250 Beach Ave window permit CITY OF ATLANTIC BEACH
J j 800 SEMINOLE ROAD
J ,5 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: 17-WIND-3481
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 6 WINDOWS
Estimated Value: $4,760.00
Issue Date: 3/24/2017
Expiration Date: 9/20/2017
PROPERTY ADDRESS:
Address: 250 BEACH AVE
RE Number: 170195-0000
PROPERTY OWNER:
Name: CRAVEN ET AL, RICH
Address: 250 BEACH AVE WEED, WENDY
GENERAL CONTRACTOR INFORMATION:
Name: GREEN MACHINE
GREEN MACHINE REFLECTIVE TECHNOLOGIES LLC JAMES
BISHOP,wd-6 L11000144012
Address: 267 SOPHIA TER SUITE 112
Phone: 904-436-5151
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $36.90
BUILDING PERMIT FEE $73.80
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $114.70
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 17-W W D -34f3
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: buildingdept@mab.us Date routed:
City web-site: http://ww .mab.us
APPLICATION REVIEW A``\ND TRACKING FORM
Property Address: ZSC7L N ` �U F- De rtrnent review required Yes No
wilding
Applicant: GRIZEAD 1 V �,HCHWr CFLEC.7rV $Zoning
//'' I Tree Administrator
Project: ��E PLAe.6 lO W I tJ t.,Jo L12 S Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: tM pprov/ed. ❑Denied.
(Circle one.) Comments: (�/v/yrpQfe QO OOJ �P�PoSe -Ai Pt rmi 4-
UILDING bri �' �'r>2-N LI�C�?jnJ¢�{�# �tRS 10e0'1 W r 4P h '7A a01 Za4wit
PLANNING&ZONING I4D �eP�rJ�
Reviewed by: Date: 327
TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
NOTICE OF COMMENCEMENT
state of Tax Folio No.
County of
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 infomtation is stated in this NOTICE OF COMMENCEE
Legal Description oproperty,being improved: 5-(yq EaE n{Ic�POcn Lo4-Y b
ka8
Address ofproperty being improved:
nn Q . l.0 OIn+ir, a FL, a'
General description ofimprovements: K eVI0,(,IYIOt LQ WIMDIA C
OwnerlAi&ClrL(.Q. cmy-p-C Address: U .tAM . 3
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Contraaoccom-eh 11 NA6)i Y1P. AC�C�--P ch nnS LL — a-W S BhmW
Address. rrII .Q
Telephone No.: -`d JAD -5 151 Fax No:
Surety(if any)
Address: Amount of Bond 1i
Telephone No: Fac 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:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Liencr's Notice as provided in Section
713.06(2xb),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE
Si Due: ?4/17
Doc#2017068552,OR BK 17922 Page 352, ge is day of in the County o£Duval,State
Number Pages:1 Of Florida,hes Personally appeared
Recorded 0324/2017 st 01:36 PM, Notary Public a[L-Fg to of Florid Coca ty o
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY Personally Known: or
RECORDING$10.D0 Produced Identification: P, LINDA 81$H
ommrosion�GG$4124
p y Commiason Expires
„•„^,� D'1'
ecember 17, 2020
BUILDING PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: V> N AUC Permit Number:
Legal Description51611b-2S-29E-af0.h1 cjpMd I.()I-ybift27parcel# 110195- 0 000
Floor o Wit. q.F
Valuation of Work$-�L Area
Work heated/cooled ol91 t5 uoa-beated/rnoled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indo door
Use of existing/proposed structure(s)(circle one): Commercial Resid ��
Iran existing structure,is a fire sprinkler tem installed?(Circle oae : es No JN/A/
Florida Product Approval# 7.I 117 . I L/
For multiple products use product approval form
Describe in detail the type of work to be performed:�l QC1 V1AT I V IS.(al,l�$
Property Owner Information: n �j �,,,,r
Name: tt1 C)'IO VCl Ck -1 ,{rj��M gt✓ Address:Z Crack akkc -
City{dtiCtl'�tlf {�nif StamFi Zip �Z Phone
E-Mail or Fax#(Optional)
Contractor Information: �Agmt:
Company ame. e l Qual' in Address: -1 Citye� `ZiOffice Phone - - I Job Site!Contact Number tbk-47I1ax
State CertificatumlReaistration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address tl Ap t z
Bonding Company Name and Address ) .
Mortgage Lender Name and Address -
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert fy that no work of installation has commenced prior to the
iuuarwe o a nermn and that all wank will beperformed to meet the standards ofall laws regulating construction in thisjarudiction. This permit becomes null
and void s work is not commencedwithin six(6J rnurdhs, w ifcoratruction w work is sus riled w abandonedfw a penod ojsix((6J months at any time yagter
work is commeaced. I understand that separate permits must be se unedfw B/ecWea Work,Phaiding,Sigxs, Wdlg Poobs,PLraacu,Bogus,Healers,
Tanks andAlr Conddgoners,«c
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.
!hereby certify thatlhave read and uamined thu plication andknow the sameta be live ardcwrect. Allprovisiors oflaws and ordimarces governing this
type of work wil!be compiled with whether sppeeed herein w not. Tke gramirtg of a permit does not presume to gyve authority to violate or rvncel the
pavuiorw ofany otherfeder or total law regdatir4q consave(ton w the performome ojconsnvedon.
Si®oature of --� Signature of Contractor
Print Name ......_�I-tc...............!). 4GR..4✓ M_.....__......_....._....._.. Print Name c�o�rlt�S f�. !ShD..C................................
Swe to and subscribed beforeme Swom and subscribed before me
this Day of 20/ this Day of r 20 7
NO LL Com laeian I Ga 56124 u commission a GG 64124
Viz+ lj My Commission Eepires yry wM/' ssY Commlaalpn e]a1
„e` Daeumber 11, 2020 DB aomtligvyyQrgry �6•
OFFICE COPY
EPOPS:001648-326758 ••`••'••"•'•"•"•"•• CUSTOMER COPY """"" ......' Page: 1
170116 2046 AIC1010 QUOTATION #9267 310712017
Lansing Building Products Sim M 001648
12740 Kenan Drive Emp: Kevin Stokes
Jacksonville, FL 32258 Entered: 310 712 01 7
41l1,1RGPR%)D6LlC%M Phone: 904-519-1227 Xmitted:
Fax: 904-438-7980 PO #:
Customer#: 191615 Job Name:GM-Craven Home Owner:
Green Machine Reflective Tech Project ID: Richard Craven
267 Sophia Terrace Location: 250 Beach Ave
Lot#:
St Augustine, FL 32095 Model: Atlantic Beach, FL 32233
Phone: 904413641161 Contact: Brad Bishop
Fax: 9044108-8707 Oust POO: Craven CP12106
NoOb Long Description
01 1 34"(T)X 45 7/8" (T)9800 Impressions White Double Hung;Tip-to-Tlp; Unit Extended
BOX;Green Machine; Energy Star Southern; Intercept; ProSolar Shade Low Price Price
E; Argon Gas; Double Glazed; Double Strength (1l8"); Half Screen Fiberglass
Extruded Screen Mold; 00 No Reinforcement; Two Air Latches; Two White;
Plain; Regular Lift Handles; Sill Extender; Balance Covers; Glass Warranty
Discount ID: CP12105; (UI=80"); DP:50; Test Number-C9020.01; U-Factor:.30;
SHGC:.20; Unit qualifies for ENERGY STARS region(s): North Central,South
Central, Southern.; Unit quall0es for Title 24.
ansa Price
ESbr SoulM1
Total
02 1 213/4" (T1 X 45 718"(T1 9800 Impressions White Double Hung; Tip-to-Tip; Unit Extended BOX;Green Machine; Energy Star Southern; Intercept; ProSolar Shade Low Price Price
E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass
Extruded Screen Mold; 00 No Reinforcement;Two Air Latches; One White; T
Plain; Regular Lift Handles; Sill Extender; Balance Covers; Glass Warranty
Discount ID: CP12105; (UI=68"); DP:50; Test NumbemC9020.01; U-Factor:.30;
SHGC:.20; Unit qualifies for ENERGY STAIRS region(s): North Central,South
Central, Southern.; Unit qualifies for Title 24.
Bene Price
d � e • / S Total) Star South
EPOPS: 001648-326758 ••••..• ...... CUSTOMER COPY •••••'•"'•••••"•"• Page: 2
170116 2046 AIC1010 QUOTATION #9267 3/0712017
Lansing Building Products Sim M 001648
12740 Kenan Drive Emp: Kevin Stokes
Jacksonville,FL 32258 Entered: 310712017
HtlIIDINC: PR(Hl(ICTti C1 Phone: 904519-1227 Xmitted:
Fax: 904538-7880 PO M
Customer#: 191615 Job Name:GM-Craven Home Owner:
Green Machine Reflective Tech Project ID: Richard Craven
267 Sophia Terrace Location: 250 Beach Ave
Lot#:
St Augustine, FL 32095 Model: Atlantic Beach, FL 32233
Phone: 904536-5151 Contact: Brad Bishop
Fax: 904508.8707 Cust PON: Craven CP12105Ln
No Ord Long Description
03 1 21 314"(T)X 45 7/8"(T)9800 Impressions White Double Hung;Tip-to-Tip; Unit Extended
BOX;Gmen Machine; Energy Star Southern; Intercept; ProSolar Shade Low Prim Prim
E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass _
Extruded Screen Mold; 00 No Reinforcement; Two Air Latches; One White;
Plain; Regular Lift Handles; Sill Extender; Balance Covers; Glass Warranty
Discount ID: CP12105; (UI=68"); DP:50; Test Number-C9020.01; U-Factor:.30;
SHGC:.20; Unit qualifies for ENERGY STAR®region(s): North Central, South
Central, Southern.; Unit qualifies for Title 24.
_ Bue Prlca
EnerTOW Star South Tat..
04 1 33 718" (T)X 45 718"(T)9800 Impressions White Double Hung; Tip-to-Tip; Unit Extended
BOX;Grmn Machine; Energy Star Southern; Intercept; ProSolar Shade Low Price Price
E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass r —
Extruded Screen Mold; 00 No Reinforcement; Two Air Latches; Two White; J -
Plain; Regular Lift Handles; Sill Extender; Balance Covers; Glass Warranty
Discount ID: CP12105; (UI=80"); DP:50; Test Number-C9020.01; U-Factor:.30;
SHGC:.20; Unit qualifies for ENERGY STAR®region(s): North Central, South
Central, Southern.; Unit qualifies for Title 24.
soca Pdce
S/ !, S EneMy Star South
EPOPS:001648326758 '•.'••'••'""•`""`•"•• CUSTOMER COPY ••..•"'•'••'••.•••'• Page: 3
170116 2046 AIC7010 QUOTATION #9267 3/07/2017
• Lansing Building Products Sim#: 001648
12740 Kenan Drive Emp: Kevin Stokes
Jacksonville, FL 32258 Entered: 3/07/2017
4JlLDIN&CPRS0DtI( Phone: 904519-1227 Xmitted:
Fax: 904-438-7980 PO#:
Customer#: 191615 Job Name:GM-Craven Home Owner:
Green Machine Reflective Tech Project ID: Richard Craven
267 Sophia Terrace Location: 250 Beach Ave
Lot#:
St Augustine, FL 32095 Model: Atlantic Beach, FL 32233
Phone: 904-436-5151 Contact: Brad Bishop
Fax: 904-808-8707 Cust PO#: Craven CP12105
No OOrrd Long Description
05 1 45 518"(T)X 45 7/8"(T)9800 Impressions White Double Hung;Tip-to-Tip; Unit Extended
BOX;Green Machine; Energy Star Southern; Intercept; ProSolar Shade Low Price Price
E;Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass
Extruded Screen Mold; A2 Mtg Rail/Stile; Tape Applied;Two Air Latches; Two
White; Plain; Regular Lift Handles; Sill Extender; Balance Covers; Glass `
Warranty Discount ID: CP12105; (1.1I=92"); DP:35; Test Number-C9025.01; U-
Factor:.30; SHGC:.20; Unit qualifies for ENERGY STAR®region(s): North
Centrad,South Central,Southern.; Unit qualifies for Title 24.
Base priceEneMy Star South
,F= �-� �, f� �S Total rCanNr4
Total
=1
06 1 45 5/8"(T)X 2213/16" (T)9800 Impressions White Half Round; Tip-to-Tip; Unit Extended
BOX+FL;Green Machine; 1" IGU Thickness; Energy Star Southern; Super Price Price
Spacer; ProSolar Shade Low E; Argon Gas; Double Glazed; Double Strength
(1/8"); 00 No Reinforcement; Glass Warranty Discount ID: CP12105; (UI=69");
DP:60;Test Number-95258.01; U-Factor:.27; SHGC:.22; Unit qualifies for s
ENERGY STAR® region(s): Northern, North Central, South Central, Souther;
Unit qualifies for Title 24.
Base Prrgy ice
EneStar Sou
Block Flange
Total
EPOPS:001648-326758 '"•""•"•••"`•`"•"•"` CUSTOMER COPY ""'•""""""""' Page: 4
170116 2046 AIC1010 QUOTATION #9267 3107/2017
• Lansing Building Products Sim#: 001648
12740 Kenan Drive Emp: Kevin Stokes
Jacksonville, FL 32258 Entered: 3107/2017
son
BUILDING PRODUCTS Phone: 904519-1227 Xmitted:
Fax: 904538-7980 PO M
Customer#: 191615 Job Name:GM-Craven Home Owner:
Green Machine Reflective Tech Project ID: Richard Craven
267 Sophia Terrace Location: 250 Beach Ave
Lot M
St Augustine, FL 32095 Model: Atlantic Beach, FL 32233
Phone: 904-4365151 Contact: Brad Bishop
Fax: 904808.8707 Cost POM Craven CP12106
WNo Qty
ONLong Description
6 Total Oty Windows 6 Total Qty Units Sub Total: `
NOTES:
Sub Total:
Tax: 7.0000%
Non-Tax Labor: ,�i
Total:
Deposit Paid O.Ja
Amount Due:
Submitted by:Kevin Stokes Accepted by: Date:
I hew read and wreled all option and charges on NY quota.I understand the Idem noted an spacial order and canna be cancelled altar
o tiered.changes after ordered may Incur on addwoml charge.All C.C.D.order,require 60%deem payment
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