2309 FIDDLERS LN - WINDOWS ,...„‘„,,,,„
,fr -„,
sA CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
"-osii9'
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rINSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0259
Description: replace 19 windows
Estimated Value: 13895
Issue Date: 8/13/2018
Expiration Date: 2/9/2019
PROPERTY ADDRESS:
Address: 2309 FIDDLERS LN
RE Number: 169463 0124
PROPERTY OWNER:
Name: PESTERFIELD JOHN DAVID
Address: 2309 FIDDLERS LN
ATLANTIC BEACH, FL 32233-4681
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HOMERITE WINDOWS AND DOORS
Address: 4801 Executive Park CT N BLDG 200 STE 207
JACKSONVILLE, FL 32216
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$7,500.
1..Ay, City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned by the Building Department.)
, ` � � 800 Seminole Road
fl-est c��
.,: iy1 Atlantic Beach, Florida 32233-5445 J
Phone(904)247-5826 • Fax(904)247-5845
�� ��� E-mail: building-dept@coab.us Date routed: 'I' L T
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .2D9. j i 'co . ent review required Yes o
Building
Applicant: t MI c ti t £ ,W`` ►14 c S Planning &Zoning
1 Tree Administrator
Project: c Le th .L
L _ {,telnn W. t.(-GtJ z),-,) S Public Works
1 Public Utilities
Public Safety
Fire Services
4 _
ROi eaee _;',';t45,':,, ¢fie t *•:,
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
illi
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: F-pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
:UILDING p
PLANNING &ZONING Reviewed by: Date: dv
-7-/
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,a
S ..L/,J`.'\ BUILDING PERMIT APPLICATION
r RECEIVED x
`: �r CITY OF ATLANTIC BEACH =
• .' -------":2 800 Seminole Road,Atlantic Beach FL 32233 JUL 2 7 201
8 ,,,,
Office: (904)247-5826 • Fax: (904)247-5845 ;,,
Job Address: 7305 t'6d/qs 1.,) Pa /2 1, lzt 3.1? ? 7 Pe Building Department
Legal Description 1-1-7-_,-1- 37-ZS-7-t6' O f'G.'viww,..t&(MA--1 KE c ( (p q L Cp lr l Z
Valuation of Work lacement Cost e y
P )$ , , Heated/Cooled SF Non-Heated/Cooled)
• Z to
Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool §ikritr/5oor
• Use of existing/proposed structure(s) (Circle one): Commercial Residentialco
O. z ,.
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A 0 o COz FL
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree .s. :I— 9 t0) 0
a
Describe in detail the type of work to be performed: �l
ID
, q 4-ep/mac.‹ill /L G.,),,...,L ti U H cn F
ccQtzz
Florida Product Approval#_ for multiple products use pro fit ytpitiform
Property Owner Information w V a cc m
w
o
Name: �' . r7 P(S h-r-v"�'< I Address: w w — cn iu 3
U cn w
City (44-,... (3-e.,- State Gl Zip 3 x.233 Phone /- co-i• 4. 3 // y6' > °C kJ
5
E-Mail W w
IlE rr
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor.Information:
Name of Company: 1.' ,,z 4: F-c L0- A.«,.- r).. , s Qualifying Agent: in //-.., J‹ 0 al-L.--
Address: 4-110 i l,r. 4:,,,/-e,.c t -k. ,., City d As--v.I I 1 State Zip t 7 2 2 /S
Office Phone e oLt- as'c. .,. 5I y Job Site/Contact Number t ' 4'oLf , 3 74. 5-3 2-z
State Certification/Registration# C.0 /3-I.?737 E-Mail /9 C-f4,,,,a...2 //vi•,,.c,c./ti,,O.c.,e,
Architect Name &Phone#
Engineer's Name &Phone#
Worker's Compensation ADP 0 I12/i 4
Exempt / Insurer / Lease Employees / Expfratioi 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 ork will be performed to meet the standards of all laws regulating construction in this jurisdiction.
This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a
period of six(6)months at any time after .err is commen ed. I rstand that separate permits must be secured for Electrical Work,Plumbing,
Signs, ells,Pools,Furnaces,Boiler,He : s, T it Conditioners,etc.
Signature of Property Owner: i. ( 016 Signature of Contractor:• ,i A
Before me
this to Day of c M e . ,, . mfo me this 6 Day
_::� o;• = Commission#FF 190928 1.• '�r�- DFAnEN°!!
Public: ,•%.4 Expires May 20,2019 it
'*: Commission#FF 190928
Notary o mTr• Fain lnauranceB00 QJ�Q Public: 1'l9 -�;. '•!..�'.= Expires May 20,21019
•_ _ . 7:gtio' BadNTInuTR/Fain lnaurenesea3E6.,:,:
I hereby certifii that I have read and examined this application and know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specfIed herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the
performance of construction.
Rev. 3/14/16
NOTICE OF COMMENCEMENT
State of / /o--r Jc, County of—�(."�`' 1 Tax Folio No. (�
To Whom It May Concern: l j-� �''�
The undersigned hereby informs you that improvements will be made to
certain the Florida Statutes,the following information is stated in this NOTICE OF COMl real
property,N� and in accordance with Section 713 of
EM
Legal Description ofproperty being improved:
Address of property being improved: C) �w at ' VN L 1 (Q `(�
General description of improvements: / GO/4 � �✓�`4 t41 2-7r,s
Owner: • 0 S ?LC-- P'..£
Address:
Owner's interest in site of the improvement: 'C 5;:,"i
Fee Simple Titleholder(if other than owner):• p..-+
Name:
•Contractor: i n- r
- Address:- yl `Lv<-Z c4ti✓i 00.... k 4_1... ..J4� rte(
Telephone No.: U ...N.I 4. s-c4;4%. .1c,-7 �� •�.
`( • �'r �- Fax No: o _ o�4� J'
Surety(if any) .Y
Address: •
Telephone No: Amount of Bond$
Fax No:
Name and address of any person making a loan for the construction of the impmvements
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
served: Name: Y be
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)(6),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
specified): ho- Z.. 3 a unless a different date is
- �
i
THIS SPACE FOR RECORDER'S USE ONLY OWN 4A � a
Tr,
Signed: it: A
r��::''• ROYAL GATES DEAREN HI '� •• '7 -� .
��'....yR,. Before e this r Date:
.. : Commission#FF 190928 day of L �� y
t It-TX Ex fires Ma 20,2019 Of Florida,has personally appeared • r--y in the County ofDuval,State
p y 805.385-7019 Personally Known: -' 5 f'G v
Bonded Thm Troy Fain Insurance
ducxd Identification: or
"hir'y Public: _fir -.,i
Doc#2018177085, OR BK 18471 Page 2105, mmission exp' ��
if
Number Pages:1
Recorded 07/27/2018 09:11 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: ,T' IJ Pr$1- 1 '-c. Permit # tees/S"Oa 5-7
Project Address: �3d>`i F'c1.1Ips i;.- 13,,E-C a ,2.e.,L .g .D 3.3
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_.or:.
Category/Subcategory
Manufacturer Product Description Limitation of Use State# Local# ___.
A.EXTERIOR DOORS 1 _. -- __.._..__._.. __-__
1. Swinging
. Sliding
3. Sectional
4.Roll up
5.Automatic
6. Other
B. WINDOWS
1. Single hung
mi wo �56-s`�' /285v. .
2.Horizontal slider try(�,
3. Casement
4.Double hung _
5.Fixed
..
6.Awning
7.Pass-through
8.Projected.
9.Mullion
10.Wind breaker
11.Dual action
2. Other
' Category/Subcate o -
g ry Manufacturer Product Description Limitation of Use
State# 1
II.NEW EXTERIOR Local#
ENVELOPE PRODUCTS
1.
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer'sprinted specifications
instructions along with this Product Approval Sheet. p is used on this project, the
p ifications and installation
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different com o
listed in this document must be approved by the Building Official. p vents other than the ones
(Contractor Name) (Print Name) •
;:,'(Signature) i i ,
di 41 ' 1
Company Name:
Mailing Address:
City:
State: Zip Code:
Telephone Number: ( )
Fax Number: ( )
Cell Phone Number: ( )
E-mail Address: