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Permit Windows 1633 Beach 2012
°441 0011.:› sit CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j :41 ATLANTIC BEACH, FL 32233 �\ \�} INSPECTION PHONE LINE 247 -5814 J.i3 -- Application Number 12- 00000391 Date 4/18/12 Property Address 1633 BEACH AVE Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 7000 Application desc WINDOW REPLACEMENT 13 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 WINDOW AND /OR DOOR PERMIT Additional desc . REPLACE WINDOWS 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. 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 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: , J3 1 , g4ch ,4JE• Permit giber: Legal Description �' a s- E IJ !®etc, ✓ '4 1 Nti i Pr Parcel # • ' - - ` - Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ I / / cs n n Proposed Work heated /cooled a �y� non - heated /cooled 7 Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial C_ 7 If an existing structure, is a fire prtnkle system installed? (Circle one): Yes N'o N /A Florida Product Approval # uee, f w1 /h For multiple products use product approval form Describe in detail the type of work to be performed: i ,/ c e . _ C.J Aida i) _ „ � _ . v ■ 'I t D FOR CODE COMPLIANCE Property Owner Information: CITY OF ATLANTIC BEACH Name: J 4 (HA. 4r 1 rr Address: SEE PERMITS FOR ADDITitlNAI City ,�fU o n ///� 07 1* State // Zip Phone REQUIREMENTS AND CONDITIONS E -Mail or Fax # (Optional) i _ .4 , . •'u 'ai ; DATE Or Contractor Information: ' 4—.m. Company Name:t7 i eder /Qu &5'I /•c H49wi. Qualifying Agent: SGS't'ee*sS Address:a? /..// X"ra j y//„ //,i✓ i✓k City Sid 07445 State F Zip3 57 Office Phone r j aY 3Y� 4;Ry Job Site/ Contact Number r ( 5 - 4!;” — ; Y7 Fax # 70y 8315 — yy /f State Certification/Registration # a,ec Z',3 '252.4 Architect Name & Phone # . / /� A „ „,,... ,., , ,, , ,�, Engineer's Name & Phone # L ett- l ” )f� #' Asse'c orpx �9t � `/�- ale . . , >. , Fee Simple Title Holder Name and Addresll F L. Bonding Company Name and Address I L E C P Mort a e Lender Name and Address . Mortgage ti.. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor brliinirtatiear lt ' conun eeT; ' o ;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. 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. 1 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 0 6 Signature of Contractor Print Name M - r C Print Name a .r Sworn to and subscribed before me Sworn to and subscribed before me this Day of 6\ , 20 I --- this '4 Day of h\ , 20 \ - a-. Notary ' ublic 6. • ublic w Y BRITTANY :INN/ f!.7,4, Revised 01.26.10 t.= • yNr "'% BR ITTANY PLUMMER +, ' Commi # E E 142834 ER 7.. Commission # EE 142834 's _:. ` - Expires March 21, 2015 V e`r Expires March 21, 2015 't; • Bonded Nu Troy Fain Insurance 8004854019 A R ,, , ; R ' , ! e n d e d A . , - m, 7L f A /2 - 3 9/ NOTICE OF COMMENCEMENT State of T '/''% Tax Folio No. County of Da 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 COMME CEME N T.. Qi Legal Description of property being improved: ©`1 - ,A $' d 'ff N LAA/T �h L Aid N I 1 Address of property being improved: ! 3 3 � v��% ! ,4vo /Q r 4 &e-E4 /2 . 3Z3 General description of improvements: Af /d a (. 7, Lis 7 ,,,./u, /5c €i/'3 Owner: Tk.. f ill f"c{ y ^f Address: /433 33 . 41 4 e ".0. 4/7/4 6e,14 1 / 3 Owner's interest in site of the improvement: -6--e. Sl Fee Simple Titleholder (if other than owner): / Name: 1 Contractor: Fit5ME 5tJ .s7 1 4-4.A'S s.J /.r- g,„.,., �j�l Address: 4 /�l 04,1)45-1/:5. A/46-57. C"l'VJ 141 �. , S7 7 /'i .3 Telephone No.: - / 9,1 r% Fax No: ( / ` fq/J Surety (if any) Address: Amount of Bond $ Telephone 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: 2v' gvis Address: 4h Ai rce r..7 lir'1 /P.,� ��;r , 5474,j 1 /cJ Alt/157 Telephone No: 7z5if 5°a7 G'v t' Fax No: ?e,"/ .fi t' " "'i1/4 v , 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: J 4 � Address:. /d+/ ,4iZL f/ft/m,) ,'.5: / 3aa ` Telephone No: 9a* 3 V r' �,,d►i Fax No: 7 t,e /13 -VV 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 COUNTY i I C` ` Zi " `— Date: 1 1 - i L " RECORDING $10.00 efore me this i , # day of Pt pr) I in the County of Duval, State f Florida, has personally appeared Ay 0 V r Y +otary Public at Large, State of Florida, County of Duval. My commission expires: U 3 t :-) 1 / c < A4i+'1 BRITTANY PLUMMER Personally Known: - or Commission # EE 142834 Produced Ident cation: c \ r\ I ZN'S 1..> t,C n =� Expires March 21, 2015 *'� Boded Thu Troy Fein Insurance 8063657018 _ — 41 11b - - '-a y c. r .-, -% � . 0 . p 00 :---1 Q Vi : P w N O1 t-A ••• w N , - = 'a '''' ..2 r A C7 'b ' .7) > d n x v? O Y K t c4 y O o 2- 't c . c o Y O o 5 5 o 0 � tli t -° c � • n B �• tn n° co K. ua o n o ° - n a. Q- z c v' o 72 a a o c ` 0 cx oa 0 cm , ..< •-.6 . _ b CA a- W °- o a w `i P.) a• x co -4 ., L' O N 0. o H • u i• n. O o CI G1 c c n' - D a 0 CD = o A fY d� 'xi til ft ( � b l � � � � � M t z P �. < -, W 0 Z © O a Co C. CD = V N a r '1:$ • '° ' a x .-• 'v � co M 0 ' co 4 ttl 11 A: 0- o TS 0 E- O O co co t i� .i c = o P �; o _: E = w � =g x D < n )7 ekd to cm p co at a W 5 0 C a CD c c G. (DD o n too o z, - r. r M ^ s .--. 0 Iv Q C9 `< o -• O O O C O = fD > z C 5 5 31 ., [ `C Z ` .• o b y a P. a 0 n .... E• x c c t7 Z a ^ o Co 0 'o K . O 1 1 c„ � o F . -t et N At et Z. L 0 O c� 0 0 9 • i E • n c = p G 0 `h o c -4 e A) z 0 ¢. t a s � w et r sv 'ZS .... • 54 cP , 0 ' CT o CA ,C 0 ¢ r v. n O a O h AD /� n 0 p ' C CA 1 0 1 0 O y. -). - ' ,e w -t & A) ta u9 N Eno a 14 0 En " a 'a A 4 °- a .. t:e („Do, 0 o o TJ 0 CA E 0 t rt c o 4t y a o c a 5 'c co a a CD 0144/ City of Atlantic Beach APPLICATION NUMBER 4 jewili Building Department (To be assigned by the Building Department.) - 1 %7- 800 Seminole Road 3q / 3 Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 Fax (904) 247 -5845 ^ / .:; E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 3 3 Department review required Yes No Building Applicant: Planning & Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services nJ Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By IN‘ Florida Dept. of Environmental Protection Florida Dept. of Transportation \)12 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: B IN 1 PLANNING & ZONING Reviewed by: /17 Z / Date: I�' /U" TREE ADMIN. Second Review: Approved as revised. ❑ DeVed. 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