42 3rd St 2014 tracks for shutters CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001376 Date 8/27/14
Property Address . . . . . . 42 3RD ST
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 7000
----------------------------------------------------------------------------
Application desc
tracks for shutters
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MCLAUGHLIN, MARY U PRO-BUILDERS OF FLORIDA LLC
42 THIRD STREET 1115 OAKS RIDGE DR S
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 3222S
(904) 386-0094
--- Structure Information 000 000 TRACKS FOR SHUTTERS
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50
Issue Date . . . . Valuation . . . . 7000
Expiration Date . . 2/23/15
----------------------------------------------------------------------------
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 85 . 00 85 . 00 . 00 . 00
Plan Check Total 42 . 50 42 . SO . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 131 . 50 131 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
CITY OF ATLANTIC BEACH
Office (904) 247-5826 Fax (904) 247-5845
Job Address: q2 -3 Pumit Number: J 3:716
ve- IS4-l< z 7
Legal Description /6 -,2S-2?167_1f 744.'Jil-4e,�Lk Pr 4(,�Rarcej t oi �_3 e9oct)
Floor Area of Sq.Ft. , 9, q. t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
4
I
Class of Work(circle one): New Addi ion Iteration Repair Move Demolition pool/spa window/door
one)'
Use of existing/proposed s ure(s) circle one): mmercial (T�e�sidentiaO
Ire. - 7—
If an existing structi cCea fire sprinLer system installe ? (Circle one). es No N/A
s
Florida Product Apprkal 4 rZ- f
For multiple produic use product app-r-o-va-FForm
Describe in detail the typ rk to ed: IRfck f"O" WkOS
C)0 cl-j 41G, 114(te 100- -If-1
Propertv Owner Information:
Name: M14'rey Y-Mike. 4N4 M#Ak 14'4tyP_A1-1A1ddress: 3.?9Z S 7-
City ,j1TLh, I.-C j3e.#c4 StateF(Zfi)3.2z_-0 Phone 90'Y- "T/0 7F`Fj�
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
CompanyName: eK04U;1A1x,,s 46C Qualifying Agent: �120J,,4_'&
Address: HISS' ID,4 -S City -7-4 C"Li 0.1 —State Zip J:Z22-S
Office Phone P'V- -�-6"00Fj
K Job Site/Contact Number J?oc(-Z F 6- -00'71( Fax
State Certification/Registration C6C I Y/
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain apermit 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 pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void if work i's not commenced within six(6)months, or if construction or work is suspe'nded or abandonedfor a
Wperiod of six(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricat Work,Plunibing,Sikns, ells,Pools, Furnaces, Boilers,Heaters,
Tanks andAir 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.
Ihereb certify that I have read and exam i.ned th'S a plication and know the same to be true and correct. Allprovisions laws and ordinances governing this
type o work will be complied with whether e2 herein or not. The granting of a permit does not presume 11. .."h" or cancel the
sp e1c i0pi
provisions of any otherfederal,state, or local aw regulating construction or the performance of construction.
resume e
Signature of Owner 0A.,_ &A--jP.;6P_ Signature of Contractor
Print Name Print Name �j
.............. ..........................................................................
............. pat I ..............................................
..... .......... .............................................................
B ruc Befo
this IMMv of- "Utst 201 Lf this 21�'Sav of, 20'1
Not Notary Public 6
JENNIFOR11WALIKER
U01.210
Mv rohj\j,jj�,�tUN#FIF 011480
P R-�S "1 24 20
I '� I -April 24,2017
E,�PIRES
T r,W. Publ. d.
B,,dd Th,,,N,t,rV pubiic Underwrwers
City of Atlantic Beach
Ir rk, APPLICATION NUMBER
Building Department 'To be assigned�y)he Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us 'I —
APPLICATION REVIEW AND TRACKING FORM
Property Address- g3r t review required Yes 'No
< Building,-,
Planning &Zoning
Applicant:
-Tree Administrator
Project: ligaz4. Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Recc Date
of Permit Verifie�, 7J
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: MApproved. E]Denied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by:_k_" (J,�_Date:
TREE ADMIN. Second Review: DApproved as revised. nDenieV
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
NOT'CE 0-F COMMENCEMEDIT
(PREPARE IN DUPLICATE)
Permit No.
State of Tax Folio No.
County of
TO whom it may concern:
The undersigned hereby informs you that Improvements will be made to c'OrtHill real propeft and in
accordance with Section 713 Of the Florida Statutes,the following info
COMMENCEMENT. rmation is stated in this NOTICE OF
Le EP I description of property being improved: -2 '?F
6-r C-
107' 4X 1'�t4 7"-A ece 074 C .2
/ .1 - -----------
Address of property being improved:
General description of improvements:
Owner fol HN'4f 4,1/
Address j S2,
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ----------
C, 1�4:-
Address c A-
PhoneNo. CJC�A- c
Fax No.
Surety(ifany)
Address
Phone No. Fax No. Ount of bond$
Name and address of any person making a loan for tho 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 I JQ C'3t:F7-(! c"
Address I 102c,ff--
PhoneNo. ax No
In addition to himself,ownerdesignates the following person to receive a copy ofthe Lienor's Not'cj-'as Provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice ofCommencement(the expiration date is one(1)year from the date ofrecording unless a
different date is spectlied):
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed. ef
Before me this ay of DATERE, 4
Coun 0 D 1. ta D Florida I Is Y appeared he I - --- --
Doc#2014193459,OR BK 16892 Page 348, imsell lerse daffirm that all statements and docraralibris herein JENNIFER WALKER
Number Pages: I a true and accurate My COMMISSION#FFFOJ 480
Recorded 08/27112014 at 09:14 AM, EXPIRES:ApM24,2 7
Ronnie Fussell CLERK CIRCUIT COURT DUVAL 'N Boaded Thru Notary Public Und rwriters
COUNTY
RECORDING$10.00
)fa PublfcatLarge fate of
C f
mmission expire
onally Knovm -12q�m-
a cedIdentification or
3-0