1500 Selva Marina Dr 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001121 Date 7/15/14
Property Address . . . . . . 1500 SELVA MARINA DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15890 ------
-- -------------------------------------------------------------------
Application desc
reroof ---------------
---------------------------
Owner Contractor--------------
----------
------------------------ STONEBRIDGE CONSTRUCTION
PETERSON TRUST, TERRY LEE 12550 AGATITE RD
1500 SELVA MARINA DR JACKSONVILLE FL 32258
ATLANTIC BEACH FL 32233 (904) S45-6458
---------- -------------------------------------------------------------- ---
Permit . . . . . . ROOF PERMIT
Additional desc - - 130 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 15890
Issue Date . . . .
Expiration Date . . 1/11/15 --------------------------------
----- ---- - - - - - - - - - ----- --
Other-Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
- ---------------- ---------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total . 00 ' 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 134 . 00 134 . 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) 247-5816 Fax (904) 247-5845
Job Address: 1500 Selva Marina Drive
Legal Description Selva Marina Un4 L5 B8
Parcel# 171992-.W Floor Are—a-oT— Sq.Ft. Sq.Ft non-heated/cooled
Valuation of Work$ 15,890.00 Proposed Work heated/cooled
Class of Work(circle one): New Addition (3�gr
7a!,o
Repair Move Demolition pool/spa window/door
Use of existing/proposed.structure(s)(�ircle 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 produ—ct approval Form
Describe in detail the type of work to be performed: Re-Roof
Property Owner Information:
Name: TpM Lee Peterson Trust 1500 Selva Marina Drive
City Atlantic Beach Fl 32233
E-Mail or Fax#(Optional_
ContractQr Information:
CoiiiWany Name-Stonebridge Construction Services,LLC City Jacksonville State FLZip 32256
Address: 11323 Phillips Pkwy Dr E Ste I
Office Phone 904-262-6636 Job Site/Contact Number 904-589-0944
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phode
Fee Sim
'ple Title Holder Name and Addre.ss
Bonding Company Name and Address
Mortgage Levll6r,Name and Address
A a, 1, he eb ade ob an a e do the work and ns a a a 'nd�,c or installation has commenced prior to the
f t i t " tio s s'I I thisjurisdiction. This permit becomes null
to a 0 al f sixp6)months at any time after
ork aWeriod o
rmit r orm tom t
b e ed �tan
i ct
'on r
!s c. lectric
Z 0� eus,Pools, urnaces,Boilers,Heaters,
to t p
'i nc io s r i Y"d th 11 rk i
)mot , or c
(6
PP a t 0 w ep
k s not 'ed 'thin s
-d P I t it t be red�or E
and t t s p r ,Per s
0 in and a e a a
is f , " d de
k 'o e e
Tanks andAir Conitiftoners,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.
Fn this
w the same to be true and correct. Allprovisions oflaws and ordinan 0fe;i?M1 I
I hereby certify that I have read and examined this.a I R - Permit does not presume to give authority to vio �JArmc" the
type 9�work will be cotnplied with whether s eci te The granting of a) I-"I C� E
provisions of any otherfederal,state, or local aw regu on or the peTfo�mance ofconstruction. 00
co
Lu a,
LLJ
0
A A 9 signature of Contractor
Signature of Owner - —, 2 9�t 2'
U-
ILA- e
Print Name Terr Pierson J�
.jlj.f . ............................
Print Nam ..........
................................. a
.......................................................... LU F- E .0)
E E
30 Sworn to and subscribed before me
swom to and subscribed before me U 0
thl 1111 Day of July 20 14
this 11 D of Jul 20 14
1C
Pu i
Revised 01.26.10
Doc # 2014155439, OR BK 16842 Page 1229, Number Pages: 1 , Recorded
07/11/2014 at 04 :16 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMWENCEMENT
(pp,FPARE IN DUPLICATE)171982-0000
Tax Folio NO
Duval
permit No county of
state of FLORIDA ty and In
m it may concerm -will be made to certain realPrOPE'r �TICE Of
To who you that Improvements is stated in this N
ebY informs following information
The undersigned her 7`13 Of the Florida Statutes,the
accordance with Section
COMMENCEMENT.
jescript�on of Property being improve,
Leg3l 1 8
SFLV,N MARINA UNIT 4 LOT 5 BLY'
L 32233
�Tmx nl�'R NtlantiCTTa�
kRIN A DR Atlanic 13each F
------- 0 SELVX M)
Address of property being jmproved�
Re-Roof
General description of tmprovements�
rERR'y LEE TRUST
pETERSON 32233
ow r , 150osELVAMAFINADR AtjaIiticBeacb ---
ddress nt
owner�s interest in site.1 the" Proveme
4
ne
owner)
Fee simple Titleholder(it other than
Name
Address SERVICES,LLC
STONEBRIDGE CONSTRU'T'0' SONVILLE,FL 32256
Contractor IILLIpS ARyWAY DR.E SUITE 1,1 P
11323 PIHILLIPS 904-Z62-1-2_41
Address Fax No.
Phone No.n:L6�
Surety(if any) Amount of bond --------------
Address Fax No.
Phone No.
Name and address of any person maKing a loan for the construction of the improvements ----
Name
Address Fax No-
Phone No. hom notices or other
Name of person-ithin the State of Florida,other than himself,designated by owner upon w
documents may be served:
Name
Address
Fax No.
Phone No. son to receive a Copy of the Lienor's Notice as provided in
In addition to himself,owner designates the following per
Section 713 06(2)(b).Florida Statutes,(pill in at owner s option).
Name
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):
OWNER
FOR RECORDER'S U§E ONLY
—YHIS SPACE Signed: CATE q-I 1411
Before Me this day.of In"
County,of Duval.S teofFlo da.has rsonally app ared herein by
N TFRRY' ewmr—that a',-,
himselff'herself a a and declarations herein
are true and accurate
J FF MCCARTHY
4
#EE 833942
A kiv commmion Expires 09 10-2016
liondec:Through western surety No li at arg state of Cc
company-Southeast Team— si 0 I�Z.
M a ission expiresi
r ly Kno.-.,n PEA' ' N'l'R __or
ro uced Identification