174 15th St 2014 Door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000264 Date 2/27/14
Property Address . . . . . . 174 15TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4300
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Application desc
window/door replacement
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Owner Contractor
------------------------ ------------------------
MARCO, JULIE & DAVID LINDY BUILT CONTRACTORS
PO BOX 518
ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043
(904) 591-2950
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 4300
Expiration Date . . 8/26/14
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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 75 . 00 75 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 111 . 50 111 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES*
ILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
I ,I i
800:Seminole Road, Atlantic Beach, FL 32233 FEB
Copy
(904) 247-5826 Fax (904) 247-5845
Py
Job Address: -PermitNumber: 14f- 0;6Y
Legal Description 14*Wb 4-f-" Parcel# / I/ k6c - 0 0 0 0
Floor Area of Sq.Ft. -' Sq Ft
Valuation of Work$ Proposed Work heated/cooled nou-beated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of existing/proposed structure(s)(�ircle one): Commercial Residential
If an existing structure,is a fire sprinkler systepl installed?(Circle one): Yes No N/A
14
Florida Product Approva a j
For multiple products use product approval foFm—
Describe in detail the type of work to be performed: &y,&kz,1 66w
jrl�� ale" at,
Property Owner Information:
Name: Address:
City State r--t-zip 3 3 Phone
E-Mail or Fax (Optional
Contractor Information:
Company Name: 14?L4 h 01 Qualib*Agent: RWz*�,r-
Pt City ���e � 1KIA4W
Address: Cc> State )CL-- Zip
Office Phone - "), 4( Job Site/Contact Number Fax
State CertificatioAegistration# C 6tc- ddic-i 5-12, 7 L7
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 h as commenced he
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit bepiriomr,'sontu I
and void ffwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsix months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Si,6ns, Wells,Pools, Au�rnaces,Boilers,Heaters,
Tanks andAir Con0ioners,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.
Ihere certify that I have read and examined this a hcation and know the same to be true and correct. All provisions of laws and ordinances governing this
read and examined this a licaii�n ana m
'Pwork will be complied_With! W eci le er or not. The granting of a permit does not presume to give authority to violate or cancel the
W,
provisions of any othe7rf�ederal,It, - or local at onstruction or the peifi�rmance of construction.
r
Signature of Owner Signature of Contractor
Print Name Print Name
. ...........
......................................................................................................................................... ...........'t. ............. ....
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Befo Before nw,
this 5-TUv of Swun AA 20 14 thi ay of -,15-Y)UOLA,6A .2014
Notary Public N
PRISCILLA CLAYMAN PRISCILLA CLAYMAN
L" ,s Commission#EE 0568:]33�ke ised 10.24.12
Comrnission#EE 056833
zz Expires May 20,2015 Expires May 20,2015
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NOTICE OF COMMENCEMENT rF I"I opy
PennitNo. Folio No. 5% F I L E
Tax
State of Florida.County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available): 17 y V-
2. General escri ion o improverne s:
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3. Owner Information:
a)Name and Address- 0ex-o—Aeee-2,--- 6,44% ]�-�73
b)Interest in property*
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information: A,"%11,e-7-
a)Name and Address: c7W>-d C- /e,
b)Phone Number: J
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount of Bond:$
6. Lender Information:
a)Name and Address: §
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as ry
provided by 713.13(1)(a)7,Florida Statutes: 0
a)Name and Address: -0
b)Phone Numbers of Designated Person: ro D
8. In addition to himself/herself,Owner designates of to receive
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a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. X 15
a)Name and Address: 0 'T X C)
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b)Phone Number of person or entity designated by owner: C,4 C)
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9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a 'IT 0)jz� a) C9
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different date is specified: 'IT M 0 U0) Z
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WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE uEOUEDO
0 = a) 50w
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 0 Z af X 0 of
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 O?�� SITE—B-E-MU THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING.
Coll T WITH Y D R AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
CO ENT.
ftmfmvVMwner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/O
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The foregoing instrument was acknowledged before me this --A�ay of 244�by
as for
(Name of Person) (Authority Type,i.e.Officer/Attomey) (Name of Party Instrumcnt was Executed for)
A CLAYMN TATE OF FVQRIDA
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PRISCILL NOTARY P�IC,S
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Cammission#EE 056833
Expires M 0.201 Print Name: Kl�-3 U
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WndW Thm Troy Fain komft BW3W70ig
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V J46ntification/Type:
Verification pursuant to Section 92.525,Florida Statutes. Under penalties of perjury,I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief
Signature of Natural Person Signing Above
Revised 10/1/2009
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AIL
City of Atlantic Beach APPLICATION NUMBER
Building Department FF(Tobe a�ssigned by the Building Denartment.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 62
612 ,
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: Jr D ar ment review required Ye No
Building
D artrn
ent review , �Yes
I
Applicant: J f a ning &Zoning
T T
istr tor
ree Administrator
Project: 19 Made Public Works
if & u I ic U I s
Public Utilities
1
Public Safety
Fire Services
k0ew-fee $ _DeptSignature
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 617s—trict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 5�Approved. t[—]Denied.
(Circle one.) Comments:
PLANNING &ZONING
TREE ADMIN. Reviewed by: Date:.;?_d5 _h(
Second Review: []Approved as revised. FM]D+eied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: EjApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05114/09