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Permit Windows 325 4th St 2012 (2)
T - 1 / iey r . CITY OF ATLANTIC BEACH r, ,Ai , ) 800 SEMINOLE ROAD J a o ATLANTIC BEACH, FL 32233 "� °" INSPECTION PHONE LINE 247 -5814 s 1 Application Number 12- 00000537 Date 5/08/12 Property Address 325 4TH ST Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 10000 Application desc new windows Owner Contractor KAPLAN,MARINA R REVOCABLE LAWRENCE MURR INC. LIVING TRUST 3000 -1 HARTLEY ROAD 745 NORTHBROOK RD JACKSONVILLE FL 32257 KENNETT SQUARE PA 19348 (904) 262 -1434 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 100.00 Plan Check Fee . . 50.00 Issue Date . . . Valuation . . . . 10000 Expiration Date . 11/04/12 Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total 50.00 50.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 154.00 154.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 04.1912012 15:23 FAX 904 262 1887 LAWRENCE MUR INC 0 002 TR11 - Ln , /- 2 u S 3 7 ti y y r� CI TY OF ATLANTIC $EACH „� MAY 0 _ i ` �h 800 SEMINOLE ANTIC EACM, ITd OFFICE: (90'1)0 47 82E ATLA FAX NO.:(9 )2A7 FL -5 5 • ''� 2 BUILDING- DEPP ©COAS,Us • '�? BUILDING PERMIT APPI„ IC ' t AL COUNTY 1, JOB ADDRESS: 2. VA // ° ° ° UNDER • • , ■ - • ■ • • • v -ESIDENTIAL LOT (J J� \ i BLOCK SUB DIVISION ' P ' , f : ,� iT �f � si ■ ADDITION ■ CONVERTING USE ■ COMMERCIAL 7. DESCRIPTION OF WORK: In ALTERATION ri ACCESSORY BLDG. 8. FIRE SPRWKLER: ■ MOVE ■ OTH=R CI NO ,' PROPERTY • CONTRACTOR: ARCHITECT f ENGINEER: ♦ 15 C . MPANY NAME: 9 > sC.�,�'L. -�i i�. C 7'�7C: L L: f'rl v .Lit /4/.— �iV: -- 15. NAME: 24, LICENSEE NAME. c 4 -.z tom ' t r 1/) iz ADDRESS: 17. STATE OF FLORIDA LICENSE NO.. • FLORIDA LICENSE t G. i3 c- 0 3 :-3 C 15. ADDRESS: S - ' • • " :CSC c•e ._ e i1» ;Z /rid Ta c.vr. its: ...1 7 11. OFFICE PHONE: 12 FAX NO.; 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO., 34 6 1 4 Zt;.,t - /13Y 2-t, - /a i -7 13. CELL PHQNs: 25. CELL PHONE 29. CSLL PHONE 14. EMAIL ADD_RESS: _ 22. EMAIL ADDRESS: 30. DAIL ADDRESS: .FE SIMPLE TITLE HOLDER: BONDING COMPANY: . MORTGAGE LE.NDERv , 32. ADDRESS: 34. ADDRESS; 36. ADORES& Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no WO& or installation has commenced prior to the Issuance of a perrnit and that ail work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This perrnit becomes null and vold if work is not commenced vAthin six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any lime after work Is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools Furnaces, Hollers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I malty that all the foregoing information is accurate and that an work will be done In compliance with ell applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion Issued by the building Official, as required by law. **Or WARNING TO OWNER: it-** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. CONTRACT:, - , (If Aided, Power Of Attorney or Agency Leder Required) (• ,. r K Signetl: Date: • : E Before me this 1 111 day of IN . , 209i in the county of ♦ 1 ' Detest Stale of Skikda, has personally appeared Dtrial, State of Florida, hart personally - - + herin by himself / herself and affirms that all statements and declarations are Cm, true and accurate ' true and accurate. \\ / Notary Public at Large, State Of k • - , County of 4 i, '�.' '" Ly Q P 11y Known {,.'`� `}, - ■ Personally reduced Idantl 0n - 1 ..--\, t ��J�.., _,i `. ,... \ C - .. • L ' .a • M - — r®J t f Notary Signature. �r< r `ii ' = 4 ': - , +' _ 1.. •... 1. w I•. ___ ______-------- \, REviEwED FOR CODE COMPLIANCE ciu ATLANTIC BEACH SEE posti'ArgrintiAtiffritINWE REQUIREMENTS AND CNDMONS. • Notary Public Leine C. Girardeau • = State of Fioride . _ Cofnmiesion Expires 12/111/2015 x ` _ �, Commission No. EE 153M 4. n o A 0 > b b 5 0 At o. 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O cn o 0 w a o eo - O� O 4t (D m 'ft City of Atlantic Beach APPLICATION NUMBER J " Building Department (To be assigned by the Building Department.) , 800 Seminole Road _ 7 Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 Fax (904) 247 -5845 Aar/ gip E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: rZ • Department review required Yes No Z irif)r - Applicant: f /ye rr /11 & Zoning Tree Administrator Project: L iO Wit bD j 3 Public Works Public Utilities Public Safety Fire Services 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: APPLICATION STATUS Reviewing Department First Review: proved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: in Date: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 04/19/2012 15:23 FAX 904 262 1887 LAWRENCE MUR INC 003 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No, State of _ County of To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and in accordance with Seotfon 713 of the Florida Statutes, the following information Is stated In this NOTICE OF COMMENCEMENT. V Legal description of property being improved i- TOE. ,,1 f r, ;� : � a-t r i = Pt-4T + ,J /.-�' '1;47Z F'` C. . r-� C.r_,,'T' —.�.7 �- lZ.x aci. .7 L' .F.- Address of property being Improved; General description of improvements: 10'.- a %a + '• '.. iv' r` 1, 3 •n '? s F —trr 1 a �� d cv v i Z 1 :. 4= U:. C. +�`) L i—,r i� r e; `Z`"L .. � Owner %7�e €. +�-�}' s• i > Address - 7Y . - ; na ; ,t"f}" ,� "")(; (2. ;:.:.;:)11 V''. :sci f a L' V"t • :4) r c8 Owner's Interest in site of the improvement Fee Simple Titleholder Of other than owner) - Name Address Contractor 7'' '- i)I� s = /N Address 3 v c C - r , 1 - 7 / L_ ..-- 4 a� Phone No. c' t: - 3 `/ Fax No. C Gij -- f 7 Surety (If any) Address , _ _Amount of bond 5 Phone 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 Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address ._ — Phone 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 Statutes. (Fill In at Owner's option). Name Address • Phone 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): _ OWNER or AGENT THIS SPACE FOR RECORDER'S USE ONLY pf Age r Power of Attorney or Agency Latter poatare) - . t j� ors: Be _ j am , .. to Ow Before iris this � - Y or �- `: � x County of pwet, State of Figr?5b, boa pereoneaY appeared / l �..,c� s -Olean; • +.t t- resin by 111meelf! 1� , If and o}Rrg�- uWlli' ° : true and accurate. Doc # 2012105354, OR 8K ? 594 Page 1653, f,;'a. > - cdunly ar L Number Pages: 1 Notary Public a1 Large. Slate of VI Recorded 05/14/2012 at 01:46 PM, hiy commholon a =pees: Personally Known or Produced Identiacellon JIM FULLER CLERK CIRCUIT COURT DUV'AL — COUNTY RECORDING $10.00