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151 BELVEDERE ST - WINDOW / DOOR j \J �' ' '' S, CITY OF ATLANTIC BEACH ��''' -- f 800 SEMINOLE ROAD Jj-t' ATLANTIC BEACH, FL 32233 - INSPECTION PHONE LINE 247-5814 ''''' ,0,21c) WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-WIND-2574 Job Type: WINDOW AND/OR DOOR Description: DOOR Estimated Value: $2,095.00 Issue Date: 11/5/2015 Expiration Date: 5/3/2016 PROPERTY ADDRESS: Address: 151 BELVEDERE ST RE Number: 170585-0000 PROPERTY OWNER: Name: JACOBS, GARY Address: 151 BELVEDERE ST GENERAL CONTRACTOR INFORMATION: Name: THD THE HOME DEPOT AT HOME Address: 2690 CUMBERLAND PKWY STE 300 EDWARDO ESCUZA Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $30.24 BUILDING PERMIT FEE $60.48 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $94.72 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ' j\r`, A, S CITY OF ATLANTIC BEACH ` f 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SIDING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SIDE-2573 Job Type: SIDING PERMIT Description: SIDING Estimated Value: $4,470.00 Issue Date: 11/5/2015 Expiration Date: 5/3/2016 PROPERTY ADDRESS: Address: 151 BELVEDERE ST RE Number: 170585-0000 PROPERTY OWNER: Name: JACOBS, GARY Address: 151 BELVEDERE ST GENERAL CONTRACTOR INFORMATION: Name: THD THE HOME DEPOT AT HOME Address: 2690 CUMBERLAND PKWY STE 300 EDWARDO ESCUZA Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $36.18 BUILDING PERMIT FEE $72.35 STATE DBPR SURCHARGE $2.00 STATE DCA SURCHARGE $2.00 Total Payments: $112.53 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID% BUILDING CODES. BUILDING 'PERMIT APPLICATION CITY OF ATLANTIC BEACH fl 800 Seminole Road,Atlantic Beach,FL 32233 FILE CO, y Office(904)247-5826 Fax(904)247-5845 • Job Address: IS Q��os�e c�sl 5'r Permit Number: /5- " '1' ' ';,7 3-73 Legal Description i%•8 17 S- c Sec 1 Lod c 597 Parcel# /703-8S-(Q C c6 Valuation of Work$ el 47( . 13 Class of Work(circle one): New Addition Alteration Repair e Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esi etch If an existing structure,is a fire sprinkler system installed?(Circle one): o 01, Florida Product Approval# (31 tt a a For multiple products use product approval form Describe in detail the type of work to be performed: sk\o'c 5 So\ v-' ,J a�� Property Owner Information: Name:C ac c Q S Address: v re. S\- City Statef L Zip 3 d133 Phone ?o`i-a`}et Ho?y E-Mail or Fax#(Optional) Contractor Information: (� Company Namec'a Qualifying Agent: s,'e a'°`1 Address:ctc,.c Roc\at. c..\w, t City TO'v o \ State re- Zip )�.0 o t 9 Office Phone-1474,)1-k1a Job Site/Contact Number Fax# State Certification/Registration# C`{ZC` o i G S.rY 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 tin issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes and and void tJ'vork is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period ofsix(6)months at any time ajie, work is commenced. I understand that separate permits must be secured for Electrical-Work Plumbing,Signs, Wells,Pools,FF'urnaces,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 cert(that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing Mk 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 tlu provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner 1_. .1 Signature of Contractor � Print �rint Name Print Name Si e - ��2�-�t L AGc�_�--S' .o. Sworn to and subscribed before me Sworn to and subscribed before me this Day of ��d��f X201 S t u'sr,I-Day of Qc- �-'1 ,20 lr �4)- mot41117 Not Public Notary ' • is any 'evised 01.26.10 Na CHRISTINEO'MALLEY :ti■4•,tsb RONALD ALLEN REEDY I ?�' P _ MY COiiti/ISSION P FF 087307 NOTARY PUBLIC ,�l:: EXPIRES:January 29,2018 �. S rATE OF FLORIt) 0?11��'�, Bonded Thru Notary Public U,tlerwrae's • • :r• Comm#EE8154ao9 :r iwwal►Na/ob norm... srAi,9:,�� City of Atlantic Beach APPLICATION NUMBER rit Building Department ,s+ (To be assigned by the Building Department.) r 800 Seminole Road /CI�/2E+ 2 73 64 ) Atlantic Beach, Florida 32233-5445 5 Phone(904)247-5826 • Fax(904)247-5845 } l .911 gs• E-mail: building-dept @coab.us Date routed: /� J //� City web-site: http://www.coab.us /// APPLICATION REVIEW AND TRACKING FORM Property Address: /57 6 /v iii/VEckeg, Sr Department review required Ye No uiidinci Applicant: ,_ A - , .e/ fj in Planning &Zoning Tree Administrator Project: Sri))--i. Public Works ,� Public Utilities Public Safety Fire Services Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: • APPLICATION STATUS Reviewing Department First Review: 1[4<(-Droved. ❑Denied. (Circle one.) Comments: :UILDING PLANNING &ZONING Reviewed by: /77 • Date: /f')'/5' TREE ADMIN. Second Review: ❑Approved as revised. ['De d. 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 Doc # 2015250307, OR BK 17353 Page 601, Number Pages: 1, Recorded 10/30/2015 at 09:40 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 r ._..a ...- a 4 Thin Instrtw.tmt Prepared By: Home Depot Home Sarvit= 9208 Florida Palm Dr. Tampa,Fl.33619 ,/��^ NOTICE OF COMMENCEMENT Pamir No./.-sL ? s 573 Tax Folio No.j 7 i S?...5�C�.0 State of Florida ■ County of IZ\1S1 G\..- TR),Ii UNDERSIGNED bcrehy giros notice that improvements will be made to certain teal property,and in wv udana3 with Ch ptcr 713.Florida Statutes,the following information is provided in this Notice of Commencement: I.Description of property:(legal description ofptoporty.and street address if available) /0 - 17-5 d.. .7 G tc4\ar 4\ _St,\ Lb1 S i-i /S/ t?re...vP. ..e .SI, - - --- .._ .- 2.acacia'desoriptioa of improvamota<5. .wyy - ---•........ 3.Owner;nformation (a)Name and addtcss: 0.t 4 -S v.l.A\HS 1 S.l 13,4\d t A.z+-Q.S_r \a v\11-X C......" FO 7...,)_a 33 (b)lniciest In propatY: .4NWA t (e)Name end address of fee simple titleholder(if other than owner).._ _ 4.Contractor (a)Name and address: Home Depot Exteriors,9208 Florida Palm Drive.Tampa,FL 33619 (b)Phone purnbor; 813-626-7548 5.Surety (a)Nerne and address: WA ... _._ (h)Amount of bond (c)Phone number:_ • 6.Lender (a)Name and address:—, N/A ... ... .- (b)Phone numtbcr 7.Norms within the State of Florida detdgaated by Owner upon whom notices or other documents may be served as provided by Sctxivn 713.13(1)(07.,Florida Statutes: (a)None and address: ....address: . ....- (b)Phone numbs: 8.In addition to hintsdlg Owner designator the following person(s)to receive a copy of the Lienor's Notice at provided in Section 713 13(1)(h). Florida Statutes: (a)Name and address: N/A� (b)Phone number: 9.Expiration date of notice of commencement(the expiration data is 1 year from the data of recording unless a di/crrnt date is specified) • • WARNING TO OWNER:ANY PAYMENTS MADE BY 771E OWNER AMER 171E EXPIRATION OF THE NOTICE Or CY,MntENCEnitiifr ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART L SECTION 713.13,H..ORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED ANT)POSTED ON THE JOB SITE BEFORE TILE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO is NG YOUR NO a CE OF COMMENCEMENT. / M . - -- --- Sig,WUte of•veer orr wuthnriud 4ffxtir/llireGOr Partner/Manager ^^`` Sippetwy's mil/OiTice The foregoatg instrument vac acl owlelged beton:me this day day of-__VL c?��by G('4--""Se+.0... .-- p�.�_(earn.vfpwaee)u DW'e`�•L-- (type of nuthteity,c g(tTirer,trustee.attorney in fact)for r, _ �+t- (Dame of pasty on behalf of whom instrument wear acocvad). • s;& w+.otl+nmryrubu,:-scaue,.rwa.;a..c%- Pcrsoaalty known__cr Produced$leotifi.:.0 rri P L-- -AND••-- Vorif.calloa Puna (io section 92.52SFhaitltl Swifts Under penalties of perjury,l declare that I have read the Ibrepsiag and that Om Lets stated in it an tow as the boat of my••• ,.•:r ant belief. 1 $� aNa PP<rrat Si tande Ito Al.,..... Revised 125/14 �/ I . RONALD ALLEN REEDY i` , NOTARY RAM -1111[44.-.. -STATE OF FLORIDA '..r.::'.7...`C0t»mM EfittS4a09 1 /ttpIree 1 014 1 1 BUILDING YERNIIT APPLICATION e eo �2 C« !I 1'r m f( 2fM nT e r' CITY OF ATLANTIC BEACH � ✓ -6 37-�taO I 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: IS Permit Number: /5- 'CV 1'1 D r).S 7`/ Legal Description /C 'g i7-0 s'a9 sc, a.r St.C. 1 1-c�Irs 51-1 Parcel# i7 U 3 BY• O C t Valuation of Work$ O Class of Work(circle one): New Addition Alteration Repair vemolition pool/spa window/door ) Use of existing/proposed structure(s)(circle one): Commercial Residential Ilan existing structure,ire,is a fire sprblder system installed?(Circle one): o N/A Florida Product Approval# -1(01 a y For multiple products use product approval form Describe in detail the type of work to be performed: (2-10e\ ovco \ Cue- c- L t�- Property Owner Information: Name:C. cs.,c Address: is l r3-e t e.AQA S\' City Stater I.Zip3 333 Phone ciOy-aUci •`flG`/ E-Mail or Fax#(Optional) Contractor Information: Company Name:-6`e - i•----kt�`�$' Qualifying Agent: �� r��`t'� \ps•\ Address:cic-oR Ftac-•�-∎ c City --ru y State Fc- Zip 37=,Q► el Office Phone'Tam- Cod 1 -PI O(- Job Site/Contact Number Fax# State Certification/Registration#Q R O`!(o r9 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 th. issuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nui and void if work is not commenced within si (6)months, or if construction or work is suspended or abandoned for a period ofsix(6)months at any time ajle work is commenced 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS IF YOU TOYOUR LENDER OR.AN ATTORNEY BEFORE RECORDING YO CJRONOS E WITH g COMMENCEMENT. 1 hereby certify that!have read and examined tills a plication and know the same to be true and correct. All provisions of laws mud ordinances governing Ihi: 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 tin provisions of any other federal, tale,or local law regulating construction or the performance of construction. Signature of Owner �lfJL� Signature of Contractor • r Pit Name Print Name C011-1/ ! Gtb rn — ._-- Sworn tp and subscribed before me Sworn to and subscribed before me this a t Day of fi g ,20(r isa,3r,1-Day of OC C ,20 I." 0" c�ary Public o s Public ed 01.26.10 At. NOTARY PUBLIC .-!rc An RONALD ALLEN REEDY ''..'. CHRISTINEO'MALLEY •` - MY COMMISSION FF 087307 -•• 44'.--.41 EXPIRES:January 29,2018 '•' 1 STATE OF FLORIDA �y'�:•` Bonded Trnu Notary?U=TicUnden+rxers • .x) r Comm*EE85<809 ?"� �w•� '9� Expires 12/29/20tR •s==u`i;5. City of Atlantic Beach 's r "` APPLICATION NUMBER ; \ Building Department iii 800 Seminole Road (To be assigned by the Building Department) T�4 ' - Atlantic Beach, Florida 32233-5445 /� 10/,de) — 27 Phone (904)247-5826 • Fax(904)247-5845 ':.6;; 9%- E-mail: building-dept@coab.us Date routed: /6/305- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /6'i /50/r6 d,eg Jr Department review required Yes o Applicant: //fL ihmeDiAr Planning &Zoning DOI Tree ubl Administrator Project: ,2/'cic. Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: APPLIC A TION STATUS Reviewing Department First Review: a ■pproved. ❑Denied. (Circle one.) Comments: :UILDING PLANNING &ZONING / Reviewed by: M ' Date:/1 ' r TREE ADMIN. Second Review: ❑Approved as revised. ❑D ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10