1175 Seminole Rd 2014 window-doorsCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . 14-00000817 Date 5/23/14
Property Address . . . . . . 1175 SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
-------------------------------------------------------------------
Application desc
WINDOWS, DOORS AND GARAGE DOOR
-----------------------------------------------------------------
Owner
NAUMANN LIFE ESTATE, ANNELIESE
% KEITH NAUMANN
908 PRINCE PHILLIP DR
VIRGINIA BEACH VA 23452
Contractor
MACK BROTHERS GENERAL CTRS.
5521 BARKER STREET
JACKSONVILLE FL 32207
(904) 237-0868
------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc .
Permit Fee 80.00 Plan Check Fee
40.00
Issue Date . . . Valuation
6000
Expiration Date . . 11/19/14
----------------------------------------------------------
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 80.00 80.00 .00
.00
Plan Check Total 40.00 40.00 .00
.00
Other Fee Total 4.00 4.00 .00
.00
Grand Total 124.00 124.00 .00
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
R BUILDING PERMIT APPLICATION
' CITY OF ATLANTIC BEACH
>
F11 E Pnpy,;
.lob Address:
t 800 Serninole Road, Atlantic Beach, FL 32?33 I
Office (904) 247-5826 Fax(904)2147-`, 5 Y—
1175 Seminole Rd.
Per rt Number: I - l—
23-4 16 -2S -29E Selva Marina Unit 1 Lot3 Elk 4_ #
Legal Description f
-floor Area o q. t. q.
Valuation of Work _ r Proposed Work heated/cooled non-heated/cooled
i
Class of Work (circle one): New Addition Alteration Repair Move emolitton pool/spa window/door
Use of existing/proosed structure(s) (circle one): Commercial Residen al
if an existing struc ure, is a fire sprinkler system, installed? (Circle one es N fA
Florida Product Approval #
For multiple products use —pr -o --duct approval Form
Describe in detail the type )f work to he n—f^r'_�A w/4;os --
Propertv Owner Information:
Name: Phyllis Arnold _ Address:_ P.O. Box 11508
City Jacksonville StateFLZip 32239 Phone 904-502 114
E -Mail or Fax # (Optional) _
Contractor Information:
Mack Brothers Building Contractors,Inc.
Company Name:____-_ __ _.- Qualifying Agent: rederick W Mack
Address: 1546 _Girvin Rd Unit 1 City Jaeksonvitl.,:.e State FL Zip 32225
Office Phone 9 n 4- 2 2 o- 2 5 o 0 Job Site/ Contact Number 904 - 2 3 7- 0 8 6 8 Fax # 9 0 4_ 2 3 7- 0 8 6 8
State CertificationfRegistration #_CBC1258062
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address __--
ipplicutiun is Jrere%y mule to obluirr n perrmit to do t/re work and insta/lutiars as /rultcated. i certify the no work or installation has commenced prior u) the
i.ctivance of a permit and that all work mill be performed to meet the standards of a/t lam regulating cora action in this jurisdiction. This pennit become Y null
and mid i/•awk is not commenced within six (6f months. or if constriction or work is suspended or ahan need for a period of six L6) months at nnv time after
uvn•k is commenced. / rrnder:titand that separate permits must be secured for Electrical- Work, Plum bi g, Signs, cUs, Pools, Furnaces, Boilers, Heaierc.
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 FINE NCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORL .. NG YOUR NOTICE OF
COMMENCEMENT.
I hercbv certi/v that / have read and examined tltit a plicwtion and know tiie sarme to be true turd correct. .411 provisions a s anti ordinances gover•niag t/ri.r
rtgx• of work 44// be complied with whether sppeeci ted herein or not. The granting of a permit does not prmenume to gt author** }• tr viola ar cane./ dre
jrrnrisiorrs afanP other,%p�cral, state. or loco! !a►i regulating cops telion or the per onnarrce of comstntcti rt.
Signature of Ownc Signature of Contractor ` �e
Print Name �' ���j 1"I r �.."`......... •��f a
i............x...(�..t1........._......................... _.._.... Print Name .....1...:' . tJ[tt " ...C. _...'.........
Sworn to and subscribed before me Swo to and subs,,--iibed Afore me
thiti _.1( Day c►f t __...--._.............__...... 20 this 14 -Day of
Notary Public Notary Public
�o1ApY •Pq4 PAMELA HRYNCEYJICZ __________- • Revised 01.26.10
MY COMMISSION # FF 098164 V"11�PAMELA HRYNCEWICZ
} EXPIRES: March 4, 2018 re�tir MY fiA9iIS8ION # Ff 0981&4
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=l�i$t tto Bonded Thru Notary Public Underwriters Ex�I� �; Maith 4.20`18
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City of Atlantic Beach
�s r� Building Department
r s 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
-1 E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
11.A.'01rl
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: I r -7J Srmly�
Applicant:r (x::: OK)s -
Project: V`�� W Q,r ei dr
Review fee $
Department review required Ye No
Buildin
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:Approved.
❑Denied.
(Circle one.)
Comments:
UILDING
PLANNING & ZONING
Reviewed by:
Date: 57 b "
Second Review:
❑Approved as revised.
❑Den d.
TREE ADMIN.
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
Third Review:
[—]Approved as revised.
[—]Denied.
FIRE SERVICES
Comments:
Reviewed by:
Date:
Revised 05/14/09
Detail by Entity Name
Detail by Entity Name
Florida Limited Liability Company
221 OLEANDER LLC
Filing Information
Document Number
L14000003363
FEI/EIN Number
NONE
Date Filed
01/07/2014
State
FL
Status
ACTIVE
Effective Date
01/04/2014
Principal Address
101 CENTURY 21 DRIVE
SUITE #104-A
JACKSONVILLE, FL 32216
Mailing Address
P. O. BOX 11508
JACKSONVILLE, FL 32239
Registered Agent Name & Address
BRANCH, GWENDOLYN L
101 CENTURY 21 DRIVE
SUITE 104-A
JACKSONVILLE, FL 32216
Authorized Person(s) Detail
Name & Address
Title MGR
BRANCH, GWENDOLYN L
101 CENTURY 21 DRIVE #104-A
JACKSONVILLE, FL 32216
GR
ARNOLD, PHYLLIS L
101 CENTURY 21 DRIVE #104-A
JACKSONVILE, FL 32216
itle MGR
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Detail by Entity Name
MOREAU, GARY
2353 ST. JOHNS BLUFF ROAD S
JACKSONVILLE, FL 32246
Title MGR
MOREAU, LISA
2353 ST. JOHNS BLUFF ROAD S
JACKSONVILLE, FL 32246
Annual Reports
No Annual Reports Filed
Document Images
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Copyright G' and Privacy Policies
State of Florida, Department of State
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