BUILDING PERMIT CITY OF DAYTONA BEACH DEVELOPMENT SERVICES DEPARTMENT PERMIT & LICENSING DIVISION PERMIT TYPE: job address: ACCESSORY MISCELLANEOUS PERMIT NUMBER: R1403-123 PARCEL/TAX ID NO: 36153216001400 Replace windows with 7 PGT vinyl single hung SUBDIVISION: LOT: BLOCK: 16-00 NSTRUCTION TYPE: APPLICATION DATE APPROVAL DATE PERMIT/ISSUE DATE 03/19/2014 03/20/2014 03/26/2014 NTACT INFORMATION Owner: Thomas & Susan Harshbarger Phone: (303) 475-6973 Mailing Addr: DAYTONA BEACH FL Fax: 32119 Applicant: John Tyndal Construction Inc ( jt@alliedwindowco.com Phone: (386) 258-5428 Mailing Addr: 210 Carswell AV Holly Hill FL 32117 Fax: Contractor: John Tyndal Construction Inc ( jt@alliedwindowco.com Phone: (386) 258-5428 Mailing Addr: 210 Carswell AV Holly Hill FL 32117 Fax: fees ESTIMATED VALUATION FEES PAID AMOUNT DUE $3,890.00 $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: 386-671-8140, option 3. Permit numberand 3-digit inspection code required. ByWebsite: www.codb.us, 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
INVOICE The CITY OF DAYTONA BEACH Permits & Licensing Division - City Hall - Room 127 301 S Ridgewood Ave, Daytona Beach Florida Phone: 386-671-8178 Fax: 386-671-8149 Mail To: PO Box 2451 Daytona Beach, FL 32115-2451 PERMIT TYPE: ACCESSORY MISCELLANEOUS PERMIT NO: R1403-123 PARCEL/TAX ID NO: 36153216001400 applicant John Tyndal Construction Inc ( DAYTONA BEACH, FL 32119 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 160-322001 001-208002 160-341325 TOTAL FEES DUE 62.71 4.00 6.27 72.98 m 2014 Position3 The City of Daytona Beach Printed: 3/21/2014 by ENC File Copy
in, OF DAYTONA BEACH.'GDIVISiO- MAR 1 9 2014 RECEIVED Date 3-^-XoiM Parcel No. 5236-16-00-1400 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 32115-2451 Fax (386) 671-8149 BUILDING PERMIT APPLICATION Project No Job Name Phone 303-475-6973 City Daytona Beach Phone 386-258-5428 Permit No. Kl4p^) 1^3 Fax State FL zip 32119 Fax 386-258-0902 Address 210 Carswell Ave City Holly Hill State FL zip 32117 Lic No. CBC 1254455 Contact Email 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 407-897-4100 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
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 091446 A? ycomm'ssion FF i tr Expires 02/17/2018
NOTICE OF MMENCEMENT AFFIDAVIT Attached is a copy ofthe Notice ofcommencement for: AJ. Address: J Parcel Number: 5236-16-00-1400 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 091448 fti(f Expires 02/17/2018
07/07 NOTICE OF MMENCEMENT State of Florida County of Volusia Permit No Tax Parcel Number 5236-16-00-1400 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 40-43 INC PER OR 5008 PG 0581 PER OR 5758 PGS 3718-3719 INC PER OR 6284 PG 1536 P ER OR 6944 PGS 1700-1701 2. 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 _.... 210 Carswell Ave Holly Hill, FL 32117 a. Phone number (386) 258-5428 Fax number (336) 258-0902 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 713.13(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 713.13(1)(b), Florida Statutes 210 Carswell Ave Phone number (3flfi) 9SB-S428 Holly Hill, FL 32117 Fax number (386)_25a=Q902 9. 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, SECTION713.13. 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 #386-740-5238 BKr/ EXRRES: JUL 01,2016 5^ Bonded through 1stState Irauranca
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PRODUCT APPROVAL FORM City of Daytona Beach Provide 2 P [ES of this completed form. FILE PY Jobsite Address Contact Name Darlene Phone 386-258-5428 Email 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 1435.3 c< It Double Hung H CC Horizontal Slider u Mullion Shutters Other Other Other Casement Fixed CWS 8300 FL 4093.1 Awning Please Read MANUFACTURER SPECIFICATION AND INSTALLATION SHEETS MUST BE POSTED AT THE JOBSITE. 3/H//12
Pelican Bay Homeowners Association of Daytona Beach, Inc 101 Sea Hawk Drive Daytona Beach, Florida 32119 (386)322-0110 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