1225 Selva Marina Cir 2013 roof o
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003078 Date 7/17/13
Property Address . . . . . . 1225 SELVA MARINA CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8320
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Application desc
reroof
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Owner Contractor
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BARKER BRYAN C & LEAH A TO Z REMODELING (ROOF)
620 BEACH AVE 131 S WILDERNESS TRAIL
ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082
(904) 273-7042
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 8320
Expiration Date . . 1/13/14
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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 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 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
Job Address: 12 2-5- 5E-1 VA lftnve-iA4 6X- Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel# Sq.Ft
Valuation of Work$ (F.320 . Proposed Work heated/cooled - non-heated/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# If5e /
For multiple products use product approval To—rm
Describe in detail the type of work to be performed:
Property Owner Information:
Name: S&OA/ Address: /2 21 XE-Lo-A *,74etow,4
City 4re- &/z StatefC Zip,��2��Phone !X0)(— V4 Z
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: 4t-L.2 90P964W& 4!,?,o 4J;'C Qualifying Agent:
Address: G1 5- Ot-74jesS -72WIfn City —State /�f- Zip QR 2-
Office Phone '7) (P /9 2— Job Site/Contact Number ?,22 Fax
State Certification/Registration# C-C 2E 19 2-
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address_
Mortgage Lender Name and Address
-4 ica he e ade I b i a e d he work nd a la ndcat or installation h as commencedprior to the
y to m a t t ins 1 tiod"s s 0'a 1 Irs this jurisdiction. This permit becomes null
m mi to d he tan a 0 0 1 su f si%)months at any time after
k aWeriod o
v th,i or i c n, cto 0
pp' 0 's r b d th 00 'a k p be pe f rme
a per an a r
is" ,'o a , 'it ot'o, t al c wor wi
and id ifo k en ed thin s (6 r r iirnaces,Boilers,Heaters,
cure f
is con men T'Stan wi 0 i Ob e tse d or Eletrlca e s Pools,
,k ed. de d that separate per, s" t
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
d th' lication and know the same to be true and correct. All provisions of laws and ordin this
I here certify that I have r d d 'is to qnces governin�
work will be coTph t violate or cancel the
type.11/1 ,ad' 'inth e.xhaemth'ner s h f a permit does not presume to give authori y
lc�
gin or not. The granting o
provisions ofany otherfedera te, or local P, egu a ing construction or the peiformance of construction.
Signature of Owner Signature of Contractor-:��:- ����
Print Name Print Name ...........................
Befor Befor
thi ay f 210 pis ay-o 203
SHI
ruary 14, 1
Notary P u'"'u o
XP IF" 1 2014
ebrury
OwY Nblic Underwrfter�
Thru Notary Public
Revised 10.24.12
RECORDING $10.00
NOTICE OF COMMENCEMENT
�PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property.and In
accordance with Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved. -5'FZVa mAieleyA k.-j ,r
N //?, L-07- 22 1, 22tL,07--S 7-S4
Address of property being improvedi IZZ--S- 5`,--Zd,4 1"AA.,^14 Cllte4f-
Gct-+-, C L
General description of irnprovements�
0,�.-ner
Address liziX 3&L-vai, ty\,t-qL-w,4 cratL& A /trLA--r-j ki C- 'S&A" ?-;3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owrier)
Name
Address
Contractor A-A, 2 6.
Address L powo�-§ 14jqr,-q -7
3
Phone No. 11113- If 2- FaxNo
Surety(if anyl,
Address Amount of bond$
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
Name of person within the State of Florida,other than hirnselt,designated by owner uponwhom notices or other
documents may be served�
Name
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 i2l(b).Florida Statutes.(Fill in at Owner's option.).
Narne
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration dal one 0 1 year from tile date of recording unless a
different date is specified):
TWI-�—S—PACEff6lit knoRDER'S USE ONLY NERi
C- DA-E
Sefore III* htS da Of fn the
ate F Ord h rs appeared
hwto Ly
hiniself'AelsAI and affi.rMs inal all statements and d.ac;araffiors tierain
are true and accural- 5;;1SCAMt0S
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Elom DWOMbir?.2013
1. .. OWNS
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My commisvor,4wipires:
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