Permit Siding 519 Selva lakes 2011 CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
x110'
Application Number 11- 00002118 Date 5/24/11
Property Address 519 SELVA LAKES CIR
Application type description SIDING PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5600
Application desc
SIDING REPAIR
Owner Contractor
PUTNAM ILSE E FISETTE CONST. & REMODEL (ROOF
519 SELVA LAKES CIRCLE 159 19TH ST N
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246 -0309
Permit SIDING PERMIT
Additional desc . SIDING REPAIRS
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5600
Expiration Date . 11/20/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 80.00 80.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 84.00 84.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
, City of Atlantic Beach APPLICATION NUMBER
,, Building Department (To be assigned by the Building Department.)
r 800 Seminole Road �/ — / 1/ e! Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 `, ".Zwsi ;):• E -mail: building- dept @coab.us Date routed: 6- 2 /1
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6/ % 3f
P rtY VO' L / 4S t review required Yes No
_
Building
Applicant: , 3 k 7 arming & Zoning
Tree Administrator
Project: ,5 7'' ?me_. Public Works
Public Utilities
Public Safety
Fire Services
Review fee- $: ° 4 t Qept,'aigtiafure fr
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING•
PLANNING & ZONING Reviewed by: Date: 5 -- 3 1 - 3— /j
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 11Q g it M
Office (904) 247 -5826 Fax (904) 247 -5845 U
it
"1
fob Address: 557 5.,/ v4 L4 kIeS �' ✓J , A4.44,-,61„, . M U tUl l
.Permit Num � er: , dl► . f a
_degal Description t'3 -11 11 5 - 2-q E � ✓a La 25 ()Y' i - 2• Parcel # ' - ' M
Taluation of Work $ .5/Q p op ed Work h ted /cooled n heated /cooled
lass of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Jse of existing /proposed structure(s) (circle one): Commercial Residen ' ' CO
f an existing structure, is a fire sprinkler system installed? (Circle one): s No
lorida Product Approval #
'or multiple products use product approva orm
)escribe in detail t h e type of w o r k to be performed: w o o d 5 i d i ✓► 1 ( o . v ov (0,1/ c 441 vie clime
b .eV �o ire (MA 001 g 1 ' •
roperty Owner Information: �;
fame: � e, vt J! Address: q ✓e, LAM C,•
ity -•� :. �� State t Zip 32235 Phone Z - 7i it
-Mail or Fax # (Optional)
ontractor Information:
ompany N. e: ',. lvi2d ; : : ..... 0 ' v1 co Qual in Agent: / S I r ' M _
.ddress: I � �n l - - - Cit !` .a. 2 'L State Zip VL )
ffice Phone 7 - 030 Job S ---- ., , ... •
tate Certification/Registration # �'�C.', - (I 0 FOR CODE COMPLIANCE -
rchitect Name & Phone #
agineer's Name &Phone # ti t __ t. .
:e Simple Title Holder Name and Address ,,4,4, a / ���4
onding Company Name and Address ' ' ' ' `' • • ' • '
[ortgage Lender Name and Address II I.I _ _ t
_. . 1 • . �_
,* ".MRGti . ",awneuwm e..,
iplication is hereby made to obtain a permit to do the work and installations as indic %ted I cer 1Fra nt 0 • `- • li r i
o rmenc prior
• 7t' a zon"�as c ommenced prior to the
uance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
td void f 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
irk is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Hea
inks and Air Conditioners, etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
:ereb certify that I have read and examined this . application and know the same to be true and correct. All provisions of laws and ordinances governing this
ie of work will be complied with whether specd herein or not. The granting. a permit does not presume to give authority to violate or cancel the
7 of any other federal, state, or local law r e ulating construc o performance of construc l
I/
nature of Owner I'' ' /?t ' 7 Signature of Con or _
//
int Name I I (--' e 4 , ./4 )1144, Print Name r
vom to and subscribed before me Sworn to and subscribed before me
is JDay of V . 0 .1 this t — Day of V , 20 / 1
/ PaY 4 ;k RODERICK T C M ,
:. E MERR
�/ ►R ESSIE 'ub is � ��'' ° ' ' " Ida Notary Publi ri ''-.�; Notary Public - State of Florida
S0,11101 , My Comm. Expires Jun 10, 2013 ` _ ,., r M
��. rda k.c .9,;• Commission # DD 897789 Vii, y Comm. Expires Feb 9, 2013
""• = , • - '•o isctdredisikaDD 831667 t
• . Fri ;-:os
Bonded Through National Notary Assn. P
a NOTICE OF COMMENCEMENT
Permit No. / Aug.- 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 descrip ion of property and address if available):
43 -11 Il - .2s - a-le Siva L - 4 - (4 4 '
2. General Description of impro ements:
I., /_ ' IU 1 — . ' l A 0 / r , /, I/ ' 'v 4 •t
3. Owner Information: ff 7 / l 'y�2 /3 3
a) Name and Address: �5 I Q, �„t � � �� � ✓� C IBS �,r vr��r✓ , / -' ��1� Ovv ITL ki I-
b) Interest in property: ,wv e i I /
c) Name and address of simple titleholder (if other than owner):
4 Contractor Information:
oiR a) Name and Address: F ' I _L ' • -'H'' 54 ' dt ; is c • 3
No.-b) Phone Number: ( o - 7 o
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address:
b) Phone Number:
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:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (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
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this J 7} ) day of /1/1 ct , 20 1 1
P 11
LA 'T71 td /") .
0
, ..‘
.° 01''Ue`',+ , RODERICK T. CRABBE OTARY PT 'I IC, STATE OF FLORIDA
. � . . Notary Public - State of Florida 1 1 . _,— �
• ** y! a . 4 My Comm. E xpires Jun 10 2013 Print Name: � - `P ri C S r - r / e
a;, � Commiss # DD 897789 �`
❑ Personally Known A \ �,�
` Identification/Type: (' 1 )' `�
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belies
, , A CC / / j
Doc # 201 . 12841, Ott !3K i SdU7 Page i 423, ' L .w 4/
Number Pages: 1 Signature of Property • caner
Recorded 05/20/2011 at 11:46 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
Revised 10/1/2009