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2239 Barefoot Trace-replace 3 doors (--- 1, CITY OF ATLANTIC BEACH ;-' " ; ' 800 SEMINOLE ROAD ) .'"N ATLANTIC BEACH, FL 32233 ' !�,�i INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0067 Description: replace 3 doors size for size Estimated Value: 10900 Issue Date: 2/27/2018 Expiration Date: 8/26/2018 PROPERTY ADDRESS: Address: 2239 BAREFOOT TRACE RE Number: 169463 0636 PROPERTY OWNER: Name: HANSON JAMES R Address: 2239 BAREFOOT TRCE ATLANTIC BEACH, FL 32233-4565 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PELLA WINDOW AND DOOR Address: 7818 PHILIPS HWY QA JAMES SAMUEL ROWLAND 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. 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. * 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. ?S ,�irj, City of Atlantic Beach APPLICATION NUMBER rS,I i4 Building Department (To be assigned by the Building Department.) J 800 Seminole Road �! j J �� w . " -�� Atlantic Beach, Florida 32233-5445 r J ( 1 ) \ Phone(904)247-5826 • Fax(904) 247-5845 // o,tl., E-mail: building-dept@coab.us Date routed: ,�—7,� — !53 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: --9 1 (-. ` .(C t Department review required YterNo Building Applicant: )t�ACt.,\\A nC.oc,vs Planning Zoning . Tree Administrator Project: 7.7, , a - c Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature I Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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-oke:), Comments: .BU1LD1N_ '.-� PLANNING &ZONING Reviewed by: Date: 2'/S a01 a TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. . El 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 v/ = ( BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH Cats Tim for Pick Up 727437.8400 F EB 1 5 2018 800 Seminole Road, Atlantic Beach, FL 32233 OFFICE C O P Office (904) 247-5826 Fax (904)247-5845 i Job Address: a a 39' 1 `Ttdce- Permit Number: R65 !D `00(t9 I Legal Description t d (3 n6-`ds--"°79(1 Parcel# it 9'f 3-a6 3-6 8. Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ /0 9 4'0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move lition pool's.: window/door Use of existing/proposed structure(s)(circle one):• Commercial If an existing structure,is a fire rinkler syste �pstalled? (Circle one): Yes No `1 Florida Product Approval# l I6•I y / /o'666,3 For multiple products use product approval form Describe in detail the type of work to be performed: (2ePlace 3 S $ tlt,4,0, S l� Property Owner Information: Name: o.n.4f SSD^ Address: ' gosre-4 d1 Tro.ce- City cr -v Q6-c'. Stategl Zip 32 33 Phone qo'r Y7-2-76.1 E-Mail or Fax#(Optional) Contractor Information: Company Name: et Uo, Qualifying Agent:-3-0".es )2014L"' . Address: 3 5b )R 43 K we,r City State P1 Zip ,V7-1Zb Office Phone 761,4 37-k'C4' Job Site/Contact Number Fax# State Certification/Registration# C-g C b Y6 71.Z 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 the 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 null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Healers, 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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this 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 the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signatme-of-Awner Signature of Contractor Print Name ff 1 Print Name .50.4,4. 1•," 2 Sworntj and subs ribed before me Swornj9 and subscribed before me this r-71.Day of C- ,20 (7 this Day of FCS ,20 Notary Public Notary Public Revised 01.26.10 ot,; y •, TIMOTHY R.O'MALLEY •• ,.. • S. MY COMMISSION#GG 117135 s;RYo� .. EXPIRES:August 7,2021 ,°i• °; TIMOTHY R.O'MALLEY !� MY COMMISSION#GG 117135 • ;''•• Bonded Thru Notary Public Underwriters ia: na 7�`: % EXPIRES:August 7,2021 3,;,`.°'• Bonded Thru Notary Public Underwriters — —., . K Doc # 2018029984 , OR BK 18276 Page 910, Number Pages: 1 , Recorded 02/07/2018 10: 58 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 Permit Number i2 s/r7 -006 9 OFFICE COPY Parcel ID Number /6 g t.(Q3-O(Q34) NOTICE OF COMMENCEMENT • State of Florida County ofT\1 V c1/4•N The undersigned hereby gives notice that the improvement(s)will be made to certain reel property,and'n accordance with Chapter 713,Forida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legalescri tion of the property,and street address:f available) Address 3 I fac t\e40�--Cre-Q- Legal Description \L}- - ,50•k:;1S-•a19e U I S•.)cl Ds\1KO-a Lc - 7 2. General description of improvement(s) 3. Owner Information Name`5s YY\ h J0 Phone&Fax Number Address a C:1 jip C O C CSL. \tnv1}A C Gh 1= 3a !merest is Property ltal V�s� 4. Fee Simple Title Holder(if other than owner shown above) Name ,t� Phone&Fax Number Address 5. Contractor • Pella Windows&Doors • Name Phone&Fax Number Address 350W State Road 434 6. Surety(if any) Longwood.FL 32750 . Name" Longwood. &Fax Number AddressWA • 7. Lender(if any) Name" Phone&Fax Number Address" 8. Persons with the State of Florida designated by Owner upon who notices or other documents may be served as provided by 713.13(1)',a)7,Florida Statutes. Name i Phone&Fax Number Address 9. In addition to himself or herself,Owner designates the following to receive a copy of the Licnor's Notice as provided in 713.13(1)(b),Florida Statutes. Name Phone&Fax Number • Address 10.Expiration date of Notice of Commencement(the expiration date is ore year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER 7HE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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,CONSU YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEN .. NT. Signature of en or Owners Authorized OH•ur/J'rectcr/Pdr:ierMa 1- �gcr Pt Na^Y , ` Sworn.to(or affirmed)and subscn'bed before me:his /J day of 20 17 .."-S-‘Yr t4 GL".ag "\ k-x-SAAA— (type of authority,e.g.officer,trustee,attorney in fact)for ..SO a-- (name of party on behalf of whom instrument was executed. persn. 1. own to me or K producedas identification. ( /V e CHRISTINE R.°WALLEY MY COMMISSION i#GG 163512 s:anatoryo(Noary (Seal) •w `:�.: EXPIRES:Jan Name lariat) • •POE M•• 9onded ihN nary 29,2022 Notary nw Public Undeilers -AND- Verifimtior pursuant to Section 92.525,Florida Statutes. Under penalties of pe jury,I declare that I have read the foregoing and that the facts stated are true to the best of my knowledge and belief. Sgnatory of Nat al SSnin¢;in line NW Ahmre OFFICE COPY ., PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: i5p'�‘'.12- '-\`5-`4\SQ-'-`\ Permit # Q&si oo 6 Project Address: a-.)-3c1\ �o�ce-rc� '' �rC-� 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.or.. Category/Subcategory Manufacturer Product Description , Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging ()O\c3v �rc�n�ec� /v/e9- 6 -/� 2. Sliding �\`� �r" /�(s Od. 3. Sectional 4. Roll up 5.Automatic _ 6.Other • B.WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4. Double hung 5.Fixed 6. Awning 7. Pass-through 8.Projected 9.Mullion 10.Wind breaker 11. Dual action OFFICE COI Y 2. Other Category/Subcategory Manufacturer Product Description 'Limitation of Use State # Local# j H.NEW EXTERIOR ENVELOPE PRODUCTS 1. 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. (Contractor Name) (Print Name) (Signature) Company Name: �.`�� �`�� "`� 7k cV�� Mailing Address: 3S w `S'r^t. 't 3 `{ City: State: F Zip Code: 317 J Telephone Number: ti d ) S 7' Y� Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: OFFICE COPY rail (--5-7),j 1 16 1...8.1-1-7=-1 1� 14 rct-1.12...E 14 r j14 141'11.4^ ET LI6 BAS ' ..) )71144-11 1 136.8.i J �� 15 � 1F 10 F� TElil FGR L1 11 L_2.