Permit Windows 274 Magnolia 2012 t CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000389 Date 4/13/12
Property Address 274 MAGNOLIA ST
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 5900
Application desc
replace windows
Owner Contractor
WILEY CECIL H & ANDREA MARTIN HOME EXTERIORS
274 MAGNOLIA ST 5749 HAVEN ROAD
ATLANTIC BEACH FL 322334008 JACKSONVILLE FL 32216
(904) 737 -5009
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 80.00 Plan Check Fee . . 40.00
Issue Date . . . Valuation . . . . 5900
Expiration Date . 10/10/12
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 80.00 80.00 .00 .00
Plan Check Total 40.00 40.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 124.00 124.00 .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
Job Address: 274 MAGNOLIA ST Permit Number: 42 3 8 9
Legal Description 16- 2S -29E
SALTAIR SEC 1 Parcel # 170532 -0000
Valuation of Work $ S'�'(p o
Floor Area of Sq.Ft. S Ft
Proposed Work heated /cooled n heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa indow /door
Use of existing /proposed structure(s) (circle one): Commercial esidenti
If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A
Florida Product Approval # Zpsg; (
For multiple products use product approval form
Describe in detail the type of work to be performed: ((J " , it (4 , 12 ce( ty.7 ¢1 s +4_ f C3,1-
Property Owner Information:
Name: 1p- /�t'Lv en_ , -9 Address: 274 MAGNOLIA ST
City Atlantic BeaZ'h State FL Zip 32233 Phone €401' L Q t c L. - 3
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Martin Home Exteriors Qualifying Agent: Ken Martin
Address: 5749 Haven Road Jacksonville FL •
Office Phone 9047375009 Jo f- _ 5 r; offtwi umber , - z.,. - ,.r.,,....,,,
State Certification/Registration # CRCO57iic D FO 0 I/ ' I .
Architect Name & Phone # ' MY
Engineer's Name & Phone # -
Fee Simple Title Holder Name and Addres 1 REQUIREMEN Nn rnr�m S t 0
Bonding Company Name and Address • I ■a ivcm: ��):)• At" D ATE: -- p-- 1
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as i J
indicated. 1 certify that no wor or installation 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 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 period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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 1 have read and examined this a plication 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.
Signature of Owner
. ■eti&e/ 4452.1--
Signature of Contractor
Print Name Ee 1` . (,,J 1 le jr.==-
Print Name AA • , �,�
Sworn to 111.0 i:� . xi • be re me � 1 ,u ,,r• AW1 .k ; `
Swo su r fca,a me t` v 3 ' f
this = D- ° l 1*A ,SL. MAR 1
y�1 _ 20 th' Da �_ .. ':, \ ' �i ' 0
ate o f Florida y of
O
w r�
o .' ` E
.x p ires N ov 17, 2013
' , / fir /
Notary ' - Notary Pu.lic
M 6 3 -. S-z ) ,,z_. f&v /se(QQ A.d0
•
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. - Tax Folio No. 170532 -0000
State of Florida County of Duval
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: 16-2S-29E
SALTAIR SEC 1
Address of property being improved: 274 MAGNOLIA ST
Atlantic Beach FL 32233
General description of improvements: windows, siding or screen room
Owner Cecil H Wiley 274 MAGNOLIA ST
Address Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor Martin Home Exteriors
Address 5749 Haire n Rnari ,Tar 1 1 a FT, 19916
Phone No. 904 - 737 -5009 Fax No. 904 - 737 -5029
Surety (if any)
Address Amount of bond $
Phone 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
Phone 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 Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No. +c.
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a (yc ■`
different date is specified): C
THIS SPACE FOR RECORDER'S USE ONLY N
O
Signed: DATE
Before me this .7 s IAA-r•,
day of �• r,. Z F ' l 1 in th
Counof Duval, ate of Florida, ha ersonally appeared
1 t herein by
himself /Herself and affirms that all statemerand declarations herein
Doc # 2012074270, OR BK 15902 Page 2282, are true and accurate
Number Pages: 1
Recorded 04/05/2012 at 10:59 AM, " "" "•
JIM FULLER CLERK CIRCUIT COURT DUVAL 4 r Ue` GGI , ARTIN
COUNTY •ublic - Sta • ■7GT7GF1♦
• ,
RECORDING $10.00 Mycom ubl aE ,r n, r My commis • n : �a� �c 7tTt IQ
Personally own r4 7r, n.'`' , C Ommisaiun tF UU 94013 or
Produced It
•
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170532-0000
State of Florida County of Duval
LLJ
To whom it may concern: CO CC Z
The undersigned hereby informs you that improvements will be made to certain real property, do O
accordance with Section 713 of the Florida Statutes, the following information is stated in this NO — IC ♦� 0 �.
Yd
COMMENCEMENT. L ♦
Legal description of property being improved: 16-2S-29E uJ V - 4::› SALTAIR SEC 1 :IF LIJ
14:1 i ( Cg 1 :1 1 !
Address of property being improved: 274 MAGNOLIA ST z
Atlantic Beach FL 32233
Ila fe 0 ino.
General description of improvements: windows, siding or screen room
7
arm /�p/q,,
Owner Cecil H Wiley 274 MAGNOLIA ST 1 "ms, ii V♦ z U
Address Atlantic Beach FL 32233 M 0 Q
Owner's interest in site of the improvement W
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor Martin Home Exteriors w
`
'
Address 5 749 Havan Roar3 dlaakanniri 11 a FT, 1771A
Phone No. 904 - 737 -5009
Fax No. 904- 737 -5029
Surety (if any) x vi
Address a 01--1Z
Amount of bond $ QI ,et Z
Phone No. Fax No. O W O - 0
�j
U SAO E¢•i
Name and address of any person making a loan for the construction of the improvements. g q V A
W [ •1 Q
Name
Address 0 O
Phone No. Fax No. V �"
H rn
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other W
documents may be served: A rt,i W W \
Name i i
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided i 0
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Address
•
Phone No. Fax No. V / )
Expiration date of Notice of Commencement (the expiration date is one (1) d ✓
different date is specified): ()year from the date of recording unless a / (y 1
THIS SPACE FOR RECORDER'S USE ONLY
Signed: O N C.
0 / - _ / Z �
DATE ..�zGG�r��
Before me this •)i day of (tAh r-,, Z 6 t t_ in the
Counlyof Duval, to of Florida, �iys-personally appeared
��! r' ` � . l t herein by
himself /Herself and affirms that all statemeerand declarations herein
Doc # 2012074270, OR BK 15902 Page 2282, are true and accurate
Number Pages: 1 � - ■
Recorded 04/05/2012 at 1 0:59 AM, , " "" "•,
JIM FULLER CLERK CIRCUIT COURT DUVAL .SOY `B `' _ ' 'SCI `ARTIN
COUNTY ;, � n vary • ublic - Sta .. ■ tiNtlE7
RECORDING $10.00
Notary Publ at ,- . 1 711 ' „� ,,,,,��
My commis n
s:"-- °••
Personally own , •.a ° „n•` • . ' I 1 • , 1
Produced I. . or
s1:ay- City of Atlantic Beach
e e Building Department APPLICATION NUMBER
r s1 800 Seminole Road (To be assigned by the Building Department.)
u v Atlantic Beach, Florida 32233 -5445 ' )_- 3 0
Phone (904) 247 -5826 • Fax (904) 247 -5845
�013 a E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z 7 4 %/(*5 Department review required Yes No
Building
Applicant: Q_ g &Zo
Tree Plannin Admin r
Project:
Public Works
Public Utilities
Public Safety
Fire Services
aa, '� urE�# '�: � .�.k:
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By 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: E Approved.
(Circle one.) Comments:
❑Denied.
BUILDING
PLANNING & ZONING
Reviewed by: %r Date: � 1 - (C)
TREE ADMIN.
Second Review: DApproved 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 07/27/10