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2348 SEMINOLE REACH CT - WINDOWS �j y�yrfv� ss1 CITY OF ATLANTIC BEACH ' ` " 800 SEMINOLE ROAD ��� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0198 Description: REPLACE 17 WINDOWS Estimated Value: 9588 Issue Date: 10/11/2017 Expiration Date: 4/9/2018 PROPERTY ADDRESS: Address: 2348 SEMINOLE REACH CT RE Number: 168846 5720 PROPERTY OWNER: Name: MAYO L STACEY Address: 2348 SEMINOLE REACH CT ATLANTIC BEACH, FL 32233-5967 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN WINDOW PRODUCTS Address: 2633 S POWERS AVE QA KEITH ALAN GURR JACKSONVILLE, FL 32207 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. 5.An;. City of Atlantic Beach APPLICATION NUMBER Vie,. Js � Building Department (To be assigned by the Building Department.) -- - - 800 Seminole Road C� Atlantic Beach, Florida 32233-5445 RES-17 - 0( t D r.lei Phone(904)247-5826 • Fax(904)247-5845 b f/Jri 9r E-mail: building-dept@coab.us Date routed: ter( I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 77f Scfrklr CLC— li �e Departmentrequired Address: G�� review re uired Ye �tVo W Nuilding) �/ Applicant: ��'Ve� �, -(Z(C { V v l �O[.� mg &Zoning Tree Administrator Project: {RPLPkQfE- 17 V\ 3 l tv Q 0 (ADS 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: 1 Approved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING l©"(�'-y Reviewed by: Date: 7 TREE ADMIN. Second Review: ['Approved as revised. nDenied. ❑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 OFFICE BUILDING PERMIT APPLICATION COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 —1 t Job Address: oaq 3 (rkc e\e Wit\ e* Permit Number: RE,S 17-0(9 B Legal Description 14 (o-1 i1 o7S 79qC S % F?t Parcel # I (0 8S)-4(0-Srl U0 Floor Area of Sq.Ft. t Valuation of Work$13'i588. Proposed Work heated/cooled q.non- ea cooler r• Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window oor Use of existing/proposed structure(s) (circle one): Commercial ananor If an existing structure, is a fire sprinkler systggm i tailed? (Circle one): Yes o Florida Product Approval# sEe For multiple products use product approval form Describe in detail the type of work to be performed: 1 Yeeb0C,4 Mel+ (....)1 uoS - S� ze for Si Ze Property Owner Information: c� I Name: M 1&O-- L rip U9 Address: a34-1-I v `�(`fll �1D`C`� qua e+ City P*- \-k-i C '{1 State Ft- 3:9933 Phone L-101-1— 14 3I- 2,157C) E-Mail or Fax# (Optional) N f-k Contractor InfAidgem wwrotw Company Name AvE. Qualifying Agent: k< 4 \ Ciao- Address.JACKSO IVI LFe R.82207 City State Zip Office Phone Job Site/Contact Number 904--/31 1 Fax# 131- a-14 State Certification/Registration# ("N-- ;•C. 19:5 �o 1 Architect Name&Phone# Engineer's Name & Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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 th issuance 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 nu, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a�period of six(6)months at any time afte work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heater. Tanks 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. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thi type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th provisions of any other federal,state, or local lw regulating construction or the performance of construction. Signature of Owner � Signature of Contractor Print Name M�<<� ���CSS Print Name r Sworn to and subscribed before me Sworn to and subscribed befpre me this/ Day of - 01 20 this IZ Day of 'tC`(Y1 ter , 2011 N,o.• 'ublic1 .ter Pu�� �ou ,Pu a •• NOELIE CLARKE 40 •••.• LARRY J.GAUAGHER ommbedon X 00102835 * _, , t MY COMMISSION t FF 902227 ` Expires May 9,2027 Revised 01.26.10 EXPIRES:September 6,2019 '+.�a� ,a�.t 9,2 Sorbs. o,'lFa,oce Bonded Thin Budget Notify Serra o,f� Banded Tru e PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA � A J ©Q Project Name: ! 16 ( 0� Permit #R7/r7-d/ � 70 Project Address:0341% ��1 1 \ rde f1°) - FB) FL Q3T3 As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(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 may be obtained at:www.floridabuilding.o Category/Subcategory I Manufacturer Product Description Limitation of Use State# Local# , A.EXTERIOR DOORS 1. Swinging \\NNN\* ' , 2.Sliding 3. Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS ;n j@ 11G T , .• a3�'i.�_.,, 1.Single hung P0.-- l t..� 'A�/f��'1•3 ' 2.Horizontal slider PAs f d r _________M_(2_t_c2,kt. 3.Casement 4.Double hung 5.Fixed x 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action OFFICE COPY REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY: /rid.- DATE: /0 '6 i7 2.Other Category/Subcategory Manufacturer Product Descripti.• Limitation of Use State# Local# IL NEW RIOR ENVELOPE PRODUCTS OFFICE COPY. . .. ...... ... 2. J In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installa instructions along with this Product Approval Sheet I certify that this product approval list is true and convect to the best of my knowledge. I further certify that use of different components other than tf listed in this document must be approved by the Building Official. (Contractor Name) (Print Name) Y6,4) (T(jc C (Signature) Company Name: AMERICAN WINDOW )A"--fr PRODUCTS,INC. 2633 POWERS AVE. Mailing Address: JACKSONVILLE, FL 32207 City: State: Zip Code: Telephone Number: (904 —13 I Fax Number:(CO) `�3 I-$t t Cell Phone Number: ( ) E-mail Address:EveC Ptri T C&11 cdo Qac . COnn , � J(9.0 c,£ )<o, I I o •k I ZL)(4i- oA Xo9IOW '1.(-- ,� O I -rn -., C7 o m ti,d h,3�. 1sc'coA9t f (1,1 (44 O 0-4 co -ti .,,,,,i. 99x$h I _< 1 9,73, c,i' ��- -v0v43-1- „oh `yl d.) n M 0I a22r t,-) 0-)v32i, 3-700-swgs' ghtz 3-)r3os43? 3 )O'2!7 S NOTICE OF COMMENCEMENT (PREPARE IN DUPLiCATE)// J e Permit No. Tax Folio No.' 61 CD — ST7 c ) State of Ft_ of k \ . To whom It may concern: ( 1_, r g The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property b - g improv d: Li G-7 .7- Q — (c)C —rn►r\cple-4 �c to-k- Addres of property being improved: 08"I% �t no(C-� r �`� ci^ ' General description of improvements: 1 1 t� t ?n4- (jl r1��C. -'i ZC fz-"r' �i z. owner Liti�'inae_.1 1,- C - Address ,oJ )t� �"t Y(1i ode, ri'Z.�`LaZ i t aj FL. 5-2.Z j a Owner's interest in site of the improvement N/A Fee Simple Titleholder(if other than owner) N/A Name N/A fAddress WA /.vim ContractorAMERICAN WINDOW PRODUCTS,INC. Address 2633 POWERS AVENUE-JACKSONVILLE,FL 32207 Phone No.904-73147 Fax No. 904-731-8824 Surety(if any)N/A Address N/A Amount of bond$N/A Phone No. N/A Fax No. N/A Name and address of any person making a loan for the construction of the improvements. Name NIA Address N/A Phone No. N/A Fax No. N/A Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other documents may be served: Name N/A Address N/A Phone No. N/A Fax No.N/A In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice es provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). Name N/A Address NIA Phone No. N/A Fax No. N/A Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recorig unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY �.WNER SignedBefore ` L , DATE 17 Before me this f 7. depm 4Z P ?,t} in the County of Duval.State of Florida,has personall , red �6�,n. herein by himself/herself and affirms that N?Q+s ts ane n"s here n Doc#20172`24798,OR BK 18136 Page 471, are. =and accurate ' tf►,r,ION S FF Number Pages:1 * `.).' ., MY COMMISSION#FF 902227 Recorded 10/02/2017 at 01:35 PM, 0. 1 I;. �, EXPIRES:September 6,2019 Ronnie Fussell CLERK CIRCUIT COURT DUVAL �� �` d7hrUP COUNTY %r to 3 udgetNahrySerrirei RECORDING$10.00 / rt.. ,Public at/TT,State of : . County of plat My commission-x ------— — Personally Known fr' " or Produced Identiflcat