Permit Windows 1505 E Park Ter 2012 r rte' r
�� \ `S? CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
` .) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
� JF .:,
Application Number 12- 00000412 Date 4/12/12
Property Address 1505 E PARK TER
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1120
Application desc
window replacement
Owner Contractor
ANDREWS BRUCE P & SUSAN B BIG D BUILDING CENTERS
328 11TH ST 3008 SANTEE PLACE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32260
Permit W /W /O BUILDING PERMIT
Additional desc .
Permit Fee . . . 120.00 Plan Check Fee 60.00
Issue Date Valuation . . . . 1120
Expiration Date . . 10/09/12
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 120.00 120.00 .00 .00
Plan Check Total 60.00 60.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 184.00 184.00 .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
Office (904) 247 -5826 Fax (904) 247 -5845 - , Q 1 C T _ L'l 1 I I
I I
Job Address: / 5 0 5 Poti'k t *QS'rClk.12 1 = - Permit Moir: A P ;/ - i
/
Legal Description Parcel # n '
1 1 u V . :a Floor Area of Sq.Ft. Sqt
Valuation of Work $ 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 structures) (circle one): Commercial ' - . , tia
If an existing structure, is a fires milder system installed? (Circle one): QM N /A
Florida Product Approval # FL tots - S in. //r
For multiple products use product approval form $ FL l /50 • - 1
Describe in detail the type of work to be performed: Z n s {1 W ( k k W 1u, 17 WS
' ' ' - v e oP- 0"5S,
Property Owner Information:
Name: S JSon Q. IA n S Address: 1 5 5 Porn K 1 'ZS' rats)._ r
City 2 ,-m. 3c ..p_ State Zip 3a.A33 Phone Lj(0 5 — t2vt.57
E -Mail or Fax # (Optional) 1
Contractor Information: y,
Company Name: . 0)(, 17 Dui t-17 ii f G (E iTE1� Qualifyin: A ent: r NK2MIC Sri i Ale S
Address: )3 ZS �, /3CAU�R J? -e �•1 C ■ !-1 c..RSoi.� r t-Er State 1 L Zip 3?.2 OA
Office Phone 9 J.3 A E, vu Job i- -_- ._ Fax #
State Certification/Registration # ^ n n Jz v2. p n � 11 Y :,, z�k,,,, , , E „, , ,r 4,s, Architect Name & Phone # �.,
Engineer's Name & Phone # I v 1 11 $ ; -
Fee Simple Title Holder Name and Address 1 - - 7 TS FOR ADDITIONAL s1E:l AIR i 111 1
Bonding Company Name and Address + • '' 1 ',` D • 0 ITIONS. :IL
Mortgage Lender Name and Address I ..
Application is hereby made to obtain a permit to do the w. ' , � — ,, , • -•- •-- ... -.. -_._ __.._l lotion has commenced prior to the
issuance ofa 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 a of six L6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, 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.
/ 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 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 federal, state, or local law regulating construction or the performance of construction.
4
Signature of Owner i X ('4-C 14,,,,- Signature of Contractd&�✓t e,�
Print Name J(.,i SfA1 A 14 E v/3 Print Name S4 c i 1 e �. s
Sworn Land subscribed .efore me Sworn t and subscriber before ; e
this 11 Day of ► .. i - -- this D ' -- - --
�'' ��'� a y - - r � � _ � r• A�r` t 2
Notary Public B onded ThruNota 1 P�bNellnd.nvNere Nota Public
tFf h� Notary ry ,,,, r Bond.d Thtu Notary Public imemwdNn
aoerwse.
• evised 01.26.10
DO NOT WRITE BELOW - OFFICE USE ONLY
Applicable Codes: 2007 Florida Building Code w/ 2009 Revisions
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials /Date:
Development Size
Habitable Space Non - Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions /Comments:
800 Seminole Road j r.:" ' s Atlantic Beach, Florida 32233
- 1.... i 2 Telephone (904) 247 -5800
FAX (904) 247 -5805
JI.l:)
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
tAN City of Atlantic Beach j ty eac APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
;4' 800 Seminole Road , 0 El/ 7
r Atlantic Beach, Florida 32233 -5445 ��
Phone (904) 247 -5826 • Fax (904) 247 -5845
si E-mail: c E -mail: building- dept @coab.us Date routed: 7 Ar Z
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / ,�+ j , � 'Art9 7 E Department review required Yes No
_ // Building
Applicant: / � .�� /( j ��� 6/tit e Planning & Zoning
Tree Administrator
Project: U )/ /v b4 /C1 ) 7] S 04 l/ Public Works
Public Utilities
Public Safety
Fire Services
.re i ,i ik:1 E"' 'y r4 x x
Other Agency Review or Permit Required Review Receipt Date
of Permit or Ver 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: ❑Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: A roved as revised.
❑ PP DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
NOTICE OF COMMENCEMENT
State of
County of t v vs/( Tax Folio No.
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 OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved: / 5 Y 5 P cu4A., �`
4 l ' 4 .. . Batch R.
General description of improvements;
� �'�`l ( w �...��c to-e_4 i �.S � 333
Owner: .-50Sa, qj A.nit-Qt,as Address: I9)5 pctek, lerrt E,
Owner's interest in site of the improvement: "" FL.
Fee Simple Titleholder (if other than owner):
Name: /n
Contractor: ?-i9 JJ D 1JV td t n I
Address: 1 7 {V V. a.VU Sired- JCILk Xl ✓ I I1'[
Telephone No.: £ ?04�) 3� _ ',boo Fax No: r 73 3 X 0 9
Surety (if any)
Address:
A •^�••* of Rnnit P.
Telephone No: Fax No: Doc # 201 2088683, OR BK 15921 Page 1895,
person making a loan for the construction of the im ro Recorded PO4 /2 1
Name and address of any p g p Recorded 0 4;23:2012 at 03:55 PM,
Name: JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
p J (LQ.(� a "a= _
1
Signed` r j . \
G�G� Date: � � —I - d4 " 1
Before me this / /'t 1 day of t— in th County of Duval, State
Of Florida, has personally appeared 5 ( A; < . > 4 A d r...PLA,
":* :�t DONALD F. GIBSON Notary Public at Large, State of Florida, County of Duval.
es - MY COMMISSION # DD 775888 My commission expires:
,
• or
, EXPIRES: June 11, 2012 Personally Known: c �-- Notary Pubic �' ' � de,w, e" Produced Identification: r `—