211 Beach Ave 2013 window/door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003263 Date 8/29/13
Property Address . . . . . . 211 BEACH AVE
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 12000
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Application desc
REPLACE 2 SG DOORS AND 2 WINDOWS
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Owner Contractor
------------------------ ------------------------
SIMMONS RICHARD L RICHARD BELL BLDG CONTRACTOR
211 BEACH AVE 1952 BEACHSIDE COURT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-0131
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00
Issue Date . . . . Valuation . . . . 12000
Expiration Date . . 2/25/14
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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 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 55 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 169 . 00 169 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITV OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 AUG 15 2013
Office (904) 247-5826 Fax (904) 247-5845 a�� I
Job Address: 211 Beach Ave —Permit Number) -3
Legal Description 5-64 16-2S-29E .23,Lot 1.Block 27,Adantic Beach Parcel# 170188-0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 12000.00 Proposed Work heate(f/cooled N/A non-heated/cooled - N/A
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa wmdow/dq_o_�
Use of existing/proposed structure(s)(circle one): Commercial N/A
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes IN
-76
Florida Product Approval#see attached rC 0'-1*7 /9,7 L P,2,
For multiple products use product approval form
Describe in detail the type of work to be performed: Replace 2 SL Glass doors& 2 Win ows.
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Property Owner Information: r,
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Name: SIMMONS RICHARD L . Address: 211 Beach Ave -_ — 0 = --
City Atlantic Beach State Fl. Z 32211 Phone nil-
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E-Mail or Fax#(Optional)
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Contractor Information:
Inc. Qualifying Agent: Richard Bel
Company Name: Richard Bell Building Contractor
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City: Atlantic Beach State: Fl. Zip 32233 �T* 9
Address: 1952 Beachside Ct Job Site/Contact Number: 704-6805 Fax# Pik
Office Phone: 249-031 Now
State Certification/Registration# CBC033312
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Architect Name&Phone 4
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address: Same as owner
Bonding Company Name and Address
Mortgage Lender Name and Address
h e ob a n td e and indicated. I cerWfy that no work or installation has commenced prior to the
0 wo t t ermit becomes null
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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 ces governing,this
violate or cancel the
PrintName Print Name ....... --- .. ..............................------------
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S orn ed or I Sw to and subscn'b d me 20
ay of 2013 s
JASO ISSIL
aty 14,2014
Notary Pub ic 10MMISSION#DD 957760 onded T n Public Undetwrfters
�(PIPES:Febluary 14,2014 a a -0-
Tu=ublic und rwrfters I T"Mm F01.26.10
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NOTICE OF COMNIENCEMENT
State of FLORIDA Tax Folio No.
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 COMNIENCENIENT.
Legal description of property being improved:5-64 16-2S-29E .23,Lot 1,Block 27,Atlantic Beach
Address of property being improved: 211 Beach Ave
General description of improvements:replace 2 SLG Doors&2 windows
Owner:Simmons,Richard L.
Address:322 Third Sto Atlantic Beach 32233
Owner's interest in site of the improvement:Fee Simple
Fee Simple Titleholder(if other than owner):
Name:
Address:
Contractor:Richard Bell Building Contractor,Inc.
Address: 1952 Beachside Ct.,Atlantic Beach,Florida 32233
Phone No: 249-0131 Fax No:
Surety(if any):
Address: Doc#2013208983,OR BK 16489 Page 2006,
Amount of Bond$ Number Pages: I
Phone No: Recorded 08/12/2013 at 02:31 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
Fax No:
Name and address of any person maldng 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 Statues.(Fill in at Owner's option).
Name:
Address:
Phone 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):
TIHS SPACE FOR RECORDER!S USE ONLY OWNER
Signed: kytk&j�j Date:
Before me this____.Oay of in the County
of Duval, State of Florida has personally appeared
P lic at Large,State of Florida County of
ublic
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 3VD3
Atlantic Beach, Florida 32233-5"5
Phone(904)247-5826 - Fax(904)247-5845
t@coab.us Date routed:
E-mail: building-dep
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
12 20aulm ent review required Yes_,, No I
Property Address: -1 � Ay-e_ � I _V_
Applicant: (A V-A oc Planning &Zoning
Tree Administrator
Project: "2- 3C-x 600K5 --s 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
ElDenied.
Reviewing Department First Review: 2A/pproved.
(Circle one.) Comments:
G��D —
PLANNING &ZONING Reviewed by: —Date:k—/,.5
TREE ADMIN. Second Review: nApproved as revised. nDeVied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:-- Date:
FIRE SERVICES Third Review: nApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09