2367 SEMINOLE RD - WINDOWS rY ' '' , sA CITY OF ATLANTIC BEACH
`' ti i 800 SEMINOLE ROAD
15IF: ATLANTIC BEACH, FL 32233
r I j%' INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0148
Description: REPLACE 4 WINDOWS
Estimated Value: 3083
Issue Date: 8/30/2017
Expiration Date: 2/26/2018
PROPERTY ADDRESS:
Address: 2367 SEMINOLE RD
RE Number: 168441 0058
PROPERTY OWNER:
Name: WEISS DAVID W
Address: 2367 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5971
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: THE HOME DEPOT
Address: 207 KELSEY LN ED GUILLORY
TAMPA, FL 33619
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.
1
4
r
rSrVwr , City of Atlantic Beach APPLICATION NUMBER
,) ;, Building Department (To be assigned by the Building Department.)
�s 800 Seminole Road
° � Atlantic Beach, Florida 32233-5445 ��S 7_r `� I
Phone(904)247-5826 • Fax(904)247-5845 E-mail: C
r„o�;19'' building-dept@coab.us Date routed: CJ
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z 3(.07 SE,IY\1 rOC>Le i2D Department review required Ye o
iildi
Applicant: -r(;{e- lMC (-JC, POT lanning
&Zoning
Tree Administrator
Project: k E P(-A-CE LAD M-.) CLOS 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:
0 APPLICATION STATUS
Reviewing Department I First Review: roved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: rn // Date: � l�
/ _
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. I 'Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE C0PY BUILDING PERMIT APPLICATION Call Tim for ak*Up 7274,37
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 n
Office(904)247-5826 Fax(904)247-5845 `�ES 1-7 v L 4 F5
Job Address: '? C4-1 -1 J 1"ti6\si. _, Permit Number:
Legal Description
�•,S-aq G +9 �ltt y� vC v�+.,rs al Parcel#/(e•Yi y I' ,-"YFloor ea o q.1'1 Sq.t't
Valuation of Work$3O 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 structure(s)(circle one): Commercial Residential
If an existing structure,is a fire spnnkler system installed?(Circle one): Yes No N/A
Florida Product Approval# 8[(417. II
For multiple products use product approval form
Describe in detail the type of work to be performed:f?.kms& y v...s.w i v'i St•tom &C St.-‘-°-
Property Owner Information:
Name;1)4244 \-k•Se-` Address: cl 3 C ) S..g.`Mvr02,.1..A—
City POr‘C&
..lCityPOr‘C&A?+"&—%e5C31\ Stater4Zip,3333 Phone 401/44-k/40--. 4‘t
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: - • ,..% "cl?' Qualifying Agent:e 4AA V'e'` 3‘)'1c•~r`'1k----
Address:9p) 'C•,.' ' Cit 'o` State ft... Zip 3 4 ICI
Office Phone?a•'2'fa3ZiV Job Site/C ntact Number Fax#
State Certification/Registration ` •�O'.i,3i9X13
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address -• ------
Bonding Company Name and Address : R) r f,
Mortgage Lender Name and Address -
Application is hereby made to obtain a permit to do the work and installations as indicated I cert fy that no work or installation hat commenced prior to the
issuance ofa 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,fwork is not commenced within six(6 months,or if construction or work is suspended or abandoned for a penodls�6 �' attime after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells, FF • Heaters
Tanks and Air Conditioners,eta
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 hereby certify that I have read and examined thisap •t plication and know the same to be true and correct. •rovisions o . s and ordinance : •• this
type ofwork will be complied with whether specified herein or not. The granting of a permit does presume to give• thority to vt• % cel the
provisions of any other federal,state,/''Joorr�local� law regulating construction or the performance of co ruction.
Signature of Owner-\ t eai1AY4� Signature o age / /�i/
Print Name Jt 0 WrA95Print Name Q`'�:II '�75 Yl ► '
Swo to and subs f me Sworn t d subs sbef. • me (� ••+Lo»••
this\ Day of y.S'R .20 V1 this t7/-Day of f.•.t✓S 20 ••,• ••70?.,
. '°:y • :
Not- Public t� ►Qo��T�b �?09°�; ''.
Revised 01.26.10
on —I •
mg
C O
Timothy Scott Cason , R'8
' i, NOTARY PUBLIC g z m
t :"-STATE OF FLORIDA
.�w,�:...,
Comm#G0106918 12'4-8 g
Expires 5/17/2021
Doc # 2017187846, OR BK 18085 Page 642, Number Pages: 1 , Recorded 08/10/2017
at 03:09 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
OFFICE COPY
This Instrument Prepared By: .
The l kitoe Depot
9305 Florida Palm Dr. •
Tampa.FL 33619 ' _ •
IIOTICE.OF COMMENCEMENT
Permit Nage 51..__O I ei .... . T.ax•FrthoT'a/66-(P4/1-6 '17-
0
State of Florida '-
County of•. �f .\� •
..: :
THE tltN'DERS 1GNED heiebv.gives notice that iniprovcuienta will be nude to venal('red properly,and in awmrdauoe with Chapter 7 f3,Florida"•
Stec;itea.the:following information is provided in this Notice of Code:woc<tinenl:
1. scrptiia of r i `•llegal description ofproperty,and street:iddreas if available) 3�•c l-0_•117 rr \ . `rbc 11P..cl:.
3.General desecirill oq of impnnenient:...UJ'-V.S" .
3.Owner information
•(O.Name and adrImss• •W `44-e.zs S a sQ7 Se w_ -.. �� Ca__,
� 1�FL )13
(b)Interest_in properly:_a„��y�`
(ed Name and address of feesimple titleholder:;if other than owner): - • . •
4.Contractor -
(a)Name and address: Thtilome Depot,9••,20i Florida Palm•Drive.Tampa.FL 33615! ;. .
(b)Plume numb r 313-6367543 ... .
5.Surety es • ••...: • .. . .
.(a)Name and iaddas: •'. - N/A•:-: :. -_...:.,..^
(hi Amount of bcirrd._..:L.__.. ' . • '
(c)Phare number: _._•
•
6.Lender . .
(tit Name and address: • • ' •• N/A . ••- . •
(b)Phone number '
. 7.Persons within the Slate of Florida designated by Onotices wner'npon whom unYsor other document*may be served is provided by.Section •
-
7:3.13(1)(2)7.,Flo;ida Statutes:
(a)Nance and addre s:_ : rciA• ' .
(b)Phone,orther:• :
II.intidtLtiontohimself,Ownerdesigaata the follcoing pervunta to reoily.e acopy ofthe.LIeuin'shoticeas1:00(1rdInSectioa7t3,13t1)(b)..
Florida'Statuies:
. (a)Naar and.,dews: _. • N/A ••
(b)Phonenumtrr: - • •. ...
9:Expiration date of!intim of eoutn encs ent(llieexpir:ttinn cline is 1 year from the dm.of recording unless a(Offered d «
ale .*tilled)
WARNING TO OWNER: ANY PAYMENT'S MADE BY TBE OWNER APFER THE EXPIJ(ATION OF TIlE-NOTICE OF COMMENCEMENT
• ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAFFER 71'3.:PART I.SECTION 713.13,FLORIDA STATUTES,AND CAN •
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE-OFCOMMBNCEMENTMUST SI ' '
RECORDED AND POSTED ON'11-12'.10B SITE BEFORE THE FIRST 1NSPECIK)N.'IF YOU•IYTEND TO OBTAIN P NANC(NG.CONSULT
Wf111 YOUR LENDER OR AN ATTORNEY BEFORE.COMMENC(Nt;•WORK OR RECORDING.YOUR NOTICE OFCOMMENCEMENT. .
: . •
A � .
• •
• lU.
' Signuure of•On nr or Owner's AtrtPtAred Cnhlccrfl)iiecior •
. .. ' •t'artntribtnoag<Y
Styr^^.tin:STitiv/Uffiee _
71>r fee i ^iwttvnrent n s ae:nna•Iedg u txGuc ma thea day of 0� by .�^.w
�tx► Ga (avmni(x .a)caQwY4' (t)}tuf.uthorit.,egudhicc,Cilatee,cuaearyioact)for
- :tt n:x Of patty ort h half of whom instntmcni was executed). •
. • Bll,'•• -- . (..ttf^" •
: Signxu:ea:•
\ixaryt'iAic-State oflInridx i
':,(triuniy-known_.or Pkoikcinlldcalifirauon162. —
• :.:Yeti(,it oa Pcrwant to$esti.vi 1)' '.S.�tm,,L Si^•t�ttF,<
.
l:ntk:•panahk%ntpe,'vey.I.ie<•L-redollhale ti`at)di:Comp:i:tgriasdial riletutssta(iJ in Role tor e:ethe trotrt'in i:.• •` se4atiaf.
•
Sig mets of Narumt Komi Signing(in Iinetfl01 Above
144:A.4 21:51:7 • ' • .,, . Timothy Scott Canon • -
NOTARYPUBLIC . •
:. STATE OF FCOR1DA ..
•,.,.,.._, CommliGG105918
Expires 5/17/2021 •
t v O > � ":
itii nod o 0
--. p 00 "--1 O� VI :Al. W N c7, In i.„) N x y CD
° cr
` -o > 'T1 C.) x C/� 2 pyo 4 "3 . y
_ oGC
O m N. (IQd w 5' ''' I
C 0 "" O -
Cr) :LI En
c c _. , .--1 n/ t7
Q .-•
o w l_j '� Y
?
' o0
AD pp 0. k <
o =, n N
r 0
o C
-k
v c)
RPa
4 mg.' sz.b am � o C)
_G o 0
G � ¢ a = —p
et o
o 1 h
0
.s.S. 0 ,c•54%
• 0 vN
; tz)
y 'O
1 ` =
I r_ �. cD
co n
C.
g.
CD o
o o "< 4.
o — <
o 0 a --1-) ° G.
C 6 r
o — o (,1 a
.1 Ito rFD
z on
I < a
J VG r° 2 In C'"
1E4t or., o C7
• c _ < I
0
O o
E o `(�`
0 C
0
r- ,_ 1 , t
5 0
CD `. = 5 o cud.. q a. N .- tri Z c N
O O �� R co o
O p p' C C O� ..
5
c b A
i.
r a O -%
N) ' s - `. 7, ~ °M
c z' ° 5 n
f -.z ',.7, 0
0.
' O' = =
r ,-< %) ,t, -•-)
0O
r� w cn a
-n
C-
O -* T
c a)
a- C)
o
rri
0.
0
K-i `�.... Q.
ci
r 7 0 co c 9..\
ro
`� 0 o' C
cn
S'
C pa
CD
\\ CIA o c'"
[V I,k .-r `0
11.1
O C ►^7.
•
0. CD pfDj 'r
CD (7 n O
C/D il co
o cn
'-"' A
CL
CD
CD ° o
' a J
nCSD A
O v
C; r-
; .M-Irf
+ A
O (` R AD
°
CD
:� O O
LA CA
O
0 a `4
g
B.
C
O0 5. c-
0
C9
cn
C � h
-)k;-; /..... ,„,i,
C �
i �
\ ,„,
�...6 ('''`P-'15a) ss !-ate at,AttO
,:. ; , )
ff.