1885 BEACH AVE - WINDOW iji'' `0. CITY OF ATLANTIC BEACH
"�;, 800 SEMINOLE ROAD
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-1357
Job Type: WINDOW AND/OR DOOR
Description: REPLACE - 6 WINDOWS AND 2 DOORS
Estimated Value: $15,374.00
Issue Date: 6/20/2016
Expiration Date: 12/17/2016
PROPERTY ADDRESS:
Address: 1885 BEACH AVE
RE Number: 169685-0010
PROPERTY OWNER:
Name: WAPPES, DALE A
Address: 1885 BEACH AVE 1885 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: PELLA WINDOW AND DOOR
Address: 7818 PHILIPS HWY QA JAMES SAMUEL ROWLAND
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $63.44
BUILDING PERMIT FEE $126.87
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $194.31
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
1I"for Pick tip 7274374400
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 I CO`\l I\ - 357
Job Address: )Vs 34_Gc$. 4.\1--cL L 61. ys wk-7)/11/79GPermit Number:
Legal Description la 'b3'7 O l, S ob N Qt.�.\�„tA,,G, Uho..a
Parcel # /6c4ga---- 1 °
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$1' b 7`/- Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa cdodoor
Use of existing/proposed structure(s) (circle one): Commercial a idential
411,
If an existing structure, is a fire sprinkler system installed? (Circle one): 'es 10
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: J\o.k.o.. (o W.vf.' ' 4- a"- (L- St z¢. -St 2Q
Property Owner Information:
Name:-We, L \fens Address: /J'$S" RQOId\ P, - --
City iSrlAo.,)r-e-'e.�o.LN, State Fr-Zip 31„1.13 Phone 9'6 4 -Co 73 •19s9
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: • h�D Windows do Doors • n
Address: 350 W Stam Rood 434 Qualifying Agent: �c,�wQ,s `L D�A&n
1a7-4„Y7-,4i00 City State Zip
Office Phone Longwood, FL 3 2 7ffbSite/Contact Number Fa
State Certification/Registration# CLIile-�y47 I ^ ^ r
Architect Name& Phone# iiii L l' C 1._______"\v/ '
Engineer's Name& Phone#
1.
Fee Simple Title Holder Name and Address III
Bonding Company Name and Address ' I I 1 . 116
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work. 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 "' . .' nit becomes nub
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora pperiod of six(6)mont is a
work is commenced. I understand that separate permits must be secured for Electrical Work, Phunburg, Signs, Wells, Pools, Furnaces, Boilers, lieu ers,
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 certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whet specified herein or not. The granting of a per it does not presume to give authority to violate or cancel the
provisions of any other federal,state,or .. I t•w regulating constriction or the performance of construction.
i
Signature of O r '_ , `� ✓/ Signature of Contractor
Print Name 4fr:////0/0'. Print Name —5o wyb P..1 •1.11\004\8—
-1 Sworn tend subscriKcl before me Sworn IQ_and subscrkbed before me
this " Day of I I\k-l-kk , 20 /G t 1 s' `Da of ti
D___SN13--�'!� Cs (A-
Notary Public Notay Public
,,}A �iit, CHRISTINEOMnuEY Revised 01.26.10
;., r�, :.: MY COMMISSION II FF 087307
,:�' 4 EXPIRES:January 29,2018
�••. ilt
F„4. •,• Bonded Thru Notary Public Underwriters
•
Y'^v CHRISTINE
OMALLEY ;_,--
1 " MY COMMISSION*FF 087307.
1;•z) :a EXPIRES:January 29 2018
', eJ q"•' Bonded Thre Notary Public Underwiters
OLAPiri�, City of Atlantic Beach APPLICATION NUMBER
64 Building Department (To be assigned by the Building Department.)
800 Seminole Road //�� 1 t
;� Atlantic Beach, Florida 32233-5445 l�- W (�)O 357
Phone(904)247-5826 • Fax(904)247-5845 r
,• �;; >r Date routed:
E-mail: building-dept@coab.us l0`I/i c '
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 8S5 1� bt 1 V� ent review required Yes No
Building {�
Applicant: l�(.� l/U(:)(:)(A) ` anning &Zoning
Tree Administrator
Project: l/V QQ W `�- Z �0o2Public Works
Public Utilities
PLA-Ce- 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: I Lproved. ❑Denied.
(Circle one.) Comments:
:UILDING
PLANNING &ZONINGG.�y�6
Reviewed by: Pi 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:
I -
Revised 05/14/09
Doc # 2016127421, OR BK 17587 Page 1372, Number Pages: 1, Recorded
06/06/2016 at 02:52 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
•
Permit Number /6.. //v 0`i '3C FILE COPY
Parcel ID Number goCI6 S'3-•6010
NOTICE OF COMMENCEMENT
State of Florida
County of 17:11/4•:'(S\
The undersigned hereby gives notice that the improvements)will be mace to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of proerty(legal des•iption of the property,and street address if available)
Address /FfrSO 75Q4C\Ae-
Legal Description /,s.65-7 O di ..S •a°IE
2. neral description of i provement s)
\.UCu. oboes 5
3. Owner nformatioi p
Name e. e.a s Phone&Fax Number lEy' (073•/n1 Sof
Address 1 _ :v MOM 0411 'tea�J3
Interest in Property
4. Fee Simple Title Holder(if other than owner shown above)
Name { `,[1 Phone&Fax Number
Address 1N 1�
5. Contractor ' Pe*a Windows&hoofs •
Name Phone&Fax Number
Address 350 W State Itoad 434
6. Surety(if any) Longwood, FL 32750
Name" Phone&Fax Number
Address"
7. Lender(if any)
NameV�'4 Phone&Fax Number
Address"
B. Persons with the State of Florida designated by Owner upon who notices or other documents may be served as
proviced by 713.13(1)(\)7,Florida Statutes.
Name 1 Phone&Fax Number
.!1
Address r T •
9. In adcition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in,
713.13(1)(b),Florida Statutes.
Name �(� ._ Phone&Fax Number
Address I
10.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA
STATUTES, AND CAN 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,C• °1. OUR LENDER OR AN ATTORNEY BEFORE COMMENC{IING-W RK OR RECORDING YOUR NOTICE
OFMC11
Sign .ure of Ownes yren Authorized Offi.-er/nirec asxger[Manager on .Name /1
Sworn to(or affirmed arsubscribed before me this ,day ofi 2C tP by e'1 ^,,„S
as
8� { (type of authority,e.g.officer,trustee,attorney in fact)for ,/c. 4-- (name of party on
behalf f whom instrument was executed. personally known to me or K produced
�M as identification.
.C-F
C '° ,s;."•'i.. CHRIST{NEOMrULEY
� natonofenvtart 1_ (Seal': 10 r a :.E MYCO&&IIS5)aN#Ff087307
��.�}at�� VL IJ •.�-, ••f EXPIRES:Jenuay 29,2018
Name iprint) { 'Z a'. Booded Thu wary Public Undotmr»rs '
--AND—
Verification
pursuant to Section 92.525,F:orida Statutes. Under penalties of perjury,I dad. "'ties" - ead the foregoing and
that the facts stated are true to the best of my knowledge and belief.
ainnaton'of tut:1�
7eSign.nd Pa line#11).ebove
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