2249 W Oceanwalk Dr RES20-0319 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
KLAMROTH ALBERT S 2249 OCEANWALK DR W ATLANTIC BEACH FL 32233-4576
COMPANY:ADDRESS:CITY:STATE:ZIP:
MIRACLE WINDOW AND
SUNROOMS 8933 WESTERN WAY # 11 JACKSONVILLE FL 32256
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169463 1038 OCEANWALK UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2249 W OCEANWALK DR RESIDENTIAL
WINDOWS/DOORS 4 WINDOWS $4155.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $116.50
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 11/24/2020
PERMIT NUMBER
RES20-0319
ISSUED: 11/24/2020
EXPIRES: 5/23/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 11/24/2020
PERMIT NUMBER
RES20-0319
ISSUED: 11/24/2020
EXPIRES: 5/23/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
RES20-0319
';fl!J,• Building Permit Application ( 9 City of Atlantic Beach Building Department
, ,; · . · 800 Seminole Road, Atlantic Beach, Fl 32233 ·•· .. {.u1uv"·
-Phone: {904) 247-5826 Email: Building -Dept@coab.us
Updoted 10/9/18
.,.ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Job Address: '22'19 OceArJW&/s'. Ot. W AikA,J'.()4 G£AC,t:11 fl. '3 '1.'2'3'.3 Permit Number: __________ _
LegalDescrlption'-i?.-7':( 27~'2S-29fCJofMW11it< UN11~ LoTl'l REIi lb'il:Jk3-IQ38
Valuation of Work (Replacement Cost)$ l./1 } 5 5 Heated/Cooled SF ____ Non-Heated/Cooled ____ _
• Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool 5(1Wlndow/Door
• Use of existing/proposed structure(s): □Commercial □Residential
• If an existing structure, is a fire sprinkler system Installed?: □Yes □No
ro·ect? □Yes must submit se arate Tree Removal Permit □No
Describe In detail the type of work to be performed:
Florida Product Approval II __________________ for multiple products use product approval form
Property Owner Information
Name KLAMBpTH VlautSE
City kfLA,.f(JC, BMc,tl
Address 22 4 9 0CEAtllll)JlL I{ Os It/
State fL Zip 322'33 Phone_q~f~2~~3~i~'.2~---k .... ~5 .... 9~-----
E-Mail ______________________________________ _
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) __________________ _
Contractor Information
Name of Company MHo.c.lt'} ).Jiocla,,}$ O.t)d svocoocn s \NC.Q.uallfying Agent 'hAtHL.€6'{ H. CJ/Ne
AddressB•l:33 West4!CO t,.hy 6wre 11 City :IAc¥,.S:PclYIL '-12 State fL Zip 32266
Office Phone 855-21.f 2-451/q Job Site Contact Number qoq-6 31 ~ ,iq Z 3
State Certification/Registration II CI\C. / :3 3Ol:i-, 8 E-Mail look lyn e,1&Jkaocr::,aumi H: 03, Coro
Architect Name & Phone II ________________________________ _
Engineer's Name & Phone II ________________________________ _
Workers Compensation Insurer ______________ OR Exempt □ Expiration Date ______ _
Application is hereby made to obtain a permit to do the work and Installations as indicated. I certify that no work or Instal lation 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: ln;iddition t<>the requirements of this
permit, there may be addiUonal restrictions applicable to this property that may be found ln the public records of thisc;ounty, and
there rnay be additional permits required from other governmental entities such as water management districts, state agencies, or
federal agencies.
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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OB ~ FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE
t(.
( J Personally Known OR\·
[ } Produced Identification
Type of Identification:
· ,. ASINO
)MMlti:{ION II GG 234015
XPIHES; July 1, 2022
l'lllu Notary Public U1Klo,wrltors -~-~~
RES20-0319
Recorded 11/16/2020 01:49 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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Pem1lt No, _____ _ NOTICE OF COMMENCEMENT I
Tox Folio No. l~qgG 1r 0~8
Stale of Plorlda, County of Duval
THll UNDllRSIONnD hereby glvo nollce that the Improvement wlll be made to certain .. at proporty in accordance with
Chapter 713, Florida Statutes, the following Information Is provided In thla Notice of Commencement.
I. Descrlpllon of property (legal doscriplion of property ond •dd,.u lfovallRble):
~Ji$ Qoi,10 kQ 3-7 (hJtIS l7€f< AC
2, Oenorol Desorlptlon oflmprovom~•JI•: ). ! rerruve aatl rtp/1,r.it '.i t,,1io,v¼>s :a 12.i: 1sec ,$1ze
3. Owne, lnfom1ollo11:
a)NameandAddross:½IAtMMH VLO01,E :l'l-'1'11'c.tM(,lt,II/, de. OnAr,11'.}r. Oac-1, fL 3:2233
b) lnlerosl In property:
o) Namo aud address of simple tllief1older (If olher than owner):
4. Conlreclorlnfonnallon:{l\ irl) cit
a) Name and Addreu~;'PJ--~,£J~fff;9-.Jti''<>/l--'-ll~LLy....UilaJc<!l>!ilJ!,,{,,_t,_,LJ,.__..2==Ll2.----b) Phone Number:.a.,aceSc.:.•=i..e:..:ucz.:L.... ________ _
5. Surety Information:
a) Nan1eaudAddress: __________________________ _
b) Phone Number: o) Amow\( ofDond7:-::$c---------------
6, Lendor lnfonnatlon:
a) Name and Address: __________________________ _
b) Phone Number; _______________ _
7. Person within the Stale of Florido doslgnaled by owner upon whom nolicOB or other document, mny be sorved ••
provided by 713,13 (l)(e) 7, Florido Slatules:
a)Nameond Addres,: .....,-.,....,..,,...-----------------------b) Phone Numbers ofDeslgnaled Peuon: _______________ _
8, In addition to hlntsolflherself, Ownor deslgneleo _=~~~=----of _____ 10 ,..,Ive a
copy o(lhe Llenor's Nolico" provided In Secllon 713.13 (I) (b), Florida Statute,. a)Nemoand Address: _________________________ _
b) Phone Number ofperoon or entity designated by owner: ____________ _
9. Bxplrnllon dole ofNotlce ofCmninenceinenl (the explmlion dole moynol bo befora tho complclion of construction
and final paymonl lo th, conlraotor, but 1v!ll be one (I) year from lhe dole of recording unless a dlll'erenl dote I, specified: _________________ _
WAIININO TO OWNBR: ANY PA YMBNTS MADB BY THB OWNllR AFTBR THB BXPIRATION OFTHB NOTICB
OP COMMllNCllMBNT ARB CONSIDERBD JMPROPBR PA YMl!NTS UNDBR CHAPTDR 713, PART I, SBCTION
1.L;!JJ, PLORIOA STATUTES, AND CAN RESULT IN YOUR PAYfNO TWICE POR IMPROVBMBNTS TO YOUR
PROPERTY, A NOTICB OF COMMBNCBMENT MUST BB RBCORDBD AND POSTl!D ON THB JOB SITB
DBFOIU! THB PIRST INSPBCTION, IP YOU fNTBND TO OBTAIN FfNANCfNO, CONSULT WITH YOUR
LBNDBR OR AN ATTORNBY BEFORD COMMBNCINO WORK OR RllCORDINO YOUR NOTICB OF
COMMBNCBMllNT,
Un clare lhnl I have read lho foregoing notko of coinmencomont and that lhe feels stoled
lh ed e ond belief.
lreotor/Portner/Mnnager
'feJ~u, lo.Jifl' K\aMr"t--h
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