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1171 W Linkside Ct RES20-0029 7 Win 3 Door ? '`_ RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES20-0029 800 SEMINOLE ROAD ISSUED: 2/11/2020 -or ATLANTIC BEACH. FL 32233 EXPIRES: 8/9/2020 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: 1171 W LINKSIDE CT RESIDENTIAL 7 WINDOWS AND 3 SG $11862.00 WINDOWS/DOORS DOORS TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172374 5155 SELVA LINKSIDE UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: AMERICAN WINDOW 2633 S POWERS AVE JACKSONVILLE FL 32207 PRODUCTS OWNER: ADDRESS: CITY: STATE: ZIP: GERACI DAVID 1171 LINKSIDE CT W 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 $110.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$169.48 Issued Date: 2/11/2020 1 of 2 -ski;• City of Atlantic Beach APPLICATION NUMBER 1' �,• ;;'� Building Department (To be assigned by the Building Department.) '' ' 800 Seminole Road /�� - '''''''" "�-, Atlantic Beach, Florida 32233-5445 IR GS 0"�`� z'c Phone(904)247-5826 • Fax(904)247-5845 -" wi 9%' E-mail: building-dept@coab.us Date routed: ' 3 Z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: \ t. —7l L I IV KS 1p 6 C j De•artment review required Ye o \.A) cayildin Applicant: rY\ C, IU.0A-N I /V 00(,0.&. Planning &Zoning Tree Administrator Project: 7 \Ai I N CO\JtiS 3 JG, b , 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: BUILDINe PLANNING &ZONING / I Reviewed by: Date:vi 9 X20 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 'hH 11 4t #'• Building Permit Application `'•j:.. OFFICE COPY �,.r, City ofAtlanticBead,Vr800 Seminolemad,Atlanticiaca`�, 832233�, ti .r''' e Phone: (904)247-5826 Fax (904)247-5845 r f l \ �1n -�1 a - C ,{`'- •V) . Ft Number: k(2.---: 7---0 0029j �bb Address: 1 Legal Description 41L1- f1"-DS-0'3'F Li;lec� u1- .I 10-V.36 Fet 1-1 Q3-11-1' 5155- Valuation of Work(Replacement Cost)$ 11, c3( .°o Heated/Cooled Non-Heated/Cooled I iI Class ofWork(Ordeone): New Addition Alteration Ibpair Move Demo Pooldoor/ inLor Fl Use of existing/proposed ting/proposed structure(s)(Orde one): Commercial identia--.13 N 1-I If an existing structure,is afire sprinkler system installed?(Circle one): Yes No 10 U LJ Submit a Tree Femoval fr rmit Application if any trees are to be removed or Affidavit of No Tree Removal :� N °, Describe in detail the type of work to be performed: " - ? \ Cecrry \k)w ric,'o,>-, , --.\ -- ..-, cs: i~; L'.i - ca Florida Product Approval# G V l for multiple products use product appro ttQtrri ii 0 : i Property Owner Information a' E;; o t Nam _ i1 . r�'> Addreq;: 1111 1..kf11.3 i_ DVv ,C) Er aG aty� ZN\ i � h gate FL. Zp S3 Phone S " 1•-- JC11 . LL. N E-Mail 1.!Irr S t: z Owner or Agent(If Agent, Power of Attorney or Agency Letter F uired) 0 iti Contractor InformatioAmerican Window Products p Name of Company: ii o- c 26n Powers Avenue Qualifying .iti• Civ tr- u , c Addr , FL 32207 Oty aate Zip w r `_ w -��y Jacksonville, Office Phone 1' 1-0"--91 ,bb Ste/Con NumberqO4 -131-,-2 _1_,(1 >__ cc u (. sate Certification/Registration#( I kY) E-Mail) ,u AfYI�.',Ce?fl ULA, 10,-A_,ps-tc % LCOiY1 il Architect Name&Pnone# / a Engineer's Name&Phone# Workers Compensat ion (/0\101 )c- C,00-i i -' L4 i Io Exempt/Insurer/Leese Employees/Expiration Date Application is hereby madeto obtain a permit to do the work and installations as indicated. I certify t hat-no work or inaallation has 19 commenced prior to the issuance of a permit and that all work will be performed to meet the standardsof alit he laws regulatiohg construction in this jurisdiction.I understand that a separate permit must be secured for HJEC1NCAL\NOFRTLUMBINO,SGN5 WR___L$POOLS FURNAOE$ BOILBS HEAT` TANKS and AIR CONDITIONS etc. OWNER SAFFI DAVIT I certify that all the foregoing information is accurate and that all work will be done in coriincl Qti4 applicable laws regulating construction and zoning. • WARN I NG TO OWNER YOUR FAILURETO RECORD A NO110EOF03IVIM I LA . MMAA"Y'rn ;�t I .1LTINYOURPAYING11MICEFORIMPROVBVIENTSTOYOURPROPE13IJYt-11=-Y1 �I1TE P.t?, Fp_ . TO OBTAIN Fl NANCI NG, CONS JLT WITH YOUR LENDER ORAN ATTORNEY BEFORE . RECORDI NG YOUR NOII CE OF COMM B'ICBVI B®IT. )47-7 -��, (Sgnature of Owner or Agent including Contractor) (agnature of Contractor) Sgned and sworn to(or aft ed)before me thi je, day of ;Sgned and sworn to(or affirmed)before me/C-)0(-r- .-__ is IO day of i'�--,, , oicf , .'F . " Flu.: :_i ...I•- . 1 , oee • , 3019 , Y e1 r Ea ,41,..Y:.6,':•,,,. ROGER AUSTIN i.' 'A. - �Yrfi'i*. FAY COMM! SiON GG 9141i: (STatur,o • ar (9e of Notary) EXPIRES:September 17,2023 �� '�•':Nf;I4°P' uonJeriir,ruN^taryRublicUnderwriters. b1ha;,N. EVAN GE LIECLARKE A , •i OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *wit, r) *Project Address: ` n uc l4 ti J . Permit#: 2&S ce-.) -Ooc *Owner/Project Name: nria 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 EP 3 Ccg3 1q S 5 3.Sectional 4. Garage Roll-Up 5.Automatic 6. Other B.WINDOWS 1.Single hung EES LH 1 i Li o4.3 ✓ 2. Horizontal slider EAS -5ga.4' 1)-4(0 (O.'- I' 3. Casement 4. Double hung 5. Fixed pt-s i ` "1 Cd, 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 .70 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): KEITH GURR *Contractor Signature: *Company Name: AMERICAN WINDOW PRODUCTS *Mailing Address: 2633 POWERS AVENUE *City: JACKSONVILLE *State: FLORIDA *Zip Code: 32207 *Telephone Number: (904) 731-2247 *E-mail Address: EVEC@AMERICANWINDOWPRODUCTS.COM Cell Phone Number: Fax Number: (904) 731-8824 Page 4 of 4 Updated 10/17/18 OFFICE COPY PERMIT COPY Z %s-ze Cif j\ --i %- t f-- s-__ 0 _rc cr „IA Q x R;Z - - ,. cl". 4 �` 1 -Ft,-z x_ - -. ax © b ` / x O r DCS PERMIT COPY NOTICE OF COMMENCEMENT S34-19 Permit No. Tax Folio Np., l c� a I 1—s 's s— State of FLORIDA County of Lx_ J .t 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. ]�f Le des notiontion of pro erty being improv d: 1 1 r 03 11 I - OS 'gq A re`ss of property being imp-r�ov-e 1 1"1 1 +ti-.L(\hStC W ` im Gee escriptjon of improvements- 1 M� w la `J ;:_ eo, vm• - 517 . • 3iZe Owner ZO Q c8,�O Address 11-1 1 .:In �SI ee V_IJl 4 AP) Pt_ 5. Q-3,3 Owner's interest in site of the improvement N/A Fee Simple Titleholder(if other than owner) N/A Name NIA Address N/A Contractorc:)6 AMERICAN WINDOW PRODUCTS,INC. Address 2633 POWERS AVENUE-JACKSONVILLE,FL 32207 Phone No.9°4-731-2247 Fax No. 904731-8824 Surety(if any) N/A Address N/A Amount of bond$N/A Phone No. NIA Fax No. NIA 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 NIA 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): Doc#2020026824, OR BK 19092 Page 850. _Y2OWNER il i�•`+� Number Pages. 1 �l c ,tio-.� �Y1--"--'---- DATq' 1 1 Recorded 02/03/2020 03:14 PM. signed: Before ire this It) day of ! C in the RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Coun •• Duval.State ofPiod.. hasp-p. -, a••=- _- COUNTY • RECORDING $10.00 himsetfi herself a affirms that ail state• -" '"1 sGER AUSTIN a =tru and accurate •, 14 MY COMMISSION 0 GG 914188 --ii--- AM ..• EXPIRES:September 17,2023 -� ••..iti4'' Bonded lbw Notary Public Unde►wiNws No}.•Pu Ica Lar_- tate of — County of 1 .1A P6y c.mmi ;•- • es: Personally• nown 1 ,1 or Ph��Icz Produced Identification fl. i ���� N 1 lk t:_7/ z.40 _-7'7 -1/ - toy -- Pfo-in+- Ji '*' s Cash Register Receipt Receipt Number \\y` City of Atlantic Beach R12021 DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK $55.00 RES20-0029 Address: 1171 W LINKSIDE CT APN: 172374 5155 $55.00 BUILDING WINDOW DOOR INSTALL 03/10/2020 RBE $55.00 BUILDING WINDOW DOOR INSTALL 455-0000-322-1002 0 $55.00 03/10/2020 RBE TOTAL FEES PAID BY RECEIPT: R12021 $55.00 Date Paid: Thursday, March 19, 2020 Paid By: AMERICAN WINDOW PRODUCTS Cashier: FJ Pay Method: CREDIT CARD 2 Printed:Thursday, March 19, 2020 11:55 AM 1 of 1 TRarT