1665 Selva Marina Dr 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001059 Date 7/01/14
Property Address . . . . . . 1665 SELVA MARINA DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 42000 -----------------------
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Application desc
reroof --------------
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Owner Contractor--------------
----------
------------------------ CLADDAGH CONSTRUCTORS, INC.
HEWETT/ PHILLIP M. 3997 AMERICA AVE
1026 18TH ST N . FL 32250 JACKSONVILLE BEACH FL 32250
JACKSONVILLE BEACH (904) 241-1012
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Permit . . . . . . ROOF PERMIT
Additional desc - - Plan Check Fee . 00
Permit Fee . . . . 260 . 00 Valuation . . . . 42000
Issue Date . . . .
Expiration Date . . 12/28/14 --------------------------------
-------------------------------------------- SURCHARGE 3 . 90
Other Fees . . . . . . . . . STATE DCA
STATE DBPR SURCHARGE 3 . 90
------------------ ---------------------------------------------------------
Fee summary Charged Paid Credited- Due---
----- ------- --- ---------- ---------- ------ - 00 . 00
Permit Fee Total 260 . 00 260 . 00 . 00 . 00
Plan Check Total . 00 * 00
7 . 80 7 . 80 . 00 . 00
Other Fee Total 267 . 80 267 . 80 . 00 . 00
Grand Total
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
T CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: 16011,5— Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel Sq Ft
Valuation of Work's Proposed Work heated/cooled no'n-heated/cooled
Class of Work(circle one): New Addition (i� Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial -LIVe s i—de�nt i a�11—
If an existing structure,is a fire spriler system installed? (Circle one):� 'es 0 N/A
Florida Product Approval 4 —5ete- Ck==&C,4!9rA
For multiple products use product approval form
Describe in detail the type of work to be performed:—
Property Owner Information: Address: to 7--C
Name: He
city State&-Zip 37-7-�P Phone !J.OV 2 2-Z- 4-01-C
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
C -,,,A a
en.5T
CompanyName: elclijrn,� -(4"4p Qualifying Agent: m+T r
Address: 3 117 Po-t4�,v-; ec. Ave."v e- City da,,d, State OC;L- Zip -3 2-z-S'V
OfficePhone Job Site/Contact Number ' jo�-,Fj 2-17?-,1' Fax#
State Certification/Registration#— Ag(-- 03-836 7
Architect Name&Phone#
Engineer's Name&Phone# 2-eE61g f9 A&M�1401v -67-1
Fee Simple Title Holder Name and.Add#ss
Bonding Company Name and Address /V Air r!6 AL
Mortgage Lender Name and Address So 4 - U i0l
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 of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
qix(6)months, or if construction or work is suspended or abandonedfor a period of sixp�)months at any time after
and void If work is not commenced within, ols, urnaces,Boilers,Heaters,
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,P6
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herebl certify that I have read and examined this appli.cati.on and know the same to be true and correct. All provisions of laws and ordinances governing this
work 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
provi.si.ons of any otherfederal,state, or local law regulating construction or the pe�fbrmance of construction.
Signature of Owner Signature of Contract.,��
Print Name /4.1 llto0e�r........................................ Print Name zn,�.TTIe.......... ........................
P........... ............................................. .............
Before 4nae Bef
'rA Day of thi,��j'rDay of
thi
JEANNE J.PH-CHER
ry Pu lie JEAN—W—j.—PILCHER L��Public �c
56taryPublic NOTARY PUBLIC
NOTARY PUBLIC 'Aqi�*-FXDWDA
STATE OF FLORH)A I
CarrW FF0808" Como FFOW868
�0
ExPires 1/512018 E-xores 115=8
NOTICE OF COMMENCEMENT
State of Tax Folio No.
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: t"'r—
Address of property being improved: A/
a /-/ -7 1
General description of improvements: L2vode.,l 4�74
A
Z, �2 ress:
Ownery OQ ���ee� ',a
Owner s interest in site of the improvement: 42ep-,,G 17a nw-
Fee Simple Titleholder(if other than owner):
Name:
/ �1-5-
Contractor: ef 1A al d Al i53c4 23 6-D
Address: j
Telephone No.: 0 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#20141409211,OR BK 16823 Page 2046,
Name and address of any person making a loan for the construction of the improvements Number Pages: 1
Recorded 06,125/2014 at 11:27 AM,
Name: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING$10.00
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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
n i ' Date:
j//,' A /Ve4re;rSigned:
�e f
Before me tMs 2,61'7— j ulke in the County of Duval,State
(2 Of Florida,has personally ag%yffoed—X—Z��Je—g—
tary Public at Large,State of Flori&,C76uilty of Duval.
J.PRZHER My commission expires: 6-- Q
9-OWA. NOTARY PLOLIC Personally Known: or
STATE OF FLOPJDA Produced Identification:
CAmn*FF0WW
EXPWUIIVMS