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Permit 1927 Selva Marina Dr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000157 Date 2/17/10 Property Address 1927 SELVA MARINA DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation 14360 ------------------------------------------------------------------------ Application desc REMODEL INTERIOR BED AND BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ -------------------- LANG DENNIS AND KATHY DKB ENTERPRISES INC. ---- 1927 SELVA MARINA DR. P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5885 ------------------ --------------------------------------------- Permit PLUMBING PERMIT ------------- Additional desc . Sub Contractor CHRISTY FIRST COAST PLUMBING Permit Fee 83.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 8/16/10 --------------------------------------------------------------- Special Notes and Comments ------------- *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ------------ - - ------------------------------------------------- Fee summary Charged Paid Credited --------- - ------------- Due - ------ ---------- ---------- ---------- --- Permit Fee Total 83.00 83.00 .00 ------- .00 Plan Check Total .00 .00 .00 .00 Grand Total 83.00 83.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~ry~ ~ ~ Iu u i:3up tirlan D. Christy 9042494660 p.1 CITY OF ATLANTIC BEACH V9~ .. I I I I I ,. ~~• 800 SEMBVOLE ROAD, ATLANTx; BEACH, FL 3233 ~ O~Fx:E: (80tjY47~828 ~ FAX NO.:(8W3Z41.6895 BUILDING-DEPT®C0/19.U8 PLUNBING PERMIT APPLICATION DUVAL COUNTY ~. ~ s. Is s. la~-~ Iva Q.r~n~:~~- o No ~ - p 15 wf€s PEFitufTr: / ~ t'(l t~ ~(~ 4. NAME: ~. ~ r~l nl t S ~R i~ ~ S. ADDRESS IF DIFFERENT FROIN JOB ADDRESS: . PHOHE 5~1 t - "~• 15~ 7. NAME OF COMPANY: ~ts~ ~, ~br ConrsT Pi.1~I1d,~lA~ d ADDRESS.: a . ~. ~vt-I ~lo ~G x ~N 3a cj S. STATE OF RX)ALICENSE NQ ~ o w~1 10. CELL PHONE: a~i- -~~ - ~-Ia 11. FAX NO.: q v~} -ay g- 40100 t2. EYAILAOORESS: Gµ Q.I I ~t~ x~., .n 19.0 FILE PHo~ ~t~{ - d4~t - LE. ~{ 1 14. Application is hereby made to obtain a permit to do the work and installations ~ indicated. I ceAify that afl worts wits t1e performed m meet the standards of all laws regutafing aonstrudion in this jurisdiction. This permit becomes null arld void if work is not carnmerlced wRtlin six (6) rnonlhs, or if construction or work is suspended or abandoned for a period of six (6) months at anytime agar work is commenetd. CONrRACroRS SIGNATURE: Ili. NATURE Gf YYOftK: 16: Cwt NT C E: O NEW a 'os Fl.o~laa Butl.DtNG C.oDE- RE-PIPE PLUMBING / P$ ta~.Z- O OTHER: 1>ti F BATH TUB SEWER CONNECTION glp~ SHOWERS DISH WASHER r 1 SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN 1 WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): • ROOF DRAIN PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = B[.D('03 Paimit ApplieatiiDn P4mD: 1?/tar200lI CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000157 Date 2/17/10 Property Address 1927 SELVA MARINA DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation 14360 ---------------------------------------------------------------------------- Application desc REMODEL INTERIOR BED AND BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LANG DENNIS AND KATHY DKB ENTERPRISES INC. 1927 SELVA MARINA DR. P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5885 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 125.00 Plan Check Fee 62.50 Issue Date Valuation 14360 Expiration Date 8/16/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 125.00 125.00 .00 .00 62.50 62.50 .00 .00 187.50 187.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL C[TY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~. '~ ~': CITY OF ATLANTIC BEACH ~ O~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~._ rv.w... ,.~ tirr OFFICE: (904)2475826 ~ FAX NO.:(904)247-5845 } ' WN^N.COAB.US "'~~' BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOBADDRESS. 2 VAWATIONOFIM~RK 3. SQ FT. UNDER ROOF b. LEGAL DESCRIPTIGM ' ~. 5. CLASS OF V~ORK. B. USE OF STRUCTURE: ;T~BLOCN. __ _ i i 7` ~p~; ~ ~ ~ ~ ~ ZS--2~i ~ ^ NEW BUILDING ^ DEMOLITION aPESIDENTIoL `~ ADDITION ^ CONVERTING USE ^ -; 6t r,' I- _:',.-.L Z DESCRIPTYJN OF V~ORK ~ ALTERATION ^ ACCESSORY BLDG. 8 FIRE SPRINKLER j~ ~/~ ^ REPAIR ^ POOL/SPA ^ ~ ES ^ 'J:'.-. /V~! r!~'C Q~ L ^ MOVE ^ OTHER NO PROPERTI' OWNER: CONTRACTOR: ARCHITECT I ENGINEER:: NAME: 15. C PANY NAME: 23. COMPANY NAME: 1fy~pIAME: _ 24. LICENSEE NAME: 10. ADDRESS: ~~~ nb 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ~Tr~-N f ~ ~ ~ ~f 18. ADDRE ' ~ 26. ADDRESS: ' ~r.~i7C 6c' ~'C 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. F NO.: 27. OFFICE PHONE: 28. ~ 2 O ~ O ~~ ~ a a- uu ~ ~~ ~s zZ i ~~ o 13. CELL PHONE: ~ ~ 21. CELL PHONE: n ~ 29. CELL PHO tfJ 3 I, S By 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: ._ i FEE SIMPLE TITLE HOLDER: I BDNDING COMPANY: I MORTGAGE LENDER: IiF orHea TRw~ owriE~ 31. NAME: 133. NAME: 135. NAME: 32. ADDRESS: 134. ADDRESS: 136. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be pertormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *~- 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. ~ OWNER or AGENT CONTRACTOR . ~ ~ a ~. ~~ ~, Any or Agarxy Lem Raa~~~l ~ ra~~fi~ o~wJ Signe ate: 2 d Before me this day of , 2010 in the county of i uval, State of 1r'Id'a has p; r~n~ly appe ~~ >r /1, "11-'1 ~ herin by himself /herself and affirms that (Statements and d larations are true and accurate. ~ Jam., n +N~~Iary Public at Large, State of ~ f ~ ~C6unty of ~R:'1/ r~^'tY }t ,Personally Known f Produced Identification - Notary Signature: m"~X,aiw+~ro• ..-,RVrr.riMrywwnr. "„~'r ~~. CINDIE HERNANDEZ CITY OF .: : ~s" '= SEE PERU _,: r MY COMMISSION # DD 718638 EXPIRES: October 25, 2011 REQUIREM ~~Rf ~~, Bondad Thru Notary Public Underwriters B I L E _C O P Y ~v~wEDi~r:lZ r ~; Signed: Date: fSoZ ~ l ~ Before me this ~ day of , ' , 2010 in the county of Du, al, State of Florida, hasp rsonally appeared 1~~~~ ~ ~ ~a ~~- v f-, herin by himself I herself and affirms II statements and declarations are true and accurate. v ~~ff ~~ o(}ary Public at Large, State of ~N _i/~SCdunty of L~ . Ju Personally Known f^~roduced Identification Notary Signature: DATE /6 /(J . ~ NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): %' ~ ~ ~ SRS y~ /~~~/~ .Qrt ~it~,r~~`rc /3c ~/, t=~~ . 3 Z ? 33 2. General Description of improvements: .??,.4c air ~~T~- ~G~~ ~'rto,oi~G. 3. Owner Information: a) Name and Address: ~,~tN1 S ~' dc~t-Tl~~c) G~.c~~r l ~.Z ~ ~S~G~dt t~ll/i/n /~ ~D>2 h) Interest in property: ycyAl ~R- ~?L~.v7~'C~, Bcrf~ /~G 3~2.~3 n~ c) Name and address of simple titleholder (if other than owner): nJ" 1 Q.u D ~3~G~~N \v1 4. Contractor Information: /r ~ ~K ~ a) Name and Address: ~~/l (3 t~/iCJ~,~CQiC~.Si~S .~~ /"• C~• /~Q~ .~.5 ~` ~i".s~" /'~fGl.~fic /~3c/~• b) Phone Number: ~1G~c~( -,, 2 Cl~ •-~" ~~-3'~ 3 ~ X33 ~`"~' 5. Surety Information: a) Name and Address: b) Phone Number: c) Amount of Bond: $ 6. Lender Information: a) Name and Address: b) Phone Number: uoo ff ~Ui0u3,~,03, Oi~ i3K i5i54 Page i i4i, Number Pages: Recorded 0Er1 x,`2010 at 11:34 AM, OIM FULLER CLERK CfRCUiT COURT DUVAL COUt~JT`! RECORDIPJG $10.00 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: al Name anti Address' ___ _____-_-~ 8. b) Phone Numbers of Designated Person: In addition to himself/herself, Owner designates a copy of the Lienor's Notice as provided in Section 7l 3.13 (l) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING OF, Si re of ~h The foregoing ins ment was acknowledged before me this ~ day of ~ "~ ~ ~ „~f~ as for (Name of Person) (Authority Type, i.e. Officer/Attorney) of to receive -J~c1A~5 L~l1I~ --- ~ Signatory's rinted Name & Title/Office tv1Y CCMMISSICN # DD 7156: ~xPiRES: Cctol;er 25, 201} ~.. DRRWINGS Y DKB ENTERPRISES INC. DON BE E N LANG RES. 1927 SELVA PO BOX 331458 DKB MARINE DRIVE ATLANTIC BEACH ,FL. ELATE Rl S ATLANTIC BEACH 32233 INC. ~~~~od~ FEB 12 2010 K ~ ~ 2'8 N v .- r- 'v 29' 22'6 -- --- 19'10 RELOCATE DOOR RELOCATE NON LOAD BEARING WALL DRAWING BY DON B G RON LANG RES 1927 SELVA DKB MARINE DRIVE ATLANTIC ENT P BEACH INC. 6'6 ti I I I __..__ (._J, ~.... Ch ~~,_\, ~~ RELC~CAT PLUMBING AS DKB ENTERPRISES INC PO BOX 331458 ATLANTIC BEACH, FL 32233 pC~C~[~~dC~ III FEB 12010 D ~s-~~~r,~, Diiyof°Atlantic Beach ;~ ~ Building Department r `f ~ s j 800 Seminole Road ~~ Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 ~ ..L J~t1~%' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) ~~.~~~~ Date routed: ~ ~~ L /~ APPLICATION REVIEW AND TRACKING FORM Property Address: (~~ ~ ~~~~ /u-~`~rC~ Applicant: ~~~J Project: Review fee $ De artment review re wired Yes No Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection Florida Dept of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. ^Denied. (Circle one.) Comments: ~ILDtN PLANNING & ZONING Reviewed by: Date:o2 ' ~G ~ /U TREE ADMIN. Second Review: A roved as revised. ^ pp ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Revised 05!14!09