2045 Selva Madera 2013 door/window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002600 Date 5/03/13
Property Address . . . . . . 2045 SELVA MADERA CT
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16700
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Application desc
INSTALL 2 NEW EXTERIOR DOORS AND 1 WINDOW
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Owner Contractor
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POTTER STEVEN A TRUST BIG D BUILDING CENTERS
2045 SELVA MADERA CT. 3008 SANTEE PLACE FL 32260
ATLANTIC BEACH FL 322334531 JACKSONVILLE
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc - - 67 . 50
Permit Fee . . . . 135 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 16700
Expiration Date . . 10/30/13 --------------
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Special Notes and Comments
NED NOC
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 03
STATE DBPR SURCHARGE 2 . 03
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total 67 . 50 67 . 50 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 206 . 56 206 . 56 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2-OLK 9-WOL VUZ�M KeVr &61 Permit Number:
Legal Description 40--3-1 Qq-2-S -29 E ki� D2-Parcel# 1096--bb- /&4;z
Sq. t.
Floor Area 4o Sq.Ft
Valuation of Work $ ICP,--700 Proposed W--u h ateti/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa
Use of existing/proposed structure(s) (circle one): Commercial eside 'al
If an existing structure,is a fire sprinkler system installed? (Circle one):6i�l No N/A
Florida Product Approval# 1-5-1 s 3 . A()q-- ti 91
For multiple products use productapproval form -
Describe in detail the type of work to be performed: V 1,(�Ao W_s
Property Owner Information:
Name: "4V Address: ;�OLK �;al\Ja "�a (�V' 04
.Q) A. a+4--f- -Int V_�
city k+fkqhk_ odldx —State ja=Zip_144�5_3� Phone 0624) 2L(q- 7aLZ
E-Mail or Fax#(Optional
Contractor Information:
CompanyName: tal Qualifying Agent: -brwtat� r,. joyle�-
Address:( (;eavek 44+?fjr City State FL zil) 39"?0cl
Office Phone A04) b6b-&&oo i Site/Contact Number, Fax# (qocl)-394- Lf-724
State Certification/Registration# (!A� ra-1
Architect Name&Phone# REVEMMI)FOR C-ODEeom ff
Engineer's Name&Phone# e1TY OF ATtAN,11C IjEACH
Fee Simple Title Holder Name and Addreq a if
Bonding Company Name and Address SEE PERM!I S PuR ADDmONAL
REQUIREMENTS AND CONIji I
Mortgage Lender Name and Address
A
A I a, is he eb made b an 7 permit to wo alp"sta ed. . .....
to 0
i pp ic c to p r r it Y d ha a k will be p fi Apr; risdiction. This permit becomes null
uan e o a e an e? o
ss 11 wo 6) ndo f six months at any time after
m t or Electric r lWork, Plumbing, Signs, Wells, Pools, 0"Irnaces, Boilers, Heaters,
f " od 0
"d'o d k is'01 commenced hin six ' months,or if construction or work is suspended or aba ned./or a pet
work is co "need. I understand that separate permits must be securedf
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.
I hereb,certify that I have read and examined this application and know the same to be trite and correct. All provisions of laws and ordinances governing this
f
work will be complied with whether s
/pecifie'd herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state,or loca aw regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name Print Name S_
................ ........................ .. ..........................
.... .... ... ............... .................................
Notary Public-State oi Florida
I
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I
or
Swomand 'r res Jun 11,2016 Swo a S d b Loq�F.GIBSON
I
this kand ,Xtl.9 r � 062 state of FlorW
a ........... 2037069 this D --
Iota 5, U11 11,
National Notary Assn
EE 203d062
N5tary Public Notary Pub
Revised 01.26.10
NOTICE OF COMMENCEMENT
11.4,-,-�---",�1,1�,��4�/�-.---�--%�.�-��
State of 1-'1 or Oa "Pax Folio No. I(act-106 - 2-
C —ILI
ounty of DtAsal FILE COPY
To Vvlhom It May Concern:
The undersigned hereby informs you that i tjr illum"MT15 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: �p- 4,-j oq - -ZS- 29p
Se-�yo, NQr�e- UkAi-�
Address of property being improved: 2oq5 ;cIvif, RaAe-(e-n- 6�,k-,4 Af(an4iL Boa& Ft- J
General description of improvements:_ it C2 U-cc
Owner:-54cyen A , Rb4kr- Tlrus� Address: c;204'5 5--Wa �-�Va A IJ
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): Doc#2013110041,OR BK 16352 Page 1717,
Name: Number Pages:1
Recorded 05/02/2013 at 12:24 PM,
Contractor: Oy�,Acllrce -C ple 3 Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING$10.00
Telephone No.: 16 )fd IL- v Fax No:
Surety(if any)
Address: Amount of Bond
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
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)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1) year from the I date of recording unless a different date is
specified):
THIS SPACE FOR RECORDE ' tNLY OWNER
Date: 2,cl 13
day of in the Co!��of Duval,State
DONALD F�= Before me this
U
to
Nowy III Of Florida,has personally appeared
I
N 0 is
Vly Comm.Epkes Jon 11-2 116 Notary Public at Large,State of Florida,County of Duval.
CoOgAs"#EE 203062 My commission expires: or
oil a
BA i ybloo INionsi Mary Assn. Personally Known:
WWWNW"~ - - - Produced Identification:
:7 04
A 'NATTION7NUMBEIR
P1
City of Atlantic Beach
Q
dd-lb Bu- tj'� , en
Building Department Y"
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
Cityweb-site: http://viiww.coab.us
APPLICATION REVIEW AND TRACKING. FORM
review required Yes, No
Departme!A
Property Address. Building -11,
-Planning&Zoning
Applicant: Z) f
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
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 Pdcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: PXpproved. FIDenied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: W71- Date: 3
-----7 zi
TREE ADMIN. Second Review: ElApproved as revised. F�DenieV
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERNACES Third Review: F]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07127110