420 E Snapping Turtle Ct - Windows and Doors Permit 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: RES18-0132
Description: replace doors &windows
Estimated Value: 64000
Issue Date: 4/9/2018
Expiration Date: 10/6/2018
PROPERTY ADDRESS:
Address: 420 E SNAPPING TURTLE CT
RE Number: 1694631050
PROPERTYOWNER:
Name: HARAMBOURE DIANA ET AL
Address: 420 SNAPPING TURTLE CT E
ATLANTIC BEACH, FL 32233-6616
GENERAL CONTRAC!"OR INFORMATION:
Name:
Address:
Phone:
Name: DEAN RUSSELL CUSTOM HOMES
Address: 438 OSCEOLA AVE QA DEAN W RUSSELL
JACKSONVILLE BEACH, FL 32250
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$7,500.
xsgillh� CC 7 Building Permit Application Updated 12/8 7
FAI�M� OFFICE City of Atlantic Beach APR 4 Ad
7-7 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: TM/4 le Permit Number: -s
Legal Description.Lrll )-yq,g'y -'7_9 k,- go&,o r,I L,it C/ RE#
Valuation of Work(Replacement Cost)$ 6211"aod Heated/Cooled SIF Non-Heated/Cooled
M
• Class of Work(Circle one): New Addition Alteration ',,�Rpa�ir,, o 001 "Window/Door)
• Use of existing/proposed structure(s)(Circle one): CommercialQ R e s=id e In tti,�5
_!e i
• 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: ffe 01,fek r,7- - ke 4 d Ig
W e J!57)4,7
Y_ 'r,v� ffe-d e 5,�5 &D i4_11 A/d os J,,v 7 w e 7- rl -s f 0' r /A 15 A I k
Florida Product Approval# 1*15 243.1 #W/41 W.66�e F1 Y7.$1d.for multiple products use product approval form
Property Owner Information Couir+ E4:5i—
Name: DicLv�-- Address: Lizo 5VNCtR121n
city 4+lot ni-f L_ 1.6 CL C_ State�L_ Zip Ph6n� 9&a
E-Mail 0,f�P�—,3m baurc ai- belt�5,,&IK_ Nef
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required)
Contractor Information
QAOM Qualifying A&ent: rj)LV_y'\ "R
Name of Compan
Address r,)5C_e_DVA1 A\JC— City JC� 6C4 State 7r7— Zip _39LQ50
Office Phone 'Ll I - -1)TYf Job Site/Contact Number q0 y -7 f
State Certification/Registration#6 9 L 1253400- E-Mail 2 ,
Act (,,4
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 6�_Mle_A_V\ 7-uy-�e_, ------ _.X
Exempt/Insurer/taseEmployee /Expiration Date
'mp'o )
Application is hereby made to obtain a permit to do the work and &tall-aro-n—s ass 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
TOOBTAIN�I NCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE
RECORQKJG R NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
12r-TIT, I -4h
is ay of
Signed and sworn to(or affirmed)before me th<X) dayof Signed and sworn to(or affirmed)before m th';13P�p
-Dk &ACy1j, by
ZO Lb by r%ck.- V4a_m-.,, bowe_
AA
(Signature of Notary) (Sig�ature of Nlotary)
Personally Known OR A.MIUMN A�.MUIGN
Personally Known OR I
My CO M SSIMON#FF 111(
EXPIRES ay 3 201C
MY COMMISSION FF 111009 F MY COMMISSION#FF 11 100,q
Produced Identificatio Produced Identification EXPIRES:May 3,2018
B.'. ,
EXPIRES:May 3,2018 d ThM
Bonded Thi u Notary Pub ic Underwrilers Type of Identification:
Type of Identification: ters
V .0-
Pe f-M 14 -4- R 6-S -0 / 's 2-
NOTICE OF COMMENCEMENT OFFICE COPY
State of Tax Folio No.
County of 'Duva-�
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 inforination is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 4o-rll 7- -7 1/- 3-7 2-5 ZI C 0 Wit
Ike
6"4A J=L/ A)t f
�1-
OV U V-t- Z_46(�L-) I
Address of property bD7ei' im!;�pmd: S 4" 6 &C --3 2,7,,-3-3
General description o p em ts:
:d owe
epeA)l iv I w �jk Wel R456 itJ 0 "Pt-n 5.0 to
F
y
Owner: X Address: -5'one f s, 4 b,4 ve
Owner's interest in site of the improvement: �re 1 -0-
,j
Fee Simple Titleholder(if other than owner):
Name:
Contractor: 'Deo,'-N
Address: Lj q 0:5 C4!!D�L_
Telephone No.: -�L4 I- Fax No: 'R 4 1— —2-02.8
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: D/etA Hjq r nv,\bo u(iQ iL
Address: '44 1 Q 6N sp�) 6ojf-+ Eitj
Telephone No: 9P 7�9' , ?'(0 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: � I
Address: A�
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
Signed: "7
?,A901 Date: D
-efore OfMis �� day of in the County of Duval,State
Doc#2018077525,OR BK 18337 Page 1412, f Florida,has personally appeared a- Wa I-&in-
Number Pages: I otary Public at Large,State of Florida,County of Duval.
Recorded 04/04/2018 12:09 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ly commission expires:
COUNTY �rsonally Known: r
ES:May 3,2018
Bonded Thru Notary PuNic Underw6fers
RECORDING $10.00 roduped Identification: X MILIMN
*s MY L;(. MlbOON#1-�I I IM
LA-- EXPIR
fT. City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
r C—S I � —0
t antic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed: �4
Jill E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4) 0 C (Li,,_kUC_1Jqtl1��rtment review required Y No
Building-7:)
Applicant: �)ktt A L,S�)MJ —P-15—nning &zoning
Tree Administrator
Project: k &0 b 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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
11�
Reviewing Department First Review: [OApproved. ODenied. E]Not applicable
(Circle one.) Comments:
��4
PLANNING & ZONING Reviewed by:
Date: 11 d
41
TREE ADMIN. Second Review: []Approved as revised. F]DeniecV ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. [—]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017