Permit Exterior Door 588 Clippership Ln 2012 'I t t �.I
ZAP
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001812 Date 12/18/12
Property Address . . . . . . 588 CLIPPERSHIP LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 437S
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Application desc
door replacement
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Owner Contractor
------------------------ ------------------------
HAUENSTEIN STEPHEN F PELLA WINDOW AND DOOR
588 CLIPPERSHIP LANE 8174 BAYMEADOWS WAY W
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 731-8330
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4375
Expiration Date . . 6/16/13
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Special Notes and Comments
need noc
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 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 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 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
JobAddress: d-t-WP9�1Z S(41P LN Permit Number: -2-
Legal Description35-&`1 1-7 -9-5-d I r 5ev-5p(-ct_q Parcel# 1-7070 3 - OdL3 9
W Floor Area of S Sq.Ft
Valuation of Work S 4 37-5- Proposed Work hea* ted/cooled non-heated/cooled
Class of Work(circle one): New A Alteration Repair Mo Demolition pool/spa windo�/d�oor
<i�;; o
Use of existing/propos C ure(�) circ e e Commercial esident'
s
If an existing structu s a fire sprin er Sys m in talled9 (Circle one): S No N/A
Florida Product Appro 1#
For multiple products roduct approval th
Describe in de�ail the type of wor o eperfo eb� 6k'rR%( DOOPE � t-Tt_ 4�&r
L/
Property Qwn�r Information:
Name:s-rerar,Nt KAu6N,5T'6(N —Address: 688 dLIPPE (z 1514 1 P LN
CityATLANTIC 1;CACP StaterLZip *j;IA*j5Phone 904-
E-Mail or Fax# (Optional
Contractor Inormation:
Company Name; OL (A/,'iV(OU/5 aAg( "bovf-5
—Qualifying Agent: &kft5
Address: 3�X'2 G,,ta4g- &g� �t3 4 Ww!� City La4iav_d__ State F--c— Zip 3-L7
Office Phone YO-7-t417-r5-9� J0 Fax
State Certification/Registration# CA
V'Eill,V,V jai IV
Architect Name&Phone COMPI 14
IC
Engineer's Name& Phone CITY OF ATLA N T_- BEAeff
Fee Simple Title Holder Name and Address SEE PERMITS FOR A Dnfrjnt, A-1 PV. 1,
Bonding Company Name and Address REQUIREMENTS AND CON11MONM WWI I I
Mortgage Lender Name and Address /'7?A
DATE-1c7'-1S-1 2-
Ilation has commenced prior to the
Application is hereby made to obtain a permit to df)the w=orTa=,FM_!Fff;;r1q 0 w
issuance ofa permit and that all work will be performed to meet the standard',ofall laws re u a Ing risdiction. This permit becomes null
and void lfwork i's not commenced within six(6)months, or if construction or work is suspended or abandoned r a period qfsix�6,1 months at any time after
fo
work is commenced. I understand that separate permits must be secured r Electrical Work,Plumbing, Wells, Pools, urnaces,Boilei-s,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
YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lhere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
Vwork 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
al law re
provisions of any otherfederal,state, or loc.,Zulating construction or the peifi:rrmance ofconstruction.
Signature of Owner��,L/�` Signature of Contractor
Print Name 5*rf,-4141-_---,J F .4—os-rti� Print Name
.............................................................144 a e
.......................................................... ....................................................
Sw rn to and subscribed before me Sworn tqpnd subscribed before me
t h i'so �jj Day o Noq 20 this _L2f Day of PA 20 Id-
A-4,4�_ 7..7. 7�-, 11 _1
..n�R TIMnTWy;nANnrr,&jAi
N�tary Public 'RIIA I --Notar)rPublic MY COMMISSION#DD 878065
I'NA� Commission EE 264 1
EXPIRES:August 7,2013
My Commission Expires
_10
04 -2016
Bonded Through Western Surety V 0*.W?0kUnd&VW*Tft1s
Company-Southeast Team
Doc # 2012286052, OR BK 16181 Page 2186, Number Pages: 1, Recorded
12/13/2012 at 02:14 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
Permit Number A�
ParcelIDNumber 1-70703 -0,3L3!j
NOTICE OF COMMENCEMENT
State of Florida
County of 0
The undersigned hereby gives notice that the Improvement(s)will be made to certain real property,and In accordance with
Chapter 713,Florida Statutes,the following information Is provided In this Notice of Commencement.
1. Description of opeg flegae I �ope dst at address Ifavallable)
Address- R vwev- NIP L-N A-176AN-rle- 9.6�Ae-i4, rL
Legal DeScrlptIon-.�2.=.-1,!!j f7-in-Qqe 4Cea�.1p(-A tj
-1-1 - . - I -/
2. General description of Improvoment(s) Pf 200F,
3. Owner information "'�j
Nam Phone&Fax Number 4 9. Vill I
'a f'-re:P1+C t�- 14A U aS'ra I
Address-- !DAIWE;
Interest In Prope
4. Fee Simple Title Holder(if other than owner shown above)
Name Phone&Fax Number
Address
n
- �W� ��V5Phone�&Fax NumbeAV�7- 3 -7 7111
c r
S. Co tr!�
N L a
m
A ress
6. Surety(if any)
Name Phone&Fax Number
Address
7. Lender(if any)
Name Phone&Fax Number
Address
8. Persons with the State of Florida designated by Owner upon who notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes.
Name Phone&Fax Number
Address
9. In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in
713.13(1)(b),Florida Statutes.
Name Phone&Fax Number
Address
10.Expiration date of Notice of Commencement(the expiration date Is one 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 713.13, 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 FINANCING,CONSULT YOYI(LE�Pelt 09N ATTORNEY BEFORE COMMENCING wom OR RECORDING YOUR NOTICE
OF COMMENCEMENT---'-w-i(-
AAuigm-s-rE; t4
Signature dOwners;�Xners Authadied Officer/Director/Partner/Maneser Print Name
Sworn tA(or affirmed)and subscribed before me this-A day of A[IDV I(A by A LIONC1.1
(type of authority,e.g.officer,trustee,attorney In fa�i)--f-r—AE [name�"ofrty on
arc]
behalf of whom Onrment was executed. known to me or roduced
as Identification. PON a
RITA
PHINEE
C rnmis 6 8�a
a :ion EE 82a4l
My Commission EXP1106 04-10-2015
Moil (Seal)
F'A [�A U 19 Bonded Througn We$jetn Surety
.5.u"...'T.in'
Name(print) loutheast team
-AND-
Verification pursuant to Section 92.525,Florida Statutes. Under penalties of perjur-,,,I decl!re llha,�Kave read 04joregoing and
that the facts stated are true to the best of my knowledge and belief. - 4��
not tural Pamonsigning(in line 011)Above
Vl*-"4 41 -If-It."ILK
City of Atlantic Beach
APPLICATION NUMBER
Building Department
800 Seminole Road (To be as*jned by the Building Depeftert)
Atlantic Beach. Florida 32233-5445 12-- 2-
Phone(904)247-5W6 - Fax(904)247-5845
E-mail: builc1in9-dept@?Coab.us Date routed.
City web-site. http.-/ANWW.coab.us
APPLICATION REVIEW AND TRACKING FORM
I --
Property Address: -��J le ent review required Yew No
Building
rn
ulfulng
P
Applicant: A�anning&Zoning
TreeT7
Administrator
Project: 0 ak ajc& Public Works
P P u Ilc Utili
ublic Utilities
Pu lic SafJ
Public Safety
i S rvic
Fire Servic
7es
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
- I 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:
APPLICATION STATUS
Reviewing Department First Review: roved. nDenied.
(Circle one.) Comme ts:
PLANNING&ZONING Reviewed by:_ Date: /,;t 2,
TREE ADMIN.
Second Review: ElApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. DDenied.
Comments:
Reviewed by'. Date:
Revised OV27110