Permit Windows & Doors 648 Aquatic Dr 2012 0 i
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,t CITY OF ATLANTIC BEACH
' ' J 800 SEMINOLE ROAD
`' _ ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 12- 00000319 Date 3/22/12
Property Address 648 AQUATIC DR
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Application desc
WINDOW /DOOR
Owner Contractor
CAPITAL CITY INTERIOR TRIM CAPITAL CITY INTERIOR TRIM INC
8713 REEDY BRANCH DR 8713 REEDY BRANCH DR
JACKSONVILLE FL 32256 JACKSONVILLE FL 32256
(904) 519 -2542
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 2000
Expiration Date . 9/18/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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 60.00 60.00 .00 .00
Plan Check Total 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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 iiltig,T0 E LE n
Office (904) 247 -5826 Fax (904) 247 -5845 ' MA' r e i
Y
Job Address: 48 • ; L 2r 14 am, . C. Bta • Permit Nu 1 n
Legal Description /4-.b L Litk t✓ &ai, , ' -3d' A 7/ Parcel # / g18 —1101 •
oor Area o q. t. q. t
Valuation of Work $ �Ot3d, 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): Commercial denti
If an existing structure, is a fire sprinkler system installed? (Circle one): lo N /A
Florida Product Approval #
For multiple products use product approval form n
Describe in detail the type of work to be performed: MAO ) u,),,J t)d (. 51 1 /'a .4o a•vdC--
,L 7
Property Owner Information:
,
Name: , . . fi t ri, t 1
• ►, ` • -irt Address: 8 I ✓tf ht a). 3 O1i q 32 a
Ci , / •N 'ilk • State Zip 2-Z 5 Phone c104— 5 ct -.2 542__
E -Mail or Fax # (Optional) U % r ' t( 1 i n • 0 - , ti t7 U el (24 - 5161 - .)-S 42..
Contractor Information: (�
Company Name: `'4 1.4 1 l.� tp,� Iv. rN1- Quali ing Agent: � c1_ ►'-Q �'
Address: ■ I if 1 r , A A City aCk50tiut t 1R State 1- V Zip 3 2-2-5 4.,
Office Phone t, 0 ' - IC - . 54.7. Job S _ -- - _ - Fax # 4 1 d4 51i - 4.54 - L ,
State Certification/Registration # a I .. DE111.11'..8: a . s , • • r
Architect Name & Phone # 1 • ' I1 ` ••••..........„,„,„.„
Engineer's Name & Phone # I _ _
REQicA
Fee Simple Title Holder Name and Address M 'ADDITIO 11 Ir
Bonding Company Name and Address iih, d 1 s RN 1) C ONDITIONS. r• 7 i! llJ
Mortgage Lender Name and Address 1 REVIE Al • :t, • / _
a • - i ' • 1
Application is hereby made to obtain a permit to do the work and insta ations as z • . ----- - •.._.... —:._ � . tion 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 t us Jrisdiction. 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 a period of six 6) months at any time after
work is conznzenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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 hereby certify that I have read and examined thisplication and know the sane to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other f: •e ral. , te, or local law regulating construction or the performance of construction.
Signature of Owner ' . 1. /. A ,,_, Si of actor
Print Name /' - . 14
... � ��,. Print Name Atitrel V
Sworn,o and subscri.ed befa e me Sworn o and subscri.ed be ore me
this Day o .4 20� thi Day of 14 / � . 20 /09— •, , .ir - F TC r- JUNIJ.PA -- -0 r f , ^
No • • , Public i� ' • ; • >c JONI , .PATTY
; f !!> MY COMMISSION # DD 859588
t '.t'•.; - -o EXPIRES: February 9, 2013 += MY / I M�pI', ION # D0 858588
Bonded Thru Notary Public Underwriters - --,g; o; EX • R =: February 9, 2013 v 01.26. I 0
/a∎W Banded ru Notary Public Underwriters
,<J1 �J rJ . 800 Seminole Road
■
Atlantic Beach, Florida 32233
Telephone (904) 247 -5800
x f ) FAX (904) 247 -5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan - parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading /unloading area and material storage
area.
3. Location of chemical toilet area - chemical toilets must be kept out of City
right -of -way and not further than 15 feet from structure under construction.
4. Location of dumpster - dumpster must be from approved waste company (in
accordance with Chapter 16 City Code). As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal, Realco Recycling, and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6 -17 (3)
Revised 6/2009
t! = r City of Atlantic Beach
1 -)s -_qt- I APPLICATION NUMBER
Building Department
800 Seminole Road (To be assigned by the Building Department.)
/ Atlantic Beach, Florida 32233 -5445 2 - ,/
Phone (904) 247 -5826 • Fax (904) 247 -5845
o;tlo E -mail: building - dept @coab.us Date routed: / L
/
City web -site: http: //www.coab.us / /
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7,4 ,' & &76 - 4- D ent review required Ye
p? q s No
Building
Applicant: (1 1 ) , 2 / VA L Z 2 i d. e km,t__ . - IPTannmg & Zoning
Tree Administrator
Project: 0///b - 8or,L Public Works
Public Utilities
Public Safety
Fire Services
Riakti T4 Ve; "y '� > ,x nifi Wa 0M ; � H
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:
r
APPLICATION STATUS
Reviewing Department First Review: (Approved. DDenied.
(Circle one.) Comments:
BUILD!
PLANNING & ZONING ).--- Reviewed by: P Date: 3 -2 /" /3
TREE ADMIN. Second Review:
DApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
L____
Revised 07/27/10
NOTICE OF COMMENCEMENT
Permit No. /1,22 - • ..��, .,,�... ,.�....,.� .�.,..
l�o�_ r Tax Folio No. 1712iY - . l (o
1 State of Florida, County of Duval
1
THE UNDERSIGNED hereby give notice that t Oittirreitirtrytmitto, F iIt !IIII OPY
certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. pescription of roperty (legal description ofproperrtyand � addr ss if available):
31 / 1 �)A vete CO £ ( &4 tia, 4 �Jr
2. General Des ripti n of improvements:
P,LD &lbl 0100 / ir crif./Jr, soi !Nea) ilv,4G/ .t)ea)
3. Owner Information: , / _
a) Name and Address: t P � ,'• f.)414 icv , n1 j i - $7/3 / 24 veer /166 f) .) l CA9,7 /fp 1/ 32
b) Interest in property: 0 0)A,P
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information: y
a) Name and Address: Ull� �(.[ C r 1114) , rde' de' 1713 (ed �rdrlL44 - J z1
b) Phone Number: q0y -/9 _2
Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself /herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (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 AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this
dayof/14
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