27 N Saratoga Cir RES20-0056 9 Win/1 Door r•11,M,, RESIDENTIAL PERMIT PERMIT NUMBER
iri'=j RES20-0056
CITY OF ATLANTIC BEACH
j�. ISSUED: 3/9/2020
�\ � 800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020
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:
27 N SARATOGA CIR RESIDENTIAL WINDOWS/DOORS 9 WINDOWS AND ONE $9555.00
DOOR
TYPE OFREAL ESTATE I ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171790 0000 ATLANTIC BEACH VILLA#
02
COMPANY: ADDRESS: CITY: STATE: ZIP:
MIRACLE WINDOW AND
SUNROOMS 8933 WESTERN WAY APT 11 JACKSONVILLE FL 32256
OWNER: ADDRESS: I CITY: STATE: ZIP:
NEWSTEAD POLLY T 27 SARATOGA CIR N ATLANTIC BEACH FL 32233-3337
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 $100.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 3/9/2020 1 of 2
,SJ:Vifel
RESIDENTIAL PERMIT PERMIT NUMBER
S RES20-0056
CITY OF ATLANTIC BEACH
,, yr 800 SEMINOLE ROAD ISSUED: 3/9/2020
rm 9` ATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020
I
TOTAL:$154.25
Issued Date:3/9/2020 2 of 2
itm;. City of Atlantic Beach APPLICATION NUMBER
t 3 Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 ! \�`�Z� -ovs
Phone(904)247-5826 • Fax(904)247-5845 2/Zit /Z�
Pi filo' • E-mail: building-dept@coab.us Date routed: ( `'t
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z'7 P(P TOGO C ',la_ Department review required YpeAlo
�/� i din
Applicant: t ' ` t R RC�-E �f roo ( V Planning &Zoning
Tree Administrator
Project: l LAD( 0c (Q v NDC 300e.., 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: proved. I (Denied. I Not applicable
(Circle one.) Comments:
�BUILDIN
PLANNING &ZONING Reviewed by: (pa-- Date: 313/
•
TREE ADMIN. Second Review: QApproved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. Denied. I Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
'may
Building Permit Applicatio
City of Atlantic Beach �'Fr �� E CQPY
pdated12/8/17
r..
800 Seminole Road,Atlantic Beach,FL 32233
f � Phone:(904)247-5826 Fax:(904)247-5845 RE&ZJZ Job Address: , " bCC009 a Gr Permit Numbe . -cos--
. 3)-i3 �-as-a E �
Legal Description .�(,t 4.1c Q� VW unit a RE# n fl - 0000
►-at �y �l�
Valuation of Work(Replacemen(Cost)$ 1%C? Heated/Cooled SF n-Heated/Cooled
• Class of Work(Circle one): New Addition Alterationepai Mov Pool Window/Doo
• Use of existing/proposed structure(s) (Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one : es No N(A
• Submit a Tree Removal 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: Rtpio )9 9 window6 and I door
GI-LC r $izt
Florida Product Approval# for multiple products use product approval form
Property Owner Information h n '
Name: °O \' hill/ ,..1.9.1Addr s• &II a-/c c1 \n N
City a - (' 'I ' State Zip Phone 3 a,
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of o nyfl (F( ,UVetlA ancl (SU MOMS Ti a• in � jrmiec
0 int-
-
Address ,l ,rn
te,• 1 CityCV .l State . Zi . •
Office Phone 60 Job Site/Contaclt� m M S 53 M
State ertification/Registration#Via,
'u-l'61 E-Mail 0lo oaci A 1 16 -fir ) * no • on
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Aock¢o,—eo.,•cia„;Gs,,Uk /O/a//�2..)
Exempt/Insurer/Lease Employees/Expiration Date W
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installattron has \
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulaiong U) M
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNSC ..1 j
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements,Qf9is M
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and i] iii
there
F–
there may be additional permits required from other governmental entities such as water management districts, state agertca"es,or ;] Q
federal agencies. C.3 C.., ci 0 0
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witgl Z
applicable laws regulating construction and zoning. U O
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY B Z
LP,.
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 5 w >:
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
LI ›– Q.
—
t-- Lu D 0
RECORDING YOUR NOTICE OF COM- ENCEMENT. U CI) W w
Z
/ 7 et,j) Jue_ w CC ill
r. Ili
a
ignature of Owner or Agent) (Si ure of Contractor)
(including contractor)
and savor to or affirmed)bet. e me t is i day • * (Uct(9
edand sworn to or affirmed)before me thisay of
� s , X70
Ati,...thi,,,,. .I' . A.0 -. A.- .-- --- hi jitAlli7ril -- b...A1 —
- Pre of Noah t v• ' ‘• " -gnatli • .) 015
.i. • MYCOMM SSION#GG 234015 <rPY`° c; `' G 234
b I� *'- '-. ;u?COW/16St0� i7
[ ]PersonallyKnownOR : �.n�Pa1 EXPIRES:July 1,2022 = AIRES:July 1,222
:, ;,4 ] '-rsonally Known 0' : ,w'�:., �X publlcUndenvrtlars
�{'l�Produced Identification Bonded ThruNotary Public Undenvrlt.'s f� ': Bondod?hruNote•
oduced Identifica in1TFOFF;°P` - ”
Type of Identification: _,rl /10 P' Type of Identification: -- —i� _'�A "
Code
Customer Name: Window# Style
2 2f - .1
r
DIAGRAM
OFFICE COPY
a o
fr 1
frt Door
I
OFFICE COPY
011
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: 27 N. Saratoga Cir Atlantic beach, FL 32233 Permit#: VG E-5 el. O —c ' S-4,
*Owner/Project Name: Polly Newstead
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 Energi Fenestration Solutions Serbs Opera NO Patio Doa,d Sla'Vinyl alMrp Glass Door +/-40 17058.4
3.Sectional
4.Garage Roll-Up
5.Automatic
6. Other
B.WINDOWS
1.Single hung
2. Horizontal slider
3.Casement
4. Double hung Regency Plus Inc Series 8313 Vinyl Tilt Double Hung Window +/- 50 28486.1
5. Fixed 53"x 77 Non-Impact Through Jamb Anchoring.
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): Kathleen H. Cline *Contractor Signature: /<333 -LCI-4/1-- -2;://i4'
*Company Name: Miracle windows & Sunrooms Inc
*Mailing Address: 8933 Western Way Ste. 11
*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
•
• NOTICE OF COMMENCEMENT
IYREP;iRE IN`JUaiCATEI ..- ��
Permit Nc._ Tax Folio No.,1-1 I (IV_ _
State of ori�4 _ County of_ _DIA lbdt.1 —_�___
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made Io certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information to slated In this NOTICE OF
COMMENCEMENT.
Legal description of property being mprcved: Jcp
Address of property being Int ve , t V 71,1 6�'/ i n�yy
_ * , 11SIL�
General description of Improvements: A, ` {� ��
01
Owner i
Address ,.7. .1 Albi `tY� LI ii ' ' C eh LFC . 3
Owners Interest In site of the improvement �f r r r
Fee Simple Titleholder(if other than owner)
Name
Address r
Contractor Ili' a IntA MA)C r ((11,4"3„.Address': 174 v A * I .
Phone No.r- )"*"- p9_ - - '1 P'-` _Fax No. _
Surety(If any) //
Address / Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
in addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address Z'
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 1pnotl., .' _ 1 r /_ -�E
B.f..m.nr7 ..1 V ay of— /iTtJJKiiV a n a
County$500 -ir' .f a,h all �peare
d ` he t,i herein by
hrnetfr hers: a eter that all statements and declarations herein
Doc#2020043577,OR BK 19115 Page 888, ere re nd accurate
Number Pages:1
Recorded 02/25/2020 09:08 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �k �l � �Q
COUNTY �� , ` .,:C ��L+u± �.r1
RECORDING $10.00 t• ry-ublkatLargo'-ta ..'.5,;•;., .may , 0fittlll
m $w
My ccmisater ere# ,... . • • .. .
Persona/yKnown ' "
• i
Produced Idemirtcet• _ ' R)Qj
' •
�FC°c' Bonded tear ilol:rryi'ubil Undcnsrileis I,
—, r��-)Y 'i YtVta.t*.' tYM•'W:YI•-r•.•i..»:;•,.+w+l
Ph9w.0 r e,KncC