1921 Selva Marina Dr 2014 bath remodel . CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000205 Date 2/12/14
Property Address . . . . . . 1921 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15000 --------------
----------- --------------------------------------------------
Application desc
master bath remodel ------------------------- -----
-- ------------------------------------------
Owner Contractor--------------
----------
------------------------ GAMEL CONSTRUCTION CO. , INC.
WARFLE, DAYTON F JR 1223 TRAILWOOD DRIVE
1921 SELVA MARINA DR FL 32266
ATLANTIC BEACH FL 322334519 NEPTUNE BEACH
(904) 868-0449
--- Structure Information 000 000 BATH REMODEL
occupancy Type RESIDENTIAL---------------- --------------
---------- -------- - - - - - - -----------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc - - 125 . 00 Plan Check Fee 62 . 50
Permit Fee . . . . Valuation . . . . 15000
Issue Date . . . .
Expiration Date . - 8/11/14 --------------------------------
--------------------------------------------
Special Notes and Comments
need noc -----------------------
------------------ STATE DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE DBPR SURCHARGE 2 . 00
-------- ---
------- ----
------------------ -----Charged Paid Credited Due
Fee summary -- ---------- ----------
------ --- -----
Permit-Fee-Total ----125 . 00 125 . 00 . 00 . 00
Plan Check Total 62 . 50 62 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 191 . 50 191 . SO . 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
\/A /14 A,t _b
Job Address: ILI VC -Permit Number:
Legal Description 5&-ZqA /0,44/4,f 0,,%Jj.7- /0 d Parcel# j -j2_0-LC) _0ks_L
P'loor Area ot Nq.Ft. Sq.vt
C—_Y�:,571'Al&-non-heated/cooled
Proposed Work heated/cooled
Valuation of Work$ Is-)DoD.
Class of Work(circle one): New Addition <22E�� 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): e s j,�o N/A
Florida Product Approval#
For multiple products use 1�roduct approval form
Describe in detail the type of work to be performed: IVI A-S-3 i?� 13AT;4 cFM_DA)67_t_
Propert_V Owner Information: I
q MA--le-ld4
r Address: 12- 1 -VA-
Name: bA!jToi4 WAW= 2- -(093-0
i State F-1-Zip_3?,-23-3 Phone 10
city Ar .4 4 r e- A:5 e—;4��
E-Mail or Fax#(optional) KWAAFLX710-v
Contractor Information: L)1;D 0"k) ),ent:
CompanyName: __VPe�Qualifying Ag
Address: i2--Z-3 City NQ27721-,J67 13 e-jg State L_ Zip__J_,��1-2_3_3
Fax# 96V-2-W-7o,09
OffitcePhone ?c)4- 844-04'y'y Job Site/Contact Number
State Certification/Registration#_ e_,d el z>2-G 2.0 -7
Architect Name&Phone# AMs7 .
Engineer's Name&Phone# OL))A- s k)IA-
Fee Simple Title Holder Name and Addres
Bonding Company Name and Address /---I 1A-
Mortgage Lender Name and Address. P 1A
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be pe�formed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedjbi-a
Wperiod of six(6)months at.any time after
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing, Signs, ens, Pools, P�rnaces,Boilers, Heaters,
Tanks andAir 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. Allprovisions of laws and ordinances governing this
type 17 k will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
o wor
provisions of any otherfederal,state, or local law re ulating construction or the pe�formance of construction.
Signature of Owner Signature of Contractor
Print Name
PrintName ............................... .......... ........67 ..............................!0�........................................
Before ....................................................................................... ........................................ Be r e 14-
this ay t Da
tote of Mond
GmhafA
Notary lic m commisst.onFF086990 alRhi aha
y 'W;Commission F a699O
Expifes 02/141201 E_xpires021`141201 Revised 10.24.12
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000205 Date 2/18/14
Property Address . . . . . . 1921 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15000
----------------------------------------------------------------------------
Application desc
master bath remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
WARFLE, DAYTON F JR GAMEL CONSTRUCTION CO. , INC.
1921 SELVA MARINA DR 1223 TRAILWOOD DRIVE
ATLANTIC BEACH FL 322334519 NEPTUNE BEACH FL 32266
(904) 868-0449
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc INSTALL 4 FIXTURES
Sub Contractor NELSON PLUMBING CO. INC.
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/17/14
----------------------------------------------------------------------------
Special Notes and Comments
need noc
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 87 . 00 87 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM FAX NO. :9048238736 Feb. 18 2014 10:07AM P1
P, PERMIT APPLICATION
CITY OF ATLANTIC BEACII
��00 Seminole Rd Atlantic Beach, FL 32233
45
Ph(904) 247-5826 Fax(904)247-5�n
Jo'R ADIDRESS: Q1 5e (\jeL Marl R a —PFWMT
NF,W OR RE PLAcFMENT INSTALLATION: Project Value QTY
TYPE OF FXXTURE (?TY TYPE oF FLUVRE
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher ShowerPan
Drinking�ountain Slop Sink
Three Compartment Sink
Floor Drain Toilet J=
Floor Sink Urinal
Hose Bibs Vacuwn Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavato-q Water Treating System
Other Fixtures
RE-PIPE*, QTY TyPE OF FixTuRE QTY
TYPE OF FMTUP-E Septic Tank& Pit
Bathtub Shower
Clothes Washer Shower Pan.
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
FloorDrain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: 0 Grease Interceptor(Trap) gallons(Requires 3 sets Of 0
ci Sewer Replacement F_� Back Flow Preventer m Well
of Heads �Building Departmen D4 in Pe 01
0 Iawn Sprinider System-Numbt;;, - _rm to be subraitted to t1je t for fi I s cti
SJRWD Well Completion Form- Completei fo
D Other
commencr.within a six month period or work,is suspended or abandoned for six months.I hereby certify that I bav
permit becomes void if work does not ling this work wfll be complicd with whether spec,
this application 4nd know die same to be true and Correct. All provisions of laws mid ordinances govort
or not. The permit does not give authority to violatt The provisi val`5 any other stae or local law rcgulation constniction Or the PeIfOrmanco Of Coll ct'
Property Owners.Name Phone Number 15�3-9�
r) Office Phone �Fax_
Plumbing Company UJ-M�2 I. -
i-itv U1 State M_Zip IDA
city
Co. Address: gistration#
S ionf.Re
License flolder(Print);
Ider
6 2C
me - 's d Of
Notary Public-State of Florida Sworn and subscribed befo
i My Comm.Expl(ae Nov 16,2015 L Z—)
T
Doc # 2014038624, OR BK 16695 Page 795, Number Pages: 1, Recorded 02/20/2014
at 12:28 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10-00
NOTICE OF COMMENCEMENT
State of Florida County of St.Johns
Permit No.—L��o �1501zo�
Tax Folio No. >
THE UNDERSIG 4ED HEREBY GIVES NOTICE THAT IMPROVEMENT WILL BE MADE TO CERTAIN
REAL PROPERTY,AND IN ACCORDANCE WITH CHAPTER 713,FLORIDA STATUTES,THE
FOLLOWING INFORMATION IS PROVIDED IN THIS NOTICE OF COMMENCEMENT.
Expiration Date of Notice of Commencement(the expiration date Is I year from the
Date of recording unless a different date is specified
Owner's name(print)
'A �O
Owner's address___Lf_Z-f-------
Owner's interest In property
Legal description dproperly S"eL%)A MOAK
Property address A T 1 6 S-2 7 3 0
General description Of Improvement /1'A -4 tF
Fee simple title bolder,If other than owner(print)
Address Phone Ly
Contractor's some(print)
Address /; 23 LA Amount of bond S
Surety's nsmt�If any(print) Phone Fax
Address
Phone
Leader's same(Print)
Fax
Lender's address MENTS MAY BE
PERSONS WITWN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCU
SERVED AS PROVIDED By SECTION 713.13(1)(A)7.FLORIDA STATUTES: Phone
Name(print)
Fax
Address
IN ADDITION TO HIMSELF OR HERSELF,OWNER DESIGNATES ED IN SECTION 713,130)(B),FLORIDA STATUTES.
OF To RECEIVE A COPY OF THE LIENORIS NOTICE AS PROVID
PHONE NUMBER OF PERSON OR ENTITY DESIGNATED By OWNER: INNER AFTER THE EXPIRATION OF THE
WARNING TO OWNER: ANY PAYMENTS MADE BY THE 0 PER PAYMENTS UNDER CHAPTER 713,
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPRO
PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAY-ING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT. UNDER PENALTIES OF PERJURY, I
DECLARE THAT I RAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE
TO T B ST OF MY DGE AND BELIEF. III
Signs f ner or e,i ijb4horized Officer/Director/Partner/Mai
� ���,3 k" L)V A Z,-
nL-!�
n A- in County Named Of State
Print Name of person Signing Above
STATE OF nOREDA COUNTY OF ST.JOHNS 2o day of 20 J
The foregoing instrument was acknowledged before am this as
by �A7-i,� t . W AA-16 e Tyyt*f authority...e- .officer,trustee,attorney in fact
print Name of Person Signing Above
for
--�,smc of—part)ou Behalfo(Whom instrument was Ex—;T
MY COWAISSION 0 EE 001736
Known Perwnall) or ldentlflcstion� WA"*%P ypc*0 rioted
commission Number and Expiration Date(stamp or setal):
Type of Identification
Form 4 N I Revised July 2012
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000205 Date 2/27/14
Property Address . . . . . . 1921 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15000
----------------------------------------------------------------------------
Application desc
master bath remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
WARFLE, DAYTON F JR GAMEL CONSTRUCTION CO. , INC.
1921 SELVA MARINA DR 1223 TRAILWOOD DRIVE
ATLANTIC BEACH FL 322334519 NEPTUNE BEACH FL 32266
(904) 868-0449
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . RIGHTWAY ELECTRICAL CONT. INC . 00
Permit Fee . . . . 66 . 40 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/26/14
----------------------------------------------------------------------------
Special Notes and Comments
need noc
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66 .40 66 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 70 . 40 70 .40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOBADDRESS: J!121 �F41M 14.4t?INA Qn. PERMIT# /,9_j7 Q 0 C
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead Underground Of Underground up Pole
OResidential (Main) Service
[JO-100 amps El 10 1-15 Oamps 1-200amps I of Meters
E Commercial(Main) Service
110-100 amps 0 101-1 50amps [I 151-200amps 11
Conductor Type Size
[]Multi-Family(Main)Service
E10-100 amps El 10 1-15 Oamps E�200amps 0 of Unit Meters
LITemporary Pole E amps
SERVICE UPGRADE
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11 El
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _jt_l__0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: j rj
OTHER ELECTRICAL PROJECTS
11 hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
E
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company kj6H7�jAy' Fj fc7itic4l eo,-1rA1tC[,),K.f ZN Office Phone U3 F Fax
Co.Address: 3j-s-i sqHcTyA1L,1 iy1j -/ �- City jAy 1361-,' State Ft Zip 32,if-a
License Holder(Print): 14COi3 -1.4 Hgf i 16 State Certification/Registration# F( 1)o0411k1_s—
Notarized Signature of License Holder
e me this day og 2 0
rr
--W 0-'Ir6 Notary Public State of Florida
!P Shirley L Graham lic
E gtur
My Commission FF 086990 Sig e of Ntotarlyublic
ll'J�V Expires 02/14/2018