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2291 OCEANSIDE CT - WINDOWS & DOORS f 1 J'Jc d CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0042 Description: replace 26 windows &2 doors Estimated Value: 49154 Issue Date: 6/8/2017 Expiration Date: 12/5/2017 PROPERTY ADDRESS: Address: 2291 OCEANSIDE CT RE Number: 168846 5140 PROPERTY OWNER: Name: HICKS ANTHONY J Address: 2291 OCEANSIDE CT ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: THD THE HOME DEPOT AT-HOME Address: 2690 CUMBERLAND PKWY STE 300 QA BOYSIE GANGA REMDIAL ATLANTA, GA 30329 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. � '—'\_11-;'/-*.-.. >>Jj�- City of Atlantic Beach APPLICATION NUMBER "•�\1 Building Department (To be assigned by the Building Department.) 800 Seminole Road c (' —COLO"l �� Atlantic Beach, Florida 32233 5445 J J`� -. Phone(904)247-5826 • Fax(904)247-5845 %-,;;19 E-mail: building-dept@coab.us Date routed: OS I �10` City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: loci i Octa.(1S, (ki_ (. . Department review required Ye/ No ui iil�ng~� VApplicant: T\, b m .L Q Q�� Planning &Zoning \ Tree Administrator Project: C LOLL ,.Q._ 3 tc w k(\(i.(i--)S '4- Public Works Public Utilities C4-)0(_S 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: roved. ❑Denied. . Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING . 7 Reviewed by: /� Date: .17 TREE ADMIN. • Second Review: A roved as revised. Denied. . ❑ pp ❑ ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 cail Tim for pick Up 727-8374 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 0 Job Address: .- - ,-.CA\ ©�-CkA�1.f?_C..-\-- Permit Number: I-6 S�1 -cc l !c , Legal Description 2/ 1-"b`t 37- -alll S. Q 1-Or I!( Parcel# /(o -414 • 3i Y 0 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$490-4— Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval 8 For multiple products use product approvalTorm Describe in detail the type of work to be performed: ' k,p\ikClz o-G U.t,v - 004\4--e-IA 4 rs 5t?� Div C SCLC Property Owner Information: Name:prvN . vs, kk'Cx, Address: aa-Qx OCPSAYLS..kA. CA- 0 tr. i State -Zip-1,?..4"5-3 Phone Q C)4-/9 Li,..5-d,.5— E- ail r'E-Mail or Fax 4(Optional) Contractor Information: (-1-4.41,6, -•0•%\ Company Name: ` Qualifying Agent: (�%. Address:1�U?� k.6, a �. C City\0.. 0 .-_ State 'f'(.- Zip , 3 ll Office Phone'lr)-7-(o J7-J'ki,(1 Job Site/Contact bei � 7 -Fa:c#i ? e --\ State Certification/Registration 4 �C.I 4 Ce 8 Y _ •(f i L Cep E 2'"-t I i \t2 I -V Architect Name&Phone 4 �'1--) F.-- 1 Engineer's Name&Phone 4_ ` Fee Simple Title Holder Name and Address I,, Bonding Company Name and Address MAY 2 6 2017 1 Mortgage Lender Name and Address �/ Application is hereby made to obtain a permit to do the work and installations as indicated. I certifytliiino wwo rTkatitlBTW?rhm comme ced prior to the of a issuance permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This pe it 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 six6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical fVork,Plumbing,Signs, Wells,Pools,furnaces,Boilers,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. 1 herebycertify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local law regulation const tion or the performance of construction. Signature of Own ✓/ .i `L ' Signature of Contractor ke. ci Print Name ,oft 01, 1 i GL`? Print Name r-6b`tcSk.R._ �•11,t Swo t , rid subscr. d before me Sworn t and sub ibed before me this �Da 20 E f i• lay o �� 20 17 Notary Public . .. 'u he Revised 01.26.10 Allan A Byrd _A��, NOTARY PUBUC ;a ': STATE OF FLORIDA .t.Y rt CHRISTINE O'MALLEY Cann*FF943894 4. 'Y:; MY COMMISSION#FF 087307 Expires 12/15/2019 I'; �'A' EXPIRES:January 29 2018 {{ F.....P.. •„��,�;,,.• Bonded Thru Notary Public Underwriters m Doc # 2017120091, OR BK 17991 Page 2499, Number Pages: 1, Recorded 05/23/2017 at 10:37 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OFFICE COPY THIS INSTRUMENT PREPARED BY: Name: The Home Depot Address:T)0$ h\�c,a.s.9,...\v.,_ ly -1-b•-‘1Y`- Fc JcolC —. NOTICE OF COMMENCEMENT�Q Permit Number: Yl E S / / - oe 902 Parcel ID Number: /(o,`/(Q • 3?V 0 The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided In this Notice of Commencement. 1. DESCRIPTION OF PROPERTY:(Legal description of the property and street address if available) V1 34 37-aN. 014 E. OCksr\StLtz L4\-Y aagt c .v•kg. C-r- 2 ,GENERAL DESCRIPTION OF IMPROVEMENT: �j•VY9, �.v�c�Gu. IV)6tyt-- 3. O NER INFORMATION`OR LESSE,E1INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: 'Qvn'YeA`rti tt�t,1(-4 aG l Ck-A-at'til. & Cr 1- 4\G.r00-\--i+-4.i^C-V, 1' .. ...) -..)-3-1 Interest in property: Q - '--- Fee Simple Title Holder(if other than owner listed above)Name: Address: 4. CONTRACTOR:Name: The Home Depot Phone Number: 813-626-7548 Address: 9208 Florida Palm Dr Tampa FL 33619 5. SURETY(If applicable,a copy of the payment bond is attached):Name: 1' Address: Amount of Bond: _ 6. LENDER:Name: r I Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name n Phone Number: Address: � 8. In addition,Owner designates of to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number. 9. Expiration Date of Notice of Commencement(The expiration is 1 year from date of recording unless a different date is specified) n WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. (Signe ofew4r or Lessee.or Owner's or Lessees (Pont Name atullProvide Signatory's Title/Office) Authorized Cfliee/Diedor/Padne•Manager) �I State of 'f'tt2C L i:' County of 01••••0 4- I 1a1 k i The foregoing instrument was/acknowledged before me this y•f day of ,20 by i?µ,' ar y ill (tr' .7 . Who is personally known to me O OR Marne of person making statement who has produced Identification ittype of Identification produced: c t.c)i..1-\ ' .'DD.0 Lo-1 l-Gut 1- 0 Allan A.Byrd ,�-, NOTARY PUBLIC /., � •ll II STATE OF FLORIDA /�����"�C' / •zees��'' 'f=F943894 Notary Expires 12/152019sgr ,re ' I 11111111111111 Cy �, ,� ..,.. ' ,‘ gl 1.N . (),,,r. .°) c , '1l''I 1 i I I f 1 I I t I '''..////,,,,,J46,1,, (,) 1.1) t, II (11) okli, .) i 4.7/4‘ c') ....,i),f " -. 6.4):1! i 47. ,14:).e cc)7 %,5/ !I } . • M I 1, ii. 4 , , , ,, , 1 A o ° v, -S A'+ 5, ? ( A. 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CJ —I I ci-' S---- c.:›L C)-- 9-- , . .., .. , t , IS" , ,y... , ' j, .)r —I (...' .....:) i -4--- , I r--- , . • „...,._) ,- ....., -; 1°MI -- 1 . .- 1 J r...... i - , 1_ I I 'T-- i -11 i PI _ , .. 0 ' r-, 0 f---. 0 rt, -, - - ._. • Doc # 2017120091, OR BK 17991 Page 2499, Number Pages: 1, Recorded 05/23/2017 at 10:37 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 THIS INSTRUMENT PREPARED BY: J0 B S I TE COPY Name: The Home Depot Address:To, 1-=\.sc.a,...Q..\vti 't r..,.s Pe- .3C.olel3G1 NOTICE OF COMMENCEMENT Permit Number: Re-S 1 7 - c70 vo. Parcel ID Number: /(o,Cir``/(v • 3 k-/U The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY:(Legal description of the property and street address if available) y4-39 37-.13•a4e- OciwnStksz- La\-Y aaq I. vu LL. C'.-4- 2 ENERAL DESCRIPTION OF IMPROVEMENT: ki-tiO\6,d1 ko,,,•,?.au-a 1'ID a LV(-� 3. Ov6NER INFORMATIONOR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: i)ivg .SV•y \-4.c,tw 1'aG1 .. . 0.-1-- . -\f"„\\-\C T,a.. rL �)-a-31 Interest in property: OwWeA-- Fee Simple Title Holder(if other than owner listed above)Name: Address: • 4. CONTRACTOR:Name:The Home Depot Phone Number: 813-626-7548 Address: 9208 Florida Palm Dr Tampa FL 33619 5. SURETY(If applicable,a copy of the payment bond is attached):Name: " /, ( t Address: Amount of Bond: 6. LENDER:Name: 1� Phone Number: Address: t" 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name: k----- Phone Number: Address: /- 8. In addition,Owner designates r of to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone number. 9. Expiration Date of Notice of Commencement(The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ., ,„,../i0„.:2_,Z m,-....,.....,.......„...., (Print Name and Provide Sigrw.oys Title/Office) Authorized Ofacer/DiertorlPefdM neanager) ) State of 'f'tri t aL County of Oki)4- I ,I The to ing instrume wast acknowledged before me this L(�} k. day of " `A Y Zp i 7 by f'k„ c iT k G L.42 Who is personally known to me 0 OR Mama of parson making statement who has produced identificatlCon)ttype of Identification produced: T L t L« 'x90-O Lo- I"at4-)_ Q 11 • Alien A Byrd ,,`�I NOTARY PUBUC A P STATE OF FLORIDA i/ -olli•.+,a�,.f.. f3Fg43894 Expires 12/15/2019 Wary Signature I A I