2215 N Fairways Ln window 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002453 Date 4/16/13
Property Address . . . . . . 2215 N FAIRWAY VILLAS LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6446
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Application desc
window door replacement
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Owner Contractor
------------------------ ------------------------
ECHAVARIA GENEVIEVE R THD THE HOME DEPOT AT-HOME
2215 FAIRWAY VILLAS LN N SERVICES
ATLANTIC BEACH FL 32233 207 KELSEY LANE SUITE K
TAMPA FL 33619
(813) 402-3700
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . SO
Issue Date . . . . Valuation . . . . 6446
Expiration Date . . 10/13/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 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 . SO 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 3-C,!:7
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 cdt� S"",Vq64a
Office (904)247-5826 Fax(904) 247-5845
Job Address: tA fa�CL�4 \]A\ass �_h Permit Number: 95--3
" j
Legal Description 0'o-as-&C�C- vbj" I Parcel#
', U,�kcLs
Valuation of Work$ ��4�o co
Class of Work(circle om): New Q��terafim , kolition poollspa. window/door
Use Of="' Owepowd s (=: kerlm?aff Resi
.::=,rPe(=
sumchwe,is a fire- r system installed?(Circle one 0 N/A
Un Q
Florida Product #
��WAA W__
For multiple acts product approval form
P= =
Describe in detail the type of work to be performed: Et�AqU
Property Owner Information: r..)
Name: Qene_V��e r�o\-QV
QV-�r), -Address: c2Q)t, [A Aainm� V Ul Cn
City GiAgo 1�0- 11M 0 k, State f LZip 2,Q k:Ki Phone (W�ul 4,A0, AE��Dr)
E-Mail or Fai#(Optional) r
Contractor Inforl1aft-
- At-Home Services,Inc.
Company Name: 207,Kelsey Lane,Suite K Qualffying Agent:
Address: 1-4.JJ619 city �j State
Office Phone 5;j k-F
�)---�;7,Db Job Site/Contact Number Fax# (?A2,)
State Certificatkon/Registration# LT0&j2h&%--')
Architect Name&Phone# r--% r;3 n nn r-P r�
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address L 16W IN
Bonding Company Name and Address APR WYM JUJ i rn r A
Mortgage Lender Name and Address IL r
to I I r T
ior to I
0=1 mes n
oriths ai an 'i
aceMs,B
WARNING TO OWNEIL- 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 WITII
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y014i NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined th' U * n g��know the same to be true and correct. Allprovisions oflaws and ordinances governing.t,
type pl�work ivill be coMplied with whether ',`c`Xe§=,On ot. The granting of a permit does not presume to give authority to violate or cancel i
provisions ofany otherfederal,state, or localsf1w�egulating construction or the peFformance ofconstruction.
Signature of Owner Signature of Contractor4�2� ,&
Print Name
Print Name
.............
Sworn and subscribed before me Sworn to and sub 'bed before me
this ?'Dayof0N.,,o, .201 this L*A—Dav of Sww 201S
C-11 Nobi
Notary Public yryPdblj�,
RONALD ALLEN REEDY SAMANTHA KAAA Revised 01.26.10
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA
Expires 10/25/2014
STATE OF FLORIDA
Comm#EE017867
Cwrwn#EES54609
Doc # 2013089183, OR EK 16323 Page 1754, Number Pages: 1 , Recorded
04/10/2013 at 11 :58 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
P,-H A).. SA w,'
This k&--d Prepared By:
TED At-Home SeMces
207 Kelsey Lane.Suite K
Tampa,FL 33619
NOTICE OF CONEWIENCEMOM
Permit No, Tax Fotio No. L:�Lq-S-
State of Florid#
County of J"�'I\ja
THE UNDERSIGNED hereby gives notice that unpruvements win be made to certain real property,and in accordance with Chapter 713,Flosida
Statute%the following information is provided in this Notice.of Cmunenceramt:
1.DVtion ofproper�-(legal description otproperty,and streetd&.if.0.ble) 0'a tri
I - -c- fQla'IR:n� V� Q
- -)Q on- M-O:q Q
2.Gencral descriptionof improvement _ \AJI)�&r4Q"IS
3.Owner information
(a)Name and address:Genei,eve m2ctyay�(A - �DQ t--Z�r4, �0 �!C'r ta
(b)Interest in prop
(c)Name and address of fee simple titleholder(if other than owner):
4.Contractor
(z)Name and address; THD At-Home Services,Inc 207 KeLwy Lane,Suite Y,Tampa,FL 33619
(b)Phone nu ber. 913-402-3700
5.Surety
(a)Name andaddrcss:
(b)Am-.nt of bond
(c)Phone number
6,Lender
(a)Name and address.-
(b)Phone m=ber-.
7.Persons within the State off—iorida dcsii�—ed by owner upon whom notices or other documents may be served as provided by Section
713.13(l)(a)7.,Florida Stablt=:
(a)Name and address:
(b)Phone nurnbe:
8.In addition to himselt Owner demig*n ifts the following person(s)to receive a copy of the Liences Notice as provided in Section 713.13(1)04
Florida Statates:
(a)Name and address:
(b)Phone number:
9.Expiration date of notice of commeniemcat(the expiration date is I year from the date of recording uniess a differcut.date is specW4
WARNNG To OWNER: ANY PAYMENIS MADE BY THE OWNER AFTER TBE EcFIELATIO'N OF THE NOTICE OF COMMENCEmEN7
ARE CoMmERm D4pRopER pAymEms uNDER CHAPTER.7 u,PART L SECTION 713.13,FWRIDA STATUMS,AND CAN
RESULT IN YOUR PAYING TWICE FOR A&PROVEMENTS TO YOUR PROPMCYY A NancE,OF comuENcEmau musT BE
RECORDED AND POSTED ON TBE JOB SM BEFORE TEE FMSTjNSpECMN EFyOUDnEMTooi3TAINFDcANCDIC,;CONMXT
WrM YOuR LEmDER OF,AN ATroRNEY BEFop-E cowm4clNG WORK OR RECORDlNG yOUR NonCF,OF CONSUaXEMENT.
10.—
_,1ripatare of Owner or Owner's Authorized OM—W-aw
Sipatorys Title/Officc
�%Rby G'P v ye-
T"-MIIJQ4(� (ty"of autborily,C-g�officar.trustce�atto-ey in fi-0 for
(name of party on behalf of whom instrument was=aftd).
MONALD ALLEN REEDY A/&� 6�e�
NOTARY PUSUC 'gipwinre ofNowy Public- ,Uft of Flonda
ITATZ OF FLORIDA '—AND— peruffially known&_or Prodrxed Mewification
CAMMOZEMM9 Verification rMg=tQSe
tolm i 2**M1 6 Aon 91525.Florida SM
Under Penalties of pcijuM I declare dwt I haw read the foregoing and that the ftcts stated in it are trim to the ben of my w1odge and belkt
amy
/fe
f-Natzal PessonSimning CM ijaea JU)ADO"
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Dale routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I--al Y-Woq Department review required Yes /No
_/ Building
Applicant: Planning &Zoning
Tree Administrator
Project: W cor Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By I
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: []Approved. DIDenied.
(Circle one.) Comments: 0 C
(B=UILDING �)
PLANNING&ZONING Reviewed by: //77 Date:
TREE ADMIN. 61.
Second Review: F�Approvecl as revised. FIDenied.
PUBLIC WORKS Coraments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 071271lO