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475 WHITING LN - WINDOWS Sty CITY OF ATLANTIC BEACH '' y,,.; >r 800 SEMINOLE ROAD \ , ~ ATLANTIC BEACH, FL 32233 J;119r INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0039 Description: replace existing windows Estimated Value: 3540 Issue Date: 6/2/2017 Expiration Date: 11/29/2017 PROPERTY ADDRESS: Address: 475 WHITING LN RE Number: 171434 0000 PROPERTY OWNER: Name: DAYE DOUGLAS H Address: 475 WHITING LN ATLANTIC BEACH, FL 32233-3912 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. �s.s�ri- , City of Atlantic Beach APPLICATION NUMBER Js Building Department (To be assigned by the Building Department.) °`� 800 Seminole Road _ �r� Atlantic Beach, Florida 32233-5445 �L —00 C' .. Phone(904)247-5826 • Fax(904)247-5845 j iia E-mail: building-dept@coab.us Date routed: DS �� 4 I t3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Li 1-S Vt-k ,.'h/1 Ll,-1 . ' 0:1 uent review required Yes/No Building Applicant: � -' L C-0( 9 oc ct--( ' - - • • : Zoning Tree Administrator Project: ( Q Pkka- w t RttOvOS 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. . ❑Not applicable (Circle one.) Comments: 4 /0 C' BUILDING r PLANNING &ZONING S -30•� Reviewed by: /11' )e•-- Date: 7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 oFFi' ..: 1,OPY ;.5= � A.,,. ,,, BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH DATE ` /Zz// 7 J 800 Seminole Road,Atlantic Beach FL 32233 ri,ii9'' Office:(904)247-5826 • Fax:(904)247-5845 Job Address: 4 7$ G6 i4i / �y-rv6j 1-#(-) Permit Number: t't-5 ` 03C7 Legal Description 6 3 ! Z 3 ) d t1 Lflc OA-) RE# 17 (I q • clod 0 z.A 3,vo Valuation of Work(Replacement Cost)$ 31 ` - 5 O Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residentia • If an existingstructure, is a fire sprinkler system installed?(Circle one): Yes N/A P • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be se r ormed: i ' 'ZL ExZsW ZlfiaiS � p, Florida Product Approval# 1 L ) . ` for multiple products use product approval form Property Owner InformationQ ��J DAYg �� / Name: L l-ft i �,� r fr �" o - Address: y7 It) rxi ‘ KAJ_ �, R State, Zi . )2 j Phone Op ei ,c7( � �,3 E-Mail bell i21lu k-AiVGLS` )ppcz)LeA 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: V G iL/ i'D t\ 40P-4-�0'&L•ualifying Agent: h)A 26 , 0126 J Name of Corn�an Address: .'' .SIG "•eriti r ilii+*.. . rA / :•r,s7Lf siiiv, State Zip ,-12-2 l 6 Office Phone S'' ' 3 Job Site/Contact Number c5AM( State Certification/Registration# %G Ds"--7 Q E-Mail Gt)Aa-2 .✓ '_44 4 Architect Name &Phone # �,�{Engineer's Name&Phone#Worker's Compensation ç, c1 ( ('ci1P 16, ` / A,� Exempt / I urer / Lease Employees / Expirati 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 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 null and void if work is not commenced within six(6 months, or if construction or work is sus'•nded or abandoned or a period ofsix(6)months at any time after work is commenced. 1 understand that separate permits must be secured fo :lectrieal Work,Plum ing, /�/ Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. a Si nature of Contractor: ,j Signature of Property Owner: al•ilW g , . ZIP Befo e e Amu this Day of Q �� Before me this Day of t __\ �: 4\ 1 Notary Public- -_''MI Notary Publ. 10) ic: • % _ _ fit, Alk "G' JtJLISSAALVA� - r v T' gTuR. rnd /hereby cert.� [' d 1 ,,., f �n and know the same to be true ii ' - ;e . ,� as ordinances go.•• i e��i o cri ;aN.i{i ;:;;.imp ed with whether specified herein or lit'',,, ;via f i•�•. '. 'J., ,doe. not presume to give i. is � t `io�(T6r,(H[[ii, • , .igpitro 'sions of any other federal, state, or r ,ni.a' t' _ �� t n o ill(' .,.�.•Oj i11 it performance ofco r„”:' P l Bonded through HdtiOnil Notal AfSn. R,,A.• Banded Thu Troy Fin 1f • NOTICE OF COMMENCEMENT • • State of rt'• County of , (J�/�Z___. 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 is NOTICE OF COMMENCEMENT. Legal Description of property being improved: 31 ( l / 7 $ ZGL d �j Yq AL414S Lot-i (, Address of property being improved: � 7 Ar/ - , j I K.t • General description of improvements: ' 4) . Owner: 1 11 ( JAJ Address: 1/?-5�i) • 40, 1U. Owner's•interest in site of the improvement: / JL az,3 Fee Simple Titleholder(if other than owner): Name: . (kg)? ontractor: �� ` f G) Address: 7 5 )c)f`1 /B 4, / /1/1 Vf>r"yam 222,4 ( 4i ° Telephone No.: Y $ ) /�j'�C�. > Fax No: tilf4Rie A/)}' % (P C' `1 Surety(if any) y Address: Amount of Bond$ • Telephone No: Fax No: • Doc#2017128922,OR BK 18003 Page 1824, Name and address of any person making a loan for the construction of the improvements Number Pages:1 Recorded 06/02/2017 at 10:47 AM, Name: Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Address: RECORDING$10.00 • Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: • Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the.Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: • - • Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE• • ,c17$--ate: 5� 9.,4/6613- Ibmdb"."1"1"11bah"."1"1646dbmghl Before me this of a the Count Duva1,S to 'p JULISSAALVAREZ �I day -`49•`.. NotaryPubik-State of Florida Of Florida,has personally appeared ' '•• •N •1 Commission#GG 076809 ( Personally Known: or ;4,F��. c My Comm.Expires Feb 26,2021 Produced Identification: ' '..°FF BondedthroughNationalNotaryAssn. p Notary Public: yam^ .CD My commission expi s: