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1101 Violet St 2014 WindowCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000855 Date 5/30/14 Property Address . . . . . . 1101 VIOLET ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3637 ---------------------------------------------------------------------------- Application desc new window ---------------------------------------------------------------------------- Owner Contractor ------------------------------------------------ RABOLD, MARY C. LINDY BUILT CONTRACTORS 18602 JIRETZ RD PO BOX 518 ODESSA FL 33556 GREEN COVE SPRINGS FL 32043 (904) 591-2950 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 70.00 Plan Check Fee 35.00 Issue Date . . . . Valuation . . . . 3637 Expiration Date . . 11/26/14 ---------------------------------------------------------------------------- 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 70.00 ---------- 70.00 .00 .00 Plan Check Total 35.00 35.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION t CITY OF ATLANTIC BEACH FILE C X00 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1/0 / 40 lle-�_ Legal Description /f - 31�,/ -7 )-:9 •- )1 r`r 11 v3 3Permit Numl4Xi _Lq a Floor Area ot Sq. t. Jq•r L Valuation of Work $_3617,,. Proposed Work heated/cooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Use of existing/propose ructure(s) (circle one om — If an existing structur , is a fire sprinkler system installed? (Circle Florida Product Appro al # / �' 7' S-0 / ),-Ysv � 11 For multiple products a product approval m Describe in detail the type ProDertv Owner Information: Name: city E -Mail or ax # (Optional P Move Demolition pool/spa window/doo \ Yes , o N /A g, 3 Contractor Information: Company Name: '1✓ A ' &Qualifying Agent: Address: City State Zip Office Phone Job Site/ Cntact Number Fax # State Certification/Registration # (; / 5liza Architect Name & Phone # - Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address ���*^�• Wf ' �* Mortgage Lender Name and Address er Ahi pplication is hereby made to obtain a permit to do the work and installationon ors as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be peri. formed to meet the standards of all laws rpegulating construction in thpis jurisdictionsix (. This permit becomes null work �sd ommenced of I understandxthat separate permits m st be se ured for Electrical Workd Plumb ng� Signs, or aWells,Po is J urnaces, Boilers,months at time a Heaters, 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY EN OE R RECORDING YOUR NOTICE OF I hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type ojywork well be complied with wheth i ereen got. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, ocal a iati struction or the performance of construction. Signature of Owner Signature of Contractor 11 _ CQ�. C,�� Print Name `..C..,ir J",,71,,:.:.......... .......'. ........... PrintName � _ ........................................................... ....... ,........ f Befor me this v Day Before.—we t�s l NNNssion # EE p56ass 1 Expires May 20, 2015 BmWlwvTmyFdnlminna800�S1U19 Revised 10.24.12 8. f 5 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. FILE COPY E t ii State of Florida. County of Duval ,,;o 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. �D cription �� op �1egal des �7tion yf pproperty and address if available): �j�' ��Y C� G �`� S% General Description of Owner Information: 7c a) Name and Address: ® ,7 b) Interest in property: c) Name and address of simple titleholder (if other than owner): Contractor Information: HZW&%—r T-0 f rV d ark ; a) Name and Address: ` U/ & --V�-C;f77I`!f— �, •, ( �/ �iG 1ei %� � b) Phone Number: Surety Information: a) Name and Address: b) Phone Number:_ c) Amount of Bond. —$ Lender Information: a) Name and Address: b) Phone Number: Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a) Name and Address: b) Phone Numbers of Designated Person: In addition to himself/herself, Owner designates a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number ofperson or entity designated by owner: of to receive Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: 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 I, SECTION 713.13, FLORIDA STA S, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTTWUR FR%&AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NO F, C (1 , r or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name & Title/Office regoing instrument was ac owledged before me this day of AJO X 201_/U(—by - �C� as fnr foregoing and that the facts stated in it are true to the best of my knowledge and belieuyv,� y I.— j '.avc ,cau uie f. CI..AYWN ;7^ �f115 Signature of Natural Person Signing Above H 4F rryt)l(e. Revised 10/1/2009 City of Atlantic Beach �s Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) /V-0 Date routed: 7 APPLICATION REVIEW AND TRACKING FORM Property Address: Q / �d r ck d , Applicant: r Project: �UAlow Review fee $ D t review required Yes No Building ing & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: A nM1 it A-rinKI CTATI IC Revised 05/14/09 P1r 9- L_ I %.# r% I w.. v . Reviewing Department First Review: [Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: Second Review: ❑Approved as revised. ❑Deni 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 Doo # 20141276,12, OR SK 16e06 Page 1262, Number Pages: 1, Recorded 06/09/2014 at 03.23 PM, Ronnie Fussell CLERK CIRCUIT COURT DWAL COUNTY RECORDING $10.00 NOTICE OF CQMPMNCMTT (P9-RAMINot1PUCATE) FEmlit No. A s�� ` Tax Folio No. St;ttp of y Cvm* 9f `y 7o rvhtmt k mey Wnovrn: The 4ad migned hereby Informs you tits[ ampraramonm W RI blb made 14 oahaltl reel PIM", and In aocordenea wffh $Q0Von 713 of" Rladda StaWDae !hr (onawp,g fatbnoaften fs Sb ad In Wo NOTRK OF oanseHoeJufauT. _ x'125 LIZ— ng IngZroved: 41 I - 1 -4 t, LJt�f,:S 96ner3l dSW0 ion of irrprevrurW%! " W'k-r- '` -lot Owrxar'a Irdetgal in pi19 of Cie gnprovernent,_,_,_ Fee s>,rlpte TiBehnldar (N ottler than vmel) Name AddKsd y� E ~! Phore N0. — F. N0. ^ Address PhonC No. Name end ad&ose of err/ parson nlN&g a loan forthe condmalinn of Cw I mprrnerneme. Name- Rhona W. Fax N0. Name of perm YAW the Bute of Ffafida, CAher than htmeelr, deeignaivd by awrrer uPon whmyi nakvaa or ettxr documents may be aer"M Name Addtesa Pl om No. Fex Na In adMon to htrreelr, over (JlWignaW the lo60ving person to moaW a oopy of fhe Lh naft Natloo as provided In 50WOn 713.48 (9) (b), FloOda Statues. (PAI In BR Owners Option). Nemo Addrese Phone No, Fax Na_ 13rpiraWn date or Natom of Comsmernent (the eaplydon date E& one (1) year from tha date at ramr&Ig unless a d+Ne(ent dela 1n gmuftd): THIS PACE FOR RECORDIM' ONLj,CDuntW uMER 1 f the of DweL nm M t>e PG�dL'MmiDMgh uno Thal dl amtah,entb poelWW—casts w d trhrltle eM fF 9811899 PeaofWyKnownT T WRiYY E r,3 ir •�• %OtivobO rdenitnedIlan -