857 Amberjack Ln 2014 Windows CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001049 Date 7/11/14
Property Address . . . . . . 857 AMBERJACK LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3100
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Application desc
NEW WINDOWS
---------------------------------------------
Owner Contractor
------------------------
DAHLGREN ENTERPRISES INC
KSN INVESTMENT CORP 9827 BUNCOME RD
9191 SKINNER PKWY # 501 FL 32246
JACKSONVILLE FL 32256 JACKSONVILLE
(904) 434-0582
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Permit WINDOW AND/OR DOOR PERMIT
Additional desc - - 35 . 00
Permit Fee . . . . 70 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 3100
Expiration Date . - 1/07/15 -----------------------
-----------------------------------------------------
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
---------- -----------------------------------------------------------------
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
Lg `7
L
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 3
ri 4
FILE COPY 01,114 . 1
Office (904) 247-5826 Fax (904) 247-5845
By
5
Job Address: 05 7 Am Permit Number;=__�_�
Legal Description Floor Area of Sq.Ft. Parcel# Sq
n(�Valuation of Work$ 7/0(9-co —Proposed Work heated/cooled n-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa(��Rdoor
Use of existing/proposed s cture(�)(circle Commercial 4e-s—idential-3
4 V_es (:�D
If an existing structure,i afire sprinkler system ins Hed? (Circle one): N/A
Florida Product Approv 1 11 , 13 —
For multiple products s net approval ,in
rov
rf S
orm
Describe in detail the e of wor 7e�pperformed:
Y-w
Property Owner Information: P/<
Name: K Address:—?/f/. K(, 5A-)417
5AI State Zip 3
Phone
city
E-Mail or Fax#(Optional�
Contractor Information:
Company Name: ying A ent- 67ki )�)�4 1
Qualif Stite
Address: 2122- ff City Zip '322 9'
Job Site/Contact Number 412V VS 9 2- —Fax#
Office Phone Q.5,TV—' _§
State Certification/Regi ion#_j2gqi��8'7
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
ermit b�comes null
i permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. Thisp_ any time after
onstruction or work is suspended or abandonedfor a eriod ofsix(6)months at
j
a ?e
oif�work is not commenced within six(6)months, or if c A ers eaten
work is commenced I understand that separate permits must be securedfor Ekx&!=F Work,Pfimbing,Signs, dh,P0�0� 'F'rnacAM Bod 'H
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 YOj_T INTEND TO OBTAIN FINANCING.) CONSULT WITH
YOtIR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMI"N'.4
Ihereb that I have read and examined this a&Picadon and know the same to be true and correct- All provisions oflaws and ordintinces govern;t-,
certify i or not. The granting qf a permit does not oresume to irive authoritv to violate or
�I,,�.co k, with whether speci
P.pe q work w
si- ntnre of contractor
Signature of Own 1�n - — —
Print Name
Print Name
Sworn to d bscrihgd before me sworn to and subscribed before me 20
y
this Of --Ir 20 this,3 0 Day of
WRIGHT
4) PUBLIC
APMAMF W%I AW' No blic;
Notary Pub c "OtAgYPUBLIC Ai *li
STATE OF FLORIDA %1=26.10
%j4jFMW�U_
CamniO FF069349 vwms
E)Ores 2r3=18
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Buildin Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 J
Phone (904)247-5826 - Fax(904)247-5845
Date routed: Z/
E-mail: building-dept@coab.us
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Y 'No
Property Address: if.'5"y 14&&f-i 't et
C7SGi�ing
—FTa-nning &zoning
Applicant:
I ree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or 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: PlApproved. E]Denied.
(Circle one.) Comments: fu 0 C'
B U-1 L D'IN
PLANNING &ZONING Reviewed by:_ Date:
TREE ADMIN. Second Review: DApproved as revised. F�De Xi
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F-]Approved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
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PRODUCT: �'—.t,pmp—d By:
W(WBUILDING C NSULTANTS. INC.
SINGLE HUNG WINDOW Po �. 230 VIrico FL
Z. ph- N— 813.659�9197
F1.4d.8,,,d f pmfossio—1 E,gi—
z PART OR ASSEMBLY: C�,fjt� iat �thor—ti—N-- 9813
9 9/13 REMSE ANCHORINGIORWG. NO. JK BILL OF MATERIALS, GLAZING
< OT
LNODATE DETAIL & COMPONENTS
REWSIONS
R.W.,.C.—L-1-I"'
NOTICE OF COMMENCEMENT
State of r1o, Tax Folio No.
County of—b-11V-11—t �
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 COMNIENCEMENT.
Legal Description of property being improved:
Address of property being improved: A,- c- Aft, t3e-c
General description of improvements: ,%&h 4
-Ar�lqer pl<�V4 5-ci
86
Address:
Owner: KSv
Owner's interest in site of the improvement: 0 Vr\
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ���1),e7 *%- t <
31-1 . k- E5- 75, , 4-
Address: 3 1 Z 2-_ o� -F
Telephone No.: Fax No: 7 7
Surety(if any) Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
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 RECORDER'S USE ONLY WN J6 7-
Date-. of Duval. tate
ore this :5 c-) day in the Coun
f Fl a,has personally ap Wd-kki�t
ot Public at Large.State F rida,County of Duval.
Doc#2014144980,OR SK 16828 Page 2095, commission expires:c2 or
Number Pages� I
Recoi-dea 061-M-101 4 at 12:33 PM. rsonally Known:
At
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ..oduced Identification:—jv�4GELA BRYANT WRIGHT
COUNTY
RECORDING$10,00