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335 4TH ST - WINDOWS ss‘ CITY OF ATLANTIC BEACH .0800 SEMINOLE ROAD ,� ATLANTIC BEACH, FL 32233 r);2 >% INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0289 Description: replace windows Estimated Value: 15000 Issue Date: 12/11/2017 Expiration Date: 6/9/2018 PROPERTY ADDRESS: Address: 335 4TH ST RE Number: 169834 0300 PROPERTY OWNER: Name: GRANT PEGGY LYNN Address: 335 4TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MIRACLE WINDOW AND SUNROOMS Address: 8933 WESTERN WAY APT 11 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. Sr��prjo.,, City of Atlantic Beach APPLICATION NUMBER i? ' A Building Department (To be assigned by the Building Department.) r 800 Seminole Road (t LS ' — eai9 r Atlantic Beach, Florida 32233-5445 1'- J 1 U Phone(904)247-5826 • Fax(904)247-5845 1 / A.o,t r E-mail: building-dept@coab.us Date routed: 1 13�1 ri City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 3S- y 1- S+ , ent review required Yes o Building Applicant: M , 161C, L kA) t fl tO1 )S °�-.t.tn Rb/h \ - oning ` ,,�� .�\` Tree Administrator Project: (Q4 -QL.Q._ wi n(Jl ,,)S 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: [pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: {�f C.Ci- BU' II / - PLANNING &ZONING Reviewed by: /711 re----/\ Date: /.2-. "Ss'17 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. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 BUILDING PERMIT APPLICATION NOV 2 9 11 OFFICE COPY 20'� . CITY OF ATLANTIC BEACH __ 800 Seminole Road, Atlantic Beach, FL 32233 ,T Office (904) 247-5826 Fax (904) 247-5845 • )b Address: 335- OM. St A/14/lm., eeci /Z. eZ Permit Number: V-LSI 1.-- ©4- 5 egal Description 5-&O% //-o7S-a 9& Dt3f 23.SFi&iv veft Parcel# /b9e SI-a30.) Floor Area of Sq.Ft. Lor/41 asiK to Sq.Ft aluation of Work$ /55 DOD Proposed Work heated/cooled non-heated/cooled lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa wind door � 3e of existing/proposed structure(s)(circle one): Commercial rResident an existing structure, is a fire sprinkler system installed? (Circle one): es No N/A orida Product Approval# // /./3 ./, /1 fl// / m• multiple products use product approval!form 7 • escribe in detail the type of work to be performed: ie-870/a,0_2,' LJ�a?erv5 'operty Owner Information: ime: P ,Jy /V) 6x. / /7 e Address: 3 3s 441/2 ty `L47/L //[ iarLdh StatePZ Zip 32 -33 Phone 9X'-a 23-3 7/7 Mail or Fax# (Optional) infractor Information: )mpany Name: /1h//�c f.Y.1GIG2SQ/e/L Z7,�jZ kQual' ing Agent: K /L4 .7) &/M?, idress: e3,3 ViStec-4 . // City ./1c.50/)l'(/lam State i Zip 3.2267' .'Tice Phone 35'3-(A 3a- t/?I Job Site/Contact Number e53---,13 a -SLS WL Fax# ate Certification/Registration# ....ed. /330"7 "7f •chitect Name&Phone# /)/G� Lgineer's Name&Phone# /�f Gt__ e Simple Title Holder Name and Address fl/Ci._ )nding Company Name and Address /3/4 Drtgage Lender Name and Address /1/6i.. plication 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 mance 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 1 void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 0)months at any time after -k is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers, Heaters, iks 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. b fyfpp p�.L�AA�I K BUGBEE reb cern that I have read and examined this a lication and know the same to • •ue and correct. All p a si'Yrf lawsn or inancesG py�, this o work will be complied with whether s.eci led herein or not. The granti�• a ,ermit does not pre arse y�pitm(1QMAMISSaiditWAY tWn'ete'the visions of any other leder, tate, or loca ,regulatin• nstruction or th s., of construction. •IRES February 07,2021 �J6 o°16atiN * i� nature of Owner a� �I Al �� \_,„0�<ig'ign, re of Contractor nt Name �� ., r<.•l ft. ,Q0`,0-,‘ ,,e 'rint Name �,. 4117:111.";:- "/! orn to and subscrib;s before m- .••',�. •.- Sworn to and subsc ' ed befor me _ 1') Day . A All ,.. ,_': this 7 a of d , 20 // tary Public Notary Pu lic ��— FL LICENSE it seem aatwTa /�//2 — �a SVe 8933 WESTERN WAY,SUITE 11 �8r� 232—4544 an--e..— JACKSONVILLE,FL 32256 wIN ons AND stn lszooV,s / e /, die t c r� Pr' NT- 1 DATE %// h I f/ i �//3 � y/°,ri NAME / ADDRESS 3,5 1 ?I'b 5 f l ` cITYrrOwN 7L 14/t 77 e /£ /9 Ci,-/ STATE J 1 ZIP .31 d2 33 sz'K.'��.0 reD 10- �1 - HOME PHONE BUS.PHONE mf r' (2-73- Yl.7,7 CELL PHONE 7 Pik-- Set":747lool E-MA+z f Y'>n_54- ee G0il,Ct1 , Yrl qqv Al) As usedin this agreement,the words w e,us and esr rein-to MIRACLE WINDOWS B SUNRO INC an a weeds yea and your refer to the customer. �. 1).,44) TOTAL SCREENS _.. WINDOW WINDOW ,I I N� ITEMS PURCHASED L'`i1TS Half Fell COLOR IN COLOR OUT Reg.Double Rungs . .__ X_ . i-ti OFFICE COPY �SL�INGGIASS $OF DOOR DOOR �,/F Picture Vrndow I DOORS UNITS COLOR IN COLOR OUT _ l 2 Lite Slider , (Herricaae salt only i side operates) 3 Lite Sliders 1 I Co» Grids-it ofSashes s-,T/(�; 1. Fronted No.Top Ia it �i�11Oi Glass No.Bottom I L Casements 4. CObISERVATIONCG� ;Niru `/ as Other CONSERVATION HURRICANE GLASS a■a.a# i __ _ i 'I _ PAINTING,STAINING,DECORATING,REMOVAL AND REPLACEMENT OF BLINDS AND ALARMS ARE NOT PART OF THIS AGREEMENT.._ )_1-.-. .-1'IAL PriceCash Tees To Be r i' Paid rte Follows: D0WDparnetd EININsgM. I$ c44ACA, 11s1 Day of Installation DEPOSIT WILL EF.HELD AT: Cash or Cllaeki [ /r',Cr)liComplatlon SeaTrustSauk a' Belance FinaDewallillIM = t5 .e y :)/ i7 f t 1e To be Financed Nti / r� s Tema:4 CashFinance v� / Cash arrangements:113 m order,Won 11/3 , Pte• 1 �+f that the Mowing The matallation will begin m cs abound� �j 'Lund will be substantially competed by b6ar It is understood yon _ coming n6es could materially change MM ftea date stated above: Inclement weather, se or other The padisruptions,rties agree that with rv�ail bat to the nubs iela.■�cu�tvtrd of God,inability to obtain re qualify for financing permits,variance approvals a Homeowner Assoaatims apprava k.mnpktion date,time isnot ofthe essence The pmmss cif'ttuahartmrewi eethepreparaticoofsiteandtilesupplyendinetithtaaceprodunsdoraibedshamwithallEmabaryhardware. You agree to pay cash aamdng to the tams shave above or,if your credit u approved,to sign a ace provided by us Ea payment of the mount due.You also agree to sago a canpletiro oensSeete upas completion ofttse wont. ACCORDING TO FLORIDA'S CONSTRUCTION UEN LAW(SECTIONS 713.001-713.37, FLORIDA STATUTES),THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION UEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB- _ SUBCONTRACTORS, OR MATERIAL SUPPUERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT,EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL.IF YOU FAIL TO PAY YOUR CONTRACTOR,YOUR CONTRACTOR MAY ALSO HAVE A UEN ON YOUR PROPERTY.THIS MEANS IF A UEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR,MATERIALS,OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A °NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Yon agree and understand that this Agreement constitutes the entire nnderstaadiag between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement.You hereby acknowledge that you 1)have read this Agreement, understand the terms of this Agreement, and have received a completed, signed, and dated copy of this Agreement,including the two accompanying Notices?!Cancellation, •., the date first written above and 2)were orally informed of your rightm to cancel this Agreement. DATE: alr r l aiSnnRER ' � .J „I ---- DA„h/i[ !!j all SALES e r_ custom R: 47 J — — DATE: You,the buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See the accompanying notice of cancellation form for an explanation of this right OFFICE COPY MIRACLE INSTALLERS ASURE SHEET 4.-- Sales Rep: - 1k6 ,e, EC Date: ill/ t_t/7 • Customer: s..&.6._yew7--- leTorf,-arttC4LAV • . • Street Address: 3 35. y`th 57— fovfA _kkao6 , .. 1 . : cl-ty:_. 774h1/0 7:12.6.46,1_, " State: Z Zip Code:_ g_-3 • ' - --.'::: c // Phone:____ eel 4/37.04 el - E7c, i:13 T607- Phon : -- ---------- - ,... . _ • ....-..'''atV. c.—Phone: i.0' gt-017.2_7_37/ 7 Phone: -.,--7-, _______ _ _ ,-.4.-;:-.':-z--• . Hurricane or 'Miracle Glass Color Window In 1;74e -1----- . l'• alb'r Half Screens Color Window Out A 0/ ..:;i•;:-FJO:):1'..... ' • : ' ro•A- ...---....., • . 51 ” AfIlte-; Style ;; . : I.r.- Opener Size 1 Room rids Mull Rough Opening Make She • . 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TIT' ri t p Customer Sign*,ture• _ . .', I/ill 11 17(17 OFFICE COPY PRODUCT APPROVAL SPECIFICATION SHEET As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying.We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products.Statewide approved products are listed online at www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Approval Number(s) EXTERIOR DOORS a. Swinging b. Sliding c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung Regency Plus Incorporated Series 2000 Non Impact Double Hung Window 11413.1 b. Horizontal Slider Regency Plus Incorporated Series 2000 Non Impact Horizontal Slider 11411.1 c. Casement d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Sliding b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof e. SWB f. Other STRUCTURAL COMPONENTS a. Wood Connectors b. Wood Anchors c. Truss Plates d. Insulation Forms e. Lintels f. Others NEW EXTERIOR ENVELOPE Shutters I understand that,at the time of inspection,the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics,which the product was tested and certified to comply with. 3. A copy of the applicable manufacturer's installation requirements. Name: /.��%%i Date: n G/SLUIl c1/10Au (tt OFFICE COPY • 00 rc. 11413 . 1 �t a r , � FL. Will ► 5c. 1 1 , Z, 31`'11 ce1ZlBitlj 1 W) _ 7 �- G-- ic /4 Air NOTICE OF COMMENCEMENT / 83 �� Permit No. Tax Folio No. 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. .33 't /�cfi /?4/p Fe 32233 1. De cnptisn bt pro.erty(le t al/If of prope and address if available 'e ' ; S- - -tee-. O. - -,AC. 1 41.'__. ' 6,(i ft F2 . Pt O/ 5/011 LOT /S/8L&4 2. G /.0.S( eonIU2 7'I9I,S 3. Owner Information: _ a)Name and Address: , �y (,//7/1 )/ 33s 41M )i ,e3,702.33 b)Interest in property: c)Name and address of simple titleholder(if other than owner): /1/A' \, lii 4. Contractor Information: �j 33 �� ���� /I oxctse Y' a)Name and Address: �//Zli� ��Y�G�.I.u� �f/,�^ �/!/?2Yj;L��G� lflJIiSO/�vLLL�C—"G Z2.�o b)Phone Number: X3.5 Z— VS-4/ G 5. Surety Information: a)Name and Address: b)Phone Number: /IA c)Amount of Bond:$ 6. Lender information: a)Name and Address: /)/& 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: /1//. b)Phone Numbers of Designated Person: 8. In addition to himself/herself,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: /1/4 , 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: r)/& J Q J WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE o NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I, F- SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR oo O IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND o, U POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, a i_ CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING cn 0 Et YOUR NOTICE OF COMMENCEMENT. CV 2 QU Un. penalty of pe ,I declare.that I have read the foregoing notice of commencement and that the facts stated rm o Cr th j are true to - :