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266 Magnolia St RES19-0285 Replace Window %5 1..J• 'ir4.,, RESIDENTIAL PERMIT PERMIT NUMBER -J; :i..-`~ '~ V~'\ CITY OF ATLANTIC BEACH RES19-0285 \\'f 800 SEMINOLE ROAD ISSUED: 10/4/2019 ''Tr) i!9ATLANTIC BEACH. FL 32233 EXPIRES: 4/1/2020 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: I VALUE OF WORK: 266 MAGNOLIA ST RESIDENTIAL ALTERATION REPLACE WINDOW $4076.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170533 0000 SALTAIR SEC 01 COMPANY: ADDRESS: CITY: STATE: ZIP: HOMERITE WINDOWS AND 4801 Executive Park CT N JACKSONVILLE FL 32216 DOORS OWNER: ADDRESS: ! CITY: STATE: ZIP: HOFFMAN ROSALIND S 266 MAGNOLIA ST ATLANTIC BEACH FL 32233-4008 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. 4- 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 $75.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $116.50 Issued Date: 10/4/2019 1 of 2 S'�''"ri,, RESIDENTIAL PERMIT PERMIT NUMBER Jt� , ', ,, ... , CITY OF ATLANTIC BEACH RES19-0285 j �r v" ISSUED: 10/4/2019 800 SEMINOLE ROAD °;s.19. ATLANTIC BEACH. FL 32233 EXPIRES: 4/1/2020 I Issued Date: 10/4/2019 2 of 2 0 1..U.1"-;', City of Atlantic Beach APPLICATION NUMBER fS, ` Building Department (To be assigned by the Building Department.) w ' 800 Seminole Road RES i\ - (�7'C_--S 7 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845I x0;1»:- E-mail: building-dept@coab.us Date routed: Ci c t-c) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2-G(0 1\\ GNoLi A ment review required Yr No K cepad._,D uildingApplicant: )40(11,eK cr-G. Li(3(/.-) 0(.0--r fartrrtng &Zoning ,, 11 Tree Administrator Project: \\) ( K)0 Oba& 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 By Florida Dept. of Environmental Protection /f?' Florida Dept. of Transportation r ,` St.Johns River Water Management District V 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: BUILDIN e1 PLANNING &ZONING Reviewed by: n Date:0_0 -aoib er TREE ADMIN. Second Review: nApproved as revised. ❑Denied. nNot 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 %-v-"i-, Building Permit ApplicationUpdated �� OFFICE COPS 10918 U� ti� City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY <!us'O' IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 2‘C /0,r-1i/iv t`ic.. 5•-i-% Permit Number: RESk9 --OZ Legal Description Icc-13 1 6-2S-29E. 5 AL-r,4I R SEC 1 LOT 'i —( RE# V-705-73 •- 0006 Valuation of Work(Replacement Cost)$ 11,07 6 `'= Heated/Cooled SF 17 22. Non-Heated/Cooled 2 5-3 • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo OPool IJWindow/Door • Use of existing/proposed structure(s): ❑Commercial L>(Residential// ""t1..-.7_C r.-- 1 i v E I • If an existing structure,is a fire sprinkler system installed?: - ❑Yes 1: No "' • Will tree(s)be removed in association with proposed project?❑Yes(must submit separate Tree Removal Permit) [i/No Describe in detail the type of work to be performed: S E P 2 3 201 f Florida Product Approval# for multiple products use product apprprynrm TipartMen Property Owner Information ( , , ., .tic Beach, Name Ros,si;rd 5. H .,... ., Address 26 , .4U�.�ol,`� S+ City A+[Q,,,-FiG "3z .L. State FL Zip 32233 Phone (cicm) 5-35- i(AS E-Mail �rcf X36 ci r c.c w‘c�s'�`- ,--.e-+ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) w Contractor Information Z Name of Company +-1 d.,,,.0 ,+e \A" .„4,,...,•-; `'i 7ce.- Qualifying Agent AA e•Pi-Ad(o. N (�. l�irt,r,,,:.� Q = J Z 1 Address 41E61 Ek4.«+i u� t tk c_+. N. S+e, Z0-7 City •�dx State F 1_ Zip 32 d U Z 0 Q Office Phone (96 t) 2,4 G- 2515 Job Site Contact Number 010'4' 5-7S--b al 5 ct n 0 N, State Certification/Registration# CLC 1512-72-7 E-Mail 6 c_„,......1,s 0 i,,,, 1 �-ie wd. c...,,pi .... f Z _w Architect Name&Phone# V L7 0 Q Engineer's Name&Phone# W F- Q 0 Workers Compensation Insurer OR Exempt❑ Expiration Date d Z Q 2 Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installr©t•onjit 0) commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regir}etiO V212 construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SICNIL - la WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremeht�� w >: permit,there may be additional restrictions applicable to this property that may be found in the public records of this coui gacP- CO there may be additional permits required from other governmental entities such as water management districts,state ageirl"ooj Q, W federal agencies. W U Cl) LU ¢ w OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wild all w applicable laws regulating construction and zoning. c. cc 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 alizo rjC17N0 G YOUR NOTICE O COMMENCEMENT. n 5�,� V� .(.mac �� - (Signature of Owner g nt) (Signature of Contractor) Signed and sworn to(or affirmed)before me this 4o day of Signed nd s orn to(or affirmed)before me this#1 y of US , ac 1 c ,by Zv(q b�yf G�J�� J 0„Vi,4 gnaT�ffe@f{�lcfter9)0BINSON ��r�r"-_�� s':,. - - • • %State of Florida-Notary Public p„biicStateotFbrida *IPPI *= Commission # GG 237845 .rs+ Notary Walden Richard O. '� ''° My Commission Expires / _� * Commission GG 247920 �,,;Enrr�`.` [dPersonally Known 0• < My [ ]Personally Known OR ,,,�„,r July 12, 2022 [ y Expires 1210812022 SQ Produced Identificatior . [ I Produced Identificati. ' ,, . . - Type of Identification: (7)6 t\FP.r lUenS'e� Type of Identification: , . • pp'rsc,A, Ili (arc,,,,^ NOTICE OF COMMENCEMENT OFFICE COPY (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 170533-0000 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: 10-8 16-2S-29E SALTAIR SEC 1 LOT 494 Address of property being improved: 266 MAGNOLIA ST ATLANTIC BEACH, FL 32233 General description of improvements: Replace Windows - Size for Size Owner 1--10—Kv,,.e..,, Pos"i;,,,a( S . Address 266 MAGNOLIA ST ATLANTIC BEACH, FL 32233 Owner's interest in site of the improvement Primary Residence Fee Simple Titleholder(if other than owner) Name Address Contractor HomeRite Windows and Doors Address 4801 Executive Park Ct.N.Bldg.200 Ste.207 Jacksonville,FL 32216 Phone No. (904)296-2515 Fax No. (904)296-2528 Surety(if any) Address Amount of bond$ -J Phone No. Fax No. 0 Name and address of any person making a loan for the construction of the improvements. O Name_ rn 0 Q_ I- Address U Phone No. Fax No. rn _ o 3 Name of person within the State of Florida,other than himself or herself,designated by owner upon whom m `P. notices or other documents may be served: 0j rn o 0 NameJ crci� w en Address 0) i/j(1)N 0' o a O) rn0 E Z Phone No. Fax No. a w w_ In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as o8"O O w provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). 0 Z Et 0 ce Name Address Phone 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 OWNER \`\�0111111i/0N Signedar DAT`]i tuiln�(,'/.y/ Before me this ay of jt,•�. py,`•„•r. '�� C of Duval: S to f lor' has personally_ appeared z • y •�'y him / er-1:111\111fir s t a all stater Dts and dedar���b : i TRICIE G ROBINSON are true and accurate . e•+ • State of Flonde-Notary Public- Z• #GG 293767 * - E• '•_ Commission i1 GG 237845 / %�� • 9 ' • My Commission Expires / �9k••°s ceded the 4% p't July 12, 2022 Insuf+ No- Pub is at Large.Stat of 7Mal r� �i'1YP/.1}d, . ••.......... \\\\\ My commission expires:1(At \at'�(c>- _ / Personally Known y 1 M1111110 Produced Identification 0 O.)-ttc Lice rises OFFICE COPY 1----iF 12 1ry I-1 :31 r\)4X BAS 43 12-118 12 1! FGR 12--ii L :3 1c :3 4 1. 266 MAGNOLIA ST 2. ATLANTIC BEACH, FL 32233-4008 UI-FILE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) i *Project Address: 266 Magnolia St. Atlantic Beach, FL 32233 Permit#: /e dd? 5 *Owner/Project Name: Rosalind S. Hoffman As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1.Swinging 2.Sliding 3. Sectional 4. Garage Roll-Up 5.Automatic 6. Other B.WINDOWS 1.Single hung 2. Horizontal slider MI 1630 Horizontal Slider +45/-45 DP 21638.1 3. Casement 4. Double hung 5. Fixed MI 3540 Picture Window +35/-35 DP 18644.2 6.Awning 7. Pass-through 8. Projected 9. Mullion 10.Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 10/17/18 OFFICE 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 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. *Contractor Name (Print Name): Melinda O. Brown *Contractor Signature: i:Le e:47�j)„_, *Company Name: HomeRite Windows & Doors *Mailing Address: 4801 Executive Park Ct. N. Ste. 207 *city: Jacksonville *State: FL *Zip Code: 32216 *Telephone Number: (904) 296-2515 *E-mail Address: bcombs@homeritewd.com Cell Phone Number: (904) 575-0455 Fax Number: (904) 296-2528 Page 4 of 4 Updated 10/17/18