270 6th St 2015 Window f,SS 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-805
Job Type: WINDOW AND/OR DOOR
Description: DOOR REPLACEMENT
Estimated Value: $9,151.00
Issue Date: 4/13/2015
Expiration Date: 10/10/2015
PROPERTY ADDRESS:
Address: 270 6TH ST
RE Number: 172562-0000
PROPERTY OWNER:
Name: YEATS, ALEXANDER
Address: 270 6TH ST
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $47.88
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $95.76
Total Payments: $147.64
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Seach
APPLICATION NUMBER
Building Department (To bp assigned by thp BUilding Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247,5826 - Pax(()04)247 1;84.5
E-tnaiL building-dept@coab.us Date i-outed:
City web-site http'//www.coab.Ljs I - I I
APPIUCATM REVEWIW AND TRACKNG FORM/i
Property Addrf-ss: [_Departnj6nt review re uired es
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Apj-p I i ull in
-arot: Plan7ning &Zoning
tor
rT!reeAc1ministrator____
Pu ic Wor
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Project:: Public Works
Public Ublities
Public Safety
Fire§_ervice�
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
Florida Dept. of Transportation
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St.Johns River Water Management District
Army MCorps of Engineers
Division of Hotels and Restaurants
D i i f I Ij,
ivision of Alcoholic Beverages and Tobacco
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APPL�CATIOH STAT US
Reviewing Depariment TF-hrst Review: [V-Aproved
[--]Denied-
(Circle one.) Comments:
PLANNING &ZONING Reviewed by_==?nk Date: ev—
TREE ADMIN.
Second Review: DApproved as revised. OlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date-
FIRE SERVICES Third Review: []Approved as revised. DDenied.
Comments:
Reviewed by: Date:
07/27/,10
BUILDING PERMIT APPLICATION
V7437- 8-Y00 CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 4 In
A4P
r1l ro ^Armr LU
LU adV
1? fL 3a;k33 PermitNum
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Job Ad r LG-t 4
-34 Parcel# 1-7-)
Legal Description IS q
P loor Area of Sq.Ft.
Valuation of Work 9 Vyl (J2 Proposed Work heated/cooled Zn-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa ji:nd:owD/door
Use of existing/proposed structure(s) (circle one): Commercial tl;�i
If an existing structure,is a fte sprinkler system installed9 (Circle one)9 e�sN o N/A
Florida Product Approval 4 ol 64 6 . -3 -� / V00
For multiple products use product apli—roval form
Describe in detail the type of work to be performed: �,L�o&'t!;k_
Property Owner Information: IS.V
Name: Address: �)-7k) -3 C1-'s
Zip 3,li Phone -7-7c) �5a I
City i!llil��ill�!''I�,i��ill,��111(-- Se--cv-
E-Maii or Fax#(optional)
Contractor Information:
Company Name:�,�\,'\,Vz A1X I, Qualifying Agent:-SC-x,,CS
—city LO State E 5- Zij) A�_7X'
Address: 551) QJ S�'Il
Office Phone+0- S-31- 6 4 0 Job Site/Contact Number Fax
State Certification/Registration# 0�4-7
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance oj�a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 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 period of six P6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools, , urnaces, Boilers,Heaters,
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
Doc # 2015076005, OR BK 17121 Page 345, Number Pages: 1, Recorded 04/06/2015
at 08 :53 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
AFTER RECORDING-RUIVIIN TO!- FILE COPY
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to rerlain real property,and in accordance with Chaptcx 713,
Florida Statutes.the IbIlowing intbrmation is provided in this NoLict;ofCujurnernzelneut.
1. DI-SCIt I TMON OF PROPERTY Oxgal descrilAioa of the property&,street address�if available)TAX FOLIO NO.:
BLOCK TRACI, -1.0'r 'V -tINIT
2.J(;FN1,RAL DESCRIVI[ON 01"IMPROV FM F*f"'*.
OWNER INFOM11ATION OR LESSER INFORMATION IFTIIE LF38FN CONTRACIV)pOR,rHr i.mPHOVEMENT:
tLOI-S c'>-7rj 0" EC �-a420
1.1=M
c.No.iw and address of fee simple titleholder(if different Itom Ov.ner listed atovey
4. a.CON fRACTORIS NAM FRe)\t,,�_3,
7-1 1
C..U.,Xoes adchcss: FL APhone nuniber:Vb7
3, SURri y a copy offt payiwahnnJ
e.WTVAnd SdC!rMS: P�A-
I,phopenuinbcr. c Amount of bond:S
6.a.LENDER'S NAM C: 10
b.Phone n—her.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe saved as provided by
Section 713.13(1)(a)7.,Florida StaluLes:
a.Namo.,nd
8.:L In addition toltimselrorbasell Owner designates Of
to receive acupy ofthe Licnor'u Notice as provided in Section 713.13(1)(b),FloridaStitutes.
D.ptkonenumi�--rofT�w)nwor-titydc,,iimictlbyO%vna:
9. Expiration date ornotioeofcommeoccinent(the expiration date will be I year from thedate ofrecordingunless adifferentdate is
specl fled).,_.20--
WARN11NQ,,r0oWNM ANY PAybJEN1'3 kJADE BY Tl.[I-'.()WNF.R AFIFAI Hh I-All[KNI-ION 0j,-jHENQrIQE0F(OMMENCI-MlIN
ARE CONSIDERED IW30PFR PAY10FISITS I ADFR CHAlvj-j-,R 713.PAI<i 1. LCIIJON 713.13,FLO91DA STATUTES.AND CAN
ltl--Si.;[.TINY(2i.Ri-AYING-l-WI E FOR lNlpIz0Vj-,NfFNTS 10
_y_0A�RPltQ)P1[=.. � N N
A OTICE017COMM15NCEME TNIUSTBE
RE'CORDED AND SJ[ILL LF-FORE,111 L-;Fl W4 INSPECTION. IF YOU INTENI)1-0 QB.I.AIN HN&N(AN0. (2NY
_ _ __Q_JC _JLT
Mq I ti yo JR LEN Dl-R OR AN xr FoRNSY BEFOR B CO MME14CNO WORK Olt RECUR DINO YOU I Z N 0 1 ICT,of-CUMM I.NCEMLNT.
a
(Signature or Owner -Usseeot-Owner'sorUssee's (Print Name and i�,��!!Zsignatary's Title!Office)
Autleorifed offtcter/�'recter/ilai-tier!Managet-)
State of
County of I,,\[
-Tlie foregoing instrument wits acknowledged belorc me this day of��CL)V\ .2o
by Mex-."e-c --as
. r . (munoofpcirson) (type ofauthority....eg.urlicer,trust=,anorncy in fact)
lbr-- '�I-
(narric ofparty on bhelfof wbom instrurnentwas exectited)
Personilly Known or produced Identif cation Y Type ofidertitication Produced
(Signature of Notary Publiii)
(Print,Typc�or Stamp Com isqioned NameofNotary Public)
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J11 My cDMMISSON t Fr OW67V
A.. EXPRES!Janualy 22%NIS
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