2340 W Oceanforest Dr 2013 window % I.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002463 Date 4/25/13
Property Address . . . . . . 2340 W OCEANFOREST DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4101
----------------------------------------------------------------------------
Application desc
door replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SANDARG MITCHELLE ET AL ACE DOOR & WINDOW SERVICE
HOLLAND STEVEN 9123 HARE AVENUE
2340 W OCEANFOREST DR QA VICTOR AVERILL HALE
ATLANTIC BEACH FL 322336611 JACKSONVILLE FL 32211
(904) 727-6811
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4101
Expiration Date . . 10/22/13
----------------------------------------------------------------------------
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
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
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 ONL t' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PROM A.�_ D��v "I n�l__ S- <THU>APR A 001a le:151,1ST. la:150,'N-.715=01570104 P 2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach FL 32233
E COPY Office (904)247-5826 Fax (904) 247-5845 PR 12
�y
r, Perm it N
Job Address: o
Legal Description LIQ t<5> 7 ,2 S
oor Area ot Sq.Ft. Sq.Ft
Valuation of Work S 4(b 0�Jroposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) circle one): Commercial J;�Residential
If an existing structure,is a ILre spriWer system installed?(CLircle one): ii��o
Florida Product Approval# r4c: 19110111011M :, 111'W"Tr
7 Z W
For multiple products use prod—uRt approval torm
Describe in detail the type of work to be performed: I qq _S:�g q_47'0
MctO—or 6ed,('oC>1v, Do,-�-r sout 4�;tetAl'j�j gOOM
Property Owner Information:
Name: &fchelle- do-11cy.4'et Address: 2 3q o 0ce>q s4- r. (jes
city r/-am r i lRe-ac-k State�Tz-i p 3 2-7- 3 JPhone &3 1
-A-
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: 91 ol!) 44ACe, (1,1#_ clty� e State F 1- Zip 'S 11
A==_zaQ2 - C_E I -3
OfficePhone 'YO!q -7Q-7Q,,r// Job Sit Contact Nu�
C
State Certification/kegistration# Ce e)14!2 =avnrv-.vv
-# _D FOR e0DE COMPLUMCE 11
Architect Name&Phone
Engineer's Name&Phone 4 /V I H_. e1Ty0FX1U0MC1RFAC1J
Fee Simple Title Holder Name and Address 'N 14 3ME PERMITS FOR ADDJTJON�f. h—
Bonding Company Name and Address /V A UfREMENTS 7ND—CONDITIONS 11
Mortgage Lender NaTne and Address &IA- IREUMUM 1-11" f ,IL
DAM
Application is hereby made to obtain a permit to do the work r ay In—ica en d prior to the
issuance of apermit and that all work will be pe?-formed to meet the standards of all laws regulating construction in is 'ztrzs Ic becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or ahandonedfor a erio a six(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plum g, Sikns, 11s, ools, Fitrnaces,Boilers,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
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUi NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined this ea licati n and know the same to be true and correct. All provisions of I d ordinances gove n
C, me to g , w an, c r ing he
V,2 111�work will be complied with whether sfe N herein or not. The granting of a permit does not presu 'thority to violate or ancellthis
provisions ofany otherfederal,state, or local aw regulating construction or the pe�formance of construction.
Signature of Owner A&tOW Signature of Contractor-�/
Print Name Print Name \1.... .... R�d_-.t.............................................
............
Before me Befor
this L-1 Day of 2013 Aay of 20
YotOy Public
Notary Public A NN 1 0 1D
Commission#DO 942766
ExOms November 29,2013 PU. Notary Public Stale of Florida Revised 10.24.12
4
W)ded Tlvu ftY Fain Immo Jamie L Fredrickson
RN EMyCommEiasionEE 864276
I
ovj Expires 0111012017
PROM A-- D--- & W 1 ncl-- S-�. (PRI)APR 12 2013 11:53ZST. 11 :53ZH-. 752OS7O214 P
V�ROM A-- 0— 186 up—]-- S-.;. <THU>APR 4 201,N 1:3:451/ST. 1;3;W.O.'N-. 7t52015701 e4 P 3
NIOTICB OF COMMENCEb=NJ f EILE
.m FILE CO"'
(PREPARE IN DUPLICATE) WL
py
Permit No. I/ Tax Folio No
State of County of
To whom N may concern:
The undw*19ned hereby Inform*you that Improvements will be made to claftin rqM property.and In
accordance with$*Won 713 of the Florida Statutm,the following Information Is stated In this WO'nCF OF
COWEIMMENT.
Legal desaiption of party being I ruved; L4 Q - I 1?>.. -o?"s
(!)C
;rperty being I
Address of property beXg Improved* 01'3 4 D OC—eQ_IJ
AtlealnLc
General descAption Of Improvements. I n S+ Q%A f:
RCCA�t--) - J&eAk,8-6m .
Owner tg, —t+#dt Idd a
Address Oa L.
Ownst's Intarest In sJte of the Improvernant
Fee Simple TKIeWder(If other than owner)
Name --- ACE DOOR & W!ND&W
Addrm -.0y
comaclor SERVICE INQ.
Address 9123 WAREE AVE
Phone No.
Six"of any)
Addrm W4-727-6811 Arno-nt o1bond S.
Ph"No. Fax No.
Nam and address at arty person making a loan for the construction of the Irnprovements.
Nam
Address
Phone NO. Fax No.
Name of person vftfn the State of Florida,other than hiniself.designated by owner upon whorn notices or other
docurnaM rnay be served:
Name
Address
Phone No. Fax ND.-
In addiltion to him"If,&Ammr 1asIgna(es thoe follovAng person to reoelve a copy of the L%noes Notice as provided in'
Section 713.08(2)(b),Flartdia Statutes.(Fill In at Owner's option'.
Nwna
Address
Phone No. Fax No.
Expiration date of Notice of Commeno!"" you Worn the date of rewrdhW unless a
// kation date Is one(1)
dKowt date Is specded):
THIS SPACE FOR RECORDER18 USMNLY 01"E��,"A
Stpod: DATE
sebreffwthis W doyof Inthe
CO- pfftlorlda,h d
Doc#2013091534,OR BK 16326 Page 1655, Wain by
Number Pages; 1 Vmw hwWand&Vrds Ifni al aW*rnarqb and Uckrotlans henaln
Recorded 04/1212013 at 11:30 AM, are ftm"accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
Raizaa LaMeMala of Vn-L— Count-y Of
My 00mmadon d As
P rscal Ily Know or
Pnuwd IdenMAWIon 3r— -1 ALLGOOD
N,
Commission#DD 942766
Exom November 29,2013
-NW7019
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
lantic Beach, Florida 32233-5445
El. Phone(904) 247-5826 - Fax(904)247-5845
E-mail- building-dept@coab.us Date routed:
Cityweb-site: http:/,'www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C230i6N'* 4/1-67- & Department review required Y
e,� No
C_ffu_�ilding
Applicant: '77-nning &Zoning
Tree Administrator
Project: i PublicWorks
Public Utilities
Public Safety
Fire Services
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 Tobai
Other
APPLICATION STATUS
Reviewing Department First Review: [gA"pproved. []Denied.
(Circle one.) Comments:
(��LDI>N
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: FlApproved as revised. ElDenif6/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07/27110