1650-1 Beach Ave window and siding 2014 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000887 Date 6/13/14
Property Address . . . . . . 1650 BEACH AVE
Tenant nbr, name . . . . . . 1650-1 BEACH
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
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Application desc
SIDING
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ELMORE, KELLY R MATHIEU BUILDERS
1650 BEACH AVE 1778 OCEAN GROVE DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226
(904) 813-3661
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Permit . . . . . . SIDING PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 12/10/14
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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.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Permit Number: 7
Legal Description /f-94 09-Z$-z 9C ICea4 leave a4 to/ Parcel# /6 9 73- CO/O
Floor Area o q. t. q. t
Valuation of Work$_�Q� iDOO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteratio aair Move Demolition pool/spa \�
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use pru uct approval form
Describe in detail the type of work to be performed:
p�..w C�d�� S�i4 s�d`•n9 (�Cnce�
Property Owner Information:
Name: e/l /moo rt Address:
City 144a•1•/%c- State&Zip t L33 Phone 1?6r3,53- 7 83
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 1we✓-r Z/z Qualifying Agent:
Address: /u fOce z,, Crrode. /2r City A 1,14474'r'- be,(6 ti State L Zip 3 Zz
Office Phone Job Site/Contact Number Ifo y Y/33 6 6 / Fax#
State Certification/Registration# c L / Z
Architect Name&Phone# '
Engineer's Name&Phone#
r
Fee Simple Title Holder Name and Address .- ''''' i' ' ' 1
Bonding Company Name and Address
Mortgage Lender Name and Address
PH VVEDy.
7
Application is hereby made to obtain a permit to do the as Indic d. I certify that na work or install 'on has tom d prii¢I to the
issuance of a permit and that all work will be performed to meet the standards of all l regulating construction in this juris fiction. ,This be�oRtes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of siz((6f months nytiine after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaceers,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sppeci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local!mv regulating construction or the performance of construction.
Signature of Owner I— �f�— Signature of Contract 7e���
,�� ��wurnw�rw
Print Namevv i �� ................ ............... �° gE . ' .o me ,.,t� ., /'s w
Swo and subscri before a �' d subscribed ore e
this y of 20 .4awwo0 is ay of I A 20
OFF 7816
Notary Public ,p NoPublic Ste
tary Pubf tats of Florida r v� � y L Graham
Shirley L Graham O ��
W Commission FF 088990 4 lc ST1� missl�60ftf01.2 10
�p 1 Wp' koffilms 22/114 18
�ort�' Expires 02/14/2018 NJr„„p1N~1�N
NOTICE OF COMMENCEMENT
State of TFolio No.
County of �4t r FILE C O P yac
To Whom It May Concern: _ r
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: /�— �Z ®� _ ZS —Z� �eaq Dro dL !�n,f
Address of property being improved: Dara ' cac ��� T a,2
General description of improvements: G Q la G� SiG�.rz q Lcl iit cro �J �pO'' GCS i
Owner: Address: ��—
Owner's interest in site of the improvement:
J
Q
Fee Simple Titleholder(if other than owner): �
m 0
Name: `° F-
Contractor: luk "L i e t—S — !2 c 20
U
Address: 7 T d Dvc�z� DZ'ru d c_ !�l a�n l�c, e 4 �/,� ;�Z 3 z—L o o�
Telephone No.: �o
Fax No:
Surety(if any) 0 Y
O v� o
0
Uj
Address: Amount of Bond$ 1' o d p
c�
<'G
Telephone No: Fax No: m o 1 z
i�°-W" �°
Name and address of any person making a loan for the construction of the improvements ` a-2-T z o
U U C=U
Name: c�o � o w
zf o�Irc>fr
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:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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):
THIS SPACE FOR REC��S USE ONLY OWNER
5E M '4qV Signed: ate:
Before met is day of_ f the C Duval,State
��► � �b Of Florida,has personally appeared
Notary Public at Large,Sta e o� Florida.:Coun o uval.
� 78162 Q� My commission expires:
q '16
s� + ate Personally Known: _ or
��!.�9y Su,,,/� ► Produced Identification:
loin ST
IT City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /41_ 00 7
j Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AN TRACKING FORM
/6�� - i ��a ch �9�✓'�
Property Addr ss: ���C/� /5�'1�� Department review required Ye o
�p Buildin
Applicant: 1lr� IL I/cj�s -?Tanning &Zoning
y� Tree Administrator
Project: ��.4.�in Public Works
Public Utilities
Public Safety
Fire Services
Review fee $
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: KrApproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Ar Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
J
INSPECTION PHONE LINE 247-5814
'Ding"
Application Number . . . . . 14-00000886 Date 6/13/14
Property Address . . . . . . 1650 BEACH AVE
Tenant nbr, name . . . . . . 1650-1 BEACH
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
---------------------------------------------------------------------
Application desc
WINDOW/DOOR
----------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
ELMORE, KELLY R MATHIEU BUILDERS
1650 BEACH AVE 1778 OCEAN GROVE DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226
(904) 813-3661
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 12/10/14
----------------------------------------------------------------
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 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.
4 #
FILE C opyj] NOTICE OF COMMENCEMENT
State'of Tax Folio No.
County of _[-�CL v CL
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 Ybein improved: /,r-- 'Z ®9 — SZ� /
mea it ra dc. lit a,f,�-
Address of property being improved:
General description of improvements: G/� la G� 5-1 P?n (,y,4 do 4J GPoo✓ �� ,
Owner: Address:
Owner's interest in site of the improvement: 14 rtie S 4
J
Fee Simple Titleholder(if other than owner): j
0 o
Name: o �-
rn �
Contractor: ee cL i 'r a o
� / U
Address: 7 T d/ DGc- L, �ru d c, �I x t l c 4 c-Z- /�� 3 LL 3 � o
Telephone No.: Fax No: CO r
m U
Surety(if any)
N O J O
Address: Amount of Bond$ N a 6-31
N acci0 5 0
Telephone No: Fax No: v o o N z
LL
Name and address of any person making a loan for the construction of the improvements .0°°'z o
o c
� 00) oOw
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:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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):
THIS SPACE FOR REC,A 2'S USE ONLY OWNER
�t1 --.giQA Signed: �� ate:
Before me this day of the C Duval,State
c� >> Of Florida,has personally appeared
Notary Public at Large,Sta e o Florida./Cou o uval.
* #FF 7o162 Q My commission expires: ) oty
's=;A VA woe Personally Known: J or
Produced Identification:
g.9
''''� inftiu (1)
ISUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: //,/C_ Permit Number: �y' �•
Legal Description /S 9,4 09-25-Z�7C 1/ eaa loge u,?,to/ Parcel# 60/0
Floor Area of Sq.Ft. Sq. t
Valuation of Work$_ �d QOO• Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteratior Move Demolition pool/spa \�
Use of existing/proposed structures a ene): iercial Residential
If an existing structure,is sn der system installed? ( irc e _Yes No N/A
Florida Product Approv # L�V '
-2iL �i�e8�-� ��-
For multiple products u approva orm
Describe in detail the type of work to be performed: �typ�aGe /'�'A/YR ��a o%o,G �
I-we-0711- _3 d So 6Ji 2/-0s, j�e Jl��� ?,u o del t,✓i it�loGJ�
Property Owner Information:
Name: Address:
City State&Zip e x33 Phone 1?6r`' 333- 7 8Y
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Haff eu Ue''-r 2A e- Qualifying Agent: A511, 1�`d w'q
Address: 1JJ.!F`0cC1,1 Ctrade- /)✓ City A7'/ail><<< 1-kc6 ` State L Zip 3zZ3
Office Phone Job Sit &Gwj&jjLjN1 umber 16 S/ Pl3 3 6 4; Faj#
State Certification/Registration# G/_3 G / z
2MVIDIFT150 1" (7,
Architect Name&Phone#
Engineer's Name&Phone# CMOF " if' n n n v
Fee Simple Title Holder Name and Address SF.EPERIV -FUkAODMONAL
Bonding Company Name and Address NDMONS. r
Mortgage Lender Name and Address ME 01 , , A _ .,., a �. - a
Application is hereby made to obtain a permit to do the w Ire on 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 for a_period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, 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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 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 will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner ���1�— Signature of Contract
11MNYn�Mrj '
.. . . ....-. .....
me sjPrint Name e ..V � .
.
Swot and subscri before a �' d su0scribed ore e
this y of 20 is ay of i 20
,rare 7816 �
Notary Public Notary PuWi tate of Florldat r 4 _: public Ste
Shirley L Graham B '`•� 0, Y L Graham
gyp+ My Commission FF 088980 Nelly $TA�itli► + _ missi 6�P8ft1.2 10
OF Expires 02/14/2018 Htt„MNJA 0 0001102/14 018
Nt, V City of Atlantic Beach APPLICATION NUMBER
Js � Building Department (To be assigned by the Building Department.)
r y 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING`FORM
Ila�O - I ��� J
Property Address: 14 5-d �C// 14 vi nt review required Yes No
JJ Bui in
Applicant: A a—a�� � 'U Planning &Zoning
Tree Administrator
Project: /� dQ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof 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: pproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date: 6^6i
TREE ADMIN. Second Review: ❑Approved as revised. ❑ nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09