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254 OCEANWALK DR S - WINDOWS ' CITY OF ATLANTIC BEACH ss1 800 SEMINOLE ROAD ,�. �� ATLANTIC BEACH, FL 32233 -!�;ii� INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0064 Description: REPLACE 2 WINDOWS Estimated Value: 3210 Issue Date: 6/29/2017 Expiration Date: 12/26/2017 PROPERTY ADDRESS: Address: 254 S OCEANWALK DR RE Number: 169463 0508 PROPERTY OWNER: Name: BRANDSTAETTER RAYMOND Address: 254 OCEANWALK DR S ATLANTIC BEACH, FL 32233-4676 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PELLA WINDOW AND DOOR Address: 7818 PHILIPS HWY QA JAMES SAMUEL ROWLAND JACKSONVILLE, FL 32256 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 _• _ Atlantic Beach, Florida 32233-5445 � . Phone(904)247-5826 • Fax(904)247-5845 .: \v,ti9r E-mail: building-dept@coab.us Date routed: I i City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM _ Property Address: 254 ° c-{tN �{\ De artment review required Yes No 1 n 1 Applicant: j�` E�.LA V V(ivelou3S c 1J00 anning &Zoning Tree Administrator Project: Z \NtiQ ©WS �Q(�C 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: VtApproved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ... 1.111r �� Date:_6 12,.51% TREE ADMIN. Second Review: Approved as revised. ❑Denied. . Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. . nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 BUILDING PERMIT APPLICATION Ceti Tim fix Pick tip T27.83100 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 ES(7 -0064 Job Address: 0.31 6C w'k\V• c' Permit Number: (X.eikmxia\‘r, U'k.k.A- a e-4-3 Legal Description 9d-ib 0'-Ds- 9,G Oct aS-age- 3��-S• 9C Parcel# /6-r\Lt ' Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ I — Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Repair Move Demolition pooUs r a window/door Use of existing/proposed structure(s)(circle one): Commercial esidential €10 If an existing structure,is a fire sprinkler s tem installed?(Circle one): es o Florida Product Approval # III 6I I. a f IaVY8-S For multiple products use product app oval form Describe in detail the type of work to be performed: 4k,- 'r S z� Property Owner Information: Name:��G•Y>tQ 1 (�-h�s�f-rae. +"�`�– Address: 2-5I3C4P-0-v\-w‘ANC. City kY\o. -e V\ State Zip "bDPhone �tCJy• a-`t ►- (a ? E-Mail or Fax#(Optional) Contractor Information: Company Name: PeAo Wind°ws&Ooots Qualifying Agent:��-Y`'R`N ,--q Address: 350 W State Road 434 City State Zip Office Phone Longwood, FL 32750ob Site/Contact Number is"741.37-S'L 00 Fax# State Certification/Registration# ��C_6Y 7( — Architect Name& Phone# Engineer's Name& Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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 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, 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. I herebycertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of ork 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 regulating construction or the performance of construction. Signature of Owner '( -k-1446- ,s- Signature of Contractor Print Name-1�kN>y M /c-1 Lkub VCFTI -L Print Name a \(i`v\ Sworn tq#nd subscribed before me Sworn and subscribed before me tis 62—Day of - vv.-11-_ = ,L7 fk_ray Day of e ,= 40 CHRISTINE O'MM EY 1 "' y� ` ,.; � rs MY COMMISSfON#FF 087307 ' �= NY Co ISSION#FF 0873'=7 ? : 2018 2- EXPIRES:January 29, o'.ry Public . ` ` EXPIRES: anus ' • Notary Public • o,:;l;,�:' Bonded ThruNotary Public Undervrtiters ,,•• :it a Bonded Thio Notary Public Under�raers Revised 01.26.10 `a -n CO > n O o o N b ' A7 Q. O, -. r, ,2. C) rV 00 �l i C" 1' W N 7 Q\ W N :-' n n 'B n .0 A A m �_ 0 a. c. a N. °5�" p g = " - X -cs - ¢: a 2 et 2 o' ° c ` a = v? CM o co n y o ut- ` Oc � , 8 cnw x < o f, C o _ 7 vo a � L- C o �) 1 c_ 0 . b � p N 6 .,.. \ C 5-. 2, o... r ,2, O = . 0 v) ni .2 /p ='ti 0.`a -3 O > / le r n c., 0 'a rr c, 0- 0. 2 -: C n Cj �V/�' T 'T7 A I C.•,A, d C1. /C'D \ C 0.a p O • r' V 1 •� $. 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Z C OO• N C S O O Cil a.z a z r v� �° Z o co 3 w o 0- o o OX 0 cT cr n O N U� r O A7 R L a a• 5. o x O o z r srP0 O a = 11.1 ryn C:1 i -. 1 ci.(1) 7' "-9 4. (7• ^\ t< AD sv0 ` G Cl) n W a• • lCD < r R3 ir. ..,:1 F 0 , X m. z °, 0 a. v 0 c A� ~a" ^E -trzt• r• CD O O O O ^ g3. O 1 O to CS a i —� CnSD a. • 0 CA C m D a CD 0 b nS O oa cc 5. co A v O O .., o o a =. CSD 4t CD •0.. 'C D aCA C' O W CD r. A+ y 0 y' r00 O G. S• N .! r.'0 5 •t fp 2, c aCD E. o O O co CD N Doc # 2017138070, OR BK 18016 Page 662, Number Pages: 1, Recorded 06/13/2017 at 11 :42 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 ' Permit Number Parcel ID Number /(o q (03 - c NOTICE OF COMMENCEMENT State of Florida County oft) C2\ The undersigned hereby gives notice that the improvementlsl will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following Information is itrovided in this Notice of Commencement. L Description of property(legal description of the property,and street address if available) Address'�.7( C3.C2V.tnvNa.\\< "' < \ C V'A\ �. Legal DescripdonLf.) 3- O)1 . •d �c bel -as-a76 31-aS.,.)9L C! `Q-VN.1Jrn\ 2. Qeineral description of improvement(s) 1 Lci}. 3. Own--erI�Information \ _ ��,/L p `,� t3/ Namei-t`H.`��- 3 e C.h�s V(k. "w'-- Phone&Fax Number 1 '1`a"V�-D-S4.17 Address ,9,5"41 (\c Q4vt.W h'.\C < S0i \a..r..\-tom,2.,e o41., E-.. a a"S.--% Interest in Property 6 W A.'&...—. i 4. Fee Simple Title Holder('f other than owner shown above) Name — l Phone&Fax Number iv Address 5. Contractor S. Windows&DO S • Name 350 W StOtP Road 434 Phone&Fax Number Address_ Longwood,FL 327`0 . 6. Surety(if any) i° NameN/A 1 Phone&Fax Number Address" I 7. Lender(if any) ` NameNIAPhone&Fax Number addressNIA i & Persons with the State of Florida designated I y Owner upon who notices or other documents may be served as provided by 713.13(1)(a)7,flori Statutes. 1 Name ,, (� /1 I Phone&Fax Number Address 13 I�/ , 9. In addition to himself or herself,Owner designates the fo:lowing to receive a copy of the Uenor's Notice as provided in 713.13(1:(b),Florida Statutes. i Name ( Phone&Fax Number Address J f / i 7 10.Expiration date of Notice of Commencement re expirrion date is one year from the date of recording unless a different date is specified: i WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER :.F TER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDrJ :::;•MER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR I:: l<" , 'NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED QN THE Ir 5 THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATj*ORNEY- - ENONG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1� A,.-K;C i__.\--1174-..- B ,k kA S; r.IL. 11. �16-1 A- lk,VsZ• TT-t.4 L. J 4c.(.{- . S) ( Rgvture of Owners or Owners Authorized C91avJOkeetor�rtnceA'. Print Name . S\_ _`\ "C._� Sworn to(or affirmed)and subscribed before me this(51 c' 20 l7 yy A)c.CV\4-��Qh� ttnx TT e a5 aW\1k-kms— (type of authority,e.g.officer,trustee,a- . for mak. (name of party on behalfof, whom instrument was executed.[ _ known to me color used up (-- / as identification. ,I! CNF:,ST1Nc1_�l ; Ml(CG:.r1rISSiON f FF 03?307 cffatxr st. 'd EXPIP' 'January erot ` .ta�\`nQ. O` \'\3k.Q.y `' ..1.u., goaded Tl,,wan Pi Na fine:) / -ANC Verification pursuant to Section 92.525,Florida Statutes..Under p.- ry,I declare that 1 have read the foregoing and i that hefacts stated are true tothe best ofmyknowledge andbe : j. j 1 Yto .)\ 1-444-Z- l y" 15l7 , • Sanatory of Na,a_I Person Signing lin nue 41)Above f I