583 Selva Lakes Cir 2013 siding v
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
JA19
Application Number . . . . . 13-00002645 Date 5/09/13
Property Address . . . . . . 583 SELVA LAKES CIR
Application type description SIDING PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
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Application desc
siding
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Owner Contractor
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CLINE, CHRIS HOMEOWNER BLDG SVCS, INC (RC)
1765 SELVA MARINA DR 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
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Permit SIDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3000
Expiration Date . . 11/05/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 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 4.6
Job Address..S- 5di✓H G^.czSou9 %Yc i,i= L Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. SCI.Ft
Valuation of Work$ 90M,02' Proposed Work heatedlenoled nun-hearted/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: Address3
City State�Zip
Pe
E-Mai or Fax#(Optional)
Contractor information: /`
Company Name:/to � ' xlt- &9-/j-G15 Qualifyin* Agent: (-�C,z,i.0
Address: "7-24 fti nLiL� �Z �r City R x , State Zip 3,eZ Z
Office Phone d - - a Job Site/Contact Number S;
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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.
Lag.- -Descrhro
iption of pronprfu ying imnurrl �+ E Ars P6IQV3
Address of property being improved: S 3ZtV,4 KE-1 -
General description of improvements: S:170 WW 6o9-S•cJ`�
Owner: (f 4;r-"/C Address: 3 5C�C_ya ZAP es Ca. Aa!•�G C►�, f�
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contra tor: �,�✓/✓ r7 n
Address: '��� 1 �2oC /ham✓% �'f�. F- -Yo
Telephone No.: 1gCA/,3022 /as Fax No:
Surety(if any)
edttconc. A.Mct.nt ear Bond e
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:
T elephone No: rax 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
ddress: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: e-1-3o-13'
a d me this day of in th County of Duval,State
Doc#2013119250,OR BK 16365 Page 1035, Bcf Of Florida,has personally appeared C C/ivG
Number Pages:1
Recorded 05!13/2013 at 11:19 AM, Notary Public at Large,State of Florida,C
BRIAN A.SADLER
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires: "'N
COUNTY Personally Known: 4 _ ol Floi�a
RECORDING$10.00 Produced Identification:
My Comm.Expires May 9,2016
Co"aslat#EE 177207
Lam.