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83 NICOLE LN RES18-0297 r5 , J`,1 , �' '' � CITY OF ATLANTIC BEACH 2 1 # .,,A ' 800 SEMINOLE ROAD Kt ��� ATLANTIC BEACH, FL 32233 '-'''osilw'' INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0297 Description: 8 WINDOWS Estimated Value: 4348 Issue Date: 9/12/2018 Expiration Date: 3/11/2019 PROPERTY ADDRESS: Address: 83 NICOLE LN RE Number: 169519 0825 PROPERTY OWNER: Name: WALSH SUSAN Address: 83 NICOLE LN ATLANTIC BEACH, FL 32233-5979 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: JKEELS CONSTRUCTION COMPANY, LLC Address: 5772 RICHMOND RD JACKSONVILLE, FL 32210 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. Js�iLyj.e, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) A 800 Seminole Road -_ - �� Atlantic Beach, Florida 32233-5445 R ES i�'j r 01197 Phone(904)247-5826 • Fax(904)247-5845 U /I 40, x ;t �? E-mail: building-dept@coab.us Date routed: c: "C- / i City web-site: http://www.coab.us ((( APPLICATION REVIEW AND TRACKING FORM Property Address: O N. i C-L E L-L Department review required Yes No m - Applicant: J K EELS CO f ..) j Planning &Zoning Tree Administrator Project: Fj i ( _) Q l.v S 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 r Florida Dept. of Transportation \1 .v ` ` St.Johns River Water Management District ` \ Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP�TION STATUS Reviewing Department First Review: [Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING / / l s/ Co r Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I JApproved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 IrA: Building Permit Application Updated12/8/17 ty City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 I Phone:(904)247-5826 Fax:(904)247-5845 � �` �_ ��^ Job Address: 3 ,(�� �i(� 7 J it�i-fyfL Q(,� Permit Number: l `ill Legal Description *-95/37-71r-9e r . 3- 33j RE# /('9.5 /9- or-LF T/�F'� 46,¢ z f Valuation of Work(ReplaceiYi�nt Cost)$Ta34 E;Heated/Cooled SF Non-Heated/Cooled W 01 U • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door Z Of 9) Q J z 6I • Use of existing/proposed structure(s) J 0(Circle one): Commercial Residential V Z O (�,a • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A O. W O 0 • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal O Ca0 z Q Describe in detail the type of work to be performed: U U d 8 G J��_t � Gt,�oa�t' (5.5e �7Jy 4_c. o Z o c Florida Product Approval# for multiple products use product app�vOow� fr- Property Owner Information Q Z g la Name: ..._)1,LSCA ') /0 Iktis) Address: 03/Ii/eth bug u• 0 w 2 q City (l/t2/)77 f State /2 Zip 32233 Phone 9a/- 75/2-5 / a CC m E-Mail �Ili 7W3 W 7t Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 24€.' W C) N W Contractor Information ► w Name of Company: 324,-,--1,5 eD/).S—/8707 W W Qualifying Agent: TQll1�S.�.Le LS cc Address S76rr1€)//ow/3/dd LS''. 3 City ✓l//�eri,11,r,(7.,C State /-G Zip 322/0 Office Phone 09S/. gSf' I2/ Job Site/Contact Number G,/-S/9-er-77f State Certification/Registration# ebe/.S7S30() E-Mail C/a #t' 'e , !/,. .4'4#07X.,-- i1/2%,"15- e4411 Architect Name&Phone# V" Engineer's Name&Phone# /ill Workers Compensation A(A- - 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 RECO" DING YOUR NOTICE OF COMMENCEMENT. L'-J - ` IJA.L k i a a ;' C) (Signature of Owner or Agent) (Signature of Contractor) c NN _ if. ? (including contractor) y� N o •' and sworn to(or affirmed)before me this/3' day of Si ned and sworn to(or affir -d)befor- me this�d- c c E o t .i.., -i--. Zatt,b 1 e.., .9_, / ',,--en i / p l9 7.X � ��. iTs__,i Zaf r FirribitA ZU w �D (Signature of ary) ` ` (Signature of • ary) tiLN 1 ' '-•• onally Known OR Personally Known OR .s E•u [' ced Identification [ ) roduced Identification .:of Identification: Type of Identification: NOTICE OF COMMENCEMENT G -0297 (PREPARE IN DUPLICATE) i Permit No. +2 e S 1 0 —v2 9 7 Tax Folio No. /4'9579—14,Ad State of L r)KIP A County of D IJ Y A 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: /414"- d( -9c"`A/ 7-028 29E' 77": 9.4/' RV 77/g S.;1 Cdre23 Address of property being improved: g 13► coL L-0 7r"f,at c-eXaCk tT L 3. 33 General description of improvements: tiL-Y'f-) Q.; ) R Y ace—m l 1" -e Owner 5 QA--) sh Address 3 n; ccat,� t-r, Pr*\ t ecker, F t _ -3,3.13..3; Owner's interest in site of the improvement /)/! . /L� Fee Simple Titleholder(if other than owner) fit. Name Address . Contractor _ . . _ -��5 e�0"75� Address S .J/...)/_6 S 2 ,./9114-•-e,/ i L"4)//t/77/. •f e2 2/6 Phone No. 94X- 9f Fax No. Surety(if any) ////- • Address Amount of bond$ Phone No. Fax No_ Name and address of any person //ma ing 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 1/�..-- Address • Phone No. Fax No. liT In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Fi r dpStatutes.(Fill in at Owner's option). Name A(//4 Address ! Phone No. Fax No. re P g cv Expiration date of Notice of Commencement(t }�ration date is one(1)year from the date of recording unless a u. different date is specified): , /'t : n .4 THIS SPACE FOR RECORDER'S USE ONLY OWNER44 6 > I, M /Q �� �1 n o 9 rd � �'!L�/1 lil r�lt�ore me this day of , In the DATElf)f711f} l• eu ; County of Dy {yrState of Flo h appeared Q 0 cY Doc#2018198111,OR BK 18500 Page 1683, ({;r rie)( herein by U R hlmsetd herself and alarms that all statements and declarationsherein Number Pages:1 arew true and accurate `Z Recorded 0812212018 09:51 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL • COUNTY t o f \ • ` . RECORDING $10.00 `�✓ r,� Notary Public at Large.State pf � � County of My commission expires: ( 1- ice-t f ----— Personalty Known or Produced Identification iThriVerS L.i'crrij NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) p Permit No. Tax Folio No. / 9579—NU r state of L n 1eiPA County of D uVAL_ 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. Leaal description of property being improved: uG-95/c.3 7 aS o29E AV 7YY sc;f LNTd 3 Address of property being improved: g N i CCLe) A'1A.c( Q F L 3 33 Generala improvements: ti()C Q_L ) Roy laCQ..M�-ITi 1:Dt2 Sag- Owner U QC l v a l sf h,� n Address 4 3 n; C'0L2_, �-f l c-1-� CZ i c_ 1 J eacb F L a a 3 3 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) /y/4 Name Address Contractor _ __ Address imoQZ[�i�)/ —►�c�? i•/l� T ��l�� / . 322/6 Phone No. 7th/'- ZS c)1'O Fax No. Surety(if any) 4// Address Amount of bond S Phone No. Fax No. Name and address of any person ma Ing 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: ,t //t Name i tG/,C.- Address Ay 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),Florri Statutes.(Fill in at Owner's option). Name ill 4 t/4 Address rh Phone No. Fax No. I 2hr' Ath (V Of Expiration date of Notice of Commencement( • •ation date is one(1)year from the date of recording unless a 2 different date is specified): A G * THIS SPACE FOR RECORDER'S USE ONLY 0 E- aC i r J Q L df-' ��11 �11 Il 'n2 Zf swami: .. • DATE1 e1 CAAl� —+ re cn 4 Before me nes 1 day of {titR'T �l - In the O o w County LL 111 Coty of sure of Florid.. •. . Doc#201 81 981 1 1.OR BK 18500 Page 1683. �,a;.i (�! , •. hen by C) Number Pages:1 ntneatr horse,are slime that ail statements arta declarations herein Recorded 08))22/2018 09:51 AM, are true and accreta RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL • COUNTYCO ' RECORDING $10.00 ' •--;441.,„;,.:;:::c.,,;"" Notary Public at Large.State pf - . count,of mmiex-pines: My commission expi es: I 1— `( Personalty Krxr,m Produced or !drink-aeonn lTr1V S !drink-aeon OFFICE COPY VS A(\./ \jAa C514 g W.TgDoLAS ox LZ CL PW Pi I C.}) i I Li C..) ). 1 a . Ii i i / *'?•7 -X All /4 11I . c7 YO '47, h5481E fL. ie / 2A _.c- -.) (1Z, ,8/. 11, :X bh- Lv 1 10 I - /c 'Xi, g ss \y iviL0 / li -11 on , . c ► � � I 4. . OFFIrr COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: ideash ''f/ Permit # Project Address: F3 Nitt1e zax,07-e_ 2mice_ 322-33- 7� 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.floridabuilding.or Category/Subcategory I Manufacturer Product Description ! 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 2.Horizontal slider ' " '"" &"`" 15m-rocs vc .I y/ AsV•Laws x x/ /2D/# mir ) t,30/30 Z7ba:/ 3. 6 e t F p3 AM/Mr � nsG 151y-S-6 oZ701-6-/ 4.Double hung • 5.Fixed �a I taia'ays j gaI YouV9 ` . 124.7/-29.7 ikb c27 3 6.Awning 7. Pass-through 8. Projected 9.Mullion 10.Wind breaker 11.Dual action 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. Imes aus (Contractor Name) (Print Name) ' (Signature) Company Name:_ T/(e.,s e- S..7 t_l/U7&7 Mailing Address: .5-18S- &il�SD/) (31 t'd 0 `l• 3 J eirsaivittE ice— 322/0 City: State: Zip Code: Telephone Number: ( &JS defier Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: e4„,-A.e 7�c Q!/ 4-' G¢ioe•-//7L Iy �iyL Customer Confirmation Live Order Page 1 Our Order# 19,681 [� 13340 International Parkway Order Type Retrofit Eaglelie r�i Jacksonville, FL 32218 Order Date 6/26/2018 Phone 904-661-1200 Ship Date 7/17/2018 WINDOWS&DOORS Fax 904-527-8287 Dealer 1307 Ship Phone 9047425586 Truck — Bill To: — Job Name Susan Walsh 83 Nicole Lane 83 Nicole Lane Atlanrtic Beach, Fl 32233 Atlantic Bch, FL 32233 PO#: Rep TN Qty Description Color Width Height Unit Cost Net Line 1 1 Picture Window White 53 7/8 58 7/8 Argon White Boxed White HP Low-E Mulled White Oversized White PART OF TRIPLE U-Factor=0.28/VT=0.45/SHGC=0.23 DP=+/-29.7/FL ID=16627.3 Line 2 2 Mull Kit White 0 Even 58 7/8 Line 3 2 Picture Window White 25 13/16 58 7/8 Argon White Boxed White HP Low-E MULLED White PART OF TRIPLE U-Factor=0.28/VT=0.45/SHGC=0.23 DP=+/-50/FLID=27086.1 Line 4 1 Picture Window White 53 7/8 16 1/8 Argon White Boxed White HP Low-E MULLED White PART OF TRIPLE U-Factor=0.28/VT=0.45/SHGC=0.23 DP=+/-50/FL ID=27086.1 Line 5 2 Mull Kit White 0 Even 16 1/8 Line 6 2 Picture Window White 25 13/16 16 1/8 KH WS01 CON -48 Printed: 8/02/2018 © 4:08:44PM 0 Office Ou'Order# 19,681 Customer Confirmation Live Order Page 2 Susan Walsh Qty Description Color Width Height Unit Cost Net Argon White Boxed White HP Low-E MULLED White PART OF TRIPLE U-Factor=0.28/VT=0.45/SHGC=0.23 DP=+/-50/FL ID=27086.1 1• Line 7 1 Horizontal Slider OX White 71 3/8 59 1/8 Argon White Boxed White Double Lock White HP Low-E Left HP Low-E Right Oversized White Screen White U-Factor=0.29/VT=0.42/SHGC=0.22 / DP=+/-30/FL ID=27085.1 Line 8 1 Picture Window White 71 1/4 16 3/4 Argon White Boxed White HP Low-E U-Factor=0.28/VT=0.45/SHGC=0.23 DP=+/-50/FLID=27086.1 • Line 9 1 Window Installation Material-Included White 0 Even 0 Even Windows on Order= 8 Even RF-Boxed White Other Charges 8.0 Window Installation IMPORTANT -- PLEASE READ Material Confirmation of order received. Tax Your order will be built as specified on this confirmation. Installation Any changes to this confirmation must be made within 24 hours (excluding rushes) Freight Manufactured items are non-returnable, non-cancelable and non-refundable. Deposit THANK YOU- WE APPRECIATE YOUR BUSINESS! Grand Total screens 7/24 KH WS01 CON -48 Printed: 8/02/2018 4:08:44PM 0 Office