905 SAILFISH DR WINDOW CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
X 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-1047
Job Type: WINDOW AND/OR DOOR
Description: WINDOW
Estimated Value: $4,455.00
Issue Date: 5/5/2015
Expiration Date: 11/1/2015
PROPERTY ADDRESS:
Address: 905 SAILFISH DR
RE Number: 171252-0000
PROPERTY OWNER:
Name: KAPEL, FREDERICK
Address: 905 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: HOMERITE WINDOWS AND DOORS
Address: 4801 Executive Park CT N BLDG 200 STE 207
Phone:
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $36.14
BUILDING PERMIT FEE $72.28
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $112.42
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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Permit No. NOTICE OF COMMENCEMENT
AW Tax Folio No.
State of Florida.County of Duval COPY
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the f0110wing information is provided in this Notice of Commencement. I
1. Description of property(legal description - si av b-1
ag-- )�- — of perty and alAdre if aab)j
S
2. General Description of
04AP
provements:
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3. Owner Information: J111--r
a)Name and Address: 4?,n
b)Interest in property:
c)Name and address o s ple titleholder(it other than owner):
4 Contractor Information: /4),
a)Name and Address:
b)Phone Number: ),dv 141-U-7
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount Of Bona:a.
6. Lender Information:
a)Name and Address:
b)Phone Number:
------------ <
7. Person within the State offlorida designated by owner upon whom'notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
0
8. In addition to himself/herself,Owner designates 0
�2 F-
to receive D
a)Name and Address: (1)(b),Florida Statutes. 0
a copy ofthe Lienor's Notice as provided in Section /I J of
(13 05
b)Phone Number ofperson or entity designated by owner: X 15 y
0 Lr)a- 0
9 Expiration date ofNotice Of Commencement(The expiration date is one(1)year from the date ofRecording unless a Lu 9
different date is specified: -1 0
c)
0
0)Lq oo z
WARNING TO OWNER: 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, zP,2-2 T z 0
0 rz
IMPROVEMENTS TO YOUR PROPERTY. A N AND CAN RESULT IN YOUR PAYING TWICE FOR E o r-:D c)
RECORDED = a) 00W
POSTED ON THE JOB SITE BEFORE THE FIR OTICE OF COMMENCEMENT MUST BE
ST INSPECTION.IF YOU INTEND TO OBTAIN FINANCAINNGD
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
Y URNOTICEOFCOM-MENCEMEN
T.
Signature of Owner or Owner's Autho-,imd�Offier/Direlt-,/Pa�e,/Mn-ger 11911�WA�ite
The f4
10rego
I" I��Iwstrrqmenl was acknowledged before me this day of 207L�by
JQV
as I
k—mv Ul rerson) I for
(Authority T—ype,i.e.�Ofrjcer/Attomey) (Name offarty Instrunient was Executed for)
N Y MIC,STATE 6PYLORIDA
Print Name: . 1�j SC� a iv)6L ji
n rS;sonally Known
U-Tilentification/Type: DL-
Verification pursuant to Section 92.525,Florida Statutes. Under penalties ofperjury,I declare that I have read the
foregoing and that the facts stated in it are true to the best ofmy knowledge and belief
77—
in,
PRIS GWkMatural erson Signing Above
A.: 77
x-
.4 Commission#EE 056833
Expires May 20,2015 Revised 10/1/2009
Bonded Thru Troy Fain Insuranoe 800-385-7019
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
Office (904) 247-5826 Fax (904)247-5845
Job Address: . S��171L 4L J�l Permit Number:
Legal Description 41 A/
�arcel#
#4 Floor Area of q. Sq.Ft
Valuation of Work$ non-heated/cooled
Proposed Work he t
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of existing/proposed structureQ) (�ircle one): e-—� �Z�
Commercial cResident*
If an existing structure,is a fire p rinmer systyn installed? (Circle one): es.-, o N/A
Florida Product Approval# i �)---5-0,
For multiple proaucts use prod`u`ctapp`r6Vva�®rm—
Describe in detail the type of work to be performed:-40/4�c� a& 4,--f�as 0,7 Agm e-
Propertv Owner Information:
Name: )1�-, Id Address: ?iD :!r- Sq&Xiq2'j_
eg�
city State PQip Phone 1Fp
E-M il or Fax#(Optional
Contractor Information: CONTRACTOR EMAJEL ADDRESS: 1061ftAlea/:?AzPM4�,)&WA
' L f
Company Name:ODM�� 44111*`�Vk)f Qualifying Agent:
Address1fol V#V 1-0-7 city State P-L- zip
Office Phone X57 Jo b S ite/IC o nta et N u m b e r �F�ax#
State Certification/Re istration
Architect Name&Ph ne#
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 work or installation has commenced prior to the
issuance ofa permit and that all work will be pe�jbrmed 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 sus �6)months at any time after
I understand that separate permits must be secured r Electrical Work,Plumbing, Signs, Wells, Pools, urnaces,Boilers, Heaters,
work is commenced. fo pended or abandonedfor a period ofsix
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 application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local aw regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name Print Name
.................................... .........
...........
Befo
t, le
I�
e Before
Day of 201s— this 11-�Day of gn Ls
A A A I-),f
A/, � ri A
Notary Pu I J,�?.' LA LAYMAN
PRISCIL C jaral��
"y r
"IL CLAYMAN
commission#EE 056833
ExOres May 20,2015
COMMISSion#EE 056833
-385-7019 Revised 01.26.10
Bonded T�wu Troy Fain Inwrance 800 ExOres May 20,2015
Bonded Thou Tmy Fain ftanoo$00-M5-7019
- -- I
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
I. Parking plan—parking plan showing how site will be accessed and all onsite
-and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code) as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities,where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 5/2009
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 A 411/7
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us routed:
Cityweb-site: http-://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _Q_epartuient review required Yes
Building No
Applicant: 4), Pra-n-n-i n—g T&Z o n i n g
Tree Administrator
Project: Public Works
V 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:
APPLI.CATION STATUS
Reviewing Department First Review: EVeApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
on
TREE ADMIN. Second Review: E]Approved as revised. F-]Dek'/d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. FIDenied.
Comments:
<ZB Ufl LfD I
Reviewed by: Date:
Revised 07/27/10