Permit 1828 Selva Grande Dr is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 10-00000061 Date 1/25/10
Property Address . . . . . . 1828 SELVA GRANDE DR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
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Application desc
INSTALL HARDILAP SIDING, SHEATHING AND HOUSEWRAP
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Owner Contractor
------------------------ ------------------------
MALCOLM, THOMAS ELITE BUILDING CONTRACTOR
1828 SELVA GRANDE DR. 55 FORESTAL CIR
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 17S . 00 Plan Check Fee 87 . 50
Issue Date . . . . Valuation . . . . 25000
Expiration Date . . 7/24/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 17S . 00 175 . 00 . 00 . 00
Plan Check Total 87 . 50 87 . 50 . 00 . 00
Grand Total 262 . 50 262 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 10
09-
_4 800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233
-5826 0 FAX NO.:(904)247-5845
OFFICE:(904)247
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
A.JOB ADDRESS: 2.VALUATION OF WORK 3.SQ.FT.UNDER ROOF
6 C)6 C-)
4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USEDF STRUCTURE:.
0 q -,,-I c 0 NEW BUILDING 0 DEMOLITION KWESIDENTLAL
LOT_BLOCK-SUB DIVISION e%NM 4=% 11 ADDITION E3 CONVERTING USE 0 COMMERCIAL
[ON 13 ACCESSORY BLDG. 8.FIRE SPRINKLER:
,7,DESCRIPTION OF WORK 0 A�715kAT
-Qt GKREPAIR 0 POOL/SPA El YES 341A
MOVE 0 OTHER 13 NO
I : ARCHITECT/ENGINEER:
9.NAME: PROPERTY ONWER- 15. CONTRACTOR:
make',kl\ 1-QbAPANYNAJ%'�tCL."4 _23.COMPANY NAME:
16.NAW-: 24.LICENSEE NAME:
X I!C Vk'f4i
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
'6 a--$I IVA - C c-i 6,-�-o
18.ADDRESS: r--t
26.ADDRESS:
3
11.OFFICE PHONE: 12.FAX NO.: 19,.OFFICE PH -725-EAX NO.: 27.OFFICE PHONE: 8 FAX NO."
I 17-6 -5--36.�)- I"
13.CELL PHqNF� 21.CELL PHQNE: 29.CELL PHONE: �Iow en rr
5_ o
14.EMAIL ADDRESS: 22.EMAIL AtDRES 30.EMAIL ADDRESS:
is
FEE SIMPLE TITLE HOLDER: MORTG AG RM 0
(W 07HER THAN OWNER) BONDINd COMPANY.
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a pegit to do the work and installations as indicated. I certify that no work or in
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws reg Ila t i
jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or S d
abandoned for a period of six(6) months at any time after work is commenced. I understand that separate per n!
Electrical Work Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in com Aia li
laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all i e
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. T
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULI"'
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 YO
0
LENDER OR AbkfffTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC T.
CONTRACTOR
9,WNERorAG'ENT' (66efifierOnly
bow
(Ant,Pcoar ofAttomey or Agency Letter Re4ul.
Z
Sig Da Signed: J� ate: 0
V le F -o� Z
-�70UAIJA2!�d 2009 in the county of Before me this I day of 41"M 44-2!C,4 �v
Before m is ay of 2=09�1 n�la gen fill;W
DuvaLStats o has per.sonally a red Duval,State of Florida,has personally appeared E
p Q
A4 0 71))AA Z Cka'd C4 Fc-,�-P'-Jox a U
herin by himself herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and deck ra
true and accurate. true and accurate.
Notary Public at Large,State of,;F�- �County of. �4_Vl� Notary Public at Large,State of FIC"��Countyof baL
�13 P 11 Known 'E'Personally Known
Zuc:yldentifi el' 0 Produced Identification-
�� i4�� Notary Signature-.���
V-
EL17ABETH A.RICKERTSJEN PATRMJ-JACKSON
BLDG01 Permit Application Bldg:REVISED: Comnaission#DD 870870
My COMMISSION#DD 6662 3
Expires May 16,2013
ur EXPIRES:June 14,2011
vsAW"tu froy Fm nuwa mwus-nit Bonded Thru Notary Public Undo
CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form)
As required by Florida Statute 553.842 and Florida Administrative Code 913-72,please provide the information and approval
numbers on the building components listed to be utilized on the construction project for which you are applying. We
recommend you contact your local product supplier should you not know the product approval number for any of
the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.or
Category/Subcategory Manufacturer Product Description FL Approval#(s)
EXTERIOR DOORS
a. Swinging
b. Sliding
c. Sectional/Roll Up
d. other
WINDOWS
a. Single/Double Hung
b. Horizontal Slider
c. Casement
d. Fixed
e. Mullion
f. Skylights
g. Other
PANELWALL
a. Siding Hr,�,r6'� ja-j2 S(&A!.�
b. Soffits
c. Storefronts
d. Glass Block
e. Other
ROOFING PRODUCTS
a. Asphalt Shingles
b. Non-Structural Metal
C. RoofingTiles
d. Single Ply Roof
e. other
STRUCTURAL COMPONENTS
a. Wood Connectors
b. Wood Anchors
c. Truss Plates
d. Insulation Forms
e. Lintels
f. Others
NEW EXTERIOR ENVELOPE
I understand tKat,at the time of inspection,the following information must be available to the inspector on the jobsite,
1. A copy of the product approval.
2. The list of performance characteristics which the product was tested and certified to comply with.
3. A copy of the applicable manufacturers'installation requirements.
Further,t understa"d a product may have to be removed if approval cannot be demonstrated during inspection.
6
Applicant Signature Date
H:/Product approval spec sheet short form.x1sx
JUN-4-2001 04:01 FROMCLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF CODUMCEMNT
(PREPME IN DLWLMAM
Permit No, TaX Forlo No-
Stme of County of
To whom It tnay concern:
The undersIgmil hereby Irdbirms;you that improwDmants will be made tD oe!dam reo pro".*no in
accordance with Section Ti 3 at the noridm sU&jtM the faNw*"h1birtriedlon Is el 'a
COINMENCEMENT.
Legal answiption of property being improvect
Address of property being Improved: f qXtI7 .5 4vck-
(Aictifft- 'Qkh. r-L 261A 3--,
General description of Improvements:
Owner-
2Q15 401W11
Address_LgAf-f. .5-chfoL 6,rtA4,-- Dr- 46ta4z
Owner's tritamt in 9ft of big Improvement
_
Fee Simple Titleholder Qr oUw ftn owner)
Name
Address
Corttrador_&,�k.
Address—5-T_ - C!3r- I�U 6A 441C 16(—�n I 7_51'-->--
PhoneNo. 70'1 —,_XM'7-6!W j
Fmc W. 10
Suilety Q1 any)
AddMss JA Irr ___Amot"of bond
Phone No. V Fax No.
N*n*and addren of any poison malting a loan fbr the constuction of the Imprmernients.
Name
Address A I
Phow No. FaX No.
Name Of pe=n viffitin the State of Florida,oftr than hbradf,designeted by owner upon wtvoIn notion or other
domimeM may be served:
Name
Address /I/f7
Phonst No. Fax.Mo.
In afflffm 6)himself,ownei designates to following pemon to MWW 0 COPY of the Uenoelt Nolffee as provided In
Seotion 713.013(2)(b),Florida Statute&(Fit in at CIvinees option).
Name
Address -FIT
Phone No. Fax No.
ExPiraWn date of Noffca of Commer4ement Me ev n da e(l) rftm Me date of recording unless
dIffemni dale is spedlied): "Vol
THIS SPACE FOR RECORDER'S LISE ONEY__ OWNER 10
Maned- DATE
Belaranwt dayof —Invie
Of Di
h-rem.by
6$04; 1 VVI 41 Ta. N SK 16*iJ-2 P&rP h4nRff WSWEN on,Ma[hot al-siatmMmix and decuriumshemin
Nuintm Piao& I art MM SM
Ov,�i:�,010 at 19:38 AM
ELIZABM A-RICKEMEN