1330 Ocean Boulevard WINDOWS/DOORS �J S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r�
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1802
Job Type: WINDOW AND/OR DOOR
Description: WINDOWS DOORS
Estimated Value: $5.933.00
Issue Date: 8/4/2015
Expiration Date: 1/31/2016
/2016 -
PROPERTY ADDRESS:
Address: 1330 OCEAN BLVD
RE Number: 171847-0000
PROPERTY OWNER:
Name: PALEY, SEAN & ALICIA,
Address: 1330 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: GERALD BISHOP CONSTRUCTION INC
Address: PO BOX 2703 QA GERALD WRIGHT BISHOP
Phone: --
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $39.83
BUILDING PERMIT FEE $79.67
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $123.50
LI_
RMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
ILDING CODES.
Doc # 2015179092, OR BK 17257 Page 2161 , Number Pages: 1, Recorded
08/04/2015 at 03:26 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT l ,
State of L County of _UJ A1 Tax Folio No.
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 COMMENCEMENT.
Legal Description of property being improved: Ate-� _ aT?1 -M ;_
Address of property being improved:_ � LSQQ_ (,
General description of improvements:
Owner:��c►g Pa��. ----- - Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner). '--
Name:
'ontraclor: _ Rr Id ----
Address: (r
Telephone No.: 01�• Fax No: 11_14,3<s�
Surety(if any) --- --- - --- -
Address: Amotmt 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 Floric:: )ther 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 Notice of 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: O
/57
Before me this�-day of in the County of Duval,State
Of Florida,has personally appeared -
Personally Known:_ __ or
ProducedIdentification: r L -4
Notary Public:__
My commission expires:"---.
ALEX N.POWERS
My tX WAS"f FF 86!941
EXPIRES:July 12,2019
sons Thry NDWY PWA UndNwUn
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH . . .
JUL 2
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
By_
JobAddress:
wwo-� Permit Number: IPD l df6 2-
�VN Parcel
Legal Description N19
Floor ea o q. t.
&i��� Sq.Ft
Valuation of Work$ 'So,� Proposed Work heated/cooled non-heated/cooled
I
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of existing/proposed structure(s) (circle one): Commercial Residents
es
If an existing structure,is a fire sprinkler system installed? (Circle one): es No NIA
Florida Product Approval # \SQZr,)
For multiple products use product approva o In
Describe in detail the type of work to be performed: tw kt�m& 6\'�
Property Owner Information:
Name: Pt\�s q Address: D�'�Q) �)u qn 1\'54A
City Ls �g StateT1-Zip Phone..
E-Mail or Fax#(Optional}
Contractor Information: CQNTRACTOR EMAIL ADDRESS:_
Company Name:- 4'ltdt�14-N —Qualifying Agent: d"D
Address:- —city-bk State E3,- Zip
Office Phone �bS0 ,,Job Site/Contact Number &r_q I Fax 4
State Certification/Registration t'4�
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 o permit and that all work will he p
meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
'erformedio
and void ifwork is not commenced within six(6�months, or if construction or work is suspended or abandoned for aWeriod of six(6)months at any time after
work-is commenced. I understand that separate permits must be secured for Electricar Work,Plumbing,Signs, WIS,Rools, Furnaces,Boilers,Heaters,
Tanks and Air 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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a I' tion and know the same to be true and correct. All provisions of laws and ordinances governing this
type o pp Ica
work will be complied with whether ecifled herein or not. The granting of a permit does not presume to give authority to violate or cancel the
orovisions of any other fil;jeral,state, or local law regulating construction or lite peTfor nceof t '
U-7
Signature of OwncL
Signature of Contractor- 1,A1
3rint NameS�u�, � r Print Name 4D P
3efore me B fi
his ay of 20 'V' -F
t(A this ta of
y .20
-J� I
10- ,A AA
14 ,
FdO 1.
lotar-'V.lublic/ KaLY AL Z01K HokUy P&*No '� FF 011480
EXPIRES:April
Cfa& Summif, Lackawanna County Banded Thru Notary Public Undd**Mll d 01.26.10
County
My Commission Expires Jan. 22, 2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assiEnpd by the Building Depart2ent.)
r ti 800 Seminole Road /� /,{'O.
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 Q
,;-;- ,•,; E-mail: building-dept@coab.us Date routed: (J
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: jL�/✓ elVd nt review required Ye No
Building
Applicant: Q g Zoning
cc Tree Administrator
Project: ll' v� d Q �J Public Works
Public Utilities
Public Safety
Fire Services _E1
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:
APPLIf,ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: d '
BUILDING �f
PLAN ZONING Reviewed by: / Date:
TREE ADMIN. ❑App
Second Review: roved as revised. ❑Denied. 61
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10