2015 Selva madera Ct (vault) tf"i 1,'''\}rf CITY OF ATLANTIC BEACH
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tS\ 800 SEMINOLE ROAD
,,� ' r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
13‘11 N EMAIL REQUEST:
J; >r INSPECTIO Buildin -de tna SgLIs
Date 7/16/07
07-00001007 ERA CT
Application Number • . . . 2015 SELVA MAD
ERA
Address nt type tion RESIDENTIAL ADDITION/ALTERATION
Application type descrip TO BE UPDATED -_
Property Zoning 6400 ------------ -----------
Application valuation
---- -------------
-----Application desc ------------suss-- - -
Owner
-- --_new-window- -fl -6434 _2 _-------suss--- -- ---- -----------------------
- --- --
-- -__
_-_
___Russ-suss---suss-- RIVER CITY ELEC RNTRACTORS
2015 GARY 12020 MC CORMICK 32225
ATLANTIC TIC BEACH ACHE CT. JACKSONVILLE
FL 32233 (904) 220-8216 __
ATLANTIC BEACH ---------------
Structure Information 000 000
_____ ---------suss-- TYPE 5-A
Construction Type • . . . RESIDENTIAL 2
Occupancy Type . _ ZONE X ------------------------------
Flood Zone • • ----__-__Russ-suss--
--------------------- - _--BUILDING PERMIT 32 . 50
Permit . 6400
65 . 00 Plan Check Fee
Additional desc . Valuation
Permit Fee
Issue Date 1/12/08 ---------------------------
Expiration Date Russ ---____________
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105-
X06 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
BUILDING-DEPT @COAB.US
FOOR R WINDOW* I INSPECTION
OWPAND IDOOR EFINAL S INSPECTION:
*INSTALLATION INSTUCTIONSTRE4U �N ON THE WINDOWS
*ALL WINDOW STICKERS ARE ----------------------
*
*PROVIDE ACCESS TO ALL WINDOWS-TO-INSPECT-FASTENER
PR -----suss-- Due
---suss"- Paid Credited __
---------------------------------------------------------
uss-Fee summa- Charged ---- ----suss-- . 00
Fee summary --suss-- suss-- -- . 00
----------------- -- 65 . 00 65 . 00 . 00
Permit Fee Total 32 . 50 32 . 50 . 00 . 00
Plan Total Total 97 . 50 97 . 50
Grand Total
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0
rs�'''i- CITY OF ATLANTIC BEACH PERMIT
J- ' A \ BUILDING / ZONING DEPARTMENT APPLICATION #
800 Seminole Road
\J Atlantic Beach,Florida 32233 i D
R E C EI V t 0 �f /6'01
(904)247-5800 CITY OF ATIANT!C BEACH
-;J;'IJ'" (904)247-5845 Fax Bl111 nNC= Q 7r,M,Mr,
www.coab.usti } 1: 2001
APPLICATION TRACKING FORM
BY. REQUIRED DEPT:
s� Se11/4,1iitidizeu A r Y N PLANNING
Pr®party Address° pS�I " (� Z N ` BUILDIND
H V N PUBLIC WORKS
Applicant: i A.T Ln7r�t;4-! i ac- Y N PUBLIC UTILITIES
QC
Y N FIRE DEPT.
Project: A Ti W I I _11, W S V N PUBLIC SAFETY
cn
w APPROVAL
REQUI AGENCY: RECEIVED BY: INITIAL: DATE:
w cc Y.N \ D.E.P HUFSTETLER
Q 3 Y I N S.J.R.W.M. CARPER _
cc w Ix Y ' N ARMY CORPS of ENG CARPER
O V ' J� HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS 7
CIRCLE ONE: SITE BUILDING DA AAPP, /REVIEWED BY: I ' IAL: AT
0 0 1ST REV ® I{) �/ 7 S
PLANNING —
ING
0 0 2ND REV
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
0 0 3RD REV
•
Return this form to the Building Department once you have entered your comments into the AS400.
i" " BUILDING PERMIT APPLICATION
s, CITY OF ATLANTIC BEACH RECEIVED
�~ 800 Seminole Road,Atlantic Beach FL 32233 -,ITY OF ATLANTIC BEACH
''.--1-011191-' Office: (904)247-5826 • Fax: (904)247-5845 81 i 1 -) tor Q 7("Thi ti(
!.:` 12 2007 f
Job Address: gOI S Se I uo, Made is C t , AI Ic 4\( 13ea c 6 RL Permit Number:
Legal Description w-t 8(, Selves Nome , Unit TWO , lecorde1. (,. ht c-} houk `iu, hod 37
Valuation of Work(Replacement Cost) $ 4.4"
• Class of Work(Circle one): New Addition Alteration Repair 6,4 +
• Use of existing/proposed structure(s)(Circle one): Commercial esidentia t►
• If an existing structure, is a fire sprinkler system mstalled? (Circle one): ' - `o N/A
• Is approval of homeowner's association or other private entity required (Circle one): Yes No
Describe in detail the type of work to be performed:
r,..,,,,�.Ern.en't L, (Lc? y :s , i.s e-.S Krr— I n-p..c mss `O'-1 � •2
Property Owner Information
Name: Ii21 0r S+ere Address: (9-0 I5 S of va (had e rcx C 4
City " 16. a c ( - . State rLZip—3 127 3 Phone q ay ( 2 4 -) - 5-6 3 I
Contractor Information:
Name of Uompany: ra.r.C3-`--) 6"4"t",64'11 1 14"C Qualifying Agent: Lill 14"-- 2vue t I f.l`..b.°>
Address: t Sitck 1.4,`Mcss rot. City al4.x. State FL Zip 12216
Unice Phone io4 6'7-L-I2S 1 Job bite/contact Number clo4 L.24.-1 W1
State Certification/Registration#1 ro'1'' S"9 Office Fax# ' 315 7 39 3
Architect Name&Phone# n+lr'
Engineer's Name&Phone# nr(is.
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or
installation has commenced rior to the issuance o permit and that all work will be performed to meet the standards of all
laws regulating construction in this jurisdiction. T a his permit becomes null and void if work is not commenced within six(6)
months, or i construction or work is suspended or abandoned for a period of six (6) months at any 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
1 hereby 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 type of work will be complied with whether specified herein or not. The granting of a
permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law
regulating construction or the performance of construction.
Signature of Property Owner: 7-4/(.1 /� Signature of Contractor: Y a- " �,
Sworn to and subscribed before me Swo ��° subscri•,d •-fore me
this 3 Day of J\..<(VI Z 0 01 this 1t�'Lay of _ _ . .., _
Notary Publi N 1, .A t A..J i. u,,_ ,,, 1 No Pu Ct-,/ 7�!!�'!i�
111 0 r ?��. rotary Public-S r to of F.
f KYMBERLY D.CLEN• �/t I - �/ 1 `%omsnissicn Expi Feb 141r 10
Commission#DD 51853
REVISED 03.05 M7 comma 0D0i°b�
Expi�?/Zt �o nded By National Notary Assn lionded Ow(000)432-4264
= Florida Notary Assn.,tnC
NOTICE OF COMMENCEMENT
State of F l o r ,d A Tax Folio No.
County of vv u
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: Lot et , S e l v c Norte Ur-I%-+` Two G c C o f l i v,5 1v lug
-Iherc.f retarded plat 1)00k 4- 0 , Peime 37 of -Ake Culte►\4 e..bk fecord5 aF0,-/srAl COY
Address of property being improved: a Di 5 Se l vo Ma d e rU C t , At\o r`f c. eo c h F L. F L
General description of improvements: tt-fiuuto w feu Iriu.r.a
Owner: IT1 i 1 2.I c �(a r, Si- ere Address: SG nn e.
Owner's interest in site of the improvement: Fr C s irr?l e —
ree aimpie i iuenoiuer fir otner man owner):
Name:
Contractor. i vc-,r C i k C,ep,i-r of }-`1 Lt-C
Address: ll S"'-t`'( �Cn•w.cs s rrl . 3221 $
Telephone No.: ' 104-f "z-6-1 aF "1 Fax No: G1 b u cl n 31-3
auimy ally) � �'"
Address: Amount of Bond$
Telephone No: Fax No:
name ana aaaress or any person matung a loan ror me construction or me improvements
Name: I
Address: vJ
Phone No: Fax No:
Name or person wimm the Mate or r Iona, otner man mmseir,aesignatea oy owner upon wnom notices or other aocuments may oe
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
IName:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: /3 J,-,11
0
Before me this / 3 day of S.1 2 0 o-1 in the County of Duval,State
Of Florida,has personally appeared
KYMBERLY D.CLENDENING Notary Public at Large,State •f Flo 's. County of Duval.
CemmN DD0$62S My commission expires: b■ ., o
Expi S*2/2112010 Personally Known: 11t15141EURI17P.!T!' .or
aBanded thre 0100)432-4254 Produced Identification: • •
Florida Noun Man..Inc