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2136 FAIRWAY VILLAS LN - WINDOWS ry',„.,,,,I RESIDENTIAL PERMIT PERMIT NUMBER J 70 ” \g1 ` " CITY OF ATLANTIC BEACH RES18-0383 \'r ISSUED: 11/26/2018 %/ 800 SEMINOLE ROAD �'__ ATLANTICBEA 32233EXPIRES: 5/25/2019 CH. FL MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: RESIDENTIAL ALTERATION 2136 FAIRWAY VILLAS LN RESIDENTIAL Replace 3 Windows $2770.00 TYPE OF REAL ESTATE ZONING: # BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169398 1020 FAIRWAY VILLAS COMPANY: ADDRESS: CITY: STATE: ZIP: THE HOME DEPOT 9208 Florida Palm Drive TAMPA FL 33619 OWNER: ADDRESS: I CITY: STATE: ZIP: WATERMAN ELIZABETH M 2136 FAIRWAY VILLAS LN S ATLANTIC BEACH FL 32233-4408 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $65.00 I BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 1 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $101.50 Issued Date: 11/26/2018 1 of 2 ;,L.A.,,Jr,z" RESIDENTIAL PERMIT PERMIT NUMBER \ s, CITY OF ATLANTIC BCH k �r 800 SEMINOLE ROAD EA ISSUED: 11/26/RES18-0383 2018 o';iATLANTIC BEACH. FL 32233 EXPIRES: 5/25/2019 Issued Date: 11/26/2018 2 of 2 r5‘_ , >>,J , City of Atlantic Beach APPLICATION NUMBER J� ) ,•,/51,, Building Department (To be assigned by the Building Department.) ;---:i, s. 800 Seminole Road 2.c-318- 63E3 5 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904) 247-5845 J;i19' E-mail: building-dept@coab.us Date routed: 1 1 1 / 8 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 I3(p i rtN �((f FoDeaglment review required YeNo BuildingTh Applicant: Thi 4o meD� _Planning &Zoning r p Tree Administrator Project: 3 W 1 fl0 jJ Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required 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: 1 pproved. ❑Denied. I iNot applicable (Circle one.) Comments: :UILDINe PLANNING &ZONING Reviewed by: Date: f/' o ig- 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 Ca11 Tim for Pick Up 727-837-8400 ' building Permit Application Updated 10/9/18 ( „ i City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY "` nn Phone: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. Job Address: oC 1,S4 Ar piel (A11,..> (f 5„i 4 Permit Number: (Zf S/8 - 6383 Legal Description 39-.2,2 0S--25',2 9 E ,rwo•y 1/4//..S /07 /4 RE# M9391)--/6,.20 Valuation of Work(Replacement Cost)$ �� Heated/Cooled SF Non-Heated/Cooled • Class of Work: New ❑Addition ❑Alteration ❑Repair :Wove ❑Demo ❑Pool I Window/Doo • Use of existing/proposed structure(s): MCommercia 1Residential • If an existing structure,is a fire sprinkler system installed?: ©Yes ENo • Will tree(s)be removed in association with proposed project?©Yes(must submit separate Tree Removal Pe it) fN� Describe in detail the type of work to be performed: Ce-ples.c� � `Florida Product Approval(.ci • / ( for multiple products use product approval form Property Owner Information Name_ (i li [i,ict^jeer„tci. Address 6(36 S. �o.;rw�� lig(LS („ / City 1 'T r t, ,„1., State ¢f Zip 3.23 3 Phone 7d 7 —FS-S3 `69,2 3 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a Contractor Information - Name of Company -4c('M e bQ P6I Qualifying Agent r .'rorC(.s W Address O (S rIDr��o ° t' �< City 704e.pb- • State ( Zip 336fjF N Office Phone 7c.3-7-6 37- g-1LL) Job Site Contact Number Q x J Z .0 State Certification/Registration# t6C. 66/ 6 y/ E-mail `T;r" - 0 1'k l(e1 C' 6 ' e -Te pe//M,r.cd d Q O o rz 1 Architect Name&Phone# W 0 Engineer's Name&Phone# 0 F Z Workers Compensation Insurer ()l A Re.-411(.. 7nS�r.nGl. CO. OR Exempt o Expiration Date 3/!x/9 0 U Q U d0 Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installaiiLln psa in commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regul ng O Z construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SI < LL N WELLS,POOLS, FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirement f iisN Z permit,there may be additional restrictions applicable to this property that may be found in the public records of this coup ar E W there may be additional permits required from other governmental entities such as water management districts,state agen s, r cr 2 federal agencies. 0 v UJ La r W >.. am CC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witl51Il! W 0 Lu applicable laws regulating construction and zoning. LU 0 w 5 cc T' 5 W_ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA w RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND °C TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE /�r . RECORDING YOUR NOTICE OF COMMENCEMENT. . , (Signature of Owner or Agent) (Signatu •of Contra rN ) `� / (� Signed and sworn to(or affirmed)before me this fee day of Signed and sworn to(or a firmed)before me this J.3- 4 day of 4 /Vd✓ �(�j- b /✓u`1 . ?Oar,by A-r;l'r 1 r.,.ris v o� RYAS". YAS CRAIG W. (Signature of Notary) • 411111% _ NOTARY PUBLIC (Signature of Notary) .:_‘# STATE OF FLORIDA t Doc # 2018271043, OR BK 18599 Page 1568, Number Pages: 1 , Recorded 11/16/2018 11 :08 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 THIS INSTRUMENT PREPARED BY: Name:_The Home Depot Address: Ta _ _jam. 1,7 igc10 NOTICE • F CO MENCEMENT Permit Number: e S/ e-0 3 a?-3 Parcel ID Number• 2jq_,'.,(__ d � The undersigned hereby glves notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,the following Informn!lon Is provIded n this Notice of Commencement 1. •ESCRIPTION OF PROOPERT • Legal dosorlption of the props and street ad.ress If evafable) 2. GENERAL DESCRIPTION OF IMPROVEMENT: ic3 4 "') f+1� 3. OWNER INFORMATIOONN OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name end address: e 1 rZV�nQ, U1 r h-•txM 3 k3 y j�,,�� Interest In properly: t e`Y v 11i L7l -'}' aw 3-..3 ,`^") dY �S Y�L Fee Simple Title Helder(ti other than owner listed above)Name• ((VI--"` F . 14 1`3'� Address: (�' f 1 4. CONTRACTOR:Name:The Home Depot Address: 9208 Florida Palm Dr Tampa FL 33619 Phone Number 813-626-7548 S. SURETY(If applicable,a copy of the payment bend Is attached):Name: , ' ,n Address' �TTQ- 8, LENDER:Name: Amount of Bond: A t k 1�y7I Phone Number. Address: I \ 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name: Phone Number: Address: 8. In addition,Owner designates of to receive a copy of the Llenor'a Notice as prodded In Section 713.13(1)(b),Florida Statutes.Phone number: 9. Expiration Date of Notice of Commencement(The expiration Is 1 year from date of recording unless a different date Is specified) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. V0 �c}y z \:i Lam, (tLCtbFt). L1n1 '.4Mfiti. (SIgn.6u.of Qxnv or L..be,or Owner's or L.....'. AoB.rtzed OMcer/dntlarR.rin.rAl.n.p.r) eel Nem end ProWb sierebnh TN./orke) State of Ft ,-,.. 4..„ County of rTh 0 U ctj The foregoing Instrument was acknowledged before ma this /J"' day oft1-- , 0AtC ' - by /1 l i —Lk. •44 Y,`�h Who Is personally known to ma p OR .S.Q Nu.r or per..n m.img el.ioo,onl who has produced Identlflcat-I p type of Identification produced: *, RONALD ALLEN REEDY" , 1 _it NOTARY PUDLIC ,/C4, , 7 � " } ? 'k. STATE OF FLORIDA Nulsry agne6asee _ wCommp GG239542 Expires 7/18/2022 OFFICE COPY Florida Building Code Online Page 4 of 5 (L5179 R21 AE EiralReporc IPJ0260-k6.cof Created by Independent Third Party:Yes 5179.9 43-06 and 43-17 6060 VantagePointe,Profinish Builder,Profinish Contractor, ProFinish Master,PerfeXion Contractor,PerfeXion Builder Vinyl 3-Lite Endvent Slider Limits of Use Certification Agency Certificate Approved for use in HVHZ:No GI_,1?9 0.-1 C CAC d3-OG F,v(`utiraai 56563 R PG',0 pdr Approved for use outside HVHZ:Yes ELAIL9_C j 1_C CAC ,r1SuililY Impact Resistant:No Fi_.:1.Lt Ps�LS�=.ti:_.3 :1i$9A .(!!i CLR11i Design Pressure: +30/-30 Quality Assurance Contract Expiration Date Other:96x63 09/07/2019 Installation Instructions F15179 R21 II IN0170 43-06 43.17 FV 2X Ddf 1.1.5114 aYLi_1i IN11260-1'43-1.16 rt!-ix of Verified By:American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports E517E; R21 AF F.1>olRepar -N_ ?60 R5.r.,_oi Created by Independent Third Party:Yes 5179.10 43-17 Profinish Contractor,PerfeXion Contractor Vinyl 2-Lite Horizontal Slider Limits of Use Certification Agency Certificate Approved for use in HVHZ:No 11.5179 R21 C CAC 43-17'IS 72x481735 ydt Approved for use outside HVHZ:Yes E[ ,179 13:31 C CAC 43-1/HS 72A631230 lr>xtl 1.;y` Impact Resistant:No Quality Assurance Contract Expiration Date Design Pressure:N/A 08/02/2020 Other:72x63(+1-30 PSF),72x48(+1-35 PSF) Installation Instructions Fi.51 79 R21 II INO111 43-17 51.2X.12 1_!.5179 R21 II INi4]1t2-R5 13-17 St,1X ucil Verified By:American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports F14129 R21 AE EvalRetlnti-jt10262.,F,>6.pnr Created by Independent Third Party:Yes 43-35 and 43=40 Reflections 5050.6100 VantagePointe,Asure,PerfeXion Gold.PerfeXion Silver Vinyl 2-Lite Horizontal Slider Limits of Use Certification Agency Certificate Approved for use in HVHZ:No 1L5179 R21 : GAC 43-35 H.;t22.11.i_e ;_lerl 1 RL1i Approved for use outside HVHZ:Yes El 5179 R11 C CAC. 43-35E18 72554 R14.130 VIA( Impact Resistant:No f_' if r• CPC •'1-'1° 4 7;1:1. • '1 5 l Design Pressure:N/A FL3179 r:;1 C CAC 43-40 HS 69565 R25.tx1; Other:69x65(+/-25 PSF),78x63(+/-25 PSF).72554(+/- rr.5119 R71 C CAC 43.410 H�5 72554 p Pt:30 pdf 30 PSF),72x36(+/-35 PSF) FL 5179 1.1 C CAC 43-40 HS_78263 R-%'Gi7lxlf i Quality Assurance Contract Expiration Date 01/25/2021 Installation Instructions /1)11/9 9.?1 i I 1140139 41 35 43-40 51.'::A pdf Verified By:American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5179.12 43-35 and 43-40 Reflections 5050,6100 VantagePointe,Asure,PerfeXion Gold,PerfeXion Silver Vinyl 3-Lite Endvent Slider Limits of Use Certification Agency Certificate Approved for use in HVHZ:No FL51 7;1$21 C CAC 4's-3i EV 8-1130 1335 fcst.l(df Approved for use outside HVHZ:Yes F1 5179 R21 C CAC 43-40 FEV 0446 R:PrA°,_J: Impact Resistant:No Quality Assurance Contract Expiration Date Design Pressure: N/A 01/23/2021 Other:84x36(+/-35 PSF),84x36(+/-40 PSF) Installation Instructions Al59 R71 II If40142.R3 43.25 43-40 FV IX.adi 115179 1221 II 1149147 4336 43-40 EV 2x odf Verified By:American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports 1'1`117? U1 N01443)a..IaCL Created by Independent Third Party:Yes 5179.13 43-40 Reflections 5050,6100 VantagePointe,PerfeXion Gold Vinyl 2-Lite Horizontal Slider Limits of Use Certification Agency Certificate Approved for use in HVHZ:No FLS 1/1 1321 C CAC 43 4:)HS 7 15 R4(1 od( Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date 1 https://floridabu ilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQc1 h%2bCtWN68r... 12/6/2017 4 4 Am- 4 73-D / 0737- 94/Z- • L \/ 42 BAS 11 21 FGR L4.„ •fi rl r L 4 7 7 12-141