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1073 Beach Ave 2013 Door CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002725 Date 5/29/13 Property Address . . . . . . 1073 BEACH AVE Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3645 ---------------------------------------------------------------------------- Application desc replace door, and slider ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OKEN DEBORAH MARIE ACE DOOR & WINDOW SERVICE 1073 BEACH AVENUE 9123 HARE AVENUE ATLANTIC BEACH FL 322335753 QA VICTOR AVERILL HALE JACKSONVILLE FL 32211 (904) 727-6811 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 3645 Expiration Date . . 11/25/13 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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. NOTICE OF COMMENCEMENT ! Permit No. Tax Folio No. Stale of Florida,County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Desclipiion o propert (I aldtdesc�iptiglmGoCProPert�r a�Vddress if,�yajlable): 2. General Description of improvements: 3. Owner nfonnation: a)Narne and Address:_ O� 4e� (� b)Interest in property; 0 (fin � . c)Name and address ofim simple titleholder(if other than owner): OZoZ 4. Contractor Information: ACE DOOR & WINDOW a)Name and Address:_ �.tr-�•.����c. 3 � b)Phone Number: o 5. Surety Information: 9123 !ARE AVE a)Name and Address: b)Phone Number: "~ 11 C)Atnou ond:$ 901-721-6811 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: S. In addition to himself7herself,Owner designates g of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commenc ent(The expirati9n dams one(1)year from the date of Redording unless a different date is specified: �f WARNING TO OWNER: ANY PAYMEN�ADEY THE OWNER AFTER THE EXPIRATION 05THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713;PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICE 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 AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING _ YOUR N OF COMMENCE EENT. Signature of Owner or Owner—,Authorized 0 fficir/D ire ctor/P artner/M anager _ Signatory's Printed Name.&Title/Office The foregoing instrument was acknowledged before me this��ay of MaLt, 20-L,by (Nanne of Person) as.(AuthorityType,i e Officer/Attorne for Name of Part Ins' (n was Executed for) YP Y) ( Y Ins E,e r•0 Notary Public State of Florida OT IZYPU`BLIC,,STAT OF FLr/DA_ Jamie L Fredrickson �a�/G1''CG/'YIG�Sd � My Commission EE 864276 P_ t Name: �� Expires 01/10/2017 Personally Knowti �entification/Type: Verification pursuant to Section 92.525. Florida Statutes. Under penalties ofpeijury. I dela e that shave jcad the : lbregoing and that the lacts stated in it are true to the best of my knowledge and belief: Doc#201 31 31 659,OR 8K 16382 Page 300, Number Pages:1 Signature of Natu al Person Signing Aboic Recorded 05/2312013 at 03:17 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Rc,isccl 10/1/2009 RECORDING$10.00 City of Atlantic Beach Building Department APPLICATION NUMBER 9 p (To be assigned by the Building Department.) 800 Seminole Road ? tr Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z City web-site: http://www.coab.us 11 — 9 /a APPLICATION REVIEW AND TRACKING FORM Property Address: �� 173 8 D=artment review required Ye No 9�'N nm /� Building 60 P—) g &Zoning Applicant: C�� Q� � �/ Tree Administrator Project: / E hw,Q Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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: BUILDING PLANNING &ZONING Reviewed by:_ TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 �� b Office (904) 247-5826 Fax (904) 247-5845 Job Address: 10-7 3 eac k ()L\)e- Permit Number: t/3- aZ 7aS7— Legal Description 60 — A7 14a-J7 G B CA • PL . Parcel# p p Floor�f q. t. Sq.Ft Valuation of Work$ 6yS Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commerciale ' n 'al If an existing structure,is a fire sprinkler system installed? (Circle one): Yes o N/A Florida Product Approval# N-7 • 10 E-q7 For multiple products use product ap rova orm Describe in detail the type of work to be performed: % iaCe 51 Q C[00(-Gv-j nDc7 Property Owner Information: Name:ko(-O,h ©� 1 eN Address: —7 City G A& . State Zip -2 Phonevi I LQ5 �cZ E-Mail or Fax#(Optional) Contractor Information: Companyme: Ce� o e 4 vJ do V3 Qualifying Agent: r ` Address: eLA V'e. City TG)c State FL Zip.3 22-11 Office Phone 70"27 -6P I Job - Fax# -7a 7- 4, ! ,� State Certification/Registration# Architect Name& Phone# MM WEITFORCODECOMPLUM Engineer's Name&Phone# CM OF ATLANTIC REACH r i i Fee Simple Title Holder Name and Address SEE PERMITS FOR ADDITIONAL ' Bonding Company Name and Address REQUIREMENTS AND CONDITIONS. Mortgage Lender Name and Address ill A Application is hereby made to obtain a permit to do t lation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of al aws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, 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 YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws an ordinances governing this type or work ivill be complied with whether speci ped herein or not. The granting of a permit does not presume to give autho /ty to violate or cancel the provisions of any other federal,state,or local law reZNlating construction or the performance of construction. Signature of Owner X Signature of Contra r - Print NameI—v .Q.��I'..`........................ ._� �r� Print Name k47�Z 7...... ....�....... l� Swo o and subscribe >� fore me Swo t and subsc ib d before me this Day of 20 this Day of 20 ary ry Public wised 01.26.10 REEfl ate of Florida 0 N Notary L Fre State o Florida ckson Jamie L Fredrickson EE 864276 My commission EE 864276 17 �n Expires 01/10/2017