2025 Beach Ave 2015 Door 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-653
Job Type: WINDOW AND/OR DOOR
Description: DOOR REPLACEMENT
Estimated Value: $3,514.00
Issue Date: 3/31/2015
Expiration Date: 9/27/2015
PROPERTY ADDRESS:
Address: 2025 BEACH AVE
RE Number: 169709-0000
PROPERTY OWNER:
Name: REICHLER, RICHARD J & MICHELLE,
Address: 2025 BEACH AVE
GENERAL CONTRACTOR INFORMATION: DOOR
Name: PELLA WINDOW AND WLAND
Address: 7818 PHILIPS HWY QA JAMES SAMUEL RO
Phone- - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $33.79
BUILDING PERMIT FEE $67.57
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $105.36
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
....�IFUILDING PERMIT PPLICATION
CITY OF ATLANTIC BEACH
FILECOPY 800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845 4V
jBy___4_ I
Job Address: I a-&\ �If-�Nc-y,'v IQ- 9QQ-f-6' FL Z>.Da3 b Permit Number: Z5---'�y 1AID-65�7
oo 1)-�*-,)L 4 e' to Qw-6,\j 3
Legal Description 1-6 k 61? Parcel# /4,ct-70 6c,
Floor Area ot Sq.1,1. "q- '
Valuation of Work$_'�,5/q_6o _—ProposedWork heated/cooled non�heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of exi�ting/proposed structure(s)(circle one): Commercial esidentia
q4�o (g)
If an existing structure,is a fire sprinkler system installed? (Circle one): es
Florida Product Approval# I L/ Of 0 - S
For multiple products use product approval form
Describe in detail the type of work to be performed: 1zQNXXeA_ k _z)6kS(L_ i&tz-e_
Property Owner Information:
Name: & v".-� Address: 2>e-C\- 44-K
city v0"k,_ StateFl-Zip 3a-1-31-, Phone SM-Dlv.) - Q�-TO t
E-Mail or Fax#(Optional)
Contractor Information:
Compan m
ss.
Addre
Office Phone qb-7-Ry7-242 Job Site/Contact Number-7.1-7-(.137-Aq 6 —Fax
State Certification/Registration# Q, 6 4 Co-7 1-1
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A lica h eb mad b an a erm do work and nstallations i nd�c or installation has commenced prior to the
�r
a ds a thisjurisdiction. This permit becomes null
0 is s f
t t c iOn or irk a period ofsix(6)months at any time a ter
c f
��pe Ze d o5jectric Wells,Pools, Furnaces,Boilers,Heaters,
to t t or t
n ha 0 t PI b in d to in t t
' 'i ' e
pp 0 s er it Y d t ork eip
'ssua ce 0 aperm an t all w w,s e mo t orl c s
and 'id ork -s not c en 'd w hi ix 6) n 0
dm,,s c t it t S, ( t, r is mu t
om
'k is c f eced u tad ha para be s
T ir Co .f
:nks andA n toners,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.
I herelb certify that I have read and examined this. lication and know the same to be true and correct. All provisions oflaws and ordinances governing this
work will be complied with whether specif fiegd herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or local law regulating construction or the pe�fomance ofconstruction.
Signature of Owner Signature of Contractor ;t:vz�
Print Name 12 Print Name ............................I.......................................
..r........................
1.�.e.........................
Sworn to and subsogibed before me Sworn to-and subscribed before me
this 6Lt Day of iho�,rLX,\ .20 this _W/ Day of mw-,,k 201-51'
Cj-,z----
Notary Public 'Notary Public
D-vised 0 1.26.10
E UMALLEY TIMOTHY R.O'MAU.EY
CHRISTIN My COMMISSION#FF 042794
My COMMISSION#FF 087307
EXPIRES:August 7,2017
r_VD1Mrq-.1nnnP.ry 29,2018
Doc # 2015061318, OR BK 17100 Page 1666, Number Pages: 1, Recorded
03/18/2015 at 12:32 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Permit Number /57—uq/V/9-6573
Parcel ID Number-M-10-9 L�0111'1
FILE COPY
NOTICE OF COMMENCEMENT
State of Florida
Countyof DQ\)-\
The undersigned hereby gives notice that the improve rn ent(s)will be made too certain real property,and in accordance with
Chapter 723,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of the property,and street address If available)
Address "b-*\a� N!�eo,� T_'L.3 Z, )13
Legal Description Or,'15 9-.IS-D9 6 %4 V',-� -3 1 6�r ci?00
2. General description of improvementis)
3. Owner Information
Name R Phone&Fax Number C�6 9 D4 dX (-�-TQx
Address;4XY 5�t
Interest in Propert
4. F S' pleTitl Holder(if other than owner shown above)
ee"
Narne Phone&Fax Number
Address—
S. Contra!F;\,,,
Name Phone&FaxNumber kj6_7-c?,�1_7-D9S7
Address (L4*1- 41'4 �AK4,U.L01&11 C-- _).)-7_T0
6. Surety(if any)
NameN/A Phone&Fax Numbe
AddressN/A
7. Lender(if any)
N a m e�/A Phone&Fax Number
Addressl"I/A
S. Persons with the State of Florida designated by Owner upon who notices or other documents may be served as
provided by 713.13(l)(a)7,Florida Statutes.
Name �F'- Phone&Fax Number
9. In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in
713.13(l)(b),FI Ida Statutes.
Phone&Fax Number
Address
10.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a
different date is specified:
WARNINGTOOWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE
OF COMMENCEMENT.
sIgnature Dfcl�e!`Sor owo�rs Authorized officer/Directov/Partner/manager Print Name
Swom to(or affirmed)and subscribed before me thisa:!��day of 2.0 by "�'I"as
CN� (type of authority,e.g.officer,trustee,attorney in fact)for (name of party on
behalf or whom instrument was executed. —personally known to me or produced
t> as identification.
s (Seal) My C(NJ1IS3ICN P FF r)37�1;7
c:>
EXPIMES:Ja=ry�9?013
Narne(print)
City of Atlantic Beach
APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
800 Seminole Road
"I*o";W-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
Date route&
City web-site: IttP://www.coab.us nii I
APPLICATION REVIEW AND TRACKING FORM
Property Addr ment review required Yes No
Buildin
Applicant: 7n Planning &Zoning
Public Works
Project: Tree Administrator
Public Utilities
Public Safety
JFire SeFrvices7
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alc holic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: P;(Pproved. nDenied.
(Circle one.) Comments:
(E�
PLANNING &ZONING
TREE ADMIN. Reviewed by..- Date-
Second Review: []Approved as revised. oDenied-
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
qvised 07/27/10