1711 Beach Ave 2015 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-334
Job Type: WINDOW AND/OR DOOR
Description: WINDOW REPLACEMENT
Estimated Value: $4,772.00
Issue Date: 2/18/2015
Expiration Date: 8/17/2015
PROPERTY ADDRESS:
Address: 1711 BEACH AVE
RE Number: 169661-0000
PROPERTY OWNER:
Name: COLEMAN TRUST, JEAN BUCK
Address: 1711 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ACE DOOR & WINDOW SERVICE
Address: 9123 E HARE AVE QA GARY S.HALE CBC035180
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $73.86
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $36.93
STATE DBPR SURCHARGE $2.00
Total Payments: $114.79
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of 9 or I' Countyof Duval Tax Folio No. (G9 6� 1 0600
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF CO EMENT.
a?��C;tl 1)
Legal Description of property being improved: Q?-9— . 2 1
Nor-4-i QA4on4ic &PaL.17, LLn 4 1
Address of property being improved: 171 16ear-li a Qve, ia+(art-j;c &A. FL, 3 ,7.1 1
General description of improvements: Rep I aco. f-ro.N 4- CtOA
Owner: Con fl. e Yiera rarp Address: / -7 -.Q(Z71C
Owner's interest in site of the improvement: 0(A)Al-e
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ACE DOOR & WINDOW
Address: SERVICE INC.
Telephone No.: 9123 HARE AV�ax No:
Surety(if any) AX�R.�32211
Address: WK-727-6811 Amount of Bond$
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 Florid--, 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 N . qf 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 OWNER
Signed:
Date:.
Before me this day of in th County of Duval,
Doc,42)0150377 988,OR BK 17070 Page-1713, Of Florida,has personally appeaA._
Number Pages: I Personally Known: or
Recorded 02/181111015 at 02:05 PM, Produced Identifica
"d
en ifica n*
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Publi
COUNTY My commissi expire
RECORDING$10-00
0 y
fty 04
Notary Public State of Florida
L
Shirley L Graham
M m y�0�, J� �n 086990
y commission FF 086990 01
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
L L�
800 Seminole Road, Atlantic Beach, FL 32233
-5826 Fax (904) 247-5845
Office (904) 247
-&ack A
Job Address: Permit Number:
Legal Description 1-711 &ZaCb axre Parcel
Floor Area oT_ Sq[.Ft. sq*Ft
0 ea_�
Valuation of Work S q 772- 0,2, Proposed Work heated/cooled non-heated/ei
Class of Work(circle one): New Addition Alteration Repair Move--aemolition pool/spa
Use of existing/proposed structure(s) (circle one): Commercial ge:s:idential
If an existing structure,is a fire sprinkler system installed?LCircle on 0 N/A
Florida Product Approval# 1 1) 3 5 Sig r, e__5.�xaoz)
For multiple products use product approval form
Describe in detail the type of work to be performed:—/v?,
Prov%ner Info
ertvOw t rmation,:
_ss.
Name- .4- CO V_C) Address:
Zip Pho e
city S�t�a t
E-Mail or Fax (Optional) C z kni 0 1
Contractor Information: CONTRACTOR FMATT, A-_nRRFSS:
Company Name: ke- Dm r, Qualifying Agent: A ,
Address: A/avr el Ale- Ci _Zwc State F4- Z* 97--Zd
Office Phone 9'OY-7R,7- Job Site/Contact Num er 90 Y /�;t 4/ Fax# 90cf-760
State Certification/Registra ion 9 B(= OV6j�7
Architect Name &Phone# IVIA
Engineer's Name&Phone# !!�IA
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 regii lating construction in this jurisdiction. This permit becomes null
or aWeriod of six(6)months at any time after
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedf
work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, ells,Pools, Purnaces,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.
Ihere �certify that I have read and examined this a f laws and ordinances governing this
0� pplication and know the same to be true and correct. Allprovisions a
type .work will be complied with whether specified herein or not. The granting of a permit does not presume to give uthority to violate or cancel the
provisions of any otherfede 1,st or local law regulating construction or the performance of construction.
Signature ofEer Signature of Contra r ..........................
PrintName . ......A ....................... ........................
Print Name ............. .... .............................................................
Befo -esume to give it orhy a violah
,de I Ast
c
r
efo 20
Befo i 2 0
thi of 20 this y of
No ary ublic N a 1 4 10
7o vised 01.26.10
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road
!2
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
Date routed:
Email: building-dept@coab.us
City web-site� http://\"m.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / -711 A9 ot 6,� /*c' _op�ment review required Yes Ao
C Building�� _E��
Applicant: —Pra—nning &Zoning
Tree Administrator
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 Envi ronmental 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: VApproved. E]Denied.
(Circle one.) Comments:
BUILDING 0
PLANNING&ZONING Reviewed by: J/n Nz__ Datea
TREE ADMIN. Second Review: [:]Approved as revised. F]Denie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by'. Date:
FIRE SERVICES Third Review: FlApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10