1728 W Park Ter 2013 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002349 Date 3/25/13
Property Address . . . . . . 1728 W PARK TER
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
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Application desc
window/door
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Owner Contractor
------------------------ ------------------------
HAMIL, ROBERT R.M. HAMIL ENTERPRISES INC
160 11TH ST 160 11TH ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 631-6268
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . . Valuation . . . . 8000
Expiration Date . . 9/21/13
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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 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 139 . 00 139 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV 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 FH� M),A el R 2 1 2 T01 3]
Job Address: `7 IS Pa r h 7e r r OL c e- We-1 f Permit Numbq&y_a?�
Legal Description Lol /00 sedve, U,%JY Parcel # 1 -72,02-0-0,36d
Floor Area ot S Ft Sq Pt
Valuation of Work$ q nou-heated/cooled
L 10 000 _Proposed Work h
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of existing/proposed structure(s)(circle one): Commercial esidentia e- t?ea
lf an existing structure is a ;_.*al1ad14C&cle 0 N/A
I C-111 =1 U
Florida Product Approval 4 -Do _;
o r_9
For multiple products use p
Describe in detail the type of work to be performed: VX do
/e V-1'0.- DO a r_i
Property Owner Information: I In n�11
160 llt� slrt4 -ft FILE C
Name: A 0 (1 Y_ C�l Address: t I
city 4 t 1,"i-ge c, StateF -2 hone 6131- 6.�k,6 ,Y 4" N,,WW"-
LZip321-3 ' P -
E-Mail or Fax#(Optional n -
0 t"
Contractor Information: Age
Company Name: I-Ic', 'fe r I'J e. 7n c- Q u a I ify i n I D, nt: 110t 1 HA
I Citv/K6-,1",_ Aeccik State It=L ZiD 3 X a-?-?
Address:-UP S*tf t*t Fax#
Office Phone 63 1- C ;t,1; 8 Job Site/Contact Number 4631- 6 �,6 ,d -
State Certification/Registration 4
Architect Name&Phone# F
nAR:J1TiTT D
Engineer's Name&Phone OK CODE COMPI
*;0
Fee Simple Title Holder Name and Ad ress— CITY OF ATLANTIC RIE jeli
Bonding Company Name and Address SEE PERMITs F(,)g A r)p,Tl
Mortgage Lender Name and Address KEQUIREMENr AND CnNrW"rrn?.T0
Application is hereby made to obtain a permit YOMM s indic ce r ify 4t no wor or installation has commencedprior to the
issuance of a permit and that all work will be a law re' this jurisdiction. Thispermit becomes null
and void ff work is not commenced within six(6)months, or i cons ruc a any time after
, weriod of six(6)months at
work is commenced. I understand that separate permits must be securedfor Electrica Work, um ing, e S Pools, Ftirnaces,Boilers,Heaers,
Tanks and Air Conditioners,e1c.
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 exami.ned th' plication and know the same to be true and correct. All provisions of laws and ordinances governing this
's a .
type 7Mrk will be complied with whether ecifl4pid herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of any otherfederal,state, or localsf,W construction or the pe�fbrmance of construction.
Signature of Owner Signature of Contracto"eYZ4_
Print Name
Print Name 0 ......................................... ....... ...........Ho, .......................................
..................bg.r...........................................................
Before me Before me 20
thijDay of ct_/k 20 this,4&�Day of 0CJ4
Notary Publid NoTary Pubbc
ANGELA 13AXLEY ANGELA BAXLEV
5
my COMMISSION#EE 12607 M1 EEE 126075
5
r 2015
.cUCJ
EXPIRES:November 8,2015 it MIRE November 8,2015
7
Bonded Thru No,:Ltary Public Bonded Thru Notary Public Undawrlters
Llndi—rwftLrJ1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. PTI o :2-o -- 0 3 6
State of County of 02,
To whom it may concern: L)�/k V C�_
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 descriplion of property being improved: L 0
Se-/VC, Me'ri"Ic". Uil, � t Y
Address of property being improved:_ / 7 rc,c g
General description of improvements: /V e W;,1 DO
Owner -I-
Address /6 /Ph le �e. A f(Ci TL e C,C, E
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor /201ito Y- L HcA Hl;" ,./
Address
Phone No. 6,3 6 d' Fax No. A/C .4 A—
S�rety(if any)
Address --Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction 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's option).
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):
THIS SPACE FOR RECORDER'S USE ONLY DATE -3
Signed:/
Before me this c��! da�of CA43L4 in�i_e_
County !Ta
.Vtate tf)Floricla
�q�personalfy appeared
624, 4 k V_
Doc#2013072104,OR BK 16299 Page himself/herself and affirms that all statements and decl
are true and accura!e .....
Number Pages� I ANGELA BAXLEY
4...-Av'�
0,-�51 PM,
Recorded 03/21,12013 at kly COMMISSION#EE 126075
EXPIRES:November 8,2015
T DUVAL
Ronnie Fussell CLERK CIRCUIT COUR
Bonded Thru Notary Public Underwntem
coUNTY
01 - I"
RECORDING$10-00 Notary Public at Llarge,State of -n County of
My commission exp:res:
Personally Known or
Produced Identifiration
'Vf City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
- ?30
X Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed: !�12
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 172S ?grt— Dgpa ment review required Yes 'No
Building
D
Applicant: IP—M �'�nning &Zoning
TreeAdministrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Sign'afure-"'
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:
APPLICATION STATUS
Reviewing Department First Review: EqApproved. F�Denied.
(Circle one.) Comments:
PLANNING & ZONING Reviewed by: An 111k- Date:
TREE ADMIN. 61
Second Review: E]Approved as revised. RIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by:_ Date:
Revised 07/27/10