346 2ND ST - WINDOW & DOOR ,tet rL`
S, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-WIND-3580
Job Type: WINDOW AND/OR DOOR
Description: replace 16 windows & 2 horizontal sliders
Estimated Value: $6,491.48
Issue Date: 4/7/2017
Expiration Date: 10/4/2017
PROPERTY ADDRESS:
Address: 346 2ND ST
RE Number: 169768-000. 0
PROPERTY OWNER:
Name: MALONE, MARY C
Address: 346 2ND ST
GENERAL CONTRACTOR INFORMATION:
Name: EAGLE VIEW INSTALLATION SERVICES
EAGLE VIEW WINDOWS, CGC1524189
Address: 13340 International Parkway BLVD
Phone: 904-647-8221
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $41 .23
BUILDING PERMIT FEE $82.46
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $127.69
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Slay- City of Atlantic Beach APPLICATION NUMBER
Js 4 n\ Building Department (To be assigned by the Building Department.)
N800 Seminole Road
1-0 Atlantic Beach, Florida 32233-5445 S ��
Phone(904)247-5826 • Fax(904)247-5845
x71 t%' E-mail: building-dept@coab.us Date routed: 3 I
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 lo 3 (\---d Si - .Department review required Yes No
cBuilding�
Applicant: Gl,9` t tLyJS Planning &Zoning
Tree Administrator
Project: Watt c.CL 00 4 Public Works
Public Utilities
\nv( 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: roved. ❑Denied.
(Circle o.- Comments:
BUILDING G
PLANNING &ZONING Reviewed by: / / Date: el. 4/'17
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
OFFICE COPY I n1 k-9 L.�_ L. - == .'
::\ BUILDING PERMIT APPLICATION. :_ •,; rr CITY OF ATLANTIC BEACH1 LIAR 2 3 2017
800 Seminole Road,Atlantic Beach FL 32233 L [-
‹-4. Office:(904)247-5826 • Fax:(904)247-5845 '
Job Address: 9 _A/ ' h i / a .I. j T 'i- it Number:/7-CO NVO—3 SE-0
Legal Description5"(Dei I(1J"25"Zt E&Httpf l . r h 1011 -R #
Valuation of Work(Replacement Cost)$ 104q1/`IO Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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
Describe in detail the type of work to be performed: MOW ptacctyy 1 f s-- S( Ie, h tA4.j t G{, I 'J %IX 12_wo
ft a p i U C {il�(v 26.I-j, f'ONItnta,► sl lo(ti2s)applox I'L -Pt/-F I(t p plUvai cod 11N 214 1
Florida Product Approval# for multiple products use product approval form
Property Owner Informationy�
Name: a,Q II ak% Address: 'ftoik St.
City Q I a 1�}-1 toState Zip 3L�35 Phone Lo I o 4 350
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information:P litik)
i 'll1Name of Com any: i IL ifl� .IIC-hi� Qualif 'n. A_ent: _ . I� E 3OAddress: :'�4I) I ILCityA A Al State Zip3 L�
Office Phone (f $ ?4 Job Site/Contact Number LO e.
-I 14,
State Certification/Registration# CA iC:I6"L I I Vi E-Mail S j `' el / (-V mit vidg Wc.COM
Architect Name& Phone#
Engineer's Name& Phone#
Worker's Compensation
Exempt I Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction tm this jurisdiction.
his permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a
period of six(6)months at any time of er work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wdls'Pools,Furnaces,Boilers t Tanks and Air Conditioners,etc. /
Signature f Property
tw1�05s 3 ` f i' ,
g pe y !,l/ l' • l Signature of Contractor: •,0 �� ,:_d
Before me Day 7 . 1 r 'y 4 'A
this tl of . r1012-1/4U2- I Before me this �'1 Da of alPJr!fif-ff! 'CV t'
Notary Public I ( � ( 1\Jj4L4, _- Notary Public: `________" ' V f
` It. .
I hereby certify that 1 have read and examined this application and know th . • • id aIcit�.•.1 pro '.I lb r ' "i'4 µ
ordinnirces governing this type of work will be Coll. let ,,��e(�r ,"'!�'rr t. r. 0 ► . ,presume to give authority to violate or cancel the pr..' art► M' 7.e' ."c'�Clfc if,11 l, al I iv„ r��ca ' ' J�199�{7 �Ir
performance of construction. MY •COMMISSION S FF9$253� . ;,, Bondocl'Nu Notary PubfwUndenvdtsn
'� ' EXPIRES November 01.2019 iwo,a,Int av r
• °!,. ' car
(40/)398-0't.3 Flatdd'tcta
Doc # 2017067102, OR BK 17920 Page 771, Number Pages: 1, Recorded 03/23/2017
at 11:50 AM, Ronnie Fussell CLERK CIRCUIT COURT DWAL COUNTY RECORDING $10.00
r'
:i
Pe tn.-11 )- -1fr 1-2- Li/ 1 )1/0— 3. 51°
NOTICE.®JIB CO +NCJ MIJENT OFFICE C PY
State of_Illikk_ County of Akt,
To Whom It May Concern: TaxFolio No.
The undersigned hereby informs I
the undersigned
igned the informs
s t imp iso improvements
wilt be made to certain real property,A A Rend is accordance with Section 7131 of
Legal Description ofproperty being improved: — ,1 NOTTCII OF 0 I C ,+�t,. a
Address ofproperty being improved: j
General description of improvements: I djj W / 11
• , 1
����
Owner: IAA1 IMO �
Owner's interest in site of the improvement: Address: / ` 11111411!uA■. ` ,/ • 3?Z33
�
. Fee Simple Titleholder(if other than owner):•
• Name:
•Contractor. t!
� a1 ■ IS •
Ad•
dress:. 0mu __ l
rill • ,
Telephone No.: r , _
2Fax No:
Surety(if any)
• Address:
iAmount of.Bond$
Telephone No:
Name and address of an Fax No:
y person making a Ioan for the construdtion of the improvements
Name:
Address:
Phone No:
Name of person within the State of Florida,other than himself,designated by owner '
served Name: upon.whom n ohces or other documents may be`
Address: •
. Telephone No:
Fax No:
*In addition to himself, owner designates.the following person to receive a copy of the Lienor's Notice as provided in Section
7I3.06(2)(b),Florida Statues. (Fill in at Owner's option)
•
Name:
•
Address•
Telephone No;
Fax No: •
Expiration date of Notice of Commencement(the expiration date is one(I)year from the
specified): date of reconding unless a different date is
L$ -m X50-5
THIS SPACE FOR RECORDER'S USE ONLY OWNER 3-y°-q5 X10
Signed: A/ 0• �� -_ 1
Before me this Data: i
•
Of Florida,has personally appy •
���tf�Ill .in the County ofDuval,State
• Personally Known:
fgijR orProducedIdentifcation: diiir �
Notary Public: Mrtirill4IR,r '
-
My co .. .�_ 1
I
� r. , 17f
• '. ''i MY COMMISSION#FF932553
' .- EXPIRES November 01.20 19
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