190 16th St 2014 windows CITY OF ATLANTIC BEACH
J
800 SEMINOLE ROAD
� S)
,;" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000868 Date 6/12/14
Property Address . . . . . . 190 16TH ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1650
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Application desc
window/doors
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BOLE, BRUCE S & KATHERINE E HOMEOWNER BLDG SVCS, INC (RC)
190 16TH STREET 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1650
Expiration Date . . 12/09/14
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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 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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
Y CITY OF ATLANTIC BEACH f
Ad03 3i 800 Seminole Road,Atlantic Beach, FL 32233
Office (964)21.7 5$ 4"O& aka -5845 2 9 214
Job Address: 19016SFILF COPY Pe
r °
Legal Description Lot 16,Block 63 Mand0
are
#
Floor Area of
c�
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled N/A
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # / /911,,3
For multiple products use product approvalTorm
Describe in detail the type of work to be performed: Replace Two Pair of French Doors with new door&
windows.
Property Owner Information:
Name: K Bole Address :190 16m Street
City Atlantic Beach State Fl=Zip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information: -
Company Name: HBSI Qualifying Agent: Glenn Alexander
Address: 739 Brookmont Ave City Jacksonville State Fl
Office Phone 904-322-1054 Job Site/Contact
Number (� Fax#
State Certification/Registration # CCC1328421 l�F-� d /
Architect Name&Phone#
Engineer's Name&Phone# Vermey Architect
Fee Simple Title Holder Name and
Address N/A
Bonding Company Name and
Address—N/A
Mortgage Lender Name and Address N/A
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to thl
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 nul
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time aftei
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters
Tanks and Air Conditioners,eta
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 plication and know the same to be true and correct. All provisions of laws and ordinances governing thi.
type of work will be complied with whether sppeci red 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 lww regulatin truction or the performance of cot truc
Signature of Owner' ��'p
gn Q ignature of Contracto
Print Name i/1 2 �..'......(J d(2 Print Name f� t .�l� .�.. ...........
� : ............................ .................................................
Sworn to and subscribed before me Sworre�,, and subsc b dke-foFe me 2016
this,ZrDay of a 20 this2z Day of
/Ilnlrr.�
NOTICE OF COMMENCEMENT
'!�ygp�IFV.n.l.-•i7 L'fAttiAili��Y„
State of Pya fT r�c, Folio No;
County of DU✓C,1 FILE COPY
To Whom It May Concern: WINNOW*
The undersigned hereby informs you that improvements will ma a to ce unreal 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 imp Lot 16 Block 63 Mandalay
Address of property being improved:_19016 th Street Atlantic Beach FI.32233 —_
General description of improvements: Construction Of Small Roof New Windows&Entry Door
Owner: Kaththerin Bole Address: 190 16 th Street_
Owner's interest in site of the improvement: Fee Simple a 0
Simple Titleholder(if other than owner): N/A _ _ _ o v
Name:
Y
Contractor: Home Owner Building Services Inc. n
&,0 w o
o
Address: 739 Brookmont Ave Jacksonville Florida 32211 rn 8°'= `�
�C'4Z
Telephone No.: 904-322-1054 Fax No: _ v_a-g :1>-0�
cLL _V
_ E
Surety(if any) N/A ° C:)()
= 9oow
OZM0�UW
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N/A
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: Peter Coalson
Address:_1614 Coquina Place Atlantic Beach Fl. 32233
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: N/A 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 RECORDER'S USE ONLY OWNE
Sign Date: ✓�-ZZ�I
Before me this day of << / m t1W County of Duval,State
Of Florida,has personally appea;.: c l ttn" C col.`s
Notary Public at Large,State^of-Florida County Duval.
Notary Public My commission expires:
State of Florida Personally Known: or
icy,Commission#EE 209M Produced Identification: n d� L;'�✓s C r
Win June 20,2016 N 04orl PV b%:C �
NOTICE OF COMMENCEMENT
State of !41 f C r) Tax Folio No.
County of OUL,�C,1
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 imp Lot 16 Block 63 Mandalay
Address of property being improved:_19016 th Street Atlantic Beach Fl.32233
J
General description of improvements: Construction Of Small Roof New Windows&Entry.Door
Owner: Kaththerin Bole Address: 190 16 th Street cq °
m �
Owner's interest in site of the improvement: Fee Simple ci o
U
Simple Titleholder(if other than owner): N/A !� ~
Name: en 30
fr m Y
0. Contractor: Home Owner Building Services Inc. �� v w o
Address: 739 Brookmont Ave J 1M rOMMANXI
m N
m O N Z
Telephone No.:_904-322-1054 07V4ffATLhAMC
dr
r w.. <�a
Surety(if any)_N/A QPERMMXDM D DTC6t�Ngt '0� ° 0 0
�' °MONS. 0zMof°Cr
Address: Amount of Bond S
Telephone No:
Name and address of any person making a loan for the construction of the impro a
I
Name:_N/A
Address: a s Ift n b
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by 0W►i�`er upor�m rii e h*othe Aruhients may be
served: Name:_PeterCoalson EACH INSPECTION
Address:_1614 Coquina Place Atlantic Beach Fl._32233
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of iie Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: N/A 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 RECORDER'S USE ONLY OWNS
Signe vl �.- Date: S —Z yz
Before me this r �
day of �V1 in t Ike County of Duval,State
Of Florida,has personally appeared�cinbr� LCy/
Notary Public at Large,State�off Flloriida�Coun of Duval,
Notary Public My commission expires: - t�
ift We of Florida Personally Known: or
My'
Commission#EE 209777 Produced Identification: Fih t
Evin June 20,2016 !�a'0'fl Pv'�j.C ; /�
City of Atlantic Beach
s APPLICATION NUMBER
Building Department
it (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
'�Jr319� E-mail: building-dept@coab.us Date routed: /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: d T a t review required Ye No
Applicant: �Bs Planning &Zoning
Tree Administrator
Project: Q Q Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: 0-/
TREE ADMIN. Second Review: QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Msed 05/14/09
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ao y 2 9/24/73 ADD GLAZING DETAIL LES PART OR ASSEMBLY: cartnmca Df t tion No. 9813
NO 6DATE73 ADD UNIT h GLAZING DETAIL BY BILL OF MATERIALS. GLAZING
REVISIONS DETAILS & COMPONENTS Lrnmr. F. scnn,im.�P�.?ro._43409
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