2308 OCEANWALK DR W - WINDOWS r3 r , '`s+4CITY OF ATLANTIC BEACH
fir ; A
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
...--013 !P INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0173
Description: replace 17 windows
Estimated Value: 11474
Issue Date: 9/25/2017
Expiration Date: 3/24/2018
PROPERTY ADDRESS:
Address: 2308 W OCEANWALK DR
RE Number: 169463 1090
PROPERTY OWNER:
Name: PAULY THOMAS E
Address: 2308 OCEANWALK DR W
ATLANTIC BEACH, FL 32233-4696
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: FLORIDA GEORGIA WINDOWS AND DOORS, INC.
Address: 11433 SAINTS RD QA KENNETH MICHAEL BRANHOLM
JACKSONVILLE, FL 32246
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.
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`s!..A`%� ilding Permit Application 1.—N
110 FFICE COrCity of Atlantic Beach I SEP 1 8 2017
IWO
800 Seminole Road, Atlantic Beach, FL 32233
`"oT
Phone: (904) 247-5826 Fax: (904) 247-5845 `-
Job Address: f�,�y�P1,' I \W-, `V IC LSI'i- 0I�3
g7:-SCJ DMA-P11014, �� Permit Number:
Ai i2 C,o Sed 2 1�-a ' (Lc,4 O W 4 G�,J�- !_o ala n
Legal Description rc°d U 1 $5q -rj(� RE# (p `�(D�—.1(.9q0
Valuation of Work(Replacement Cost)$ t 114Heated/Cooled SF 3$LL.( Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Poo r i /Doo
• Use of existing/proposed structure(s) (Circle one): Commercial '•sid-.
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• 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:
I P-60A-ce M,c5\sf i NtbLIs— DNkL+►..v 6( f'_emitptt kfracktut
Florida Product Approval# Z59.9 for multiple products use product approval form
Property Owner Information (\ �n�,n * ,, Ni
Name:"MD A'S 1'MA 1 Address: OCIA414WA- lilt-. `N
City �G (S }- 1 State Zip 32233 Phone 4--7)41-t(a3
E-Mail -1[9m . E . PIA 0Ly+ 04 @ VY14IL1 Co"vi
Owner or Agent(If Agent, Power of Atforney or Agency Letter Required)
Contractor Inform tion114- F
Name of Compan 6� `�W�N��aS �f `Qualiying AgentY Vialil f f 1
6
Address1lZao Oltw Zilfl Iu,ly , r I City JAC SOn1UJ I State Zip 3224(.
Office Phone "I04- I b Job Site/Contact Number AI— M I- 341(7
State Certification/Registration# I( O4lflkO E-Mail C-CIACONT SOL. CoM
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation �
ff ,'0(4 ft
1w zgf7 r it
Exempt/Insurer/Lease Employees/Expiration Date
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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
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 ATTOR BEFORE
RECORDING YOUR NOTIC OF COMMENCEMENT.
' L.,--1 >_-- I
./ -7i6I f
ignature of Owner or Agent incl ding Cont .ctor) (Signature of Contractor)
$Igned(and sworn to(or affirme.)before me thl. WI day of Si ed and sworn to(or affirme.. before - hisZ day of
�f jn"�]�IAAr 20 ,1--, by .• e. ��sAl rJ(Li d�' ,7n(�" , by d'�lS i::..�_►/ir
Ike ar- Awl I ...RAIZ fiPidittegfli
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"cis NotaryPublic State of Florid- _•natUr of Otary) o�Y°ee� Notary Public State of Fb��gn: ur Ati7,141,
Sarah S Biggerstaft + _ ` Sarah S Biggerstaff
+� My Commission FF 213814 •5 �• ' My Commission FF 213:
or Expires 03/25/2019 ?ane Expires 03/25/2019
[ i Personally Known OR [ •ersonally Known OR
Produced Identification [ I Produced Identification
Type of Identification: �� Type of Identification:
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SEP-26-2017(TUE) 13: 41 Flordia Georgia Contractors (FRX)9046429156 P. 001/001
pig fei÷ .64. RES 1'7 o4-43 ,
_ VI
NOTICE OF CO . , . :ENCE MEN'S
State of 1"''1 Tax Folio No. 1 94475 10q 0
County of VAL,_
To Whom it May Concern: -
The undersigned hereby informs you that improvements will be mad' to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOT1C OF COMMENCEMENT.
Legal Description of property being improved: 1�} •.774 3A„� G ,' A I '► y ! w .' = r.
OCIAMIAIALK. , I 3 ' .3' 4. EA Jkeus_ a
Address of property being improved: z. O� r J 4 14- i1itrafenc. & -----T.'. 32
General description of improvements: lq 1 I ti466 .. T Alii/ tzDt•15.
Owner: 1 IA95 (44• �1 1 Addres J:21Lt 00.1gRiblatk ha_ L.)�+ Ail'`1�j c 11i 22333
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: 1-1bCtsisk abQ.a4 ! i'fi.s,i 0145_ ,1 4 (2$ r ..
Address: 11243o -6E5- 1114b 0 . `,, 1 ;i , 'l ' Z A
Telephone No.: (04 I- OLD Fax No di •4 e .042'9.1.9(9
Surety(if any) --.--- _ -
Address: Amount of Bond$
Telephone No: Fax Nol
Name and address o f 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,desig mtcd by owner upon whom notices or other documents may be
served: Name:
Address:
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:
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):
THIS SPACE FOR RECORDER'S USE ONLYCNER
cd: 4-� \''' � •
Data; - Z. 11
Before me this flf a day or !tin«Ρ�� ;( ini.aC.untyofDuval,State
Of Florida,has prsonally appeared W; TW_ ,.1...I.
Noltary Public at large,State of Florida,County of Duval. a
My commission kpires; t)7 29 0
Personally Know : _ - or
Produced Identiti ation:
A,c`A"4y_ Notary Public Slats er Flo,,e
��Y_• SgrAFf 1S'R�ev.n.vinN
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"\,cCity of Atlantic Beach APPLICATION NUMBER
,4-4,- ..,,,\ Building Department (To be assigned by the Building Department.)
z
Jk; 800 Seminole Road 1 1-0 1-+
\v - , Atlantic Beach, Florida 32233-5445 ��5
Phone (904)247-5826 • Fax(904) 247-5845 Q I
\<.:1-0.;:119'," E-mail: building-dept@coab.us Date routed: 09 tt Ur ri-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a3 Cn lJ OC€A 1W G( tiL Di . Department review required Ye No
Building
Applicant: flO r 4GI 61 Qo(G 1.c1 1440,A {"Q OO(3 Planning &Zoning
Tree Administrator
Project: f/..4 V Ql..(-Q-- IT w",n GL o,,) % Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature _
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. Denied. Not applicable
(Circle one.) Comments: oc____
BUILDING
........)
PLANNING &ZONING Date: 9'19/'
Reviewed by:
TREE ADMIN. -
Second Review: nApproved as revised. I 'Denied. ❑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 05/19/2017
I