Permit 2039 Selva Madera Ct
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000140 Date 2/10/10
Property Address 2039 SELVA MADERA CT
Application type description DEMOLITION (ENTIRE BUILDING)
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
DEMO FOR KITCHEN ADDITION
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Owner Contractor
------------------------ ------------------------
LEBLANC REDSTONE BUILDERS
2039 SELVA MADERA CT. 2105 EVENTIDE RD
ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259
(904) 591-0332
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Permit DEMOLITION PERMIT
Additional desc .
Permit Fee 100.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 8/09/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
100.00 100.00 .00 .00
.00 .00 .00 .00
100.00 100.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH BUILDING DEPT.
DEMOLITION -PROPERTY OWNER
RELEASE FORM
Date: 2f ~u ~o ~'
To Whom It May Concern:
I / We the current property owners of:
Lot L o+ ? 7
Block ld f 77. S~><v4 ~t/o~, u n i I- h.b ,t~kl- ko ~~s ~7_3T.~
Legaf Description of Property --r-
AKA 7 ~ 3 ~ Se 1.~4 ,/Ll a ~ e~~ have contracted with to have
(Address of Property)
IZ~c'skvle (3 u i 1~ a rs to remove the rkl~sh~ s, l~;~ti ~..
(Company Name) (Single Family, Duplex, Commercial, etc.)
Prior to the construction of ; k ~ k ~ ~~ -~~ ~ i ~~
As a condition of issuing the permit we agree to the following:
1. All utilities are to be located and clearly marked.
2. Once house is removed, lot is to be graded and leveled.
3. All construction debris is to be removed from the property.
4. Affected area is to have grass or seed in place.
5. Erosion control devices will be put in place and will remain in place until grass
has covered affected area or new structure is completed and landscaping is in
place.
d~
Signature ' ~ ~ ~
Ci `~ ~~
D ~''
Signature
THI5 SPACE FOR RECORDER' S USE ONLY
OWNER
Signed:
Before me this day of
Of Florida, has personaily appeared
Notary Public at Large, State of Florida, County of Duval.
My commission expires:
Personally Known:
Produced Identification:
or
Date:
in the County of Duval, Statc
+;;
s~t' -£.;'' ~~. CITY OF ATLANTIC BEACH
` ~ 800 SEMINOLE ROAD. ATLANTIC BEACH, FL 32233
~ _ ~~ :r.tq r! OFFICE: (904)247-5826 ~ FAX NO.:(904~47s845
`~ WW W.COAB.US
~J5S1~'~ BUILDING PERMIT APPLICATION
10- ) I__I. I I
DUVAL COUNTY
i 1: JOB ADDRESS: 2 VALUATION OF WORK 3: Sp. FT. UNDER ROOF
Zoe 1 5ety~ t~
"~ S~~o
4. LEGAL DESCRIPTION: 5. CLASS OF WORK •-USE OF STRUCTUREt
^ NEW BUILDING ^ DEMOLITbN
~
~k ~ ^ RESIDENTIAL
LOT
BLOCK SUB DMSION
r ~ ^ AoDmoN ^ CONVERTING USE ^ COMMERCIAL
7` DESCRIPTION OF WiDRK ^ ALTERATION ^ ACCESSORY BLDG. 8 FIRE SPRINKLER:
^ REPAIR ^ POOL/SPA
~ ~ ~ }
'
'~ I ~ ~ YES ^ WA
~
1 GV)
`G h /
^ VE ^ OTMER ^ N
EROPERTY OWNER: CONTRACTOR:° - `:: ARCHITECT / ENGINEER:'
9. NAME: 15. COMPANY NAME:
~
i3
,t~ 23, COMPANY NAME
M~,~.~-.~. C0. •~Ke
~ ~ s
u
~
16. NAME: 24. LICENSEE NAME
J4 .~
10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
~3~ s~t••, r~A ~,,,~.` c Bc 12.5 2 ~ ~ 7
18. ADDRESS: yy~ S~k ~~ ) X5,7 28. ADDRESS:
y ~'~ 3z2ss
71. OFFICE PHONE 12 FAX NO.: 19.OFFICE PHONE ~. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE
oY • LSy ~ Z 39 0 21. CELL P„liONIE ~ Si ~~3 ,~ Z
`7!j 29. CELL PHONE
14. EMAIL ADD ESS:
'1-c
6G"' wv~.
~ 22 EMAIL ADDRESS: 30. EMAIL ADDRESS:
.
a~
~Z Redst~.~totittd~~s~ 1~jis~.,FL.Ke~-
,FEE S LE TITt•E H R:
~bTr~tTwu4ov~W SONDMG COMPANY: MORTGAGE LENDER:
31. NAME 33. NAME 35. NAME:
32 ADDRESS: 34. ADDRESS: 38. ADDRESS:
AppBcation is hereby made to obtain a permit t0 do the rnrork and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work w111 be performed 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 censtn~ction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for
Electrical Work, Plumbing, S ns, Welts, Pooh, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is arxurate and that all work will be done in compliance with aA applicable
laws regulating construcfion and zoning. i will not occupy or use the referenced building or any part therof, until ail inspections are finaled and
prim to obtaining a certificate of occupancy or compiedon issued by the building official, as sequined 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 INSPEC ON IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER 0 ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
ER or AGENT CONTRACTOR
P orAftorneyorAgerlcyLetterRequtrad) ( Only)-,
1 ' ~ ~ ~ ~ ~U ~ 0
Dab: Signed: Date: ~
tlris day of ~ . 2010 ~ the county of Before me is day of 2010 in the county of
Duval, Stab of Florida, has petsonaAy appeared Duval, Sts of Florida, has a red
~~~ ~,~~ ~e~~.nC
hefts by himself /#aoaa4Eatld atfirrrrs first a/ sbbmenls and dedarations are tlerin by !herself and afHrrrrs that aN stabmerrt4 and dedarationa are
true and accurate. ~ t(
1
_~ true and accurate.
r~i~ a
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0. 1
, Courtly of 1JU1~
Notary Public at Large, State of . Courrry a
Notary Public at Large, State of !
° Krwwn _ (Y U` a ~ a~JrJ3 ~ ~ Ply Known
Notary Signature: Notary Signatu
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;~0(OZ ~xt qaj said ~( uassiw ~tyy;. ~ _
PENNYRAAI~SEX Ea~a~ !o atels - ~!t4nd tieloN ''s„d.,r~°.~
" Comrta~rl# DD 8$1672 i WdHtra~ '1 ~aialNS "'"~~~"~~'
Bldg Permit AppBpfion 20 s~
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