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2316 BEACHCOMBER TR DOOR PERMIT '` ° S CITY OF ATLANTIC BEACH e;.�I �1 800 SEMINOLE ROAD ''� - .....' rV .}—) 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-1156 Job Type: WINDOW AND/OR DOOR Description: NEW ENRTY DOOR Estimated Value: $4,370.00 Issue Date: 5/24/2016 Expiration Date: 11/20/2016 PROPERTY ADDRESS: Address: 2316 BEACHCOMBER TR RE Number: 169463-0068 PROPERTY OWNER: Name: ADAMEC, CHRIS R & TRACIE L, * Address: 2316 BEACHCOMBER TR GENERAL CONTRACTOR INFORMATION: Name: RADON PROFESSIONAL SERVICES Address: 336 14TH AVE QA WILLIAM TONY DAVENPORT Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $35.93 BUILDING PERMIT FEE $71.85 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $111.78 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Srl`lr City of Atlantic Beach APPLICATION NUMBER �`r J\ Building Department (To be assigned by the Building Department.) J . ` 800 Seminole Road G-Vain* I ( � ;..'t:,.;==.7.,....,, s� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Sit 8(l e < <r• E-mail: buildin de t coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z31 eackco,nberTe. Department review required Y7No uildin V Applicant: R0,8©n Ib—cPSSfOfl.cd2C'�Iflr ing &Zoning pp Tree Administrator Project: N Eltr) 00 e. ? Public Works Public Utilities r(s-4.M•t!\ Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit RequiredDate 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: ii APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDIN e PLANNING &ZONING Reviewed by: i'll Date: 5-.l 914 TREE ADMIN. Second Review: Approved as revised. ❑D ied. 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 CITY OF ATLANTIC BEACH FILE Cope 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 • Job Address: 23/G &axe],CDni6eA 711 I_ Permit Number: A- 4"AD-- /15C Legal Description it 2-- OCcit.Ji.JAL-JC Uta!T I Loi 3 2- Parcel # d0 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ /, 3'7 D* Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed stru tur s arc ' Commercial esid is If an existing structure, : ire sprier system '1 • ailed? (Circle one): es Flo`` N /A Florida Product Approv; # (- 1t' SCT. • For multiple products use $ro•uct approva ny" Describe in detail the type of work to be performed: Re pl.A c e e i•(`s-7;N I .D co 6L to.o•uc D 5 dLQ wj A 4i24' cs.Ie D ,o[z Property Owner Information: Name:CIA it;s R. . ciA-me G Address: 23/G 13eAciaeona6e.a. TA/4.-i. City h?LAA37•c (3eAch State fcZip 32233 Phone q93- /`l3 I E-Mail or Fax# (Optional) Contractor Information: Company Name: Rii-de t.) Ciao e. 5 a 2u:t•e s Qualifying Agent:t.01-O4i.i N tic 47 Address: 336 I (f TA Av. N• City ...1714-BeAcIt State F c Zip 322 sv Office Phone 2 '4- %/-7 a Job Site/Contact Number 's'q/- /2( o Fax# State Certification/Registration# Architect Name& Phone# C C-,C... oc 7 79 3 Engineer's Name& Phone# NIA Fee Simple Title Holder Name and Address N/A Bonding Company Name and Address N/A Mortgage Lender Name and Address N(,- 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 er work void o cwork is ommenced.not cI understand that sepammenced within six rate pertmits mor ust be secured for Electrical construction or work is Work, Pluded or mb ng,Sigatjdonecl ns,or a period Wells, Pools,XFurnaces, Bonths at ilers, Hime eaters, 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. • I hereb certify that I 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 speci ted 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. Signature of Owner 4,4—......_ 4 ‘741.P.--4--_•-4-- Signature of Contractor LJ / !/ Print Name CA r,4 2 Print Name Cc) ( V/ ¢r e.rfid o -7 Sworn to and subscribed before me 0 Sworn to and subscribed before me - this Da th t 1 Day of • �� STEPHEN HAFT r MIAle N IN i/ ; L,LTi Now,PON*-to M F •• Sm.iIM*FF i1S02* Er, p, . • . CoonEaaMa I Pi 015 i ,, • . My Comm.1 May 5.20!0 ' ' bli i ` + '' My COM.boy's May 5 2020 NOTICE OF COMMENCEMENT Permit No./4— — 1/5'6 State of Florida, County of Duval Tax Folio No. FILE COPY THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. • 1. Description of property(legal description of property and address if available): 2.3/6 &e-AcG. Com/oe,L JRk,`L — q2—( oec4nik.)41.lC ()Air I LOT 32 2. General Description of improvements: Rer0i/} L' (0 1)OAZG 17- ,27 0 b82 LJr 4 S ^ic -c '2° Gurc'e ()c.&4 3. Owner Information: / a)Name and Address: CA,A. 5 g. /4JAM&c b) Interest in property:, la, ye> c)Name and address or simple titleholder(if other than owner): i AJ/AI- 4. Contractor Information: 7 a)Name and Address: ipAip P2o 5e/2ol'ee s -336 /y?X ,i-v, ,v. ,T,,t _ (3eAr4F-L- 3225.0 b)Phone Number: 2 g G. - vile f 5. Surety Information: a)Name and Address: AV/y/— f� Doc#2016112451,OR BK 17566 Page 1898, Number Pages:1 b)Phone Number: Recorded 05/18/2016 at 02:39 PM, c)Amount of Bond: $ Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY 6. Lender Information: RECORDING$10.00 a)Name and Address: �/ — — b) Phone Number: / 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7,Florida Statutes: a)Name and Address: /04 b)Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates /U. 4 of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) ,Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one (1)year from the date of recording unless a different date is specified: -