544 OCEAN BLVD - WINDOWS CITY OF ATLANTIC BEACH
f ! 800 SEMINOLE ROAD
JATLANTIC BEACH,FL 32233
-�;3 v,,. INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0041
Description: 8 WINDOWS
Estimated Value: 3777
Issue Date: 2/15/2018
Expiration Date: 8/14/2018
PROPERTY ADDRESS:
Address: 544 OCEAN BLVD
RE Number: 170140 0000
PROPERTY OWNER:
Name: BISHOP JOHN BUTT
Address: 544 OCEAN BLVD
ATLANTIC BEACH, FL 32233-5340
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 ANI) 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.
zi.m;.t, City of Atlantic Beach APPLICATION NUMBER
Js A Building Department (To be assigned by the Building Department.)
: 800 Seminole Road400)
1 Q _ /=��/(
L)-7. �� Atlantic Beach, Florida 32233 5445 v J `"r
Phone(904)247 5826 Fax(904)247-5845
�011 �? E-mail: building-dept@coab.us Date routed: j_l___Z 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 54 4 (- 0 }iv &..‘i L' Department review required Ye No
/Building-1)
Applicant: r -R( (Q " u ( NtO Tanning &Zoning
r Tree Administrator
Project: Es_:!) 3,lop O ublic Works
ublic 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: pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments: /1/06,
BUILDI
PLANNING &ZONING /1'N
ONING �y
Reviewed by: Date: J�d/d
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
r= �'
g 10(0Building Permit Application
OFFICE COPY'•
iCty
of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
cut ur Phone: (904) 247-5826 Fax: (904)247-5845
Job Address: 5.k.4"14 ccea-- e` -S) Permit Number: _ B — w l I
Legal Description 5—to 1 (D OS-o7ce A-Bks. ,3 5 t 12.)\--ON ems(.3 RE# —10 1110-"
Valuation of Work(Replacement Cost)$3,111 .00 Heated/Cooled SF 1•I LA Non-Heated/Cooled Nt (4-
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Poo Window Poor
• Use of existing/proposed structure(s)(Circle one): Commercial (Residentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No 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:
`
cr�rr�f wi ty4a - s -fir- S;— -
Florida Product Approval# t'-1(CO -4 • 'r 1, 43'I y-eRS-S t H for multiple products use product approval form
Property Owner Information
c1
Name: hn IJf1UP Address: (`,
City ^}�a(\`4-1 C. F
State L Zip � 2 Phone e _ 3-1CA
E-Mail h!—'#
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) (.(----
Contractor Information AMERICAN WINDOW
Name of Company: PRODUCTS'INC. Qualifying Agent: �.\ur�-
Address �Pis AVE. City State Ziy
Office Phon( • ) 31 J__ SOS'FL 32207Job Site/Contact �um�be 1 I— (
State Certification/Registration# ' (�5 Go7 E-Mail&IEC�)4cn�r� L1.�i
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 9.6). C - G( (.o),{ S 131 - (Q III /8
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.
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 NOTICE OF COMMENCEMENT.
•
(Sig ature of Owner or Agent including Contractq(l (Signature of Contractor)
Signed and sworn to(or affirmed)before_ me this 5 'day of Signed and sworn to(or affirmed)be •re m this day of
, 201S,by \ \ U 1 C� -7er).3a-N.1 ,bb V , b a_ 1 .
( azure Q�ff r )'nature of Notary)
rR�np EVAN I�C�RKE ?tira�"°e�,c EVANGELIE CLARKE
Commleslon#00102835 Commission#04102835
07 Expires May 9, ,
2021 7 Expires May 9,2021
of flop Bonded Thru Budget Notary aervloes ��F o''
[personally Known OR [y'Nersonally Known OR offs Bonded Thru Bud petNolaryeavloss
( ]Produced Identification [ ]Produced Identification
Type of Identification: Type of Identification:
PERMIT
- - - COPY
,,cm OFFICE COPY
• :• -
(),
Nc'.›
zDV
1 1
PERMIT
COPY
NOTICE OP COMMENCEMENT
Permit No. Tax Folio No_ ``
State of FLORIDACOurrty Of Ot 1.-10‘q0'-0000
U® 1 � O V QO
To whom it may cortcsm:
The undersignedLi I e)
accordance n ers€s hereby informs you tat imp�era- will be made to certain real property,and in
Section 713 of the Florida Statutes,the fefiowing information is stated in this NOTICE OF
COMMENCEMENT. c— �+,
L s �n of property being improved: �]—( 1 t — S0/
sok- 3 . s a Lo-EoE
&S-
-.i ress of prosy being i roved: Qd • •
General descipdon of improvements: 0 cr -
SIZ� -C-or
Owner ,hn1 s�
Address S-`^i Li r1 P l vA . care J FC.. 3 33
Owner's int-rest in site of the improvement N/A
Fee Simple Titleholder(if otiter than owner)N/A
Name WA
Address
\)cot actor AMERICAN WINDOW PRODUCTS,INC.
Address 26633 POWERS AVENUE - JACKSONVILLE,FL 32207
Phone No.904-731-2247 Fax Na.904-731-3824
St rety(if any)N/A
Address
Amount of bond$
Phone No. Fax Na.
Name and address of any,person making a loan for =1st-motor!of the improvement.
Narrte N/A
Address
Phone No. Fax No.
Nene of person within the State of Florida.other than hinselt designated by owner upon whom notices or other
documents may be served:
Name WA
Address
Pho,ie No. Fax Na.
In addition to himself owner designates the following person b receive a copy of the Lienor's Notice as provided in
Section 713.08(2)(b).Florida Statutes.(Fill in at Owner's option).
Name N/A
Address
Phone No_ Far No.
Expirationd of Notice of Corn.. ncement(the expiration date is one(1)year from the date of recording unless a
dim date is ed):
THIS SPACE FOR RECORDER'S USE ONLY ,-�— OWE,
cek.e roe this- day of. ripelyc Mr—are
Doc#2018022837,OR BK 18266 Page 1596, hsmetgusItY �n ?FBi� 1 heroin try
Number Pages:1 aatrzaatdacaaa� t ,,�bRifilkIALWARDt
Recorded 01/30/201811:03 AM, 2�;• �° MY COMMISSION#00000431
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL f j�� -' -* ��ESsJetNot22020
RECORDINGO $10.00 dpUNTY
r., --I F• ` Bonded-Nu Budget-Nobry Services
�rI` .r
k state ai Casty of 7.1.10,`lgNRY
Personally Kwn
NOTICE OF commENcEmErr
9errnit FtState Noo.oRIDA Tax Folio No. I 0 ' )c 0 (0Q
County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT,
Legal description of property being improved: t 0 ' (<) 5 ,)q L
Address of property being improved: ( 'Y 3a,--1(of k) 1� 5� -
General description of improvem ts: ( 'VNe(� l Ce�
�`•
Owner 0 • \J^ I
Address 3 • ;()a-4-4--; A l - a
Owner's interest in site of the improvement NSA r r
Fee Simple Titleholder(if other than owner)NIA
Name N/A
Address
Contractor AMERICAN WINDOW PRODUCTS,INC.
Address 2633 POWERS AVENUE - JACKSONVILLE, FL 32207
Phone No.904 731-2247 Fax No. 904-731-8824
Surety(if any) N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/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 NIA
Address
Phone 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 Statutes.(Fill in at Owner's option).
Name N/A
Address
Phone 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 j i;3WNER
Slgrmd. �� = DATE fI
Before me this •/Y/tday of j A\ t/ In the
Doc#2018022836, O R B K 18266 Page 1595, County of Duval.S e of Florida has psrsona`71y appeared
lir r� L (` P=ra herein by
Number Pages: 1 hansele herself anti affirms that all sta rr*nts and dec it ,here/
Recorded 01/30/2018 11:03 AM, and accurate <' LARRY J.ION#FF 902227
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL F`t-- * MY COMMISSIONtFF902227
COUNTY =,n19'+' EXPIRES:September 6,2019
RECORDING $10-00 �j ` , ((;t irec4`OP Bonded ThruBurlgelNorryServices
Notary clic et Slate Courtly of
my commission -
Persondly ttncvm : r. C':(11 r'n L1.(i,.V u var..)
Produced Identtficstton }sof