66 W 9TH ST - WINDOWS AND DOORS ,c w ,�_ _.s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
14 ,e
ATLANTIC BEACH, FL 32233
l'2 r n >.' INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0328
Description: Install (7)windows and (1) sliding door
Estimated Value: 6290
Issue Date: 1/11/2018
Expiration Date: 7/10/2018
PROPERTY ADDRESS:
Address: 66 W 9TH ST
RE Number: 170813 9000
PROPERTY OWNER:
Name: BUTTERWORTH MATTHEW J
Address: 66 9TH ST W
ATLANTIC BEACH, FL 32233-3465
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LASTING EXTERIORS, INC.
Address: 3365 ST AUGUSTINE RD 3365 ST. AUGUSTINE ROAD
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.
S1.:Ly'ri, City of Atlantic Beach APPLICATION NUMBER
Js , Building Department (To be assigned by the Building Department.)
800 Seminole Road
- ,4
r Atlantic Beach, Florida 32233-5445
�
Phone(904)247-5826 - Fax(904)247-5845
J !� 2,3 E-mail: building-dept@coab.us Date routed: tI °J IG
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( i W ,(It Department review required Yes o
4111/116
Applicant: SAi f}� ; �nL. &Zoning
Tree Administrator
Project: s*kk CO Lo\n CI)SI i d i�c, Public Works
Public Utilities
glaSS thbor Public Safety
Fire Services
Review fee $_ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ['Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING
Reviewed by: j�Yt 9------
Date:_I—Y-204—
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Ili" BuildingPermit Application FICE COPS ed 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
l /// p Phone:(904)247-5826 Fax:(904)247-5845 n
Job Address: Q‘ G(/ / S, Permit Number: R�511— v '3 a�
Legal Description /1/-3V /7) -29i '9/ J/t. Sex set ii /D/ 1t1A", "RE# /7C/$'/J - 9'it
Valuation of Work(Replacement Cost)$ 1,9 Heated/Cooled SF .?.3-,2 Non-Heated/Cooled /I4/
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool `Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial (�esidential)
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes ® 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:
/f fol/e zrXisf„Jy, ///s%//�eu� (7) !,i-',/vo%Gels� (I)fili,Jy vert
Florida Product Approval# r'[.. 7�/Z - y ) S/ 6 7. / for multiple products use product approval form
Property Owner Information
Name: I311 hie rW e rd,—/1, v/M el()/iP&Ality Address: f i 1.4/.7__ .
City ,427/811/7C ge'dCA State AZ Zip LZ.233 Phone Oy���— //
E-Mail , i. 6ufie ylve,'it�(rine e07..jT/UEf
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information 1 '�
Name of Company: .2.77i///1,1.2.77i///1,1ACX7eY/O1 YS Qualifying Agent: £�jIJ,(J/e (/. M//Jr)/DA'
Address/.Z4/33 All ft/-S// ,ed' City (7:7-,Y, State 1I Zip,3.22cr
Office Phone V y- ?D6 - 7.5-575- Job Site/Contact Number 9.04"-3o6 -4J3X
State Certification/Registration# 66/5.1_56_ ' E-Mail ,eo.✓ 'ie3/2230a/Yley'//. L•O/')9
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation -,re/11ff
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. NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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 N eTICE OF COMMENCEMENT.
00. 5'/WY
(Signature of Owner or Agent) (Signature of tractor)
(including contractor) r
Si ed and sworn to(or affirmed)befo - me this/,, iay of Sign and sworn to(or affirmed before me thi ,.• a.y of
/14K-0 / /` 1Ye1by -�//i - ,Jor�
Admieraw
:�•4'�`• DAVID LE• A ��� ■%'�/ i 1%/.. , .��I�I�:.L; —_ i
��Qn ture of Notary) : '.4 '• na ure��� 2021 /
MY
COMMISSION#GGO6sa963 N1 COMMISSION#GG069963
lof
°r, 'rsonallyPKRo`SFebruary 06,2021 [ ersonally Known I R Ot.'' , PI S February 06,
[ j Produce. .- [ )Produced Identifica a _
Type of Identification: �� Type of Identification:
Doc#2018001000, OR BK 18238 Page 893,
Number Pages: 1
Recorded 01/02/2018 03.31 PM
RONNIE FUSSELL CLERK CIR
COUNTY I
Ar tree ,I_ #- f2e S /-2 - 030' �' RECORDING $10.00 dMICCEACOPY
NOTICE OF COMIVIENCEIVIENT
State oft-�0�, ��
- -----__ County of 40
To Whom It May Concern: - T Folio No.�,:�j3_C�eD�
The undersigned hereby informs you that improvements will be made to certain real
the Florida Statutes,the following information is stated in thus NOTICE OF COMMENCEMENT,
Legal Description of roe property,and in accordance with Section 713 of
P P rty being improved; -�T/�/ / �i
f , o / L `r o � ��
� �f/�� e -1 Seg
Address of property being improved: s
e, _
General description of improvements: eAed /-
S X00 w .rJo�o �
Address: rJ �f _
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):•
- --!---
Name: ------
Co tractor.
� ®rte ,
Address: -�_
Telephone No.: °/G ��
e). -Suretyi'-5-
Fax No: y
(ifany)
Address:
Telephone No: Amount of Bond$ _
Name and address of an Fax lVo:
yperson malting a Ioan for the construction of the improvements
Name:
Address:
_
Phone No:
Fax No:
Name of person within the State of Floridly, other than himself,designated by owner u o -___
served: Name: p n whom notices or other documents may be
Address: ��—_—�`--'-.
. Telephone No:
In addition to himself, owner designates•the followin Fax No: ______,
713.06(2)(6),Florida Statues. g person to receive a copy of the Lienor's Notice as provided in Section
Name: (Fill in at Owner's option)
•
Address:
•
Telephone No: _
Expiration date of Notice of Commencement(thee Fax No:
I specified):
expiration date is one 1
I
(1)year from the date of recording unless a different date is
THIS SPACE FOR RECORDER'S USE ONLY OWNER i I
signed: /A%�� ArA
•247
Before: this �' "i' '� Date:
:^: Before ma,has personallyday o ."; n� o
DAVID LEON KINNEYappeared' 1 ` n the gun of Duval,State
�" ,•,�'�= Personal! Known:
•'= MY COMMISSION#GG069963 •i� ' r. '�
�"4''aRes: EXPIRES February_Q6,2021 or:r• - ca to ��� or
.e
My commission expires: