Permit Windows 523 Pelican Key 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000726 Date 6/12/12
Property Address . . . . . . 523 PELICAN KEY
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7840
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Application desc
window replacement
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Owner Contractor
------------------------ ------------------------
LEVRIETT WALTER H & MARY KAE ALL FLORIDA EXTERIORS INC
523 PELICAN KEY DR 3815 N US 1 STE 62
ATLANTIC BEACH FL 322334300 COCOA FL 32926
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Permit . . . . . . WIWIO BUILDING PERMIT
Additional desc . . WWO WINDOW REPLACEMENT
Permit Fee . . . . 180 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7840
Expiration Date . . 12/09/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl 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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 70
STATE DBPR SURCHARGE 2 . 70
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 180 . 00 180 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 .40 5 .40 . 00 . 00
Grand Total 185 .40 185 .40 . 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 U N IVA ')
_,�) r 11 �-&. /LIJ
JobAddress: Permit Nu Poer: Y.R--7.24
Legal Description
t1ur, Lk on4 -D Parcel#
Valuation of Works Fldor Area ot Sq. t. Sq.Ft
&14 L) Proposed Work �heaited/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa'�,7w Cnd:o`w_/doorD
Use of existing/pro osed structure(�)(�ircle one): Commercial (:]��-
If an existing structure,is a fire sprinider system i stalled? (Circle one): Yes No N/A
Florida Product Approval# -5-e--e 440C k-e IT pri- t4.1 6 1��-9 1 F& Is,30 5-; I=e- 1 2��
For multiple products use—pro-duct approval form "o 7t
Describe in detail the type of work to be performed:- IAI rV1.01A-)
PO
Property Owner Information: OE
N Wo�-�y c ; a-)/, Ng
ame: 11�4 K0 te. Lf N1 f i.tjf Address: cD ?JaUcon Ke,�
city A �n n-�fr 6C �, ") '_State�-LZip _��333 Phone 1--lod �YCIIH
E-Mail or Fax#(Optional
Contractor Information:
Company Name:_�ftkl VL)r Act- Qualifying Agent: 7S
Address:-_5SIS- M. tz- '2 � (,a city State
Office Phone 3Q I- b S�-,;?kb.;� Job Site/Conta Number Fa—x# Zn.!�:l
State Certification/Registration# 2QS_4_
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addres
Bonding Company Name and Address
Mortgage Lender Name and Address
or installation has commenced prior to the
thisjurisdiction. This permit becomes null
a period ofsix_(6)months at any time after
Wells,Pools, Furnaces,Boileis,Heitiers,
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this
1�work will be complied with whether s ecitied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
,f
provisions ofany otherfederal,state, or loca aw regulating construction or the perfo�mance of construction.
Signature of Owner t XC_ Signature of Contractor
Print Name
.................
... .......
Y........... Print Name
........................................ ......................... .......... ......................
Sworn to and subscribed before me Sworn to and subscribed before me
S
,4 V .,4 V e.....J�y _'t"t A
this �r Day�of 20 lo, this yv,,_
b- Day of U"It_ 20)1
J JEAN A.PEROUGON
JEAN A.PERO"
0 Pu lic $ON
No Public NOTARY PUBLIC Nota,;b Ic AM"QURY PUBLIC
S ATES�F IDA
C 0 0
STATE OF FLORIDA 0j
COMM#EE01 1636
E r 4120 2
xpires 7/14=12
VOL7 a 6 6
MFIRECORCIER
-nU.LIST.RUMMWP"PAAJiFIy: RF1'0RDA.%DRrmP,-jTo, OFFIcIA(
11—, tko RECORDS
$21 Fell—Xy Mr..
Is j Juliette Irl.b.thda.J"JJ zi
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RE FARCM ID#:171027.Ml t"
BUYERIVIF1 01 1
WARRANTY DEED
I
THIS WARRANTY DEED made this 13111 day of blay.1994 by Mark E.Lculs,a single tersoo.bercia9tcr caHcd !i,
Grantor,and whose address is 104 Caribla Piece,Panic Vedra Beach,Florida 32032 to Walter I Levriett and b!aryl(a),
Levrielf.his ulte,hereinafter called Grantee and whasc�address is 523 pelican Key Drive.Atlantic Ikuh,Flarl Ja 32233.
(wb,—u need h—i.the to- and Ind.j.ad thv P.Inks an this Wt—At ndth,
kV?RO—MA"&M�Zes of LnJiAdualk and the se—on and assi&u or xrpontiom�)
WITNESSETH:
THAT the Grantor, for and is comideratian or the sam of Tca and NO1l0rj Dollars and other valuable
consideration&receipt whereof Is hereby acknowledged.hereby grant%barpins,sells,aliens�remises,relcas
es,conve)s
and confireas unto the Grantee. all lhit certain land situate, lying and being in Vu,,31 County, Florida,
Lot 3,SELVA LAKES UNIT IIVO,according to plat thereof recorded In flat Book 43,pages 11,IIA
and 1138,afthe current public records of Duval County,Florida.
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c.)
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Pd rl.U.."5
T—"d-.S.M.08 3
ON
-EX.
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SUBJECfTO 1�accruing submiucat to December 31,Mi.
SUBJECIf TO covenant%restrictions and casements of record,if afty:h0we%Vr,this reference the'eto shall not
Or,. secraic to reim "'area
C� TOGEWER with all the tenements, hereditaments and appurtenances theretunte belonging tr in any%vidw
R&d
-57 3"TMAVE AND TO HOLD the same in Ice simple forever.
AND the Grantor hereby covenants%ith-.aid Grantee that the Grantor is lawfully seized of said land in fee simple;
C CO rthiit�tfic Grantor has good right and lawful authority to sell and convoy said land,that tha Grant ftd a
Cn .0,4.1ftle to said land and wig 'a' 't Id Ig warr ots
:> c, encumbrances. defend the samc,against the lawful daims of all persons whomsoever; .Ach. nd is free
IN W) REOF, c said Grantor has signed and scaled these presents the day and yc
a-first above
e. cd li red ih =.Cc:
S* e and/
Mark 1:.Lmv-6u
Baran L. Bartlett
Witness Fruated Signature
E:
—44cenure
Penelope E. KoenIg
Wetness Yranted Signature
STATE OF FLORIDA
COUNTY OF STI JOHNS
I he foreping instrument was acknoeftegpd before me this t3lb day of Alay,199 Mark E.Lewis,a single person%he
a drLvers i1cense 25 1,2yificafloa and who did not tak
I e no
Notary P4bticv Statr and County Aforesaid
"otary�46-- rMn E or Rank)
WRE-Y Firmled Signature (Serml No.,if any)
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Ex FMS:AV-,S.I M
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ft—s
UWEE fkA
NOTICE OF COMAMNCEMENT
Permit No. Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
C6 <
I. Description of property(legal description of property and address if available): >
D
G)n4
2. 1 Description of improvements:
N -0
!7!f ola C Le rnme"i oclo Li)S 20
9 EL
3. Owner Information: Loak4�e"r Lk'Vr" 0)
a)Name and Address: ilelklon le-e�" bc Q41004ic_ &ack 'Pc
b)Interest in property: U co 0 W
W 15 5
c)Name and address of simple titleholder(if other than owner): 0 Ol y 0
—6 W C?
C'I uJ !�
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4, Contractor Informatio 0
n:
INC- 0)(0 or
a)Name and Address: RLI El QBIDR ME N M 0 ui
;S�_-0_J
b)Phone Number: AA I q North I IS H,u,1 1 I;t i �e 6 N - 0)_J
0-2 D z 0
5. Surety Information: Cocoa, FL 32926 um OU-=)
oE6260
0 n W ui
a)Name and Address: (800) 431-0062 0 z or=5 0 Of
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
1, SECTION , 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 FINANC.ING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMQMNvffifENQyMENT.
A"e
eKlSi 6ture�oof�vmear or OOwner's A�,th,,ie�Off�,-�e-r/Director/Partner/Manager S�i:anatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this day of 20 1-:?,by
WCJVej- LtVJ'\kt_4 as C for 's-f_I (
(Name of Person) (Audiority Type,i.e.Officer/Attomey) (Name of Party Instrument was Executed for)
JEAN A.FEROUSON C' P_ CIA13 il�
NOTARY PUBLIC NOT Y�PUBAIC,STATE OF�J�DA
STATE OF FLORIDA Print Name: ::!ff, 0, Ve�rc_LA�'v
Comm#EE01 1636 --wn
Expires 7/14/2012 NEENNiType: 7C D
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief
Signature of NaE51 Pfr50-n§igning AT)ove/
Revised 10/1/2009
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City of Atlantic Beach
Building Deparftnent APPLICATION NUMBER
8W Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
,it E-mail: building-dept@coab.us Date routed: 17-
city web-site: http:/A~.coab.us 11 - --- I
APPLICATION REVIEW AN D TRACKING FORM
Property Address: Degarix-nent review required Yes No
ffluildin
Applicant: 471 Wq L1-5,e id 21-S /w, �4�ing &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit VeMed 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: P4`proved. MDenied.
(Circle one.) Comments: Do L)W e- F-.e e dvl e
PLANNING&ZONING Reviewed by: JIr Date: 6.—//—/z—
TREE ADMIN. Second Review: F
]Approved as revised. MDenie/d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: MApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 07127110