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582 AQUATIC DR - WINDOW �� CITY OF ATLANTIC BEACH °LIAINji::6''s 800 SEMINOLE ROAD j'- „- _-: '”. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-WIND-834 Job Type: WINDOW AND/OR DOOR Description: REPLACE WINDOW AND DOORS Estimated Value: $6,481.00 Issue Date: 4/13/2016 Expiration Date: 10/10/2016 PROPERTY ADDRESS: Address: 582 AQUATIC DR RE Number: 171818-5194 PROPERTY OWNER: Name: HARTMAN, GARY E Address: 582 AQUATIC DR 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: $127.61 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 lob Address: 5'Z 60,0(a\ L D (?- Permit Number:/6-- (&'/j2'/)'?J? Lb7"(--- Legal Description 3"--11 !7- 2S-29E AA ,' C YR ■ EhS Parcel# i 71S /g Si f //^ oor . ea o q. t. q. Valuation of Work$ &'27C/ Proposed Work heated/cooled non-heated/cooled lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential [f an existing structure,is a fire ss nnkler system installed? (Circle one): Yes No N/A :'lorida Product Approval # S 111 J /Gl 7S 4 Fur multiple products use prroddduct appfoval form t)escribe in detail the type of work to be performed: e E-p ili tE ix'/I D bLo 3 ±f )GD Property Owner Information: [lame: �'I' � 4 Milk Address: Sg Z 6 J f\yt ( itte_. >fty : ' in i T 1,a State-> ( Zip '�2 - Phone �}D Y `I . 71 -Mail or Fax#(Optional) Contractor Information: 3-1+ :'ompany Name: ,�1tfi�l{mt. I EClI� TECH L�Qua1 ing Agent: /r&$ 1.-5(1-0? Address: 2(0) 30 (- /,,fl YEi2 • City S( is7-rs►e_ State -FC, Zip 32 C S Office Phone c t&43(p–$(SI Job Site/Contact Number b2.0 Fax# strati n# -4111P rc itec ame MVP'. - ngineer's Name&Phone# Pei Simple Title Holder Name and Address • filonding Company Name and Address — ortgage Lender Name and Address 1pplication 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 ssuance 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 period of six(6)months at any time after •vork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heaters, i anks 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. T hereby certify that I have read and examined this opplication and know the same to be true and correct. All provisions of laws and ordinances governing this ype 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 )revisions of any other federal,state, or local law regulating construction or the performance of construction. i to... signature of Owner 4c-%-�/w^� Signature of Contractor � �j �js h�p °rint Name G0,7 Print Name J0.J<'yt,.e& Sworn,p and subscri3OAd before me Sworn to and subscribed before me this a Day of Hid 1 On .20 / (i this Day of ft)i ,f -h .20 1 / )///1 �A,t(4/1\ 'ciotary Public "a' 1 BRETT C AURY .ter r ;s ,�., ' ,. -, BRE HAUhY MY COMMISSION#FF1361 VISed 01.26.10 �-, "_ MY COMMISSION i P#i§6� 3 `+., `••� tfy EXPIRES June 29, 2018 'illi ei EXPIRES Junti 2/11 !0 i P (407)398-0153 FloridallotaryService.com .......... (407)398-0153 Floridallo134§@Witi#:€94i EPOPS:001648-326758 ********************* CUSTOMER COPY ********************* Page: 1 160215 1055 AIC1010 QUOTATION #7726 4/04/2016 Lansing Building Products Sim#: 001648 12740 Kenan Drive Emp: Kevin Stokes Jacksonville, FL 32258 Entered: 4/01/2016 B[IILDING PR(?I)ll('I:5 Phone: 904-519-1227 Xmitted: Fax: 904-438-7980 PO #: Customer#: 191615 Job Name:GM-Hartman Home Owner: Green Machine Reflective Tech Project ID: Gary Hartman 267 Sophia Terrace Location: 582 Aquatic Dr Lot#: St Augustine, FL 32095 Model: Atlantic Beach, FL 32233 Phone: 904-436-5151 Contact: Brad Bishop Fax: 904-808-8707 Cust PO#: Hartman CP9964 Ln QtY Long Description No Ord g p 01 1 47 1/2" (T)X 59 1/4" (T)9800 Impressions White Slider(X0); Tip-to-Tip; BOX Unit Extended ( ) ( ) p ( )� p p� Price Price +FL;Green Machine; Colonial All White Flat(1V2H); 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; H2 Mtg Rail/Stile; Tape Applied; Two White; Plain; Regular Lift Handles; Corrosion Resist Roller/Glide; Glass Warranty Discount ID: CP9964; (UI=107"); DP:40; Test Number=D2303.01; U-Factor:.29; SHGC:.17; Unit qualifies for ENERGY STAR®region(s): North Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID: Kitchen Base Price Sensor 366 Colonial Grid Extruded Full Screen Block Flange Reinforcement Total REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH FILE SEE PERMITS FOR ADDITIONAL COPY REQUIREMENTS AND CONDITIONS / REVIEWED BY: DATE: 1"/"//-/-6 •v EPOPS: 001648-326758 ********************* CUSTOMER COPY ********************* Page: 2 160215 1055 AIC1010 QUOTATION #7726 4/04/2016 Lansing Building Products Sim#: 001648 12740 Kenan Drive Emp: Kevin Stokes Jacksonville, FL 32258 Entered: 4/01/2016 Bllll[)IN(; PRC)Ixl(;CS Phone: 904-519-1227 Xmitted: Fax: 904-438-7980 PO #: Customer#: 191615 Job Name:GM-Hartman Home Owner: Green Machine Reflective Tech Project ID: Gary Hartman 267 Sophia Terrace Location: 582 Aquatic Dr Lot#: St Augustine, FL 32095 Model: Atlantic Beach, FL 32233 Phone: 904-436-5151 Contact: Brad Bishop Fax: 904-808-8707 Cust PO#: Hartman CP9964 Ln Qty Long Description No Ord g p 02 1 71 1/2" (T) X 47 1/2"(T)9800 Impressions White Slider(X0); Tip-to-Tip; BOX Unit Extended +FL;Green Machine; 1" IGU Thickness; Sensor Glass -366; Super Spacer; Price Price ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength (1/8"); --=� Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two White; Plain; Regular Lift Handles; Corrosion Resist Roller/Glide; Glass Warranty Discount ID: CP9964; (UI=119"); DP:50; Test Number=C9010.01; U-Factor:.29; SHGC:.19; Unit qualifies for ENERGY STAR®region(s): North Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID: Dining S/' 36 Sensor 36( Base Pr Y 366 Extruded Full Screen Block Flange Reinforcement Total 03 1 59 1/4" T X 47 3/8" (T)9800 Impressions White Slider(X0); Tip-to-Tip; BOX Unit Extended ( ) ( ) p ( ) 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"); Ifs Full Screen Fiberglass Extruded Screen Mold; A2 Mtg Rail/Stile; Two White; Plain; Regular Lift Handles; Corrosion Resist Roller/Glide; Glass Warranty Discount ID: CP9964; (UI=107"); DP:55; Test Number=D2300.01; U-Factor:.29; SHGC:.19; Unit qualifies for ENERGY STAR®region(s): North Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID: Sewing Room Base Price G[/ Sensor 366 Extruded Full Screen Block Flange Reinforcement Total 1 EPOPS: 001648-326758 CUSTOMER COPY Page: 3 160215 1055 AIC1010 QUOTATION #7726 4/04/2016 • Lansing Building Products Sim#: 001648 12740 Kenan Drive Emp: Kevin Stokes Jacksonville, FL 32258 Entered: 4/01/2016 (�llli;DING PRODIl('1 Phone: 904-519-1227 Xmitted: Fax: 904-438-7980 PO #: Customer#: 191615 Job Name:GM-Hartman Home Owner: Green Machine Reflective Tech Project ID: Gary Hartman 267 Sophia Terrace Location: 582 Aquatic Dr Lot#: St Augustine, FL 32095 Model: Atlantic Beach, FL 32233 Phone: 904-436-5151 Contact: Brad Bishop Fax: 904-808-8707 Cust PO#: Hartman CP9964 Ln QtY Long Description No Ord g p 04 1 47 1/2" (T)X 59 1/4" (T)9800 Impressions White Slider(X0); Tip-to-Tip; BOX Unit Extended ( ) ( ) p ( ) p p' Price Price +FL;Green Machine; Colonial All White Flat(1V2H); 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; H2 Mtg Rail/Stile; Tape Applied; Two White; Plain; Regular Lift Handles; Corrosion Resist Roller/Glide; Glass Warranty Discount ID: CP9964; (UI=107"); DP:40; Test Number-D2303.01; U-Factor:.29; SHGC:.17; Unit qualifies for ENERGY STAR®region(s): North Central, South Central, Southern.; Unit qualifies for Title 24.; Room ID: Master Bedroom fi/�q Base Price Sensor 366 Colonial Grid Extruded Full Screen Block Flange Reinforcement Total EPOPS: 001648-326758 *****************RRRR CUSTOMER COPY ********************* Page: 4 160215 1055 AIC1010 QUOTATION #7726 4/04/2016 • Lansing Building Products Sim#: 001648 12740 Kenan Drive Emp: Kevin Stokes Jacksonville, FL 32258 Entered: 4/01/2016 BtIIIDING PR(?Ix1GTS Phone: 904-519-1227 Xmitted: Fax: 904-438-7980 PO #: Customer#: 191615 Job Name:GM-Hartman Home Owner: Green Machine Reflective Tech Project ID: Gary Hartman 267 Sophia Terrace Location: 582 Aquatic Dr Lot#: St Augustine, FL 32095 Model: Atlantic Beach, FL 32233 Phone: 904-436-5151 Contact: Brad Bishop Fax: 904-808-8707 Cust PO#: Hartman CP9964 Ln Qty Long Description No Ord g p 4 Total Qty Windows 4 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:Kevin Stokes 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 12/40 Kenan Drive Lansing Building Products - Jacksonville, Quotation Jacksonville FL United States 904.519.1227 Quote ID SQBDA000143-1 P.O. Number Quoted for Green Machine Reflective Tech. Ship-to Same as Bill-to 267 Sophia Terrace 267 Sophia Terrace St Augustine, St Augustine, FL 32095 FL 32095 United States United States Prepared by Kevin, Stokes Prepared on 3/22/2016 904-519-1227 Available to 4/21/2016 jxvlis @lansingbp.com Quote Information Quote ID SQBDA000143- Quote Name Hartman Door Options Quote Total Lines 1 Total Value Status Open Freight Terms All prices are in USD All units, quantities and accessories have been verified and accepted by the undersigned for purchase. Accepted by Date Application version 8.1.1.2CF Printed on 4/1/2016 Content Version 2.1.2.0 Page 1 of 2 12740 Kenan Drive Lansing Building Products - Jacksonville, Quotation Jacksonville FL United States 904.519.1227 Quote ID SQBDA000143-1 P.O. Number Line Label Qty UOM Family/Part Number Unit Extended 1 1.0000 EA Entry Door ! Entry Door System 3-0 X 6-8, Right Hand Inswing, Smooth-Star Embossed/Molded Open, Concorde glass, with Black Nickel Caming, S1000, Single Door, Double Bore, 2-3/8" Backset, 2-1/8" BoreDia, 2-1/8" Deadbolt Dia, 5 1/2" Center to Center, Final Frame Primed Comp ! ' Jamb, 4-9/16", No Casing, Inswing Composite Adjustable, Sill Finish Mill, 3 Ball 9 9 P l ' ' Bearing Hinges, Stainless Steel - US32D, Wh Comp Weatherstrip, f f I All prices are in USD _ Adjusted Subtotal (Discounted) 1 i Tax 7.00% Labor Tax 0.00% 0.00 Shipping and Handling 0.00 0.00 Other Charges (Specify) 0.00 0.00 Total Quote Value 730.05 Application version 8.1.1.2CF Printed on ; Content Version 2.1.2.0 Page 2 of 2 OW GA.r+Ylnn6N(3n ON16-666'm'N 600Z q wort •6N'3'd 1O6+W9'd 669681 53LON lYa3K3J �? 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K 2 O O to O Z Z w 0 < j o a < .„ o U N• • • I a 0 < w ' m w IHOI3H 11va3AQ XV .H. O • N • Z A 040,5'1 541 woo cTZ 55. r;y1�1r1� City of Atlantic Beach APPLICATION NUMBER r Al Building Department (To be assigned by the Building Department.) Y,- 800 Seminole Road ,.. . (o' tAJ1/\) 11. v C) - P� 4 Mrj Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 "L,;tl>%- E-mail: building-dept @coab.us Date routed:4 / 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: r r t Q. (� ent review required Yes No Buildin Applicant: C----)R_ M.A C E I ,UE P a •&Zoning " / Tree Administrator Project: \/-f (N Uo &) ��c R S 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: ['Approved. ['Denied. (Circle one.) Comments: i(`pn S e or C'pr. 4. f� + ,' '1n P �' j co i0 , 1 ,e ri yl BUILDING Iiiphc.t t f On ' PLANNING &ZONING Reviewed by: Date: 6 TREE ADMIN. Second Review: ['Approved as revised. ❑Den 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 NOTICE OF COMMENCEMENT State of Tax Folio No. — 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 Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMN4ENCE NT. Legal Description of property being improved: � - 7/ /7- 23 - 2_q & �'"" if /c(_ Cr ilk P Eft'_5 LOT 17 - f n Address of property being improved: ,i)&.v F TI C. D g. 4y • &FIIt tI -f t ' 3 7 General description of improvements: p€PI At P l(ii'1 D0(-/).C. t TI (L Owner: 6<fI -i )7 it F T Th 1'1 Address: J L 1 1L,/61 rt(C b i rg C / -i C.1--1 Owner's interest in site of the improvement: -( (_ 32>j Fee Simple Titleholder(if other than owner): Name: LLL "9 j / / / xo.nuzu Contractor: / C�t h /Y!fk.}1i f e e6-11 C�1:-F1 74(1-/' (�G c m p g (D C o / � y- QZ� Q m Address: ;� P/1 I /( / ` k'( Us rf Vl f , -t. 2- '-- Telephone No.: C L'c(' L0(0-c/5 / Fax No: - =N Surety(if any) o m o-4-u9 Address: 4-114- Amount of Bond$ r" El; Telephone No: Fax No: ,,, -. (7 A -> Ui Name and address of any person making a loan for the construction of the improvements o �' O -Ti Name: x --1 m Address: 4// ' , o ti 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: 1// i'' Telephone 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 Statues. (Fill in at Owner's option) Name: 1 Address: (�1 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 specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER f' Signed: 4 1`':'6,-I_.� Date: 3!/-2-�// :'o`'"r"" ' BRETT C HAURY Before me this day of 4 Its) in the County of Duval,State ::: 014 Of Florida,has personally appeared F RE` F i40 ibt 0�\ MY COMMISSION#FF136933 ';a .-� :'�' Notary Public at Large,State of Florida,County of Duval. •,,a, EXPIRES June 29, 2018 My commission expires: (407)398-0153 FforidallotaryService.com Personally Known: /'' or � Produced Identification: C_4 1