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2242 Barefoot Tr RES19-0200 Doors/Windows RESIDENTIAL PERMIT PERMIT NUMBER RES19-0200 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 6/27/2019 "`s �• ATLANTIC BEACH. FL 32233 EXPIRES: 12/24/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, ' OF jNTIC 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: 2242 BAREFOOT TRACE RESIDENTIAL ALTERATION 2 DOORS AND ONE $10472.00 RESIDENTIAL WINDOW TYPE OF ZONING: :D • • • GROUP: 169463 0590 OCEANWALK UNIT 02 • . ADDRESS: Renewal by Andersen of 5606 Cader Road Orlando FL 32810 Central Florida • . DDR NEUHAUS WILLIAM ROY 2242 BAREFOOT TRICE ATLANTIC BEACH FL 32233 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. 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 $105.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $161.86 Issued Date: 6/27/2019 1 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To beas igned by the Building Department.) 800 Seminole Road GS ( _O CLQ Atlantic Beach, Florida 32233-5445 G Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L Z� QG�- (pT apadiaent review required YeVf No - \ uildin Applicant: Rc—�K�)GwAC, (�.J � oning �1 1� Tree Administrator Project: Z � '� O&DE W,K:)D0, J 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 B 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. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: 4' a 7" 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 05/1912017 LkNUE COPY Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 r /1 '7 (v� Job Address: 2242 BAREFOOT TRCE Atlantic Beach FL 32233 Permit Number: I4_ C S i q v L© Legal Description RES LD 3-7 UNITS PER AC RE# Valuation of Work(Replacement Cost)$10,472.00 Heated/Cooled SF Non-Heated/Cooled Q • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door W • Use of existing/proposed structure(s)(Circle one): Commercial Residential (J • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/AN • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal J Q Describe in detail the type of work to be performed: 0 0 Ocst ~ Z Replacing 2 Doors Size for Size '� �t�2 U o C) o Florida Product Approval# for multiple products use product appripyyak I., Property Owner Information O 0 Q LL Name: NEUHAUS WILLIAM ROY ,NEUHAUS MARY VICTORIA Address: 2242 BAREFOOT TRCE Atlantic Beach FL 32233 U E— N Z City State Zip Phone n _ W E-Mail LL W Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) a. CC M Contractor Information 6 'LUQ W Name of Com anv: Renewal by Andersen of F1®� c)G`. Qualifying Agent: dared Mellick tL U (n W W Address_ uL . J -7 VV L9,x,% ,,...f pijVj_ City Orlando State FL Zip 32EP j Office Phone 407-803-4723Job Site/Contact Number CL" cc State Certification/Registration#_ C f-, t5a'L(eL3E-Mail t���'1 Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 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. (Signature of Owner or Agent) (Signature of Contractor) C_ (including contractor) Si ned and sworn to(or affirmed)before me this y of Signed and sworn to(or affirmed)befor me this day of . �C?Iq ,by �l)lq by — YMf I Ile K STEPHANIE LAMAS �aY•o�n Notary Public-State of Florida Si ature of Notary) f•�o` Commission#GG 27641 t PHA IE LAMAS My Commission Expires =o��. `°�'': �O'"0 `` P r9tu� tS��LH,Q1022 Personal) Known OR '_ -Notary Public State of Florida �1 y = Commission#GG 276411 PrTurrTerfrum [ ]Produced Identification iy�FORcI� My Commission Expires Type of Identification: I` E00 6W41 7161 V Type of Identification: "" November 13,2022 Doc # 2019086984 , OR BK 18757 Page 2237 , Number Pages : 1, Recorded 04/16/2019 01 :22 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OFFICE COPY NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. I&S I°I-0 200 Tax Folio No. 169463-0590 State of Florida County of Duval To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: RES LD 3-7 UNITS PER AC Address of property being improved: 2242 BAREFOOT TRCE Atlantic Beach FL 32233 General description of improvements: Replacing 2 Doors Size for Size Owner NEUHAUS WILLIAM ROY,NEUHAUS MARY VICTORIA Address 2242 BAREFOOT TRCE Atlantic Beach FL 32233 Owner's interest In site of the improvement owner Fee Simple Titleholder(if other than owner) Name Address Contractor Renewal by Andersen of Central FUJared Mellick Address 5655 Carder Rd Orlando,FL 32810 Phone No, 407.903-4723 Fax No. Surety(if any) Address Amount of bond$ 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. 1 Y Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other t i documents may be served: t Name w t Address Phone No. Fax No. 1 In addition to hlmseN,owner designates the following ¢ g g person to receive a copy of the Lienor's Notice as provided in f t Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's optioni t t Name f t Address i Phone No. Fax No. t i i Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a A different date is specified): � THIS SPACE FOR RECORDER'S USE ONLY OWNER /{�J �/ R Signed:/�" DATE 3Jr7 ( � STATE Of FLORIDA BCefory orf Duval.s ate or Florywof i,has personally appI Ch_2011 eared to the ' AUVAL C00111i a[1( �PU i%71A9 y herein by e 1,TWE lJW*NWWn got*at It+a Cirettit Cool 4 VA h1ritSelf/hepAbitandarlirM3 that all statem atignshereins are true and accurate Cl Florida,00 HEW*Y Cli-AnFir to toi'dtin and teryeing ;;ip:�."•'•"4f: SRANNON MELUCK a cohslating 0—J-088",t:,w 0 rya aM Ioorract coal of tM aryinol Commission#OG 300535 a as it appears an recara*Aa filp+n to offico at the Clerk of G4raait :a: Expires February 11,2023 Ceun � "off iso: Banded & ^,Courts of E[wf Coll tneura wee00 385 7s1g Nolarq Public at L-5rg6,Slarto of , WITNESS my hard aM sotto if{merit of Circuit t Calftl Caoria, sty commission explrea: at Jacksonville,Fonda,tfiis9ha 8 W of Zi1aa A C.,211 Personally Known_. _._ __ Produced Idehtlflcation NOGO MJf�191E FUSSELL _.._....__ e Gfrrl.,Cucuft and Lgiiinty Cants doral Cil lr,Florida a Illy IIIIInouty Clark PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORID�JA Project Name: NE221ei�I/":� Permit Project Address: `f a g a eA o t- Tra m As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,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.floridabuildin .or 7. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging 2. Sliding nd2 SID St�ieS Ft_f�IyckG,3 3. Sectional 4. Roll up 5. Automatic 6. Other B. WINDOWS 1. Single hung 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed e i waw 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight Urritit We Y 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. CIL (Contractor Name) (Print Name) i re Company Name: Ic' Mailing Address: 917 (Y\A City: ( Ck n d o State: Zip Code: Telephone Number: (1 C�7 3 `7 7( > Fax Number: ( )baa Cell Phone Number: ( )�� E-mail Address: h Cash Register Receipt Receipt Number City of Atlantic Beach R9751 DESCRIPTION ACCOUNTQTY PAID PermitTRAK $55.00 RE519-0200 Address: 2242 BAREFOOT TRACE APN: 169463 0590 $55.00 BUILDING WINDOW DOOR FINAL"07/29/2019 RBE $55.00 BUILDING WINDOW DOOR FINAL** 455-0000-322-10020 $55.00 07/29/2019 RBE TOTALR9751 $55.00 Date Paid: Thursday, August 01, 2019 Paid By: Renewal by Andersen of Central Florida Cashier: CT Pay Method: CREDIT CARD 729126 Printed:Thursday,August 01,2019 11:41 AM 1 of 1 mwrr