1275 JASMINE ST - WINDOW • \ss CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J,31�f'
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1469
Job Type: WINDOW AND/OR DOOR
Description: NEW WINDOWS AND SIDING
Estimated Value: $8,000.00
Issue Date: 7/7/2016
Expiration Date: 1/3/2017
PROPERTY ADDRESS:
Address: 1275 JASMINE ST
RE Number: 171050-0100
PROPERTY OWNER:
Name: LLOYD, JAMES & LIZABETH, *
Address: 1275 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: E & R ENTERPRISES OF NORTH FL
Address: 2628 WEST END ST QA EDWIN CHARLES PUTTBACH
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $45.00
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $139.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
51-tv;7 City of Atlantic Beach APPLICATION NUMBER
JS' ' s� Building Department (To be assigned by the Building Department.)
if- : 800 Seminole Road //
Jv'•, • • r Atlantic Beach, Florida 32233-5445 I ( 7- ( tin — 4
Phone(904)247-5826 • Fax(904)247-5845
o,191- E-mail: building-dept@coab.us Date routed: /Z7/( c
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I 2- --7.5 ---)lath'tl/uC `>( D ent review required Ye No
Buildi
Applicant: R. [G--�zaPRLsGS Planning &Zoning
Tree Administrator
Project: VI. (f u 0(4) t 0 l 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: roved. ❑Denied.
(Circle one.) Comments:
(BUILDING
PLANNING &ZONING Reviewed by: fri Date: /' l v
TREE ADMIN. Second Review: Approved as revised. ❑D ed.
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 COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 (( _klI No
Job Address: 12675 J A S 0414S" ST.
Permit Number:
Legal Description IB-34 38 •as- A4117 0. «O Parcel# 111050 01 O O
Floor Area of .Ft.
Valuation of Work$ deg Proposed Work he ted/cooledt
non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indo:/door
Use of existing/proposed structure(s)(circle one): Commercial ►
If an existing structure,is a fire sprinkler s stem installed? (Circle one): Yes No N/A
Florida Product Approval# EL tog 'cb.a, 8$p° SUMER LI ,p,4,p ` p/l4
For multiple products use product approval or m
Describe in detail the type of work to be performed: NEW WlP Oa ws ,,4' F SJDi044► .
Property Owner Information:
Name: a •r. L6 C Address: L
City /44-1a.t4« Orqc State EL.Zip 3.?233 Phone 9o4j YO( Zt l)
E-Mail or Fax#(Optional)
•
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: tiva arre2PQ.tSC S of 444.1-11w u ent: L—�wt4 Pt177t3,4CAddress: Z(0 2B o$7 c?V'd sr Ci A L4#471C Oaf
Office Phone State FL Zip 32233
Job Site/Contact Number YO'F 6249 SOSI, Fax#
State Certification/Registration# C.0 C 150 4IS
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert that no work or installation has commenced prior to the
and void�wpermit
k slnot commenced within six(6)�mont�t omeet
l f construaction or workjis susr ended or abandoned for a period jurisdiction.
(6()months at tbecomes
y time a null
work is commenced I understand that separate permits must be secured for ElectricalpWork,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,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.
t hereby cert 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
ape 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
2rovisions of any other feder',state, or local law regulating construction or the performance of construction.
signature of Owne !�„ ��� �� C
Signature of Contractor
'rint Name ,Jq,,.i K L.lo P
x Print Name ��w 4 C
3efore meBe
its r1-1-0). of ` 'L► _2 t i this !i•r ay of 20
rotaryPu. c — C A k ,
',., = 'ion#FF '21 • Not.. ubli r
,: ebruaty 14,2019 0 Notary Public State of Florida
4
oyFan m. .eaom'e ? ,111bAl
lKye Kennelly
,per My t�o1@iB4T�P? 6.��01' Expir /2017
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NOTICE OF C I%MMEINcEMENT FILE COPY
State of 112.1D
A County of I)VV•AL —_.
Tax Folio No. 11 1 O 5 Q.• O /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 ofproperty being improved: !/. 38 a S .a9
'4 arc Boil Lo T 5 !2 D SCC t4
8144. 223
Address of property being improved: (;Z j
General description of improvements: W 1100 S S'ID/N
Owner: lames R rUoyG Address: 1275 Sic 44la44.c A���� � R...
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):•
Name:
Contractor: F 4 of /g -1-C,/• 6Z.cDaq
Address:• 2402.8 t l:ST I .fl) s't, A 4A4 iC �GN� FL. 31_2.33
Telephone No.: Fax No:
•
Surety(if any)
• Address:
Amount of Bond$
Telephone No: Fax No: ('
Name and address of any person making a loan for the construction of the im Doc#2016145151,OR BK 17611 Page 1560,
Number Pages:1
Name: Recorded 06/24/2016 at 02:46 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Address: COUNTY
Phone No: RECORDING$10.00
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:
. 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:
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
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWN R
•
Signed- / ��►t�"�71�/ ' Date: OC%Vh6
Before me' is V ai day7— in the County of Duval,St.;e
Of Florida,has perso ally appeared ' �4 A ,a i . , �'
Personally Known:
Produced Identificati• : p4 '� or
Nit. • .l'c•
;•OrrWrit€!DY 9 cM $N'IRE / I
$4 : Commission#FF 1921 • 4 p (
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Bonded Thou Troy Frio Insurance 800385.7019
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01 t x i 1 10/28/13 REVISE GLAZING DETAIL /LSSEN�•Y: BOLDING CONSULTANTS. INC.
NO DATE �y TYPICAL ELEVATION. DESIGN �YY P.O. Bo: 81 .859.9 7 33595
REVISIONSPRESSURES & GENERA. NOTES Phone No.: 813.859.9197
0 2011 R.W.OU$Lo1Ma COMaULT/1Nia INC. F73PE C.A. No. 9813