168 magnolia St 2012 windows 4t
CITY OF ATLANTIC BEACH
st 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
—5814
INSPECTION PHONE LINE 247
Application Number . . . . . 12- 0001151 Date 9/05/12
Property Address . . . . . . 168 MAGNOLIA ST
Application type description WIN�OW AND/OR DOOR
Property Zoning . . . . . . . TO �E UPDATED
Application valuation . - - - il 4433
------------------------------------ ------------------------------------
Application desc
replace window and sgd
--------------
- ---------------------
-- ------------------------------------
Contractor
Owner
------------------------ ------------------------
SULLIVAN KATHY G LINDY BUILT CONTRACTORS
2216 OCEANFOREST DR W PO BOX 518
ATLANTIC BEACH FL 322334568 GREEN COVE SPRINGS FL 32043
(904) 591-2950
---------------------------- ------------------------------------
----------- I
Permit . . . . . . WINDOW AND/OR'iDOOR PERMIT
Additional desc
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4433
Expiration Date 3/04/13
----------------------------------------------------------------------------
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 REQUIR4D
*ALL STICKERS ARE TO REMAIN ON TqE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS Tq INSPECT FASTENERS ...............
--------------------------------------I----------------------
Other Fees . . . . . . . . . ST*TE DCA SURCHARGE 2 . 00
STI�TE DBPR SURCHARGE 2 . 00
--------------------------------
---------------------------------------
Fee summary Charged � Paid Credited Due
----------------- ---------- ------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . SO . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 01 ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
..... CITY OF ATLANTIC BF-ACH
got
800 SEMINOLE ROAD,ATLANTIC BEIACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:1904)247-5845
BUILDING-DEPTOCOA US
BUILDING PERMIT A PLICATION DUVAL COUNTY
3,SQ
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VALLI QN-qf,�WDRK�,, FT.,UNDE R
1'.JOB ADDRESS:,
ryj a -N a 5i USE OF STRUCTURE:�-,'
.1 :,�- � I �, , ''. 54"C S OFV4OR
LEGAL DESCRIPTIO ILDING 0 DEMOLITION ZRESIDENTIAL
0 ADDITION 0 CONVERTING USE 0 COMMERCIAL
LOT BLOCK SUB DIVISION 777-T 8 FIRE SPRINKLER:
FWORK-- ':,,` [3 ALTERATION 0 ACCESSORY BLDG. YES 0 NIA
7 DESCRIPTION 0 RL REPAIR 0 POOL/SPA
-e- LA 0 move. 0 OTHER No
1'.0.0 0 n- OWNER-, CON ARCRff—ECT.I ENG
"7777777-
�PRMOPE 5.COM A NAM 23,COMPANY NAME:
5 .1 ftAA E7 )
v 'Co�P N M"w,
24.LICENSEE NAME:
16.NAME
M-4 -1�4
rM
17.FA rE Q�FFLURIUA L1%.,E14SE Nq.:1 25.STATE OF FLORIDA LICENSE NO.:
10.ADDRESS:
e- 1�5-0-7 i Z
16?i� rn 18VDDRnS: Co V 26.ADDRESS:
i5i _TZ 0 Lf 3
12.FAX NO.' -- 120.FA 28.FAX
19.OFFICE PWONE. xNo.: 27.OFFICE PHONE:
OFFICE PHONE. I
21.CELL PHONE: 29.CELL PHONE:
13.CELL PHONE: C)
30.EMAIL ADDRESS:
22.EMAIL ADDRESS:
14.EMAIL ADDRESS:
iitTq�GE LEN
PON 111111" NY.""
D 4C
3 3.N AM E: 35.NAME:
31.NAME:
36.ADDRESS:
32.ADDRESS: 34.ADDRESS: tn
------------------- nd installations as indicated. I certify that no work i llarion has
plication is hereby made to obtain a permit to do the work a rformpd to meet the standards of all laws regulating ion in this
commenced prior to the issuance of a permit and that all work will be pe S pended
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or wo or
abandoned for a period of six (6) months at any time after work is comml need. I understand that separate perrmits m ellcured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heators,Tanks, Air Conditioners,etc.
OWNEITS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
I
laws regulating construcrion and zoning. I will not occupy or use the referenoed building or any part therof,until all inspecfions are finalled and
he buildog official,as required by law.
prior to obtaining a certificate of occupancy or completion issued by t
WARNIN OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COM4ENCEMENT MAY RESULT IN YOUR ?i.
OPERTY. A NOTICE OF
PAYING TWICE FOR IMPROVEMENTS TO YOUR
P E THE
TED ON THE JOB SITE BEFOR
COMMENCEMENT MUST BE RECORDED AND
FIRST INSPECTION. IF YOU INTEND TO OBTAIN INANCING, CONSULT WITH YOUR
NOTICE OF COMMENCEMENTA
or)
In WX
S
11
LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR
-TOR,
CONTRAC
OWNER
&AGENT�
"'rL61fterRequired) /INQuajft,Ordw
A �jnr of Attorney.or gencl
(if go
Signed: Date: Sign,
B re 2�0 -20N in the county of Belo-a me this of 2.�O, aQW in th
efore me this day of Duv�1,S of Florida,has persona y appeared
D�uval,State of Flonda,has per.sonal y appeared
h8dl by himself/herself and affirms that all statements and declarations are
herin by himselfft hersetf and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of r—r14 County of N IaI Public at Large,State of County afpg&,A
13 Personally Kn Pre=lly Known
own 0 Produced Identil'i
I?fProduced Identification-
Notary Signature: No�ry Signature:
#
RICHARD WALDEN
sxpirlas 000mbet 8,2014 W Commission#:EE0474:99
scow Thu TMY$OA M"*"
gt� ExOres December 8,2014
BLDG01 Permit Application Bldg:REVISED:12/1 W008 ...... 9,hnJed Thm Troy Fain frimranoe 81)(1-306-17]019
NOTICE OF COMMENCEM TILE COPY I
(PREPARE IND PLICATE)
Permit No. Tax Fiziilio No.,
Cou.nt� Of
state of �_Jclll
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:
6'
Address of property being improved:
General description of improvements:
Owner
Address "a J? 2 C�J'
4-e)
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor L
Address V,3
Phone No. SL�f �ax No
Surety(if any)
Address ii Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the cohstruction 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'j;option).
Name
Address
Phone No. Fox No.
Expiration date of Notice of Commencement(the expirati iIn date is one (1)year from the date of recording unless a
different date is specified): fic,
THIS SPACE FOR RECORDER'S USE ONLY OWNER
a,
Signed,/ Z.,
DATE
Before j;iPhis Z-- t-' day of 1,4_
in the
C �un liof Duval, te of Florida,ha0ersonally appeared
herein by
Doc#2012188667 OR BK 16054 Page 1772, /himsaij herse0and affirms that all statements and decl rat" erein
Number Pages:1 - ---- - -- ----
are trul and accura I
Recorded 08/31/2012 at oi-48 pM -'ift, ROYAL G.DEAREN III
INN
Commission#EE 056834
A -1 '5
JIM FULLER CLERK CIRCUIT C6URT DUVAL Z�?
COUNTY
RECORDING$10.C)o Expres May 20,2015�n
�71D`19
vim 80�4"0`19
SaW 11YU TMy NO kwM WN15
Notary!,PublicatLairge.State of Coq)1tyof r
My Commission expires; 2.-,� 2- :� f
Personally Known —or
ProduOed Identification tF_1-2 c
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C y of Atlantic Beach APPLICATION NUMBER
it (To be assigned by the Building Department.)
Building Department
800 Seminole Road
h, Florida 32233-5445
Atlantic Beac
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW ANP TRACKING FORM
No
entreviewr quired Ye
S: I&g Al" 11
Property Addres Bui ding
nning&Zoninq
Applicant:
f Tree Administrator
Public Works
Project: Public Utilities
Public Safety
Fire Services
Review fee $ Dept Sigirlature
nit Required eceipt Date
Other Agency Review or Pen of ermit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River ater 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. nDenied.
(Circle one.) Comments:
Cg>
Date:
PLANNING &ZONING Reviewed by:
�ie
-]Den-i
�_JApproved as re�ised. FIDeni
TREE ADMIN. 0 1 �[_
Second Re�view: F
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewjl�d by: Date:
nApproved as r ised. nDenied.
FIRE SERVICES Third Review:
Comments:
Review� d by: Date:
r
Revised 07127110