340 Dudley COMM20-0043 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
DUDLEY APARTMENTS LLC 1015 ATLANTIC BLVD 147 ATLANTIC BEACH FL 32233-1910
COMPANY:ADDRESS:CITY:STATE:ZIP:
Xtreme Renovations LLC 100 Glorieta Drive St. Augustine Fl 32095
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172347 0000 LEWIS S/D
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
340 DUDLEY ST COMMERCIAL ALTERATION
COMMERCIAL DOORS AND WINDOWS $6000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
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.
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.
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.
1 of 2Issued Date: 11/13/2020
PERMIT NUMBER
COMM20-0043
ISSUED: 11/13/2020
EXPIRES: 5/12/2021
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $131.50
2 of 2Issued Date: 11/13/2020
PERMIT NUMBER
COMM20-0043
ISSUED: 11/13/2020
EXPIRES: 5/12/2021
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $131.50
COMM20-0043 Address: 340 DUDLEY ST APN: 172347 0000 $131.50
BUILDING $85.00
BUILDING PERMIT 455-0000-322-1000 0 $85.00
BUILDING PLAN REVIEW $42.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14107 $131.50
Printed: Friday, November 13, 2020 1:02 PM
Date Paid: Friday, November 13, 2020
Paid By: Xtreme Renovations LLC
Pay Method: CREDIT CARD 394885944
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14107
~+; CENTRALSQUARE
COMM20-0043Job Address:
Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Updated 10/9/18
Valuation of Work (Replacement Cost) $61009> l;IE!ated/Cooled SF _2_7_04 ___ Non-Heated/Cooled-"2,.,.1,,._6 ___ _
• Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool IXIWindow/Door
• Use of existing/proposed structure(s): □Commercial IXIResidential
• If an existing structure, is a fire sprinkler system installed?: □Yes Kl No
Florida Product Approval# Reference Product Approval Information Sheet (windows and doors) for multiple products use product approval form
Pro ·
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ____________________ _
Contractor Information
,~tate Certification/Registration#
Architect Name & Phone#------------------------------------
Engineer's Name & Phone#-----------,--------------------------~
Workers Compensation Insurer .Q~~!!f£.§!!!e!2l~~!!.!g,J!!!"-,------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 the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In a
able rty that may be found in the
tal entities such as water manage
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT9RNEV BEFORE
REco•.•.· ... 1~;.~~~~~.cEl\ll •• EN
ignature of Owner or Agent)
Signed and sworn to (or affirmed) before me this~ day of
[ l
[x]
Type of Identification: _D_ri_ve_r·_s L_ic_e_ns_e ________ _
Signed and sworn to (or affirmed) before me this .Qi._ day of
Novembe
May 04, 2024
Type of Identification: _D_n_·v_er_'s_L_ic_en_se _________ _
COMM20-0043
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*Project Address: __ .3_~...,0"'-......,,!)"'-".:.i:cl..)_,_)_,_f.'-"1'----'.5t"--'-' -~A::\-'-'-'i'-''t,_,_,'\'-\_; (.;c___..B"-"-e.,__,,· <._1-'1_,_,_,,__J_·l,;=4_...,"""3c..3'--____ Permit #: __________ _
*Owner/Project Name: ---""'-''--D"""-'u...,d...,l....,e'-Jy'---L-A+-t~q'-";,;Ll.•·""'t,.,_( .... A.L..l,f_· ______________________ _
As required by Florida Statute 553.842 and Florida Administrative Code Rule 98-72, 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 Ml\5~A11e 4 "<-"'tel J.M->< t;."4 \r,5 , 1
2. Sliding
3. Sectional
4. Garage Roll-Up
5 . Automatic
6. Other
B.WINDOWS
1. Single hung 1rv'i:r.. \n(\,J\ ~~~b-..,)~
--\711~°1,L\ -
2. Horizontal slider I
3. Casement
4. Double hung
5. Fixed
6. Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12.0ther
Page 1 of 4 Updated 10/17/18
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.
Tt>AyuJQOd ·w-
*City: JG\.(/( 60V'L V ; l (@ *State: __ f,_l _____ *Zip Code: '3 Z"Z-1/
*Telephone Number: qo V ~ !5 ·3 3 -CJ Of S' *E-mail Address: ke("~ -1-k e '{... +-v-e n--te. (l;?__r,o l)a.d-lC,"),S. w,..-(0
CellPhoneNumber: go v--q·-so-zrs;· ~5FaxNumber: __________________ _
Page 4 of 4 Updated 10/17/18
COMM20-0043
~u~ ff ~020250652, OR BK 19447
Recorded 11/10/2020 11:18 AM
RECORDING $10. 00 '
Page 1827, Number Pages· 1
RONNIE FUSSELL CLERK cr;cur'T
NOTICE OF_ COMMENCEMENT
State of_F_Jo_rid_• _________ _
Tax Folio No. 172347-oooo ,
COURT DWAL COUNTY
County of_D_u_v_al _________ _
To Whom It May Concern:
'71c(1.""'*'· ,~t,f\c..,'lo -0cos
The under~igned hereby informs you that impr~vements will be made to certain real property, and In accordance with section 713
of the Florida Statutes, the following information is stated in this NOTICE OF.COMMENCEMENT. .
Legal Description of property being improved: 24-92 17-2S-29E, LEWIS SUBDIVISION LOT 3 BLK 2
Address of property being improved: _3_40_/J'-ud_le_,_y_S-'-t,_A_lla_n_tic_B_e;...a_ch-",-'-F-'I sc::2=23:.:3'---:------------------
General description of improvements: Replacing Exterior Doors and Windows
Owner: Dudley Apartments LLC Address: 1015 Atlantic Blvd, Atlantic Beach, FL32233
Owner's Interest in site of the improvement: ___________________________ _
Fee Simple Titleholder (if other than owner): __________ =-----------------
Name: _____________________________________ _
Contractor: Xtreme Renovations1 LLC
Address: 5644 Bawyood Tar, Jacksonville, Fl 32211
Telephone No.: _,(s_o_4,_) 5_3_a-_so_1_s ____ _ Fax No: ___________ _
Surety(lfany) ___________________________________ _
Address: ______________________ Amountof Bond$ ________ _
Telephone 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: ____________________________________ _
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
713.06(2) (b), Florida Statue·,. (Fill In at Owner's option)
Name: ____________________________________ _
Address: ____________________________________ _
Telephone 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]:_1-"1/0-'-4'-/2_0-'-21'-------------------------------------
THIS SPACE FOR RECORDER'S USE ONLY
NEULJAN KORE
Notery Public-State of Florida
Commission# GG 984436
My Commission Expires
Mey 04, 2024
OWNER ~ \,_ ( ....._ .~
Signed: ~ >., ~ Date: 11/04/2020
Before me this _0_4 __ . day of November in the County of Duval, State
or Florida, has personally appeared .~B=ra=n=d=on.,.W~es°::t--,----;---::;:;::=-,,---
Notary Public at Large, State of F dda, C nt cqf uval. ----
My commission expires: --o<U":=:b!i<.E'-~{.:.L-:f.,,f---;;;.,"----
Personally Known: _--1"'?.=;'-.,.,----'r---t~-------
Produced Identification, ______ .,,.. ____ ~-------