1851 Selva Marina Dr 2013 roof t `f
,�� j� CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
sv j3 '`'
Application Number . . . . . 13-00002755 Date 5/29/13
Property Address . . . . . . 1851 SELVA MARINA DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 11400
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Application desc
reroof
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Owner Contractor
-
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NEITH, CAROL A STONEBRIDGE CONSTRUCTION
1851 SELVA MARINA DR 12550 AGATITE RD
ATLANTIC BEACH FL 322335619 JACKSONVILLE FL 32258
(904) 545-6458
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 11400
Expiration Date . . 11/25/13
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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 110 . 00 110 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 114 . 00 114 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2013134334, OR BK 16385 Page 2002, Number Pages: 1, Recorcxeci
05/28/2013 at 02:26 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of FLORIDA _ County of DUVAL
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: 37-40 $,9-2S-29E
sELyA MARINA UNrr NO 10-C
Address of property beim improved: 1851 SELVA MARINA DR,JACKSONVILLE,FL 32233
General description of improMements RERWF
ner CAROL NEITH
Ow
Address SAME -
Owner's interest in site of the Improvement_
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor STONEBRIDGE CONSTRUCTION SERVICES.ILC.
Address 11323 PHILLIPS PARKWAY DR E t7.JACKSONVUJA FL 32256
Phone No.904-262-6M Fax No.904-262-2247
Surety(if any)
Address_ motutt of bond$
Phone No. Fax No. _
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Now of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name ---
r.
Address -
Phone 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 Statutes.(FII in at Owner's option).
Name
Address
Phone 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 OWNE�
Signed: DATE
Be4ore n'le day of in the
Courtly of Dmal.Stele of Florida,has personally appeared
rJilttx_Mi1H by
tYmselC hefne/and affirms itist am statements and declarations herein
JEFF MCCARTHY we his andante
:e
Commission rt EE 833942
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Produced Identiriealon
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Iva ��r•;l �/ , Permit Number:
Legal Description 3 7- W ��g- - 8 Parcel#-J //ar,'KA (4,`4-
oor Area ot Sq.Ft. Nq.Pt
Valuation of Work$ //t y00 Proposed Work heated/cooled / c2 non-heated/cooled..233 Zl_
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No /A
Florida Product Approval # L /D/,;Z N
For multiple products use product approVal form
Describe in detail the type of work to be performed: A r0_0 110
Property Owner Information:
Name:_r at r � .,A)t•-i +A1 Address: I kS l 1,4 ti /`',cr%u C%
City '41YA,A,-C. /�P �� State�C Zip 3,3 3 Phone POY- ,2 5/7- 6 2y r
E-Mail or Fax#(Optional)
Contractor Information: /
Company Name:- 5;6Aj ,e i�;w Quali ing Agent: .1Address: / Ci -odtiAf_ State.
tC
Zip TG/
Office Phone 9,6` - P-J,63& fob Site/Contact Number yQY- oleo-/Y/T Fax#fly7
State Certification/Registration# G C c /3 ,pt 6-50
Architect Name& Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. !certify that no work or installation has commenced prior to the
issuance 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
and void if work is not commenced within six(6)months, or if construction or work is sus ended or abandoned for a period ofsix months at any time after
work is commenced. I understand that separate permits must be secured for Electric Work, Plumbing,Signs, Wells,Pools, urnaces,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.
I hereb 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 certify
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner , Signature of Co ctor
Print Name f /�Q i -�'� Print Name ...'s,.i
............. a..ru.. ...... ....................................................... . ...................... ...............................................
Sworn to and subscribeP before me Sworn to and subscribed b fore me
this_Day of 4 , 20 IT this Ay_Day of 20
JEFFC ..a�•.,% JEFF M
Commission 0 EE 833942 UbliC * ommission#EE 833942
ublic +=My Commission Expires 09.10-2016 i��i , My Commission Expires 09.10-2016
sondeo Through western Surety gy�an���,,cc� Ben a �h LW4,Weatern Surety
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