599 CLIPPERSHIP LN - WINDOWS !#4' `, , CITY OF ATLANTIC BEACH
s--- A, J 800 SEMINOLE ROAD
+3 : 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-1470
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 4 WINDOWS
Estimated Value: $1,500.00
Issue Date: 7/5/2016
Expiration Date: 1/1/2017
PROPERTY ADDRESS:
Address: 599 CLIPPERSHIP LN
RE Number: 170703-0214
PROPERTY OWNER:
Name: HASTEDE ET AL, WILLIAM A
Address: 599 CLIPPER SHIP LN 599 CLIPPER SHIP LANE
GENERAL CONTRACTOR INFORMATION:
Name: FIRST COAST HOMES LLC
Address: 1323 N 6TH AVE DOUGLAS C DOERR
Phone: - -
PERMIT INFORMATION:
FEES: - - - -- -
PLAN CHECK FEES $28.75
BUILDING PERMIT FEE $57.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $90.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
,r
10 \4� Building Department (To be assigned by the Building Department.)
800 Seminole Road / _ N Q _l 4 ��
Atlantic Beach, Florida 32233-5445 lD,vjr,
Phone(904)247-5826 • Fax(904)247-5845
-s-'40;119:- E-mail: building-dept@coab.us Date routed: 10 Z7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 599 C L-t pp S t-41 f Department review required Yes No
idiiding j�
Applicant: ETI.R.S 0�c L r �&S Panning &Zoning
pp
4
l Tree Administrator
r�
Project: REPa� �/v ( ��DO ks 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: 1-4proved. ❑Denied.
(Circle one.) Comments:
UILDING
PLANNING &ZONING Reviewed by: Date: /'5-
TREE
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:
Revised 05/14/09
BUILDING 'EVMIT APPI I kfibW--OF CE�PY --
, CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
��u;;tvr Office:(904)247-5826 • Fax:(904)247-5845
I (c - 'wiNo -- 476
Job Address:? C/;yet S21_,; 1__ri .4f16,�1-,'c f'yG,I fZ. Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ /J Six",t7 Heated/Cooled SF �,4 S C' Non-Heated/Cooled 3,10
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window oor
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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:
p ` ��G' 5e -:�' S � 1 1 /1 �1
Rep 4 eki S4;nq t,(/,V1 5 ///:+J /1 ew ctri/51e ffvyt3 c/✓t cT5 b� ,4AdWSP- )
Florida Product Approval# /4 9/L /0 for multiple products use product approval fonn
Property Owner Information
Name: .)--ae Se1449..ii`Z f1.,/7/;aw, iitrieclpAddress: 5-99 r%ot-✓' G,�
-/'1 ,
City ,QfIo ti'e l3 ect.GG, State Zip 3,1,22? Phone `eSi- 9)3 -/6`78 1
E-Mail jCt'sctivood-z �ctit, rile'
X Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) (LL ['<, M./tVcriL,
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.
Contractor Information:
Name of Company: Ft'iSt Coa.3'i H0r+ir6i SLC Qualifying Agent: \c S C= ,ett`
Address: 17 t�t /O tb*ree'f tUU: . City ,fie Yom(., t"
ate Zip 3).�1.SC
Office Phone (jot/- .--0? -,)$/Zit Job Site/Contact Number 9o41- 5")_)8l
State Certification/Registration # Cid OS 77S2_ E-Mail AA° r` 4 )J A0i., Coryt
Architect Name&Phone# AV/4
Engineer's Name &Phone# tIVA
Worker's Compensation /; S - 1
xemp nsurer -ase mp oyees xpiration late
Application is hereby made to obtain a permit to do the wor 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 and void if work is not commenced within six(6)months, or if construction or work is suspended
Work,Plumbing,
Signs, ells,Pools,Furnaces,Bo' a rs 'nk. , d Air Con ners,etc. p
X Signature of Property Own- • 41 i I'/ � - Signature of Contractor: t C ��
Before tu�ee - e—
this `oDay of ()AIL 0 a Before me this ' a+�.. ay oAt. JLi
Nr:-.101 '-/fITIRPFIN
„ ,. ' ` Notary Public: �! '?r ' ♦. Co ��l'es ;r+ Q17
k) 1 .c My Comm.E res Dec 4,2017 '••.,. .�' Comm ssion N FF 071511
I lid•eteif• .-�k- 'thaPPTI i' cfiFtfi19J4c tc3mi d this application and know the same to be true anc correct. i p ov •i• s •it. a I
or, . be complied with whether specified herein or not. The granting of a permit docs not
presume to give authority to vio ate or cancel the provisions of any other federal, state, or local law regulating construction or the
performance of construction.
Rev.3/14/16
Doc # 2016140700, OR BK 17605 Page 983, Number Pages: 1, Recorded 06/21/2016
at 11:43 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT OFFICE COPY
/ ,j) (PREPARE IN DUPLICATE)
Permit No/C r1 6 O—/ ! 2 5 Tax Folio No. 169398-1098
State of Florida County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 39-22 08-2S-29E
Fairway Villas Lot 49 O/R BK 6020-428
Address of property being improved: 2293 Fairway Villas LN N
Atlantic Beach,FL 32233-4407
General description of improvements: Building a 10x12 wooden storage building.
Owner I-fv.%/,aj,i e&rr-t, 1/
Address 2293 Fairway Villas LN N Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Gary West
Address 1724 W.Broadway St.Oviedo.Fl 32765
Phone No. 407-3535437 Fax No. 407-359-5478
Surety(if any)
Address Amount of bond$
Phone 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 may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone 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): 7/3/2016
THIS SPACE FOR RECORDER'S USE ONLY 1neegt / /�// OWN •
SBefore me this; 1 day , DATE �)2//24'
.Z of i'fi� 37F In ttY�
County of Duval.State of lorlda.has y appeared
hfmselff herself and affirms that statements declarations hereinherby
are true and accurate
DAVID JOE PAGE Kay\11
iIYCONtOlIIOk<=Er68561 fI
/� / EXPIRI$:AM,n,2017
/�aG9* Peve_
�� N1NN1tNSYlYMNwySwbrs
Notary Public 5P Large.StaA /'Z , County of /4y(fit
My commission expires:
Personally Knownor
Produced IdentIAcetlon 'Qp.r'UE'/TS A.d '- -e