351 11th RESO18-0042 (2) CITY OF ATLANTIC BEACH
"N 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NE)Cr DAY INSPECrION: 247-SS14
PERMIT INFORMATION;
PERMIT NO: RESOI"042
Description: Replace 15 Windows
Estimated value: 20116
Issue Date: 6/29/2018
Expiration Date: 12/26/2018
PROPERTY ADDRESS:
Address;: 351 1 1TH ST
RE Number. 1701070100
PROPERTY OWNER:
Name: HOWELL JOHN C
Address: 3511 1 1TH ST
ATLANTIC BEACH, FL 32233-5531
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MIRACLE WINDOW AND SUNROOMS
Address: 8933 WESTERN WAY APT 11
JACKSONVILLE, FL 32256
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 RVAC work
exceeds and estimated value of$7,500.
City of Atianfic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Depart ent.)
f 4F;�0
800 Seminole Road G, 1%
Atlantic Beach,Florida 32233-5445
Phone(91)4)247-5826- Fax(904)247-5B45
E-mail: building-deptillcoalo.us Date routed: Z7
City web-site: hftp:1Avwv.00ab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '35 ST Dppiiint review required Yes
z-zuildingl--�)
Applicant: C a 6VJS 'zHRffn—,iig&Zoning
Tree Administrator
Project: 9=�oLcc �is W—i (\A Vj__� Public Works
Public Utilities
Public Safety
Fire Seivices
Sign���
Other Agency Review or Pernnit Required Review or Receipt Date
of Pentrilt Verified BY
Florida Dept.of Environmental Protection
Florida Dept of Transportation
EiJohns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Foiber:
APPLICATION STATUS
E]Denied. E]Not applicable
Reviewing Department First Review: 2Approved.
(Circle one.) Comments:
0��)
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: ElApproved as revised. [—]DeVed. [-]Not 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:—
Revlwd 061IW2017
Copspuilding Permit Application Updated 12/8/17
01-FICE City of Atlantic Beach
BOD Seminole Read,Atlantic Beach,FIL 32233
Phone:(9134�247-5926 Fax:(904)247-5945 - 06
Job Address: 551 1 ( "N 5f. kKwi-i—be=6 PermitNumber:
Legal Description 003-0(A Ite-PS-2A6 RE# Iq0
Valuation of Work(Replacement Cost)$20, 11(0 He,td/C,,Ied SIP Non-Heated/Cooled_
• Class of Work(Circle one): New Addition Afteration Repair Move Demo Pool<EE�
Residential
• Use of existing/proposed structure(s)(Circle one): Commnerci!!��
• If an existing Structure,is a fire sprinkler system installed?(Circle one): Yes No do!>
• Submit a Tree Removal Permit Application if any tr"s are to be removed or Affidavit of No Tree Removal
Describe In detail the type of work to be performed: St P10-c-'e- a 5) Lovoow's 'S/-A4 fvr
Florida Product Approval If for multiple products use product approval form
Property Owner Information I i'm S1
Name: Address:
city ��Tk;�t�' r V56OX-IM State F L Zip - _&5 04, -XZa 154—9
JZ _'rL_Phone q
Owner c?AgeAt(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Mlrac-le- winldlowb QualiVing Agent: VA-ffi(4P-4M
Address PM-A 9% n 4L�1 �a jIle- State F1 Zlp��
Office Phone-S-15r, Job Site/Contact Number
State Certification/Registration It C-Ftr-I 3SO4'7b E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/ maner/Wine 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 construittlon 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 NOTICEE OF C51MMENCEMENT.
zzt� C WWI,dl k&.4,401Z �'
lygnpaurao6wrer"Agind) (9"- upeofContractorl
(including contractor)
Signed and sworn to(or affirmed�before me this 10(lay of Sign 4da If sworn to(or affirmed)before me this day of
'J'b &A'�.by
_,j4b7_ Jlby Ae
(Signiftu f Noti
WILLIAM K SEE ... K SUBBASE
WILLIA,
Y COMMIS
I Personally Known M SSION 41 dG070711 �l Pat Kn
P'no fly My COMMISSION#0GO70711
I Produced Idler lb,"V.W21 3 Produced Ide ti EXPIRES Felonparl,07.2021
Type of Identification ... Type of Identific d
DOC 1 2018149250, OR BE 18433 page 1088, Number Pages: 1,
Recorded 06/26/2018 09:21 AHr RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
�LLI
NOTICE OF COMMENCEMENT
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