315 Country Club Ln garage door 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
air
Application Number . . . . . 12-00001605 Date 11/06/12
Property Address . . . . . . 315 COUNTRY CLUB LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6500
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Application desc
garage door-wall repair
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Owner Contractor
------------------------ ------------------------
STENNETT WILLIAM A PAUL DAVIS RESTORATION OF
315 COUNTRY CLUB LANE NORTH FLORIDA
ATLANTIC BEACH FL 322335502 5795 MINING TERRACE
JACKSONVILLE FL 32257
(904) 739-6047
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50
Issue Date . . . . Valuation . . . . 6500
Expiration Date . . 5/05/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
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 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total 42 . 50 42 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 131 . 50 131 . 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 13EACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 315 (fou,,j-)-i:w 6t_U,5 &�tjE Permit Number: 0 Is
Legal Description Parcel #
(XD Floor Area of Sq.Ft. Sq Ft
Valuation of Work$ 69.500 Proposed Work heated/cooled no'n-heated/cooled
Class of Work(circle one): New Addition Alteration IE� Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one). N/A
Florida Product Approval # 1,5o '7q
For multiple products use product approval ro—rm
Describe in detail the type of work to be performed:
6rt9A&r bD&, 4 EETAIR /29 TERIOR- WAUL
Property Owner Information:
N ame:--L%.-)iUl 41 ':4" &RC,ARtT !�-t6tj t,�'_j'(Address: 315 tfoQtJ 7iR e i!f 1-0,B AAOE
ESNOM&M A
city jqj�=&�Dc_ b6cy_ff State&Zip -3aa 33 Phone qo4n 341.,- 9173
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: . LY�bbVL-2 R6�10&811W -Qualifying Agent: IACOAEL XU1yKY_9Rb
Address: ill A]. LiRt-*7V 4-r� City-_1709_-14_50NV1L(-e_ State ip _360CCE)
OfficePhone 701- 739- 666q7 Job Site/Contact er =-2u:1
State Certification/Registration# CRY-c ja!5a,7!5,�g IEWED YUK t-:q
Architect Name& Phone 4 /Vpt CITY OF-All AN"(' REACH
Engineer's Name& Phone# A) PmF PiRgmas Fog ADDITIONAL
Fee Simple Title Holder Name and Address REOUnjEhffiNIS AND CONDITIONS.
Bonding Company Name and Address 11VA
Mortgage Lender Name and Address REVMrWED BY: VAL=
he eb ade ban a ermit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
11 be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
p
'r
to 0
App"'ca io s r Y md th 1-0 k
issuance o a permit an at a
and 'd f work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of six(6)months at any time after
., ,co..", I u, 's " t t s
,k, ced de ta d ha eparate permits must be securedfor Electricar Work, Plumbing, Sikns, ells, Pools, Furnaces, Boilers,Heaters,
Tanks andAir 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.
I hereb,certi is app ication and know the same to be true and correct. All provisions of laws and ordinances governing this
jfy that I have read and examined th' ' I
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 otherfederal,state, or local law regulating construction or the performance of construction.
Signature of Ownel&
Signature of Contractor
PrintName Print Name uAl Fopb
.. ............................... .................. .... ............... ..... ............................................................................
Sworn tqand sub c 'bed be ore me Sworn to and subscribed b.efore me
2 P
"if
this�_:�ay of 2012- this �'Day of 067L6be,(— 20 / 2-
KHM1.611ORGE
N6ta-r-y Public t' KwaimtGEOFEE Notary Public MY WMMISSM I EE 100756
MY COMMISSIDN#EE 180758 EXPIRES:March 11,2016
EXPIRES:March 18,2016
AeOF4ae Bmded Trwu Budgd Notuy$W=
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 zz —
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed.
.1 e// Z'
City web-site: http://www.coab.us L_ /1 -1 1
APPLICATION REVIEW AND TRACKING FORM
Property Address: 61ZI21-22V Z111 -0epartment review required Yes,,�No
(-Building -) V
Applicant: W��L� __Pi�anning &Zoning
Tree Administrator
Project: /a 6. PublicWorks
n;12/'6 4 Aja Public Utilities
Public Safety
-Rq)" ��ire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
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:
APPLJCATION STATUS
Reviewing Department First Review: 2Approved. RDenied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date:-L/
TREE ADMIN.
Second Review: []Approved as revised. RDenig.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: [:]Approved as revised. RDenied.
Comments:
Reviewed by: Date:
Revised 07/27110
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of =1 L I V=1 I
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: c?7-00�./ A/1
HE-= aN1T
Address of property being improved:
General description of improvements:
Owner A
LA
Address
3L
Owner's interest in site of the improverlent 6�
Fee Simple Titleholder(if other than owner)
Name
Address A),a WIC111
I ILr—Ijur T
Contractor I)v
Address 1�� 4�zr�4 R�cp Ty
,
Phone No. 20 V- -7-37- 6o 1/7 Fax No.
Surety (if any)
Address A264- A mount of bond
Phone No. Fax No.
Name anril address. of a.-.y parsui-I ii-icaking a loan for the constructiun of the improvements.
Name
F
Address -------
-.900010
Phone No. I I
Name of person within the State of F I joril M P n whom r
documents may be served:
Name
L n
Address _-A)A- I iAI& 71
Phone No. W1
-W 0*
-4
uly r
- lie
In addition to himself, owner designates the following person to receive a copy of the Lienor's Not in ..
Section:713.06 (2) (b), Florida Statutes. (Fill in a�Owners option). ;me
Name
Address
Phone No. Fax No.
Expiration date of Notice Of Commencement(the expiration date is one(1)year from the date, of recording unless a
different date is specified):
— �IS$PA�CE F�ORRE�CORD�EWS�Wit—ONLY
'fiH
Owl, ER
Signed:
da DATE 164-30 2-
f
En�a?, as pe;�,'70jnally a�peared
o d
of E al,State of FI
Y
-me this
Before me this day of In the
County of' '31 State of FI
..........
in by
Doc#20122415%,OR BK 16123 Page 2417, rs
rms t
himselff herself�aaffirms that all state entsanri rjc-�i—fi—Z-
Number Pages:1 3 a a s ments and declarations hereirne
Recorded 10/30/2012 at 03:34 PM, are true and accurate
JIM FULLER CLERK CIRCUIT COURT DUVAL KINDRA L GEORGE
COUNTY
RECORDING$10.00 MY COMMISSION#EE 180758
EXPIRES:March 18,2016
Bonded Thru Budget Notary sery�As
—;2p�
otary ublic at Large,state of County of LL.&�
tat of
MY commission expires:
Personally Known or
Produced Identification