451 Camelia St 2014 door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-o0000150 Date 2/05/14
Property Address . . . . . . 451 CAMELIA ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 750..............................
-- -------------------------------------------
Application desc
DOOR REPLACEMENT ------------------------ ------
-- ------------------------------------------
Owner Contractor--------------
----------
--------- ----- ------ -
COMMUNITY-FIRST CREDIT UNION BEACHES HABITAT
C/o CENLAR FSB 425 PHILLIPS 797 MAYPORT RD
425 PHILLIPS BLVD ATLANTIC BEACH FL 32233
EWING NJ 08618 (904) 241-1222
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - 55 . 00 Plan Check Fee 27 . 50
Permit Fee . . . . Valuation . . . . 750
Issue Date . . . .
Expiration Date . - 8/04/14 --------------------------------
---------- ---------------------------------
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-------------------
- ----------------------------------------- ------------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
---- -------- ---
---------------------------------------Paid Credited Due
Fee summary Charged ---------- ---------
------------- --- ---------- . 00 . 00
Permit Fee Total 55 . 00 55 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00
Grand Total 86 . 50 86 . SO . 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 ATLANTIC BEACH FILE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 451 Camellia St., AB 32233 Permit Number:
Legal Description : 18-34 38-2S-29E .117 Atlantic Beach Sec. H Parcel#
Floor Area of S Ft. S Ft
N eat Vlooled
Valuation of Work$750.00 Proposed Work heated/coo Q non-h e
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door(X)
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#FL4904
V
For multiple products use pro uct approval In
Describe in detail the type of work to be performed: Rpplace 3 Exterior Doors
-20 r11L
Property Owner Information:
z
Name: Beaches Habitat Address: 797 Mayport Rd
City Atlantic Beach State FL—Zip 32233 Phone #904-241-1222
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Beaches Habitat Qualifying Agent: Robert Peterson
Address:797 Mayport Rd City Atlantic Beach State FL 3 A
Office Phone 904-241-1202 Job Site/Contact Number 904-334-1202 Fax#
State Certification/Registration# 2
Architect Name&Phone# it, F3 R 5—:,,
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address vw
Bonding Company Name and Address
Mortgage Lender Name and Address
A a �i h reb ade bain a enn d the work and in 'a a ns as i ndi cat or installation has commenced prior to the
a a_ thisjurisdiction. This permit becomes null
0 s f
r
i1r O�rk u a enod qfsixPu5)months at any time a ter
-5 ic e s �n y in it to 0� tom t he 8tan�ar
P' 'io i d th to 0 r P be e ed
n vo ) , or co 't ct
6 th n m 'on
r f
cu 0 1 ct"c ;f/is, j
i Puanc 0 a pe t an at a -0 p mo' b e red rEe a e Pools, urnaces,Boilers,Heaters,
s
d 'd, 'ok is'at commenced'thin
I u, r, I t p i t
k is c f_"cd de tand ha e arate perm e
0.
T , . Co io
ank a dA'r n ft ner"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 herelb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governicng this
The granting of a permit does not presume to give authority to violate
work will be complied with whether specified herein or not. or ca el the
provisions of any otherfederal,state,or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contrarc-t—or—
Print Name S_: Print Name ....... ...................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this UA !L
__ZL54Day of :5AIVL�A 20 this 51�tl)ay of �7A N .20A1
N6tq6 Public 6NojAry Public
JOYCE M.FREEMAN JOYCE M.FREEIM
NotKy Pumic-stme Of Rod"
My Co".Em"JUN 10.2017 My Cam.EXON Jo 18.201
Cawm"sW EE 87N97 COMMWWO EE 87W
NOTICE OF COMMENCEMENT
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 COMMENCEMENT.
Legal Description of property being improved: 401A '20 `10 9E .117
Atlantic Beach Sec H
03119 Atlantic Beach Sec H
Address of property being improved: 451 Camellia St.Atlantic Beach, Fla. 32233
General description of improvements: 3 exterior Doors, repair soffits
repair drVwall, Daint interior,
Owner:. Beaches Habitat Address: 797 Mayport Rd. ,Atlantic Beach, FL 32233
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Habitat for Humanity of the Jacksonville Beaches
Address: 797 Mayport Rd.,Atlantic Beach, FL 32233
Phone No.: 904-241-1222 Fax No.: 904-241-4310
Surety(if any):
Address: Amount of bond
Phone No.: Fax No.:
Name and address of any person making 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: Beaches Habitat
Address:795 Mayport Rd.,Atlantic Beach, 32233
Phone No.: 904-241-1222 Fax No.: 904-241-3410
Expiration date of Notice of Commencement(the expiration date is one(1)year form the date of recording unless a different date is
specified):
OWNER.
Sig Date: 11
JOYCE M.FREEMAN Before me this dayoQ�NtigRq in&Cobnty�f—Duval,
VqWy Poic-StWe of Flo;ida State of Flodda, has personally appeared
0
c4m.Wn Jvn 10,2017 Notary Public at Large, State of Florida, County of Duval
# 876427
Z@Maw"#EE 876427 My commission expires:
Personally Known:— or
Produced Identification:
Warning to owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper
payments under Chapter 713, Part 1, Section 713.13, Florida Statutes, and can result in your paying twice for improvements to your
property. A notice of commencement must be recorded and posted on the job site before the first inspection. If you intend to obtain
financing, consult with your lender or attorney before commencing work or recording your notice of commencement.
THIS SPACE FOR RECORDER'S USE
Doc#20,14024159,OR BK 16677 Page 813,
Number Pages:I
Recorded 01131/2014 at 02:59 PIVI,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
21 1 1 %,
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
8�
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L�_a_terouted: le?l
City web-site: hftp://www.coab.us 6r
APPLICATION REVIEW AND TRACKING FORM
4" Dtaartment review required Yes ,No
Property Address: C�r -
4��uilding
rAApplicant: "7' Planning &Zoning
Tree Administrator
Project: 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 I
Other: I I
APPLICATION STATUS
Reviewing Department First Review: EOA'pproved. E]Denied.
(Circle one.) Comments:
Gi�g�
PLANNING &ZONING Reviewed by: a-7 pf�� Date: 71
TREE ADMIN. Second Review: F]Approved as revised. nDeniek/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09