294 Poinsettia St 2013 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Application Number . . . . . 13-00003166 Date 8/05/13
Property Address . . . . . . 294 POINSETTIA ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1946
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Application desc
WINDOW REPLACEMENT
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Owner Contractor
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LOGSDON PETER BRIAN & ROBERTA BIG D BUILDING CENTERS
294 POINSETTIA ST 3008 SANTEE PLACE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32260
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1946
Expiration Date . . 2/01/14
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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 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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 VJU 3# 2013
/�3-1�44
Job Address: Pbtn5(4��a Permit Numb��
Legal Description 10- 116 16 2-cl G 3 Parcel#--S-q-.Ft
jqq( F loor Area of Sq.Ft.
Valuation of Work $ 0, (X) Proposed Work heated1cooled 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): rcial Residen
Coillnu (j�esidej ti
If an existing structure,is a fire sprinkler system installed? (Circle one), N /A
Florida Product Approval # FL_ _�;C>I-Z
For multiple products use product approval torm
Describe in detail the type of work to be performed: Pp jpin�.E 2 - Fr6rA L_j )yatlnwL�
L.,j n f)A cjX—
Property Owner Information:
Nam Address: 2qLA R(AV\5CA41CA=
City StateFLZip 32Z-33 Phone
E-Mail or Fax# (Optional)
Contractor Information:
Company�Name: hkiu(b�, 6P_4_K _Qualifpn� Agent: bMCXAk
-L zin _;22CR
Address. &-aver 9urf_e� city lt�_ —St te
Fax
-4:�o 0
Office Phone 3 W- Job Site/Contact Number
I I 40�-C-7
State Certification/Registration#-I--
Architect Name& Phone
Engineer's Name& Phone#— RJELJ1Fq&A0_d WIT JLOJ"FORIM CODE COMPLL"Ch
Fee Simple Title Holder Name and Addres C1 TYUF ATLANTIC BEACH
IR ADDITIONAL
Bonding Company Name and Address
REOUIRE 4ENIS
Mortgage Lender Name and Address
d. Pre Y7 Mtrrl 0 lvrolrr��'
-e "�erniit to 4 -mit become
Application is hei bi,made to obtain // �urisdiction. This pet stild/
i.ssuance ofa permit'and that all work be petfibi (6)nionths at ant,time afier
and void if work is not commenced within six(6i nionihs, 01-if'collsti-action at-work i. ....�ellaea 0/'a0alla0neq,1U1_ F.,naces, Boileis, Heaters,
wol-4- is commenceJ I understand that separate permits initst he secured.for Electrical Wo- Well Is,
Tanks and Air Conditioners,ele.
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 herchl.certift that I have read and examined this(pplicatioll and knon-the same to be true and correct. .411provisions of/mi,,miq oralinances,'j�oveon.ng this
ti-pe of work'it-ill he complied with ti hether spceified he,-ein or not. The t, 'esunic to -1ve a
,,oaitia, ol'a permit does not P, uthorin, to violate or ceoicel the
Provisions ofam.other/L'deral,slate. or loca/law, gillaling collstractioll 0;.the pel.-Ibl-mance 01'C017SWIlCli0l,
signature of Owner Signature of Contractor
PrintName I................ &z.6i................................................... Print Name ......................................................................
Sworn and subser i bed before me Sworn We—
o'-loea/
L't
. . . ... . .... ..
do
rn and suoseeribedbeirc., 4X
0 tills 4 20( 5
this
ftmo E,"=
11 Sol- Nota Ell 203M
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Notary 0
I
-6.10
P
NOTICE OF COMMENCEMENT
State of Fbnd6 ATax Folio No.
County of FILE COPY
To Whom It May Concern:
The undersigned hereby informs you that improvements will be mas�to' �ertain 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: 10- jU ((a-ZS- 2-ci E -k t'K 5: 3
Address of property being improved: 2q rx�e_Au-,L Sb2�xl AAA&141, EL- 3zz �0
General description of improvements: 'Re PL6 W ax &I W\yx_�t�to 2—
Owner: — Address: 2-q4 nsjkck
Owner's interest in site of 4 improvement:
Fee Simple Titleholder(if other than owner):
Name:
J� ��6AAF��5
Contractor:
Add,ee,,_: ?A�; W4 vcr 9-ree_� laiscnALe . f--c 3Da-6
q C)0 Fax N
Telephone No.: o:
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone 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(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER Date: —7 13
Signed: —
Before me this day of -za in the County of Duval,State
Of Florida,ha e onally appeaTd
sp rs 'I
t L g,
Notary Publi a ar e
My commission expi F.GUMM or
Personally Known:
Produced Identificatio C 0 EE
I I TWO Il I'm Wary Asa.
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
Date routed:
E-mail: building-dept@coab.us
City web-site: hftp:/twww.coab.us
APPLICATION REVIEW AND TRACKING FORM
artment review required Yes -No
Property Address: '_�q� a -, 4 :: :
Building
Applicant: &.0/ anningg &Zoning
Tree Administrator
Project: '�J /AA,0 Lalcilm frTr 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 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: HA'pproved. E]Denied.
(Circle one.) Comments:
In(',,- Date: R-1 —L3
PLANNING&ZONING Reviewed by:
TREE ADMIN. Second Review: nApproved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14109