395 POINSETTIA CT WINDOWS j1'j�]r,
%
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-1845
Job Type: WINDOW AND/OR DOOR
Description: NEW GARAGE DOOR
Estimated Value: $4,138.00
Issue Date: 8/4/2015
Expiration Date: 1/31/2016
PROPERTY ADDRESS:
Address- 395 POINSETTIA CT
RE Number: 170476-0000
PROPERTY OWNER.
Name: Edwards, Sandi
Address: 395 POINSETTIA ST
GENERAL CONTRACTOR INFORMATION:
Name: D & D GARAGE DOORS INC
Address: 1177CATTLEMENRD DALLASMILLER
Phone: 941-371-7242
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $35.35
BUILDING PERMIT FEE $70.69
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $110.04
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
F Copy CITY OF ATLANTIC BEACH
800 Serninole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 15-w w I)-i EAS
.Job Address: 3'TJ5. fdj1\Se4TA C+. 1ermit Number: 15--all
Legal Description 16-1& qSa(6-_jc- Sd-,T. Pa rcel *70 476 -6c000
Floor Area of SLI.Ft. "-)Ll.P t
Valuation ol'Work $_Ct14B'V, ?6 1roposed Work heated/cooled non-heated/cooled
Class of'Work (circle one)-. Ncw Addition Alteration Repair Move Demolition pool/spa window/door
Use ol'existing/proposed structure(s) (circle one): Commercial esiden i-
CZ;ZID
If an existing structure, is a fire sprinkler system installed? (Circle one). cs N to
Florida Product Approval # I j5a:779. too
For multiple products use product approval form
Describe in detail the type of work to be performed: Gracol5e 6'Dac
Property Owner Information:
Nz me: Saf 1. ,F7.A C sac&� Address: S9,5 AA5e-44t'9k_C_1-
c1tv Qas6 _ StateflZip �31"hone
E-Mail or Fax #(Optional)
Contractor Information:
Company Namc:-D4 D C-)ali-ftnt?, VoOy-15 Qualifying Agent: -Dalla-, h4illef
Address: I t']!] C'jA+j e y-ne-n *0a& city `;ar $of ck,- -State _FL Zip 3q.2_-5:.2_
OrficePhonc qz4l, 3,jj-2aqa Jot) Sitc/ Conlact Numbcrjce� BiGelf q0q-535,'�U41ax # W, 317. 1'301
S[iitcCcrtil"lciitloii/Rcgistralloiifi
Architect Name & Phone#
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lcnder Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. /cerfib,that no work or installation has contmen ced prior to fire
issuance of a permit and that all work will he peilbrtned to meet the standards ol'all luws regulatinq construction at 1hisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or iftonsiraciion or work is suspended(;r ubandonedj6r a period ofsixj,6)months at any time after
work is commenced. / understand that separate permits must be secured for Electrical Work, Ilumbing, Sikits, Wells, /'ools, -urnaces, Boilers, Heaters.
lanks and A ir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RE, CORD A NOTICE OF
COMMENCEMENT MAY RE, SULT 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.
hereb ication andknow the same to be true and correct. All pro visions 4?1'la ws and ordinances governing tit is
'y certij�that/have read and examined t/1'. 1
type.q� work will be complied with whether speci ted licrein or not. The granting of a permit does not presume to give authority to violate or cancel the
prot isions of tiny wherfederal, stw,. or local aw gulolmgc ,;Iritcttoiioi-ihepeiformanceofcotisiruction.
Signature of Owner Signature of Contractor
Print Name Print Narne
Swor and subs Sworn to and subscribed before me
till. Day of *MALE this Day of 20
jaA,, dp,�c_ TARREE HOUSE
0
Notary ublic Notary Public Notary Public-State oi Florida
23 2016
ep 67
My Comm.Expires Sep 23,2016
2 03 2
ola'y s
v 1,Vbthj4js0h.A EED
203072
Bonded Through National Notary Assn..
City of Atlantic Beach
Building Department be APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
E-mail, building-dept@coab.us
t r
Cityweb-site.- http://www.coab.us Date routed- 0 C5
APPLICATION REVIEW AND TRACKING FORM
Property Address: , �)o IA-)GL—Tr1A aT De ment review required Yes 0
_39 S I-
Applicant: nLr_1 uilding
ning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
I N
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection f Permit Verified By Date
Florida Dept.
St. Johns River Water Management District
Army Corps of
Division of Hot
Division of Alcr)hnlir, and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: VApproved. []Denied.
(Circle one.) Comments:
PLANNING &ZONING
Reviewed by:_
TREE ADMIN. Second Review: ElApproved as revised. ElDenied. Date.-
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.-
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by: Date:—
Revised 07/27/10
N")TICE OF COMMENCEMENT
State of FL County of LLX/ak Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that ii-.-iprovements 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 CONDYIENCEMENT.
Legal Description of property being improved:
Address of property being improved:
General description of improvements:
Owner:. 15an6; Address: 'Sam-
413i
Owner's interest in site of the improvement: A0cm-
Doc 4 20115117895-11,OR SK 171-57 Page
Fee Simple Titleholder(if other than owner): Number Pages:I
Name: Recorded 0810412015 at 01:58 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Contractor:-- D03 COUNTY
Address: RECORDING$10.00
Telephone No.: Tax No:
Surety(if any)
Address: Amount 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 iii 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: 1/361 ja
Before me this day of in the County ot Duval,State
Of Florida,has person��aal�l a peared
Personally Known:
HIPRINE a MAI Fy or
Produced Identi ti n:
Notary Public: 017
9 199 33#WOO! My commission e i es: Bmw Trffu T
Of Fi,1,4,8*30�,7019
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