1759 Ocean Grove Dr-window/door 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: RES18-0052
Description: 2 WINDOWS &2 DOORS
Estimated Value: 12833
Issue Date: 2/15/2018
Expiration Date: 8/14/2018
PROPERTY ADDRESS:
Address: 1759 OCEAN GROVE DR
RE Number: 169604 1500
PROPERTY OWNER:
Name: HALLBARBARA
Address: 1759 OCEAN GROVE DR
JACKSONVILLE, FL 32233-5844
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: THE HOME DEPOT
Address: 9208 Florida Palm Drive Raquel Swanner, Boysie Ramclial
TAMPA, FL 33619
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 MUST13E RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WIT14 YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirernents 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
C
Atlantic Beach, Florida 32233-5445 R
Phone(904)247-5826 - Fax(904) 247-5845
LDate route&
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1�75c) 02�&AA) C--,,QDVG DepzrtnWnt review required Yes No
(. Building�___�
Applicant: Plan�ning &Zoning
I ree Administrator
C)(pnj?:�,,Public Works
Project: z \�N)I (\Dc� 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: E96"p-r-oved. ElDenied. [:]Not applicable
(Circle one.) Comments:
IAE�IN�G
PLANNING & ZONING Reviewed by: Date: 2--6 %)-OIL
TREE ADMIN. Second Review: DApproved as revised. F]Denied. 6) F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
BUILDING PERN11T APPLICATION Call 71m for Pick Lip 727-W7-840C)
OFFICE COPY CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: ocakkyl Q)wap-lt:ic- Permit Number:
I
Legal Description A'd'A'(5Ct'X & .1 Parcel# I(L9 (4-0 4
Floor Area ot Sq.Ft. Sq.Ft
Valuation of Work S jafr-63 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition C"iii0i)Repair Move Demolition pool/spa
Use of existing/proposed structure(s) circle one): Commercial
If an existing structure,is a fire spriWer system installed?(Circle one)Z=�esNo
Florida Product Approval#
For multiple products use product app-ro-viarTo-rm
Describe in detail the type of ivork to be performed: Q-J�,�OAL
Wz I
Pronerty Owner Information:
Name;i��C�,�-,\N",\� Address-
City Sis� State!�Zip 5j;��,e '03 - X-3-44 S-7 ct k
E-Mail Zr Fax#(Optional)
Contractor Information;
Company Name:The Home DeWt ng Home Services Qualifying Agent:
Address: 9208 Florida Palm Dr tN City Tampa- Fl, Zip 33619
Office P 943.626-�54 -lx1,Gs7-y`l 171ob Site/Contact Number Jax#
State Certification/Registration Q�A 04
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
qdg b rig rdnsalmro11,1 a,ydwa or installation has-contmencedirrior to tire
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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 YOUk NOTICE OF
COMMENCEMENT.
I hereby certify that I haiv read arrid examined this application mid know thesaine lobe true and correct. Allprovisions oftai#,swpdordh;twice.vgoiet7iing this
�vlre of work it-ill be complied with whether specift'41 herein or not. 77te granting of a perniii dires nor prestane to give authority to violate or cancel the
provisions qfm�v other state, r local low relgidatin I ctimi or the perfortnance of construction.
,rf a/4,1,te, local law
fi
Signature of Signature of Contractor.6�v&�
Print Name ALA
x
Print Name
. ..........I.................................... ...................................
Swom to and subscribed before Swo t d sub i
this 9NJI NICKS �Zo M y 0'scrib�q�f
jk Day of-AjdWffft NOTARY PUBLIC _Da
W--QTAT=QC ORIDA
'b& 2LNU Comm#FF177687
*4W Expires 11/18/2018 Revised 0 1.26.10
CHWTINE R V
MY COMMISSION#=GG �&3512
Z EXPRES:January 29,2022
Bonded Thru Notary
Doc # 2018016077 , OR BK 18258 Paqe 209, Number Paqes: 1 ,
Recorded 01/22/2018 01 : 12 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
THIS INSTRUMENT PREPARED BY:
Name: The Home Depot
Address: 92os plorida pol,Dr
Tampa,FT.136ici
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number:lk2-6 C) 5t
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY:(Legal description of the property and street address if available)
;kis-A.Ks- 09-,)J-3-tl 65 ./03 XexA�,Groyx- �,,_e-aA-9
1-7 5-� Oc e-r,vL v-q--1Z>
2. GENERAL D�ESCFIPTJON OF IMPROVEMENT:
_'L_ o(SO&J-
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and addres$1--1,i�1\-Lc--- �74L -3-1-.JX-33
Interest in property- 6 OJ
Fee Simple Title Holder(if other than owner listed above)Narne:---'k�-
Address: k
4. CONTRACTOR:Name:The Home Depot Phone Number. 813-626-7548
Acciress. 9208 Florida Palm Or TampaFL33619
5. SURETY(If applicable,a copy of vie payment bond Is attached):Name:
Address: Arriount of Bond:
6. LENDER:Name- Phone Number
Address:
7, Persons within the State of Florida Designated by Owner upon whorn notice or other documents may be served as provided by Section
713.13(l)(a)7.,Florida Sidlutes.
Name: Phone Number
Address:
8. In addition,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.113(l)(b),Florida Statutm.Phone number.
9. Expiration Date of Notce ofCommencement(The expiration is I year from date of recording unlers a different date is specified)
WARNING TO (ACN6R.,ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCUIENT 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,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
I&X" -r 140-ek qk,.q
(Signatu,e of Ownir or Lassce�oi#0�%rls w Ils (NM N— -4 d.S#gnatory.7119'Office)
ALIhorized Offxeriuirector?artnerAl bnage,)
State of- 0ev)6'4)=� Countyof Jpuyaj
The foregoing Instrum nt was acknowledged before me this day of jcol 20/5
by '7 9/0j T' Who is personally known to me OR
Name of per&:��'g steement
r� "
who has n-riuced identification Vil yp.of identification produced: aLL
-ABENJI NICKS
NOTARY PUBLIC
STAT E OF r-LOR!OA 62�z
Comrf-dPFFM687 0 Notary Sigmture
�14772,'Vi�%Xpires 11/18=18
-7'tzl
CITY OF ATLANTIC BEACH 16 (a
SEE PERMITS FOR ADDITIONAL
OFFICE COPY 1/6-1
REQUIREMENTS AND CONDITiONS
6
PRODUCT CTTV OF ATLANTIC BEACH FLORIDA
Project Name:__��'\�
Permit # R&-S1e - 0o5 ;'
Project Address: 1-7
As required by Florida Statute 553-842 and Florida Administrative Code Rule 913-72,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 maybe obtained at: www.floridabuilding... J'o
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1. Swinging
2. Sliding
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 42t, C*
10.Wind breaker
11.Dual action
2. Other IP
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
EN V ELOPE PRODUCTS
I I. I I I
2. 1 1 1 -1
In addition to completing the above list of manufacturers, product description and State approval nw-nber 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.
— Z>�\� -& 42a,ZaL
(Contractor Name) (Print Name) (Signature)
Company Name: —V\N— OFFICE COPY
Mailing Address:ccc�� Y V,\—Ib\r
Citv:_� State: 15:L—
Zip Code: Ck V C�
Telephone Number: (_7 "' 2 7— Y',J S —Fax Number:
Cell Phone Number: ( E-mail Address:
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