1303 Camelia St RES19-0090 Replace Windows RESIDENTIAL PERMIT PERMIT NUMBER
0
i, CITY OF ATLANTIC BEACH RES19-0090
800 SEMINOLE ROAD
ISSUED:4/16/2019
`r'vv ATLANTIC BEACH. FL 32233 EXPIRES: 10/13/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT STH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicableto 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:
1303 CAMELIA ST RESIDENTIAL ALTERATION replace 7 windows $3000.00
RESIDENTIAL
TYPE • BUILDING
• SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1710510020 ATLANTIC BEACH SEC H
COMPANY: Kr •
NewSouth Window 8590 Philips Hwy. Jacksonville FL 32256
Solutions
• ADDRESS:
WILLEY ARTHUR GARFIELD 1303 CAM ELIA ST ATLANTIC BEACH FL 32233-1810
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
BUILDINGPERMIT 4550000-322-1000 0 $70.00
BUILDING PIAN CHECK 45S WOO 3221001 0 $35-00
STATE OBER SURCHARGE 455-0000-2080700 0 $200
STATE DCA SURCHARGE 455-0000-20806M 0 $200
TOTAL: $109.00
Issued Date:4/16/2019 1 of 2
u, RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0090
ROAD ISSUED:4/16/2019
ATLANTICBEACH. FL 32233 EXPIRES: 10/13/2019
Issued Date:4/16/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
�i 800 Seminole Road0 ! s I%, ,_ P1
Yj .' Atlantic Beach,Florida 32233-5445 1GJ _f (J
JJ Phone(904)247-5828 Fax(904)247-5845 p (C
E-mail: buildingdept@coeb.us Data routed 0 2—
City web-site: hap'.//v ww.coab.us
APPLICATION REVIEWANDTRACKING FORM
Property Address: LLI`T• D rtment review required Ye No
�.,11 (� ,hn Build, g
Applicant: Ntw �Y+A.'1• t �J to W/'�J Planning&Zoning
Tree Administrator
Project: 1 �` - l W� I ?'J_1 Public Works
Public Utilities
Public Safety
Fire Services
&view fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B V
Florida Dept. of Environmental Protection
Florida Dept.of Transportation f4
St.Johns River Water Management District
Any Corps of Engineers LO) Y
Division of Hotels and Restaurants 1
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable
(Circle one Comments: ^ f
BUILDI /v C_
PLANNING&ZONING Reviewed by: 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 0511912017
Building Permit Application OFFICE COPY UPd•todlois/18
n City of Atlantic Beach Building Department ••ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us pp IS REQUIRED.
Job Address: 1303 Camelia St Atlantic Beach FL 32233 Permit Number:
Legal Description 18-34 38-2S-29E/SEC H ATLANTIC BEACH/LOT 4 BLOCK 225 RE# 07107-02349
Q-9
Valuation of Work(Replacement Cost)$ - Heated/Cooled SF Non-Heated/Cooled
• Classof Work: ❑New DAddition OAlteration ORepair OMove DDemo ❑Pool ®Window/Door
• Use of misting/proposed structure(s): DCommerclal ®Residential
• If an existing structure,is a fire sprinkler system Installed?: OYes DNo
W
• Will tree removed in association with Proposed prolect?11es must submit separate Thee Removal PermitICIBNo
Describe in detail the type of work to be performed: Size for size replacement of 7 windows. MAR 1 6 Z N N
AS=
a U.z
Florida Product Approval# for multiple products use product appolLlZ w
Property Owner Information U U 00
Name Arthur&Ne1I'P Wiley Address 1303 Camel'a St 6 l— O
City Atlantic Beach State FL Zip 32233 Phone 904-859-2522 T 2
E-Mail U N
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) a P ~
Contractor Information LL LL ¢ 2
Name of Company NewSou(h Window Solutions qualifying Agent Zachary Stone O W m
Address 6590 Phirms Hiorwav City Jacksonville State fL Zip 32256., {— W p
Office Phone 90-717-540D Job Site Contact Number r C W1 m
State Certification/Registration# SCC131152038 E-Mail IacksonyilledloewsouthWndow.con, w S W
Architect Name&Phone# LJ w
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt U 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 regulating
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 entitles 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 YO PR IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR OR Y B FORE
Vto(or
G YOUR NOTIC OF COMMENCEMENT.
jSlgnstureofOwner em) (Signature of Contractor)worn to(or affirmed)before me thi day of 55iy�nedandsworntoto� r affirmed)before me is day f ; o
a01 by fa51�'�.�—t .by,gnature of Notary) gnature of Notary) a Known OR ^rsonally Known ORidentscation I I Produced Identificationification: Type of Identification:
¥ 2 0 - - / 7
! ® *!
/
! `
. ( ! ¢ � # , ; tc ' - a = , ; ■
) kf} ) § \ f ( m
\ �
: ® SE ® m §
. §
( /ƒ » i
2 { f ( 4
§
0 \ to
EL w
� (\
t , ) w
0 \ ?
` ( ƒ \
{ } f / { \ (
® \ & ( \ } §
\\ 00
f r! ®Ul
§ \ $ ({ ) § \
§ ! r (f § ® ®
CA
E41
[
\{
7 \ � /
()
. . A C4
\
ƒ ; ,
0
m
n
m
0
m
--I
.� s �a
h
�a11�
Doc N 2019054414, OR BK 18714 Page 1516, Number Pages: 1,
Recorded 03/11/2019 02:16 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00 -
NOTICS OF COMMENCEMENT OFFICE COPY
'. O Im1EP•NEINOVFLIGTaI
Earned No. l/�r E.'SI / -0090 Tax FOIolwx.0710702349
State of FlnOp± County, DUVAL
To whom It may Wham:
The undersigned hereby Informs you that Improvements will be made to certain real property.and In
acooedanpe with Seddon 713 of the Florida statutes,the tag living Information Is stated in this NOTICE OF
COMMENCEMENT.
Leg,dasodpnon of property xM'Improved: 18-34 38-ZS-Z9E l SEC hl ATLANTIC BEACH/LOT 4 BLOCK 225
Md .aprw<rtybeingImpaled: 1303CAMBLIAST.
ATLANTIC BEACH,FL 32233
General aacnpuon of th mvemenN�SIZE FOR SIZE REPLACEMENT OF WINDOWS AND/OR DOORS
owner ARTHUR&NELLIE WILLEY
Morass 1303 CAMELIA ST,ATLANTIC BEACH,FL 32233
Owner's interests,mle of in.Mormonism
Fee Simple Titleholder Ill Amer Nan omerrI
Name
Md.
Cobbactx,New.Smnh Window Sddlmw
Address 8590 Plums Hwy.Janette llle.FL 32M6
pherer No.9I4411-540d Fax No 904-7175411
sumN(K any)
Mores Anerunl d bond ll
Flows No. Fax No.
Name and address aM y Fusion medhq s loan tar the onn- ucllon of me Improvements.
Neme
Address
Phone No, Fax No.
Name d person when me stall of Fladda,other men hbmell,designed by owner upon v4wrn notices or clime
d.e ents m be carved.
Name
Andres.
Pran,No. Fiat No.
In adeidon to Mmself owner dealgnOM the loladng Pena M recdve a mpy d ser Liemis Nonce as provided N
Semon 713,06 12)Ibl,Funds Slang. (Ful to at Owner's aptlon).
Name
Mdrm.
Phone No. Fax No.
Expeanon data of Nance d coremortcemem(me exp Meon dem In one(1)year from the data d reoardmi unless n
Mitterrand tide is apaldled): f R
TNIS SPACE FOR RECORDER'S OEE ONLY gWIERn� r��sda�
d /S La/tlGa.MA MTS�SIq 8, d
eifa`- enure ..§§
�yx�a F.v.l.stsMy q���pwaw era d€€8
heieluY
w nen lWWnaNamamrnm.xaln a
$a
a
apbr PUWa MaWa. qYN aultYYieuu .j;F'
wY xxxxtm b
MFM' Y•LTTaCY
Psx
ROMrsdltn IOMnlueen