1355 OCEAN BLVD - HURRICANE SHUTTERS 7 CITY OF ATLANTIC BEACH
77 " 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL - NEW SINGLE FAMILY RESIDENCE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0143
Description: HURRICANE SHUTTERS
Estimated Value: 58000
Issue Date: 10/25/2017
Expiration Date: 4/23/2018
PROPERTY ADDRESS:
Address: 1355 OCEAN BLVD
RE Number: 171841 0020
PROPERTY OWNER:
Name: MUNRO LEE
Address: 1355 OCEAN BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CUSTOM STORM SHUTTERS DIRECT
Address: 826 HULL RD QA MICHAEL EDWARD O'CONNELL
ORMOND BEACH, FL 32174
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.
b;, ivb, City of Atlantic Beach APPLICATION NUMBER
7 Building Department (To be°assigned by the Building Department:)
800 Seminole Road. t Dt
Atlantic Beach, Florda 32233-5445 R` I
Phone(904)247-5826 • Fax(904)247-5845
gt14. ;�ir
Email: building-dept@coab.us Date routed (-
City web-site: http://www.coab.us — -
APPLICATION REVIEW AND TRACKING FORM
Property Address: 55 0 (AO Department review required Yes No
,uildinj
Applicant: E ,Uron' r Q 2vn &-t- rTG-CePta"rung &Zoning
Tree Administrator
Project: H(> 6-10`CreS .0 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: proved. (Denied. (Not applicable
(Circle one.) Comments: ru NG
PLANNING &ZONING Reviewed by: Date: CW2 8/47
TREE ADMIN. Second Review: nApproved as revised. ❑Denie . ❑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
M 12: Building Permit Application OFFICE COPY
r'" City of Atlantic Beach
't 800 Seminole Road,Atlantic Beach, FL 32233
',`'," Phone: (904)247-5826 Fax:(904)247-5845
S 0 2.ee.� II 1 T 1 37:133 Res d 7 0 i 43
3
Job Address: NV of i'\okvNA C �WPermit Number: t,
Legal Description \0-11 I lo as -2-9 / 5.3 Man ck e Ic`l I 04 ? Bit 53 RE# 1 11 1 �1 \ - 0026
Valuation of Work(Replacement Cost)$ c qt 000'do Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Ciesidentia>�
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in1dett�ail the type of work to be performed: -Tvx sal\ecv t'o,^ O C 3 �% y (34 o r )'Z 0 of
,ge 1 1 c e ,--)n <g r r'l\Cie h-Q s\f\,t_ykAcer S
Florida Product Approval# \ lZ2-'4 6 --Z...1 C\ZZ(A1q,I) for multiple products use product approval form
Property Owner Information
Name: ��,e m ut\A-D Address:
City \c,,v\V t-- \.ea.c State 11 Zip T 2z 3 Phone cYO y -cl2 3 --*7 Sb
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Informationta-+c- �er _
C i
Name of Company .A3 0V% S-A- b QC4 Qualifying Agent: /N' � k -b
Ot0 Qo ft 1I
Addressq .(0 R.ice.[l I c'( - City 0 l--'--ua�a( r3v�..c-A State Zip
Office Phone gG u '�Z`, '-FC(1d1 Job Site/Contact Number cto c/ - C 6`I -Si Z.
State Certification/Registration#(C e. 1 SI 61g c/ E-Mail c$ci(c-e 4 C.SSci 4-4-S , c-° I/1"/
Architect Name&Phone# . '
Engineer's Name&Phone#
Workers Compensation . tc:1 CZ oZ L I 4114 ti. 6
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 ATTORNEY BEFORE , /
RECORDING YOUR NOTICE OF COMMENCEMENT. / 1
K P,...- A...-0 � ��
(Signature of Owner or Agent including Contractor) Fr. (Si :t j-• - tractor)
Signed and sworn to(or affirmed)before me this ii day of 111.)ed and sworn to(or .III it-y'-.,before me this . ay of
A u 20 )7 l- ,by _ -e-C m u-'- , 70 7,by ..
1 , &raw
A , /
— ,, „ , , .‘ ..
(1-.. &
��y'v,'P��, PATTI` Yd's ATTI L,O'CONNELL ` 1 (Sig .ture of Notary) 5igi�a o ,�,!,.�•,._,. ,. .�
U, . Commission#FF 884002 .•�:a Py�,c TONI GiNDLESPE
Expires June 8,2020 `�
s'.,--,..z-0 _;,; MY COMMISSION� - 24951 s
,;!„4S�' Bonded Thee Troy Fain Immo o 400.306.7019 . P-_ EXPIRES:October 6,2019
[ ]Personally Known OR [_Personally Known OR 1 R Bended 7hru Notary Public Underwriters
roduced Identification [ ]Produced Identification
Type of Identification: Pt---- Type of Identification: �s ��4S _64_41/
.
.m
f.c _ OFFICE COPY
PROP UCT APPROVAL INFORMATION SHEET FOR T}W CITY OF ATLANTIC BEACH, FL9RIkA
Project Name: MUNRO • Permit # RES/ 7 - 0/ 9 3
Project Address: 1355 OCEAN BLVD, ATLANTIC BEACH 32233
•
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval munber(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
• your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval maybe obtained at: r..'k f ioritlulw+ldin or;,
• Category/Subcategory 4 Manufacturer Product Description ; Limitation of Use Coal#
A.lEXTE""IfOR DOORS
111111111111111111---—
1. Swinging 11111111111111111111
2. Sliding
3. Sectional
4.Roll up
, _ . , . , , MN
5. Automatic •
6. Other
.� I �I
' ':.WIND+.WS
a
1. Single hung
2. Horizontal slider
3. Casement
4.Double hun1111111111111111111111111111111111
g
5.Fixed
6. Awning EIIIIIIIIIIIi.
7. Pass-through I
8. Projected
9.Mullion 1
10. Wind breaker
11. Dual action i i
re OFFICE COPY
17. Other 1 1111111111111111111
Category/Subcategory I Manufacturer i Product Description Limitation of Use Stade# Local#
E. Sl11U'It"It`tE_'S a
1. Accordion j
2. Bahama i
3. Storm panels
4. Colonial � �
5 Roll up 'f-ter-N.Sak `-er$itcu\« et,\\-0.. \- tV. 6\1O W2. b�` /.d�.,a`�6..,_1
..�� .�,..4 . ..w..:.� �,..,,.
6.Equipment
7. Other
F.STRUCTU .L
COMPONENTS J
1.Wood connector/anchor Mil –
2.Truss plates
3.Engineered lumber .
4. Railing
5. Coolers-freezers
— ammillal.ii
. C. - - adn xtures
7.Material
i
8.Insulation forms
9. Plastics
10. Deck-roof
11.Wall i
c
12. Sheds __ 1El - -
13. Other a�
G.SKYLIGHTS I I
1. Skylight ., .._ ... 4.., me .w. .,.,,...r,..,... 1
OFFICE COPY
2. Other • 1
Category/Subcategory Manufacturer j Product J escript on >L4nmitatiou of Use State# Local#
Hyo NEW EXTERIOR
•
ENVELOPE PRODUCTS I
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available.to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
1)4 �
•
(Contractor Name) (Print Name) MICHAEL E. O'CONNELL (Signature)\\,./ `. 10/Pf2aA
.
Company Name: CUSTOM STORM SHUTTERS DIRECT, INC.
Mailing Address: 826 HULL ROAD
•
City: ORMOND BEACH State: FL Zip Code: 32174
•
Telephone Number: ( 904) 669-5923 Fax Number: ( 386 ) 672-3738
Cell Phone Number: ( ) E-mail Address: Offi'CO(Cl7,cssdus.COm
Doc # 2017189683, OR BK 18087 Page 2078, Number Pages: 1, Recorded
08/14/2017 at 11:48 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. t n 1 91 -6o Zo
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
•
1. Description of property(legal description of property and address if available): ' .S G C Mil at
1 b--1 l 1 b 2 S 5 - 9E ,/ 3 mnanciq/a y. 1--e l'r //c G 3 itolmt4Lic Be0,74
2. General Descnptionpfim rove{nencs: � / 3'27-33
-1 Y►S1-�.// IZucrrl cceet 4 PrO-1-eoLl014
3. Owner Information: r 4la1A7k Beach
a)Name and Address: I- -e 4 M v h'R.o L 3 5 S (j c-C c,in 'IS 1>r(f y" 37-Z 33
b)Interest in property: 10d`LD
c)Name and address of simple titleholder(if other than owner) ,&
4. Contractor Information: C t'i•S�o Vr l-p r S �S A sr o /
a)Namoe and Address: < - \ u 11-01 01.-v?`-°r‘4 �.Q.a('.41 F L s"?--./.7 y
b)Phone Number: etc q '•'�Z L' —c--1-0 01
5. Surety Information: A n
a)Name and Address: ./01
b)Phone Number:
a)Amount of Bond:$ -_
6. Lender Information:
a)Name and Address: A)
A-
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
. a)Name and Address: 'A)4- -
b)Phone Numbers of Designated Person:
•
1. 'In addition to himself/herselt Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address:'
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,
SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief:
6 /A7) . . • O �v�p✓ L yylt,th2C�
Si tore of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's PrintteedName&Title/Office
The foregoing instTwnent was aclmowledged before me this 10 day of A u3 LAST ,203" -
by
1.....e e• _ yY\..tir Qd as O�netr for • 5�1 t' 1 . 0•
(Name of Person) .• •'(Type of Authority;pe.a b r/r ttomey) (N. e of Party Ins�y�y wes Executed for)
. 1 \ 0)
`-""m' NOTRY PUBNE,S T$OF FLORIDA :,!.'�
°• sCommsson#FF984902 Print Name: WY'h► 1---. Lo»�^.1 ''
Ifil--w-ifi Expires June 8,2020 own K
lly n
0Personally
"'s•'jhl• BandedThnTro Fainlnasanee888:3B8.eiA tNL�
tificatior/Type:
(Affixxotary SealAbove) •
Revised 3/15/12