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824 SHERRY - WINDOWS �s CITY OF ATLANTIC BEACH • "1,5 far s� 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 01319%' INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESO17-0007 Description: REPLACE WINDOWS AND DOORS Estimated Value: 10000 Issue Date: 5/24/2017 Expiration Date: 11/20/2017 PROPERTY ADDRESS: Address: 824 SHERRY DR RE Number: 170392 0000 PROPERTY OWNER: Name: ANDERSON TIMOTHY Address: 824 SHERRY DR ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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 RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. Vii+ A It City of Atlantic Beach APPLICATION NUMBER Js ; Building Department (To be assigned by the Building Department.) ;.. .i. ,� 800 Seminole Road j� _ 0 00 7 j Fv �� Atlantic Beach, Florida 32233-5445 1\ CA � 7 ~ v Phone(904)247-5826 • Fax(904)247-5845 Q ��; �a E-mail: building-dept@coab.us Date routed: 5/18/i 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 824 2 i---kE RiLy n (2, Department review required Yes No uildi Applicant: OGO /D C--_ in &Zoning . A Tree Administrator DO Project: V L /Ons _12) &)©e---- Public Works Public Utilities (Z & PCA CE ale/L T 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: ,I.n I pproved. (Denied. (Circle one.) Comments: BUILDING 1ASTe\t-%-kT'v'{ 1w1S-Tri.. GrT'tc,.14 1-4 Si— Z:)d- C. )%T rG - 6'riCX-tl.9-S NA gr %t 014 4.A}�v '�oZ `A5i.--riv•t PLANNING &ZONING Reviewed by: Date: 51W-6/ 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: I Reviewed by: Date: Revised 07/27/10 i` ' ''r BUILDING PERMIT APPLICATION 0� ,A . A ` CITY OF ATLANTIC BEACH DATE ,:II _~ 800 Seminole Road,Atlantic Beach FL 32233 ( /I 7 I.:4UB .9'''' Office:(904)247-5826 • Fax:(904)247-5845 /i Job Address: '24 SI(\ec( 1ie1 - f,e_TXo. ',FLPermit Number: R sol'7-OO67 ' Leal Description l - ( Ito-�PS- E g p � �o Zq 2�, ��=A��R RE#_ r SEC S (P• 3 (PTI I 1131 (�1 Sq l?of Work(Rep acement ost)$ I OK, Heated/Cooled SF 34j Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool in.ow/Door • Use of existing/proposed structure(s) (Circle one): Commercial Residential • If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A IP-- • Submit a Tree Removal Permit Application if any trees are to be removed o Af'davit of No ree Removal Describe in detail the type of work to be performed: / L,' p/-i 7?,:.1-t IAA s 'c'D/.q CE.M ...j-7- c9� // �/4✓% 'S f /OO e,/ /Ski Florida Product Approval # PL 4 gr 1 Z for multiple r v illy/� S pp ,e j oproducts use product apa To , Property Owner Information �°2'S9 FL:1(o8 4 , FL 8 z sal Nam e:TMo /*IS roJ1C eC'Sot-) Address: gN-S rey v-;Jc. City l 1arv\-to...'Sec 8, StateFL Zip 32433 Phone 90418101 612., E-Mail 4-afriersot aJlaaf tircievsot .e.nwk Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 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. Contractor Information: • Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number State Certification/Registration # E-Mail Architect Name & Phone # Engineer's Name & Phone # Worker's Compensation Exempt / Insurer / Lease Employees / Expiration Date 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 Tprior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. his permit becomes null and void if work is not commenced within six(6 months, or if construction or work is suspended or abandoned or a period o/'six(6 months at any time after 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. "ti.aoVtz Cibula,.. -,A) 1C--S Signature of Property Owner: Signature of Contractor: Before me 11 this I l ay of Y�� 1 '2-011 Before me this \'1 Day of Mal , (. Notary Publi0S-NrNotary Public: I ,�p,,,jiri''%, ANGELA V. FORTNER I hereby certify that I have reit .' �i ri¢, filiif iiicsMliP,1 1911Yn 1w the same to be true and correct. All provisions of laws and ordinances governing this ty �',`r 1 gil/ P" �t'64M1Olith specified herein or not. The granting of a permit does not presume to give authority to 11( : ci I r' • CITY OF ATLANTIC BEACH 9M_ '3%WNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. DgSS% c ve., 46111— P904— t-5' NUMBER Zrool)1e Vtd ecsoL) . "INT NAME GL '��t> Ze °� 1 ( I -2-0 l —7 RE y��� DATE Before me this I I,day of 1'`O' 2011 in the county of ( ��.����ru.,," ANGELA V FORTNER Duval,State of Florida,has personally appeared herin by himself/herself and affirms that ....... 'c all statements and declarations are true and accurate. ( ari . 1 Notary Public-State of Florida ' a� pt~Va, ( ( i Commission it GG 031079 Notary Public at Large,State of � County of J_- ,' My Comm.Expires Sep 23,2020 ,a� . Bonded through National Notary Assn Personally Known ❑Produced Identification- Y, __-_ Notary Signature: j F:BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 NOTICE OF COMMENCEMENT State of a r►d 0. County of Tho,va` Tax Folio No. 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: /0 — /(a l-(o -2S' 24_ SALT/W2 sf C g L-0T5 l07toff/ 0 Address of property being improved: t�J ' S err �rJ�2 ���4��G I�< < ,t!! General description of improvements: /Pe-/mL - t I W, . o i , ! OD0r 7d 44 • 01', • Owner:Pj MO i4y 46r4olie ignie 'SON Address: a Berm/Or.� 41/Q�J/L&' c�t ?Q�f 3 Owner's.interest idsite of the improvement: rinlar reside . / Fee Simple Titleholder(if other than owner): Name: 54 me. as above. Contractor: Address: • Telephone No.: Fax No: Surety(if any) • Address: Amount of Bond$ Telephone No: Fax No: . Name and address�o/f any person making a loan for the construction of the improvements N Name: lA 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 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 OWNER Signedc=< �' �¢ Date: 5/11,71 7 Before me is I I day of �,,I,q in the Counf Dl,State Doc#2017110433,OR BK 17979 Page 631, Of Florida,has personally app-• -d / F-5 Number Pages:1 Personally Known: ' or Recorded 05/11/2017 at 02:25 PM, Produced Identification: "t • - _ C5_ Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Public: COUNTYMy commission expires: s 4 RECORDING$10.00 :�* ''•., TOM GINDLESPERGER • ' 4:' MY COMMISSION S FF 924951 til'r';; z EXPIRES:October 6,2019 •-i,'&- Banded Thru Notary Public Underwriters • OMS Ver.0002.13.01(Current) Anderson Residence Product availability and pricing subject to change. Integrity w/SDL Quote Number:QH8E24U Architectural Project Number: IG /1\ Low E3 w/Argon / 7/8"SDL-With Spacer Bar Rectangular-Special Cut 1W3H Ebony Ext-White Int White Folding Handle with Coastal Hardware Interior Aluminum Screen s White Surround Charcoal Fiberglass Mesh Unit:A2 Integrity Casement-Right Hand Wood-Ultrex • Basic Frame 171/2"X Call Number 59 Rough Opening 18 1/2"X 59 5/8" IG As Viewed From The Low E3 w/Argon Exterior 7/8"SDL-With Spacer Bar Entered As:Size by Units Rectangular-Special Cut 1W3H RO 36"X 59 5/8" Ebony Ext-White Int Egress Information Al,A2 White Folding Handle with Coastal Hardware Width:8 47/64" Height:54 23/32" Interior Aluminum Screen Net Clear Opening:3.32 SqFt White Surround Performance Information Al,A2 Charcoal Fiberglass Mesh U-Factor:0.27 4 9/16"lambs Solar Heat Gain Coefficient:0.18 Thru Jamb Installation Visible Light Transmittance:0.42 ***Note: Divided lite cut alignment may not be accurately represented in the OMS drawing. Please consult Condensation Resistance:59 your local representative for exact specifications. • CPD Number:MAR-N-250-00544-00001 ENERGY STAR:N,NC,SC,S Performance Grade Al,A2 Licensee#898 AAMA/WDMA/CSA/101/I.S.2/A440-08 1C PG50- 1807 mm(24X71 in) LC-PG5d DP+5 50 FL9684 \N 1 t�0vJ Line#3 Mark Unit: 1st Floor West Elevation Qty: 1 tyEbony Exterior ``'' White Interior w�naa...a Da . 2W1H- Rectangle Assembly : M t.•.ri.,, Assembly Rough Opening — 36"X 35 5/8" Unit:Al Integrity Casement-Left Hand Wood-Ultrex I Basic Frame 17 1/2"X 35 1/8" i Standard CN Height 35 Rough Opening 18 1/2"X 35 5/8" IG Low E3 w/Argon 7/8"SDL-With Spacer Bar Rectangular-Special Cut 1W2H Ebony Ext-White Int ,a �y White Folding Handle with Coastal Hardware Interior Aluminum Screen °� White Surround Charcoal Fiberglass Mesh As Viewed From The Exterior Entered As:Size by Units Unit:A2 RO 36"X 35 5/8" Integrity Casement-Right Hand Egress Information Al,A2 Wood-Ultrex Width:8 47/64" Height:30 23/32" Basic Frame 17 1/2"X 35 1/8" Net Clear Opening:1.87 SqFt Standard CN Height 35 Performance Information Al,A2 Rough Opening 18 1/2"X 35 5/8" U-Factor:0.27 IG Solar Heat Gain Coefficient:0.18 Low E3 w/Argon Visible Light Transmittance:0.42 7/8"SDL-With Spacer Bar Condensation Resistance:59 Rectangular-Special Cut 1W2H OMS Ver.0002.13.01(Current) Processed on:4/20/2017 11:14:36 AM Page 5 of 13 OMS Ver.0002.13.01(Current) Anderson Residence Product availability and pricing subject to change. Integrity w/SDL Quote Number:QH8E24U Architectural Project Number: CPD Number:MAR-N-331-00548-00001 ENERGY STAR:N,NC,SC,S Performance Grade Licensee#863 AAMA/WDMA/CSA/101/I.S.2/A440-08 LC-PG50 1803X2426 mm(71X96 in) P+50/-50 D002 Line#7 Mark Unit: 2nd Floor East Bed Qtv: 2 1i�� pity Ebony Exterior �� White Interior �•......�pou.s 2W1H- Rectangle Assembly ii .eriorm: Assembly Rough Opening 36"X 63 5/8" Fill I Unit:Al Integrity Casement-Left Hand Wood-Ultrex Basic Frame 171/2"X Call Number 63 Rough Opening 18 1/2"X 63 5/8" IG Low E3 w/Argon 7/8"SDL-With Spacer Bar Rectangular-Special Cut 1W3H Ebony Ext-White Int 1 II White Folding Handle with Coastal Hardware Interior Aluminum Screen White Surround Charcoal Fiberglass Mesh As Viewed From The Exterior Unit:A2 Entered As:Size by Units Integrity Casement-Right Hand RO 36"X 63 5/8" Wood-Ultrex Egress Information Al,A2 Basic Frame 171/2"X Call Number 63 Width:8 47/64" Height:58 23/32" Rough Opening 181/2"X 63 5/8" Net Clear Opening:3.57 SqFt IG Performance Information Al,A2 Low E3 w/Argon . U-Factor:0.27 7/8"SDL-With Spacer Bar Solar Heat Gain Coefficient:0.18 Rectangular-Special Cut 1W3H Visible Light Transmittance:0.42 Ebony Ext-White Int Condensation Resistance:59 White Folding Handle with Coastal Hardware CPD Number:MAR-N-250-00544-00001 Interior Aluminum Screen ENERGY STAR:N,NC,SC,S White Surround Performance Grade Al,A2 Charcoal Fiberglass Mesh Licensee#898 4 9/16"Jambs AAMA/WDMA/CSA/101/I.S.2/A440.08 Thru Jamb Installation LC-PG50 610X1807 mm(24X71 in) ***Note: Divided lite cut alignment may not be accurately represented in the OMS drawing. Please consult LC-PG50 DP+50/-50 your local representative for exact specifications. FL9684 Line#8 i Mark Unit: 2nd Floor Massie's Bed QtV: 2 4integri}� Ebony Exterior `' White Interior .">....a o.e.. 2W1H- Rectangle Assembly Built to perform: Assembly Rough Opening 33"X 47 5/8" Unit:Al Integrity Casement-Left Hand Wood-Ultrex CN 1747 Rough Opening 17"X 47 5/8" IG Low E3 w/Argon 7/8"SDL-With Spacer Bar Rectangular-Standard Cut 1W3H OMS Ver.0002.13.01(Current) Processed on:4/20/2017 11:14:36 AM Page 8 of 13