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1717 Beach Ave 2014 window CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001200 Date 8/OS/14 Property Address . . . . . . 1717 BEACH AVE Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 8368 ----- ---------------------------------------------------------------------- Application desc window replaced ---------------------- ----------------------------------------------------- Owner Contractor ------------------------ PELLA WINDOW AND DOOR HADLOW, NANCY P 7818 PHILIPS HWY 1717 BEACH AVENUE ATLANTIC BEACH FL 32233 SUITE #204-206 JACKSONVILLE FL 32256 (904) 731-8330 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . - 95 . 00 Plan Check Fee 47 . 50 Permit Fee . . . . Valuation . . . . 8368 Issue Date . . . . Expiration Date . . 2/01/15 ----------------------- -------------------------------------------- ------- 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 -----Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 - -------- ------- --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 146 . 50 146 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION f I eA-X co i `iw, 4o( P�irl' CITY OF ATLANTIC BEACH P4- 4- 7d?- 637-sv6 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY -5845 Office (904) 247-5826 Fax (904) 247 Job Address: 1-7 1:Z 52�� Permit Nu *- I I-0'r 11 -0- Parcel# 9 (G(a�42NO14 Legal Description J,�-:/0 09 Floor Area ot S Yt. n- poled 2 Valuation of Work$ �'3 6 Proposed Work �O'eated/cooled non- ooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/propos ructure(s) circle one): ercial 4JEeside:ZD ;s No If an existing structu ,is a fire spriler system installed. ircle one): es Florida Product Appro # _3 q. o53_.;k M Y� For multiple products us uct approval form Describe in detail the type of work to be performed: �,Pk&,60_ (0- V Property Owner Information: Name: A/qtrt� 0n, Address: k-7 1-1 eW_ccNq isrl�� 4 f�I 100IN . Stat hone cto 4- 4 4(1 (0 YT4 City��MQ,A'KQ, 6c-CLOC, _Zip,�� P - E-Mail or Fax#(optional) Contractor Information: DI I - Qualif -C X a Company Name:�;2\\CA ying Agent: ts city lQw,, Address:3X6 SN,�01,9_(L Pc�6�-S34 "9 State Office Phone Ll b-7- R2>k-0(o k!�- JbJEIM/Contact N er Fax# State Certification/Registration# -7 1 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 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 or a eriod of sixA months at any time after and void z)rwork is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedf WP e work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,signs, ens,Pools, urnaces,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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this a f laws and ordinances governing this pplication and know the same to be true and correct. All provisions o 4pe!qf work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or local law regulating construction or the pe�formance of construction. Signature of Owner Signature of Contractor ;V7 0 ..............................9.0.04t..�....................................................................... Print Name -37�pq.� PrintName ...................................... sw to and subscribed�cfbre me Sworn to scribed befor ,.and su e me 20 if To a u"" -7 W, - Q 20 this Y/"Danyv this ay of '4 TIMOTHY R.OW&LEY lie otary P b c EXPIRES:August 7,2017 Notary ublic S City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road 'z'o Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 Date routedi E-mail: building-dept@coab.us Em City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 04 pa�ent review required Yes 0 Bui ing Applicant: anning &Zoning Tree Administrator Public Works Project: Lo s' Public Utilities Public Safet Fire Services Review fee Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 10 TFIoTrida 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 APPLICATION STATUS Reviewing Department First Review: EApproved. F�Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: F-JApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F-IDenied. Comments: Reviewed by: Date: Revised 05/14/09 Doc # 2014167691, OR BK 16858 Page 1014 , Number Pages: 1 , Recorded 07/29/2014 at 08:08 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 -00 NOTICE OF COMMENCEMENT (PREPARE iN DUPLICATE) Tax Folio No. /V(64 Permit No. County o Stateof To whom it may concern; The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida statutes.the following information I-,stated in this NOTICE Of COMMENCEMENT. 115-10 (S 1-c;i 5- Legal description of property being improved. �-6 l, �"�A \R Address of property being improved. "-�'N va, General description of Improvements �—Alp�c6u Owner Address Ii Owner's interest in site of the improvement (V,�4\A(L Fee simple TrIleholder(If other than owner) Name t��'A Addre5 Contractor Q S Address P, Phone No. ol-L� -I Fax No. Surety(it any) —Amount of bond$ Address Phone No Fa)(No, Name and address of any person making a loan for the construction of the Improvements. Name Address Fax No. Phone No Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other documents may be served: Narne .. ,'I�4— Add res5— Fax No. Phone 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 Statutes.(Fill in at 0wrie"s option). Name I ------------ did ress A ress Phone Nc. 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): — -6-0-A—— LY OWNER I/ THIS CE FOR RECOR�DER'S USE�ONLY� C DATE Signed, 1'� in the B fore n.ihi,=d�._f� Cj�,�nty of Duval'State of Florida-has P9rs0naIIY al"Pear"c' herein by t- __'F -��satfro atfrms that alk statements and oeclaratior's herein are true and acculate WAWINE M, FFIJ87307 iry 29,2019 EXPJSES�Janui Notary Pu tic at Large.Stat County of My comm M sion explr.9:r� ---or Personall oWn Ptoduced 10entificatiOn .4_0'.