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182 SYLVAN DR - WINDOWS cy ' s‘ CITY OF ATLANTIC BEACH l!`: 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 0,3>> S INSPECTION v I PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0322 Description: 5 WINDOWS Estimated Value: 7663 Issue Date: 10/3/2018 Expiration Date: 4/1/2019 PROPERTY ADDRESS: Address: 182 SYLVAN DR RE Number: 170644 0010 PROPERTY OWNER: Name: STEEG CYNTHIA J Address: 182 SYLVAN DR ATLANTIC BEACH, FL 32233-4044 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Renewal by Andersen of Central Florida Address: 5606 Carder Road Orlando, FL 32810 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. ;51-.vi,4., City of Atlantic Beach APPLICATION NUMBER is Building Department (To be assigned by the Building Department.) • "" A `- 800 Seminole Road I C� � .. ,__., , Atlantic Beach, Florida 32233-5445 \ G� l 0� Phone(904)247-5826 • Fax(904)247-5845 9 /t "�l�;1t9%' E-mail: building-dept@coab.us Date routed: / PS City web-site: http://www.coab.us //! APPLICATION REVIEW AND TRACKING FORM Property Address: L E32 S -1 LV AN DR_ Department review required ' Yes _No i ding Applicant: R.E_-.--, .G...(ADA- _ gam( A NbEi?..,,� E�V - - . • . Zoning (�-- _` Tree Administrator Project: a v ( (v ©(� v 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 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: <proved. Denied. Not applicable (Circle one.) Comments: BUILD G PLANNING & ZONING Date: ��11 Reviewed by: !� . - "��" TREE ADMIN. Second Review: Approved as revised. I (Denied. I '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 Call Tim for Pick Up 727-837-8400 <{I-IL Building Permit Application Updated 12/8/17 r. City of Atlantic Beach • -_,A; '1."+., 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 f `� Job Address: 182 Sylvan Drive Atlantic Beach, FL 32233 Permit Number: ` ES 1 O O .. a Z- Legal Description 10-16 21-2S-29E SALTAIR SEC 3 S1/2 LOT 701 RE# Valuation of Work(Replacement Cost)$ 7,663.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N • Submit a Tree Removal Permit Application if any trees are to be removed or Affid it al E D Describe in detail the type of work to be performed: Replace 5 windows size for size SEP 1 9 2018 6o Florida Product Approval# for multiple products use product approval form Property Owner Information Building DepartmMt Name: Cynthia J Steeg Address: 182 Sylvan Dri City Atlantic Beach State FL Zip 32233 Phone = Z E-Mail a U z 0 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) W F G til Contractor Information 0 m o Z . Name of Company: Renewal by Andersen of Central Florida Qualifying Agent: Jared Mellick V C.? CIV p Address 5655 Cader Rd City Orlando State FL Zip 3441m Z Office Phone 407-803-4723 Job Site/Contact Number - Oct 0 Q State Certification/Registration# CGC1524135 E-Mail Permits©rbafla.com U H N Architect Name&Phone# LL-o Q w Engineer's Name&Phone# {L V- m Workers Compensation Q © a _r m Exempt/Insurer/Lease Employees/Expiration Date f" w 5 W Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or inst lar commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws r5ulationgCC w construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBINQ,J$IGNS, W WELLS, POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirengnts of this CC permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all Q applicable laws regulating construction and zoning. 0 el N j o R.IMRNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY t57 au to SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND • Q ° `aFO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE o �CO ING YOUR OTIC OF COMMENCEMENT. O Z rA U ii. idiaL............-__ , r / I f ) ,- r wk C-id ; 1" (Si cure of 0 ner or A:4 t) illW- (Signature of Contractor) yk.• 4� (includingcontractor b'itacii i-k Signed and sworn to(or affirmed)before me this 1/ day of -• . d sworn to(or affirmed) ,before lim�e�thhissOday of ���c r, if .stirr ,fttty ,by -t h 4,;4 _5/cf.)- O'L,� I ,bl$ ,by COM, S.10"'"'\ NOTARY PURL.!( J . =STATE OF F�_ ��' �' ��" ` �;"� t. dia jui.t_ . v Comm#GG (Signat o Notary) ignature of Notary) ��, Cl,wl' yn i )5ersonally Known OR 64Personally Known OR o:p,RY40 Megan R.Monday [ Produced Identification [ ]Produced Identification °�NOTARY PUBLIC Type of Identification: �� l�� rc� a w-':' ' STATE OF FLORIDA yp ✓ ��- Type of Identification: o l.� �,,, g Comm#ciG156222 /NCE 1e Expires 10/30/2021 Doc #I 2018184782, OR BK 18482 Page 1091 , Number Pages: 1, Recorded 08/07/2018 10: 12 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) • Permit No.e // —f 322 Tax Folio No. 170644-0010_ Slate of Flodda County of Duval To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In This NOTICE OF COMMENCEMENT. Legal description of properly being Improved: 10-16 2 23 29E SALTAIR SEC 3 • s112-1V1-101 _. Address of property being Improved: 182 SYLVAN DR Atlantic Beach FL 32233 General description of improvements: Replace 5 windows size for size Owner CYNTHIA J STEEG Address 182 SYLVAN DR Atlantic Beach FL 32233 Owner's Interest in site of the Improvement owner Fee Simple Titleholder(if other than owner) Name Address Contractor Renewal by Andersen of Central FUJared Mellick Address 5655 Carder Rd Orlando,FL 32810 Phone No.d07-503-4723 Fax No. Surety(If any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making 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 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 dale of recording unless a different date Is specified): ✓ `rx r T111S SPACE FOR RECORDER'S USE ONLY -/-// • e •ER n '�*�oa Signed , Nil. 4•IA DATE /-1/ 1 .aal�i}d'r `'" Beforemeltla�f Ulu,de 1 lav In the I Cpunly�of Duos.State of dda,h person 4 peered ,y, C yy6� t'•L 51-c c�) I_�r••, .- herein by f� C'I (/� Z hlntselH herself end spent fiat all Statements and declarations Herein X Q -1 p c� are true end accurate �• a i i N YA ' O • grown� Notary Publle.1 , ,S 'of County of p n m My commission expires' w p Personaly Known or Produced Identification I I 0 5`)^5,2'1.-Lr Renewal Order Summary OFFICE COPY byAndersen. CINDY STEEG DIAZ dba:RENEWAL BY ANDERSEN OF CENTRAL FLORIDA „j,] Legal Name:Universal Roofing Group,inc.I License#CGC1524135 182 Sylvan Dr /�"���;� 997 West Kennedy blvd I Orlando,FL 32810 Atlantic Beach,FL 32233 WINDOW RE LACEMENT Phone:407-803-4723 I Fax 407-386-8262 I customerservice@rbafla.com Measure Tech:Jordan Humphrey,(904)860-4206 H:(904)241-3202 I C:(904)699-9002 LOORPLAN-1ST FLOOR ------- -- — — BACK UNIT NOTES 102 101 SIDE SIDE • •c., GRONT LOORPLAN-2ND FLOOR ( UNIT NOTES 17104 SIDE SIDE 1C3 f ECIC OB PHOTOS 07/03/18 Page 3 / 13 OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: (j 661,1 S-k e9 C1Z- Permit # g&S/E -03'2 Z Project Address: !S 2. 5 - \Urir' Dr 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 Manufacturer TProduct Description I 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 A11A@Y pin rr,r P QeineWGI r-1.:05(0 - 3. Casement 4. Double hung AiVersen a rP11E-c,L'Ck t FL 1g56,4-R2 5. Fixed 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker -- 11. Dual action OFFICE COPY 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. � nI (Contractor Name) (Print Name) lA^ d'tl i_ . re' Company Name: \ b y nc -QS-,r �'Y� Mailing Address: q fins hi UC-L ti `#- 13 City: nr1CGrC,C) State: ( Zip Code: 3Zgi Telephone Number: (1407 ) 3 " 14_?2.3 Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: