1530 LINKSIDE DR - WINDOW f.S. `l r
\?\ CITY OF ATLANTIC BEACH
-, f 800 SEMINOLE ROAD
J �` ATLANTIC BEACH, FL 32233
, \
INSPECTION PHONE LINE 247-5814
ELl;l9f
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-641
Job Type: WINDOW AND/OR DOOR
Description: WINDOW REPLACMNT
Estimated Value:
Issue Date: 3/29/2016
Expiration Date: 9/25/2016
PROPERTY ADDRESS:
Address: 1530 LINKSIDE DR
RE Number: 172374-6355
PROPERTY OWNER:
Name: WOMACK, SHARILYN
Address: 1530 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
PLAN CHECK FEES $39.63
BUILDING PERMIT FEE $79.25
Total Payments: $122.88
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPT(
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1: l) L• 1_ de. Die, Permit Number: /6 -W / 11/0 —&t/
Legal Description ala U rtit` i W *2 (.Of I S l Parcel# 1112�J9 Lf- 635 5
oor Area of q.r't. Sq.Ft
Valuation of Work$ b8 5�—° Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mo - Demolition pool/spa window door
Use of existing/proposed structure(s) (circle one): Commercial ' - iden ..1
i
If an existing structure,is a fire sprtnkl r system installed? (Circle one): 'es No N/A
Florida Product Approval# t'-U 4-. ?� 14(o .5
For multiple products use product approval form D pL1e1Q'fl'€J1J rr'' ''
,
Describe in detail the type of work to be performed: I V W I✓ld-O S
Property Owner Information:
Name: e -1 kr\ WOO(j., Address: t54f3 t5 U 14,34.,de_, De.
City A StateIZip X22 hone 249 -gg28
E-Mail or Fax#(Optional)
Contractor Information: AMERICAN WINDOW
PRODUCTS, INC. ��
Company Name: 2633 POWERS AVE. Qualifying Agent: Gwz-a
Address: �,+ JACKSONVILLE,FL 32207 City State Zip
Office Phone 'MI- 2-1-41 . Job Site/Contact Number Fax#
State Certification/Registration# t G L5 ` '2-Ol1
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 of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_perrod 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,Healers,
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>fy that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws 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.
.--Xr.,
Signature of Owner / `/- / �-e% t„ Signature of Contr ctor
Print Name '// /4 i2/7 4/ 4)0.,01.it c/� Print Name + G1A1212. __.___.....
d subs ib d befor ,11 :tpti. ROGER AUSTIN
\
tgkan , .t' 101,1;FF 697096 Swor9,to.and subscri a before me
1 "'`'DDay of ,1 '/ * '; * _:,!1~ s.,per 6 2019 this L17 Day of ,201(4'
') ,, �1 M ° + 0,w , Boi*Tin Budget N o t Serous
yjac Y••.,/•- F. .Q`4' I 8 -HMGROVE
o Publi _ 't 4\ �5t�79f� �Z Nota ry ub is * MY COMMISSION i FF 697
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ry\,,Jr4! City of Atlantic Beach APPLICATION NUMBER
-. Building Department (To be assigned by the Building Department.)
L 1:,.- , , i 800 Seminole Road // - /. ��AQ _ !_ el/
-r Atlantic Beach, Florida 32233-5445 6 (/V (/
Phone (904)247-5826 • Fax(904)247-5845 Si/V/0
491119r E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /33-.0 L/n /6/4t 4— Department review required Ye o
Building
Applicant: Ani lam/ e fry) WO nmg &Zoning
Tree Administrator
Project: 'OW?)d(,J f ems AT 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
I
Reviewing Department First Review: <proved. I 'Denied.
(Circle one.) Comments:
UILDIN .
PLANNING &ZONING Reviewed by: !,f�l r Date:)/2 p L
TREE ADMIN. Second Review: Approved as revised. ❑Denial.
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
l NOTICE OF COMMENCEMENT
m1it No. Tax Folio 2s / 55
to of FLORIDA County of L
T whorl it may concern:
(0- Z'3 i-
The undersigned hereby informs you that improvements will be made to certain real property,and in
Tdance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
C NIMENCEMENT.
L
all description of property being improved:
3e.tVa, IA t s(de. iu-t t 2. t-Ofi 151
Address of property being improved: 1D U ► l L (-
General description of improvements: Wit' e►I l Lt. I I� �S
I i 1! III
Owner I I 3 t(j i IV �Q,m
Q
Address I-- n_ *' is . ta. 22 3 JJ
Owner's interest in site of the improvement N/A
Fee Simple Titleholder(if other than owner)N/A
Name N/A
Address
Pe) AMERICAN WINDOW PRODUCTS,INC.
Address 2633 POWERS AVENUE - JACKSONVILLE,FL 32207
P,onB No.904-731-2247 Fax No. 9°4731'8824
Y(if y) N/A
A Amount of bond$
Phone . Fax No.
Namejand address of any person making a loan for the construction of the improvements.
N: ",N/,
110. Fax No.
Name• person within the State of Florida,other than himself,designated by owner upon whom notices or other
•.• " may be Served:
Name N/A
Fax No.
In add •
t)
himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
:. ., 71306(2)(b),Florida Statutes.(Fill in at Owner's option).
Name' /A
A••
p Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
dWferent da'a is specified):
THIS APACE FOR RECORDER'S USE ONLY /
Before me this f .� •• of Id,.�!14. Y(tie
County of Dior.i Florida,has personally....:.red
herein by
hifriself/her :if and- •that all statements and declarations herein
Doc#2016064670,OR BK 17501 Page 598, a"' '+ ' .•`�a:;uc ROGERAl1STN
Number Pages: 1 i • ., my coRO lSSION►FF 897096
Recorded 03/23/2016 at 11:20 AM, try+ ..�_ «
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ...le y I; EXPIRES:September 6,2019
COUNTY '?nsroe Bonded Thru Budget Notary Sale
RECORDING$10.00 taryPu•lc`t State of f/ . County of Ldii-/ '
My commission expires:
Personally Known - or
-Producedidenttftcatlon t-/,1 f!v/.f• L,c
w -`5.w 7i e Vz (92C 0