1946 BEACH AVE - WINDOWS / DOORS 4' ' ` „ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
!•) 'J,3 r INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0314
Description: replace windows and sliding-glass door
Estimated Value: 13353
Issue Date: 1/4/2018
Expiration Date: 7/3/2018
PROPERTY ADDRESS:
Address: 1946 BEACH AVE
RE Number: 169542 0598
PROPERTY OWNER:
Name: TRUB RICHARD GIBSON
Address: 1946 BEACH AVE
ATLANTIC BEACH, FL 32233-5937
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: GREEN MACHINE REFLECTIVE TECHNOLOGIES
Address: 267 SOPHIA TER SUITE 112
ST.AUGUSTINE, FL 32095
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.
,�,-t.arJ,y4, City of Atlantic Beach APPLICATION NUMBER
4s �� Building Department (To be assigned by the Building Department.)
r 800 Seminole Road 1�5� — N I 4
-5-.0. „,' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 ( \ f 1,1-
•�� t �� Email: building-dept@coab.us Date routed: c7 `
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: [' L( 0iA /kJ Q - De_padmit review required Ye No
illding
Applicant: CI CQ-Q-6 M av:,Nu 1_t-'i `t(Lc-14k Planning &Zoning
Tree Administrator
Project: ( ,� vu c Q 1"5t+1 tk ) S Clea CI 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: ,(..-Approved. ['Denied. ❑Not applicable
(Circle one.) Comments: J1/0 C 4 -A r1 ,Th ,j, ) l Irt� o v 4- a i f I�2t?Loll,
BUILDIN 'V
PLANNING &ZONING Reviewed by: rn Date:JLli/7
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. F 'Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OP
• BUILDING PERMIT APPLICATION 10E-i 0 g V
OFFICE COPY CITY OF ATLANTIC BEACH i
800 Seminole Road, Atlantic Beach, FL 32233 H�fl
Office (904) 247-5826 Fax (904) 247-5845DEC 2 0 2017
Job Address: /9V 'A-.t.'11 --117/-e-- €-e.7.4,� 32 -23 Permit Number: r � -- -�l_
Legal Description %-/5/ ei-.Ls- .L'.&zet- Gte CG 19e1 Parcel# /r� /,.,? --.2d'
Floor Valuation of Work$ 6., ec3 Proposed Work he tnon
ed/cooled ' t
non-heated cooled
Class of Work(circle one): New Addition 1 Alteration Repair Move Demolition pool/spa window/door
-
Use of existing/proposed structure(s)(circle one) Commercial Residential
If an existing structure,is a tire sprinkler system installed? (Circle one): Yes-- N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: 0-242-/ C!
Ji/Gca s de)Dr.•
Property Owner Information:
Name: itei ciuZ,a (r'c h,: J 72(6Address: / 5/44,, . ,4"..._1< ,9Ate.-
Y
City :f/it/Lei-e- //62.e/t State"-/Zip .?2 233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
T eL,k L. L.t__Company Name: U Meica..n, a .y► ' Likeck t.)e., Qualifying Agent: -1 wl,. L' S(111
Address: lc7
=7P i a .gym✓ City 57- 14...)U��i-o ke...._ State "rt.— Zip 3-2.4A S
Office Phone qct 4-Lilo- 5-1.511 Job Site/Contact Number G ;'C.0 Fax#
State Certification/Registration# L - t)L.,S.
Architect Name&Phone# /7/4
Engineer's Name&Phone# /)/r,
Fee Simple Title Holder Name and Address //Ai
Bonding Company Name and Address r),Gt
Vlortgage Lender Name and Address r,,�t
1pplication 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
ssuance 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
:nd 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 after
vork is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers,Heaters,
ranks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULTIN 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.
hereb 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 this
pe 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 the
•ovistons of any other federal,state, or local law regulating construction or the performance of construction.
ignature of Owner ( `G Signature of Contractor ./- �
rint Name r. l &I-4Q--
,�<,S h, .7;zA57,A, Print Name �� I . y0
worn to and subsc •bed befo a me Sworn to and subscri.-d before me
its/I Da of -eeern e v ,20l'7 this/ Day of etc if1d ,/ 20 /
, 1 .' gib_
otary P •lic .°;,. ' . • . - •P - . - .0-111. ----;••••2-_
/ Commission w GG 54124 0 ' ;o�„ �., LINDA BISHO'
/a�a My Commission Expires '°` �F lic Commission M G8_54)24.
"4,?,'„:;,°,� December 1 1, 2020 + ', My Commissior> �C� •26.10
a
'-14.1.?,!!-SS December 1 1, 2020
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 ve-,1 Ce.ec- dlisi /44e, �zY'
b. Sliding q5//f p 1C2/Yar9Sf /2.075 •57Y50.) `/‘/ol.
c. Sectional/Roll Up
d. Other
WINDOWS 4,42. e.X: ufvy. sYGWsIRaF ea'lvyi v7du2i 4441- ,'"
a. Single/Double Hung /f/2''49hailka.S,eef&chz ,jPrcvs;i>/ :�i�.�. -S�ur�t3Do 5/to?, /Y
b. Horizontal Slider c,.4ii)bld ij41,L.X ,itffi`g, 16W 4-9 'l;,l Vii *. /
c. Casement
d. Fixed GttrzYi,%
'lIItfehilsem /jyr2.44iieuir ,�ii rjj�t.�af /Jl¢ic�fst3x c
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: Vitae- Ji i-i, Date: jiy/ 7
OFFICE COPY
Florida Product Approval Descriptions:
Simonton Windows
FL 7612.6
Reflections 5500, Prism Platinum, Generations, Sears 9300, Impressions 9800,
VantagePointe 6500, Grand Estates Premier/Select, Grandura Vinyl 3-Lite Sliding
Patio Door
FL 5167.15
Reflections 5500, Prism Platinum, Sears 9300, Generations, Impressions 9800,
6500 VantagePointe, Amcraft Grand Estates Premier/Premium Plus, Grandura,
perfeXion Platinum Vinyl Double Hung
FL 5179.1
Reflections 5500, Prism Platinum, Generations, Impressions 9800, Sears 9300,
Amcraft Grand Estates Premier, Amcraft Grand Estates Select, PerfeXion
Platinum, Grandura Vinyl 3-Lite Endvent Slider
FL 5177.1
Reflections 5500, Prism Platinum, Sears 9300, Impressions 9800, Generations,
Grand Estates Premier, Grand Estates Premium Plus, PerfeXion Platinum Grandura
Vinyl Fixed Window
ry� V
NOTICE OF COMMENCEMENT
State of 8..072
Tax Folio No. /U✓ .S— 4
County of bG/G'/
To Whom It May Concern:
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 being improved: go? -•/sl e9- _
Address of property being improved: /OW &-tV2
F��L.�tt�� 69‘Wr /-"G 322. 3----33;,2 7
General description of improvements: ply&'
c'J1�� 4/lJlJr'
Owner: , ieliafra° 1'/,i 274(.5 Address: /95l :4-M
Owner's interest in site of the improvement:
32233-
Fee Simple Titleholder(if other than owner): /2/k_. -6-9d
Name:
Contractor:
e- l- L-
Address: 'Z(c 7 S De I,/t G `f--e✓i/ • S
Telephone No.: 610 L - 93(0- 5( Si Fax No:
Surety(if any) /?A
Address:
Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: /)A
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: /3/6
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 ONLY OWNER
/7 -/L- Date: >Z kfif
Before mEthis / / day of it in e Cyunty of Db val, tate
Doc#2018001843,OR BK 18239 Page 2005, Of Florida,has personally appeared /�h� `ce /-u
Number Pages:1 Notary Public at Large,State of Florida,County of Duval.
Recorded 01/04/2018 08:17 AM, My commission expires:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
Personally Known:
COUNTY or
Produced Identification:
RECORDING $10.00 , w„
x;."• 'A LINDA BISHOP
' ,`+'*: Commission M GG 54124
�-� ,r,,`% s�. My Commission Expires
'yn M,`„``' December 11. 2020