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Permit Windows 489 Aquatic 2012 lea 1 t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ,„, , � ' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000102 Date 1/27/12 Property Address 489 AQUATIC DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 4328 Application desc new windows and slider Owner Contractor TODD LARRY. WCI GROUP, INC. 2444 BENTWATER DR W 1100 SHETTER AVE STE 203 JACKSONVILLE FL 32246 QA KEVIN PATRICK FITZGERALD JAX BEACH FL 32250 (904) 242 -4444 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee . . 37.50 Issue Date Valuation . . . . 4328 Expiration Date . . 7/25/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 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 75.00 75.00 .00 .00 Plan Check Total 37.50 37.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 116.50 116.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. a r , r "' CITY OF ATLANTIC BEACH / ... AN 2 y 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 V'. `` ; OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 I 1 1 I R BUILDING- DEPT@COAB.US ' - }''/ BUILDING PERMIT APPLICATION 1.J06AD `' DUVAL COUNTY 2. VALUATION OF WORK: s r41�Uf4j7 OR._ e_ ` 4. LEGAL pESGRtRTION: 5 y 1 3.Sf�.F' 2 5 5. CL 3SS OF WORK: 6. USE OF STRUCTURE: ❑ NEW BUILDING ❑ DEMOLITION ❑ RESIDENTIAL Le,/ K__ SUB DIVISION ��� f/� � _ � -. ❑ ITION 7. DESCRtPTI0Af.OF WORK ❑ CONVERTING USE ❑COMMERCIAL � f E j S J ,/���, �"' ALTERATION 0 ACCESSORY BLDG. - - 7/ LC/I�yG+'4' � U y / ' ❑ REPAIR ❑ OTHER ❑ YES i. ■ -- PROPERTY f3WNER, r J� ,/� ❑MOVE ❑OTHER El NO I 1 9. NAME. CONTRACTOR: ARCHITECT / ENGIN . j t 15 WMPANY 23. 3 COMPANY NAME. t X04 1 /41C--Z- c)0 1 n. , I , U 18. ADDRESS: ADDRES •' Q 1. A ....0 k. r �f � Q A 1 11. UFFIGE PRUNE: 112. FAX NU.: �9. UrHI;�� Wit: 1 ��� [u. FAX NO.. ���� _.1 2T FF CE • E. � ! - � a /� Q ,,! /�/� I i4 Z f. /L y .r�:j t c ct� 28. A: ..� 13. / S E A .. 6 — 49 P /�,5 21. go� W �— i 29. CELL P cn 14. EMAIL ADDRESS: 22. MAILADDRE " 4 , I = . . " r � t' y � + N,. 7V //V 4) /t1'. 30. EMAIL A f ES I �1 41 W fi .. FEE SIMPLE T HOLDER: 0 W i ts" (IFOTNERTHAI4OWNER} BONDING COMPANY: M t3E r E.0.401/ft, p. " 32. ADDRESS: 7: ....` CZ '.: � L : i .� ` , j � a Q i 34. ADDRESS: 36. ADDRE - `' Lt U Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work • ! i Ilation has t commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating •! n tion in this V jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or wor L' ,__:�� abandoned for a period 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, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. * ** WARNING TO OWNER: * ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y COMMENCEMENT MUST BE RECORDED AND POSTED E ON T HE NOTICE JOB SITE OF BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR e ent, Power of Att• , y o : cy Lefler Required) , ualffier Only) - L. . . -- J--1 6) 12 I ✓r . /? / .- / "_ � v _ / a Ag Before me this a"' .ay of 4:1..a. _ 2 — ,2009 in the county of Before me this . " ' >� ` • le, • , 204e1 the county of Duval, State of Florida, has personally appearei t 7_ , DDuuval, State of F has personally appeared t r`Czo: at herin by hims f / herself and affirms that all statements and declarations are herin by himself / herself and affirms tha all tatements and declarations are true and accurate. /} true and accurate. �^ Notary Public at Large, State ofF /N�t I ?_ , County of �G4. -t'C - Notary Public at Large, State of \-� , County of (I)t / (A. 1 ❑ Personally Known f El Personally Known a- Produced Identification - rt! ) L T oo •• // �(/ -- �(I, Produced Identification - I I A. 1 --q I Notary Sign - .. 1 / %/�! iIL Ti•R�.a���_ _ - - . VIE ILO It `! " i A , e ll' Notary Signature: t - _ , F WITH NOEL lr��rIIIIMI Ete3' ; era Illfli •. -�� pyres Atgust 9, 2015 y0 • , Bonded Thru Troy Fain Imams :: BLDG01 Permit Applicau % 1 1 E HA, RICKERTSE _' - D: # /)0 E '`' Expires May 16, 2013 ceded mN TtoyFain Now" pooa esaots a Doc # 2012015317, OR BK 15830 Page 1521, Number Pages: 1 Recorded 01/24/2012 at 11:38 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL . COUNTY Permit No. / 0 D / 0 ,2- RECORDING $10.00 Tax Folio No. NOTICE OF COMMENCEMENT State of ) �/!/ ✓ - County of 4' I The undersianed hereby aives notice that improvement will be made to certain real property. and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 71 � ,,�, 1---,-7--17C n 880.9 2. General /-2,`“- al description 4,/e.2-1.) tion of imorrn - ov me: , a. Nam - a_nd_address: spa b. Interest in property e?G..0.r1/ r c. Name and address of fee simple titleholder (if other than Owner): 4. Contractor Pre B Contractor: WCI Group, Inc. 1100 Shetter Ave. Suite 203 Jacksonville Beach, FL 32250 p Y ' Contractor's phone number (904) 242 -4444 (Fax) 242 -7077 5. Surety a. Name and address: b. Phone number: c. Amount of bond: $ 6. Lender a. Lender Name It Address: b. Lender's phone number: - 7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: _ b. Phone numbers of designated persons: 8.a. In addition to himself or herself. Owner designates of to receive a CODV of the Lienor's Notice as provided in Section 713.13(1)(b). Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 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 WITH YOUR LENDER OR ANipeRNEY BEFORE CO NCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. hoe!....,.r_ _ i /7 -/ 2- Signatur- of Owner' Date 7461 The foregoing instrument was ack�,�gwledged before me this / day of - (ALO- W , in the County of Duval, State of Florida, has personally appeared- rf'il Me(t 7 herein by himself /herself and affirms that all statements and declarations herein are true and accurate. _ Personally Kn wn OR Pro. _d dentification L. -Type of Identification Produced • e_ - R_ /300 -<33 -• 5 z- Uhf ?C) / , _ %;� c_-_,-2,2A6-6:-§1 A —- ��r Apr W S ig..afure of Notary Public - Stat- of Flori. v Print, Type, or Stamp Commissioned Name of Notary Public \ /arifiratinn niircrrant to cartinn 97 575 Flnrirla ctatiitac _ T Under penalties of perjury, I declare that I have read the foregoing and th nICK t ,�`�,�Xs�tl�� i' I�{'y a to i he best of m knowledge a :.elie� F _ Commi �t�J$fi4� Y 1" ,� �- res May 16, 2013 .. 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C 5 \M.VO m O m T 0 0 0 0 0 rl ,0 o - m = $ e > I m ,r t�iff,. , � ` ,• r* . ,, City of Atlantic Beach Building Department * " ' a 800 Seminole Road ' �'"""�" Atlantic Beach, Florida 32233 4,a1t_a%' Telephone (904) 247-5800 Fax (904) 247 -5845 www.coab,us WIND -BORNE DEBRIS PROTECTION AFFIDAVIT Date: / "/7 -- /Z Permit #: 472— C3UlDd- `, Property Address: �C7 � /9-r7c Z - J / 1-7-49-44 - 7( e fr6 � a3 I understand the Florida Building Code requires replacement windows in a Wind -borne Debris Zone be impact glass or have openings provided with wind -borne debris protection. I recognize the structure involved is located in a Wind -borne Debris Zone. I am in the process or having windows replaced which require this protection but have elected not to have the required protection installed by my window contractor. i unaerstand mat before u i'in i lisNcuiivfi „;uy approved, the required window protection must be provided. If the required window protection is not provided it will be a violation of State law and the City of Atlantic Beach may take appropriate code enforcement action which may result in fines beings made against this property. 1 also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. ./^ / � / 1 agree to have the required window protection installed on or before: 7 Z0/ Z (Date) I will be using the following material to provide the window protection: (check one) A.../Plywood per the Florida Building Code 8. Other approved method (Provide Florida Product Number) Name of meowner's Insuranc Company C/77041.6 ,e/2-16:-/1 �a? /- /7 1 V (Si atu o roperty Owner) (Date) .z r r- I © e — (Print Name) STATE OF FLORIDA COUNTY OF DUVAL -.r, The f. cgoing instrument was acknowledged before me this /1 day o 20 y . A �' l ` / (name of person acknowie Ong ). 0" /, )/ j_ ,// x"%1 Si of Notary Public State of Florida Personally 1anown OR Produced Identification (/Type of Identification / - T �C U `� "5 Z �y �� os ""� i ELIZABETHA. RICKERTSEN *• 1,s ..= Commission # DD 870870 :- Expires May 16, 2013 , 'ns worm TfifrayF cmhignn§@@dU4iiig6tg 6/6 d . -L '4dea 6utpiLn8 £0 :06 26-60 -?602 , LAN;r City of Atlantic Beach "t Building Department APPLICATION NUMBER k: 800 Seminole Road (To be assigned by the Building Department.) J� _ Atlantic Beach, Florida 32233 -5445 G 0 fa Phone (904) 247 -5826 • Fax (904) 247 -5845 ,ty E -mail: building- dept @coab.us City web -site: http: / /www.coab.us Date routed: l APPLICATION REVIEW AND TRACKING FORM Property Address: jf 9 n � 1 !.- .. ent review required No 4 Buildin• Applicant: Cr Ot9U / Planning & Zoning �- • Tree Administrator == Project: //172)1/0 s Public Works Public Utilities Public Safety _- Other Agency Review or Permit Required Review Recei of Permit or Verified Date 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: (Circle one.) Approved. ❑Denied. Comments: BUILD G PLANNING & ZONING Reviewed by: Ad Date: TREE ADMIN. Second Review: []Approved as revised. ❑De - d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10