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1157 E Linkside Ct RES19-0222 Replace WindowsRESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER RES19-0222 ISSUED: 7/23/2019 EXPIRES:1/19/2020 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 1157 E LINKSIDE CT RESIDENTIAL ALTERATION replace windows $6187.01 RESIDENTIAL 172374 5080 SELVA LINKSIDE UNIT 01 COMPANY:ADDRESS: CG CONSTRUCTION OF 10950-060 SAN JOSE BOULEVARD, JACKSONVILLE FL 32223 JACKSONVILLE 4319 ADDRESS: CITY: STATE: ZIP: SHIPPEY MEREDITH 1157 LINKSIDE CT E ATLANTIC BEACH FL 32233 MICHELLE 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. Issued Date: 7/23/2019 1 of 2 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $85.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 7/23/2019 1 of 2 State of F-tw (A County of -T> V ✓ 41— To Whom It May Concern: NOTICE OF COMMENCEMENT Tax Folio No. 1 123 .5d Le 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 isstated in this NOTICE OF COMMENCEMENT. Legal Description of property, being improved:` >d V'+ LA"rl�Sr�7C gAlft % Z -0f 15 — Address of property being improved: // l // A/ 14 St el14- e'1- • e, eK _ General description of improvements: :tLlL--0fl"e R�P k « /-- , u i �l f� ►�OwS I L ,J�.w . Owner: 1"&r' PA v �n i �PL� Address: 115-7 tj jk-i/V g Aff Owner's interest in site of the improvement:�- Fee Simple Titleholder (if other than owner): Name: Contractor: 6--! Co" 56-a C. r 0'i o t ft d'-- N C Address: (O EGD '--060 �AECr,J/ !, Cy r�vA�r�(yo�v; Telephone No.: 70 r - ,5-75 - L -[ 7 ( Fax No: [ 0 7 -a1 a 0 - G Surety (if any) 04 Z XQ _ _— Address: Amount of Bond $ Telephone 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: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): — THIS SPACE FOR RECORDER'S USE ONLY OWNER1h Aj / Date: Before Before me is ay ii a Co f D val, 9tate Of Florida, has personally appeared Notary Public at Large, State o f lorida, Co my of Du I. My commission expires: Jl�V%A Personally Known: or L Doc # 2019171133, OR BK 18873 Page 994, -educed Identification: Number Pages: 1 Recorded 07/23/2019 11:09 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL jot�pr'v& •., AMY GORMAN :: ; Notary Public - State of Florida COUNTY'; •`: RECORDING $10.00 =;: Commission q GG 226117 -!@. F � ?. My Comm. Expires Jun 7, 2022 Bonded through National Notary Assn. City of Atlantic Beach Building Department r� 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 - Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: hftp://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: Applicant: L - Project: Review fee $ De artment review required Yes No Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services 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: �pproved. [—]Denied. ❑Not applicable (Circle one.) Comments: QDBUILDIN �J PLANNING & ZONING Reviewed by: Date: 72 2'� TREE ADMIN. Second Review: ❑Approved as revised. Oq []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 RECEIVED Building Permit Application JUL 1 5 2019Updated 1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 Building N,.I�t4lTgf�el*PAy Phone: (904) 247-5826 Email: Build ing-Dept@coaly of Atlantic CSeb%5E FL Job Address: �' / �I /VIGSf G�L� G4 - 41i0 - Permit Number: '` , -/ Legal Description Yl/ -2317-,2S -, Sa Jt/9 &VK514 6(V,'f Lct�}� RE# M2, 3 '7 `1 —J09W Valuation of Work (Replacement Cost) $ G -7 Heated/Cooled SF Non- Heated/Cooled • ClassofWork: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool IXWindow/Door • Use of existing/proposed structure(s): ❑Commercial ❑1 `sidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes E16o Describe in detail the type of work to be performed: 1�1^'`D J e U.),' •vim ✓ S Florida Product Approval # for multiple products use product approval form Property Owner Jnformation Namem (V le, Address I s\-7 u`cjl`�l City 4UiwilL to LL• State 7' zipj 7 _ Phone E -Mail Q i f �•"� Owner or Agent (If Agent, Power of Att ney or gency Letter Required) Contractor Information - Name of Compan '�"U VClualifYing Agent &3 , a � r Addressl c sE ti -4 3 ! i City JAc1C-)c- L,3�_State L Zip LLZ Office Phone j ' S o Job Site Cont Nu ber iv- Le ', Zoc, State Certification/Registration #Ct E -Mail CI 6, SVM W7 ZD g ^� Architect Name & Phone # Engineer's Name & Phone # zo Z-0 Workers Compensation Insurer l 3• OR Exempt ❑ Expiration Date— Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 s�j' us'` 7? there may be additional permits required from other governmental entities such as water management districts, state agencies, or V federal agencies. Zr OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all < _ -.7 2 applicable laws regulating construction and zoning. a Z re H WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY W j RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOY R PROPER-I)/r. IF YOU INTEND U M Q 0 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O A ORN EF W H t RECORDING Y TIC OF COMMENCEMENT. �;' I -'� U Z O T'n tur o wne o A e (Signature of Contractor) Ski ped and sworn to (or affirmed) before m this ;6 day of t r gnature of Notary) f ) Personally Known OR rProduced Identification of Identification: .;�'pr pu AMY GORMAN Notary Public - State of Florida Commission # GG 226111 My Comm. Expires Jun 7, 2022 Bonded through National Notary Assn. Signe and sworn to (or affirmed) before m this day of 0 (j, :� W Q W } IL 1 nature of Notary) W ` W WJ _ U ( ) Personally Known OR (tifProduced Identification j ,,sOr Type of Identification: I Al c0 �\ c L X wr•r� ??' = JENNIFER JOHNSTON My COMMISSION # GG 042984 EXPIRES: October 27, 2020 BondedThruNotaryPublicUnderwrten ;: •' vrr�t;t COPY Ad'OO 301JJO PRODUCT APPROVAL OVAL INFORMATION SHE9, FOR THE CITY 0 ATLANTIC gEACH, FLORIt�/� ('"REQUIRED) *Project Address: l 11 �\� I�gi �L S iG<<P ��• `1 Permit 4. l� !— S! 9-- 02- Z Z- *Owner/Project Name: As required by Florida Statute 553:842 and Florida Administrative Code kiule 96-72, please provide the information tnd product apprpyol number(s) for the building components listed below as applicable to the building construction project for the permit number lilted above. You shq Id contact your product supplier if you do not krtdW the product approv4l number for any of the applicable luted products. Information regarding staXe product approval may be obtained at: wwWlloridabuilding,orz ,� 18 MOO 301330OFFICE COPY 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 Inspectbr') a legible copy of each manufacturer's Orinted specificatigns and installation instructions along with this Product approval Sheet, I certify that this product approval list is true and correct to the best of ri y knowledge. I further certify that use of different components other than the ones listed in this document must be approved by tho Building Official. *Contractor,Name (Print Nam@i:&R�°,-T *Company,Name: Lo.�©T *Mailing , ddre§s: ftq fir`' f *COritractor Sig attire: *City: t c jur t' *State; Cor *Zip Code: 32-22 3 *Telephony Number: U�0 *E-mail Address: Cell Phone Numoer: Fax Number:C� Page 4 of 4 gpdptgd;0117/18