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2343 BEACHCOMBER TR WIND/DOORS 2017 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J� ATLANTIC BEACH,FL 32233 •���;I y� 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: RES017-0016 Description: 17 WINDOWS AND 3 DOORS Estimated Value: 20000 Issue Date: 6/9/2017 Expiration Date: 12/6/2017 PROPERTY ADDRESS: Address: 2343 BEACHCOMBER TR RE Number. 169463 0145 PROPERTY OWNER: Name: ADAMEC MARK Address: 2343 BEACHCOMBER TRL ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: HOMERITE WINDOWS AND DOORS Address: 4801 Executive Park CT N BLDG 200 STE 207 JACKSONVILLE, FL 32216 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$7,500. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road R O1 _ (7I Atlantic Beach. Florda 32233-5445 Phone(904)247-5826 Fax(904)247-5845 F. E-mail: buildingdept@wab.us Date routed: t!/ Cityweb-site: hhp:#v .cuab.us APPLICATION REVIEW AND TRACKING FORM Property Address: EAs?NCo(a& De artment review re uired Ye No I I I , uilding Applicant: W ©rY�!✓( rtis= Lk tQL)Oti ) PMffft-&Zoning `'1 22 Tree Administrator VVIn3(JOC>S c J �L`O� Public Works Project: Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.ofVronmental Protection Florida Dept of Transportation St.Johns River Water Management District Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and 70baw0 Other APPLICATION STATUS Reviewing Department First Review: 22pproved. ❑Denied. . ❑Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: 6'6'(7 TREE ADMIN. Second Review: []Approved as revised. ❑Denie . . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . []Not applicable Comments: Reviewed by: Date: Revised 0511912017 4BUILDING PERMIT APPLICATION OFFICE COPY L� r0 CITY OF ATLANTIC BEACH 1 800 Seminole Road,Atlantic Beach FL 32233 -`-va p" pp Office:(90/4)247--582.66 - Fax: (904)247-5845 RES 01 7— 00 1 Job Address: 2_W3 l7�+1'�iCorN AGK / K p�Pcr tl"Number: �P 42 1 IxtRE# Ile 1 4-1 Legal Description 1�6i4tP3-014�T � hrrc nuallL.Uosi- . �� Valuation of Work(Replacement Cost)$'Zoe_W_i:_:_He ted/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool indow/Dcor • Use of existing/proposed structure(s)(Circle one): Commercial identi • If an existing structure,is a fire sprinkler system installed?(Circle one): Yea No N/A • Submit a Tree Removal Permit Application-if any trees are to be removed or Affidavit of No Tree Removal Describe in debd�14 type of work to be performed: 5 L -1 p i " q(ksS t�J1 NDoao �Me�✓ t I� `:12 T Florida Product Approval # for multiple products use product approval form 5 Property Owner Information // Name: Address: 23.y3 64"4QA1 h4e-76%,L, City State�ip Phone C9,1 Z8 u E-Mail OwnerorAgent (nAgaa,PnwaofAtmmeyorAgeacyLdtaRequiredl ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PTICE ROPERTY. IFCEMENT YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Contractor Information: ame of Company i a Qualifying Agent: N �il�n cn✓ Address:yg L� AfK ur City�i4X' State Zip Ls- X221 L Office Phone9oY - Z9G- 2.5 iS Job Site/Contact Number�n� s/ — 'z- I State Certification/Registration# Imo/5-12 72;-7 E-Mail ,446M40e-'rr 144/1 C.0 AL Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation empt surer a tap oyees xptanon ate 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 ynor to the issuance%,permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes wlI and void if work u nor commence2 within six(6) onths, or if construction or work v suspe ded or abandoned(or o pend ofsir(6)months at any time after work is commenced. I unde- nd that separate permits must be securedfor CrecMcol Work,P/uminng, tgns, e/!s,Pools,Furnaces,Boi/ors,Hemers,Tanks and Air Conditioners,eta Signature of Property Owner: PSignatirre of Contactor: Before we tbis317 Day of AOYZD17 Before me tbis Day of Notary Public: t Notary Public: +•"1P" a1eHAN0'AMP ENA kND.WA DEN to a'a" Bta k(Wt Ihi ncerci ,dead an�' l �ffl4g7a� a non and thesamecru tid(aw'Pa 1 ordinances go �pN �++�r 151"2�A. .with whether speci red herein or Q ' rv7( fl�1naFAlfinaCdAe3 t presume to 11 - 'rky Br NC$ v ons of any otherfe oral, state, or R$'R �g(jiyYd(ry4pnElDtMhe performance o COMMIS ion M F + y Doc # 2017127962, OR BIC 16002 Page 879, Number Pages: 1, Recorded 06/01/2017 at 01:47 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Permti 6?B S cl-7 - ool OFFICE COPY NOnCE of coNmNCnMNT Stateof—AQy ,4 Coentyof—OUM-7� uoam: TmFalinNo. TowhmaltmgrJ(QyG3-o/97 The under ipexi hereby iftexas you that improvements Will be made m sedate reel pmpst ,mod in amordeaca wgh Seep®713 of OmHwida Statutes,the followingiafmstbe is smted in ftNMCH OF CONI' iNCEbtsw LagelDoxdptim ofpropedybehlg improved: s('L•1 37-15-298 z4 , ^ddresaofwopatY.hems impmad:a3y3 Lie,-tJn 'r/� F A ' Oevaml deatelps-0fieepmvaounm: 64N O»/ .i ypi�Ag d s ffi &r Ownm:� .K /MXiaGC Antos: 2.243 R�dislc -Rze 777PA'/c R/ . - Owaar's iabamtia vita ofihe improvmmk__ �'pb En..r /eQ . . Ra Simple Tifleholdw(ifadwthanow ed: PName b CoutrectA I y{n ddv ai �/8bl E{ettFlEva rE Qi b 7AX FcR aL_ii OE r Ta]ephomNo.:4ny-7la f1(o - 2519 Fu No:_904-.2-9(.i• 252.$ - Sumly(if my) Address: - - Aammt0fd3oadE i Telaphom,No. Fax Itd: Name mad address ufmypenm making Blom for the waatmopm ofthe impoveduam . Nmut Add.; Pham No. Fu No: Name,ofpenm wid&the,Stam ofFioridu,other Sam hims4 daigaeted by owns upte whom.0m m Otherdowmmm may be served: Name: Addreas: Telephone No: Fez No: In addition to Morsel}; owner designees the foal mg person m recesvo a mPY of she Liamr's Notice as provided m Satlon 713.06(2)(6),Florida Stem,,. (Till to a,O mee,option) Name: Address: Telephone No:. Fm No: Hxpiewma is o date ofNotica ofO�memeesmt(ties axpd.atioa dab ro(1)year sues the date o apeatGedx f tanniiog unless di$emat deb m THIS HPACHFORRHCOROER'S USHONLY OWNER ae(aeora the, ir'f' dry of1fl % etbm Co�oPDuveI,3We Of Pledda.lwepamnJlY aPPeard PersondlYKnown: vy 1'maaaalamde .� _ Norwy Pvhpe: My aonuNesioa expvea i'1iv EICXLgD WaL NdmrY PUGk•SuteN flwNa. � aty CPmm.Ewlni Dec 3,2014 ' ,. 0vmmiseba i FF 157831 i 1 4 � po 95' oG0 5 pe o ti m o � oo• � Quo & 2 asnt e � s & w m mon v cm -1 << � a t S mra b i D 9 Fr ti �". ro w R'. 0 P oc. a o °Q m t: c m g C n o ' 0 # t m gig ro t � " � . � W T � V a m o P �. g ❑C 5 as ❑ Yf3J R Z(3J �j' UO o. a � a b 0 o s sR C 0 0 n oG' m � a G ° a o � d � n � o E y I