741 Sherry Dr 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 NEXT DAY INSPECTION: 247-SS14
306 INFORMATION:
Job ID: 16-WIND-2479
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 10 WINDOWS
Estimated Value: $5,600.00
Issue Date: 11/17/2016
Expiration Date: 5/16/2017
PROPERTY ADDRESS:
Address: 741 SHERRY DR
RE Number: 169947-0000
PROPERTY OWNER:
Name: ROSENBERGER, C DARYL
Address: 741 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: DUVAL CONSTRUCTION INC
Edmond Vata,CGC1524120
Address: 13221 Mendenhall PL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $39.00
BUILDING PERMIT FEE $78.00
STATE DCA SURCHARGE $2,00
STATE DBPR SURCHARGE $2.00
Total Payments: $121.00
PERART IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�-M City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department)
800 Seminole Road
Atlantic Beach,Florida 32233-5"5 ('Vi I foo - Z4-79
Phone(904)247-5826 Fax(904)247-5945
E-mail: building-dept@oaab.us Date routed:
City welb-site: IthpJA�.caelbus,
APPLICATION REVIEW AND TRACKING FORM
Property Address: -741 (,�ent review required Yes 'No
Buildri LV
Applicant: e_. ,.,,T Plann-in-g-&-Zoning
Tree Administrator
Project: REPLAC-C- ID wf/uc�ouas Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review t
of Pe.it=Pay Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
ST.Johns River Water Management District
Army Corps of Engineers
Division of Flotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: lexpproved. [-]Denied.
(Circle one.) Comments:
(EE�D
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: [-]APProved as revised. ElDenied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date,
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:-
R�lsed 0511V09
BUILDING PERMIT APPLICAMN OFFICE COPY
Crry OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
W), 51 Office:(904)247-5826 - Fax:(904)247-5845
Job Address: �q 1 6 �err)j Dr, Aflom(, Permit Number:
Legal Description jLaldij I IA)I L%&llPJS RE# 1MY-7-49000
Valuation of Work(Replacement Cost)$_UQW.&Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Do
• Use of existing/proposed structure(s)(Circle one): Commercial esidenti
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes �D N/A
• Submit a Tr�Removal Permit Application if my trees note to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: j?6,P4W,-F 16) 5/;E
5)140&7Vk) 60&05,
Florida Product Approval for undtiple prodom use product approval to=
Property Ovraer Information
N Ctrif 5 816 Address: N _%Try 01-,
C,Ze, Statcjj_Zip Phone 3W -7--14 - -5 C/ 1715 VO.3
E-Mail Chb
OwncrorAgent (1fAg�,PowarofAVomeyorAgcacy141erF�ui
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 NOTk!E OF COMMENCEMENT.
Contractor Information:
Name of ogany: WA,5P& VP Qualifying Agent: M%044D UiM
city -Woo State Zip 'S
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0'4'��JcbSitelCanta,t Number �X6 F _3407
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Engineer's Name&Phone#
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E)pires:May19,2018 Rev.3/14/16
r/Yl,, 4f 16— �U/ YVVJ— 01179 Due#2016252325.OR BK IT763 Page 1357,
Number Pages:I
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OFFICE COPY Rwwnie Fussell CLERK CIRCUIT COURT DUVAL
NOTICE OF COMMENC COUNTY
EMENT RECORDING$10OD
C1 WG
State of
_e0-L--L- County of A&I'll Tax F.lio No. e&"L9 1?4r7—L,�)00 0
To Whom It May Concern:
The undersigned hareby"'forna you that hop.mvOluents mll be made to certain real poepc
the Florida Statutes,the&1lowing intranatt - rty, and in accordance with Section 713 Of
1,agal Desc . ti R of being i oved:2 sta d to t a NOTI h OF COMMTWr�
Address 011proPerty being improved:
General descriphora of ravexaments:
Owner. Addresa:
Owner's interest in site of the improYsnact:
Fee Simple Titleholder(iforrher than o�.,):.
Namee:
Contractor.
Address::
L
IV
5
as. /
Tel�",
ephowN. Fax No:
Surety(ifuny)
Addres,
Tclepl:Dne No: Fax No:
Narre,and addrism Of anyperso,making a,loan far the construction of
Nance: the inapeovenuad,
Address: z
Phone No: Fax No:
Nance of Person within the StIt,Of Firmidu, the,loal hhOR)X designatod by O�m pan hom rectices or other docomessits may be
served: Nm,:
Address:
Telephone No: z Facr No:
in addition to hinmell; o� desigualas,the fjlowing person to ra�
713-06(2)(b),Florida Statrics. (Fill in at 0ener,a aption) 0' a copy of'he Laasar's Notice m provided in Section
Naarse.
Address;
Telephone No: F�No:
EViestiCal date of Notice of Cournerearcreard(the e�pjoatiaai data is
specified): are(1)year from the date of recording unless a dillesed&to is
THIS SPACE FOR RECORDER'S usE ONLy OV,,NER
Sig..d.
Before me�s Data:
!_&zR7
�day�OfIVD 01�.� � 2, z_,o (,
Offlorids,has persocallyappeared 0/%A e,V5 tj ]&k604 (OOC4
�Iw intheCovuayrqUa,n,Saue
Personally Y�—
Marton Brufism Preduced Idmtifi
Notery Public:
NOtelY Public
State of Florida
My COMMISSION NO. FF 87719
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