103 S SARATOGA CIR WDW PERMIT CITY OF ATLANTIC BEACH
2 800 SEMINOLE ROAD
J = ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002444 Date 4/15/13
Property Address . . . . . . 103 S SARATOGA CIR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3900
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Application desc
REMOVE/REPLACE WDWS WITH YYK VINYL WDW, DOORS
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Owner Contractor
------------------------ ------------------------
MCIVER, CYRUS D BEACHES HABITAT
103 SARATOGA CIR S 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-1222
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3900
Expiration Date . . 10/12/13
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 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
Job Address: 103 Saratoga Cir. South Permit Number: 3 — 2y q L-
Legal Description : 31-133-38-25-29E Atlantic Beach Villa Unit 2 Lot 5 Blk 3 Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$3900. Proposed Work heated/cooled 1237 non-heated/cooled 36
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/s window
Use of existing/pro osed structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#atta hed
For multiple products use product approval orm
Describe in detail the type of work to be performed: Remove and replace old aluminum windows w/single hung, YYK
vinyl windows, Remove and Replace Front and Reardo—ors
Property Owner Information:
Name: Cyrus McIver Address: 103 Saratoga Cir. South,
City Atlantic Beach State FL. Zip 32233 Phone 904-246-2405
E-Mail or Fax#(Optional) RIM
Contractor Information: f
Company Name: Beaches Habitat for Humanity Qualifying Agent: Robert Peterson; Construction Manager
Address: 1671 Francis Ave. City : Atlantic Beach State : Fla. Zip 32233
Office Phone : 904-241-1222 Job Site 04-241-4310
State Certification/Registration# REVIORD
Architect Name&Phone#
Engineer's Name&Phone# �OF _BEA
Fee Simple Title Holder Name and AddressPEFMOR ADDITIONAL
Bonding Company Name and Address_ ITIONS.
Mortgage Lender Name and Address
Application is herebyy made to obtain a permit to do the work and insta ahons a z has commenced prior to the
issuance of a permifand that all work will be performed to meet the standards of all laws regulating construction in t is juris is on. This permit becomes null
and void zf work is not commenced within six(6)months, or if construction or work is.sus or abandoned for apenod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricaCWork,Plumbing,Signs, Wells, Pools, Furnaces,Mien,Heaters,
Tanks and Air Conditioners,etc-
WARNING
tc
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 hereby certify that I have read and examinedEaw ,ahng
plication and know thei1, 0me to be true and correct. All provisions of laws and omliruznces govern* this
type of work will be complied with whether i zed herein or not. The nng f a permit does not presume to give authority to violate or conte the
provzszons of arty otherfederal,state,or localreglconstruction e performance of construction.
Signature of Owner /LC� Signature of Contractor <!�-�y '�'
Print Name e-.��tAi1 Print Name ,
Sworn and subscribed before me Swo and subsc 'bed efore me
this Day of t4 JJ;2�'L-- , 201 Day of 1,0R_11 201- - - - - - - - - - - - 3
j
o ry Public Public
,,i°, Y ; JOYCE M.FREEMAN T7, XNtgq*1b8u0l1:
ga °�° JOYCE M.FREEMAN
.`" Notary Public-State of Florida .26416f FloridaMy Comm.Expires Jun 10,2013 = My Comm.Expires Jun 10,2013
i� ,
C mmission#DD 897794 %.,;oFF��d Commission#DD 897794
�um�`
NOTICE OF COMMENCEMENT ��m y �^
State of Florida Tax Folio No.
County of Duval
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: 31-133-38-25-29E
'S A I K i
Address of property being improved:103 Saratoga Cir.S.Atlantic Beach,Fla.32233-3350
General description of improvements:Remove and replace Asphalt Shingles replace A/C replace Hot Water Heater,replace windows
Owner: Cyrus D.McIver Address: 103 Saratoga Cir.S Atlantic Beach FL 32233
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
Contractor:Habitat for Humanity of the Jacksonville Beaches
Address:1671 Francis Avenue Atlantic Beach FL 32233
n b, Phone No.: 904-241-1222 Fax No.: 904-241-4310
Surety(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(2xb),Florida Statues. (Fill in at Owner's option)
Name:Robert Peterson c/o Beaches Habitat
Address:1671 Francis Ave.Atlantic Beach FI.32233
Phone No.:904-241-1222 Fax No.:904-241-4310
Expiration date of Notice of Commencement(the expiration date is one(1)year form the date of recording unless a different date is
specified):
OWNER ►y /
m..am �Aa igned:�/L��` I'� Date: �/ — y—�
efore a this day of in the County of Duval,
,•tPa'°9'% JOYCE M.FREEMAN r4�2i f e-—
=o r,: tate of Florida,has personally appeared 0.q gui IA!;-; 1/e
Notary Public State pt Florida otary Public at Large,State of Florida,County of DuvaL
r; My Comm.Expires Jun 10,2013 y commission expires: a n_ t P D 1
%;Focv oP` Commission#DD 897794 ersonallyKnown: or
roduced Identification:
Lm-
Warning to owner: Any payments made by the own 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 with your lender or attorney before commencing work or recording your notice of commencement.
THIS SPACE FOR RECORDER'S USE
Doc ri 2013035943,OR SK 16318 Page 230;,
Number Pages: 1
Recorded 04/08/2013 at 03:04 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUV.-,L
COUNTY
RECORDING$10.00
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City of Atlantic BeachAPPL'{CATION"NUMBER
Building Department (To be assigned by the Builrlirg Department.)
t. 3 L ilq '
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:;
City web-site: hfp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 �C��C� I s, C 1,�, Department review required Yes No
Building
Applicant: ��c.h c s N ctiL ; fi-c Planning&Zoning
Tree Administrator
Project: i` J aL'V L')C)r Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: proved. ❑Denied.
(Circle one.) Comments:
CiiDIND
PLANNING&ZONING 1�
Reviewed by: Dater"
TREE ADMIN. Second Review:
Approved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10