208 SEMINOLE RD - WINDOW C
r�J�f
CITY OF ATLANTIC BEACH
SS,
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�1.o.rtls.)r INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0288
Description: Window Replacement
Estimated Value: 1400
Issue Date: 8/28/2018
Expiration Date: 2/24/2019
PROPERTY ADDRESS:
Address: 208 SEMINOLE RD
RE Number: 170519 0010
PROPERTY OWNER:
Name: TANG KENNETH I
Address: 208 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4143
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 HVAC work
exceeds and estimated value of$7,500.
Syvi_,. ) City of Atlantic Beach APPLICATION NUMBER
41ifie 1 Building Departmenta;
(To be assigned by the Building Department.)
800 Seminole Road n C5/8 61 S'S'Atlantic Beach, Florida 32233-5445 l�C„ a
Phone(904)247-5826 Fax(904)247 5845
oil c E-mail: building-dept@coab.us Date routed: Z� /4F
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '2°0 S ern ( nd(c. De artment review required Yes No
Applicant: in ( -J -"LE W/N Da iit/S Planning &Zoning
• f ) CAI/ Tree Administrator
Project: W /��0 1v R•epurG cT 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 ciV .
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: Approved. ❑Denied. El Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING & ZONINGP/ 2Z/i -
Reviewed by: rn Date:
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
•
` � Building Permit Application Updated 12/8/17
i.-.owe City of Atlantic Beach
<nl 800 Seminole Road,Atlantic Beach,FL 32233
n • Phone:(904)247-cco5 Fax:(904)247-5845
Job Address: Glad' (J T Jo0% eoac ' Permit Number:
ga 9yLee n J.Pa,- 3W <326.7-etz-ty creener).7 RE# /703/9- 00/0
LOTS 4/7,7 c/,k, V7?
Valuation of Work(Rep deme t Cost)$ /I1L7 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Indow/Door
• Use of existing/proposed structure(s) (Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No(A/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:
•
R..epla.€ i)urcioi) oIr3eA- qge
Florida Product Approval# //W,///, / for multiple products use product approval form
Property Owner Information
Name:
Property
Wet/WL 4. T. W&, Address: Q12f 1/4. /I1L/)ID/€i ed atm f. BM T32233
City State Zip Phone
E-Mail _ _ Oltylel'
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information I�'�_" ,� �
Name of Company:/V(//2LE Ant),SLU1/t91)/4,20:Qual ifying Agent: k}T1(#QJ( �, A4
Address N33 Joist-an ` .// City TQ//'SCY)VULLE State ke Zip 322.17
Office Phone `7SS-a32- �/ Job Site/Contact Number 9, V-S-89—f779
State Certification/Registration# &'t/a30 vii' E-Mail eh.UC/feeti//Q_ICetciiziyhl . 80/0
Architect Name&Phone# /V/4
Engineer's Name&Phone# /VA
Workers Compensation !(//LC
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
RECORDING YOUR NOTICE OF COMMENCEMENT. e
(Signature of Owner or Agent) I ignature of Contractor)
(including contractor)
Sign d and sworn to(ora irmed)before me thin day of ' ed and worn to(or affirmed)before me this 15 day of
t,�yJ � bye
a LAilMIERVIMA . L.A
.' NO I;.J
.• \ MY COMMISSION#GG 234015 �;itY..; LISA t,:.'
y -a f,,,,i •7: !Personall Known 0'
[ ]Personall Known � ':•: EXPIRES:July 1,2022 [I(Personally �r. MY COMMISSION.,G4 234015
'• �.
[ 1 Produced Identifica•I'dyt.a��` siBonded ThruNotary Public Underwriters [ ]Produced Identificati '�. l" EXPIRES:July 1,VI
Type of Identification: -- — Type of Identification: '•••Fo',d-? BondedThruNotary PublicUild mitt(,
FI. Approval ,1,jg 11411 .Wog
�
-
N
NOTICE OF COMMENCEMENT 717
,FRfio-RC it7 DL%Lir ATai M
'Permit 113. Tax Folio No._ /?OS [.v/9- /D
County of twTo whom It may concai n:
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. �1I � -QV `'!,
Legei description of property being improved:iV i! /7 "079e- •3ca
�
LS/'UM/1 t'tz s/7S, V 7G, 5177
Address of property being Improved a2E C ._ c,�,e __gG?
.&a_ '1
General description of improvements: _..-.._
rxner ite/me7- &Q.E19C ..472Mf6
Address Z/: 'L/ _04! :# Qf/Ll/ti 6°4tVh
Owners interest in site of the improvement Q���4rrr...��, eir
Fee Simple Titleholder(if other than owner) .�3/4.
Name
Address
Contractor ',Ala eze IL) , ii) fZ 11 4P/ed
Address i33 Id2/.ST %22k' 2 JT'
Phone No. 2 3>a 4 1 .._.__Fax No.
Surety(if any) /Y/lf
Address Amount of bond$
Phone No. Fex No
Name and address of any person making a loan for the construction of the improvements.
Name A/4
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 /Y/C[
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 /y/4_
Address
Phone No. Fax No.
Expiration date of Notice of Commencer e_nt a 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 D
Stgred ' _ DATE ��0/�(/
Before relies���!llY��ifff de ,�y�t,Q� 7D/j in the
Caurimeel.Stat¢of Flor has dr'onatly appeared
Page 1778, Yt e t aria '/l ��+w��� isrc n by
OR BK 18498 hlroseit�herseir and a trot a+i stAnents and declarations here n
Doc#2018196598, era true and accurate
Number Pages:1111Recorded 0812112018 08:14 AM, I
rNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY .:;' LISA IA.TCMASINO-1
RECORDING S10 - ' .x.•: .'.40(C014111015MWZR t.1•1
My corny :-,n
Person-. ele).•oi_. a - •
, • •
Produce 14,0: _ Iinf Notary ' I _
NOTICE OF COMMENCEMENT �7
!PREPARE PN DUPLICATE-1
Permit N . Tax Folio tin. 740-57f 490
State
State of_.� / - rad'4, County of fr /
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 foil;ming information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:io-e /7 .35L3
Address of property being improved: &O() (24/4/701.4
General description of improvements:
owner
Address 20O ,IY).. ,;:e_g, Q7°/Q�-,t�otefj 3 Z23
Owner's interest in site of the improvement ea....1,10—/—
Fee Simple Titleholder(if other than owner) //4.
Name
Address
Contractor eek'i?)( I.4CV.G2f*7,C) jsZ/Z)/MVic4P is .
Address , ,A0 dip .e L- l! ZJ22 4,
Phone No. "a2. " V. " Fax No.
Surety(if any) /1/k
Address Amount of bond$
Phone No. Fax No
Name and address of any person making a loan for the construction of the improvements.
Name NM_ _
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 /{//4
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): //A
THIS SPACE FOR RECORDER'S USE ONLY .�j✓v OWNER 07/9 p
Signed:—n' / DP E G�l//(/
Before me This da _ e4/ �/ in the
County�of Duval.Stat of Fiort has onally appeared
Page 1778, „ / herein by
OR BK 18498 9 hlrnsei: herself and a s that alt$ <ments and declarations herein
Doc#2018196598, are true and accurate
Number Pages:1
Recorded 0812112018 08:14 AM, � � o (
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �__
COUNTY otN ''•. LISAM.TOMASINO
RECORDING $10.00Notary y_yt,_,.e,atatmer • ,, , •k ':car i r,Mi
tity cam .n re*:
Personal Tf• ,�`o°r - ' '
Produce 1 i. _ :.. r pc. 1
)1:11L
CITY OF ATLANTIC BEACH
- , . f,' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'`'-'--10169',- INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0288
Description: Window Replacement
Estimated Value: 1400
Issue Date: 8/28/2018
Expiration Date: 2/24/2019
PROPERTY ADDRESS:
Address: 208 SEMINOLE RD
RE Number: 170519 0010
PROPERTY OWNER:
Name: TANG KENNETH I
Address: 208 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4143
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 HVAC work
exceeds and estimated value of$7,500.