Permit Front Door 1802 Seminole Rd 2011 k A , ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002911 Date 11/21/11
Property Address . . . . . . 1802 SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 200
----------------------------------------------------------------------------
Application desc
FRONT DOOR REPLACEMENT
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Owner Contractor
------------------------ ------------------------
HUGHES, KATHY BARNES CONSTRUCTION LLC
1802 SEMINOLE ROAD 3317 ROYAL PALM DRIVE
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 424-9678
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/19/12
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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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 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 NOV 17 2011 1�1
MM�7 I
Job Address: IA� t Permit jftpnbLM;__Ltj
Legal Description 19q-2.5 -dqFC.5A_7_V#/n" a, fr17 harcel#
Floor Area ot Sq. t. 'q
Valuation of Work o240 06_Proposed Work hented1cooled �ntheated/cooled
Class of Work(circle one): New Addition Alteration<& Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes--(Ng N/A
Florida Product Approval # V 6;. /
For multiple products use product approval ro—rm
Describe in detail the type of work to be performed:
Property Owner Information:
Name: . _rIVIL& Address: 1eqQ,,9,
City _��2:5_6 Phone r9 010 7,0:5 -1' 7 75
��_Nety State&_Zip
E-Mail or Fax#(Optional
Contractor Information:
Company Name: 4��s _-dA4.ST9Q671-661 X-4 e- —Quali ing Agent: 'OZ6,�Z7
MIZL., city V 14 L e State /C/--, Zip 3.22-!0
A d d r e s s:jsE 52171' kni:
Office Phone t1,9d j F2 7,9 Job Site/Contact ltoaa�g —Fax
State Certification/Registration# C - 614199 11 ____
Architect Name&Phone# h D FOR C_&E eo
Engineer's Name&Phone CTTV n1v-A ra i�t E I I
Fee Simple Title Holder Name and Address 11 S�i TIC B__-CH I E I - I
--' 'Q--4�.�. If r""
Bonding Company Name and Address jf__ REQUIRFM_E_-T�D'� _"'_VITIONAL
�--AWD 1-UINUfFIONS.
Mortgage Lender Name and Address Up%rig, - A I
'I N A';"MWED L
Application is hereby made to obtain a permit to do the work and wo 1�_c t
a has com
issuance of a permit and that all work will be performed to meet the standards of all laws reg�i�Fia n. imi I 'e
and void if work is not commenced within six(6)months, or if construction or work for a perto at n te r
W Is 'g ng'11,0
work is commenced. I understand that separate permits must be securedfor Electrical'Work,Plumbing,Signs, e I ols, urnac _,Bo e e
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
]here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances ming this
,Vwork will be complied with whether specified herein or not. The granting of a permit does not presume to give a h ity t iola cancelthe
provist.ons of any otherfederal,state, or local law regulating construction or the performance of construction.
Signature of Owner kjAt4�', Signature of Contr or
e Print Name
Print Nam ............................ ............. ........................................................... .......................
Swo o and,sub3seed before me SworWt �nd subsc d rcg
is 9P
A
y of izxz
this ay of _001:e_&7 A,1,K 20//
7 L
oym%, JA ET M�� ",7
, * I — e:?—T A0_
my co�lmlSdtON#.P_nW_ i6Q
2n
N Fy P ic EXPIRL'�sZj(Aabyr12aX1 "2
(407098-0153 Flor,,!Wll-.�arySer ce.qA
7 il-I Revised 01.26.10
NOTICE OF COMMENCEMENT
State of i�:Qgl 0, �q TaxFolioNo. 17VZO-4,56.Z
County of OUVNL-
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OpCONB1ENCEMENT.
Legal Description of property being improved:_ e1da tr it
-,2,4 ;!qor VA 14
Address of property being improved:
General description of improvements:A�
R
�4Address:
Owner: hAoor& //I/d
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: A/4
/9 5 ow v 6 6&5 2$.z 7.so
Address: AW 7 -A?
Telephone No. Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
TIHS SPACE FOR RECORDER'S USE ONLY OWNER ate:
Signed: e Duval,State
Before e s day o
Of Flori a,has personally appeared S
Doc#2011249739,OR BK 157-12 Page 230, Notary Public at Large,State of Florida,County of Duval.
Number Pages:I my commission expires:. V P,j" NCII or
Recorded 11117/2011 at 11:14AM, Personally Known: JANC I
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY Produced Identification: My COMMISSION#DD826613
S September 28,2012
RECORDING$10-00
(40 15
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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
Date routed: L
E-mail: building-dept@coab.us
City web-site: http://vvww.coab.us
APPLICATION-REVIEW AND TRACKING FORM
: ISO 2— jo� 4E D
Property Address review required YeV No
[j:u:ii=ing �. V
Applicant: -Ta–n—nng &Zoning
Tree Administrator
Project: Public Works
�u_blicUfiFities
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: EF rApproved. ElDenied.
(Circle one.) Comments:
(E�
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. V
Second Review: DApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F�Approved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109