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1660 Beach Ave Unit 3 RES19-0327 17 Windows rs1-- %,N RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0327 \\ 2' 800 SEMINOLE ROAD ISSUED: 11/6/2019 "� .il DATLANTIC BEACH. FL 32233 EXPIRES: 5/4/2020 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: VALUE OF WORK: 1660 BEACH AVE UNIT#3 RESIDENTIAL ALTERATION 17 WINDOWS $10575.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169576 0000 OCEAN GROVE UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: AMERICAN WINDOW 2633 S POWERS AVE JACKSONVILLE FL 32207 PRODUCTS OWNER: ADDRESS: CITY: STATE: ZIP: HART MARY JANE 1660-3 BEACH AV 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. 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 $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: 11/6/2019 1 of 2 �f RESIDENTIAL PERMIT PERMIT NUMBER Jam'' - '� RES19-0327 �4 .; _ s, CITY OF ATLANTIC BEACH I'? 800 SEMINOLE ROAD ISSUED: 11/6/2019 ,,-.%0;i IP EXPIRES: 5/4/2020 ATLANTIC BEACH. FL 32233 Issued Date: 11/6/2019 2 of 2 .-11J-IiiCity of Atlantic Beach APPLICATION NUMBER n Building Department (To be assigned by the Building Department.) 800 Seminole Road n(�� 7 r' Atlantic Beach, Florida 32233 5445 1 ` is i 9 -o 3 z r Phone(904)247-5826 . Fax(904)247-5845 �} \x/11j E-mail: building-dept@coab.us Date routed: 14, /4 lici City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 1.O(i9 0 (-C—E._ -{ kll e D rtment review,required YeNo W n , Building_ Applicant: /--A e-R.LQAto V V e ow Rob Planning&Zoning Tree Administrator . Project: 17 \A) j. O(/v- 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 Florida Dept. of Transportation St. Johns River Water Management District , Army Corps of Engineers , Ii, Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: PCproved. ['Denied. ❑Not applicable (Circle one.) Comments: BU DI PLANNING &ZONING /1-q-19 Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . ❑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 y Building Permit Application is '' B Oty of Atlantic 0� ICE COPY ,, 800 SemRoad,ad,Atlantic Beath, FL 32233 Bone: k).; (904)247-5826 Fax (904)247-5845 .bb Address: (p t--' ,� el RES - C 317 C Permit Number: Legal Cescription 15- � - cy A ,Qf 1 [�( cise✓� - Valuation of Work(Feplacement Cost)$ , Heated/()Doled g M Ir (l — Non-Heated/Cooled f - hi Cass of Work(Circle one): New Addition Alteration Repair Move Clemo RolVUnd�Door Use of e dsting/proposed structure(s)(Qrde one): Commercial `esident W .i'"U El If an existing structure, iso fire sprinkler system installed?(0 role one): Yes No WAS Q - Z 1 -1-I Sibmit a Tree Removal Fbrmit Application if any trees are to be removed or Affidavit of No Tree Removal d V z 0 Describe in detail the type of work to be performed: 1'—) ( 4(A. • CQ.c\fne-ii-.\)\).1 cx1,-o...)... - 1 ze, -- cs i Le om0 a Rorida Product Approval# '"'` �� '�� • for multiple products useproduct W R Propert Owner Information appy°Of�g< 2 Z _ tea Name. ••►„ �'N . Address:,,�(0(C0 , w Fes- e aul iA aate I=1 Zip 3�ot 33 Phone 1/41C� (.0 — C= j acc — n w E-Mail Ovvner or Agent(If Agent, Power of Attorney or Agency Letter Ftquired) DCC 2 a ¢ m Contractor Infoati erican Window Products _w a o rm Name of Company: 2633 Powers Avenue . • Qualifying Agent: +'�1 Gere W U WIll w Address 4aCk vZ.ine, FL 32207 Qty sate Z. > > Office Phone (A04--1 1-r �'7 .bb Ste/Cont umber �'� -AMP• Q cc Sate Certification/Registration# C I;I ap-) E Mail \)Ee ,�`,�n(tY'1 C...0 v W' . %(Y) Architect Name&Phone# Engineer's Name& Phone# Workers Compensat ion iPKI,C'i,PX — Exempt/Insurer/Lease Employees/Expiration e Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lat ion has commenced prior to the isiance of a permit and that all work will be performed to meet the standards II , r ulat ion construction in this jurisdiction. Iunderstand that aseparate permit must besecured for H TFICALW '_. 2 ....14j �i WELL POOLS FURNACES BOI LBS HEA I U- TANKS and AIR CONDITIONERS etc. II �C—+ ii OWNERSAFFIDAV T: 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. WARN INGTOOWND YOUR FAI WRE TO RECORDA NOTICE OF COM MBNCBVIBTTMAY20t9 RESULT I N YOUR PAYI NG TWICE FOR I M PROVBVI BNTS TO YOUR PROPERTY S 11.1T13\101TO OBTAI N Fl NAND NG, CONSULT WITH YOUR LENDER ORAN ATTORNEY P . -,t' t3��r�naent RECORDI NG YOU- NO11 OF OOM M BNCEM ENT. ' antic Baacr�, FL �/, d - Ar , -- (S. : Cb ;ure Q Owner or Agent including act rad sr (agnokure of Contractor) ty cl S edtand sworn to(or affirmed)before me this 2 '.ay of Sgned d sworn(o�r�affirmed) .efor- e this day of �C f c' n ,b ■��d l. !/:!_ . c� 1, •, "i IS, 1 1 ��►i ' Vel q ure ofNnt 1 � './ ''� �'_��, o� Y• e o RYA eWARDT I (3 ure of Notary) i * MY COMMISSION#GG 000431 iota Pia c EVANGELIE CLARKE 'N, : EXPIRES:June 8,2020 Commission#GG 102835 i. - i,..p P Bonded Thm Budget Notary Services T�,''qii" ,� Expires May 9,2021 [7 F'brsorially Known OR `oFF\P [ F�rsonally Known OR 'F op [ ]Produced Identification oFFI BondedThru6udpetNotarySwo.. [ ]Produced Identification Type of Identification: Type of Identification: 1Y V a.&VailVV V a at AL.L11a i%i\v iiliaaiiir.L • Permit No. a L S i q .2-l v J Tax Folio No. • (0— 0 )O State of P-oRtDA County of To whom it may concern: 0 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 w COMMENCEMENT. • _ Legal description of property being improved: k S 204 O�— ^O .6/S O C Ur klQ 9i tcs- C1Iao Q �/Z M - 1-fl1 Q O A'dra.c f pprrop-ee i.eC t "roved: k em Co© 4vA c/54NE � General description of improvements: ‘.--1 b^^e \(c (�A O�::nen Moc�� 3 �� agarsAddress t `4�� Owner's interest in site of the improvement N/A Fee Simple Titleholder(If other than owner)NWA Name N/A • Address N/A Contractor AMERICAN WINDOW PRODUCTS,INC. ?-2) Address 20"33 POWERS AVENUE-JACKSONVILLE.FL 32207 Phone No.904-731'2247 Fax No. 904-731-8824 Surety Of any; NIA Address NIA Amo'un't of bond$N/A Phone No. NIA Fax No. N/A Name and address of any person making a loan for the construction of the improvements. Narne NIA Address N/A Phone No. N/A Fax No. NIA Name of person within the State of Florida.other than himself,designated:.y owner upon whom notices or other documents may be served: Name N/A Address N/A • • Phone No. NIA Fax No.N/A 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)ib Florida Statutes.(Fill in at Owner's option). Name NIA Address NIA Phone No. N/A Fax No. N/A Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a cfffere.^.t date is soec^Ied): THIS SPACE FOR RECORDER'S USE ONLY OWN ')Signed .4I fir, ( r.a /D•02 26 /9 Before....this c4 of 42&"61 '• fie I county a— a s z ac^ `►le.� +11 �6a Fa;sin b; himself/nnersa;f and :Inns tial alt (M't and dectarat:a�c�airrlti. are true and acct Doc#2019245043,OR BK 18978 Page 950, * � }s MY COMMISSION#GG 000431 Number Pages:1 • / ,7" -. •8.2020 Recorded 10/23/2019 02:42 PM, DoE? Bonded Thai Bu set to Services RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL " :Puet!aat! m.-as'te m r' . County of COUNTY / :,5 ecrr_nission exc'. RECORDING $10.00 oars.rud!yKnag' V cr Produced!d s:Meat OFFICE COPY iLdi^w" PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA kk— Project Name: a 'Salle G� Permit # (�es/I-0 3 c)-3 Project Address: I(jcjo E \ -It J 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 roduct ap royal may be obtained at:www,tloridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS f 1.Swinging 2.Sliding 3.Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1.Single hung l.. , f 1 9' .. L L 3 2.Horizontal slider 3.Casement 4.Double hung Eel 15Lt ( _Ii 3..;) 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action CC) 2.Other Category/Subcategory Manufacturer P duc Description imit ion 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. OFFICE COPY (Contractor Name) (Print Name) �� (Signature), Company NamAmerican Window Products Mailing Address: 2633 Powers Avenue Jacksonville, FL 32207 City: + State: _Zip Code: Telephone Number:A0'''1)131"Oa 4, Fax Number:(904 ��7' O Cell Phone Number:( ) E-mail Address: )PICA&IQ )(A)i1 k -3crcCLC4''co° OFFICE COPY ,..... PERMIT _______,. COPY I/I ... 4... / . .47...... eg.,..... vk --, .1/4S) -•1( LA 1 CZA c:;4 "---1.-- •---........ .—r: •-•Z, r.... Cr....) ....0 ,414 'C\\ 1 71 *Ur* :t1 . , i 4 . . : ...z. (.1•1 ......... •e.,5;1 j< . . 0‘ ,.......... N.„,...... 9'....) \ •• k, s44 .„,..,...,: *.b. P RMIT COPY , _ _ NOTICE OF COMMENCEMENT ' i OU -` . -! ?emit No. Tax FolioNo. ►coq 5•1(c, OoC\,o State of FLORIDA County of 04 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. L.egal description of property beinc improved: t S 29 OCA— ("O ' 6-18 O ' C-� Ln;-k- K1 1 9T tcsFS q1 tO O r (iz-`-1 D I 1K C. * tit,,,, + General description of improvements: k.--i 1�� \43i c). )' i-ze. c S;Z:e N\o(k. . € Nar--� Address l eO(4, SekeC l A i'le. .13 ee) f 30& 3 � Owner's interest ':site of the improvement �"' Fee Simple Titleholder(If other then cv.ner) NIA Name N/A Address NIA factor AMERICAN WINDOW PRODUCTS,INC. Address POWERS AVENUE-JACKSONVILLE FL 32207 �� Phone No. 9°4-731-Z247 =ax No. 904731-8824 Surety(if any) N/A . Address NSA Amount of"cnd$N/A Phone No. N/A Fax No. N/A • Name and address of any person making a loan for the construction of the improvements. Name N/A Address NIA Phone No. N/A Fax No. NIA Name of person within the State of Florida,other than iimself,designated:,y owner upon whom notices or other documents may be served: Name NIA Address N/A • Phone No. N/A Pax No.N/A In addition to himself.owner designates ti.following person to receive a copy of the Lienors Notice as provided in e. Section 713.06(2)(b).Florida Statutes. at Owners option;. Name NIA Address N/A Phone No. N/A Fax No. N/A Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a _rr-erent date Es spec-7e. ): "HfiS SPACE PCR RECORDER'S 'USE OILY ' OVvN_% / =r_ Signer . ,%'+, * ! /0-0?�e)i9 my A a enZa-s z;•;e�. Ali��_ �N - =_;sire 5y , hir se;c"2e:se nd accrat. o ^s that ass:erpv�sc nc axia 1�A1vAL RDT Doc#2019245043,OR BK 18978 Page 950, II r MY COMMISSION#GG 000431 Number Pages:1 / x 7. • a - • ,�: , •8,2020 Recorded 10/23/201902:42 PM, �o� BondedTlwBu gat aServices RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL CBuIerS:rVer":41.r. •••?L'�IC :2f..e.Smote of County of COUNTY s.-`,ccm_.r iss.on exp,,�! RECORDING $10.00 Personallyic�--.n �/ Pro uced!Cantliceta..