20 17th St 2013 windows CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003311 Date 8/28/13
Property Address . . . . . . 20 17TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 15000
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Application desc
window replacement
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Owner Contractor
------------------------ ------------------------
SCHIFANELLA, THOMAS J MCANENY BUILDERS LLC
20 17TH STREET 1010 EAST ADAMS ST
ATLANTIC BEACH FL 32233 SUITE 105
JACKSONVILLE FL 32202
(904) 219-3001
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 125 . 00 Plan Check Fee 62 . 50
Issue Date . . . . Valuation . . . . 15000
Expiration Date . . 2/24/14
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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 12S . 00 12S . 00 . 00 . 00
Plan Check Total 62 . 50 62 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 191 . 50 191 . 50 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
12 L11
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 A'U G 2 6
By
Job Address: zo STZxr__-T- 4,TLA-j-nc_ ac_Av_-iA aa�lPermitNumb
;�Xr COT-?
Legal Description Q�cl ?-I C-- OC_�AO L)1J1T4)01 Parcel# SW I C.�_S��1_00
tloor Area ot So Ft. Sq �'t
Valuation of Work$ 1,5_C>00 Proposed Work heated/cooled non-heated/cooled
--- 7—
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Lo�indow/d�oor
Use of existing/proposed structm*s -1 i:v!WjQ%e): Commercial I�id
' kle —.4, ' *
If an existing str ct is a fire sprill2e systv,74installed? (Circle one): Yes N/A
L��t ris
U
R
Florida Product,, rovlal #-FLs-oiz- F—rit
For multiple pro s use prod—uct approval to
Describe in detail the type of work to be performed: Z_k?cA(-C QX.5,)114 tjJ �MAsr_y�(_L
AX AJ'Z�:10,_j I
Property Owner Information: C=
Q.3
Name: TZ)--% -c—.r m ,rAAj k-ic Lt-A Address:
/A T-L_AAJri
City '\-rLAAJT%C I.V-Ac'�A StateFLZip 1ZZ7-,3 Phone Q I Z_ — -7 St I L
E-Mail or Fax# (Optional)
Contractor Information:
CompanyName: M(_AAjC,,j'-t Q�UiLWAZ_,S L-Lc_ Qualifying Agent: L_C_0.%jrAz)!-, &NCAA,)r-k)4�:
Address: 1010 C. Ac)A—_� -S V k Tc- 1 0 S, Citv :5_APCJ(4Aj0LL( State r L, zip 3?Z&
Office Phone 904 - V�Li - 121L Job Site/Con _A! 14_111tyl.1
State Certification/Registration ODE ILIOMM-FAVI-V
Architect Name& Phone AJ
ciTy oF ATLANTie BEAett
Engineer's Name& Phone# A-) I A SEE PERN119FS FOR ADf)fTf&42kh
Fee Simple Title Holder Name and Address Aj REQ -IONS.
UIREMENT5.4-N-D
Bonding Company Name and Address Aj I �44 n
Mortgage Lender Name and Address. Aj I tj REVIEWED BY: DATEa 9 7- r
A a, , he eb de bana ermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
11 be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
to 0 t ' p
i pp'ic c io s r r It Y Ta th al rk
0an e o a e m an at 1-0 -1 fsix�6)months at any time after
, " f p k s 't co, en ed thin six(6)months, or if construction or work is suspended or abandonedfor aWeriod o
,d id " i 7 T
co
. I, rs t t s or Electricaf Work, Plumbing,Signs, ells, Pbols, Furnaces, Boilers,Heaters,
k en ed nd ta d ha eparate permits must be securedf
Tanks and Air Conifitioners,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.
Ihere certify that I have read and examined thi's application and know the same to be true and correct. All provisions of laws and ordinances governing this
1�work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or local aw regulating construction or the peiformance ofconstruction.
Signature of Owner Signature of Contractor
A. - t
, .17- ............................
Print Name -roe Print Name
............
..............
Sworn to and su sc ibed be oj:ere Sworn to and sub e 0 e me
this,O'Ug Day o 2013 this Q
Day o 20
X
rut I A
V a ry Public Stem
Notary Pu'bl'c Tricis Rigdon Notary Publi Tricia Rigdon
My Comm4sion EE 852616 My Cqmmis�EE 852616
E*ms 11/19/2
RN 016 OF Aiwlsoi/-1160@
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 /3 - 3311
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: IL26M
City web-site: http:/Iwww.coab.us F
APPLICATION REVIEW AND TRACKING FORM
Property Address: cQ o 1'71w _Departunent review required Yes -No
Bui Iding �:) _�7
Applicant: 0%- N Tf�TT�g 2oning
1�f Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review o 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: [qApproved. FIDenied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: IM Date:_F_2(§_ /3
TREE ADMIN. Second Review: nApproved as revised. F1 Of ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
NOTICE OF COMMENCEMENT
State of 17- Lo rt-D 6, Tax Folio No. I Gc� I IC
County of 00vA L
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: Oct Zc`1 C-pzooi& 0AJ rr
P-r C-C)—( -7
Address of property being improved: Zo S.TT7-C<--T ATLAAJ7tL CLEAr,11 , FL- -34-12
General description of improvements: ZS-P LA a, f X I S-F,A.)(, L-4 1AJ Qo,,13 -ij S-JAif-w(1,L
Owner: TO r-i SC-14 %, r Ask QL A Address: S-Ftkf-l- AMUST-IOX" FI-11ti)
Owner's interest in site of the improvement: O-J^)rctr-
Fee Simple Titleholder(if other than owner):
Name:
Contractor: CW I L D r-ZA U-4—
Address: iota C - Af3A--%l U L-%C 10-5- -:Y-A;CYL0kVkLLl6-JL 3ZZ-0�-
Telephone No.: c104 � y_1q. -SOO I Fax No: Ro(j 7 01 . T7 11
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 im- Doc#2013220769,OR BK 16505 Page 444,
Name: Number Pages:1
Recorded 08/26/2013 at J J�00 AM,
Address: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Phone No: Fax No: RECORDING$410.00
Name of person within the State of Florida, other than himself, designated b,
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: e C. h
Signed:
Before this/ _,�-ta�of AL in the County of Duval,State
Of Flor�ida,h mpersonally appeared-Pk��-
Notary Public at Large,Stat o nda,County of Duval.
"I
NoWy public StwWW of F a My commission expires:
lef Tride 11141don Personally Known:
iMy Comn"aim EE OU616 Produced Identific
af E)""1111=016
ig I