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1860 Live Oak Ln RES19-0369 9 Win/2 Doors RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0369 ISSUED: 1/7/2020 800 SEMINOLE ROAD EXPIRES: 7/5/2020 2i;1' ATLANTIC BEACH. FL 32233 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: 1860 LIVE OAK LN RESIDENTIAL ALTERATION 9 WINDOWS AND 2 DOORS $13429.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 1424 SELVA MARINA UNIT 12C R/P COMPANY: `' ADDRESS: CITY: STATE: ZIP: AMERICAN WINDOW 2633 S POWERS AVE JACKSONVILLE FL 32207 PRODUCTS OWNER: ADDRESS: CITY: STATE: ZIP: ADAMS MARCUS REA 1860 LIVE OAK LN 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 $120.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $60.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 1/7/2020 1 of 2 1 rt�VJI: RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES19-0369 w ISSUED: 1/7/2020 800 SEMINOLE ROAD "4 91119. EXPIRES: 7/5/2020 ATLANTIC BEACH. FL 32233 TOTAL: $184.70 Issued Date: 1/7/2020 2 of 2 NOTICE OF COMMENCEMENT t U0- 11 Permit No. Tax Folio►yQ 1 J o ptil" i LI , State of FLORIDA County of U( To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. �Q Legal description of property beino improved: 31 – v ` di- p�—o�q �I\1.4D NA a-�rte U(1 i-�-'. 1)-c- ( - iO4-11 �T Address of property being improved: O /--11e Oat-- to A-an -�-�G 2@c 1 :69033 Genera of improvements: R g_ Iti . SC?C� � � v��►7 C'�-- �i Z r 5►75�1 Owner L4 O.,to` '�► y i (� �/ Address 18(00 ,'Ne). Oar_ 1u( �'t>L 7 ` `, Owner's interest in site of the improvement N/A cT Fee Simple Titleholder(if other than owner) N/A Name N/A Address N/A (JaContractor AMERICAN WINDOW PRODUCTS,INC. Address 2633 POWERS AVENUE-JACKSONVILLE,FL 32207 Phone No. 904-731-2247 Fax No. 904731-8824 Surety(if any) N/A Address N/A Amount of bond$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 N/A Phone No. N/A Fax No. N/A Name of person within the State of Florida,other than himself.designated by owner upon whom notices or other documents may be served: Name N/A Address N/A Phone No. N/A 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)(b).Florida Statutes.(Fill in at Owner's option). Name N/A 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 different date is specified): THIS SPACE FOR RECORDER'S USE ONLY 0 ER�/ /://:Al.,` �/ SeforemL rltii 7,00 in `//:f/ / Before me this 2.� day of Pe' 7,0y/ in the Coun • > S •, ared to of r .- ,� •-rsonally. Doc#2019290023,OR BK 19043 Page 2288, � ' Number Pages:1 himselfr erseff and a!firms that all stateme Recorded 12/19/2019 02:40 PM, ara sel and accurate -ns herein MISSI AUSTIN RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL { •'•'- COMMISSION#GG 914188 Undenvdters COUNTY • `1•''�� '° EXPIRES:September 17,2023 �'�►er M1�P.• RECORDING $10.00 r_ ' -. �1 Notary Public R ' C ,Ic atic aty�rce.state of /� . County of Zvl/ti My t>p6mt�stor,expires: Personally o:.n Produced ldenKntificatIon / �� :V•114)-------' or 3-C,'2-- - 5/ - - o rSfa.j-.� City of Atlantic Beach APPLICATION NUMBER �> Building Department (To be assigned by the Building Department.) \' Phone(904)247-5826 /'-�, Fax(904)247-5845 800 Seminole Road R t I C _ 3 v Atlantic Beach, Florida 32233-5445 L-/ I / %U ,tl9r E-mail: building-dept@coab.us Date routed: �/ L9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C C) U ve(D AK Lk) Department review required Yes. No 1 uilding 1/ Applicant: 1MCt.I CR-r� INl IJl)0Cvi� Zoning C� Tree.Administrator Project: I vV i 1V(JO( 0 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 _ 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: f Date:/,2 'on- 3" 10/9' 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 05/19/2017 RAD_VI // ,, � Building Permit Application 'J/ = �. tip.-_ ,; City of Atlantic Beach OFFICE COPY 800 Seminole Poad,Atlantic Beach, FL32233 . -Pho'f Phone: (904)247-5826 Fax (904)247-5845 ` C� / ,bb Address: 1 cb(GO \..t\1Q Calf_ 1,...,._73 ne, Formit Number: R F ` 1 - C)3(O9 I Legal Description a- 1 (D9- -o \E 1va KAac, 0-1-i.ig •C FEItt I--190QC- iL )L1 o� Valuation of Work(Replacement Cost)$ 13, 1-6P-1. Heated/Cooled T Non-Heated/Cooled - 0 Oassof Work(Circle one): New Addition Alteration Fepair Move Demo Pool dow/Door) O Use of ex sting/proposed structure(s)(Orde one): Commercial idential O If an exi ing structure, isafire sprinkler sem installed?(Orde one): Yes No N/A O S.Ibmit a Tree F=moval Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: e 1-z. r et(k4aCI,MEnsc--W.InCie , . a Rorida Product Approval# 3C-r ' F}-1r--K-_,C3-ed, , for multiple products use product approval form Property Owner Information Nam :_ c�CZ' 6 i S Address: 1�o0 \j\ COL \C . a t y c*-\ 1-tC e gate Fc.- Zp :30DaF? Phone 1-•119 - 1-16_�C-)-5� E-Mail Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: American Window Products Qualifying Agent: 1` i- Gi--)cr Address 2633 Powers Avenue Oty sate Zp Office Phone-j3l-,;Dyr' Jacksonville, FL 3221 ,Ste/ContadX10 ber - 31 IN Sate Cert ification/Registration#C2)( os-1t Di E-MailkvcC Aenrz.(-.C2n�>r�n `procLd -c ) Architect Name&Phone# Engineer's Name& Phone# N _ t,U Workers Compens ion p Q9C- ©1 Oj(o�-1 i;i 13 — (r1r 112 U rExempt Insurer/base Employees/E goiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installat 7 Oz commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulAo■y`z 1-. construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRCALWORK, PWMBING,SGL4SLLI 2 p WELLS POOLS FURNAC. BOILERSHEA1B O TANKS and AIR etc. ~ z 8 OVVNERSAFFIDAVIT I certify that all the foregoing information is accurate and that all work will be done in compliancewitlllR d o ' applicable laws regulating construction and zoning. " Z � W WARNING TO OWNER YOUR FAILURETOREOORDANOTICE OFCOM MB'JCEVIENT Mi ' z RESULT I N YOUR PAYING TWICE FOR I M PROVBVI E'JTS TO YOUR PROPERTY IF YOU IN ;- :I D s TO OBTAIN Fl NANCi NG, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE a L RECORDING YOUR NOTICE OF ODM M B\1C8VI ENT. rW g- o W %..0 cnw 9 OC w RI >` (9gnature of Owner or Agent induding Contractor) (9gnature of Contractor) cc Sgned and worn to(or affirmedbefore me this') �' day of Sgned and sworn to(or affirmed)before me this 2-4C of /41), , lA0y11 , by/^ 44f IL-- iNSik✓,_ ��y � 1 .r . n ��� ) ;' ROGER AUSTIN -' ie ` ��� _ _ L :',.‘;".•.: !_ , MY COMMISSION#GG 9141:: (9g1-1Mrr otary) rt% atureof Notary) r ZAaY P'os'e, EVANGEL IE CLARKE ;::;:,•'C'a7 EXPIRES:September 17,2023 P,. o Commission#GG 102835 �or, BOd Mu Notary Public UrWetwrNers h ti 'w`1 Expires May 9,2021 t ] Personally Known OR V1�r naly Known OR N"reo ,� B01,:hes8, y 9, Services 14 Produced Identificati�n e ,/ [ ]Produced Identification ° Notary 'Type of Identification: r� �- / 3 2- 5�� S7 �� L Type of identification: OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA �n` Project Name: M CarCOS et `/�cC S Permit # �C/9 —036. Project Address: I c 1.__\Je. oat._ bn ., 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:ww y.floiidahuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1.Swinging ` S-14 S S 2.Sliding 9GT a51. 1 3.Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1.Single hung '�' S-1-locp 039.(c 2.Horizontal slider PC..--IT 3 M l o (fj 3.Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through • 8.Projected 9.Mullion 10.Wind breaker 11.Dual action OFFICE Y1017 2.Other Category/Subcategory Manufacturer Pro( t Description imitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS 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. s (Contractor Name) (Print Name) 11% ,l CT (Signature) Company Name: American Window Products 2633 Powers Avenue Mailing Address: • Jacksonville, FL 32207 City: State: Zip Code: Telephone Number:A.04 --)3I-J01-11 Fax Number:(SOLI) 131--7V1-1_ Cell Phone Number:( ) _E-mail Address:Vvviar►C,,a1 It i n Prcc-SL -b