467 Selva Lakes Cir 2014 roof for sunroom City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 U
Phone(904)247-5826 - Fax(904) 247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4&-1 S�C v h La�-t DgpaLtment review required Yes -No
-Buildino
Applicant: -S- 01 1
It V, g I VA_ Tre_e_AZI-m-i-nIM7ar5—r
Public Works
Project: Public Utilities
Public Safety
WOO 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 FFi Mcpproved. E]Denied.
Com
(Circle one.) Comments:
0
BUILDING
PLANNING &ZONING Reviewed by: Date: -2 1
TREE ADMIN. Second Review: E]Approved as revised. [-]Dei4qed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
ILE (%%Jopy 800 Seminole Road, Atlantic Beach, FL 32233 F 8 20 4
L
P1,
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 4(an '3P—'JA- LAL-CS CP— - Permit Number:
L '<1
Legal Description Floor Area of S Xt, Parcel # 'q�� ii!_3
�'q n theated/cooled
Valuation of Work$ QCXD fof Proposed Work heated/cooled n
Class of Work(circle one): New Addition Alteration (iED Move Demolition pool/spa window/door
Use of exi�ting/proposed structure(s)(circle one): Commercial (i��esident*
es
N
If an existing structure,is a fire sprinkler system installed? (Circle.one): es N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:
q_,t:.b(-- 5ve-,/C_1VLr7_ Iq
Property Owner Information:
Name: Address: Li(0 1) ciz
city ATL_R�-rtc., Statq:A: �ip Phone
E-Mail or Fax#(Optional
Contractor Information:
CompanyName: Qualif�ing Agent: 0 t 0�'-A 14 tt_ SAvj C1 i
Address: c2 1'-A�;_ �*,-J 0 t-57- :5r+- City Ali- State zip 32 2-0 L(
Office Phone 9D4- 3162-5N LS_ Job Site/Contact Number -34�2_ —eje� Fax
State Certification/Registration# C_ S-k c� d5B C)
Architect Name&Phone#
Engineer's Name&Phone L6U ?b t4T 1 (0 C�. 4- 44 5S C> C_ -
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 ofa permit and that all work will be performed 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 abandonedfor a period ofsixP6
)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers, Heaters,
Tanks and Air Conditioners,eta
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.
Ihere 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
1�work will be cotnplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local law regulating construction or the performance of construction.
Signature of Owner -16� Signature of Contractor
Print Name a -�L2_-,
Print Name ..........k�
.44%. .................................. ...
................ ...........(W
Before me Before me
this Day of_R kw 20tf this (i Day of f:�,_eg_J 1�qq 20 %
GEORGE JAMS GARQ&N AMR".. GEORGE JAMES GARM 0
14 , — ::wzK ---I MY PUBUC-11—
Nota6 Public Notai�y Public _iNExp1r93 10/16=17
STATE OF FLORIDA OF FLORIDA
Comn*FF063Fn
E*krft 10116/2017
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
Stateof County of -170
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:
Address of property being improved: q yj a _LA
General description of improvements: k 2-5- -V'o -J��y—I�)-v t 4-- _-,,0(j(",Cc
Owner 6-(bl,(_ k
Address L�rN ::,�&Lo>r C
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
3�X
Address
Phone No. qo" Fax No.
Surety(If any)
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 himself,designated by owner upon whom 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(2)(b),Florida Statutes.(Fill In at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date iss one(1)year Tom the date of recording unless a
different date Is specified):
IS SPACE FOR RECORDER'S USE ONLY
S gned DATE
Before of CeWvzuy i�, in the
County of Duval.State of Flo4da,has personAlly appeared
herein by
himself/herself artA affirms that all statements and declarations herein
are Me and accurate
L&OM/M$W1*3
Doc#2014040588,OR 8K 16697 Page 1 7,
Number Pages:I
Recorded 02,24/2014 at 09:17 AM, Notary Public at Large,M14491, 0
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires: 2_rW_rW_AW LON
Personally Known V
COUNTY Produced Identifil
RECORDING$10.00
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000236 Date 2/24/14
Property Address . . . . . . 467 SELVA LAKES CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13000
----------------------------------------------------------------------------
Application desc
DEMO SUNROOM INSTALL NEW ROOF AND BACK WALL
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
GARCIA, GEOURGE SANDIFER CUSTOM HOMES
467 SELVA LAKES CIRCLE
ATLANTIC BEACH FL 322336611 2145 DENNIS ST
JACKSONVILLE FL 32204
(904) 382-8815
--- Structure Information 000 000 NEW ROOF FOR SUNROOM
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee S7 . 50
Issue Date . . . . Valuation . . . . 13000
Expiration Date . . 8/23/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total 57 . 50 57 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 176 . 50 176 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
'�n
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00000295 Date 3/04/14
Property Address . . . . . . 467 SELVA LAKES CIR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . To BE UPDATED
Application valuation . . . . 0------------------------------
-------------------------------------------- -
Application desc
6 SWITCHES, 2 LIGHTS, 5 OUTLETS -------------------------------
--------------------------------------------
Contractor
Owner ------------------------
----- ------------------ AMERICAN ELECTRICAL CONTRACTOR
GARCIA, GEORGE 5065 ST. AUGUSTINE RD #13
467 SELVA LAKES CIRCLE 11 JACKSONVILLE FL 32207
ATLANTIC BEACH FL 3223366 (904) 737-7770
---------- -----------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . - 62 . 80 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date 8/31/14 --------------------------------
----------------------------------- STATE ELEC DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE ELEC DBPR SURCHARGE 2 . 00
---------------- -------------------------------------------------
---------- Paid Credited Due
Fee summary Charged -- ------- ----------
----------------- ---------- 62 . 80 . 00 . 00
Permit Fee Total 62 . 80 . 00 . 00 . 00
Plan Check Total . 00 4 . 00 . 00 . 00
Other Fee Total 4 . 00 . 00 . 00
Grand Total 66 . 80 66 . 80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL 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
Aff ADDRESS: SAA �& PERMIT it
JEA INFORMATION REQUIRED ON ALL PERMITS _IC�) AMPS VOLTS PHASE
VALUEOFWORK$ KO,Q()
NEW SERVICE 0 Overhead Underground Underground up Pole
Residential(Main) Service #of Meters
- 0-100 amps 101-150amps 151-200amps —amps
Commercial(Main) Service CT Service amps
iO-100 amps 101-150amps 151-200amps amps
Conductor Type Size
Multi-Family(Main)Service
i0-100 amps 101-150amps i A 51-200amps —amps #of Unit Meters
Temporary Pole ' amps
I CT Service amps
SERVICE UPGRADE '_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
A 00 amps 1 11 50amps 200amps — amps �-ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1 00amps —101-200amps
Appliances: —0-30amps 31-100amps —101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @—kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
-SwimmingPool � Sign ]Smoke Detectors_Qty [Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty_volts/amps
REPAIRSIMISCELLANEOUS OH to UG
I -Replace Burnt/Damaged Meter Can I Safety Inspection --Panel Change
Nther: LA)%�'CkC 5
have
-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
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 perfon-nance of
construction.
3
Property Owners Name Phone Number
(10-111'1-T76fax Rod-
-41 -L-q n-1 Ot
Electrical Company (.6A Co Afu,�40ffice Phone
City ZJT�- —State zip
Co.Address: LA
Aw;e Holder (Print): St cation/Registration#
Notarized Signature of License Holder I-A
Sworn and subscribed be e me is -3 20—X
Signature of Notary Publi