367 19th St 2013 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
07
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
oil
Application Number . . . . . 13-00003635 Date 11/1S/13
Property Address . . . . . . 367 19TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3333
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Application desc
window replacement
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Owner Contractor
------------------------ ------------------------
JOHNSON GLENN G AMERICAN WINDOW PRODUCTS
367 19TH ST 2633 POWERS AVENUE
ATLANTIC BEACH FL 322334541 JACKSONVILLE FL 32207
(904) 731-2247
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 3S . 00
Issue Date . . . . Valuation . . . . 3333
Expiration Date . . 5/14/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAAAGE 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 --STAT DCA-SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLAiNTic BEACH I Frr
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
Office (904) 247-5826 Fax (904) 247-5845
Job Address: j(p 4/aj) &h.
permit Number:
_/'
Legal Description &/ka &214V 11W4 Parcel #__ / 30
3 35.6c, HoorAreaof Sqlt. q. t
Valuation of Work$ Proposed Work heated/cooled non-h,-a ted/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa c<�indow/d�oor
Use of existing/proposed structure(s) (circle one): Commercial -jtG—siJe_n_Ti`at)
If an existing structure,is a fire orinkler system installed? (Circle one): es 0 N /A
Florida Product Approval # /
For multiple products use jir—oduct approval form
Describe in detail the type of work to be performed: t�y 0�-W/f;d
PropeM Owner Information:
Nam
City e;& �Stat�Zi�p
E-Mail or Fax#(Optional)
Contractor Information: AMERICAN WINDOW PRODUCTS, INC.
,111J' POWERS AVENUE Qualifying Agent:
Company Name: JACKSONVII[L.FIORIDA 32207
Address: PH: 731-2247 ' city State Zip
Office Phone Job Site/Contact Number Fax
State Certification/Registration # Me 5-411
Architect Name&Phone 4 1/REVIEVIVED FOR CODF Co "aid- -1
Engineer's Name&Phone 4
0TV OF AThAiNTf
Fee Simple Title Holder Name and Address SEE 12ER N41TS FOR AE)j)j
Bonding Company Name and Address— RP6
Mortgage Lender Name and Address
REVMWED BY: 21 *�,vm:-IL-
t
Application is hereby made to obtain rmit to do the work andBowl-vigelimm gs ommencedprior to the
,z g-u
0 Pe be performed to me ;e-st7a—n 1ards oj all laws 1ar?ng'C;301rucTM11n it becomes null
issuance of a permit and that all work will et th is perm
and void if work is not commenced within six(6�months, or if construction or work is suspended or abandonedfor a period ofsix(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electrical-Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heaters,
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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined this' lica ion and know the same to be true and correct. All provisions oflaws and ordinances governing this
7Mrk will be complied with whether sf ec,70 herein or not. The granting pf a permit does not presume to give authority to violate or cancel the
provisi.ons of any otherfederal,state, or local "I regul i construction or the p&f6rmance of construction.
Signature of Owner Signature of Contractor
Print Name e
................0 1h
Print Nam i
Swoq to and subscribed before SWOW9,4nd subsc b9fore me
this A I Day of jet 20 /3 1 ay o 2 0/3-
,,,q,f
P
ROGER AUSTIN IJARMOVE
7o t a�n
Notary Public MY COMMISSION#EE 127HU otary Public My�6��ISSION#EEi27993
1,; EXPIRES:September 6,2015 S zptember6,2015
awded Thru Budget NoWy Serilces dget Notaq semces
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
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us If
APPLICATION REVIEW AND TRACKING FORM
Property Addre, -Dei)artment review required Y No
5s: 34Q 7 197�v Building
Angog W /J
:��,4L j7 DO&) 77fffffflng &/-oning
Applicant: Tree Administrator
'11A A PublicWorks
Project: Public Utilities
Public Safety
Fire Services
"T
t
61 ��M,
__9 I mx�'
ROO i i
Other Agency Review or Permit Required Review or 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: RA"pproved. E]Denied.
(Circle one.) Comments:
(JUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. V
Second Review: FlApproved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
NOTICE OF COMMENCEMENT
Permit No.
State of Florida
County of
3
The undersigned hereby gives notice that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following Information is provided in this
NOTICE OF COMMENCEMENT.
Lega�, . . f ertv (Includ I H ble)
#sc ptiono, roo e Street Adc r �ss, I av4L a
W z
General dAesc ' 1* n of Improv nt
Owner f)A-0"h
Address,
Owner's Interest in site of the Improvement
Fee Simple Title holder(if other than owner)
Name
Address AMEWAN WENIDOW 964-1
7,——PROVUCIS,INC-
Contracto
Address
Sure 5�
ty Amount of bond$
Address
Any person making a loan for the construction of the improvements:
Name
Address
Person within the State of Florida designated by owner upon whorad otices.or other documents may be
served as provided by Section 713.13(i)(a)7, Florida Statutes.
Name
Address
In addition to himself, owner designates
Of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of
recordin unless a differ nt date is specified)
I
e rdin unless a differ nt date is
Co J4
6A—;1 Or
fo Printed Name of Owner
signature of Owner
FNotary Rubber Stamp Seal I have relied upon the following identifi Afflant
.
ROGERALISTIN
MY COMMISSION#EE 127990 Sworn d subscribe e is of IiQ 2013--
EXPIRES:September 6,2015 A V, 0
IF"vw"do-* Bow Thru Budo Natvy krvbs -SignZatue
1�'y t2
Doc#20132863,j8 OR SK16590 Printed Name
Number Pages- 1 ' Page 633,
Recorded 11/0-1/2013 at 12:13 PM
Rcnnie F sselICLERK CIRCUIT
COUNT',� COURT DUVAL
RECOPDING S10.00