375 3RD ST - WINDOWS iiA.,9
CITY OF ATLANTIC BEACH
v,Lilo _�:- .' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�
. �;si9%' INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 16-WIND-1640
Description: reinstate -REPLACE 2 WINDOWS
Estimated Value: 996
Issue Date: 7/21/2016
Expiration Date: 1/17/2017
PROPERTY ADDRESS:
Address: 375 3RD ST
RE Number: 169824 0015
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
\�v 'k- S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
t-)v tz:
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-1640
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 2 WINDOWS
Estimated Value: $996.00
Issue Date: 7/21/2016
Expiration Date: 1/17/2017
PROPERTY ADDRESS:
Address: 375 3RD ST
I RE Number: 169824-0015
PROPERTY OWNER:
Name: DOWNS ET AL, HEATHER
Address: 375 3RD ST 375 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: WINDOW WORLD OF NE FL
Address: 8110 CYPRESS PLAZA DR APT 405 BRIAN WALL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
Total Payments: $82.50
PERMITIS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND "1111 FLORIDA
BUILDING CODES.
•
<S.i-vi City of Atlantic Beach APPLICATION NUMBER
Js r i� Building Department (To be assigned by the Building Department.)
r `:,��.i 800 Seminole Road I / ---W
A t 0 D I C
4 \�- '',s- Atlantic Beach, Florida 32233-5445 l (� v Vn
\ , ~ Phone(904)247-5826 • Fax(904)247-5845 y
'�'`L0;;�v%' E-mail: building-dept@coab.us Date routed: ! / zC) i C
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property � ,,. ....., ,.._8
Address: � d — ( Department review required Y\erNo
riluilding '
Applicant: \kii(0130c/3 Vv U12_C..Q (?T Ry—__ Fl Planning &Zoning
Tree Administrator
Project: G a& Z w( ,O(�OCAS Public Works
Public Utilities
Public Safety
Fire Services
i
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:
:3
:UILDING
PLANNING & ZONING Reviewed by: 111Date: �'� >
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
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 FIE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, Fl, 32233
Office (904) 247-5826 Fax (904) 247-5845 I 6.,- 1 fV z.- 1
Job Address: �--- ' C8 -t __.. Permit Number:
I,cf;al l)escriptions'S.(> Ile-aS- >r •t3 A-�l.tj�, t33CA•lok'L(oS‘ arcel#X(A a,-4-acAS
C\
Floor Area of Sq.Ft. Sq./.1
Valuation of Work S vl CIL)? Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa ndow/door
Ilse of existing/propose .tr+-� jeture(s)(circle one): Commercial Residential
If an existing structu ,is a fire sprinkler system in • lied? (Circle one): Yes No N /A
Florida Product App val #ft \1. O► k
For multiple produc use product approva ort
Describe in detail the type . i k to bey' ormed:44/ALCA -_ •,,,).Lc.NdcvN1S_ -6t-2-e- • of SCL:e.
Property Owner Information:
Name: t1\r,n n. el I?\0en\ -° ' •_._. __Address:,tv>\ 1.r .ola__A'ALri �5,3,-t_LecwergC CA
City Deir ►e, - - -. Statc(P„/.ip 1;_b2AV.Phone -1'-1.e SSO�I —. - goaza
li-Mail or Fax II(Optional). .. . . �_. ...—. __.-.- .- —_---_-..
-
Contractor information:
Company NameNs. ,..1�pc� Dc._.L1E. et _ , Qualifying Agent: ,O-n WQ�1 1
Address:olys7 pv,;1i.� Nw,4 Ste...\. . -_City cls i-,vi e... State Pi - Zip 57..Z.51,0_.
Office Phone 0,,Z- 3Sub_ Job Site/Contact Number cio(4-4,..k3-1QoI-_-Fax N
State C'ertitication/Registration#C("2 ...._12..c..9-110
—
Architect Name& Phone # _._. rl l.cL
Engineer's Name& Phone#_ NI?, —_- — _,_ _
Fee Simple Title I folder Name and Address__.N-lp_
Bonding Company Name and Address N I Yk
Mortgage Lender Name and Address 0 i 0, -.-_-
:1/rplic•uliun is hrre•hr uaide to obtain ci 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 he petJnrvned to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not rontnteuc•e•d within six t(►1 analis.or if ccnstrueiu,,:or work is suspetaled or ahtnrdoned far aper•iod of Si. (6/months at any time alter
work is commenced l understand that separate permits must be secured for F.lecerictt!II ork, Plumbing..Signs, hells. Pools. I mrita ec, Boilers. Heaters.
Tanks and/lir(ouditioaers,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.
/herehr cerci/i•lhat I have read and examined this Indication and know the sante 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
prot•i.was o/am.other federal.state.or local tent regulating construction or the lrc rlw :once n/construction.
iktySignature of Ow A_ __ Signature of Contractor ? TV
Print Name .E\ eA G orv..bttL........ Print Name \ n. Ikkat
Sworn to and subscribed before me Sworn to and sub cubed before me
this..2 Day of____/V I'U._._._...... __ . ____,...70?_.�2O?Li_ this \(Q. Day of — -- .20 t(p
—16/4&1_
•
•�;"•. _CHRISTI.III GALAS
MICHAEL BENNETT ,.-%i - :,; -=+`:
Notary Public: "iii,...'i ary P MY COMMISSION AFF0•19697
MY COA+S1dISSlOr1 M FF236632 ;.
EXPIRES June.03 2016 .J7 .+ ktraSL k=.4nkff7.2Q1;
NC7,)95-0'13 ncoAdamo srySrwu con, 5;t 7s 3co.JtJ? Fb.::,d allo ar•I_!ry +Cent
Ii A
,
1 .
II I,P .•
NOTICE OF COMMENCEMENT
Slate of F1
___--
ELE COPY lax I:olk)No. ,Lgaq oo1S
County of-. �171L41
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 iroved:S_ loA \1,p-aS �Q�....k
3__AiNAA-V,c.._ b. �- .31?' .A_. ►of
tQ fE1<...5
—
---
Address of property being improved: -15_ ;-.4.... .1/4. Ai1 -bc. \3eGC-1r>,c 32233
General description of improvements: (1NC$_.W twowS atm\O( 3oe 13_
Owner:Z.."' GlokoresbeA.....- Address:g.001 L.1f‘cU1('1...Si' Utllt4 V-- c4(-1 bkondt?.ft co
Owner's interest in site of the itnprovemcnt:Q . -_ g0202_
-Fee Simple Titleholder(if other than owner):__..1•.)wr -
Nanic:
Contract or:'-2)6,040,k\'.W N.60 11JOC.\� — - -- - ---• Address:evAsi.. ._ph►1,Q5 Nw,_,.-- '•2. \ X 1 32Z.S10
Telephone No.: au-v4(4 sicol . Fax No: -Surety(if any) N,Pc .
Address: _ Amount o1 Bond S
Telephone No:_.. - - _ Fax No:
------- ---- - ---
Name and address of any person making a loan for the construction of the improvements
Name:.-- r )A .. -. ..
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 he
served: Name: --- .)p►.__
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the t.ienor's Notice as provided in Section
7 I 3.06(2)(b). Florida Statues. (Fill in at Owner's option)
Name: .J ----------( p�---
- Address: - ,,.•••:'
Telephone No: _ . Fax No: _ - - .3 • f;''"
Expiration date of Notice of Commencement (the expiration date is one(I)year from the date of recording unless a differen dilate e
specified): .< 3
THIS SPACE FOR RECORDER'S USE ONLY OWNER // / /
/ i -6 .
.'gned. --f. _ Date: 5) 1.I .Ltl. r
Doc#2016144762.CR BK+-911 Page`354 :tore to this -t a)•of - tG� /ilk in the Counts of Duval. stb ,� m
Number Pages 1 f Florida. its personally appeared £1.t2n. b.0-Qm e " ^ Z
Recorded 06:24.2016 at 01:01 PM. clary Public at I.arge.State of Florida.County of Duval. ?3 T
Ronnie Fussell CLERK CIRCUIT COURT 71.'rA_ commission expires: _ - n
COUNTY rsonally I:nonn: . - - - —
RECORDINGSI000 -. °r
oduced Identification: •
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