1700 Selva Marina Dr 2014 Bulkhead CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-0000OS86 Date S/01/14
Property Address . . . . . . 1700 SELVA MARINA DR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
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Application desc
retaining wall
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Owner Contractor
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CARLIN, MICAEL J FRESCO CONSTRUCTION INC
1700 SELVA MARINA DR 13703 RICHMOND PARK DR N
ATLANTIC BEACH FL 32233S618 #3407
JACKSONVILLE FL 32224
(S17) 819-3772
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . Plan Check Fee 75 . 00
Permit Fee . . . . 1S0 . 00 Valuation . . . . 20000
Issue Date . . . .
Expiration Date . . 10/28/14
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Special Notes and Comments
Bulkhead face cannot be cleaned by washing into canal .
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
FINAL INSPECTION REQUIRED CALL WHEN JOB COMPLETED
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 2S
STATE DBPR SURCHARGE 2 . 2S
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150 . 00 1S0 . 00 . 00 . 00
Plan Check Total 75 . 00 75 . 00 . 00 . 00
Other Fee Total 4 . 50 4 . 50 . 00 . 00
Grand Total 229 . 50 229 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
T
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE C
800 Seminole Road, Atlantic Beach, FL 32233 it opy ,
Office (904)247-5826 Fax (904) 247-5845 k
Job Address: Zg�lox Permit Number: �(o
Legal Description _�e I KC, IWAIii 441,1- 5- A)VA of 01�4_tf
q� arcel#
P loor Area of Sq Ft
Valuation of Work$ Proposed Work he ted 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#
For multiple products use product appmomaTfborm
Describe in detail the type of work to be performed: J
Property Owner Information:
Name: Klk� Address: I-Too g,[Ve, MMvv,
City— t4-"-Z_ —State E-Zip 3ZZ.�Phone qcrf lf,�:j 0130
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAJEL ADDRESS:
Company Na-,-.- rre,-S or, L oin,S+VC,C-I-V' QualifyinizA2eft . sccy�/_
Address:/2 ? 74, k"^Al^'7 4rjot` ^d State aw
Office Phone V 0 q- o___ ZiP3,
h Ritf-/Contact Number Fax#
State Certification/Registraton-# cl?( -
Architect Name&Phone 4 A4��r 4
I _..
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address 4A
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 commencedprior to the
issuance ofa permit and that all work will be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void ffwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod qfsix 1'6)months at any time after
work is commenced I understand that separate permits must be securedfor Electrical—Work,Plumbing,Siknsl ells Pools, hirnaces,Boileis,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.
1here certify that I have read and examined this,a lication and know the same to he true and correct. All provisions of.laws and ordinances governing this
111work will be complied with whether sfeci Xe§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 aw regulating construction or the performance of construction.
,4 . / , ��;?` :��e
Signature of Owneo-Z.1W.—Ij Signature of Contractor4������
Print Name Print Name
............ A/................................................. ... ex
......................................................................................................................
B e in Before.me
is of 6,rp-n, 20 Iq his T"bay of KELLY BUE"
is VIA E, 20
twery ruoic-mi".
Van Suren County
8t ry Ptiblic ALBERT MORENO t my ctoontwon r
No ary Pfiblic CA"W a'" I
Notary Public-State of Florida ouve of
MY Comm.Expires may 26,2015
Commission #EE 97846
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",OF F,
....i"',
... Rnndpd Thrm in h h1o;1 A—
FILE COPY ,
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. YG Tax Folio No.
State of County of OC/
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. . -A/I
Legal description of property being improved:
Address of property being improved: Ono- &I-Al, Ahoha, dla4e ?R"A A-7
General descliptiop of improvements: 12 /Sol X,6 1 1411"e,
- 1?46"tE�m 4)AI I I�(
Owner ALe �A�-,\� 6�2Le a -a�Ove'
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name IVIIA
Address
Contractor
-rc Ic EL
Address top, T-t\AAL,�5h1tq J<�00- 0��,40
Phone No. Fax N..
Surety(if any)
All
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 AV
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 XJJ6-
Address
Phone 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 USE ONLY OWNER
Signed "L1,1 D 14 E
B fo 0
e re me thi'd " day of 7 01 in the
Doc#20114083103,OR BK Page260, cou�t�� of Flodcla�hA;yer.sVity�appeared
yal.S
Number Pages: 1 herein by
Mirn, u.henselfard affirm,that all statements and declarations herein
3 3 >
rate
Recorded 04il 612014 at 09:50 AM,
m
Ronnie Fussell CLERK CIRCUIT COURT DUVAL X
c, -2.
COUNTY
RECORDING$10.00
0
m E;: m
A—i �13
r,y WPucat Large,State of r-Eo�5c,,a �;ountyof VOvAL- ZE
mm,.,.,o xo, 0
y commission expires: 05 -4 "
I-
Perionally Known or c. u)
cation MA cD
duced Identifi
P.
FILE COPY 3111
FLORIDA DEPARTMENT OF SCj)TT
156VEI(NOR
ENVIRONMENTAL PROTECTION CARLOS LOPEZ-CANTERA
BOB MARTINEZ CENTER LT.GOVERNOR
2600 BLAIRSTONE ROAD HERSCHEL T.VINYARD JR.
TALLAHASSEE,FLORIDA 32399-2400 SECRETARY
Electronic Submission
Request for Verification of Exemption from an Environmental Resource Permit
You have successfully submitted a request for Verification of Exemption from the Environmental Resource
Permit(ERP)requirements of Part IV of Chapter 373,F.S-, and Chapter 62-330,F.A.C.. Your request was
received on April 08,2014.
Below is a copy of the details of your request for your records.
Facilfty Information
Site Name: FORSYTH,V. ALLISON/ 1738 SELVA MARINA DRIVE
Address Line 1: 1700 Selva Marina Dr
Address Line 2:
City/State/Zip Code: Atlantic Beach,Fl, 32233 5618
Mailing Address
Address Line 1: 1700 Selva Marina Dr
Address Line 2:
City/State/Zip Code: Atlantic Beach,FL 32233 5618
Applicant
Name: Luke Sawyer
Address Line 1: 108 Industrial Loop N
Address Line 2:
City/State/Zip Code: Orange Park, Fl,32073 6258
Phone Number: (904)264-4566
Extension:
CeU Number:
Fax Number:
E-mail Address: luke@axiompavers.com
Properly Owner
Name: Luke Sawyer
Luke Sawyer
Name: FILE C PY
0
Phone Number: (904)264-4566
E-mail Address: luke@axiompavers-com
All information submitted was certified true, accurate, and correct to the best of the knowledge of the
person whose name appears above.
If you have any questions or concerns about the information contained in this report,please contact FDEP
Service Desk at(850) 245-7555 or by e-mail at ServiceDesk@dep.state.fl.us.
City of Atlantic Beach APPLICATION NUMBER
Building Department r'o be assigned by the B jilding Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: /Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /7 q 61 -De
pactW_ent review required Yes No
OW
A nning&Zoni!2
Applicant: --rTee-AUr7i-n-i§Frator
Project: Ku—blic Work�s)
��4d�Utilities_,;'
Public E ty
Fire Ser - '3s
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:
AA zp
APPLICATION STATILIS- K".4 x'I x a
Reviewing Department First Review: FlApproved. AlDenie;li
(Circle one.) Comments: -�ec 2Y- 1�7 9 1 ,( 44,
BUILDING 7-kt, ^ntk
LANNING &ZONIN�G
Reviewed by Date: '7fJ1.1-311q
TREE ADMIN. Second Review: WAfp"roved as revised. nDenied.
PUBLIC WORKS Comments:)4vd;5c&,5sA7r
PUBLIC UTILITIES &4&40�j aold 40-�-
4!� F'L
PUBLIC SAFETY ;�;R rviewtetd4by: Date: 4/25/o
4
FIRE SERVICES Third Review: E]Approved as revised. E]Deniey
Comments:
Reviewed by: Date�
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department REC (To be assigned by the Building Department.)
A, EIVED
8 Serninole Road
0
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fa .1e 7-r58 A C"E 4
E-mail: building-dept@coab.us I Date routed:
BY:
City web-site: http://www.coab.us
x(904) 7-5845
APPLICATION REVIEW AND TRACKING FORM
D e ent review rew-ir
Property Address: 17,o4 ,�flv a- Ra rt�i a, edd Yes No
uildi
Z
Applicant: a ;annPingg &Zoninv
—fre;73=m7n�isrator
ublic Works
Project: Utilitie§
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
'ey" Florida Dept. of Transportation
&7:?d St. Johns River Wat ar Man 3geme it District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. [—]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 4�2_ Date:
TREE ADMIN. Second Review: MApproved as revised. FIDenied.
WIDD R Comments:
PUB U IL TI
.--t Reviewed by: Date:
OPU B L C SAF*ETY
FIRE SERVICES Third Review: nApproved as revised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department pFCE,, VED To be assigned by the B jilding Department,)
800 Seminole Road APR 17 2014
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904) 47-5845
E-mail: building-dept@coab.us BY: Date routed: )&
City web-site: http://wviw.coab.us LL F
APPLICATION REVIEW AND TRAC t ' ING FORM
Property Address: 17a 1� Alva- Rarl�?a- "�— DVap. -1 nt review required Yes No
(ZLuildir .
a p - __n
Applicant: hi/i ;P—Ta—nnin_ .Zoni_
--Tree-AUM—i n-—isf ra to r
Project: blic Work
�ulities
ti
Public 9—afety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Recei� Date
of Permit Verified
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: Approved. E]Denied.
(Circle one.) Comments: V � /
C c')
BUILDING �IVJ
PLANNING &ZONING 7/
""9Reviewed by-._;&n====_ Date:
TREE ADMIN. Second Review: EJApproved as revised. nDeniec
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. F]Denie
Comments:
Reviewed by: Date:
Revised 05114109
City of Atlantic Beach APPLICATIO NUMBER
Building Department 'To be assigned by the JBilding Department.)
Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us Zz
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: De
j�artwentjeview reciuired Yes No
,�Janninq &Zonin�
Applicant: 9-ree-AU—m—in-isfrator
Project: Q�ublflc Works
Utilities
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified
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: /Approved. [JIDenie,
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Ye� Date:
TREE ADMIN. Second Review: [—]Approved as revised. [—]De
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [—]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14109