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327 7TH ST - WINDOWS �' I . CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j /r 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-2460 Job Type: WINDOW AND/OR DOOR Description: WINDOWS- 16 REPLACEMENT Estimated Value: $6,866.00 Issue Date: 10/28/2015 Expiration Date: 4/25/2016 PROPERTY ADDRESS: Address: 327 7TH ST RE Number: 169921-0000 PROPERTY OWNER: Name: ALLEN, R TIMOTHY Q & SUSAN G, * Address: 327 7TH ST GENERAL CONTRACTOR INFORMATION: Name: AMERICAN WINDOW PRODUCTS Address: 2633 S POWERS AVE QA KEITH ALAN GURR Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $42.17 BUILDING PERMIT FEE $84.33 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $130.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA IIBUILDING CODES. NOTICE OF COMMENCEMENT Permit No. State of FlQ da County of JL= • The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property(Include Street Address, if available) (tOlq ii- OWD • General des ription of Improvements* '1�J'1�1 _!_/i _L.��� 11-\ �� Owner � ' /J)&i Address_ .6 z1 '1 Owner's Interest in site of the Improvement Fee Simple Title holder(if other than owner) Name w) Address AitE>t1CAN WINDOW 2-141 On ,-1/Contractor PRODUCTS, VA: Address Surety Address - Amount of bond $ • Any person making a loan for the construction f the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is specified) Signer=of Owner Printed Name of Owner Notary Rubber Stamp Seal 1 I ha e-relied n the following 1. .. •n of the Avant „Jo oue, pOGER AUSTIN • _. ••••F bri cfnAws;:,iON t FF 697096 r C, # '���` * CK%iRE�::?:;:ember 6,2019 s 'PLO and subscribed • th' .'day of_[_20 /% kM_ 'fit of c� ` Goosd i nru aw9a1 Notary Unites LC Doc#2015239067,OR BK 17338 Page 2167. (/���� Number Pages:1 Printed Name Recorded 10116/2015 at 01:12 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 • • m A i co APPLICATION NUMBER o (To be assigned by the Building Department.) o 15 -WIND- 2460 o '.47-5845 / c Date routed:1 << cO /1.5' co c A c, 'EW AND TRACKING FORM N i T . review required ED o Buildin• �,- 1COlAi : Z _ - g Zoning „ Tree Administrator _- l ( :.P � �,J•is Works ”' 1_ Public Utilities _- c? �. Public Safety =- , Fire Services N Dept Signature • Review or Receipt aired of Permit Verified By Date o — N W ION STATUS Cy, 'd. ❑Denied. W i o ° eviewed by: Date: d'/ ° co --- ° co 1 as revised. ❑Devi 0 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 1 5 '-N ( N 0 -• Z i(oo Job Address: 2-11 I - 5t• Permit Number: Legal Description PO LC Id el F-6t Parcel# i 6tgq 21- OGOO //,��L.,pp Floor Area of Sq.Ft. Sq.F't Valuation of Work$ WOWAC — Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair emolition pool/sp windo door . Use of existing/proposedstructure(s) circle one): Commercial esident ) i If an existing structure,is a fire s nn er ystem installed? (Circle one): Yes No N/A Florida Product Approval# I i•�.' e For multiple products use prodduct approval form Describe in detail the e of work to be performed: I �Q RtpICUQJYI€I.k Lt.)i Vows (QC) we D VJeiLt Property Owner Information: Name: k, 11 0101 l� Men Address: 32r1 9'44-2- • City. ✓✓ StateaZip X 223.Phone R .33 t !o 5 E-Mail or Fax#(Optional) Contractor Information: AMERICAN WINDOW I _ 4h Gtu212 PRODUCTS, INC. Company Name: 2633 POWERS AVE. Qualifying Agent: Address: .IACKS©NVIJ.I.E FL 32207 City State • Zip Office Phone r] - '2- "7 4:. Site/contact Number • _ .:,.,,'7 S I -422 } State Certification/Registration# C(2-5� 20 r- T Architect Name&Phone# i 1\ ��" -- i Engineer's Name&Phone# 11111 ! i I Fee Simple Title Holder Name and Address Bonding Company Name and Address If1 i ' • _ VI Mortgage Lender Name and Address {i i �„ ... — . Application is hereby made to obtain a permit to do the work and installations as dicated. I certi/ that no . • , • .• • ' lion has commenced prior to the issuance ofa permit and that all work will be performed to meet the standards of al •• • jurisdiction. This permit becomes null and void if work is not commenced within six(6J�months, or if construction or wor is suspended or abandoned for aperiod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, 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 dpplication and know the same to be true and correct. All provisions oflaws and ordinances governing this type of 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 other federal,state, or local law regulating construction or the performance of construction. Signature of Owner jr.P �.�.-`��� Signature of Contr for Al-'" Print Name j?„,9 o ,g-1•- t 1.s1 ',v fgLaCEA/ Print Name Th C- hi !t� Day of subscribed rermi /L 20 �� this .. Day o f scrib: .efore me 20 I r +°'• ••; IRIS L HARGROUE 4-11l...---- � .Id a, _ . . MY COMMISSI t97u Noblic +¢:• otary Pu lic I .., ' 1 EXPIRES:Sept 6,2019 EvCRES:SSIONtFF891096 •Pewnse BalledThruBOO Notary Sink* " " Ctt�iRES:Segembee8.2019 Revised 01.26.10 Wito 1/1-, /4 O 77 s3 W-M° 15- (0. '517 c-c\ 0) ---, N, -, , ____, (5___ \ „..._ -,-, 3F, G' CO ,----_ - !k -- S _ V' ' OFFICE COPY t c,, g 71 \\ \ 71/ ( --: L I c)J kli cn w vt te (.4._ s L --