1690 Selva Marina Dr 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000383 Date 3/13/14
Property Address . . . . . . 1690 SELVA MARINA DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 29900
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Application desc
reroof
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Owner Contractor
------------------------
------------------------ DAVID MERRITT CONST. CO. (ROOF)
SHAW, BARRY A
1690 SELVA MARINA DR 108 FLORIDA BLVD FL 32266
ATLANTIC BEACH FL 322335616 NEPTUNE BEACH
(904) 993-1697
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 200 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 29900
Expiration Date . . 9/09/14 ---------------
---------------------------------------------------- --------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 00
STATE DBPR SURCHARGE 3 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 200 - 00 200 . 00 . 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Other Fee Total 6 . 00 6 . 00 . 00 . 00
Grand Total 206 . 00 206 . 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
0 Va'
Job Address- Amtrv,(ON Permit Number:
Legal Description 00 Floor Area of &q.Ft. Parcel # Sq.Ft
Valuation of Work$_4�_ 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 "_ t, V
If an existing structure,is a fi e sprinkler system installed? (Circle one): Yes No N/A
Florida Product Atmrovai#
For multiple proaticts use-product approvaTTo—r—m
Describe in detail the type of work to be performed:
Property 0 vner I kformation:
Name:-,e &a Address:v CJ q5 SC—L\JA
EA6 H Stat
City".z 14-tt.airl&
E-Ma�il or Fax#(optional)
Contractor Information: vQ el (SsR A,&r r i
Company Name: ow C Quali ing Agent:
Address: I 7N I r \/In Ed ci., �Ia o YLnff le__ State 'E Zip
Office Phone loc� Job Site Contact Nu er Ct-2 Fax#
State Certification/Registration# 3 ZZ 1 1 !Fi
ENa%
e/Contact Numb
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and AAddress
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. I 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
or a period of sixfi months at any time after
and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandonedf
work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing,Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners,etr-
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 YOUk NOTICE OF
COMMENCEMENT.
I her , certify that I have read and exarnined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
b a . Th e anting of a permit does not presume to give authority to violate or cancel the
e 1XI rein or not. gr
typ e.07work will be complied with whether speci ted he r the pe�formanceqf construction.
provisions ofany otherfederal,state,or local law regulating construction o
PA signature of Contractor
Signature of Owner N/ /1 11111111- e
Print Name .........................................
...... ....... ......................................................................
PrintName ..............................................................
I Sw and subscri e before
Swo o an, is y of 20
this D
Notary Public Oct is,2011 ubiic state of Flor a
15F 063114 ps'Ous, Notary evised 01.26-10
Soirle L Graham
v Co mission FF 08699
jE,�pires 02/1412018
Emil
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of ' III— 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: elva0wina-0K
Address of property being improved: Oct 0
General description of improvements:
-) -z -L-1
owner b t�l i
Address It,
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner
Name
Address
contractor I
t lok'k U-1 IZ-(c- 3Z
ffym Address
Phone FaxNo.
Surety(if any) Amount of bond$
Address Fax No.
Phone No.
Name and address ofan person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
dress
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be s ed:
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
P 'o
hone 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 U OWNER
_�4 ��ATE
s in the
this
ign-E day of
at.
f 1�'vai late of Florida,has personally appeared
of Duval, he in by
hi�enselfl herS".and':ffirms that all statemen declarations hereii
Doc#2014052102,OR BK 167 122 Page 391, ai true an ur.
Number Pagesi I
Recorded 031,07,2014 at 03:27 PM, RT DUVAL
Ronnie Fussell CLERK CIRCUIT COU ry Public at Large, tate of ty ERRITT
COUNTY o u IC State of Florida
my commission expires:
RECORDING$10-00 Perssonally Known Ct 15,2017
Produced Identification
F� 063174
Bonded Through National Notary A]ssn.