1545 FRANCIS AVE - WINDOW / DOOR CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r:r1131>'r
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-787
Job Type: WINDOW AND/OR DOOR
Description: WINDOW REPLACEMENT
Estimated Value: $6.481.00
Issue Date: 4/8/2016
Expiration Date: 10/5/2016
PROPERTY ADDRESS:
Address: 1545 FRANCIS AVE
RE Number: 172284-0000
PROPERTY OWNER:
Name: LYLES, TOMMY & SHIRLEY, *
Address: 13925 HUNTERWOOD RD
GENERAL CONTRACTOR INFORMATION:
Name: GREEN MACHINE
Address: 267 SOPHIA TER SUITE 112
Phone: 904-436-5151
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $41.20
BUILDING PERMIT FEE $82.41
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $127.61
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i),:v. City of Atlantic Beach APPLICATION NUMBER
Js r Building Department (To be assigned by the Building Department.)
cJ 800 Seminole Road j��
4? Atlantic Beach, Florida 32233-5445 ILO "r/I ' y� '"
]
~ Phone(904)247-5826 • Fax(904)247-5845 /4 `
f. y E-mail: building-dept @coab.us Date routed: 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 154 J � rt. -vG Department review required Y7 No
Building
Applicant: GRF -J0 RFL °
g
\ / Tree Administrator
F, �`V Project: RFPLP C i,' O WS Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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: lig proved. I 'Denied.
(Circle one.) Comments: /I)
BUILDING
PLANNING &ZONING Reviewed by: Date: 4/"�/6
TREE ADMIN. Second Review: ['Approved as revised. ❑Deni d.
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
BUILDING PERMIT APPLICATION it r l.,!."" 9
CITY OF ATLANTIC BEACH II i, - '°' ..
800 Seminole Road, Atlantic Beach, FL 32233 y 787
Office (904) 247-5826 Fax (904) 247-5845 9 (a -�'
lob Address: I,�`1SM -1 \nC k 5 1tJ c Permit Number:
e al Description z -So /7- zS -2.16. /Z to ED S H1 r" SID 4)53-Parcel#a1 1117-$q- 0 G c-"
g p Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 6 N�I Proposed Work heated/cooled non-heated/cooled
'lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
L.se of existing/proposed structure(s)(circle one): Commercial C4esid
it an existing structure,is a fire sprinkler system installed? (Circle one): Yes "No .1• A
;'iorida Product Approval # S/ 7 l5"
For multiple products use product approval form
Describe in detail the type of work to be performed: kC fI ALE bill n D`Li S
Property Owner Information:
'iame: MARY i PY E R 03 Address: /6 yS fgfm( ► 5 AVC
city / tl1ll1(L 1�IAC.I State t- Zip 32233 Phone '7t'( -519- lZZ7
-Mail or Fax#(Optional)
Contractor Information:
'ompany Name: &eEen Iy► rair1E kE-Re C nip TEU . u"LQualifying Agent: S th5 81.5 ti a
kddress:Z(p7 )&lit lEk.ie1LE City 5T- 4O STME State-FL Zip 3Z0S
Dffice Phone 'iO4- Li _.Sly Job Site/Contact Number gilt.(- LI 3(�-5151 Fax#
state Certification/Registration# __
krchitect Name&Phone#_
ngineer's Name&Phone#
ilee Simple Title Holder Name and Address
onding Company Name and Address
4ortgage Lender Name and Address
'ippiication 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
;nuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this ejurisdiction. This permit becomes null
vork is commenced.ommenced.ot I understand that separate or be construction ured for suspended or abandoned
Plumbing,Signs,a Wells, Pools, Furnaces, 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 BEFORE RECORDING YOUR NOTICE OF H
YOUR LENDER OR AN ATTO COMMENCEMENT.
yperof work will be ccoplied with whether specified lherein or not.know The granting of permit does correct.
notpresumejto give authority to governingthis
provisions of any other federal,state, or local law regulating construction or the performance of construction. n
signature of Owner
Signature of Contractor Ilt
Print Name y,2 4-soe k-,, ,5 Print N ame UCt rY 1 .e.S 1,S h 8
worn to and subscribed before me Sworn and subscribed before me '20
:his t Day of /' id, 7(./ 1 .20 ((p this Day of r1 i t C h
,,' Public . "' Notary Pu Sic
,?•,...,... 714,',..,, BRETT C HAURY
otary o.,.. .. BRETT C HAURY Tn `0�1 �r(�tOMISSION#FF136933
'' MYCOMMISSION#FF136933
::" -e�.' :, a„, EXPIRES June 29, 2018
`.:!,,e7.-. EXPIRES June 29, 2018 (407)398-0153 FloridallotaryService.com
(407)398-0153 FloridallotaryService.com
NOTICE OF COMMENCEMENT Doc#2016078630,OR BK 17520 Page 261,
Number Pages:1
Recorded 04/08/2016 at 09:03 AM,
State of Tax Folio No. Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
County of RECORDING$10.00
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 Description of property being improved: 2b- 5a 17_ 2S— 2_9 E 12. lrs E D ,5/ jT.14, 5/D
►� 6S—FT 40 T Z t3/1L! !
Address of property being improved: ) I F P G1 G l 5 AU e A't L b1(4T L L C
General description of improvements: -FL 32.233
p KEP/A6c- Win po w S
Owner: N6R Y to 1!L E g lJ Y S Address: , /5 9S- --FP l S AvE PrTLfl'd4Tt L&(1 I
Owner's interest in site of the improvement: /04 `FL 32233
Fee Simple Titleholder(if other than owner):
Name:
Contractor: G eEe Vl M Ltd t Y1( a-EI<id E TWCtt. LL C
Address: 21;) S 6 PA/ A TER, $i- AU C L1.S i t'1 E -F 3 Z 6 d7 S"
TelephoneNo.: 0(64" K3( -,SIS I Fax No:
Surety(if any) N P:‘
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: •Vl
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: NI A
Address:
Telephone No: Fax No:
n addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
13.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: Ni t\
Address:
Telephone 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
pecified):
'HIS SPACE FOR RECORDER'S USE ONLY OWNE' 2
•
Signed: �.�.�+r Date: 5 -/9 -/6
Before me this 4! day of ( 1 in the County of Duval,State
:,p4 r.... , BRE'i"1'C HA�t�lt' Of Florida,has personally appeared H'�V
_;
.1 MY COMMISSION#FFi g1123§ Notary Public at Large,State of Florida,County of Duval.
.�y,, .,.,.a� My commission exp
:•'.gyp ,, • EXPIRES Jura�l�, ti4 y or
..,....., Personally Known:
(407)398-0153 Floridallota Serv+tR:e ft? Produced Identification:
at .,*14W/c (h
EPOPS: 001648-326758 CUSTOMER COPY Page: 1
160201 1055 AIC1010 QUOTATION #7696 3/28/2016
Lansm
Lansing Building Products Sim #: 001648
12740 Kenan Drive Emp:
Jacksonville, FL 32258 Entered: 3/28/2016
Bl1((.Q1N(; P1tODl(CIS Phone: 904-519-1227 Xmitted:
Fax: 904-438-7980 PO #:
Customer#: 191615 Job Name:Roy Home Owner:
Green Machine Reflective Tech Project ID:
267 Sophia Terrace Location:
Lot#:
St Augustine, FL 32095 Model:
Phone: 904-436-5151 Contact: Brad Bishop
Fax: 904-808-8707 Cust PO#: CP9964
Ln QtY Long Description
iNo Ord
01 1 51 1/2" X 47 7/8" T 9800 Impressions White Double Hung; Tip-to-Tip; Unit Extended
T
( ) ( ) p g� Price Price
BOX+FL;Green Machine; 1" IGU Thickness; Sensor Glass -366; Super
Spacer; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength
(1/8"); Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Tape
Applied; Two Air Latches; Two White; Plain; Regular Lift Handles; Balance
Covers; Glass Warranty Discount ID: CP9964; (UI=100"); DP:35; Test
Number=C9025.01; U-Factor:.29; SHGC:.20; Unit qualifies for ENERGY
STAR®region(s): North Central, South Central, So kern.; Unit qualifies for
Title 24.; Room ID: Living Room
T X 47 5/8" (T) 9800 Impressions White Double Hung; Tip-to-Tip; BOX Unit Extended
02 1 35"
( ) { ) p g� p- p' Price Price
+FL;Green Machine; 1" IGU Thickness; Sensor Glass -366; Super Spacer;
ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8");
Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two Air
Latches; Two White; Plain; Regular Lift Handles; Balance Covers; Glass
Warranty Discount ID: CP9964; (UI=83"); DP:55; Test Number=D0300.01; U-
Factor:.29; SHGC:.20; Unit qualifies for ENERGY STAR® region(s): North
Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID: Living
Room
FILE COPY
..
EPOPS: 001648-326758 CUSTOMER COPY Page: 2
160201 1055 AIC1010 QUOTATION #7696 3/28/2016
L . Lansing Building Products Sim#: 001648
12740 Kenan Drive Emp:
Jacksonville, FL 32258 Entered: 3/28/2016
BUILDING l'Rt)DU(;1S Phone: 904-519-1227 Xmitted:
Fax: 904-438-7980 PO#:
Customer#: 191615 Job Name: Roy Home Owner:
Green Machine Reflective Tech Project ID:
267 Sophia Terrace Location:
Lot#:
St Augustine, FL 32095 Model:
Phone: 904-436-5151 Contact: Brad Bishop
Fax: 904-808-8707 Cust PO#: CP9964
Ln aty Long Description
No Ord
T X 41" (T) 9800 Impressions White Double Hung; Tip-to-Tip; BOX Unit Extended
03 1 34 7/8"
( ) ( ) p g' p p' Price Price
+FL;Green Machine; 1" IGU Thickness; Sensor Glass -366; Super Spacer;
ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8");
Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two Air
Latches; Two White; Plain; Regular Lift Handles; Balance Covers; Glass
Warranty Discount ID: CP9964; (UI=76"); DP:55; Test Number=D0300.01; U-
Factor:.29; SHGC:.20; Unit qualifies for ENERGY STAR® region(s): North
Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID:
Kitchen
T X 47 314" (T) 9800 Impressions White Double Hung; Tip-to-Tip; BOX Unit Extended
04 1 35"
( ) ( ) p g' p- p' Price Price
+FL;Green Machine; 1" IGU Thickness; Sensor Glass - 366; Super Spacer;
ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8");
Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two Air
Latches; Two White; Plain; Regular Lift Handles; Balance Covers; Glass
Warranty Discount ID: CP9964; (UI=83"); DP:55; Test Number-D0300.01; U-
Factor:.29; SHGC:.20; Unit qualifies for ENERGY STAR® region(s): North
Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID:
Master Bedroom
/ r). / 5
a
EPOPS:001648-326758 CUSTOMER COPY Page: 3
160201 1055 AIC1010 QUOTATION #7696 3/28/2016
Lansing Building Products Sim#: 001648
12740 Kenan Drive Emp:
an� Jacksonville, FL 32258 Entered: 3/28/2016
Bt WING l'RUDII(:15 Phone: 904-519-1227 Xmitted:
Fax: 904-438-7980 PO #:
Customer#: 191615 Job Name:Roy Home Owner:
Green Machine Reflective Tech Project ID:
267 Sophia Terrace Location:
Lot#:
St Augustine, FL 32095 Model:
Phone: 904-436-5151 Contact: Brad Bishop
, Fax: 904-808-8707 Cust PO#: CP9964
Ln Qty Long Description
No Ord g p
T X 47 7/8" (T) 9800 Impressions White Double Hung; Tip-to-Tip; Unit Extended
05 1 34 3/4"
( ) ( ) p g' Price Price
BOX+FL;Green Machine; 1" IGU Thickness; Sensor Glass -366; Super
Spacer; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength
(1/8"); Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two
Air Latches; Two White; Plain; Regular Lift Handles; Balance Covers; Glass
Warranty Discount ID: CP9964; (UI=83"); DP:55; Test Number-D0300.01; U-
Factor:.29; SHGC:.20; Unit qualifies for ENERGY STAR® region(s): North
Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID:
Master Bedroom
5/4' /2- /
06 1 34 3/4" (T) X 47 7/8" (T) 9800 Impressions White Double Hung; Tip-to-Tip; Unit Extended
BOX+FL;Green Machine; 1" IGU Thickness; Sensor Glass - 366; Super Price Price
Spacer; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength
(1/8"); Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two
Air Latches; Two White; Plain; Regular Lift Handles; Balance Covers; Glass
Warranty Discount ID: CP9964; (UI=83"); DP:55; Test Number=D0300.01; U-
Factor:.29; SHGC:.20; Unit qualifies for ENERGY STAR® region(s): North
Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID:
Bedroom 1
'FUN' °
EPOPS: 001648-326758 CUSTOMER COPY Page: 4
160201 1055 AIC1010 QUOTATION #7696 3/28/2016
i Lansing Building Products Sim #: 001648
12740 Kenan Drive Emp:
Jacksonville, FL 32258 Entered: 3/28/2016
I3C11LDINC 1'ROL)CICIS Phone: 904-519-1227 Xmitted:
Fax: 904-438-7980 PO#:
Customer#: 191615 Job Name: Roy Home Owner:
Green Machine Reflective Tech Project ID:
267 Sophia Terrace Location:
Lot#:
St Augustine, FL 32095 Model:
Phone: 904-436-5151 Contact: Brad Bishop
Fax: 904-808-8707 Cust PO#: CP9964
(Ln QtY Long Description
No Ord g p
T X 47 7/8" (T) 9800 Impressions White Double Hung; Tip-to-Tip; Unit Extended
07 1 51 1/8"
( ) ( � IGU Thickness; Sensor Glass - 366; Super p g' Price Price
BOX+FL;Green Machine; 1"
Spacer; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength
(1/8"); Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Tape
Applied; Two Air Latches; Two White; Plain; Regular Lift Handles; Balance
Covers; Glass Warranty Discount ID: CP9964; (UI=99"); DP:35; Test
Number=C9025.01; U-Factor:.29; SHGC:.20; Unit qualifies for ENERGY
STAR®region(s): North Central, South Central, Southern.; Unit qualifies for
Title 24.; Room ID: Bedroom 1
T X 36 1/4" (T) 9800 Impressions White Double Hung; Tip-to-Tip; BOX Unit Extended
08 1 35"
( ) ( ) p g' p p' Price Price
+FL;Green Machine; 1" IGU Thickness; Sensor Glass - 366; Super Spacer;
ProSolar Shade Low E; Argon Gas; Obscure, All; Double Glazed; Temper All
Inside; Double Strength (1/8"); Full Screen Fiberglass Extruded Screen Mold; _.
A2 Mtg Rail/Stile; Two Air Latches; Two White; Plain; Regular Lift Handles;
Balance Covers Discount ID: CP9964; (UI=72"); DP:55; Test
Number-D0300.01; U-Factor:.29; SHGC:.20; Unit qualifies for ENERGY
STAR® region(s): North Central, South Central, Southern.; Unit qualifies for
Title 24.; Room ID: Bedroom 1
5/(e °'
FILE COPY
EPOPS: 001648-326758 CUSTOMER COPY Page: 5
160201 1055 AIC1010 QUOTATION #7696 3/28/2016
Lansing Building Products Sim#: 001648
•
LanS 12740 Kenan Drive Emp:
Jacksonville, FL 32258 Entered: 3/28/2016
BUILDING Pltt)UIIC'I'S Phone: 904-519-1227 Xmitted:
Fax: 904-438-7980 PO #:
Customer#: 191615 Job Name:Roy Home Owner:
Green Machine Reflective Tech Project ID:
267 Sophia Terrace Location:
Lot#:
St Augustine, FL 32095 Model:
Phone: 904-436-5151 Contact: Brad Bishop
Fax: 904-808-8707 Cust PO#: CP9964
Ln Qty Long Description
No Ord
8 Total Qty Windows 8 Total Qty Units Sub Total:
NOTES:
Sub Total:
Tax: 7.0000%
Non-Tax Labor: 0.00
Total:
Deposit Paid: 0.00
Amount Due:
Submitted by: Accepted by: Date:
I have read and verified all options and charges on this quote.I understand the Items listed are special order and cannot be cancelled after
ordered.Changes after ordered may incur an additional charge.All C.O.D.orders require 50%down payment
FILE COPY
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