1738 Selva Marina Dr DEMO23-0004 Permit �S" DEMO PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH DEM023-0004
800 SEMINOLE ROAD ISSUED: 2/10/2023
ATLANTIC BEACH, FL 32233 EXPIRES: 8/9/2023
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, . .
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.
I
• : • OF •
1738 SELVA MARINA DR DEMO INTERIOR ONLY DEMO BATHROOM AND $10000.00
KITCHEN
TYPE OF
ZONING: :D •
• • GROUP:
172007 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS:
LAMAR RESIDENTIAL
CONSTRUCTION LLC 347 10TH ST ATLANTIC BEACH FL 32233
• DDR
RADLER WILLIAM D 1738 SELVA MARINA DR ATLANTIC BEACH Fl- 32233
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.
LIST OF • .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$104.00
Issued Date: 2/10/2023 1 of 2
Building Permit Application Updated 10/9/18
_. J? City of Atlantic Beach Building Department "ALL INFORMATION
p 800 Seminole Road, Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
b�'t»
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address:( ?�g _S e1 va Ma r nA Dnp Permit Number: ` (V\�Z - (Do Q 4-
Legal Description 6oW L D--3 7 tin _RE#_177-60cP.)
Valuation of Work(Replacement Cost)$ LO ,00D Heated/Cooled SF/ Non-Heated/Cooled
• Class of Work: ❑New ❑Addition []Alteration ❑Repair ❑Move taDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association withro oosse,�dnr�o'ect? ❑Yes(must submit
^separate Tree Removal Permit ❑No
Describe in detail the type of work to be performed: T��"KJ
Florida Product Approval# for multiple products use product approval form
Propertv Owner Information
Name q,1 mpS3c, �e�� )t� Address 15U6 yo-k T--- t
City A-6 State�(`Zip 322 3 '� Phone (�?, t 23�, -7(a "c)
E-Mail \htn(-C.(A�- (c� c ,�c�, L , cow
Owner or Agent(If Agent, Power f Attorney or Agency Letter Required)
Contractor Information - L(IC,
Name of Company \ 6 D a ifying Agent
Address &04' City ik-/;� State 2, Zip "LZ�
Office Phone Lf ot, -163 17 1 Job Site Contact Number
State Certification/Registration# - (3 E-Mail a r' f-,��
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt VlExpiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal la ion 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 IMPROVEM TS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR L ER OR AN ATTORV
EFORE
/1 RECORDING 1�14bTICE OF COMMENCEMEN . � In
(Signature of Owner or Agent) (Signatu of Contractor)10
/
Signed and sworn to(or aff rme�i)before me this 10t"day of d a d sworn to(or aff mi, )before me th' r ay of
•„gid/.,, TONI GINDL iia re of Not y) aturebf Notary)
MY COMMISSION#GG 35 u _ --
"(• EXPIRES:October 6,2023 TONI GINDLESPERGER
�i`_+ ••�x�'r Under++�t`� il
!:'?'•'
C•1' ? t,�bnaBpry Public ndr .�]ersonally Known OR ,i c MY COMMISSION#GG 353178
enti ication [ ]Produced Identificatio EXPIRES:October 6,2023
`�` ��;'
' 1 "�oF °p' Bonded Thru Notary Public Underwriters
Type of Identification: Type of Identification: