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175 15th St window 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5814 INSPECTION PHONE LINE 247 Application Number . . . . . 13-00003226 Date 8/16/13 Property Address . . . . . . 175 15TH ST Application type description WINDOW AND/OR DOOR Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 -------------- ------------------------------------------------------------- Application desc window replacement ----------------------- ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ COWART & ASSOCIATES CONSTRUCTN JOHNSON R MARK & TERESE M 912 BENTWOOD LN 175 15TH STREET ATLANTIC BEACH FL 32233 DAX@COWARTCONSTRUCTION.COM PONTE VEDRA BEACH FL 32082 (904) 392-1998 ---------- ----------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . - Plan Check Fee SO . 00 Permit Fee . . . . 100 . 00 Valuation . . . . 10000 Issue Date . . . . Expiration Date . . 2/12/14 -------------------------------- -------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE............... ---------- -------------------------------------------------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 - ---------------- --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total SO . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. TaxFolioNo. 171869-0000 State of a County of Duval To whom it may concern: The undersigned hereby informs you that improvements will be made to certain 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: 10-11 16-2S-29E Mandalay Lot 3 Block 63 Address of property being improved: 175 15th Street, Atlantic Beach, FL 32233 General description of improvements: Window and sliding glass door replacement. Owner K& Mark $v. Johnson Address 175 15th Street, Atlantic Beach, FL 32233 Owner's interest in site of the improvement— Residence Fee Simple Titleholder(if other than owner) N/A Name Address Contractor Cowart & Assoc. Construction 89 S. Roscoe Blvd. Ponte Vedra, FL 32082 Address PhoneNo. 904-392-1998 Fax No. Surety(if any) Address Amount of bond Phone 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 Phone 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 Statutes.(Fill in at Owner's option). Name Address Phone No4. 0!EEFFax 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): RECORDER'S USE ONLY OWNER DATE Signed: Before me this da Of 2Q in the 10 da,h allyappeared._ OWNER DATE -s d Y-f ';th n Doc#2013206520,OR BK 16486 Page 1349, he.rein by Number Pages� I 0imself/herself and affirms that all statements an d ein SUSAN D.LUDLAM are true and accurate Recorded 08/0812013 at 0333 PIVI, Notary Public-State of Florida Ronnie Fussell CLERK CIRCUIT COURT DUVAL My Comm.Expires Apr 2.2014 COUNTY "F I I Commission#DD 962038 RECORDING$10-00 !�j h ""o. I Rotary b1c TLarge,State f My -es-0 2 or Personally Known Produced Identification City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road -5445 Atlantic Beach, Florida 32233 Phone(904)247-5826 - Fax(904)247-5845 rou uted: 0-:lit E-mail: building-dept@coab.us LLDate City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Devartment review required Yes -No Property Address: yry - 4� 72 A—:,!!6 �' Planning &Zoning Applicant: —free Administrator Project: Public Works f Public Utilities Public Safety Fire 3ervices Review fee $ Dept Signature - Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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: [ZA' pproved. FDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Im Date-.��- TREE ADMIN. Second Review: FlApproved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. [:]Denied. Comments: Reviewed by: Date: No Revised 05/14109 DING PERMIT APPLICATION I F C 0 P TY OF ATLANTIC BEACH ILE Oi minole Road, Atlantic Beach, FL 32233 )0i LI-L� � Ie (904) 247-5826 Fax (904) 247-5845 AUG 08 2o13 E3y Job Address: 175 15th Street "t Number: Legal Description 10-11 16-2S-29E Mandalay Lot 3 Block 63 Parcel# 1�rloor Area ot Sq.Ft. Valuation of Work$_40-,0N Proposed Work heated/cooled n�n"-heated/cooled /c/000 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Cw_indow7/`Joo�r I---------------- Use of existing/proposed structure(s) (circle one): Commercial s�i �:n�t , o N/A If an existing structure,is a fire sprinkler sys m installed? (Circle one): Yes Florida Product Approval 4 306 T),O')w-S F& 16W For multiple products use product approval form q SXA)6Li q4VA f-L:A70 1� CV7,PbdLC1 Fb-tt _5t)1�2 Descrihe in detail the type of work to be performed: Install new PGT windows and sliding glass doors. Property Owner Information: Name: Mark Johson Address: 175 15th Stre t City Atlantic Beach State FL—Zip 3,2233 Phone 904-24 �-8081 E-Mail or Fax# (Optional) Vh V'L4 de+-' Co!!!J Contractor Information: Company Name: Cowart&Assoc. Construction Qualifying Agent: Dax Cow -t Address: 89 S. Roscoe Blvd. City Ponte Vedra State FL Zip 32082 Fax none Office Phone 904-392-1998 Job Site/Contact Number 904-392-1998 . State Certification/Registration# CGC 1506405 REVIEWED FOR CODE C MPLLANC Architect Name&Phone Gff V OF ATLANIFtl G' BEACH Engineer's Name&Phone# SEE PERMUS FOR ADPl44QNAJ= Fee Simple Title Holder Name and Address RlP.()J 1IRPM-P.NTS AND CONDITIQNS- Bonding Company Name and Address Mortgage Lender Name and Address DATE: Application is hereky made to obtain a permit to do the work and in,stallations as indicated I certify that no work or installation has commenced prior to the issuance o it and that all work u;ill be pe�fbrmed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null ,1�aoperm eriod qfsixp�)months at any time after f rk is 0 a and void not commenced within six(6)months, or if construction or work is suspended or abandonedf r urnaces,Boilers,Healers, work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, F ells,Pools, Tanks andAir 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type )Vwork will be complied with whether specified herein or not. The granting of a permit does not presume to thority to violate or cancel the provisions of any otherfederal,state, or local law egulating construction or the pe�formance of construction. Signature of Owner Signature of Contractor PrintName .......................................... Print Name .............................. ............................................ ..................................................C ........................................................... .................... Sworn to and subsgibead bqfore me S',Yorpboand subscribld be re e this Day of .2n ? t y of rp c— Notary Public evised 01.26.10 k P, SHIRLEY L ORA SUSAN D.LUDLAM a -10 Notary public-State of Florida �,Ay cOMMISSION#D My Comm.Expires Apr 2,2014 EXPIRES-February 14,2014 . ....... . Bonded Thru Notary Public Underwriters 38 ,6P ission#DD 962038 Comm C LL)Qrf C-0 vi- C 16VI _ Coybn