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Permit Siding 1633 Beach 2012 s p � � S CITY OF ATLANTIC BEACH J j 800 SEM ROAD J 3 .5 ATLANTIC BEACH, FL 32233 ` INSPECTION PHONE LINE 247 -5814 / F Application Number 12- 00000390 Date 4/18/12 Property Address 1633 BEACH AVE Application type description SIDING PERMIT Property Zoning TO BE UPDATED Application valuation . . . 7000 Application desc SIDING Owner Contractor FARR JAY AND MARY HOME SWEET ACCESSIBLE HOME INC 1633 BEACH AVE 2121 FOREST HOLLOW WAY ATLANTIC BEACH FL 32233 ST JOHNS FL 32259 Permit SIDING PERMIT Additional desc . SIDING Permit Fee . . . 85.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 7000 Expiration Date . 10/15/12 Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 85.00 85.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 89.00 89.00 .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: /6 &etch 41e. Permit � ` [ ,,, ber Ay - A- 3 to Legal Description ? - a 3-0K N ATL L~?'C 0,-, ' 1 N ► &' 1 ei• Parcel # ' 1 , , Floor Area of Sq.Ft. Sq.Ft P Valuation of Work $ P°-/ O n r" Proposed Work heated /cooled 9t' 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 4.� ....--� If an existing structure, is a fire sprinkle system installed? (Circle one): Yes ... 41 . _)• N /A Florida Product Approval # Jeer- Corm For multiple products use product approval form U ei type of work to be performed: .-� � - Describe in detail the - tYP P camt-= � - - -_ � «% � , - 1.1 x � c�ta �" ' l //� 3rQ,n U /� /N �� L�.� a e Property Owner Information: 0 O '^ AA Name: J a cq'vQ t V V q z ,. g at ! 1" Ad dress: i •-• A O A City 3'� U tz' State/ I Zip Phone 1 1 RR. - A E -Mail or Fax # (Optional) 1 li _r�� Mail, Contractor Information: O E., H 1 Company Name: r t er / £sji6 /.c // Qualifying Agent: 'i W g Address: /.tic re,r,/,s //•d✓ r.�/e City YY ,7 X,,a..i State Fi g Off ice Phone � �Y 7iiK 6, �f Job Site/ Contact Number vi' �; qS "- y7 Fax # 7t' a State Certification/Registration # (- r'5252 W A Architect Name & Phone # /4 U Engineer's Name & Phone # � (.,-- r 11f ' 4" R3Sr - (c ('9c;,c ,q763-` o 'z>, Fee Simple Title Holder Name and Address/ Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 cert5 that no work or installation 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 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, 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. 1 hereby certify that I have read and examined this a placation 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 - cl"'-L, Signature of Contractor ` s Print Name ,\ L1 C, l . (f Print Name aik Sworn to and subscribed before me Sworn to and subscribed before me this , Day of Pcv 0\ , 20 \ -= this 4 1h 14 Day of I — , - \ , 20 1.- -.. 1111. � « �� ' -- ._n --■. `� ) _ - ! - Notary 'ublic Notatv ' ublic f , -� BRITTAN P 9 r ' ` ` C o TTA # UMMER * � •P : Co ion # EE 142834 Revised 01.26.10 EE 142834 miss V , . • a Ex res March 21, 2015 �- ` _ M 21, 2015 P, ,`:c:R Boded Thu Troy fain Yivara 994365 7019 Ec�nted Thu Troy Fail Yp raba 994365 7019 Pe,m,,L # N 12 -- 3y0 NOTICE OF COMMENCEMENT State of f 1p/'iet Tax Folio No. County of 7 iJ J 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 F COMMENCEMENT. Legal Description of property being improved: 01 - .A,5 ° N LA - '-h I-6/1 1J6 [ Address of property being improved: lew 3 3 3c Avg . 14 7 /< 4i e- 1? ‘3..q4,13 General description of improvements: /r /At (,),,,/40 as 7 .5%xiNt¢ / i 3 - Owner: `t /' r?n, �rt ✓`f A ddress: /433 aXa•c GM ✓ LLW7J' + I Ao`).5j Owner's interest in site of the improvement: - reef 45/ - — a . Fee Simple Titleholder (if other than owner): co 0 Name: f Contractor kiesD'ri tJ..s 7 1© e-e. v s c /., Mhs. f ,; , „ Address: ' /al F�,7 l b d� 7 , , . / o k Telephone No.: qops 5. , 2 yi Fax No: (9t, , ,f".3 r — yii I U Surety (if any) _ Address: Amount of Bond $ i'r�_ Telephone No: Fax No: , -- Name and address of any person making a loan for the construction of the improvements 0 U Name: ~ - A Address: 1� : . Phone No: Fax No: I Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other ii a ."� :,• s:- n1.� be X served: Name: . fQZ'S." 1 . •. Address: 4/0 i - - ii r,,/ 1s . > 41/� , d/�'7 J .Still ''" I IF� = o Telephone No: 7>'/ 3 y9 G'vb.70' Fax No: 70"/ 1,2v "r4 r' U In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as p it -I- d in - ctiot 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: J -'t /f Address: A/A/ /'s2E /,l*)m/ L✓ 1 j;OiiT1 7 / ✓ b .3v Telephone No: 9C 3 Z e Fax No: pu I3" -- /Y/ j Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is Doc # 2012075550, OR BK 15904 Page 1478, , Number Pages: 1 IWNER Recorded 04/06/2012 at 10:29 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL (:^- - r L t - I COUNTY igned: Date: RECORDING $10.00 efore me this a -Tl + ( day of et pn I in the County of Duval, State f Florida, has personally appeared Qv \ }\ t C: r yr iotary Public at Large, State of Florida, County of Duval. My commission expires: (:; 3 / ,7 \ ( CA S ,,pin BRITTANY PLUMMER Personally Known: or *i :.S Commission # EE 142834 Produced Ident ication: 1.- r -it e L:\ (�x∎_ —0. — ..:;,- _ Expires March 21, 2015 .. Boded Thu Thy Fah Imam 800385.7019 (') lilYr�rr� s - eb s=�` -,. City of Atlantic Beach APPLICATION NUMBER , lifF uN Building Department (To be assigned by the Building Department.) 800 Seminole Road /01. 2 / 6 J .3 Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 / 1 "-0;3 > E -mail: building - dept @coab.us Date routed: ( — I. -- City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 Department review required Y p rt e� o 3 p q es No �// Building Applicant: / / Planning & Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date V 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: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 7/4 I- Date: / /O"/ 2- TREE ADMIN. Second Review: A roved as revised. ❑ pp nDenied. 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 tr0 > n o ° ° -, z A a. -t • - ° . a. O `O Pc, J v i : P W N t -' . W . .- r c Q . N .fl n n — — o IlD p •0 co c o" �, • O CD ° ° v �- 0 ¢ a .� = w 5' o • 0 5 .o a 0:1 = < (" "< co 5 o c= c. o CM co 0 Pt 5 O C' = ao w Fr o. CD = H a •O ¢,W Ilt 0 CD ° 5 -1=' 'b � 3 o . . Q- C r y . a o ° = V 9 4 °' 5 ' O c 5' ra iv A et ' It .* . e .^-1/ co 0 vD t w *] � o G L S 1 °� 14 U c'\ Z` C3 O � 7 k-, co N - y Q �` Z 0 it C O �.O *3 CD CD 0 N 0 CA Ii r ij C/1 cr b h-•+ � . D "kb o x ra, It 12 p.. O 4t M 8 g c 0 Q O O M n p' g r ..0 o O = = > `� O E' = O 8 C q .ms's' o a b c c a i p. t� y co co • • b a 0 ■ E E � O o V o 0 •i c � ao . r. b a n ° R' . w CA ° °� �' A N CD k cm ' 1 11 co A , cs- .-t N ^ —.z C vl _N o cA o 0 °* o `"' �' o ca. -t c o co co Zvi I C D! " . )". � 0 c s o CI, It o Ci co o o. o o m co o 0 CA o w —: N Q.. in o. a E o 5. a 0 c9 cA EA ())In – CAf6M6 —A)T 1 27Z 7 2-5 A•L-1 AAMA 71: ( Validator /OperationsAdministrator) CERTIFICATION PROGRAM • AUTHORIZATION FOR PRODUCT CERTIFICATION Simonton Windows _ � opv 1 Cochrane Ave. Pennsboro, WV 26415 Attn: Jennifer Pittman JQ The product described below is hereby approved for listing in the n xt i %strif AA e C lfi Pro Di - o . The approval is based on successful completion of tests, and the reporting r a - drawings, by an AAMA Accredited Laboratory. p g to the A dministrat • te d dr awin g 1. The listing below will be added to the next published AAMA Certified Pr u i cctotti NSPECTI ON SPECIFICATION AAMAIWDMA/CSA 101/I.S.2/A440 -05 RECORD OF PRODUCT TESTED C -R40- 914x1829 (36x72) SERIES MODEL & COMPANY AND PLANT LOCATION CODE NO. PRODUCT MAXIMUM SIZE TESTED DESCRIPTION Simonton Windows — Pennsboro, WV SIM -1 08 -08 CASEMENT FRAME VENT Simonton Windows — Paris, IL SIM -2 (PVC) (X) (OG) 914mm x 1829mm 868mm x 1784mm Simonton Windows — McAlester, OK SIM-4 (INS GL) (ASTM) (3'0" x 6'0 ") (2'10" x 5'10 ") 2. This Certification will expire May 25, 2011 and requires validation until then by continued listing in the current AAMA Certified Products Directory. 3. Product Tested and Reported by: Architectural Testing, Inc. Report No.: 73757.01-501-47 Date of Report: August 24, 2007 Validated for Certification id Associated Laboratories, Inc. Authorized for Certification Date: December 23, 2008 , Cc: AAMA r SBS American Archif�ctural Manufacturers Association ACP -04 (Rev. 8/06)