1103 LINKSIDE CT W - WINDOW 1 vVJ%
,3 P s� CITY OF ATLANTIC BEACH
%.. ".w s 800 SEMINOLE ROAD
x ATLANTIC BEACH, FL 32233
"'t0,3 vINSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0167
Description: WINDOW REPLACEMENT
Estimated Value: 6500
Issue Date: 9/18/2017
Expiration Date: 3/17/2018
PROPERTY ADDRESS:
Address: 1103 W LINKSIDE CT
RE Number: 172374 5185
PROPERTY OWNER:
Name: CONNELLY PATRICK COTTON
Address: 1103 LINKSIDE CT W
ATLANTIC BEACH, FL 32233-4390
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ECOVIEW WINDOWS OF THE GULF COAST LLC
Address: 6950 Phillips HWY STE 1
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.
il * 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.
i1.mt;-4 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
Seminole Road R ES `-7 _
Atlanticse Beach, Florida 32233-5445 /
Phone (904) 247-5826 • Fax(904) 247-5845
F�osi > E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: [ d 3 L I Iv E«l DE C7 De nt review required "5-- No
Building
Applicant: E-CCD \i) Ft,0 VA-D ( .k--)o6c5 'Planning &Zoning
Tree Administrator
Project: i tv R�Q(ptc.6,/Y1��� Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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. I Denied. I Not applicable
(Circle one.)
UILD9Comments:
UILDIN
PLANNING & ZONING Reviewed by: rn n Date: 9./'t19
TREE ADMIN. Nota licable
Second Review: Approved as revised. ❑Denied. ❑ pp
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 05/19/2017
0". ./.4., Building Permit Application OFFICE COPY
_0 City of Atlantic Beach
J 800 Seminole Road,Atlantic Beach, FL 32233
\:;1%).7, •t�;.
�Ji W Phone:(904)247-5826 Fax:(904) 247-5845 /— <�,
Job Address: //03 L.,nii3,cG
/C A/1c i/•c 4�u.4 LL32Z 3Permit Number: RS( o ' `��
Legal Description ye-/- 23 r 7- 2S - 29 t Se/iia Zoks,d, a,// L /3(o RE# -
OU p
Valuation of Work(Replacement Cost)$ Io5OO. Heated/Cooled SF �z 2 Non-Heated/Cooled ,3Sa
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool indow/Doo
• Use of existing/proposed structure(s)(Circle one): Commercial esidential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No /P,
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed
{ X--/72-es Per M•,- —te c�5 f -4 elIC o }
fl/7/4.if1/45-- 7-L 7 Ff3-2 /=Lqi- 13• / II --r-A 'ks,
Florida Product Approval#/-//.3y. ; 7F.�'_4 t--17- / for multiple products use product approval form rr\U
Property Owner Information
Name: �QT,-i-C, (704. rel/i' Address: //d3 L--, A.s,•-/e ('p
City Ai/444c Zea 6,4 ✓ State /-:--Z- Zip 3z 233 Phone QlJi-/• 6,24/• Z/a 9
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) -
Contractor Information
Name of Company: 'a Vi p./ . i,.•_p d' a •t r A -o,,..Qualifying Agent: (lent Z/cif
Address lo9S0 fi.G,(9S /./c/..// 3/e. / City Jacksc�/�r�/// 'trate F4 . Zip 5 2/‘,Office Phone 90y 7g/- Dad-7 Job Site/Contact Number 9/l - 781- .1b`/S 9.�'7/
CR
State Certification/Registration# c°/33x9V j
.5 E-Mail • /'•t I � e) i 0!i 74 ad M i Q
Architect Name&Phone# pi
Engineer's Name&Phone#
Workers Compensatione -?. /
X P.Exempt/Insurer/Lease Employees/Expiration Date S E P
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation ��
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL Wv SIGNS,
.WELLS,POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. �+ltY ;Q/"'y �ePartment
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be doe ines/ Ian
a�h� F�
applicable laws regulating construction and zoning.
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. 6'1,0
Signature of Ow r or Agent including Contract r) (Signatureontractor)
Sig ed and swor tool affirm b ore me this i day of Si ed and sworn to(or affirmed efore meth*/ day of
GO J, by �e Ctc.. a4e1,4.1( j , ,,2 / 7 , by OW O.`v°-C".. /s,
�� ,•9V /// yi6.2Ga c •
(Signature• N '�°r• '• � tgit'at fe of Notary) ,x
1. \�� • •v ••
-X ' Sc814J 0`y O
•
I )Pe nally Known OR -,i •' �So-Ji4o •:•,';•� Personally Known OR nj y�•l•"*:bl'c Ops s'.••ko.-
roduced Identification;fes•'°� �n,,;+ae.CV:••F�; I)Produced Identification ' 1/P).-,.,*•U,5.'. ••�0�\�
�� J•'•:yPcbl�cU - / BLIC,S.Ci.� \
Type of Identification: / 90•} _ ,• �•0\�` Type of Identification: //0/1illlllilt� \\\
f////‘ l aLiC 111,\\\\`•
Doc # 2017199029, OR BK 18100 Page 1198, Number Pages: 1, Recorded
08/24/2017 at 09:45 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
rm , V -#- 12 0167
Roc,
OF COMMENCEMENT
State of c/q, Tax Folio No./'?' 5 7V'57
County of to
To\Vhom It May Concern:
The undersigned hereby informs you that improvemens will be made to certain real property..and in accordance with Section 713 of
the Florida Statutes,the fallowing information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: d/4/-23 /7-,,S -09e
Se/va L'nks;fie Irnr / z.0.4 �7
Address of property being improved: /JO.3. Z,/)/sS"de Cf• L() f�/La4/ 4 w4 , 32733-41356,
General description of improvements: 1,0L4J
Owner: 4 //'/ ' A Address: p/�c,ria Cf_41 A_Aic /3 A'
Owner's interest in site of the improvement b ea''-I ,3 Z 03,3
Fee Simple Titleholder(if other than owner): 1 /
Name: �^ �/
Contractor: Zr-e6,-.9PAon�i - ,1'c,(/i'P�.J /l_elO c-as 1z'fi/zy
Telephone No.:'ig4/-Z2/- ,00(a 7 Fax No:9041 741/
Surety(if any)
Address: Amount of Bond I_
Telephone No: Fax No:
Name ate address of any person making a loan for the construction of the improvements
Name
Address:Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name: r�
Address: N _
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: _ !�i --- —
Address: /
Telephone No: Fax No:
Expiration date of Notice-of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
4 TEM SPACE FOR RECORDER'S USE ONLY OWNER
Signed:— /.' / Date:Co/30,4 7
Before me this-- f day of 4 - in thee County of Dyval,State
# Of Florida,has personally appeared - r ( L4.0-74/4441
Notary Public at Large.State of Florida.County of Duval.
My commission expires:
Personally Knov : or
Prcduc.^d Ideoti ti n: ' h• L. 4.-;"�: N_OT'RY'P'e
/ n: • • •'•IDi
I �r ��alt •-con me FF1933g5
/r/
P-- - Expires 3!20/2018