701 Beach Ave #204 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)ff DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-2722
Job Type: WINDOW AND/OR DOOR
Description: replace windows & sliding doors
Estimated Value: $4,400.00
Issue Date: 12/15/2016
Expiration Date: 6/13/2017
PROPERTY ADDRESS:
Address: 701 BEACH AVE 204
RE Number: 170237-0716
PROPERTYOWNER:
Name: VERMILLION TSTCHARLES & SALLY,
Address: 704 BEACH AVE APT 204 704 BEACH AVE#204
GENERAL CONTRACTOR INFORMA17ON:
Name: Acon Construction Co., Inc.
David Martin Sypnlewski,CGCO22916
Address: 3653 Regent BLVD
Phone:
PERM]T INFORMATION:
FEES:
PLAN CHECK FEES $36.00
BUILDING PERMIT FEE $72.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $112.00
PER]HIT IS APPROVED ONLY IN ACCORDANCE WITH ALL MY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building[)apartment.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 1
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@wab.us Date routed: I'� I, is �rn k 6
Cityweb-site: httP:1Avmv.00ab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ant review re uIred Ye No
Building
Applicant: A coo Plan-nrng&'Zoning
Tree Administrator
Project: and — Public Works
Public Utilities
Public S ty
Fire Services
FM
Review fee $_ Dept Signature
Other Agency Review or Permit Required Review
of Permit='By Date
Florida Dept.of Envimnmental Protection
Florida Dept of Transportation
St.Johns River Water Manag
Army Corps of Engineers
Division of Hotels and RestauraW_s
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: &Approved. E]Denled.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: ?-IK7 Date:�/.��-77/G&
TREEADMIN. Second Review: E]Approved as revised. ElDenled. U
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date*.
FIRE SERVICES Third Review: ElApproved as revised. DDenied.
Comments:
Reviewed by: Date:—
Revised OW14109
T
OFFICE COPY
BUILDING PERMIT APPLICATION
n,
CITY OF ATLANTIC BEACH
800 Sentinole Road,Atlantic Beach FL 32233
'Zon 9' Office:(904)247-5826 . Fax:(904)247-5845
Job Address: 701 DeLxd, Ave ;Z, e) 1: . PermitNumber:
Legal Description —RE#
Valuation of Work(Replacement Cost)$j4j2Q_IEleatedlCooIed SF Non-Heated/Cooled
• Class ofWork(Circle one): Nm Addition Alteration Repair Move Demo Pool
• Use ofexisting/proposed stractutv(s)(Circle one): Commercial Residential
• Ifair existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application ifarry totes;are,to be removed or Affidavit ofNo Trea:Removal
Describe in detaill the type ofwork to be performed:
geklatw IjAJOU/5
Florida Product Approval# fla,' -JQ 49, 514. .jr-f tox at I
Property Owner information F-la".1 -2 �
Name:Ca tnob,2 1) 17V��4 M46it- D Address:_ In
City State Zip Phone
E-Mail
OwncrorAgent fIfAgmtPP..fAaomnymAgEwy1sfte,Rati
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 NOTRfE OF COMMENCEMENT.
Contractor Information:
NameofConlFary AtOA C& alifying Agent: EZLJ /)1QAA_9yA�Ik
, Q, & -
Address: -j KAWA- t4l I& city YAdCMA,4,4(r_State Zip
OfficePhonefAg '19t- AG!2 11Q&0 Job Site/Contact Number
State Cerfification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation �cngt n. c top oyees p to. ate
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert6 that an work or installation has commenced
to the issuance ofa permit and that all work will be perfmoned to meet the standards ofall laws regulating conotraction in thisjunsdietion.
d or abaadP.dtr a
Whaorpermit becomes=it and wid it"work is not comouncad within smov mooths, or tirconstruction or work is s=oal Work,Plans hog,
'tL,any To a workismonmenced landersta that separatepermas most be securedfor
§em.d�UVXTWOTF ces Bdaer Heart, Tanks andAir C Ithen.'er'.
tie
SignatarcofPropertyOm,ner: C=rignanure ofContractoL��
B f�r 4L""%
I
ZX Dayof_5QKW Rejore me this Day of
Notary Public:
MYCOMMISS10KOFF104'" tary Public: W'
I A I E=
I,
S,
EXPIRES
Iberebycertify thatIhave readan same to be trucandco,,M�
nj this type Me a complied with whether spelled herein or not. The
ordinances governi, . 0, a
presume to give out ority to via can the provisions ofany otherfe am/,state, or local Ia.regulating 1111011100,101 tile
performance ofconstruclion. Re,.3/14/16
perinV4 /� - tv, n1,0-z-;Z-2
NOTICE OF COMMENCEMENT OFFICE COPY
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 real property, and in accordance with Section 713 of
the Florida Statuteri,the following information is stated in this NOnCE OF COAdMENCEtMENT.
L,egal Description of property being improved:
16-2S-29E LE CHATEAU OF ATLANTIC BEACH CONDOMINIUM
Address of Property being unproved: 701 Beach Avenue Le Chateau Unit 204
Corona description of improvements: [Replace Willdows and Slidiog rinQrs for I in*t 204
Owner: Charles Vermillion Address: 701 Beach Avenue,Atlantic Beach, Fl-32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than rr�er):
Name:
contractor: ACON Construction Co., Inc.
Address: 3653 Regent Boulevard, Suite 401,Jac7ksonville FL 32224
9 59
Teleph,,,N,..- 904-565-9060 Fax No: 904-565-9080
Surety(if my) N/A
Address: Amount of Bond S
Telephone No: Feet No:
Name and address of my person making a loan for the construction of the impoorvernems
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:
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 Comannecoment(the expiration date is one (1)year form the date of recording unless a d1ifeneat date is
specified):
TIHS SPACE FOR RECORDER'S USE ONLY OWNER
sign
B.=-'.4 this dry f �ry o �D ],.State
Of Florida,has personally appeared
Notary Public at Large,St=on
My crmmis�ion expires, of Duval.
Perecreally Known: or
produced Identification,
MYGWMFSS�6NOFF�. f
�kz' EMREsFW.,16,202V
ru PUblic Un�n,-
D,,#20I6ZT7615,ORBK177a) Pge2170,
Number Pease:i
Recorded 1210�1 6 st 11:08 AM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10,00