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2348 SEMINOLE RD - WINDOW & DOOR !110 CITY OF ATLANTIC BEACH A 1..f4 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 v f, � 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: RESO17-0009 Description: REPLACE 21 WINDOWS AND ONE DOOR Estimated Value: 0 Issue Date: 5/31/2017 Expiration Date: 11/27/2017 PROPERTY ADDRESS: Address: 2348 SEMINOLE REACH CT 1 RE Number: 168846 5720 PROPERTY OWNER: Name: HAMMOND S BRETT Address: 2348 SEMINOLE REACH CT ATLANTIC BEACH, FL 32233-5967 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN WINDOW PRODUCTS Address: 2633 S POWERS AVE QA KEITH ALAN GURR JACKSONVILLE, FL 32207 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. �iI :r City of Atlantic Beach APPLICATION NUMBER Js € I Building Department (To be assigned bythe BuildingDepartment.) "'� 800 Seminole Road jig p ) rj _ �, '." Atlantic Beach, Florida 32233-5445 f\ G 17 — O 00 Phone(904)247-5826 • Fax(904)247-5845 ...r1,)*r j ' E-mail: building-dept@coab.us Date routed: >l 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM E�e�c Property Address: Z - AE:, S Ery Or� Le K Department review required Yes No quildin ( Applicant: MERIcPIV V) ( n.)DO(,� Planning &Zoning Tree Administrator Project: 2 \ V V i ,p®(.JS e 0i boole_. Public Works Public Utilities 1E P L./-@ Eif(lE i0 Public Safety Fire Services Review fee $ Miliir 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Date: y7 Reviewed by: Date: 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 07/27/10 ' 1 BUILDING PERMIT APPLICATION ,-13.0)-/-7 OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 073 B €m',(\D -E._,4 CI+ Permit Number: t\C,S017- 000, Legal Description'i4-(01 3/-07S-Q96 a3r6i cd . }� (-c-�y Parcel #I o&8t-1� co - 51 00 Floor Area of q.Ft. q. t Valuation of Work$ 1- S � (o(• Proposed Work heated/cooled — non-heated/cooled - '' Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one):• Commercial Residential If an existing structure, is a fire sprinkler system stalled? (Circle one): Yes Ilo N A Florida Product Approval# For multiple products use product approv ormV Describe in detail the type of work to be performed:i l k1)&a(neflt L i 060(93S Size -ac- S;71- ( r0 i?1- ( (\d 1 i).13c,&( - c- Si u - bc 5;2,e . Property Owner Information: Name: i c1(�c L5cx3gS Address:o73y 8 `L- i \. ick City {� 1' i C P State ft-Zip 32233 Phone BLS- 5 l r fft000 E-Mail or Fax#(Optional) Contractor Information: Company Name: icao (ir b ) ( CdS Qualifying Agent: El �(}� Address:O(03C 3 'AVE' City-Sc'�(' ot�V(14 . State FL- Zip 3zZo7 Office Phone 904-1 6 t-ZZ in Job Site/Contact Number 90'4-731-ZZ-yi Fax#90-{-Z 31-8824 State Certification/Registration#CC125(2.0-7 Architect Name&Phone# � Engineer's Name & Phone# 11 1 L—, t t: Fee Simple Title Holder Name and Address I i iii) Bonding Company Name and Address Mortgage Lender Name and Address MAY 1 6 2U1/ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no~le-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 suspended or abandoned for a period of 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, Boileis,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 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordi : ces governing this type of work will be complied with whether speci sed herein or not. The granting of a permit does not presume to give authori I, viola • or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner \k \. . ,l' Signature of Contractor / Print Name 'Vi: . Liv Print Name t. 4). G.CU cr Sworn to and subscribed before me Sworn to and subscribed before me this 7,5" Day of 8 f Pscs c- , 20(7 'this 2-5- Da.)'of Apr;I , 20 n _ J � te' L1�p/�pn�/� 1,SiY P(,� ,.. ', �!.1, .. L Ls/ --.- ...o f.P(/b ns L.HARGRO * ='r.i ' ►'i'MIS ION it FF.1,i Notary Public , * MY COMMISSION t FF 897106 �P„ I , EXPIRES:September 6, ' 6A p L- 03Z-111s-9k) !'f EXPIRES:September 6,2019 "itor r.o' Bonded Ttun Budget Notary S ' @ Sed ? !dl bry Services NOTICE OF COMMENCEMENT OFFICE COPY Permit No.QL Sol?—oc q Tax Folio No. /(o Qi,of FLORIDA \�P lJ b -s Oa(� County of 1 ,UN'i To whom It may concern: The undersigned hereby informs you that improvements will be made to certain real property,and.ia accordance with Section 713 of the Florida Statutes,the following information is stated in this i4OTiCE OF COMMENCEMENT. L eget d iption of property being improved: "t - 67 31-0 S— O ci l� "eYui " Cl'\ lo* LI Address of property being improved: 03-1 A�I�antiC. C cY ItL 32-233 General description of improvements:0\ Wel (..) 11-1•64 L;CIdcu 2 ?-e . owner 1 ;c ka€ l sC L1gp Address03r-18 7.5(YltfOOC-, 4--k�C[1 C+ 66) FL �zZ3 j Owner's interest in sits of the improvement N/A Fee Simple Tttlehoider(if other than owner)WA Name N/A Address ,(�1 AMiERICAN WINDOW PRODUCTS,INC. VV Address 2633 POWERS AVENUE - JACKSONVILLE,FL 32207 Phone No.904-731-?247 Fax No. 904-731824 Surety(if any) N/A Address Amount of bond$ Phone No. Fa No. Naim and address of any person making a loan for the consiuction of the improvemerni. Name N/A • Address Phone No. Fax No. Name of person within the State of Florida.other than ice,designated by owner upon whom notces or other docoi r res rb may be serves#: Name N/A Address Phone No. Fax No. in addition to hirrzseif.owner designates the following person to receive a copy of the Lienor's Notice as provided in • Section 713.06(2)(b).Florida Salutes.(FaH in at Owner's option)_ Name N/A Address Phone No. Fax No. Expiration date of Notice oa Commen t(the expiration date is one(1)year from the date of recording unless a dilrrt date is sped): Doc#2017113541,OR BK 17983 Page 635, '.ONLY OWNER Number Pages: 1 Sij � �_ , DM c.q_ as/� Recorded 05/16/2017 at 10:58 AM, 5efore me NS says+ iiraGtilIL 'a V ergie Ronnie Fussell CLERK CIRCUIT COURT DUVAL Cr *1 r .St ofF Coarity of Diavat.Stick) Flarida, kyr..... COUNTY t�1tUl>6� Lnf•-1 Ss -f herein by RECORDING$10.00 t `"'"5 °d'®f?�, �A � LLAGHER * 3' * MY COMMISSION if FF 902227 EXPIRES:September 6,2019 • C2_ , '" (y�ftaY'°P Booted Thru Budget Notary Service J*1tary Public al L••- State ofj- . Cazgyofj)v VP Proca.teEd idereficallori A OL G2 y - -1Qc-Q- OFFICE COPY `9 11 _ PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Q Project Name: M I C, oc.I �CC� (S Permit # a:SO`7 etp Project Address:tg 3)'1 B 5E mt(�\ c- c.„4- As TAs required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www:floridabuilding.or .. Category/Subcategory Manufacturer Product Description 1 Limitation of Use State# Local# A.EXTERIOR DOORS + 1.Swinging 2.Sliding marl Na. G‘1iCl1n9 P-4160 3. 1011.3 3.Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1.Single hung E\S ' '4) 11 '11f r,q•3 2.Horizontal slider ��� Z(4 ( Ikl(o10.4a 3.Casement 4.Double hung 5.Fixed EA3 1'-1(a08•.S 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS� y� AND CONDITIONS REVIEWED BY: / DATE: S'____15_1-17 OFFICE COPY 12.Other F'.,/,e8 E AT5 ' t H 3 v-Kcoaq Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1.Siding 2.Soffits 3.EIFS 4.Storefronts 5.Curtain walls 6.Wall louvers 7.Glass block 8.Membrane • 9.Greenhouse 10.Synthetic stucco 11.Other141‘‘a D.ROOFING PRODUCTS 1.Asphalt shingles 2.Underlayments 3.Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing 6.Modified bitumen 7.Single ply roofing 8.Roofing tiles 9.Roofing insulation 10.Waterproofing 11.Wood shingles/shakes 12.Roofing slate 13.Liquid applied roofing 14.Cement-adhesive coats 15.Roof tile adhesive 16.Spray applied polyurethane roof OFFICE COPY3a-/-/ 2.Other Category-/Subcategory Manufacturer Prod t Descrip'on Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS 1. , 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different compone• other the the ones listed in this document must be approved by the Building Official. --Ir i�r- - —�u C—C� �' (Contractor Name) (Print Name (Signatu.= r ^ � i Company Name: Ptly\Q CaC W (1 � cD L S 1- Mailing Address:,0 Co 3 3 ?CxY��CS ` \-\ e. Ute+ City: 1 k State: F I(..C'ie\a, Zip Code: ✓2-_2©--"? Telephone Number:(904 )-1 of - ZZ Li-1 Fax Number:(C104 ) 1 31`862-14 Cell Phone Number:( ) 1 E-mail Address: Ki I i PERMIT COPY OFFICE COPY I- b I G o - GI 41 VI P X , Oi I -P M 4� (i.' )4.S. h e 1 .c. 1 ...._, 0 mi - i) 1\_4 h 4. 0I ank *1 ."‘ Vc 1 > N G t C 3 ar Z C rt; ti —\ 7 :%/ ! rOZ N� rn.0 N a r 0. ‘.'"i(q f WCC 1 RI) �I N ,. N W r N C P