CITY OF DAYTONA BEACH
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1 BUILDING PERMIT CITY OF DAYTONA BEACH DEVELOPMENT SERVICES DEPARTMENT PERMIT & LICENSING DIVISION PERMIT TYPE: job address: ACCESSORY MISCELLANEOUS PERMIT NUMBER: R PARCEL/TAX ID NO: Replace windows with 7 PGT vinyl single hung SUBDIVISION: LOT: BLOCK: NSTRUCTION TYPE: APPLICATION DATE APPROVAL DATE PERMIT/ISSUE DATE 03/19/ /20/ /26/2014 NTACT INFORMATION Owner: Thomas & Susan Harshbarger Phone: (303) Mailing Addr: DAYTONA BEACH FL Fax: Applicant: John Tyndal Construction Inc ( jt@alliedwindowco.com Phone: (386) Mailing Addr: 210 Carswell AV Holly Hill FL Fax: Contractor: John Tyndal Construction Inc ( jt@alliedwindowco.com Phone: (386) Mailing Addr: 210 Carswell AV Holly Hill FL Fax: fees ESTIMATED VALUATION FEES PAID AMOUNT DUE $3, $72.98 $72.98 $0.00 NDITIONS This permit is issued pursuant to the attached conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. Permit expires 180 days from date issued unless otherwise noted or governed by law. INSPECTIONS Inspection requests made before 9pm can be scheduled for next business day. ~ By Phone: , option 3. Permit numberand 3-digit inspection code required. ByWebsite: click epermits link then PermitSeach to locate permitand schedule. AGREEMENT The Applicant agrees to comply with Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, expressed or implied, of the Department, Municipality, Agency, or Inspector; and certifies that all of the above information is accurate. Signature Date *>'*&'Z&H File Copy
2 INVOICE The CITY OF DAYTONA BEACH Permits & Licensing Division - City Hall - Room S Ridgewood Ave, Daytona Beach Florida Phone: Fax: Mail To: PO Box 2451 Daytona Beach, FL PERMIT TYPE: ACCESSORY MISCELLANEOUS PERMIT NO: R PARCEL/TAX ID NO: applicant John Tyndal Construction Inc ( DAYTONA BEACH, FL March 21, 2014 Fee Description GL Account Fee Amount Q i 0) < D o < CD O BUILDING PERMIT FEES Building Permit Fee MISCELLANEOUS FEES FLORIDA SURCHARGE TECHNOLOGY SURCHARGE-BT TOTAL FEES DUE m 2014 Position3 The City of Daytona Beach Printed: 3/21/2014 by ENC File Copy
3 in, OF DAYTONA BEACH.'GDIVISiO- MAR RECEIVED Date 3-^-XoiM Parcel No Job Address Owner Address Contractor Thomas & Susan Harshbarger John Tyndal Permit and Licensing Division Current Code FBC2010 City of Daytona Beach phone (386) 67i-8i4o Post Office Box 2451, Daytona Beach. Florida Fax (386) BUILDING PERMIT APPLICATION Project No Job Name Phone City Daytona Beach Phone Permit No. Kl4p^) 1^3 Fax State FL zip Fax Address 210 Carswell Ave City Holly Hill State FL zip Lic No. CBC Contact Address (enter only one) Fee Simple Title Holder Architect/Engineer Mortgage Lender's Name Address Address Address Improvement Type [ZJNew OAddition C]Repair ORenovation 0Replacement [^Commercial 0Residential Value of Work: Electrical Plumbing Mechanical (Other) Building Total Value ofwork $3890 Total Sq. Ft. Units Floors Construction Type Occupancy Occupancy Load Flood Zone Description of Work: Replace Windows with (7) PGT Vinyl Single Hungs and (2) CWS Vinyl Picture Windows 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 ofa permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING. SIGNS. POOLS, and AIR NDITIONERS, etc. 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 RERD A NOTICE OF MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF MMENCEMENT MUST BE RERDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RERDING YOUR NOTICE OF MMENCEMENT. I hereby affirm that I have complied with the provisions of Chapter 469 of the State Statutes, and I have notified the Dept of Environmental Protection of my intention to remove asbestos, if applicable. DLP District phone number Date Owners Signature (Must sign in our office if owner/builder) STATE OF FLORIDA UNTY OF Affirmed and subscribed before me this day of 20 by Who is personally known to me or who has produced as identification 5 Contractors Signature STATE OF FLO Date [Authorized Agent). )A UNTY OF \fc>\ostift S/fl[2oM Affirmed and subscribed before methis 1^ day of tv"\e*rcu\. Who is personally known to mejy who has produced ~~Z /-7 y^~) as identification Signature ofnotary Public State of Florida Signature of Notarv Public State of Florida ^^-~ ;. Stamp i lore
4 TO WHOM IT MAY NCE RN * Joh L. Tyndal am appointlng ^^^^ ^ a9ent " SUbmit' >"""» «d pickup all building permits. Job Address Sincerely, 4k% John L. Tyndal *! 2*Pu^Sta*<rf Florida. Oarlene C Caulk - My Commission FF A? ycomm'ssion FF i tr Expires 02/17/2018
5 NOTICE OF MMENCEMENT AFFIDAVIT Attached is a copy ofthe Notice ofcommencement for: AJ. Address: J Parcel Number: that has been filed for recording with the Clerk ofthe Circuit Court. Permit Number: Name(print) John L. Tyndal STATE OF FLORIDA - UNTY OF VOLUSIA Signature Sworn to and subscribed this y\ day of ina&rcja 20 (Mr by Who ispersonally known tome Q'tcheck iftrue) OR has produced Notary Public, State offlorida v '*Vt Notary Puttie State of Florida \ Darlene CCaulk %> S My Commission FF fti(f Expires 02/17/2018
6 07/07 NOTICE OF MMENCEMENT State of Florida County of Volusia Permit No Tax Parcel Number The UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Description Of Property: (Legal description ofthe property, and street address ifavailable.) LOT 140 ST ANDREWS HIGHLANDS MB 40 PGS INC PER OR 5008 PG 0581 PER OR 5758 PGS INC PER OR 6284 PG 1536 P ER OR 6944 PGS General description of improvement Replace Windows Owner information: a. Name and address "fkcfvv^ *- S-V»*v tw^ tsf-r'-j* ' FOR CLERK'S OFFICE USE ONLY b. Interest in property c. Name and address of fee simple titleholder (if other than owner) 4. Contractor: j0hn Tyndal Construction, Inc Name and address _ Carswell Ave Holly Hill, FL a. Phone number (386) Fax number (336) Surety: Name and address a. Phone number ( ) Fax number ( )_ b. Amount of bond $_ WA-.00 Lender: Name and address a. Phone number ( ) Fax number ( _NJA_ Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section (1)(a)7., Florida Statutes: a. Name and address b. Phone number ( Fax number ( )_ 8. In addition to himself, Owner designates John Tyndal of John Tyndal Construction, Inc to receive a copy of the Lienor's Notice as provided in Section (1)(b), Florida Statutes 210 Carswell Ave Phone number (3flfi) 9SB-S428 Holly Hill, FL Fax number (386)_25a=Q Expiration date of Noticeof Commencement(the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BYTHEOWNER AFTERTHEEXPIRATION OF THE NOTICE OF MMENCEMENT ARE NSIDERED IMPROPER PAYMENTS UNDERCHAPTER713, PART I, SECTION FLORIDA STATUTES,ANDCAN RESULT INYOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY. A NOTICE OF MMENCEMENT MUST BE RERDED AND POSTED ON JHEJOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, NSULT WITH YOUR LENDER OR AN AJKJRNEY BEFORE MMENCING WORK OR RERDING YOUR NOTICE OF MMENCEMENT. y.'" ^^,/; ^ ' - / ;/ 1 j Signature of Owne,^ State of Florida County of -^Volu^iA- Affirmed and subscribed before me this _ who is personally knqmt to me or who h> Print Drint Name MoniA of svf Owner ftuinor \^ dnvofrtwe.u 20 i^bv TW)m^ VWfsUbA-fy^r" JOHNTYNDAL ^-* _(type of ID) as identification. Print, Type or Stamp Name of Notary ^5l^\ MY MMISSION #EE 21308^,o usfa County permrt Center Fax # BKr/ EXRRES: JUL 01,2016 5^ Bonded through 1stState Irauranca
7 > i LL O Q * O 0) > o Q CD ^ 0) P cu sz 03 X 3; CTl h> CN LO o 3; co tf> to cp LO co vi;rjli;r.of^ S 8 co <T co co r- ON o CN LO co O cr Li_
8 PRODUCT APPROVAL FORM City of Daytona Beach Provide 2 P [ES of this completed form. FILE PY Jobsite Address Contact Name Darlene Phone Code Edition FBC 2010 & FBC 2010 Residential (Check one) (Check one) Wind Exposure B C D Not Sure 0 Partially Enclosed D Enclosed Wiixl Borne Debris Area (Check one if within 1 mile of the coast) Impact Resistant Q Shutters (Plywood) 0 Shutters (other type) O Less than 25% O Not Applicable 0 Type Manufacturer Model/Series Florida or Miami- Exterior Doors Swinging (c Dade Product Approval Number (C Sliding Overhead (Garage) Windows Single Hung PGT 400 FL c< It Double Hung H CC Horizontal Slider u Mullion Shutters Other Other Other Casement Fixed CWS 8300 FL Awning Please Read MANUFACTURER SPECIFICATION AND INSTALLATION SHEETS MUST BE POSTED AT THE JOBSITE. 3/H//12
9 Pelican Bay Homeowners Association of Daytona Beach, Inc 101 Sea Hawk Drive Daytona Beach, Florida (386) FILE PELICAN BAY ARCHITECTURAL REVIEW MMITTEE PROCESSING FORM RECEIVED BY PELICAN BAY HOMEOWNERS ASSOCIATION OF DAYTONA BEACH, INC. TO: DE ENFORCEMENT CITY OF DAYTONA BEACH DATE: FEBRUARY 18, 2014 CURRENT HOMEOWNER: THOMAS AND SUSAN HARSHBARGER PROPERTY ADDRESS: 168 GRAY DOVE URT NATURE OF REQUEST: REPLACE ALL OLD WINDOWS WITH NEW VINYL WINDOWS BUILDER/NTRACTOR: JOHN TYNDAL NSTRUCTION, INC Carl Julian, Chairman Architectural Review Committee Pelican Bay Homeowners Association
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