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400 Garden Lane RES19-0115 Windows/Doors RESIDENTIAL PERMIT PERMITNUMBER CITY OF ATLANTIC BEACH RES19-0115 800 SEMINOLE ROAD ISSUED:4/24/2019 ATLANTIC BEACH. Fl.32233 EXPIRES: 10/21/2019 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,orfecleral agencies. JOB AD-DRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 400 GARDEN LN RESIDENTIAL ALTERATION 7 WINDOWS &ONE DOOR $3500.00 RESIDENTIAL TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1720205034 SELVA MARINA GARDEN COMPANY: ADDRESS: CITY: STATE: ZIP: NewSouth Window 8590 Philips Hwy. Jacksonville FL 32256 Solutions OWNER: ADDRESS: CITY: STATE: ZIP: PERSICO CYNTHIA K 400 GARDEN LN ATLANTIC BEACH FL 32233-4528 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 BULDINGPERMIT 455 OM-322-1000 0 $70.00 BUILDING PLAN CHECK 455 GOOD 322 1001 0 $35.00 STATE DBPR SURCHARGE 45S-0000 20"700 0 $2.00 STATE DEAL SURCHARGE 455 0000-209-0600 0 $2.00 TOTAL:$109.00 issued Date:4/24/2019 1 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be Building Department.) 800 Seminole Road Atlantic Beach,Flodda 32233-5445 0 ( G Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@mab.us Date routedA 11 City web-site: h1tip1t�.coala.us APPLICATION REVIEW AND TRACKING FORM Property Address:40n Epiiipl� D!�"t review required Yes (,'Building Applicant: MPLLOSOQTL-4 -Plarinring-&-f6ining ,_7V6 I TreeAdministrator Project: 0C) PublicWorks Public Utilities Public Safety Fire Sewices Review fee $ Dept Signature Other Agency Review or Permit Required Re i.ew v It of Pe By Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management Distinct Amy Corps of Engineers Division of Hotels and Restaurants Division of AlcoholiC Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ly<p—lved. ElDenied. E]Not appitcable (Circle one.) Comments: G9D PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. E]Denied� E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date FIRESERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date: Revised OW1912017 OFFICE COPY Building Permit Application Updvoodl"118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road,Atlantic Beach, FL 32233 HIGHUGHTED IN GRAY Phone; (904) 247-5826 Email: Building-DeptiIIIcoalD.Lis 15 REQUIRED� Job Address: 400 Garden Lane Atlantic Beach, FIL 32233 Permit Number: c) - (- i ( s Legal Description 37-84 09-2S-29E$elvai Manna Garden —RE# 172020-5034 Vall of Work(Replacement Cog)$ 3,500.00 Heated/Cooled SF—Now Heated/Cooled • ClassofWork; ONew ELAddithon DAfteration ORepair IlMove ODemo Direct MWindow/Door • Use ofexiglng/proposed structure(s): ElCommerclal IgResidential • If an existing structure,is a fire sprinkler system installed?: Dyes ONa • Will tree(s)be removed in j.od.u..wah proposed pro ect?ElYe5 Imug submit separate Tree Removal P�rmitl DNo Describe In clertuall the type of work to be performed: 0 Size for size replacement of 7 vAndows and 1 door, Z , I 1Z Florid a Product Approval# see aftachoci product approval form for multiple products use product approval Z - _N ' 2 Property Owner Information LU 0 0 GO - 0 Z Name CYrdPwsico ----Address 40OGaWenLane 11 0 0 - C3 cj City Manticileach State R Zip 3UM Phone 91 E�Mall CKPOMI00111118d— ! WZ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) 0 .1 Cc � to Contractor Infortnartlon 0 1 NameofCompany QualifyingAgent ZscluarvElow Z Address aswPhiposi-ifghway city Jacksonville State FIL Zip 322M a Office Phone �7117-5400 Job Site Contact Number 14 = State Certification/RelistradonIt SCC!31152038 E-Mail JaWonvilleflnewsoullovdow.com :D Architect Name&Phone# 0 W Engineees Name&Phone# Workers Compensation Insurer Lanier Upshaw Inc —ORExempto ExplrationDate 02/15=20 A Application is hereby made to obtain a permit to do the work and installations as Indicated.I tertify that no work or installation has commenced prior to the[nuance 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 ofthis permit,there may be additional restrictions applicable to this property that may be found In the public records of this county,and them may be additional permits required fro.other govurnmental 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=ORE RECORDINGYOURN CE OF COMMENCEMENT. T (JD"A�t� 0 LSIgratwe.fOvvwr.rAnQ Ir_151"u rU5rmacoo,) Signeclandswornto(or fifirmed)before metilis�5 dayof S d and swom to(or affirmed)before me this I' igne _ ?_day of �='by Q�Oklx by 20cyo�4 S*DM ISIg-m-Wre'lof Notary) �(Slget&eor`Notary) oov, sww of Fwn. '1P=-IIy,Koto,,n OR 4P a rP=n. wn OR Ayssa Lejh Surro0kr I P cad he GG 131212 Gr3 231212 If I'll,PP==U Exp��141022 n ficati. I P zed ld=fflca�ion My c� ExPres W2 IQ022 0 Doc # 2019040541, OR BK 18696 Page 1272, Number Pages: 1, Recorded 02/21/2019 08:39 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OFFICE COPY NOTICE OF COMMENCEMENT penna,,oReS14� --O&Y Tax Frfi.No, 172020-5034 1"..,Hmlp� ......... MP'A' To wftV It Saw concern; r,a MftM,IMx,,h.egMy efMan,I..that ImMaxerMaxell-111 w MASS to eartato Seat prol'Orty.and 1. .�.M"an,seen.Tj 3 of Me Florida Me ftlI.Ing Mf..a%M Is MW 1.MIS NOTICE OF CoaseneCIRAIDIT, L"O��o(PMP""kvimm� 172020-5034 / 37-8409-2S-29E S.Ixa Marine Garde.Lot 14 of 009 Impro"ad: 400 Garden Lane Atlantic Beach.F1 32233 dereartexan&arxxo�amws: Sim for size window and/or dwr replacement Cynthia Persica M,nn,400 Garden Lme Atlantic Btrach.FL 32233 N. Aften con'SM,N'a.SMam w1mea,Srhfto AcIdnex 5W p1,11p H".jacIrnox,gle.FL.32256 �ne No.SaSy'r-Sane Fax No W441744 11 sunny(9"1 Adler .. �.No Fax,No, Narna and Santa.&any mrson Stan,-San for me oeMnyJ~M Me IMP"An"May N.Mne Afte's Pnonw,No. Fax No, Naerne of oarrm xxthan Me Slax,of Monda.other than hersed.0eSIVxWMJ blrox�exa UISM xwe nooms or olner doex.m,May Me Saxxw Nerx, Aft.. pton.No Fax No In fteen to hennaen. Sr aeavreinn,ft lolwkng on.W rM,xx..o,,of Me I-nmor.None..wox*ySd sa�fion 713 N(2)M) �.etax.t.,,(Fyllx�at�$MAtor) Nxwne� Afte. Phone No F.No Exorphon"Wallobox (Me evenMOn We ISMS II)YONfrove tnewe&reewraft unnearta e ditheent May I. pcMee): THIS WAZE W fto(affijmnk�USE MILY ow"at 5 1 11/' pal wevop.. q xx�. �oxxxxrx�n F OFFICE COPY BAS +A-�7- 20 22 FGR L�A ll�Noc�5 >- 0 PRODUCT APPROVAI INIORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA ("REQUIRED) CL *Project Address: 400 Garden Lane Atlantic Beach, F1 32233 Permit#: jet-Sl'?- V//S,- *Owner/Project Name; Cynd! Persico - Persico window project LU U As required by Florida Statute 553.942 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s)for LL- the building components listed below as applicable to the building construction Project for the permit number listed above. You should contact your LL- product supplier if you do nut know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. Category/Subcategory Manufacturer Wm-itatlonaf Use -State# A.EX7rERIOR DOORS 1.Swinging PlastPro Inc. q.Smooth I Wood Grain FL# 15213.17 2.Sliding 3.Sectional 4.Garage Roll-Up S.Automatic 6.Other B.WINDOWS I-Single hung 2.Horizontal slider 3.Casement -Fl-#15378.2 4.Double hung NmSwthWindmeSolutions N.;;MD.JAaH.ngWfid. S.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion breaker i��E'U`.,�.'ction L 12.Other Pagel&4 UPaPW10117118 agg 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. LU 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 otherthan the C) ones listed in this document must be approved bythe Building Official. LJ_ LL_ *Contractor Name(Print Name):Zachary Stone *Contractor Signature: ZZ-(, *Company Name: NewSouth Window Solutions of Jacksonville *Mailing Address: 8590 Philips Highway *City: Jacksonville -State: FL -Zip Code: 32256 *Telephone Number: (904) 717-5400 -E-mail Address; danadykes@newsouthwindow.com Cell Phone Number: Fax Number: Page 4 Of4 Updated 10/17/19 Cash Register Receipt Receipt Number City of Atlantic Beach R9636 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $55-00 RES19-0115 Address: 400 GARDEN LN APN: 172020 5034 $55.00 BUILDING WINDOW DOOR INSTALL 05/20/2019 RBE $55.00 BUILDING WINDOW DOOR INSTALL 45500003221002 $55.00 05/20/2019 RBE 0 TOTAL FEES PAID BY RECEIPT: R9636 $55.00 Date Paid: Monday, July 22, 2019 Paid By: NewSouth Window Solutions Cashier: CB Pay Method: CREDIT CARD 6 Printed: Monday,July 22, 2019 2:00 PM 1 of 1 Cash Register Receipt Receipt Number City of Atlantic Beach R9699 DESCRIPTION ACCOUNT QTY P PermitTRAK $55.00 RES19-0115 Address: 400 GARDEN LN APN: 172020 5034 $55.00 BUILDING WINDOW DOOR INSTALL 07/26/2019 RBE $55.00 BUILDING WINDOW DOOR INSTALL 455-0000-322-1002 $55.00 07/26/2019 RBE 0 TOTAL FEES PAID BY RECEIPT: R9699 $55.00 Date Paid: Friday,July 26, 2019 Paid By: NewSouth Window Solutions Cashier: CT Pay Method: CREDIT CARD 001179 Printed: Friday,July 26,2019 3:28 PIVI I of I