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1499 LINKSIDE DR - WINDOWS
rj vLY rie , :).' '' „ CITY OF ATLANTIC BEACH 0 N, e 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 '''Jil >'? INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0099 Description: WINDOWS Estimated Value: 10700 Issue Date: 3/22/2018 Expiration Date: 9/18/2018 PROPERTY ADDRESS: Address: 1499 LINKSIDE DR RE Number: 172374 6035 PROPERTY OWNER: Name: DUGGINS CHARLES F JR Address: 1499 LINKSIDE DR ATLANTIC BEACH, FL 32233-4394 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: FLORIDA GEORGIA WINDOWS AND DOORS, INC. Address: 11433 SAINTS RD QA KENNETH MICHAEL BRANHOLM JACKSONVILLE, FL 32246 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. CANNED �G / o Date: 3 i'Ali- City of Atlantic Beach APPLICATION NUMBER JS .i Building Department (To be assigned by the Building Department.) r -:.,:` 800 Seminole Road R-0 Atlantic Beach, Florida 32233-5445 `-� ( E ~vc:- Phone (904)247-5826 - Fax(904)247-5845 (� k art E-mail: building-dept@coab.us Date routed: 3/IS/2O/ b City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: )4 A9 L(/ kE t d e �j- ent review required Yesi o Building( Applicant: ,_ � C(.., Go.... (A) f.'VC�IOtJ Op(` Planning &Zoning tic Tree Administrator Project: V� ( 10 DQC,v- 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 t 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: BUIL-DIN PLANNING &ZONING Reviewed by: Date: Y/20/?O/6 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 • P4' y OFFICE COpuilding Permit Application Updated 12/8/17 • y City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 eJ / 0 Phone:(904)247-5826 Fax:(904)247-5845 l - (J �� Job Address: ( nig r'1 Si cf'P . r VQ, 377 Permit Number: Legal Description H'1--$ G. l'-25-29E d r& tines ide (,r`n,-i'Z RE# I'7a3-)4-- (Q D3 Valuation of Work(Replacement Cost)$ I O,1 On Heated/Cooled SF 1�+ 1?-7 Heated/Cooled Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool W. sow is..r • Use of existing/proposed structure(s)(Circle one): Commercial • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: �n -Il ngZ ; 11 t-)91 Lk) rkdoGOs Florida Product Approval# for multiple products use product approval form Property Owner Information L Name: ebor Ip S Di.jc1 i n S Address: (y 9 q -. n KSi de -pr City 194Ictn4j C hState rt._ Zip 2233 Phone Ro3 -Z3'7-'1'i ! E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information cc Name of Company: 4 ori dQ C—yQo f j (aird0 LATS alifying Agent: 1�r� rhCD I h, Address )12 O90S♦.TphnSTwQuS?KyS&) City k osnpi))eState Zip ,37Z�/ Office Phone 4-6,4 •'70 o Job Site/Contact Number State Certification/Registration#(`,QC04 10 41 ID E-Mail P/9&ion-1- f no) , Cjo' Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Cud-t ©uD nQCS 's/ii Zo 19 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 RECORj IN t UR NOTIC OF COMMENCEMENT. Ni\ (Si ture of Own r or Agent) (Signature of Contractor) (including contractor) MVO Signed and sworn to(or affirmed)before nim�this Co day of Signed and sworn to(or affirme before me this y qday of delQno_A , by • [ si)LtiSir- Y2 Q_) , z53/ ; by r hon-, 1014, SikloiRY Florida igrWegifti 611414054tIrf Fbtida RENEE L BRANHOLM• RENEE L BRA M My C rmTIMMbfl 00 097782 Ex COsKnle 8/2n 21 097782 [ I Personally Known OR o►**' Ex{>Mss06/2812021 �Personally Known OR �jp� Expires 0928/2021 '('.Produced Identificati. [ ]Produced Identificatio Type of Identification: I ]>u Type of Identification: Per1',7/ i2b-s1 t 9'9' OFFICE COPY NOTICE OF COMMENCEMENT State of Qo r, i del_ Tax Folio No. 19a:314- 03 County of ')') irk 0 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: Li 7-S S' 1'7 -2s-29E / v'ci v'nkS? Ulru�a Address of property being improved: I'-I q 1 i n s i �.e., Th-- lq )c1n4l 0. 92.ej-) E L— -.3 .3 General description of improvements: 4--)t.f'r 1 i .. 0 ' _ - t C__- isms.. NA LAD ( rl( 0 t.v S _. Owner: 0.I'-1 etale.S I LL� j,-- Address: . Cory-e. (kS Ct,1-)4=:I'VY Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Con actor: f'b r i d ( is r Si cL 1 d oe7� S Address: 112 q O f kr� , find . K S+& 1 .,_COX t 7 2 5 G� Telephone No.: cO t-1-LLI 1- -70)0 Fax No:9O Li- CA I Z -q ) `f, Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: 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: 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 0 Si I6tDate: 3`(P 1 0 Doc#2018060054,OR BK 18314 Page 1469, j Before me this 0341. day o' aa _ in the County of Duval,State Number Pages:1 Of Florida,has personally appeared C h aa i_S D I ka r rZs Recorded US ELL L11 R8 AM, Notary Public at Large,State of Florida,Co "• ,f Duval. RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY My commission expires: - 41,0,.- - -, _` ._-'_ . 1 _ ' RECORDING $10.00 Personally Known: • , Produced Identification: ' - _ - , T' "" • My commis V (30 sion 097782 '? Explries 05128/2021 -w . w y.,P OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDAa Project Name: C.4-•10...2 le S mug")i,-,c, Permit # RF S�p -00 9 9' Project Address: lit 99 L,'r-'kS iCie TDr QK 4 c%C'ktC L 3 2233 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.floridabuildin Category/Subcategory Manufacturer Product Description I 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 PCT' S}1 S sLap - cL 2 343,'j.., 2.Horizontal slider 3.Casement 4.Double hung 5.Fixed ,PGT' T+ nrJ-P W SSZO rL 243 9 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action • OFFICE COPY 2.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# 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) We.n }' r - -- ,1 Company Name: or id 0- Ge.,rsr'o` L )jr,doLo -fp Mailing Address: 11 79'Q ,��x'11—' r�• k e City: OLC."1•5O n( i 11-e— State: a__ Zip Code: 3 Z Z y 4 Telephone Number: )1_,N I—'7 0 1 © Fax Number:(104 )(014 2-91 S to Cell Phone Number:( 0t1) SeaEo E-mail Address: -P( C101.L'p'"Y�