1763 E Park Terr - Permit RES18-0144 J11-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
TN.SPEC,T. ION_PHONE LINE-2-47-581-4
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMA77ON:
PERMIT NO: RES18-0144
Description: SIDING
Estimated Value: 19000
Issue Date: 4/30/2018
Expiration Date: 10/27/2018
PROPERTY ADDRESS:
Address: 1763 E PARK TER
RE Number: 1720200412
PROPERTY OWNER:
Name: WILLIAMS DANIEL
Address: 1763 PARK TERRACE EAST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LASTING EXTERIORS, INC.
Address: 3365 ST AUGUSTINE RD 3365 ST. AUGUSTINE ROAD
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see aftached 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 governtnental 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 -J6,66'assigned by t, e,Buildi,n' g'
.800 Seminole Road
;T;
Atlantic Beach, Florida 32233-5445
E-
Dat6routed:
Phone(904)247-5826 - Fax(904)247-5845
...... mail: building-dept@coab.us
City web-site: hftp://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 _16eFS E, - PRR_KTE��_ Dp�jq�ent review required Yes 'No
_�Apirdffn— , —7
Applicant: Q2"'5 r K T_&JZ1 0 g,,C '1��&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
,Review fee
D6pt Si-cinature
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: Eg/Approved. E]Denied. [—]Not applicable
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: z�')r— Date: ",-/-C)ev-
OE I
TREE ADMIN. Second Review: F V
]Approved as revised. F1 Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ODenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
®r'FFICE COPY
Building Permit Application Updated 12/81v
atyof Atlantic Beach
800 SenlinDle Road,Atlantic Beach,FIL 32233
Phone*(9D4)247-5826 Fax:(904)247-SM
Job Address... Z M� 4�- -k
Permit Number. 0
Legal Description
r.4*11�ffJol RE#
_ZZZVl
Valuation of Work(Replacement Cost) H a a ted/Cool ad S F J121. N on-H eated/Coa I ed_j A
e Class of Work(circle onep New Addition Alteration(9��Move Demo Pool Window/Door IZ_
0 Use of eAsting/proposed strutturals)(Circle one): Commercial
0 If an eAsting stirUcture,is a fire sprinkler system installed?(ard,a one): yes (0 N/A
0 Submit a Tree Removal'Permit Application if any trees are to be removed or AffidaVit of No Tree Removal
Describe in detail the ty eafwarktob performed-
7ee j�,171AT 04' I-&e7k AWO
Florida Product Appirlo 14 for multiple products use product approval form
r fo
Property Owner Info V
Name: Address-
City. 42�1"Z�d (--/L State Zip Phone
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
NaMe0fCDMPany:4;��/_//-,j/ /_-
Address State_41L_Zip zj 7
Office Phone - 7e Job Site/Contact Number
T,0,4 __f-
State Certification/Registration# C
E-Mail
Architect Name&Phone#
Engineer's Name&Phone 4
Workers Compensation oo
Fxempt/Insurer/Lease Ernployees/Evirarion Date
ated.I certify that no work or installatio0as .4-
Application is hereby made to obtain a permit to do the work and installations as indit 0 ri
commenced prior to the issuance of a permit and that all work Will be performed to meet the standards of all the laws regulatiggm j Z �A
construction in thisjurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGN-11 0 < 0
Z 1=
WELM POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTId:in addition to t6 re i 0 —
permit,there may be additional restrictions applicable to this property that may be found in the public records of thi unt a
there may be additional permits required from other governmental entities such as water mana�erriLneit districts,sto _ a an djM L- Z
b a 0 <
federal agencies. 00 0
W 1= < a
OWNEWS AFFIDAVIT:I certifV that all the foregoing information is accurate and that all work will be done in compliance with aS Z M Z
5 0 14 1
applicable laws regulating construction and zoning. 0 U.
CO
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYM 4 t Z
0 LL
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU1,11INTENDO
WI LU
IL Lr
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE W W :)
RECORDING YOUR NOTICE OF COMMENCEMENT. -�: LU W
W
(Signature of Owner or Agent) r,
I(including contractor) ',�-,isignature of co or) Ic
Signed and swam ( ffi I
to ora rmed)before me this d an swam to affi ad be /C)
Jlt� day of fore this day of
- I t Z_01!� by 0
1�71q.,W 3-to 81 Floncla 0
J L
u o
Expir (Sign of No
Personally Known OR I Personally Known OR
Produced IdentMcation ]Produced Identification L)
Typeofidentificatior'---tr—Z. Type of Identffication.
TONI GINDLESPERGER
My COMMISSION#FF 924951
.,K.- EXPIRES:October 6,2019
Bonded Thru Notary Public Underwriters
NOTICE OF COMMENCEMENT OFFICE COM
(PREPARE IN DUPLICATE)
Permit No. R&SIF—ol-.elel Tax Folio No.
State of r7ep County of LILI
To whom it may concern.
The undersigned hereby Informs you that improvements will be madeto certain real properly�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:
S
Address of property being improved:_Z�,1,2
General description of improvements,-
Owner jr
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
ontractor
Address /,7
Phone No. Fax No. &zz
Surety(if any)
Address Amount of bond
Phone No. Fax No.
Name and address of any person making a loan for the construction ofthe improvements.
Name
Address
Phone No. Fax No.
Name of person withinthe State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
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
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'$USE ONLY PWNER
Signed: blA-t, ,
Before a this ay of
coun I t fFI ' a. p ' all a eared
Doc#2018089799 OR BK 18353 Page 1438, herein by
Number Pa _W a
ges:I him ha E&Ep!AW�(�egffilara s herein
are a?
Recorded 04/18/2018 09:39 AM, Rondel J Runyon
My Commission GG 193169
RONNIE FUsSELL CLERK CIRCUIT COURT DUVAL Expires 03/07/2022
COUNTY
RECORDING $1o.00
Notar�Pubrlc at Carge.Pate of oll County of
My commission expires:
Personally Knomn 0
Produced Idenblicallona