Permit Foundation Repair 2010CITE OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000940 Date 8/02j10
Property Address 2039 SELVA MARINA DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation 3900
Application desc
add new footer existing slab
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BOWLES HYGEMA HOUSE MOVERS, INC
2039 SELVA MARINA DR. PO BOX 2655
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32203
(904) 764-9509
------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc .
Permit Fee 70.00 Plan Check Fee 35.00
Issue Date Valuation 3900
Expiration Date 1/29/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE Wj2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
-----------------------
Fee summary --------------
Charged
---- - -----------
Paid
--------- ----------------------
Credited Due
---------- ----------
-----------------
Permit Fee Total ------
70.00 70.00 .00 .00
Plan Check Total 35.00 35.00 .00 .00
Grand Total 105.00 105.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t.+Gl.- 1 `i-C1JYJ1 bc: 27 FROM: CLERK OF COURTS 904 270 1512 T0: 92475t345 P:1 ~ 1
Notice of Commencement
Return to• •
Name: ~'y ~{ 6t'h,R. ~ e-u. y $. (?1 ~ ~ e ~ ~ L~~
Address ~ 0. 8~ a ~ S 5
This instrument Prepared by: /~
Name: R. t~l. r o~ !~ ' Q'J 0`~ ~.~e•~a
Address: 4 • ~ • ~ ~ ~ 655
5~,+ ~ 3~a•~o.~
Plbpe~'ty Appraisers Parce! identtflcatwn:
- _ - ~ ~q5"o b - t ~
--
SPACE ABOVE 11115 uNEFOR PROCESSING BATE
dot * 1U10t I+i411, vR BK. 15323 Page x,111, r
Numbc~+ Pages: 1
Recoraeci pg~p~/7.010 at 10:10 AM.
,fIM PULLER CLERK CIRCUIT COl}RT DUVAL
COUNTY
P,ECORpING Zt4.OQ
5PALE ABOVE THIS LINE FOR RECOROIMG DATA
NOTICE OF COMMENCEMENT
PermitNo. f d •- ~~~~
Sate of Florida
County of b u- U
Tax Fpuo Na ~ ~O ~',? ~ 6 ` ~ a ~7
The undersigned hereby gums notice that impr'overner~ will be made to certain real prop4rty, and in accordance with Chapter
7.13 of the FtorSda Statutes, tfie following information is provided In this IVOTiCE Oi: COMMENCEMENT.
I peal descriprtlon of property (lrnlude Street Address, tf available)~~~~7'~ a ~ " O~ ~ ` ~ ~ ~
~ o ~ ."'( ~ ~ (V g,. ~'1'~a sr i ~. oL ~ t'-~ • ~' ~_1`~ .~. ( L ~ e o. t.J`~ F' f- ~3 ~ ,~
General description of improvements e W ~~ ~ n p r ~ ~ ` n ~'~' ~~ 5 (at~
Owner's Name C• 0 r 1 + -~a_ ~e.°
Address ~= •0. h i r•~ ~" . re's- ` [-,. ~. A c
Owner's Interest in site of the improvement P- 4 r °- ~' ~"~-
Fee Simple TnSe holder (if othet than owner) E'^ o_ ~ e--
Address Ph e: Fax•
rnM,~Mr,~ ,e~ Q ~/!'.Q- 'D Id Ci Q. 1'I~ a ,1 ~ r' S _ _ .~ c
Surety `- Phone- Fax
Address __ AmourR of Bond S
LCndef S Ndn1@ `
Address ~ Phone- Faye
Per,.ons wtthin the State of FloNda designated by owner upon whom nptiee5 or other documents play be served as provided by
Section 713.13(i~al7, Florida Statutes.
Name
Address ` Phorle: Faz:
In addttlon to himself, owner designates
Of Phone: fax
Tp rpceNe a copy of the Lienol's Notice as provided in SecGert 713.33(1)(b), Florida 5iattutes. Expiration date of Notice of
Commeno~emP th tp ion date ' 3'year from the date of reoprding unless a/difference date is sP~'fied) .
~~ ~~~ v "f~.15lFP~ ~- 'l~CrW~.c~
Signatur+¢Of Owner Ptintld Nae~eoft>wrner
NOTgRY RUBBER STAMD SEAL ~ 1 have reJ' n tY~e follow n, ideni ion of the AfRartt
~r ~ Notory pabec StaN of RoAds Sworn <uiid s e t day dr
F~ Linds H PedpCR
My Commbsbn ODy66M9 NOtd S
~orRd~ gKpliea05/29rZ01s ~ ~ .
PrIntQA Name
t!~=~~~;- City of Atlantic Beach
,~~ ~ ~~~ ~~ Building Department
~:+ 800 Seminole Road
j ~ -~} Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
~Jf3 ~%~ E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Buildin Department.)
a~
Date routed: ~ 2 Jf~
APPLICATION REVIEW AND TRACKING FORM
Property Address: ~~' ~ ~ .~C~UQ~ari ~ ~--
I
Applicant: ~ ~ ~ OY~~
Project: ~ 6Dn
~x~ ~-~ ~~
I
Review fee $
' D ent review re uired Ye 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: Q pproved. ^Denied.
(Circle one.} Comments: ~/ p
BUILDIN
PLANNING & ZONING Reviewed by:
TREE ADMIN. Second Review: QApproved as revised. ^Der4fed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
Reviewed by:
Date: Z 0
Date:
Date:
Reviewed by:
Third Review: []Approved as revised. ^Denied.
Comments:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845.
Job Address: ~ D 3 ~ ~e ~ UQ ~a r ~ /1 et.. ~ r^, Permit Number: l C, -' O f''~U __
Legal Description .~ `~ " q `~ D ~ '- ~ ,~ -- ~ ~' ~ Parcel # / ~ ~~Q ~ - f b '~ (r,
oor ea o q, t. ~''q"~t -~
Valuation of Work $ ~ `~ d D Proposed Work heatedfcooled non-heated/cooled
r
Class of Work (circle one): New Addition Alteration epair Move Demolition pooUspa window/door
Use of existing/pro osed structure(s) (circle one}: Commercial ~esidential`.~
)IIi' an existing struc~ure, is a fire sprinkler system installed? (Circle one): --Yes - No
Florida Product Approval #
I+'or multiple products use product approva orm
Describe in detail the type of work to be
L~2 t- i
~" ~ (~-,~
t i
Name. r5 t~ C/ ~Y'~ 5' a~ ~p tai ~ e 5 Address: D ~ ~~i ~ ~-- ~cL Y' ~ rim..- ~ r',
City Q-a- ~ ~ State Zip -~~7~-~-Phone 4 ®~~ 1f `~'J - g ~ ~
E-Mail or Fax # (Optional)
Contractor Information:
Company ~ame: e. -rn-ce.. ~ 0 u ~j ~ ~ D ~Q a' ~ ~ L Qualif~!ing Agent: _ ~ v ct ~ ~ D ~ ~ ~
Address: 0 ~ ® 5 Ci J State ~ ~-- ip __~s~
Qf#ice Phone '1 b - 5 0 Job Site/ Contact Number~`Ia tF) d 9 _ 1 (~~ Fax # Cg o ~) d 8~--(~ y"95'
State CertificationlRegistration # C (~C. ~.SxF~ ~.~ ~' .. .~
Architect Name & Phone #
Engineer's Name & Phone #~ YI~ r
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert~ that no work or installation has commenced prior to the
issuance o, f a permit and that all work wzll be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes rzull
and void f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a~ perzod of six (6) months at arty time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc
WARNING TO OWNER: YOUR. FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this~plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will •be complied with whether sped zed herein or not. The granting of a permit does not presume to gzve authority to violate or cancel the
proviszons of any other federal, state, or local law regulating construction or the performance of construction.
Signature
Print Name ~
:his ;,~1,=,!_ Dav of
Signature of
Print Name
or
p
OF t~Tj.1~NTTf RR A ~•ra ..~a~
.r..
e ~~~ r.Gx1v11TS FOt~ ADDITIONAL~~ Notary ubli *`~ - ~ .~-,~ . _ ``
REQUIREMENTS AND C0~17TONS.
FfLE l .10
REVIEWED BY: DATE; 27 t~ ~~