962 Ocean Blvd 2015 window (2) ' 'I SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
oji 19'
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-S814
JOB INFORMATION:
Job ID: 15-WIND-176
Job Type: WINDOW AND/OR DOOR
Description: window replacement
Estimated Value: $4,826.00
Issue Date: 1/28/2015
Expiration Date: 7/27/2015
PROPERTY ADDRESS:
Address: 962 OCEAN BLVD
RE Number: 170343-0100
PROPERTY OWNER:
Name: WAIT 111,BENJAMIN W & SHIRLEEN,
Address: 962 OCEAN
GENERAL CONTRACTOR INFORMATION:
Name: WINDOW WORLD OF NE FL
Address: 8110 CYPRESS PLAZA DR APT 405 BRIANWALL
Phone:
PER 1IT INFORMATION:
FEES:
BUILDING PERMIT FEE $74.13
PLAN CHECK FEES $37.07
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $115.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
01/12/2015 09: 24AM 3528617587 PAGE 01/05
BUILDING PERMIT APPLICATION
CITY OF ATLANTIc BEACH FILE COPY !
800 Seminole Road, Atlantic Beach, FL 32233
Offike (904) 247-5826 Fax (904) 247-5845
JobAddress: Ocean V6 . _—Ppywit Number:
't I un.-A I
Legal Description.) 6-.Lot 1�S-25_�2qc_ tA , - Parcel# V71 4 �� - 0 too
P OqtA Sq.Pt
I tn 2,(D'00 n I heated/cooled non-heated/cooled
Valuation of Work$ ly Proposed W r r
Class of Work(circle one)- New Addition Alteration Repair Move Demolition pool/sp<'wind�ow/doo�i
osed structur circle one): Commercial
Use of existing/pro
M lostalled' _y
�
ure,is a fire s r=�er syst --Y
If an existing struer, � (Circle one) ar�_ N/A
Florida Product Approval 4 1 CLYA?- F(Jo V 5
For multiple products use product approval form
Describe in detail the type of work to be performed:
PrOmerty Owner Informatin:
I Addr-ess:q(,p2, Qcgayjb1\1d -
Name-
Staik-
city 1. Md2 1 ivy _Uip��PhOn e
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTQR-Q�ADDRESS-Lpknjr�unf 1A si�t_t YYI kt<so
Company Narrid k)1f00UW_> EL —Qualiving gent:?')f VIV\
a e, %.4 Zip
Address., f _L�L_st t
Job Site lu�lj. Fax
Office Phone �.Contact Nun
State Certific;tjon/Registration 9V
��Zbitq-7 t 0
Architect Name&Phone 4 ;:�
Engineer"s Name&Phone:f_�w
Fee Simple Title Holder Name and Add ess
Bonding Company Name and Address
Mortgage Lender Name and Address_
ation is hereby made to obtain a permit to do the work and installations as indicated. I cert(61 that no work or installation has commencedprior to the
ti�,n in thisjuyisdiction, Thi's pernit becomes nuli
�Spz-11nCce of a permit and that aft work will be per ofsLX onths at any time a e?
formed to meet the standards of all laws regulating construe; or 11 period
ended or abandonedf eits,Pools, urnaces, Boilers,H-1a ers,
six(6)months, or if construction or work is sit F,
and void if work is not commenced within s must be securedfor Blectrica Work,Plumbing,signs, W,
work is commenced, I understand that separate permit
Tanks andAir 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 13EFORE RECORDING YOVk NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this lication and know the same to be trite and correct, Allprovisions of laws and ordinances governing.th6
type P�work will be coTplied with whether spec�fiepd herein or not. Th ting of a permit does not presume to give authority to violate or cancel the
t 8 gr,11111 rmance of construction.
t, no,t peFfo,
provisions of any otherfederal,state, or local law regulating cons ructi.9
Signatare of Owner signature of Contractor o(&
Name . ..... .....
Print Name Print . ...r.. oqi.............A.,
............
Before mp B ef)' 201
20 1 this fMeDay of
this JISLADaY of 9,2 ANN�eSRD
my COMMISSION J FF 10
EXPIRES:OMZU2to
Notary Public EMC S,WAM No4taryu ic �Iwl_,ellde ByMThruh*00P/S�
kiy rr 13M Revised 0 1.26,10
!Ole
As ------
01/12/2015 09:24AM 3528617567 PAGE 04/05
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Customer Name: Date:
Alarm System Yes No BurgMr Bars: Yak. No
Commerds- LOW-E Frosted
Color Grids
TYPe Of COnsMiction: Block Bd" Stucco vinyl "ardy Mard
Type of V*xkms- Gum Woo: d Iron No Window
13. 4W/5 -P
2, 4f 7'/"4 'K 5- 44 14,
31 L+7 14 x S,1 1/9 is.
4, �-P/t X 5(
5. 4 7 t/6 X 51 lv� 17.
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7. L14 1/4),
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20.
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21.
10. 4-7 x .5 1
22.
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12, N1 "Bry, 5-11/$
24.
Outside Meawwatngnts; Number of Wffxkms,
Doc # 2015009677, OR BK 17034 Page 1406, Number Pages: 1, Recorded
01/14/2015 at 01:13 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
tPREPAREN 0,JPLICATE)
Permit No, J ax Folio No. nom?.rol 00
State of Florida County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements 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 OF
COMMENCEMENT.
Legal d f erty being m roved:15,too- I U- 25- PMOL&-iiQ P.,-Cle,
I L/
Address of property being improved:qLalz ()Cenr% 'Dtac.6.1
23S 1
General description of improvements- Replacement of windows and/or doors, size for size
Address-401—ork-aln i;lvd Njon U"a
Owner's interest in s;te of the improvement Dou K
Fee Simple Titleholder(if other than owner)N/A
Name
Address
Contractor Window World of Northeast Florida-Brian AT
Address 8110 Cypress Plaza Drive,Suite 405.Jacksonville,F*L 32256
Phone No.904443-7001 Fax No. 9G4-443-.7778
Surely(if any)N/A
Address --Amoun,of bond
Phone No. Fax No.
Name and aodress of any person making a loan for Me construction of the improvements.
Name N/A
Addiess
Phone No. Fax No.
Name of person within the State of Florida.other than himself.designa�ed by owner upon whom rictices-)r 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-tatutes-�Fill fit at 0-.,jner s option).
'10-
1%
C,
Name N 1p,
Address ir 2 P,
Phone No. Fax No
0�r
Expiration date of Noti ce of Commencement lthe expiration date is ont(I:yea,from the date of r(-card!;ig unless a
different date is specifccl):
OWNER
i �cl: -E
giii CA7 'r
the
Beforanie this -jt day*if :11
,,Cqk;!2.ty U D.;\al.SIaie of Fj�riqia.hai-,&sorally aj>peared
hirnseit'Mrself and affiix.s;hat ali siatemcn;sai�d oect:iienon�ni-,cir,
aro true a�d OCCUrate
Nritary Pub,ic at Large Stateo'.. C:ti.�i-31f.'-4
My comm'ss,on expres.
or
ProdLiced'denrification