1834 OceanGrove 2014 window9 11 SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOO R PERMIT
MUS I CAtt D V 4PIVI r%jK 11 rA I UA T Lllarr_�-1 10112 241-38t4
JOB INFORMATION:
Job ID: 14-WIND-5
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 14 WINDOWS SIZE FOR SIZE
Estimated Value: $12,787.00
Issue Date: 9/25/2014
Expiration Date: 3/24/2015
PROPERTY ADDRESS:
Address: 1834 OCEAN GROVE DR
RE Number: 169625-0000
PROPERTY OWNER:
Name: WATERS ET AL, ANGELA M
Address: 1834 OCEAN GROVE DR 1834 OCEAN GROVE DR
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME IMPROVEMENT
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $56.97
BUILDING PERMIT FEE $113.94
Total Payments: $170.91
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID%
BUILDING CODES.
BUILLDING PERMIT APPLICATION
TY OF ATLANTIC BEACH 3
800 Semino 5 &15 E01 4
CI le Road,Atlantic Beach,FL 32233 15 #14
EC 0-ffice(904) 247-5826 Fax (904) 247-5945
t
Permit Nuntberj: B
Job Address: i �3'j OcecA flarcel# I U5 WS -0
Legal Description o or n oled---.
Valuation of Work$ Proposed ork heated/cooled_--� 4
epair =memolition pool/spa window/door
Class of Work(circle one): New Addition Alteration 16�
Use of existing/proposed structure(s)(circle one): Co mercial
if an ejasting structure,is a fire sprinkler systeiii installed? (Circle one): Yes No N/A
5�,j 41�09,��—f-57�17 C�69 —�KR'4,11
I A6 q. elo 57 1 7C6 r7_
oduct Approval#
Florida P� 1)1Q,Wit—7�z —�q�
For multiple products use p1r beperformed:,Mv, Q
Describe in detail the type of work to
Pr 3erty )wner Information: OcIeCIV-1
Name-
city
E-M 1 0 Fax
Contractor Information:
r
Company Name:-- ana 61 C- Agent: state zip
Fax# ?-t��
Address: ea.o 14]
ri LIU
W
c
e
all or oFax#(Optional)
Q� -ELAge�nt-. L
.1
4umber
office Phone
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Ajdress
Fee Simple Title Holder Name and Addres
Bonding Company Name and Address.
Mortgage Lender Name and Address rk or installation has commenced prior to the
zit to do the work and installations as indicated. I cert�&that no wo
Application is hereby made to obtain a pe f all laws regulating construction in thisjurisdiction. This permit becomes null
m ora 9f six months at any time after
rbe pe!ybrmed to meet the standards o 1p ?eriod 4 Is, Pul�rnaces,Boilers,Heaters,
issuance of a permit and that all work will or if construction or work is ended or aba�idonedf 4 S,Poo
and void if work is not commenced within six(6)months� o I dl
work is Commenced. I understand that separate permits must be securedfor Electrica W rk,Plumb ng,Signs,
Tanks and Air Conditioners,etc. YOUR FAILURE TO RECORD A NOTICE OF
WARNING TO OWNER: "E FOR L"PROVEMENTS
S j IN YOUR PAYING TWU
COMMENCEMENT MAY RE INTEND TO 0 TAIN FINANCING CONSULT WITH
TO YOUR PROPERTY. IF YO ORNEY BEFO RECORDING Yolff�NOTICE OF
YOUR LENDER OR AN AT CONMENCEMENT.correct. Allprovisions of laws and ordinances governing this
)n and know the same to be true and ume to give authority to violate or cancel the
U B
T RE
I hereby certify that I have read and examined this a icatu 7t. The granting of a pey-mit does not pres
type oi work will be complied with whether S9 eci e herein or Yu the pe�formance of construction.
of any otherfeder state,or local aw lating construction or
"F'r,
provisions E`b �" fL
gu
Signature of Owner signature of Contractor
Print Name ......_V-r
...... ... .......... - ----------
ameM,: .............................
Print N .... ...... sworn o and subscribed bef e e 201
sworn t and subscribe ore me this
this 7L5ay
AVE
el?.,S,
py
ot blic %,01
City of Atlantic Beach APPLICATION NUMBER
Building Department
.sl� (To be assigned by the Building Department.)
800 Seminole Road
UJ I ND
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904) 247-5845
E-mail- building-dept@coab.us Date routed: C1
City We'b-site: http://www.coab.us L—
APPLICATION REVIEW AND TRACKING FORM
Property Address: DejjAEW?ent review required Yes Ao
ku ii�11 dii�ng
Applicant: FL- Hom Planning &Zoning
Tree Administrator
Project: Public Works
9 Public Utilities
Public Safety
Fire Seivices
Review fee Dept Signature
Review or ca�'t
Other Agency Review or Permit Required of Permit Verified By ::Date
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: [�JA`pproved. FIDenied-
(Circle one.) Comments:
BUILDIN6
PLAN G &ZONING Reviewed by: Date:7- 2-Z-/!/
TREE ADMIN. Second Review: []Approved as revised. []DeniedV
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. OlDenied.
Comments:
Reviewed by:_-.-- Date:
Revised 05/14/09
7
Doc # 2014217904 , OR BK 16923 Page 2444 , Nuniber Pages: 1 , Recorded
09/25/2014 at 04 : 04 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAJ� COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
�PREPARE li,j DUPLICATE1
Permit No Tax Folio No 169625-000
State of FL County of DUVAL
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 0 1 F
COMMENCEMENT.
Legal description of property being improved. 20-20 09-2S-29E LOT 31 OCEAN GROVE UNIT 2
Address of property being improved: 1834 OC EAN G ROV E D R FL 32233
Ic
General description of improvements:WINDOWS
owner ANGELA M.WATERS r LC14
Address 1834 OCEAN GROVE DR WFIL 32233
Owner's interest in site of the improvement OWNER
Fee Simple Titleholder(if other than owner)N/A
Name NIA
Address N/A
Contractor FLORIDA HOME-IMPROVEMENT ASSOC.
Address 4070 SW 30 AVE HOLLYWOOD FL 33312
Phone No. Fax No.N/A
Surety(if any)N/A
Address N/A Amount of bond SN/A
Phone No. N/A Fax No, N/A
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address NIA
Phone No.N/A Fax No. N/A
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served�
Name NIA
Address N/A
Phone No.NIA Fax No.N/A
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 owner's option).
Name N/A
Address N/A
Phone No N/A Fax No N/A
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specjfied)� N/A —
RECORDER'S USE ONLY
Signed. DAT
5 me
M 4F UWA afore me this y of
County of[)uval� tate o Florida.has P rso ly aPPe 0
NWAL 10011i ANGELA M WATERS
him if!herself and aM I ta do
are tru and accura
w r, D"arrt3e, rot,,
conly,Powls,00"Wil CtknFY liIiia,w**and ftrillitilift
sonsis;dne of—Lpoill is a"and correct cc"cif ft Wilill
0#ft"ars 00 recom end III in iiii office of the cwk of the
tr County Cown of DU4 Cou*Rofil
WITNESS nq hill and sell of CIVA of Cirl&C1111111111000111M ota Pubiic at L of FL County of Ouv�
My c ission exp r s::::: or
&JInkatowillovIrlaridal thirtitid Ily
.Ljoy 31—U, Personmar" Kno,,,n x
"*141E FUSSELL Produced denlificatl n
opt Cktait din Cal"cam
r