150 Belvedere St window 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003877 Date 12/30/13
Property Address . . . . . . 150 BELVEDERE ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3950
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Application desc
window replacement
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Owner Contractor
------------------------ ------------------------
LACOVARA, MARK P JR A TO Z REMODELING & HOME
150 BELVEDERE ST REPAIR INC.
ATLANTIC BEACH FL 322334107 131 S . WILDERNESS TRAIL
PONTE VEDRA BEACH FL 32082
(904) 273-7042
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3950
Expiration Date . . 6/28/14
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOT'CE OF COMMENCEMENT i
(PREPARE IN DUPLICATE)
Permit No.
3y 7-7
State of Tax Folio No.
County of
To whom It May concern:
The undersigned hereby Informis you that improvements will be made jo certain real property,and In
accordance with Section 713 ofthe Florida Statutes,the following Information Is stated III this NOTICE OF
COMMENCEMENT.
Legal description of properly being improved:
7
Address of property being improved: Z�L
,"),4 /n q 4-(
, 43&�e
General description of improvements:.
Owner
Address
Owner's interest in site of the improvement.
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor— �4
Address
z L
Phone No. 1�7 Fax No.
Surety of any)
Address
Phone No. —Amount of bond
Fax No.
N ame and address of any person making a loan for the constru �
Name 0on of the improvements.
Address
Phone No. Fax No.
Name of person wifthin 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.(Fili in at Owner's option).
Name
Address
EZ
Phone No. Fax No.
E3
Expiration date of Notice OfCommencement(the expiration date is one(1)year from the date of recording unless a
different date Is specfffed):
M
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Cn
rn C:)
DATE n
Before ina 111 —1 1 Ianiojgp�—]�,4- — � M
C L-5 �tnthe
;01�e
;ff C:)
�A S�tfe$ allyappeared
"Imselt/rierselfand aninns that
OR BK 16644 Page 1001, —herein by
Doc#2013328948, are tme and accurate all statements and declarations herein
Number Pages� I C�'
Recorded 1Z27/2013 at OZ06 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RE
CORDING$10-00 Nota Publivat Large,state.,
my mmissfon expires:
0,enty of
ersonallyKnown
or
Produced Idenfification e;o-
110,
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 13 -7
x Atlantic Beach, Florida 32233-5445 7
Phone (904)247-5826 - Fax(904) 247-5845 7
E-mail: building-dept@coab.us Date
Cc)J" routed:
Cityweb-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
PRqx
Property Addre Lv &AvedZ6 �ent review required Yes Ao
Building
Applicant: d, 1�lin_ning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required ev ew or ece pt 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: M/Approved. [:]Denied.
(Circle one.) Comments:
(B:UI L D DIN �
PLANNING & ZONING Reviewed by: /171 Date:_LZ� -2 T�g
TREE ADMIN. Second Review: [—]Approved as revised. F_]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BuILDING PERMIT APPLICATION
CITV OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233j8p—Nn
# n
Office (904) 247-5826 Fax (904) 247-5845
Job Address*,�_ Permit mbe
Legal Description Floor Area ot Sq.Ft. Parcel# Sq.Ft
Valuation of Work$ 3�Z 56, — Proposed Work heated/cooled non-heated/cooled
J
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp��indow/door
Use of existing/proposed structure( . cle one): Commercial Residential
If an existing structure,i ire spr e ystem installed? (Circle one): Yes No N /A
Florida Product Approv I # IL7
e t a o
For multiple products=val form
C/:- ILf.,A:;
Describe in detail the type of work to be performed:
4
Owner Information:
Property r IL t uur Y
/_&_o V14'yp Address:
Name: bedr/;�
City daA��-a StateAzip-7i.133 Phone 0!�&- 5211) - ";Xylc
E-Mail or Fax# (Optional)—
Contractor Information:
CompaiiyNai-ne:.4.t'. 2-;&noaCc/,,j& Qualifying Agent:
Address: city 4�!v State Zip..) 2-�
Office Phone;L7S- 4,-1- Job Site/C Fax#
State Certification/Registrat ion # C9,C
Architect Name& Phone# I `�VMVVr-VJFVK CODE COMP114
C11T.
___N1,V 1,
op Arg,j T
Engineer's Name& Phone# AN I _H
UC g3rAle
Fee Simple Title Holder Name and Address SF-E PERMITS
Bonding Company Narne and Address R.EQUIREMEMIS AND CQNriE
Mortgage Lender Name and Address
DAM:
�2
a ere made to o""in a permit to do the work ail l�i ;JIM01411. tr in Za �73'I s commenced prior to the
rn b�v d' t, 11 'L t
')hc c"o�'is h f a, i, g ating cons ruc ion This permit becomes null
e o a p it an I at a ,ork will be peijbrined to mcet the standards o f si.r fier
if w 0 'ot com e�",I within six(0)months, or ifconstruction or work is suspended or abandonedfbr a eriod o months at anv tinie a
and d ,k
,�"r ,'o'ninc,", in rst"',
k, d nde /that separate permits must be securedfor Electrical Work, Plumbing,Signs, s, Pools, 1�111rnaces, Boileis, 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cerlifv that 1 have read and examined this lication and know the same to be true and correct. Allprovisions oj'lavt,s and ordinancesgoverning this
�ype 9�work ivill be complied with whether eci 70 hereiii or not. The granting of a perinit does not presume to give authoril�y to violate or cancel the
provisions ofany otherfederal,stote, or localsra,regulating construction or the performance of construction.
...........
nature of Owri���'l Signature of Contr
Print Name Print Name Wow&.96� (D
..................................................
Before we Before me
1i ayof 20 this Q-) Day of. 2013
4Ar-AO/V(d X�i� xft7odZa
tary Public Notary Public
Revised 10.24.12
E ALBERT MORENO Minna M,SWokland
tary Public-State Of Florida Notary Public
N o
My comm.Expires may 26.2013 ftte of Flolkla
40 a commission#EE 97846 My Commission Wres 10/2712017
1711,�%oo,' Bonded Through National Notary Assn
%
Commission No.FF 63698