317 Seminole Rd 2013 window/door A.V
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002572 Date 5/02/13
Property Address . . . . . . 317 SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5660
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Application desc
WINDOW/DOOR REPLACE
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Owner Contractor
------------------------ ------------------------
KAEUPER, KEVIN C ACE DOOR & WINDOW SERVICE
317 SEMINOLE ROAD 9123 HARE AVENUE
ATLANTIC BEACH FL 32233 QA VICTOR AVERILL HALE
JACKSONVILLE FL 32211
(904) 727-6811
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 5660
Expiration Date . . 10/29/13
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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 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0
M NOTICE OF COMMENCEMENT
0- 0 Tax Folio No.
(714 :�0 Permit No.
to
EL
State of Florida,County of Duval
will be made to certain real property in accordance with
0 THE UNDERSIGNED hereby give notice that the improvement
n o: 0 is provided in this Notice of Commencement.
;S uj 0 Chapter 713,Florida Statutes,the following information
('4-j 0
0 �4(.) ;'
0 0 C'= :� 1. Des tion of property(legal d t f rope y and address if availabLe):
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M0 W 18 t!5 t
a) a)U_ 0-1
-2 A?Z 0 7. cription of im
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3. Owner Information: t
Lai per a %-, s4
a)Narne and Address:
b)Interest in property:
c)Name and address of simple titleho der(if other than owner):
4. Contractor Information: 'E r
j_,4_A= *014 & WINDOW
a)Name and Address:
b)Phone Number-
5. Surety Information: __gjZ�-HARE AVE
a)Name and Address
b)Phone Number:
C)Ai ond:$
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person-
8. In a.ddition to himself/herself,Owner designates ion 713.13(1)(b),Florida Statutes.of to receive
a copy of the Lienor's Notice as provided in Sect
a)Name and Address:
b)Phone Nurfiber of person or entity designated by owner:
9 Expiration date of Notice of C cement(The expiration date is one(1)year from the date of Recording unless a
different date is specified- OIX
V
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 PROPERT`Y. A NOTICE OF COMMENCEMENT MUST BE REtORDED AND
W POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING.
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
X YOUR NOTICE OF COMMENCEMENT.
Ul
_UA
Uj D co 201 ��by
z a Uj of
2 W. The roregoin.a instrument was acknowledged before me thisc_-7-1" day
0 & j4ed'ear V
U X a, fo r__A!,-instrument was Executed for)
z (Name fP
< >. LU (Authority Type.I e offimr/Ait.rney
(Name 01 Person)
E OFF OR
ANTO*&I IDA
NOTARY PU I STAI
N C
A
Print Name.
Flee-* E4ersonally Known
C Identification/Type:
Vel ification pUrSUant to Section 92.525.Florida StatUtCS- Under penalties of perjjUry, I declare that I have read the
fioreaoinQ and that the facts stated in it are true to the best of my knowledge and belief'.
Sian
ature of Natural 0 rson Signing Above
Re%iscd 10/112009
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
rill
J Ad 09
ob-Address: 7 Ao le- R cad- Permi mb
Legal Description 0� 15 1 L* - o? �2 Ole ;�P_C A 5at'Karcel#
Floor Area of S Sq.Ft
�q Ft.
Valuation of Work$,S-(,60 Proposed Work ea- ted/cooled non-heatel"Je
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spaCwindow/door
Use of existing/proposed�struc sidential
1-0
If an existing structure is a tuf®ritteleirefseystMem:installed? (Circle one . 0
Florida Product Approval#rl Y� 6 W;A&.-; (I S2.ZO. I D60
For multiple products use%
igoduct ap
a proval form
Describe in detail the type of work to be perfon-ned: Re_ple-,�v_ r-vonr- dxxi-r, Rnlace_ siae_ 800-'r
Property Owner Information:
Name: Kaeupex- Address: 317
city A-r/7mT.'c_ State F��Zip -gao-13-3 Phone
E-Mail or Fax#(Optional
Contractor Information:
Company Name:Ar- i)co-,c- R w ,viclaw Qualifying Agent: 4'CTCh A. 14a le- Zip 7?,q,
Address: !JOL3 9-&fc dV- city 'lay, -State F
Office Phone '70Y-792- (0811 Qi-/1--ta-M—Ner /qyq Jax# �9?-6& 3
State Certification/Registration#
Architect Name& Phone# 1%MVMWJNl)Y0K CODE C
Engineer's Name& Phone# A CITY OF A1C1,ANMC 8FACH rig r n el ft !l
Fee Simple Title Holder Name and Addr s SEE PEPNITS FUR'AM)MC)NA1 y It
Bonding Company Name and Address— QUIREMENTS AND Co
Mortgage Lender Name and Address ED py 4-n A
13r: 0,
-4 Zj_�4-_
A ca e ' de obta n a ermit tJ *A-M"4 jM469wod I-f n.Yta. tion has commenced prior to the
11 be performed to meet the standards ofall aws regu ing jurisdiction. Thispermit becomes null
to p
a 'k " f
"aIh t 11 0 months at any time a ter
'o r b'
i pph pe nd a
"u- a 0, it a t co, n w t fconstruction or abandonedfor a period ofsix
7d' idif- k no me 'hi six(6)months, or i work is suspen or
work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, Wells, Pools, Arnaces, 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 Y61T]i NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this
��work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth tv to violate or cancel the
provisions ofany otherfederal,state,or local law regulating construction or the pertbrinance ofconstruction.
Signature of Owner Signature of Contractor
e,
Print Name X C_ A
Print Name ............................. ..... ..........................A. .... . ...............................................
Swom to and subsqyi�ed befox me Sworn t and subscribed before me
this-3U Day of 20 Sthis Dav -A
��ry Public State of FlorWa
z ANTOINETTE T Arnie L Fredrickson
0 u Cornmission EE 864276
Notary Public my COMMISSIO 1,2016 ublic
EXPIRES 0C
Is...
4.9 3 FW08NOtary rVice 00M
We;N
City of Atlantic Beach
Building Department
I ent
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
City web-site: http://vmm.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Add s: popartMent review reguired Yes -NO i
Building --" I
Applicant: C� Wuji)a -Prai-n—ning&Zoning
Tree Administrator
Project: L01'11�)oljll ZLon Public Works
s
Public Safety
Fire Services
EMR
MEN III I
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: 02A/pproved. F�Deniecl.
(Cirde one.) Comments:
BUILDING /�Oc_
PLANNING&ZONING Reviewed by: '�77 Date:_.�i L.4 -
TREE ADMIN. Second Review: DApproved as revised. FDe
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 07127110