1841 SHERRY DR - 10 WINDOWS �" ' �S, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ti ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J JJ319`'
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1162
Job Type: WINDOW AND/OR DOOR
Description: 10 WINDOWS REPLACED
Estimated Value: $4,228.00
Issue Date: 5/31/2016
Expiration Date: 11/27/2016
PROPERTY ADDRESS:
Address: 1841 N SHERRY DR
RE Number: 172020-0788
PROPERTY OWNER:
Name: CARROLL, CHARLES R
Address: 1841 NORTH SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: WINDOW WORLD OF JACKSONVILLE
Address: 8110 CYPRESS PLAZA DR APT 405 QA GREGORY R FITE
Phone: - -
PERMIT INFORMATION:
FEES: -- - -- ----
PLAN CHECK FEES $35.57
BUILDING PERMIT FEE $71.14
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $110.71
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rs.ay f City of Atlantic Beach APPLICATION NUMBER
� Building Department (To be assigned by the Building Department.)
1.- ``� 800 Seminole Road i / _`^v,t Ni D - l ( /_tP 'Z
r
`� r) Atlantic Beach, Florida 32233-5445 Co 1
Phone(904)247-5826 • Fax(904)247-5845
% 0.21! V E-mail: building-dept@coab.us Date routed: _aln/i c
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
i N ` review Yeo
Property Address: !8�- ( � R�R-Lf 2 1 vDepartmentrequired
Applicant: I ) t p6o0 Vv O pLb Planning &Zoning
/ Tree Administrator
Project: RE,pc.P1/4-0,E,- I U V i Nt)ot os 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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING /
PLANNING &ZONING Reviewed by: V '— Date: 5`/ 9 '/b
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I !Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
. . , FILE Cope,
ri ii;,,v ,
s :40.. E BUILDING PERMIT APPLICATION
tv "� CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
..4°i319r Office: (904)247-5826 • Fax:(904)247-5845
Job Address: @t-1 N Skrke<IOJ r Permit Number:/4-14/////D—//6 2
C"[ UhI}lG•C to3
Legal Description to l•Opt-a5-41 . �r t 14 mar,tom. RE# l ')an o —0'Z 75 R
Valuation of Work(Replacement Cost)$ q 22-'8 Heated/Cooled SF Non- Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move _Demo Pool • indow/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esiden •.
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: (Le('IaCQ, 1(0 tI.1 IN:IC:V t S S CZ-e —r StZe,
Florida Product Approval# Seg A 4 0-0"e _-for multiple products use product approval Tann
Property Owner Information
Name , .(1.e.S • r 0 I I Address: i131-1( Sv\e n-Li b ( N
City A Z4 • . _. State Zip 32233 Phone
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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" w 'A�l "A '1RNFV BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. • '• . . #AK IIMiAyE�L BENNETT 1
Contractor Information:
.,,l . -1+r: •avows,lune0.20te
Name of Company: V"% y1 QualifyingAg g ---- •
Address 2 ?tl i qS vA4 &ve.. t City 3X. 1-,v;11.12_ Statd-dip 32151.0
Office Phone'"•Z.-$Oo- 33Lo 0 Job Site/Contact Number bLl-443-"?Do 1
State Certification/Registration# C.ISC I? ce-1 ID E-MailvJ cLoWWbrlc?Cerr ikS PgrnetiI.c -,
Architect Name & Phone#
Engineer's Name & Phone# \
Worker's Compensation
Exempt / insurer / Lease Employees / Expiration Date
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 perforncd to meet the standards of all laws regulating construction in this jurisdiction.
This permit becomes null and void if work is not commenced w• 'r six(6)months, or if construction or work rs suspended orabandoned for a
period o(.six(6)months at any time after wo s commenced. nor,emtand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools, Furnaces,Boiler.• ,tens,Tanks an it nditioners etc.
Signature of Property Own:, / ` Signature of Contractor: ��,•. 1 W''1
Before me
this 1 Day of irl a Sof, 13efore me this 1 (,i _Eh • Lac/ C24)1 CP
iNotary Public: 1�,�'y,• f i Notary P ,",;";"'`. . : TY M GALAS
i MY COMMISSION#FF049ti9.'
T 29,2G that I{rare read and examined this application and know t 'tire to be litre and corned
I hereby cert
ify ,;oi�m ovfs�fi�ill'3 1$6r lhed '•` a
ordinances governing this type of work will be complied with whether specified herein or not. The, /i of a peri iuilwtitnwstnntc.com _J
presume to give authority to violate or cancel the provisions of any other.federal, stale, or local!awl., .,. It i •ruc•roti or t tc
performance of construction.
Rev.3/14/16
COPY •
Window
"Simply the Best for Less"
Of NE Florida
9452 Philips Highway Suite 1
Jacksonville, Florida 32256
(352)443-7001 • Fax: (352)861-7587
Limited Power of Attorney
Date:S l W;1 `�u
To: Building Dept.
From: Brian Wall
I hereby name and appoint, Gregory Galas, Naomi Mason, Donna Malvar, Megan Constable.
Phillip Romano, Joshua Galas, Sabrina Sierens a permit service for Window World NE Florida, to
be my lawful attorney in fact to act for me to register my license and apply to:
for a nALWQ permit for work to be performed at:
Lot: r6 Blk: n 'n(inSec: 5. Twp: U?
Subdivision \/a 1,1 MA 1��. Parcel or Altkcy: ��-' " (Yl
`
Address of Job: {'04` t�7 S\AR...ral
Owner of Propert Ql r
and to sign and do all things necessary to this appointment.
Thank you for your assistance.
Si cerely, nA�
furl
Brian Wall
State Qualifier
CBC 1259710
State of Florida
County of Duval
The foregoing instrument was acknowledged before me by Brian Wall,who is personally known to me and
who did not take an oath. /
Sworn to and subscribe. . o .'e this [ 111 day of 60� , 2016
Notary Pub'• V�
M '.mmi- • noires: 10/21/2018 A �`: C}1RISTY M GALAS (SEAL)
.41I ' '.1'r C(.;.tM SE10'. =FC4:'ti9;'
...pI. nuer 2±.2U1
F' .,.,i,',_'-" r:p-cm
PRODUCT APPROVAL SPECIFICATION SHEET
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and approval numbers on the
building components listed below if they will be utilized on the construction project for which you are applying for a building permit.We
recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed
products.Statewide approved products are listed online 0 www.floridabuilding.org.
Catestorv/Subcatectory Manufacturer - Product Description Approval Numbertsl
1.EXTERIOR DOORS
A.SWINGING _
B.SLIDING
C.SECTIONAUROLL UP
D. OTHER i I
2.WINDOWS
A.SINGLE/DOUBLE HUNG AMI DOUBLE HUNG 11720.131
B.HORIZONTAL SLIDER AMI i DOUBLE HUNG 11720.4
IC.CASEMENT
D.FIXED
E.MULLION -- V AMI MULLION 12078.7 •
F.SKYLIGHTS - — -•
G.OTHER - - - -
. PANEL WALL F [ECOPV
.SOFFITS
.STOREFRONTS
.GLASS BLOCK
. OTHER
ROOFING PRODUCTS REVIEW it " s - CODE-COMPLIANCE - - ---
A.ASPHALT SHINGLES - CITY • 'TLANTIC BEACFi--_ _ — __ __
!B. NON-STRUCT METAL
C.ROOFING TILES SEE PERMITS FOR ADDITIONAL _.
D.SINGLE PLY ROOF REQUIREMENTS AND CONDITIONS
1E.OTHER _ _
I REVIEWED-B�f. --BATE: 5 /9/16- -
5.STRUCT COMPONENTS _ _-
A.WOOD CONNECTORS
B.WOOD ANCHORS
C.C. TSS PLATES -- - _______.. ... - ,
D.INSULATION FORMS
E.LINTELS -_�
F.OTHERS
6.NEW EXTERIOR _ -- --
ENVELOPE PRODUCTS _
The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of these products,the
following information must be available to the inspector on the jobsite; 1)copy of the product approval, 2)performance charactenstics which the
product was tested and certified to comply with, 3)copy of the applicable manufacturers installation requirements. Further,I understand these
products may have to be removed if approval cannot be demoiatiated during inspection.
f,Jock. 5 _if2 i
APPLICANT SIGNATURE DATE
R-1305 01-04
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ements
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.. Referred By-- _._.�— i �� LIC.ff CBC1259710 •
.;,,..-17 (ma11
Installer: : iid.A _ i�'.r">'b�!`� (- ,U.a 1 1. C.i t +4c,_
_ _ _ of Northeast Florida
— "Simply the Best for Less"
--. 9452 Philips Hwy#1•Jacksonvllk,FL 32256
(904)443-7001•Fax:(904)443-7778
Name.—,=' J+.'t C. Cs-rrc'i l ` Phone(H): C dr-•f —4 ZS> - Zf✓ `f
Install Address: _V?- 4.f ( U r_-\ 1-_ _N• e.r•LLT C.r Phone(W):__—
City.State.Zip _k ;:� 4:• t.�..... '.:::i,. j:.: f --!= — _-- -- Phone(other): --
DOUBLE HUNG SLIDERS-CASEMENT-FIXED
'SIZE LIMITATION VARIES ON LOCAL CODE REQUIREMENTS 2 Lite Slider All weld&Insulated $369
_ , ,Series 4000 DH All-weld&Insulated $200_..i 600_ ____3 Lite Slider All Weld&Insulated S549
Series 4000 OH Alt-weld&Insulated-•ei u. $229_ Casement Awning $339_
,•, Series 6000 DH All-weld&Insulated $249 �q_h_2 Lite Casement/Awning S595 _
_ Halt Screens S19 ___ •__Picture Windows Large(141-154 U.I.) S450�
__ , Full Screens S29 _ _ Picture Windows Medium(106-140 U.I.) 5369 —
_ Double Locks(on windows.27-) $10___ _ Picture Windows Small(0-105 U.I.) 5259_• _
Double Strength High Performance Glass $20_ Colonial Grids(Contoured/Flat) $65 —
•1 i_._.PPG Solarban 70 Low-EE Elite Glass $79_710 7 Y0 PSG Solarban 70 Low-fig Elite/Argon Gas $79----
Argon Gas S20_ - __ __Almond!Beige $75
__Foam Insulation on Jambs and Head S11__ __ _ Lifetime Glass Breakage Warranty $11
' ___Colonial Grids(Contoured/Flat) S45_,, / __ __ _Wood Grain Interior $95
Specialty Grids_ —__ S _— __ _Cplor Exterior(FS Included) S149
—_ ,. Simulated Divided Lite S185�___-_- Hilt Screens $19 _
Almond,Beige S75___. ___Full Screens $29 _
_____Wood Tint(Gray)or(Bronze) $45 _
__ !Wood Grain Intenor S95Color Exterior(FS Included) $149 _ Specialty_ ____ — S _
^,iOriel/Cottage Style(40/60 or 60/40) S45 _ SH Arch Tops $399_
___Lifetime Glass Breakage Warranty S15 Specialty Grids S
Tint Gray or Bronze $45 __ _
___ Window Color(Inside .Outside
MISCELLANEOUS DOORS
. ___Customer Cap&Wrap(IKTI(EXT) S70_ ,,,,,,,_,,,,,, . ____Vinyl Rolling Patio Door 5h.or 6ft. $895
Custom J-Channel S2S
_ _ y !Vinyl Rolling Patio Door 8/1. $1095
. i• _Window Removal/Labor 575 Q __ _ Vinyl Rolling Patio Dooi 9f1. $1195
_ Steel or Cut-out Window Removal $40 _ • _ —French Rail Upgrade $300
1'•• Mull to Form Multi-Uni- $75 .3r'> ? Dor Color 1
,.._—_Tempered Sash(BSO)(TSO) $45 _ S,ecialty Patio Door __
S
._Obscured Glass _ — $39 — _ S teen For Patio Door 560^� _
Repair Sill or Jamb $75—__ PSG Solarban 70 Low-fie Elite/Argon Gas S195
_Remove Storm Windows $25 __ 'Coloniat Gods for Patio Doors 5125
•_ Remove AIC $150 ARemoval and Install S150
— —•----- — t r,� — __Custom Exterior Trim575_
PRE 1978 built homes(Federal lead containment-law) Wood Grain Interior $325
RRP fee per unit $25 ____ E.:terior Designer Colors S425
My home was built in the Year Initial — —Soecialty Door S. _
You the buyer are responsible for the removal and _____Storm Door S
Installation of any existing security system,burglar bars, S
drapes,blinds,A/C. -- _________ -- --'—
You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Notice of
cancellation must be in writing postmarked no later than midnight pm Me following third business day. THIS IS A CUSTOM ORDER
J Window World takes great pride in being a Corporate Sponsor for St.Jude Children's Research Hospital.And will donate S1.00 for
every window you have purchased. Would you like to join us in our cortribution toward the children in need') $
NO EXTRA WORK IF NOT IN WRITING! Customer Agrees to the terms of Payment as follows:
Extra Labor S
Landfill Disposal Fee S_______—___ 5150-00---
Permit&Fees$ F-, ..
Total Amount$ r� >7,
Custom Order Deposit 50%$ 1. t t LfCk#
Balance Paid to Installer upon Completion$
Please see reverse side try additional terms 4 conditions. Boyer ngrues that he has red and understands alt terms and conditions on front
and bock of this.:orrtrecr and agrees to oach and every term and condition.
c-,..i 6Ltic ' y/(h6- _ _
Salesman Pato O'.vner Dale
-t,5 W.A....wee...';ea,:-.e•s cern-7e-dv(' 3 e,;;aro•4:1,0:•...e ::V:41 .,s a,_::!;::S U. - _ .....:•i' 'r,0''•2:5sa L,a,da .•,;,- :,a^sr r,)-,:v,,do,.Ware Mc
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. ( "1;0,4 0-0 ifiCi
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 state in this NOTICE OF COMMENCEMEN .
Legal Description of property being improved: -to I DG dS
Address of property being improved: ay(
General description of improvements: l , 1 i. Q
Owner: Viallk,OS ` O irO] Address: V-1 eI( - ---
Owner's interest in site of the improvement:(���J
Ft'c'Simple Titleholder(if other than owner):
Name: �r --- -- --- —- - -- -------- ----
Contractor: Gull O� � �� nI�'�'1. 1Aja
(„ �.-__-__ --�---- ------ --- --- _
Address: k-1 p� 'V t 11� �j1 t,
Telephone No.: 64 1I-[ 0 V 1 Fax No: -- _.—_---
Surety(it'any)
Address: — — Amount of Bond S
Telephone No:— — Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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 mai. be
served: Name:
Address: ------
Telephone No• _ Fa. 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:
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 da.A is
specified): m ';
•
•.i •
Y o tr?
THIS SPACE FOR RECORDER'S USE ONLY OWNER7)
Doc#2015100492 OR BK 17650 Page 1215 �/
Date: /Z_Z (� y �' r
Number Pages • is '��_ ,la) of �1I • in the County of Duval. .. ;.:.
X
Recorded 0504,201E at 01:50 PM. ..ha>personally appeared 4,/ iP Akio -" x m
Ronnie Fi:ssell CLERK CIRCUIT COUR-CLIVAL bhC a! Lurg,.Slate of Florida.Counts of Dual f
COUNTY
COUNTYING 510.00 ixsinn expiresRECORD — q
Knuttn.
dentitieation: �
1