444 Osprey Key RES19-0341 7 Windows/2 Doors A,40:114-,#,, RESIDENTIAL PERMIT PERMIT NUMBER
ii
CITY OF ATLANTIC BEACH RES19-0341
800 SEMINOLE ROAD ISSUED: 11/25/2019
•
ATLANTIC BEACH. FL 32233 EXPIRES: 5/23/2020
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:
444 OSPREY KEY RESIDENTIAL ALTERATION 7 WINDOWS AND 2 DOORS $17676.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5098 SELVA LAKES
COMPANY: ADDRESS: CITY: STATE: ZIP:
MIRACLE WINDOW AND
SUNROOMS 8933 WESTERN WAY APT 11 JACKSONVILLE FL 32256
OWNER: ADDRESS: CITY: STATE: ZIP:
PANARO BEVERLEY A 440 OSPREY KEY 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $140.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
TOTAL: $215.25
Issued Date: 11/25/2019 1 of 2
- 1.4Vir% RESIDENTIAL PERMIT PERMIT NUMBER
s s
CITY OF ATLANTIC BEACH RES19-0341
800 SEMINOLE ROAD ISSUED: 11/25/2019
�`j 9` ATLANTIC BEACH. FL 32233 EXPIRES: 5/23/2020
Issued Date: 11/25/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
�\ 800 Seminole Road -� /'
Atlantic Beach, Florida 32233 5445 h �I `(J;4Phone(904)247-5826Fax(904)247 5845I9
.;igy
�
,� r E-mail: building-dept@coab.us Date routed: i 1 t Z. / 1
City web-site: http://www.coab.us (((
APPLICATION REVIEW AND TRACKING FORM
Property Address: 444- 0 S PR,ES( kGy j2epartment review required Yes. No
11 (c..Buildin J/
Applicant: 1\A, i 2 f4Q_LC WIND 00(,o Planning &Zoning
Tree Administrator
Project: F \iNi [IVQ Oi;,o. bco9,...S 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 /
/` (' t
Division of Hotels and Restaurants �.J
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ['Not applicable
(Circle one.) Comments:
:UILD ► s
PLANNING &ZONING I/�,k 22'!9
Reviewed by: !� , Date:
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. III 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
OFFICE COPY
,r- ''li-iiii; Building Permit Application Updated 12/8/17
���` City of Atlantic Beach
",,—r 800 Seminole Road,Atlantic Beach,FL 32233
t1 Phone:(904)247-5826 Fax:(904)247-5845 _ I
Job Address: ] 1' OSpYCl� ,� i /znll c [�Gec%�T( 3) 33 Permit Number: ��1 J O `
Legal Description yl-55 /7-25 - ot9C 5e(va J-.2kes 1.64 14 RE# /12O?. ' 50 q6
Valuation of Work(Replacement Cost)$ /1 646 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Iteratio Repair Move Demo Pool indow/Doo
• Use of existing/proposed structure(s)(Circle one): Commercial sidentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A .
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal w 4
Describe in detail the type of work to be performed: Re (accl
P �� t,>;nc/ows & �� �mrs S:�a -Co-,^oma s re Z N
d. z \
Florida Product Approval# for multiple products use product approv'gfen9 a
Property Owner Information U a 0 O
Name: 34veri.y A. 6 ke:fk Pa..aro Address: '/'/4 OSpizy My
LLd C
City Aflani;
Doc # 2019260364 , OR BK 18999 Page 1953, Number Pages: 1 ,
Recorded 11/12/2019 11 :07 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. iq�0 7 -5e5 16
State of ( _._ County of )A (
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT. C
Legal description of property being improved c//"55 11-as `aq E Se�Yd �a kcS �o
Address of property being improved: 4/"Pi i O5pYe y key , A1<fa't .c Bear Ity Ft 3?23 3 _
General description of improvements: RepLcuc(f..)r..'•-d x,>1 LtJD? o(corS S:Lz- "ref S%Zc
Owner Beverley A. 8 kc,-_ P M. o
Address YY Z( Osprey key / .4.167,t,4,.e 4ear1.y 3,2-2.3 1
Owner's interest in site of the improvement ,Oc..�.cA-r
Fee Simple Titleholder(if other than owner) ./.4
Name •
Address
Contractor Al:'QC!" LLhitnen,.,t S Swt.rangy,T.tnl.
Address g"133 tiizs 4/K G>dr Ste. 1/ lee'ky,.i.....16e.f irZ. 3?.?"5i(
0
Phone No. 5155- 32. 15`PI / Fax No.
Surety(if any) A"�(
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name r '/
Address _
Phone No. Fax No.
Name of person within the State of Florida,other than himself or herself,designated by owner upon whom
notices or other documents may be served:
Name �{/,/id
Address
Phone Na Fax No.
In addition to himself or herself,owner designates the following person to receive a copy of the l ieror's Notice as
provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
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 ^��{`� (MO_OWNER� ` T1
SeawlMs v DIG 102-)k h \
Belpre day .
co,my a anes
k/2,{4.1 a a !4 Meeh,IN
himself/ . rtdedera herds
ere hue end ecasal@
Notary _ - 40'—_---L-4.-- sRr'fI.�!t► _ 1
My a
Pwsoc t41own s :.. . MY LUMMISDIUR#GC:234015 1,
PProducedd Manafeeal. •..- - - • • r
b Bonded Thor Nolary Public Underwriters k
OFFICE COPY
Customer Name: Window N Style Code
ettoralls
iikia
'2. St 0•1Tri Dm...e FL t z 6 3 . 24
DIAGRAM 3 � Sj G, 7 ✓rLi DING FL It411 •t
® 0
o
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: 444 Osprey Key Atlantic Beach, Fl 32233 Permit#: , �S/9= 03 `t 1
*Owner/Project Name: Panaro
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.Swinging2.Sliding ProVia Door, Inc. STEEL/FIBERGLASS OUTSWING N/A 12463.24
-SINGLE & DOUBLE NI
4.Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1.Single hung I
2. Horizontal slider Regency Plus Incorporated Series 2000 Vinyl Horizontal Sliding Window +40/-40 11411.1 V
3.Casement
4. Double hung
•
5. Fixed Regency Plus Incorporated Series 3000/4000 Vinyl Fixed Window +70/-70 11409.1
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
ve
�1 p 1 4i f �5 ,k
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): Kathleen Cline *Contractor Signature: ,igre_A;�
*Company Name: Miracle Windows And Sunrooms, Inc
*Mailing Address: 8933 Western Way
*city: Jacksonville *State: FL *Zip Code: 32256
*Telephone Number: (904) 531-5923 *E-mail Address: autumnc@alliancepermitting.com
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 10/17/18
rT-mL\�rJr2
Cash Register Receipt Receipt Number
City of Atlantic Beach R11391
-7401119'r
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $55.00
RES19-0341 Address: 444 OSPREY KEY APN: 172027 5098 $55.00
BUILDING WINDOW DOOR INSTALL 12/20/2019 RBE $55.00
BUILDING WINDOW DOOR INSTALL 455-0000-322-1002 0 $55.00
12/20/2019 RBE
TOTAL FEES PAID BY RECEIPT: R11391 $55.00
Date Paid: Tuesday, December 31, 2019
Paid By: MIRACLE WINDOW AND SUNROOMS
Cashier: CT
Pay Method: CREDIT CARD 01182G
Printed:Tuesday, December 31, 2019 3:02 PM 1 of 1