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396 AQUATIC DR - WINDOW -IL Ir� r`J \- \,‘ CITY OF ATLANTIC BEACH _ 1 800 SEMINOLE ROAD : T ! �� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J,,1c) WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16—WIND-2875 Job Type: WINDOW AND/OR DOOR Description: REPLACE FOUR WINDOWS Estimated Value: $3,366.00 Issue Date: 1/10/2017 Expiration Date: 7/9/2017 PROPERTY ADDRESS: Address: 396 AQUATIC DR RE Number: 171818-5132 PROPERTY OWNER: Name: HARMON, ANTHONY Address: 396 AQUATIC DR GENERAL CONTRACTOR INFORMATION: Name: THE HOME DEPOT , CGC1507093 Address: 207 KELSEY LN ED GUILLORY Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $33.42 BUILDING PERMIT FEE $66.83 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.25 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA BUILDING CODES. C�,1 r._ City of Atlantic Beach APPLICATION NUMBER l' To be assi ned b the Buildin De artment.'• Building Department ( 9 Y 9 P ) � 800 Seminole Road �� tiIl_ � Atlantic Beach, Florida 32233-5445Phone (904) 247-5826 • Fax (904)247-5845Q Date routed: I z Z8 i -�J;t��:- E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 9 t 7 Raupt-ric.,_..02_, Department review required Ye No ding r Ce ��Applicant: l t--(C— (`lV✓Yl� 7 Planning &Zoning j� Tree Administrator Project: - G-0 CA-CC 4 w /NOOLJ 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: Approved. Denied. (Circle one.) Comments: ti 0 :UILDIN PLANNING & ZONING Reviewed by: / r ' Date: I — ss-17 TREE ADMIN. Second Review: Approved as revised. fDen . 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 Call Tim for Pick Up 727-6374400 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road.Atlantic Beach,FL 32233 1 ` �, `v I y �� Office(904)247-5826 Fax(904)247-5845 `V Job Address:39 (p A-G‘A-1/4.e.--- "C (V�y-� Permit Number: Legal Description •-11117•D3•)-jG 0J-E1vak-Nc t—e larcel#( 1FIe-'TO a` Floor Area of Sq.F1. q.1.1 Valuation of Work$ — Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Mov Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial If an existing structure,is a fire spnnkle system installed'(Circle one): • c o 0 Florida Product Approval A FL 577y•y For multiple products use product approva form _ Describe in detail the type of work to be performed: \N-e. _ ‘'{ W..),ItivJ 'Si le 'r St-- Property Owner` Information: Name:�h't'\NOr` ��M11 i\ Address:3q (.D PA(,.'-'°Akk b City -fie,v.31•\ h StatertZip 3dr '3 Phone 904- inJ1 - 4.)K i E-Mail or Fax 4(Optional) Contractor Information: The Home DepOt Company Name: of Home Services '��y �5.‘k I 39208 Fivrlva Palin O h Qualit i ing Agent: s(. Address: ��7•,—d'yC� T City State Zip Office Pho c Jeb 9 cont Number Fax I/ State Ccrtification/Registration u� 04 (pp d' —Architect Name&Phone 4 Engineer's Name&Phone II Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Namc and Address — Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance ofa 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(61 months,or if construction or work is suspended or abandoned for a period of six/6)months at any time alter work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers.Heaters, Tanks and Air Conditioners,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. I herebycertify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of ork will be complied with whether specified herein or not. The granting of a permit does not presume to give authorityto violate or cancel the provisions of any other,federal,state.or local law regulatingconstructionor the performance of construction. Signature of Owner Ic '2ey�► Signature of Contractor , • Print Name 4 r,,I Lo,,..,. t?rt.-a rn. _ Print Name --tiNNI.4 t. vvA...LM Swo i to and subscr�ed before Tie Swoin}i id subs ibed before me this af0^Day of UQCe,.� k�-� 2, 01(c,__ 7k, r"l9av of V9 ( (o Q-bic % Notary Pub is u r lc Man A Revised 01.26.10 NOTARY PUBLIC fyt" ' STATE OF FLORIDA '+' t�•!•je:`Comm*FF943894 _ +` Expires 12/15/2019 ?r'�r'� i; CHRISTINEO'MALLEY t :•t MY COMMISSION#FF 087307 1--.;:rt er EXPIRES:January 29,2018 , :,� ,.•' Booed Notary Public Undenvritets a 1)- wii.05- Doc # 2016286156, OR BK 17812 Page 367, Number Pages: 1 , Recorded 12/15/2016 at 01 :37 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 THIS INSTRUMENT PREPARED BY: Name: The Home Depot at Home Services Address: 9208 Florida Palm Dr Tampa,FL 33619 NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number: VII - The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statues,tie following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY:aRgal descriptionof the property and street address if available) 3� �t (?-aS-r3cFr•GGuCA;-- oC ws Lvk `1 J 2. GENERAL DESCRIPTION OF IMPROVEMENT: p_k 3. OW�INFORMATION LESSEE INFORMATION IF THE LESSEE��_ CONTRACTED FOR THE IMPROVEMENT: Name and address: �� r r t f1 31 (9 4"1 k- �c� `(�klAdh. Interest in property: (5-I Fee Simple Title Holder(if other than owner listed above)Name: Address: 4. CONTRACTOR:Name. The Home Depot at Home Services Phone Number. 813-6.2.6-7548 Address: 9208 Florida Palm Dr Tampa, FL 33619 5. SURETY(If applicable,a copy of the payment bond is attached):Nam.-.p. ( — Address (_ --- ---_-- Amount of Bond 6. LENDER:Name: ` \12--' Phone Number: Address: f 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name: Phone Number Address: 8. In addition,Owner designates of to receive a copy of the Ueror's Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number. 9. Expiration Date of Notice of Commencement(The expiration s 1 year from date of recording unless a different date is specified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I, SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS I ti)ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. m f ae-111". A &qt. , // ce Owner or Lowe,or Ovetoes or Lessee's fine Marne and Provide 5gnemrya'reeVOAac) h1l+dmed I State of Coup of Qv✓r 0. The foregoing irstnune t was acknowledged before me this `� day of 20 by . Who is personally known to me L OR Marne or person raking dztereent who has produced identification type of identification produced: S L- 16 L. Allan A.Byrd (� NOTARY PUBLIC 7:4'1)1' STATE OF FLORIDA ,_" ;'.Corms' FF9431394 Notary Signator 11 Expires 12/15/2019 Doc # 2016286156, OR BK 17812 Page 367, Number Pages: 1, Recorded 12/15/2016 at 01 :37 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 THIS INSTRUMENT PREPARED BY: Name: The Home Depot at Home Services Address: 9208 Florida Palm Dr Tampa,FL 33619 NOTICE OF COMMENCEMENT Permit Number Parcel ID Number: {-71 (Y-tY- 3t3 The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statues,tie following information is provided in this Notice of Commencement 1. DESCRIPTION OF PROPERTY:legal desaiptionof theproperty and street address if available) �� ]t (? - ukc vkv-k, rr LVA t'� 2. GENERAL DESMPTION OF IMPROVEMENT: `s tr..4 3. 0WhER INFORMATION OAR\LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: ` '- v\V`nV rA 0(1 39 to ( �.0.�� c }\y 11 (---, �J 3 Interest in property: r�.Q"- t Fee Simple Title Holder(if other than owner listed above)Name: Address: 1N — 4. coNrRACToR:Name: The Home Depot at Home Services Phone Number 813-6.26-7548 Address: 9208 Florida Palm Dr Tampa, FL 33619 5. SURETY(If applicable,a copy of the payment bond is attached):Name v Address: ( --- --- Amount of Bond 6. LENDER:Name: j ,.v- Phone Number Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)0)7.,Florida Statutes. Name. I Phone Number Address: /J 8. In addition,Owner designates of to naive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number 9. Ex,iration Date of Notice of Commencement(The exoiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERc—D IMPROPER PAYMENTS UNDER CHAPTER 713. PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r / ``��, , A of Ovw�er a Lessee,o,O ar a Lwst�'s Titt Name and Ronde Signatory,TeleiCMon) I Liormad Offiov2lire�or/Patr�vMfaiagon / State of c�� Dv County of f n The foregoing instrument yeas acknowledged before me this 4 day of Q c t b—C 20 4 gum bykVN � a Iwam Cl— Allan . Who is personally known to me C OR termwho has produced Identifleation L�type of identification produced: A Byrd NOTARY PUBLIC ' • • STATE OF FLORIDA %.-y Comn'W FF943894 Notary Sys 10 Expires 12/15/2019