ( DATE.
Applicatio�,*s hereby made to obtain a permit to do the wor has commenced prior to the
issuance permitand that all work wibe performed to meet the standards of all laws regulatingconstruction in thisjurisdiction. This permit becomes null
d void: ork isnot commenced within six(6)months, or ifconstruction or work is suspended or abandoned for a�pperiod ofsix(6)months at any time after
work is cmenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boners,Heaters,
Tanks and Air Conditioners,etr-
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 plication 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 speci ted herein or not. The granting of a permit does not presume to give author' to violate or cancel the
provtstons of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner_ _ Signature of Contractor
Print Name h j+f h ur 5+ Print Name u �c /40.k a !S
.
T..................................................................................................................... .......... .................................... ....................................................................................
Sworn o and subscribe be ore me _ Sworn to and subsc 'b d b� ore me
this Day of this ay of I --2g
;eQ•'" '4�. 4'pY•` C JONATHAN B EF_ .
MY COMMISSION#EE107642 •? MY COMMISSION i:,;'42
Not Public =+ok ,,•' EXPIR S June 28,2015 O Public %'i • :` GXPIRES June
(407)398.0153 FloridallotaryService.com (407)3J0-0153Oridallotar S
--. itud-61:2fri 6
NOTICE OF COMMENCEMENT Number OPages:81 6,OR BK 15743 Page 568,
Recorded 10/18/2011 at 11:42 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. j ~ —7 9!? 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: 2001 Park 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.
STATE OFFLO `j'A Vi�; JONATHAN B BERTMIAUME
COUNTY OF PI ``�A A_ MY COMMISSION#EE107642
' p. EXPIRES June 28,2015 Signature of0 erorOwner'sAuthorizedOfficer/Director/Partner/Manager
407)3d401C3 FlrstldahlolAr Service,com
Print Name
The foregoing instrument was acknowledged before me this 1 day of 20 k\ b
a of authority,ty,e.g.officer,trustee,
attorne in fact)for (name of party on behalf of whom instrument was executed).
Per onally OR Produced Identification Notary Signature ��l
Type of Identification Produced Name(print) Fu
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,md2010
Signature of Natural Person Signing(in line#10.)Above
1-VJrCity 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 p
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � Jra nt review required Yes No
BuiIkn
Applicant: i L �Q /'�1 S Planning &Zoning
Tree Administrator
Project: n': 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:
APP CATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
QLDIN
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:
Reviewed by: Date:
Revised 05/14/09
'),j\
.� "' .`s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
��J13l�i'
Application Number . . . . . 11-00002800 Date 11/04/11
Property Address . . . . . . 2003 PARK ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2336
-----------------------------------------------
Application desc
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 . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2336
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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-441j;J_ City of Atlantic Beach
APPLICATION NUMBER
�s t Building Department J p (To be assigned by the Building Department.)
800 Seminole Road
r� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
��oj3 yr E-mail: building-dept@coab.us Date routed: /9Z//
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 / aY�c d T D ment review required Yes No
Building
Applicant: i111!01-0sanning &Zoning
Tree Administrator
Project: AIIAeg �/Wz)e twS 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:
UILDIN
PLANNING &ZONING
Reviewed by: Date: /C)-/g—//
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 jPE r M i C
Job Address: 2003 Park Street, Atlantic Beach, FL 32233
Legal Description 19-16 17-2S-29E Parcel#
Floor Area of SO.Ft. Sq.Ft
Valuation of Work$ 2336.00 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/proosed 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 Authority Address: 1300 Broad Street ,_
City Jacksonville State FL Zip 32202 Phone 904-630-381 "'� °"
E-Mail or Fax#(Optional) ' ILI
tour
Contractor Information: ,
Company Name: EB Morris General Contractors Qualifying Agent: �° �w�� 1, ,�"",;:° :qn•
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# CiTy OF AfttNTIC BEACH
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 installations as indicated. I cern tat no wor or ins a a ton 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 Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
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 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 speci ted herein or not. The granting of a permit does not presume to give authority to 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 NamePrint Name 6&,ee �,41ZA /`s
....................................................................................................................................... .........................................................................................................................................
Swo o and subscr' ed e 21e. Sworn and subsc ' ed
this of this Day of 1
;i :►�``"�e JONATHAN E L.._....;AUME
_ _ MY COMMISSION#EE107642 ;�?. 4::
O ub C '•'. ohYL EXPIRES June 28,2015Public - -
(407)398.0153 FioridallotaryService.com EXPIRES 2015
Jnr
(407)398.0153 R[AW140d 01.26
Doc#2011225875,OR SK 15743 Page 567,
NOTICE OF COMMENCEMENT Number Pages: 1
Recorded 1 011 8/201 1 at 1 I:42 AM,
p JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. 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: 2003 Park 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(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.
STATE OF FLOR ON WOTaDIAJOSlJeloNep1101j £90-96£(LOO —
� --
COUNTY OF PIN LLA§40Z.aZ aunf S3�lIdX3 1uao 10. --
ZV9LO 133#NOISSI WWOD.lW Signature of O er or Owner's Authorized Officer/Director/Partner/Manager
3WflblHl2i38 8 Nb Hl'dNOf ► 1 ' 'Mh Ile ' `V�5t
Print Name
The foregoing instrument was acknowledged before me this—P—day of CC+p be-f— ,20 1 by
Q r- as 1:�r�CY c`2 v-.'-�``
(type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on behalf of whom instpment was executed).
ersonally o OR Produced Identification Notary Signature —v
Type of Identification Produced Name(print) Cl )n2s
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,md2010
Signature of Natural Person Signing(in line#10.)Above