1952 Beachside Ct window permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-WIND-2185
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 9 WINDOWS ON NORTH END OF HOME
Estimated Value: $6,000.00
Issue Date: 10/4/2016
Expiration Date: 412/2017
PROPERTY ADDRESS:
Address: 1952 BEACHSIDE CT
RE Number: 169542-0590
PROPERTY OWNER:
Name: BELL, RICHARD A
Address: 1952 BEACHSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: RICHARD BELL BLDG CONTRACTOR
,CBC033312
Address: 1952BEACHSIDECT QA RICHARD FORD BELL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $40.00
BUILDING PERMIT FEE $80.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $124.00
PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: [9-5Z L2)EAP_RS(CR_c D
'epa ant review recjui� Yes No
ui'dln�
g
Applicant; Rltcl,�ARC) L <Isn�_ mg&Zoning
Tree Administrator
Project: F\)(L—PLACIG 9 VQ 1/000IJ\JS Public Works
Public Utilities
Public Safety
Fire Services
R9view
Other Agency Review or permit Required Review or Receiprt
of Permit Verified By Date
Florida Dept.of Environmental Protection
Rorlda 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. J
APPLICATION STATUS
Reviewing Department Fimt Review: E3Approved. E]Denied.
(Circle one.) Comments:
EF)
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review: ElApproved as revised. E]DeniedY
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date
FIRE SERVICES Third Review: E]Approved as revised. DDenied.
Comments:
Reviewed by: —Date:
Revised 06114109
BUILDING PERmrr APPLICAMN
Crry OF ATLAN-RC BEACH
800 Seminole Road,Atlantic Beach Fl,32233 F.".2 C 0 P Y
Office: (904)247-5826 Fax: (904)247-5845
JobAddrcss:_Lqj7_ O&AA ;jke C*,- Pernrit Number:
Legal Description L01 X 5 16"Cr, a I IL9 RE#
Valuation of Work(Replacement: Cost)$jbW_E[..ted/Cwled SF hC mi Non-Herited/Coolled /,(A
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool
• Use of existing/proposed structure(s)(Cinleone): Commercial Residential
• If an existing structure,is afire sprinkler system installed?(Circle one): Y�" N/A
• Submit a Tnee Removal Permit Application if any trees we to be rernoved or Affidavit of No Toe Removal
Describe in detail the type of work to be performed:
AQr4VL f 01inaervi 49K t4lfwpor- fj.4.016
Florida Product Approval# P4, 1(o2:21 —Aj j Sto tft 3 4_&�fiar multiple ponlucts use product appriwal for.
Property Owner Information
Name: Qlatlard 1�ezt- Address: 415Z. 6evA;I4
city hone !;0j. 7a* 4405
E-Mail"120- 1 Aiai=
OwncrorAgent (VAgm�Pow�ofAMm�orA�y�R�pimdl__A_L(&4r 1
A-00,41,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTZE OF COMMENCEMENT.
Contractor Information:
NanneofComprany: AW&&,&r,4Ma Qw6rQtafifying Agent: &0, 4d Aev--
Address: 1942 4 Sf& C4, —City State Zip
Office Phone q Z+gt 61121 Job Site/Contact Number q% I- T010,$
State Certification/Registration#,�� '3J3 I Z_ E-Mail vocal-
Architect Nairre &Phone#
Engineer's Name&Phone#
Worker's Compensation I utsoren 1 1.F_—pTo—yccsFT.—pTmft---Uaw—
is hereby made to obtain apermit to do the _;X7.1.11ations as indicated. I certify that no wark or installation has commenced
a
I issuan.ofa permit and that all work will he pe a all laws o, ran trued at th., ..diction.
lomed to meet the stando
brcomes I anal r, gaact commence within six(6)man , or cow ction or wo ark,0 or a
or an a r s adnionced lmmlemtamlahau,�pmn permits amst be se. haal in
(W�wmr:l Y=�V
ols,Furmace�,BoUr I rks d i,Condidomn,a.
of P. Signature of Contractor:
<
thh av of":�76N,� Before me this D f
blic: ___Notuy Public:
t �%s ad
re c 6 that I have read and euramimid this applic-no and know aoin aars't no,
overm.nlr this type k will be complied with whether r-ifo."no-Na d=no,
in
F Wo g constmction or the
'r su e ive authority to vilarewoorr cancel the Provisions of any othe I Es t� n,
pe orinanc ofconstruction. *qly. so�n.w 10�,6.20 9
ev.3/14/16
FILE COPY
NOUCE OF COMNENCEMENT
State of FLORIDA Tax Folio No.
County of DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain mat 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:Lot 25,Block 1,Beachside,Atlantic Beach
Address of property being improved: 1952 Reachside Ct,Atlantic Beach,Fl.32233
General description of improvements:Replace 9 windows N end of house.
Owner:Richard A.Bell
Address: 1952 Beachside CL,Atlantic Reach 32233
ovniees interest in site of the improvement:Fee Simple
Fee Simple Titleholder(if other than owner):
Name:
Address:
Contractor:Richard Bell Building Contractor,Inc.
Address: 1952 Beticliside CIL,Atlantic Beach,Florida 32233
Phone No:249-0131 I=No:
Surety(if my):
Address:
Amount of Bond S
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: In No:
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as
pnevided in Section 713.06(2)(b),Florida Statues.(Fill in a Ownees option).
Name:
Address:
Phone No: Fu No:
Expiration date of Notice of Commencement(the expiration date is one(1)year From die date of recording
unless a different date is specified):
THIS SPACE FOR RECORDER!S USE ONLY OWNE
Signed. Date, -
Before e oth;i in the County
as PF
of Do , late of Flkmda ly appeared
ne 0"
Zb
U.#2016225268.OR BK 17725 Page 1554. Notary Public at Large,State offlorida County of
Number Pages 1 Duval.
R�Id-d 0912&2016 g 02 00 PM QUVAL My commission expires: q-q -2-O )q
Ro,n,,Fo,,sit CLERK CIRCUIT COURT Personally Known: or�—
COUNTY
RECORDsNG$10D0 Produced ldentificntlo-��—
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