1861 SELVA MARINA DR RFNC23-0005 'r,, Building Permit Application Updated 10/9/18
(' City of Atlantic Beach Building Department **ALL INFORMATION
� /i 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
--- IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: I8 7I 5a,.\/A Mwci21 Kik PeAve Permit Number: ReNC Z5-- 0605
Legal Description Res 151 Lin (x..{-ac-4,--C..../me.--5A4 RE# I u/20-0641-1)
Valuation of Work(Replacement�� .�� Cost)$ 29O P Heated/Cooled SF Non-Heated/Cooled
• Class of Work: svEew 1}3'�ddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ENo
• Will trees) be removed in association with proposed proiect? [Nes(must submit separate Tree Removal Permit) ❑No
Describe in detail the ti e of work to be performed: F .+iC_2 -S-lz,alr'c1 (tell `a
,-' 4 - e-,Cae. tef'
Florida Product Approval# for multiple products use product approval form
Property Owner Information ,
r�
Name Oi ' / Ga136.frefdls 1,3&, I S1,& Ma-yi • Dm.-e
City !md/,L .mss
StateZip-32)2...5;-,, Phone 7$0 2.. -- _el,
E-Mail e%1_t( 14.1.4,r6E 1 ' 't 44),(1,11
47.._
Owner or Agent(If Agent, Power of Attorney orgeA ncy Letter Required)
Contractor Information
Name of Company ��2i — ‘ \� Qualifying Agent...
/ t
Address 31-E-/ (D'tf'') Shet .4— City ,ggiql1__LA C— : e ill. Zip 2.---2-3-9
Office Phone 1-65PA-^1'j-7 3 Job Site Contact Number
State Certification/Registration#C-R�1�/Zq 2--1 E-Mail la017 .Ar10U••I (-t ( 1/1' ,(-i I - e--(YV1
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempts txpiration 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 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.
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 IMPROVEME TS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR L I R OR AN ATTO: EY BEFORE
RECOR G Ye UR OT CE OF 0 1 MENCEMEN
-. I��_�
(.ignat re of Owner or Agent) (Signature of Contractor)
,Signed and sworn to(or affir .)be or• e. s lay of Signed and sworn to(or aff' ) :-fore me thiay of
b V� .,(. ma r ' 'C%� ick (.1� , ZoZ5b . IR dt 44
A_____.,
•
? '' r c aur : Signature •- otary
COMMISSION i0N ff G - rY) , g
t p: „c,;.• EXPIRES:October 6,2023
F0F Ec rid Thru Notary Pubic Underwriters ' "°' TON!GINDLESPERGER
- Personally Known OR I r; MY COMMISSION#GG 353178
[ I Produced Identification [ (Produced Identification ;Sv Po`.. EXPIRES:October 6,2023
F;. .o;
Type of Identification: 1----'), L___. Type of Identification: - ''•• �ct,�, Sonde,'-1, ,... ,• I ,,.. ,. _
(:k.." Fence Addendum Updated 1/14/1021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
1 &,1 n�iO. bre 1/25/2. '
Property Type: Lot Type/ Features:
M Residential iW ne Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot,through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
/Wood ❑ Four Foot (4ft)
❑ Chain Link Vix Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
❑ Other
Fence Location:
Please submit an accurate and current boundary survey showing all existing improvements (including building footprint,
driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or
retaining walls and any portion or fencing above 6ft in height.
Will the fence be built in an easement?
❑ Yes (must submit separate Revocable Encroachment Agreement)
'2f N o
Will tree(s) be removed in association with proposed project?
❑ Yeses (must submit separate Tree Removal Permit)
[c'No
Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• All old fencing and debris must be removed from job site by contractor or homeowner.
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.
Ordered By.
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Gibraltar Title Services ,.....
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904.2963100
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PROPERTY ADDRESS:1861 SELVA MARINA DRIVE ATLANTIC BEACH,II,,ia 3 : SURVEY NUMBER:FL1202.1190
FIELD WORK DATE minoi2 REVISION DATE1Sh 0...1 rtintn8
FL 12021190
BOUNDARY SURVEY
DUVAL COUNTY
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thereby certify That this Sketch of Survey of the hereon described
property has been,A,.! , ,,, .. ..and to Me best o 1 my
'.. knotykdge- •,_,,, itea -7:7t.A.•.1e representation of a survey
that meets, iireilent ilial-..7.,, set fore)by Oe Ronda Board
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as,--I.in Chapter 5J-17 orb* 30 0 15 30
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' FLOOD INFORMATION: i POINTS OF INTEREST
By performing a search with the local governing municipality on www 4 NONE VISIBLE
ferns gov.the property appears to be located in zone A.This Property
' was found in THE CITY OF ATLANTIC BEACH,community number
` 12C075,dated 04/17/89 ii
' ..
JENNIFER SEXTON
. CUENT NUMBER: I DATE:2/21/2012REALTORS
(9(4)463-3326 ti Prudential
..i BUYER:NICHOLAS P COMERFORD AND LAUREN E COMERFORD . 1.: SEITONSELLSHOW.S@CONCASI.NET
Network Retailer
WWW.THEBESTJACIISONYILIEREALESTAILCON
3 SELLER:DEUTSCHE BANK ' ,
-
CERTIFIED TO:NICHOLAS P C,OMERFOP.0 AND LAUREN E COMERFORD..
GIBRALTAR TITLE SERVICES,FIRST AMERICAN TITLE 6
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'si INSURANCE COMPANY,SWBC MORTGAGE CORP
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This is page 1 of 2 and is net valid without A pages. Land Surveyors,Inc.
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