124 SEMINOLE RD WINDOW / DOOR „j`Lyrli
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-839
Job Type: WINDOW AND/OR DOOR
Description: door replacement
Estimated Value: $10,143.00
Issue Date: 5/1/2015
Expiration Date: 10/28/2015
PROPERTY ADDRESS:
Address: 124 SEMINOLE RD
RE Number: 170602-0040
PROPERTY OWNER:
Name: OBRIEN, MICHAEL P
Address: 1949 THE WOODS CIR
GENERALCONTRACTOR INFORMATION:
Name: PELL.A WINDOW AND DOOR
Address: 7818 PHILIPS HWY QA JAMES SAMUEL ROWLAND
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $50.36
BUILDING PERMIT FEE $100.72
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $155.08
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
UILDI G PERMIT APPLICATION
CITY OF ATLANTIC BEACH1, COPY
800 Seminole Road,Atlantic Beach, FL 32233 ` '���a
Office(904)247-5826 Fax(904)247-5845
Job Address: 1551 9,L 4\ne*ac.Beac\A fl— ''b�ermit Number. 8391
Legal Description A-& SuHa„r eel L-ol64A Parcel# 170&oa• 004
Floor ea ofSq.R:Sq.H
Valuation of Work S /0./43.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed stmeture(s)(circle one): Commercial ntia
If an existing structure,is a fire sprinkler tem installed?(Circle one): Yes o N/A
Florida Product Approval# a'f'la• 5' sy 14 6• !
For multiple products use product approval orm
Describe in detail the type of work to be performed: R♦4m to 4b oat& s,•i e "c srx C.
Property Owner Information:
Name: .ac\p tgwro.n /GlArtl. MrrVtn aC- Address: la4 Strw.aa\s- ��
City State&Zip JaaSj Phone s70- "JAS-35'!3
E-Mail or Fax#(Optional)
Contractor Information: n
Company Name: Pel\a W,_� \-cwJ k �oaw a Qualifying Agent: .k e4 ",,,N n
Address:t SO W&*-a.- 4Q -'l V34 City Loynd-..,eei State _Zip Ja'i
Office Phone 907-437-x9X 9 Job Site/Contact Number Fax#
State Certification/Registration# C ML 046-71 a-
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 commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
and void jwork is not commenced within six(6 months, or)cansnuction or work is suspended or abandoned far a period ofsis/6J months at any time ager
work iscommenced I understand that separate permits most be secured for Electrics!Work,Plumbing,Slgns, We IG,Poolg FLmaces,Bolters,Nealers,
Tanks and Air Condidoners,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.
l here ,cerltfy that I have read amt intentional this plication and know the same m be true andcomect. All provisions airlines and ordinances governing this
type o)work witl be complied with whether sppeed ted herein or not. The graining of a permit does not presume to give authority to violate or tante(the
provisions ofany other fiMera/ll,state, or Iotal lme relacing construction or the performance ofconstructim.
Signature of Owner C- *�i� � Signature of Contractor ✓
Print Name , d.1....E /v/QY�'rl ..-....._ Print Name �PltGt Qe.��.nL _........._..._ _ _.......
Sworn to and sub 'bed before me Sworn t and subscrQ'b��ed before me
this 14t'^Day of i'I 4`01 .20 1 f this /eR Day of HP/rl .20/S'
Notary Public� f ��oipublic
5 CHflmMEmAA11EY
Egj)li
=SIRESS'J'
tiEy ed 01.26.10
FF0a2ry{],W1 uua wtvrs
City of Atlantic Beach APPLICATION NUMBER
Building Department
'uAnn a Road
Atlantic Beach, (To be a/ssign d b�y th,e�$uil�tli g.D.epartm4en^t)
Florida 32233-5445 v('y
Phone(904)247.582E Fax(9)4)747-tiA45
E-mail: building-depIftcoab.us Date routed:
'- Cityweb-site hdp//w coabus
GRPPLL CATION REVIEW AND TRACKNIG BORN
Property Addlwss: �LU��QI(e _ "SeNices
ent review require_d Yes o
--
Applicant: � &Zoninginistrator -arksilitiesfetyices
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Flonda Dept of Environmental Protection
Florida Dept.of Transportation
St.Johns Rlver Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLLCATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: rt lO�
UILDIN /IV/
PLANNING &ZONING L
Reviewed by: Date.
TREEADMIN. _
Second Review: QApproved as revised. ❑Den
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments: i
Reviewed by: Date.
evis.d 07/27/10
Doc N 2015081497, OR BK 17128 Page 1036, Number Pages: 1, Recorded
04/13/2015 at 09:29 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICCOP om"EleLHDII'
osnxm nensaonamw
OTaNXFr:0anlYf nen ns m:
(701,03-OU4 O
NOTICE OF COMMENCEMENT
Comity
SMro 'de
y.f ofp7�
'Me Undnsigned herehy given notice ilia, impruvnncat .will he mode m ecrluin real pmpeay, and in
accoNanec with Chapter 713. riorida Statutes the following information is provided in this Nonee of
Commeacnnenl.
Zdescription of property(include atrcel address,if availahk)
ro-8 aDaS-dqE DS7 . Sem\ Sas 3f bas.(•aa
a4 Pi
General descriptio.ofimpmvemenfYp 11e4Daew
(3wneYSName(�)as<\aa �SsrUen / fb, 1 py; LG
OeSfin le Thee!oldire of theimprovement
Fre Simple Title holder(if other than owner)_
AJdresc Phopc'
Contractor James Rowland - Pm,-Orlando, Inc. GE11. W Aa d 5
Address's PRane: w7-sa7-xezd Faa: 407-339-3214
Surety Phone Fax:
Address Amonat of Bond S
Lender's Name
Address - Phone: Fax:
Expiration date of notice ofenmmeneement(the expiration date u 1 year from the date of recording
Hil a different date E specified:_ ,_.2U__
WARNING TO OWNER:ANY PAYMM S MADI DYTHE OWNER AFTER THE EXPIRATION OP THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,
SECTION 713.13.FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING MICK FOR IMPROVEMENTS
TO YOUR PROPER FY. A NOTICE OFfON N" 'T TRP OADED,N,MqTpp 0, JOp
.=REPURETOE EFAYFINSPECMV.. IF YOU INTEND VO OBTAIN FINANCING,CONSULT wrl'H LOUR
LENDER OR"ATTORNEY REFOHE CONMEKONG WORT(ORRECORDINL'VOLAR NOTICE OF
COMMENfENEA 1.
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