422 Sargo Rd 2013 window-door hz CITY OF ATLANTIC BEAC
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003708 Date 11/22/13
Property Address . . . . . . 422 SARGO RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
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Application desc
WINDOW/DOORS
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Owner Contractor
------------------------ ------------------------
HAAS, ELIZABETH HOMEOWNER BLDG SVCS, INC (RC)
422 SARGO RD 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 5/21/14
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 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. Tax Folio No.
State of County of
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:
OV-' 7
Address of property being improved:
General description of improvements: _11.C.L Ir"_Vj zy.• ,'
Owner 6J1t1
.,
Address `t1.�.
Owner's interest in site of the improvement trl£ci r_ 17ri P L� _
Fee Simple Titleholder(if other than owner)
Name
Address
(��*
Contractor—1 A.,(V�X Qi.Jo-� f'k_•{\n 5au 1 S `,tri
Address MCX A, Tf JkuE r& 23z2.
1 Phone No. 3 2 t0 5 Fax No.
Surety(if any)
Address Mom of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Namei':;j� _
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, served:
Name
Address r✓iJ e.;_ -f yL
Phone No. 7 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
!1 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):
THIS SPACE FOR RECORDER'S USE ONLY rti OWNER
Signed: 1' DATE
Before me this day of in the
County of Duval.State of Florida,has personally appeared
himself/ herein by
are true Cu
Doc#2013298998,OR 8K 16605 Page 1282, DEANN L. ROWAN i
Number Pages:1 '
Recorded 11121/2013 at 03:32 PM. • •�= ublic State of Florida
Ronnie Fussell CLERK CIRCUIT COURT DUVAL `s. My m. Expires Oct 016
COUNTY Notary tic at13111. , ou o i
RECORDING$10.00 MyCom mrssfouexp'res
Personalty Known of
Produced Identification PE
f.
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BUILDING PERMIT APPLICATION D
' CITY OF ATLANTIC BEACH NOV 19 Q13
'i 800 Seminole Road, Atlantic Beach, FL 32233
FILE COPY ' ''' Office 904 247-5826 Fax 904 247-5845
ate.
Job Address: Permit Number:
Legal Description Parcel #
Floor Area o q. t. q. t
Valuation of Work S .� Proposed Work heated/cooled 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): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval c�
Describe in detail the type of work to be performed: ��LArc
Property Owner Information:
Name: i 7-R 4 9 S Address: c/
City Stat Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: .,. &K 5�_Zy t s--X;CJ Qualifying Agent:6c4vcii JKA5Z �-,1Q4t-
Address:237_Zpgi�tum�r, Ate- £- City '?s4x. State fL- Zip 3224/
Office Phone 4o Y, 3 zz- t o-S Y Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be per to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sixp6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air 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 b 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
,lb
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to folate or cancel the
provisions of any other federal,state, or local Jaw regulating construction or the performance of construction.
Signature of Owner 4 Signature of Contr or
`— Print Name
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City of Atlantic Beach APPLICATION NUMBER
�s Building Department (To be assigned by the Building Department.)
- 800 Seminole Road �, '�
r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 D
--��; �• E-mail: building-dept@coab.us
Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 2 �- �� 0 led De ment review required Ye No
Building
Applicant: % Planning &Zoning
Tree Administrator
Project: !� ��Q Q��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 B
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. []Denied.
(Circle one.) Comments:
UILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Remove CMU
Below existing Header
Move exterior & Interior outlet
Replace CMU in window Opening
New Door cassing B
Base Mold as required
New 13' Sliding
(:A
Glass Door
New Anderson Window
Enlarge opening
Enlarge Opening
C
O repolace
North Air Handler~�
Relocate Switches
6
t•
�
F 6 r
U
V
W a�
U UQc Q
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Cy. I
i
Owl% O o
Replace Tub alve ', a
O
Existing Concrete
� a
A Header
Replace Condenser
Existing
Concrete '
B Header E
C 2-2x8 #2 SYP
SH 1
o Renovation Plan 422 Sargo RD.
AN Scale: 1/4.... : 1'