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668 Selva Lakes Cir window 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 77' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 W1 Application Number . . . . . 14-00000593 Date 4/25/14 Property Address . . . . . . 668 SELVA LAKES CIR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6400 ---------------------------------------------------------------------------- Application desc WINDOWS ------------------------------------------------------------- -------------- Owner Contractor ------------------------ ------------------------ FOX, THOMAS ACE DOOR & WINDOW SERVICE 668 SELVA LAKES CIR 9123 HARE AVENUE ATLANTIC BEACH FL 322334377 QA VICTOR AVERILL HALE JACKSONVILLE FL 32211 (904) 727-6811 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . - Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . . Valuation . . . . 6400 Expiration Date . . 10/22/14 ------ ---------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. AUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 1,8,00 Seminole Road, Atlantic Beach, FL 32233 10ffice (904) 247-5826 Fax (904) 247-5845 7 AR 611) JobAddress: 77T- -)itf� er:15 'U'dIT Legal Description o Se(va LafZelA"I 4 FloorAreaof Sq.Ft. Nq.Ft Valuation of Work$ & L Proposed Work heated/cooled non-heatedl��led� Class of Work(circle one): New Addition Alteration Repair olition pool/spa Use of e�i�ting/pro osed structureQ) ircle one): Commercial Residenti If an existing structure,is a fire girin=system installed? (Circle one): es No N/A -7 4�>../ Florida Product Approval# ' & For multiple products use product approvaI form Describe in detail the type of work to be performed: Re'Place-, W%,ndoo-3-5 /1 �ku& e- Property Owner Information: Name: q)0_6_e(_k2 �1) Address: S-e 1 V 0- Cl I-C c city- 411 a n:flc: il> (-h - State Uzip 3 2--2-7-3-Phone .2 1-/ (c> F E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: V 1, C+p r a) ac e.J wr. c o/,1 rtA o I r...6r t4be__ Company N&me: A OL�x Quali Ai 1 4 g Agent: Address: 3 41gre ity )e_1 State- ZiD73 2-Z-I Office Phone 0 4 7 A�7 Job Site/ 'ont4ot N b q0y7A7 (ae]L Fax#L um er_ 3a y 7 7 State Certification/Registration 4 (_11( - CAS _ -7 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced he issuance of a permit and that all work will be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit beperoi0mretsont ul and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a eriod of six(6)months at any time after work is commenced. I understand that separate perm its must be secured for Electrical-Work,Plumbing,Signs, f4lls,Pools,Flurnaces,Boileis, 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,�b certify that I have read and examined th' a plication and know the same to be true and correct. Allprovisions qof 1 s and ordinances governing this c to gl� orit IS P type ) work will be complied with whethe spell'led herein or not. The granting of a permit does not presume to giv authority to violate or cancel the 6 provisions of any otherfederal,state, or local aw regulating construction or the performance of construction. ctoriSignature of Owner Signature of Contr1actor 'A Print Name Print Name \1%, ct"o C........... ....................................... . ...................................... ........... ..................................................... .................................................. ........................ Bef e Bef rj:�ale thisWRNA of AA-�- 20 thiso"L-L Day of . 20 Apo N.- ,p- N 1-8,y Public Sta T,;o—tary Public I - "(", �, P lie Jamie L Fredrickson te P te Shidey L Graham 9�� ;m my com �on My Commission EE 864276 MY COmmission FF 0869790 APires 02114/2018 Exp-resolf(Wtzd 01.26.1 AW, 1`7" FILE COPY NOTICE OF COMMENCEMENT i I ---U- .1 (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. ,as -D 37 Legal description of property being I -oved: (0 n /6 1 l+ Address of property being improved:. cs�e,t VIOL General description of improvements:-VV i V, C C I I ic. i I-T- IL 0 w n e r ,�e- Address (0 iq;? Lje C-4 r-cbe k"Cln h r5c.1, Owners interest in site of the improvement L,1,�Q Fee Simple Titleholder(if other t anowne i Name- AbE D Address SERVICE INC Contractor 9123 1 'ARE NVE Address i X, FLA. 3 o. Phone No. Surety(if any) 904-727-6811 Amount of bond Address 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 Llenor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name 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): 411 THIS SPACE FOR RECORLIhWtS SEONLY IER I- DA Sign1a: On ,keday of I he 8 re i�Nis ero At�� '905-6 County of a..S te of to' asp herein by I himself/herself and affirms that a stalta ild declarations nerein 0:3 Doc#2014083615,ORBK16751 Page1841, are true and accurate Number Pages:I Zia Recorded 04416/2014 at 01:42 PM, 3 Ronnie Fussell CLERK CIRCUIT COURT DUVAL L COUNTY Notary Publi arge,St a of ounty of 0 My oDmmission expires: RECORDING$10-00 Personally Known a Produced Identification City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �3 Atlantic Beach, Florida 32233-5445 - Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed. City web-site: http-://www.coab.us APPLICATION REVIEW AND TRACKING FORM ':!�IJIA / A Property Address: Department review required Yes 0 '1_�nin�g &Zoning Applicant: :i� Tree Administrator Project: 10 I'd 2) a) 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 Al oholic Beverages and Tobacco Other: APPLICATION STATUS —]Denied. Reviewing Department First Review: [RApproved. (Circle one.) Comments: (2E�� PLANNING &ZONING Reviewed by: Date:q-1p-dolZ41 TREE ADMIN. Second Review: F-JApproved as revised. FlDe4d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FApproved as revised. OlDenied. Comments: Reviewed by: Date: Revised 05/14/09