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368 7th ST - WINDOW \SCITY OF ATLANTIC BEACH �`' J 800 SEMINOLE ROAD __61„ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 i WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-WIND-3651 Job Type: WINDOW AND/OR DOOR Description: 13 WINDOWS REPLACED Estimated Value: $7,332.00 Issue Date: 4/12/2017 Expiration Date: 10/9/2017 PROPERTY ADDRESS: Address: 368 7TH ST RE Number: 169903-0000 PROPERTY OWNER: Name: SEAY, MASON & IVONA Address: GENERAL CONTRACTOR INFORMATION: Name: AMERICAN WINDOW PRODUCTS , CBC1251207 Address: 2633 S POWERS AVE QA KEITH ALAN GURR Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $43.33 BUILDING PERMIT FEE $86.66 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $133.99 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BI'II,DING CODES. I rr\wr��, City of Atlantic Beach APPLICATION NUMBER �i Building Department (To be assigned by the Building Department.) l • - 800 Seminole Road u7 s.. �� Atlantic Beach, Florida 32233 5445I 7— �� ' * 'E Phone(904)247-5826 Fax(904)247-5845 / "---int1 ' E-mail: building-dept@coab.us Date routed: 4 i `' 17 City web-site: http://www.coab.us ii APPLICATION REVIEW AND TRACKING FORM Property Address: 3t pB 1-1-1`-- S( De artment review required Yes -No Buildin. I/ Applicant: ���(C IA. v V a ND©uv ning &Zoning Tree Administrator Project: I ,3 (N S 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: [•a proved. ❑Denied. (Circle one.) Comments: 411721111 PLANNING &ZONINGkkt Reviewed by: Date: 7'' Yf 7 TREE ADMIN. Second Review: ❑Approved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION x'11 . „, CITY OF ATLANTIC BEACH ropy /U I 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax (904) 247-5845 Job Address: 3 0 8 • 8, FC 30033 Permit Number: !�- 1N3 3 .3 e°'S e:40-FA- Legal 4ofALegal Description G�1 W_?;� t.sJ}29 L Lao 31 Parcel # 1 ( R 403 -ocf o 'oor Area of aq. t. Sq.Ft Valuation of Work$ '7��C'• Proposed Work heated/cooled �— non-heated/cooled ----- Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spadow/ oor Use of existing/proposed structure(s)(circle one): Commercial �- If an existing structure,is a fire sprinkler system ins lied?(Circle one): 'esr No N/A Florida Product Approval# S E E • For multiple products use product approv orm Describe in detail the type of work to be performed: (3 F(C QCSM 5�z� - - i✓e Property Owner Information: Name: Mac U L\Oc S&3\( Address: 8 S i- SA-Cc-_" City 0--\-kart-Vic eeech State P- Zip 32233 Phone 9a�1-710-4-11(67- E-Mail or Fax# (Optional) AMERICAN Vil1NUOW Contractor Information: PRODUCTS, INC. 2633 POWERS AVE. ````-- Company Name: JACKSONVILLE, FL 32207 Qualifying Agent: 44) GOCC Address: City State Zip Office Phone qo&1-731 -ZZ'1i Job Site/Contact Number Fax# 909- "?31-887-y State Certification/Registration# � 125 (2,o1 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address 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 certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes and void if work is not commenced within six(6)months,or if construction or work ised or abandoned for a period of six 16)months at any time a work is commenced. I understand that separate permits must be secured for ElectricalWork,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heal, 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 a on licatiand know the same to be true and correct. All provisions of laws and ordinances governing type of ork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of OwnerSignature of Contractor 11 Print Name /d� "4"147-11.C24 Print Name L•Th Swornto and subscribed before me Sworn to nd subscribed bef re me this Z311'Day of -r 20 /? this 2.5 Dayo , 20 7 ?ore ••• IRIS '11' ROVE osok Y`Bvc IRIS L HARGROVE f v`• •I�1�.Z�c ,lm� ,� �' • ' * My COMMISSION#FF 897106 � �'•' Notary Public J F;s EMPIRES:September 9,2019 MY COMMISSION#FF 897106 e otary EXPIRES:September 6,2019 nod. Bonded Thru Binet Notary Services N Pub C Bonded ThN BudgM NotaryServices FL-0Shoo -7f&---c3 Revised 01.26.10 ST. JOHNS COUNTY PRODUCT APPROVAL SPECIFICATION SHEET As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and approval numbers on the building components listed below,if they will be utilized on the construction project for which you are applying for a building permit. We recommend you contact you local product supplier should you not know the product approval number for any of the applicable listed products. Information regarding State Product Approval may be obtained at www.floridabuildina.org CATEGORY/SUB- MANUFACTURER PRODUCT DESC. LIMITATION OF USE MI OR SICK# CATEGORY 1.EXTERIOR DOORS ASSEMBLIES: f, A.ROLL-UP B. SECTIONAL C. SLIDING - D. SWINGING E. AUTOMATIC 2.WINDOWS A.AWNING B. CASEMENT C.DUAL ACTION D.DOUBLE HUNG E. SINGLE HUNG �S M4\ )4(001-43 F. FIXED G. HORIZONTAL SLIDER ERS �2-1 14(.., (O.8 H. PROJECTED I. PASS THROUGH NOTICE OF COMMENCEMENT Permit No. Tax Folio No. I 1So3 r State of FLORIDA County of 1 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 information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 1-1—t\mac—c*' C4616t:200 @o C—kZyE'- o 31 Address of property being improved: 3 1/44°0 C�- '�" • ►� -ti ��fl i c__ bEA , p( {{ ;0(933 General description of improvements: 13 P 1 -va 3; 2 ; owner N \ .5e.oy - ••v CY0 Address 3(0 8 Owner's interest in site of the improvement N/A Fee Simple Titleholder(if other than owner)N/A Name NIA Address n contractor AMERICAN WINDOW PRODUCTS,INC. CC// Address 26343 POWERS AVENUE - JACKSONVILLE, FL 32207 • Phone No.904-731-2247 Fax No. 904731-8824 Surety of any) N/A Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name N/A 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 NIA Address Phone 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 Statutes.(Fill in at Owner's option). Name N/A Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(J..year tim,the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY `_) ��'/ // / DATE Before me trns •A day or i!AM.E.4& L In the Courky of Duval. •-ar 'da ly appeared by Doc#2017078237,OR BK 17935 Page 95statementsnsa herself and af5r s that all statements s herein� Number Pages: 1 are true and accurate 4)••.•.,Bic VICKI GURR Recorded 04/05/2017 at 11:48 AM. * st,• #MY COMMISSION#FF 972181 Ronnie FL.ssell CLERK CIRCUIT COURT DUVAL ' 1p 'c� EXPIRES:May 13,2020 COUNTY 9jFOF f`°,Bonded Th udget Notary Services RECORDING$10.00 Notary Public at targe,State of , county of My Pdt ---- ------ ----. .. Perm � Produced denilfloanon . .�