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
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Application desc
new window
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Owner Contractor
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RABOLD, MARY C.
LINDY BUILT CONTRACTORS
18602 JIRETZ RD
PO BOX 518
ODESSA FL 33556
GREEN COVE SPRINGS FL
32043
(904) 591-2950
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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
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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 70.00
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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
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