314 12th Street 2014 windows "Iff Is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000693 Date 5/02/14
Property Address . . . . . . 314 12TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
windows
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Owner Contractor
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GOLDKNOPF, JOSHUA & LESLIE LINDY BUILT CONTRACTORS
314 12TH ST 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 . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 9929
Expiration Date . . 10/29/14
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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 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 154 . 00 154 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
� � 9 � 0 6 q_3
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
01 OFFICE:(904)247-5826 e FAX NO.(904)247-5845
BUII-DiNG-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
2.VALUATION OF WORK 3,SQ.FT UNDER_ROOF
�3 ILI 12, -4 q (�d
4.LEGAL DESCRIPTION: 5 CLASS OF WORK 6,USE OF STRUCTURE:
0 NEW BUILDING 0 DEMOLITION &RESIDENTIAL
LOT BLOCK—SUB DIVISION [I ADDITION 0 CONVERTING USE El COMMERCIAL
7.DESCRIPTION OF WORK: 0 ALTERATION 11 ACCESSORY BLDG. 8,FIRE SPRINKLER:
11 REPAIR 0 POOL/SPA 11 YES 11 N/A
—1-1 D MOVE COTHER D NO
PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER:
— 23.COMPANY NAME:
9.NAME: I I-IOMPANYZME'
LILI,
16.NAME 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
Li 7— 17
,I ,,, 26.ADDRESS:
DRESS:
CIL) ra-v'� 5-j
3 6-s�ec-
11,OFFICE PHONE: 11 FICE PHONE 7 NO.:
12.FAX NO.'. �OF 20.FAX NO.: 27.OFFICE PHONE:
13.It PHONE 21.C 29.CELL PHONE:
,�Ll-PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30�EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHIER THAN OWNER)
31.NAME: 33.NAME: 35.NAME*
32.ADDRESS: 34.ADDRESS: 36 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 performed to meet the standards of all laws regulating construction in this
jurisdiction- This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned fur a period of six (6) months 3t any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any parl therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AG CONTRACTOR
g�4NT
IZ-1A( Aqen�grof�tto*yorA Letter Required) (0ylil).r OWy)
-t A J4-LYI
SignA Sign��
) IAREN1009 in county of
Before me this e coun of Before me this-
�19 . of Fl 34
al S te o"Flo a,h Mal Duval,State of Fl H`ffiwl"�EE 056B
EX
W'Ormf*\
20,2015
T1 61res may ---
�hen 17,f�hjmself herself a ments and declarations are herin by himself
tons are
true and accurate.
true and accurate.
Notary Public at Large,State of—610.'.J.11- County of a, Notary Public at Large,State of ft-t County of If
AS Personally Known 121 Personally Known
11 Produced Id ntifi�ijp C3 Produced Identill /—Z
Notary Signature. Notary Signature:.
BLDG01 Permit Application Bidg:REVISED:1211 W008
Doc # 2014096727, OR BK 16767 Page 491, Number Pages: 1, Recorded 05/01/2014
at 12:45 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
L E.
TWE OF COMMENCEMENT
A U
(PREPARE IN DUPLICATE) F
"COPY
o, Permit No /1, cj'
T
ax Folio No.
State of PML-75,��
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:
SLY 12 5:1-/-J 7-
Address of property being improved: -3,-1V-L,- A�-
3
General description Of improvements:
Owner
Address �?jrq 12 --1
1'� .-
Owner's interest in site,of the Improvement P-e- -S
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor r3,
s
Address
one No,*" '3
Ph
Fax No.--!Eir- -;1
Surety(If anyY.,-
Address
Phone No. Fax No. mount of bond
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 denotes Notice as provided in
SecOn 713.06(2)(b),Florida Statutes,(Fill in at Owner's option).
Name
Addrdas
Pholib No. Fax No.
Expiration date of No of Conimencemenj(the expiration date Is one(1)year from the date of recording unless a
different date Is specift
THIS SPACE FOR RECORDER'S USE ONLY
0 NER
Signs
8 to day DATE Y�,Jel I
a IN
C u r!da,has Personally appeared In the
self/herself and affi a Grain by
are true and accurate
ROYAL G,DEARENIII
ission#EE 056834
r 15
Nota PubicatLarge St t —7
MY commission - a 5y of—24,�-,
explre.:
Personally Known
Produced Ident1fic [on or
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
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
7N Yes
BL :::? V
nF&Zoning
Property Address Jr Department review rel
jilding
Applicant: Zl--ndV 7&'17- 6RI�90e-< I —
I Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: MApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNIN ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. R&nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
ANNIN ZONIN(
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed by: Date:—
Revised 05/14/09