1530 Selva Marina Dr 2013 interior repairs C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002909 Date 6/20/13
Property Address . . . . . . 1530 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 300
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Application desc
INTERIOR REMODEL
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Owner Contractor
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MOFFITT, JOHN BOSCO BUILDING CONTRACTORS
1S30 SELVA MARINA DR. 2158 MAYPORT RD.
ATLANTIC BEACH FL 322335614 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 INTERIOR REPAIRS
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . Plan Check Fee 27 . 50
Permit Fee . . . . 55 . 00 Valuation . . . . 300
Issue Date . . . .
Expiration Date . . 12/17/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
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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 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 50 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
Permit No. '3 Y62
FILE COPY
Tax Folio No.
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THE UNDERSIGNED hereby gives notice that improvements will be made to cc real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
I.Description of property(legal description)
a)Street(job)Address:
2.Gencral description of improvements:
4-
3.Owner In orma ion
a)Name and address:
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property
4.Contractor Information
a)Name and address:
Fax No.(Opt.1 (332
b)Telephone No.:
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.1,endet
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents mav he
a)Name and address:_
b)Telephone No.: Doc#2013156963,OR BK 16418 Page 1864,
j Number Pages:1
8.In addition to himself,owner designates the following person to receive, 04:19 PM,
Recorded 06/1912013 at
713.13(l)(b),Florida Statutes: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
a)Name and address: COUNTY
b)Telephone No.: RECORDING$10.00
9.Expiration date of Notice of Commencement(the expiration date Is ont
is specified):
WARNING TOOWNFR: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 017 THE NOTICE OF
COMMENCEMENT ARE CONSH)ERED INIPROPER PAYMENTS UNDER CHAPTER 713,PART 1.SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULTIN YOUR PAYING TWICE FOR IMPROVEMEN-I'STO YOUR PROPERTY.
A NOTICE OF COMMENCEIVIVNT MUSTBF RECORDED AND Pos'rm ON'niF 30IR SITE OFFORP Tim viusT
INSPFCFION. fie YOU INTENDTO OBTAIN FINANCING,CONSULT YOUR LENDEROR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMM ENCEMENT.
SrATY OF FLORIDA
(70UNTY OF 1'JNV.1AA%
Siglatu -()f0W1X)r0rk)12.i*UU'
i tu
-IL
�nnt Name
The fiaregoing instrument was acknowledged before ine this /,11 .day of 2 V-5 _,by
as, (type of authority,e.g.office).,trustee,
attorney in fact)for (name of party on behalf of whom instrument was executed).
OR Produced Identification Notary Ygnalure
Type of Identification Produced Namc(I)rint)______ WILLIAM L.POPE
Notary-Public-,Statsof Florida-
OR Comm.Expires Oct 19,M15
Vcrification pumoant to Section 92.525,Florida Staluics. Under penallies of pwjury, I de-0hrv,that I q"' that
the facts stated in it arc true.to the best of my knowledge and belief.
F0RM1VN(X',,,sdZJ)10
Sip,n"fiirc ol'Ninhiml Porson Rigning(in lim it 10)Abme
BUILDING FERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: L//�,- /D le— Permit Number: —/ 3 �O
Legal Description ,�Cwa 1/1:;,, L//vj4 karcel
Floor Area of Sq.Ft.
Valuation of Work $ 3�)o Propose( non-heated/cooled
Class of Work(circle one): New Addition Move Demolition It,
5 9 0
Use of existing/proposed structure(s) (circle one): IoComrnerc ale Residential t
I' FILLE COPY1
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N F(i
. I
Florida Product Aeproval # xrazrK-�l
For multiple products use product approval form
I)escribe in detail the type of work to be performed: VtC-MdVC-D %VCfT0C44_ W40 INWL*1177
_5pwlmt��) sttvusig)�L MH vqf4f)
Property Owner Information:
Name: -\)Gk%4 I\C,.- ryt Address: Lt�
4,A4- / 5-3p Sed vcL
City- fA4_kC,-\,AC_ - 16�&,CA State4:-_CZiv3)JJ3 Phone CY L)-Y 32�
E-Mail or Fax# (Optional
Contractor Information:
Company Name: �a 1,ii�fyi n P-4
Qu 4 6os('0
Address:11 -'57y 117�1,onl y State T-t- Zip
'2V
Office Phone Contact N ber )J3(p 5�6�e Fa I
State Certification/Registration#
Architect Name&Phone ff nnv'EWFD FOR CE
Engineer's Name& Phone CITY Orz 471 A Ah
MIUN'"It-
Fee Simple Title Holder me a dress S pp-1;1,;-��n11% A
Na d A nd PxuLJI I IONAL C
Bonding Company Name an ddre REQUIREM��-T�AND
Mortgage Lender Name and Addres p
"EVtEWED BY._L L
0 1
a he e ade obtain a ermi 111PffiTeP -k or installation has commenced prior to the
p,be �erformed to in P P he o in this jurisdiction. This permit becomes null
to 0" 'n P
pp"c "a s ,r 'y md I
e n t a I-or 9 er"" ru
, m't'01 can, , �'J ",six(6)months', or if c nstruction or work is sus ende or a an )r a period ofsix(6)months at any time after
d Zid'ij op k' me 'ed- h
."�'k is onun,"ed I understand that separate permits must be securedfor Electric" Work, Plun�&ing, i its, Wells, POWs, 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.
'hereby certify that I have read and examined this application and know the sanze to be true and correct. All provisions of laws and ordinances governing this
ype of work will be complied with whether s e Wed herein or not. The granting of a permit does not presume to give author' I violate or cancel the
woi isions of any olherfederal,state, or local ra regulating construction or the performance of construction.
'a
_0 ctor
;ignature of Owner Signature of Contractor
Irint Name VaJaA. Print Name
I.............. ...... ......... ... . ............................
;worn to and subscribed before me Sworn to and subscribed before ine
his /.7 Dayof 2043 this _4f Dayof --------- 1 2 Ot,?
WILLIAM L.POPE WILLIAM L.POPE
NotervPublic state of Florida Notaty Publec,State-off`10*18
4otary Public My CoM' m.Expires Oct 19,2045 Notary Public My Comm.Expires Oct 19,2045
Commission No.EE 128745 Rev se&q)jr.r0Vi.ip0 No.EE 128745
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road / - eve
.3 2
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 - 1113
CO) E-mail: building-dept@coab.us Date routed.
Cityweb-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
1-1 1
Property Address: I.J�36 '1i Aj�)r De. artment review required Ye�Z No
ajm�ejn�t
rt
i &Zol
Applicant: -�3,6 0 anning &Zoning
Tree Administrator
Project: PublicWorks
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
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 Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: PA/pproved. ElDenied.
(Circle one.) Comments:
(:�BUL�DING
_DI
PLANNING &ZONING Reviewed by: Date: 6 —,;?, c)
TREEADMIN. i7
Second Review: []Approved as revised. Fbeniea.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 07/27110