2328 Beachcomber 2015 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DEW
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-160
Job Type: WINDOW AND/OR DOOR
Description: REPLACE WINDOWS
Estimated Value: $22,061.00
Issue Date: 2/6/2015
Expiration Date: 8/5/2015
PROPERTY ADDRESS:
Address: 2328 BEACHCOMBER TR
RE Number: 169463-0072
PROPERTY OWNER:
Name: ALLIGOOD, CHARLES EDWARD
Address: 2328 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: ACE DOOR &WINDOW SERVICE
Address: 9123 E HARE AVE QA GARY S.HALE CBC035180
Phone: - -
PER lIT INFORMATIO 4:
FEES:
PLAN CHECK FEES $80.15
BUILDING PERMIT FEE $160.31
STATE DCA SURCHARGE $2.40
STATE DBPR SURCHARGE $2.40
Total Payments: $245.26
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: C?, Q,c h crb M ID R-C Yermit Number: /_5__
Legal Description_qa _� _D? — as — a9E� 0-, Parcel#
q.
Valuation of Work$ Ac%,061 . 00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Altdration Repair Movr.�molition pooyspa(E�door
Use of e�i�ting/proposed structure(s) (circle one): Corn !:e:side�nti
If an existing structure,is a fire sprinkler system iq�talled? (I e Xc
mere'a
Circle one� No N/A
Florida Product Approval# EL No9l, 3 ) rL q093, 1
For multiple products use product approval form
Describe in detail the type of work to be performed: Ceptac W j)kAj.5
I I
In P to V.S\ 0 clich I:)
Property Owner Information:
Name: Ed-�,SaxJ 411[*Q.04 Address: c'� 6p-ackcombec I-rcu' k
City a4 b2A 41 e— 43 ab J Stateb-Zip 3,623 (12
E-Mail or Fax�_(O�tional 3Phone 0 o-?
11
Contractor Information: CONTRACTOR EMAIL ADDRESS: NU C+13 r 0) cx c 9-&oz 1-. 6 Pm
Company Name:A c P, boc��'- "i W I t,I JO W Qualifying Agent: M C-
+\n�C 4A I e
Address: 0 VIR city State 41- . Zip 3 2,-2- 1
Office Pho e. -7 6,g!/I Job Site/Contact Number Fax# 7.� 7
State Certification/Re-gistration# 19�ig!M_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
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor.k or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in thisJurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a eriod of six months at any time after
work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing,Signs, 1411s,Pools, At)rnaces, 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and examined this' lication and know the same to be true and correct. Allprovisionso 1 sand ordinances governing this
work will be complied with whether s eci 70 herein or not. The granting of a permit does not presume to giv authority to violate or cancel the
provisions of any otherfederal,state, or local raw regulating construction or the pertbrmance of conj0jq"#
!0II DAIN
I . ? ...... �
Signature of Owner, Signab'� k <7
Print Name scod. ,Z% Q� %
...................I..........4 .............................................................. Prid 10iie
0 L h
= UJ My CAdMM EXPI .,w ........................ ..........
Before pe BeZ Mgust 29,2017 : *
this Day of 9_0111 L4-ck r 20 15 thi 2 0/5'
. 1 1. IT91 R LE (P
IMIS
My COMMIS51"ON X ht:2016 Nota
EXPIRES OC=WW 31. OF
140;; 9"153 Revised 01.26.10
NOTICE OF COMMENCEMENT
-3 -o
FILE Pnpv , (PREPARE IN DUPLICATE) 0-73,
Perrnft No. IVID --160. Tax Folio No.
State of County of
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 Improved: 4 al, j�q
Address of property being improved: -ea c ir, Im r
0- 4J- cap b za a ;L. :x,-
General description of Im t
Ct provemen s-
tA Z C1 CU3 k-'-y
Owner 4�Is t��j 41 Ij.qopj
Address C3 :2 , "Q.2( H4—,r-)-
--02-
Owner's Interest in site of the Improvement
fee Simple Titleholder(if other than owner)
Name
Address
Contractor AGE DOOR & WINDOW
Address SERVIGE MG.
Phone No.
Surety(if any) 9123 HAwA"-
Address JAXo FLA. 32211 Amount of bond$
Phone No- M4274"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 notines or other
documents may be served:
Name
Address
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
A-1
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a
different date Is spectff ad):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
% M -<
Sped: 6 a-C-Q/ V DATE
Before tri r 19 in the
elp
hun�,;f uVal, tateFIF.10
Iff
1437, ero hersff and HyfifttyaT 11 statements and declarations herein
Ooc#2015013840,OR 13K 17039 Page true and eccurate
Number Pages� I t I I:o6 AM,
Recorded 01/2112()15 a,CIRCUIT COURT f)UVAL
Ronnie Fussell CL-ERK >
COUNTY
RECORDING$10-00 M,--r-1--I-n.-P---I�f
P.-Ily I(...
Produced Identification a—
L a easol SOZSI- -NZ GV:L L -LSZ L S: L L S L OZ L Z HVr<OFAM>
A4-P, City of Atlantic Beach APPLICATION NUMBER
lr� (To be assigned by the Building Department.)
Building Department
A 800 Seminole Road /Y
Atlantic Beach, Florida 32233-5445
-5845 46
Phone(904)247-5826 - Fax(904)247 Date routed: Z///
E-mail: building-dept@coab-us
City web-site. httP://v,"".coab.us
APPLICATION REVIEW AND TRACKING FORM
7,-z- L
Property Address: De.partment review required Yes No
Applicant: —�ALn Planning &Zoning
Tree Admi—nistrator
Project: 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: PA-pproved. DDenied.
(QC'Ecle one.) Comments:
CB U I:L:D�I :G)
PLANNING&ZONING Reviewed by: Date: /- ' 6- 15-
TREE ADMIN. []Deni
Second Review: [-]Approved as revised:. d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 07127/10