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Permit Foundation Repairs 1670 Selva Marina 2011 - 51--V- J , ` .1 a CITY OF ATLANTIC BEACH r) 800 SEMINOLE ROAD J ` , ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 .O >? ,//// Application Number 11- 00002477 Date 8/11/11 Property Address 1670 SELVA MARINA DR Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 5450 Application desc FOUNDATION REPAIRS Owner Contractor WHITAKER, I. B. HYGEMA HOUSE MOVERS, INC 1670 SELVA MARINA DR. PO BOX 2655 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32203 (904) 764 -9509 Permit RESIDENTIAL ALT /OTHER Additional desc . FOUNDATION REPAIRS Permit Fee . . . 80.00 Plan Check Fee . . 40.00 Issue Date . . . Valuation . . . . 5450 Expiration Date . 2/07/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE 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 40.00 40.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 124.00 124.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S,ay�,� of Atlantic Beach APPLICATION NUMBER r �� City Buildi D eartm ent (To be assigned by the Building Department) i i 800 Seminole ng R / 1 � B 1- te Atla ntic Beach, Florida 32233 -5445 Phone (904) 247 -5826 •Fax (904) 247 -5845 Date routed: /_,2A/ /6 -oi :`J E -mail: building- depta©coab.us City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address / 76 � �/ s 4e.41/7,& Or, Department review required Yes No Building t/ Planning & Zoning Applicant: m _ Tree Administrator Project: 73)-1/1j1/1---b 67 � `r5 Public Works Public Utilities Public Safety Fire Services Ileyievfe.V t ; r 1 - :P.i ...,fir ffaga Review or Receipt Date Other Agency Review or Permit Required 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: APPL ATION STATUS Reviewing Department First Review: pproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: rn t._ Date: & Iti/ TREE ADMIN. Second Review: DApproved as revised. OD Q nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07127/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH f 800 Seminole Road, Atlantic Beach, FL 32233 j /'- 2 (.j 7-3 Office (904) 247 -5826 Fax (904) 247-5843 / / lob Address: I ( 7 D S ELL/LAI, fl g_ 1 iva, "biz. . _ Permit Number: / / - ' ? ) _Jegai Description 30 --Oaq C a U AQ. L until s_Z4E Parcel #17200/ -00 Floor Area of Sq Scq.rt 'aluation of Work $ 5; o So at) Proposed Work heated /cooled nn- heatedlcooll,d :lass of Work (circle one): New Addition Alteration Re ai Move Demolition pool /spa windlow /door I /se of existing /proposed structure(s (circle one): Commercial n `c ti f an existing structure, is a fire spnnkler system installed? (Circle one)< N 1A iorda Product Approval # ear multiple products use pr - airct approval form )escribe in detail the type of work to be performed: Not> ono ,1 tirvv.L it ( P E .Ar�r, S vtopora' I i-1 t✓ IN ____ R.€ LE vii L. ,g 6..L1= 19 OF FLo c n _._. 'roiserty Owner Information: kicaopoptal lame: WI-4 i + EA. Address:! � 0 S el V 4 kA :•,` "�` ` ' - i.w.. 'ity __ .+L1 e . R c ti Statetk-Zip „30 Q33 Phone q o Li - a 4.9 - 1 -Mail or Fax # (Optional) 3 4 J 1 ' ontractor Information_ ornpany Name: 0 o itis i 11 s t (• u• Agent: 1L 2dJ ,, \,,, ." ' ` . , direst: _. g c b S' Qualifying a g _ �.__ State 1 L Zip 33 O r .ffice Phone oipti G. y_ ( 3'S Cam - Job Site/ Contact Num f • ►'Qiitla1i>t,� = -_ -..-. _ _- _.__.� - - -,. —` -- f ,- Late CertificationlRe # C BC c� S to ol o� I 'I 3 'j 1 ��i 1 I _ 1 ;, _ . , . - - rcllitect Name & Phone # • by 1 ,� agineer's Name & Phone # N `� • �. '- . - - 1 ah �. to c :e Simple Title Holder Name and Address � s, ,.�, \ SEE PERM11h FOR ADDITIONAL onding Company Name and Address 'k ITIONS. _ [artgage Lender Name and Address •p /d • ill �plicatian is hereby, grade to obtain a perr»it to do the work and instatlatio ' - '-' ° - ,_. -....- � .... ......., or to the mane of a permit and that all work 1vi1l be performed to meet the standards of all laws regulating construction in t asfur'ns J'.'.mes null d void xfwork is not commenced within six 16) months, or if construction or work is suspended or abandoned for a period of six IS) months at any time after •rk is commenced. 1 understand that separate permits must be secured far Electrical Work, Plumbing, Signs, Wells, Pools, Furnace, Boilers, Hewers, inks arid Air Conditioners, eta WARNENG 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 Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ereby certify that t have read and examined this plication and Imow the same to be true and correct. All provisions of laws and ordinazces governing this t qt work will be complied with whether specid herein or not The granting of a permit does not presume to give authority to violate or cancel the wviaions of any other federal. state, or local law regulating construction or the performance of construction. • n ature of Owner. , I/ ' L Signature of Contractor C r• ..�J i' . int Name gich _._. h, , ......... - _.. � r ...... Print Name R , c,1-1 6,0-0 V\..�� Q� I s e • w. _.. . 201 ( r ,^ I 0 �. a `"'� f / r d6� ' �" � ''� . �r + ` b ico' Expires 05/29/2014 r Revised i 1.26.10 vd 9ti89 Z 0 ALasweisits uoileu iotul d964 ol. 2 mr Doc # 2011174590, OR BK 15681 Page 1084, Number Pages: 1, Recorded 08/10/2011 at 12:31 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Notice of Commencement Return to: Name:{{11f A N ohS& Move C Address ?, abSS s _ FL 3Q 3 03 This Instrument Prepared by: Name:RWAJ M. Q Address:P , u, e bk o`1 lo'SgS Wx F L 3 a b3 Property Appraisers Parcel Identification: 1--)2 _poop SPACE ABOVE THIS LINE FOR PROCESSING DATE SPACE ABOVE THIS LINE FOR RECORDING DATA r1 NOTICE OF COMMENCEMENT Permit No. // a V77 Tax Folio No. 1 —OO d o State of Florida County of 11 t+ v a L The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with chapter 713 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I1 L � l L al description of property (include Street Address, if available) 1 6� 0 EI fl M A0.i �0. DA - A+1.-R4 ► C -L 3O.a33 051 - aS J.9k 4 ti a5' - aRE Selvia MAYbTY ' t t S General description of improvements '' 4 b t^) o v,,... 5 i s+F:n^ Owner's Name p E 1?c' C (J 110H , AkN0. Address Ib7(1 'c 6.,y0, MATIric bit- ►")%A1- " c. S3 ck1-41. '"?za33 Owner's interest in site of the improvement f3 idC -�tvc*. Fee Simple Title holder (if other than owner) Fr on 5 , i- +..1e1S- Fax: Address -- Phone: Qc Contractor - .4A A • Is - - 0 S r) C. -, \ Address ` p. a 12SS ' hhoneq 0 Fax:4 bLI z$a -dSqT Phone: Fax: Surety -- Amount of Bond $ Address Lender's Name Fax: Address Phone: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes. Name Fax: Address Phone: In addition to himself, owner designates Fax: Of ----- Phone: To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a difference date is specified) /� - • G_ .1_2/ f c..e -ca- B. A � -i e..r -C �- = --'' Printed Name of Owner Signature of Owner NOTARY RUBBER STAMP SEAL I have relied upp the following i ntificAMn o thhee AfffI Swo n arx�i s sscrktd efor hi d " day of u ,244/ V Notary Public slats of Florida �� � " - • Al Linda s mIuon Notaryu I 1 ( � 0 My Commission DD985449 r � K +q_�Q 4J € (' a Expin►s0512W2014 Printed Name 1,1, ,,. .,,..„ , - 1.1 • , , 4 4,4r. 1.4 •,..`'. • .,- """ ' 1,' 1 ,,e4. " i,::. .• i 61:n:- ./ 2( 1.., ,. r 4 . ,..0,„, ,,,,.. ., tt. (-- ' i ,,,! .;;:,4 :6 "/ 4 '' mi U 5"611/1477 /11 i 7 ■ / ,' ,-''' F< . j i f i ( a i- - tv ,. "C 1-.' * • L ',... 1 57 i 1 , _..._..... , 1 . • 11111111.$ , Ft S ‘4NO' ' 611,4 t .. is E,X.E:S 7 '1 40 A, 5 1 t ' t€ AIY\ NE- '-f x,, '.. ,.. 4...4.. : r i i 1 31 34 f 4 , . ---------.— -- —..., • • — , — .:1 ------4 ; . 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