2233 Seminole rd # 3 2012 window SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Ding"
Application Number . . . . . 12- DO0010S1 Date 8/21/12
Property Address . . . . . . 2233 SEMINOLE RD UNIT 003
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO 3E UPDATED
Application valuation . . . . 8426
--------------------------------------- -------------------------------------
Application desc
window replacement
--------------------------------------- ------------------------------------
Owner Contractor
------------------------
------------------------
PAGE, ANNETTE B THD THE HOME DEPOT AT-HOME
2233 SEMINOLE RD # 3 SERVICES
ATLANTIC BEACH FL 32233 207 KELSEY LANE SUITE K
TAMPA FL 33619
(813) 402-3700
---------------------------------------- ------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee 47 . 50
Issue Date . . . . Valuation . . . . 8426
Expiration Date . . 2/17/13
---------------------------------------- ------------------------------------
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 REQUIREE
*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 95 . 00 95 . 00 . 00 . 00
Plan Check Total 47 . 50 47 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 146 . 50 46 . 50 . 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,Atlantit Beach, FL 32233
Office (904)247-5826 F (904)247-5845
Job Address: Ll M ub
Ak&--PermitNum r: -ZqL,
U
lj%Q��
Legal DescriptionL-A-66-61A L-;06an -VAW A-) Parcel
Valuation of Work ko
Chm of�V�
(drele one): New
Addition
R? molition
Use of ensawproposet (Orde one): rcu
Ei��Ae %mvu
If am exbft il&�in a fire sprudder system NO N I y
instalkd?(Cirde
Florida Product Approval# it /11� // 9--ie.I- cm FILE COPY
For muffiple prwucb use pg-Wact
it
Descnibe m detail the"e of work to be perfbrmed:-n*—\Q-CQ
ProDerty Owner Information:
Name: Address: c0Q i
d ed
Stateft-Zip R Q- 2 RLR P—hone
'!g Agent-'jXJ&-d Fer6
E-Mail or Fax#(Optional) ir b1111%R
lug
Contractor Informationi
CompanyName: Qualff ying Agent:
Address: Mai
ointice Phontl ---City-- zip
State Certific'&ion/Registration# Job Site/ Fax# Lql�i&— 4 11
Architect Name&Phone# V I VE WIV EE IDDU
Engineer's Name&Phone# C 0 IF
Fee Simple Title Holder Name and Address SEEPERN
Bonding Company Name and Address REQUIREM iNT,�ANn ICCj KTQ
Mortgage 1,ender Name and Address REVIEWhD A
ica ton is ere in e to o fain a e it to do the wor I no*w has commenced prior to I
ce o a ermit all work ill be rformed to meet the standa 0 a aw.r
a void i w n. This permit becomes ni
is not comme e in six months, or iffco t ction or ork is si e e or abandonedfor apriodofsixg)mo�ths at anytime qfil
work is comme e I un I
n t rate permits must be securedfor Eiedric4
Tanks andAir Condkioners,da Work,Plumbing,Signs, F ens,Pools, rnace�,BorkM Heate
WARNING TO OWNER: YOUR TO RECORD A NOTICE OF
COMIENCEMENT MAY RESULT IN TWICE FOR UWPROVEMEENTS
TO YOUR PROPERTY. ILF YOU E 00 TAIN FINANCING CONSULT WITII
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOWi NOTICE OF
CONMENCEE T.
I herelb certify that I have read and examt.ned th* ?plication and know the same to be 1 rue and correct. All provisions of laws and ordinances governing t
s .
type o work will be com j
4
Y TA VA�, G
ND T TA
R
N
plied wi whether ecXed herein or not. The granting of�z permit does not presume to give authority to violate or cancii t
it e�u ,
provisions ofany otherfederal,st e, or It s lating construction or the peifo�m once ofconstruction.
Signature of Owner Sig iature of Contractor &4
Print Name -Name
Print
................
............
Sworn to and subscribed before me Sw( and sub 'bed be me
this Day of 1)n this ay of XQU 20 IG
LOP
-z!Z�—Inool
RyPublic
....................
RONALD ALZ�N814R"E"El 15Y11*111"'
N
vp.AV, Comm#OD0847844
�1, T-�,'y V U�
Expires 12129 F
1/2012
D.6�i;EE(;i 78CZ
Florida Notary Assn.,inc
4,�s 1U/25/2M;,1
I
Doc # 2012171092, OR BK 16031 Page 1169, Number Pages: 1 , Recorded
08/13/2012 at 11 :44 Am, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
Thh IftlItniffiew Prepared By-.
THDAt-Homa Services F EIL COPY
207 KelseY Lane�Suite K —,ffiw&fw( ,
Tampa.Fl. 33619
N017CE OF Cobf1wo CEMDENT
Permit No. Tax Folio No. - CA0
zmft ot-Florio
County of-A)U-Vjat—
THE UNDERSIGNED hereby gives notice that Improvements vnH be made to real property,and in 1111000rdswe with Cliapter 713.Florida
Stub"s the fDHOwing ildw3natlou is provided in this Notice ofcmmenccmmt
1.DesgLiption of p -(k rf M and stred [able)
t avai
- %.a2r�&u%
General description of W-W w-vement
3.Owner information
((ba))INnaftmme=In prop=Mtsy 0 L San
(c)Name and add of fee 3imple titleholder(if other than oymer):
4,Contractor
(a)Name and THD At-Horw Semcm Inc 207 Kelsey LauP. ��uitc K,Tampa,FL 33619
(b)Phone mwkbw- 913-402-3700
(a)Name and addrem-
(b)Amountof bond
(q)Phone number
6.Lender
LHiM-1
2-
(a)Nam and address:
(b)Phow
7.Persons within tb.=f Florida&il�by TOwzw u�ponwhom�notices�0,,1
713.13(l)(&)7.,Florida Statutes: ts may be served as provided by Section
(a)Name and address:
(b)Phone numbw.
8.In addition to himlicK Owna designates the following
to receive�1-1- 70f the Liennes Notice 29 Provided in section 713.13(l)(b),
Florida Stalites:
(a)Nam and address:
(b)Phone.number
9-EV'ratioa date Of Ewdcc Of commencement(the mcp hdon do is I year Fk�j-b 0 date of
recording unless a riffereat daw is specirted)
WARNING TO OWNER: ANY PAYNIENTS MAM By TBE OWNER AFTER THE EIPIRATION Of TBE N0710E OF COMME:NCMMff
ARE CONSIDERED ft"ROPER PAYMENTS UNDER CHAPTER 713,PART I SECTION 713.13,FLORIDA STATUIM%AND CAN
RESMT IN YOUIL PAYIN43 TWICE FOR DOROVEMIDM TO YOUR PROF MY A NOTICE OF COMLMM&Mn MUST BE
RECORDED AND POSTED ON 7M JOB STM BEFORE THE FEW DMEM TON IF?YOU DrIEND TO OBTAINMNANCINIG�CONSULT
WrM YOUR LENDER OR AN ATTORNEY BEFORE COMMEMCD40 WORK OR RECORDING Y
10.
29
t==t-S* or Ovwn
ces Aut1traized 0f5cerA)hccW
SiVnIoWs TfdejMce
wasackmowicrizedbeft ute&6-tVtdiy.K��
(nottta orpenon)as (typo of at 9-ity-0-t Offic0r,mat-,anwuw In bet)fDr
P-1.
(name of party on behalf of whom finuumew was um tod).
............... ..................
RONO ALLEN REEI)Y
Comm#DD08 isnalure ofNobiryPubllic-Sbft off
47844
Expires 12/2912012
Florida Notary Assn.,Inc
urtrierpenaw"of
RwhW 71V07 V 10)�Abw
City of Aflantic Beach
Building Deparbnent APPUCA71ON NUMBER
SW SWT*Kft Road (To be a=igned by ffm BuMV Deparknot)
Adartlic , Florkla 32233-5445
PhOrke(904)247-5826 - Fax(904)247-5845
E-mil. bugdkq-dept@coab.us Date routed: Z�
cilymah-cife! Ift!/A~.6"b.u* -MMWNNNNN� F onnommummo�
APPLICATION REVIEW A D TRACKING FORM
Property Address:cZ?3-3 J64-rvIl Do i bownt review required
01
uildi
Applicant -21 A;-r //7 Planni &Zoning
Tree AdminisftWr
Do r"ent
Planning&Zo
T d ist
9
P7 rn;b
Project 11 W
Public Works
Public Llfiliftie-s
Public Safety
F ir S rvnes
JFe e
ire Services
E
01her Agency Review or Permit Required Rf rview or Receipt Daft
ljl;�FR
of F"ermit Verified By
Fkwlda DepL of Enviromnental Protection
Florida DepL of Tmrapode*m
St.Johns Rhw Water Management District
Arrrvy Corps of Engineers
Division of Hotels and Reslaurants
Division of Akx"c Bemages andTciacco
APPLICATION S TILIS
Revw*ing Deprbnent Fimt Review: 03'A"'pproved. FIDenied.
(Circle one.) Comments:
ci��
PLANNING&ZONING Reviewed b):— Date.
TREE ADMIN.
Second Review: oApproved as revised. E]DenieW
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by Date:
FIRE SERVICES Third Review: [34proved as revisec. E]Denied.
Comments:
Reviewed by:. Date:
RevisodOIRM0