740 SELVA LAKES CIR 2015 WINDOW CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0j i 19
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-62
Job Type: WINDOW AND/OR DOOR
Description: window
Estimated Value: $6,517.00
Issue Date: 1/29/2015
Expiration Date: 7/28/2015
PROPERTY ADDRESS:
Address: 740 SELVA LAKES CIR
RE Number: 172027-5852
PROPERTY OWNER:
Name: SWAN, NADINE C
Address: 740 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: THD THE HOME DEPOT AT-HOME
Address: 2690 CUMBERLAND PKWY STE 300 QA BOYSIE GANGA
REIVIDIAL
Phone:
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $41.29
BUILDING PERMIT FEE $82.59
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $127.88
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BURDING rERMIT AYPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
7d-)-W' �'Y00 Office (904)247-5826 Fax(904)247-5845 JAN 12
JobAddress: 2-10 Se1ji:c-% Permit N4"Clr.
Legal Description 1� 6 0 /C - 5e-\v c, Lc\kc-e s 0,,,A 1, Parcel# /-T-),�J-7
6s)r 1 6 ammuft 11
Valuation of Work S G 5(7— roman
Class of Work(circle one): New Addition Alteration Repair ofition pool/spa
Use of exis&W (circle one):. Commerciar esi"en
sbmctm*s
proposed
If an exisfin itructure,is a fire sprm
kler system histalled? (Cirde one) 0
Florida Product Approval# ;-/6 7 -5-1 3 q-7 8`7 , I
For multiple prodincts use product approVal form Nov
Describe in detail the type of work to be perf
ormed: F z- -C-
Property Owner Information:
N
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dre
ss
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Contractor Information:
Company Name.�� \" 4�- Qualifying Agent:--��q Z� 9- ck Y—a -,A
Address: cPrj? F(�&c- Yo� 6 ,r C1*tY--T3-�,vv\V State FL- Zip 3--�G c?
OfficePhone Job Site/Contact Number -7,,)-?- ax#
State Certification/Registration# 14 G � J-Y
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ca * he e ade bta'-n a ermit to do 1�workand installations indic or installation has commenced prior to M,
an e a, I ill b pi� 0 d to m t a rds a ,r thisjurisdiction. This permit becomes null
to 0 p
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anks anglA'r on n rs,da
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 hereby certify that I have read and examined th' lication and know the same to be true and correct. All provisions oflaws and ordinances governing this
type of work will be complied with whether F teg herein or not. The granting of a permit does not presume to give authority to violate or cancel the
,�if
provisions ofany otherfederal,state-or local I regulating construction or the pe�fo�mance ofconstruction.
4Signature of Owner Signature of Contractor
kPrint Name Print Name ...............
Sworn tq and subscribed before me Sworn"d subsiq�it�ed befbi�e me
this .2-10 Day of V t)V 20 MiQ�� Day of P (�0 S—V--( ,20 V-Y
zg,�,40 C,� � I
Notary Public C11 N&ar:�Public
- -YMALL vised 01.26.10
RONALD ALLEN REEDY rHRISTINE 0'MALLEY
My COMMISSION#FF 087307
NOTARY PUBLIC EXPIRES,january 2.9,2018
N lfv Public Underwriters
STATE OF FLORIDA 13onded fhru Ot,
-M1
Comm#EE&546M
Expires 12/2912016
Doc # 2015004510, OR BK 17028 Page 822, Number Pages: 1 , Recorded 01/08/2015
at 09:02 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10-00
F17LE COPY
i *; -v r.
This Instrument Prcpared By;
Home Depot Home Services
9208 Florida Palm Dr.
Tampa,FL 33619 NOTICE OF COMMENCEMENT
Permit'No. To,Folio No. 0
Stott:of Florida
County or-D-14�1_1\
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida
Statutes,the following information is provided in this Notice of Commencement:
1.Description ot'property:(legal description of property,and street address if available)Li(/-(4?q /(2.- ......�64�L_
21 7qO Sf:\S�S. L-LkV-64 C-c-(AA-
2.General description of improvement: kZLOW"
3.Owner information
(a)Name and address: Y�e-.SY4 -79 S� -X LA;Q-- kl-AAA 0,1<
(b)Interest in property:
(c)Name and address of fee simple titleholder(if other than ovvnzr):.----.
4.Contractor
(a)Name and address: Home Depot Home Services,9208 Florida Palm Drive,Tampa,FL 33619
(b)Phone number: 813-626-7548
5.Surety(a)Name and address:
(b)Amount of bond
(c)Phone number:
6.Lender(a)Name and address: N/A
(b)Phone number:
7.Persons within the State of Florida designated by Owner uponwhom notices or other documents may be served as provided by Section
713.13(l)(a)7.,Florida Statutes:
(a)Name and address: ...........
(b)Phone number:
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),
Florida Statutes:
(a)Name and address: N/A
(b)Phone number:
9.Expiration date of notice of commencement(the expiration date is I year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICF OF COMMFNCE MENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA S'I�AXUTES,AND CAN
RESUUIAN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
MMENCING WORK OR RECORE�JNQ YOLUJR-140TICE OF COMMENCEMENT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE CO
Signature of owner or owner's Authorized Officer/DireCtOT
IA( P
artner/Manager
Signatory's Titleloffice
A).- b Lk kt v'b-S U4
17he foregoing instrument was acknowledged before me thid,4 day of No by- (41 A
(name of person)as V-klt- (type of authority�e.g.officer,trustee,attorney in fact)for
(name of party on behalf of whom instrument was executed).
Az
,&kONALD ALLEN REEDY ftnature of Notary Public-State of Florida
NOTARY PUBLIC Personally known—or Productd Identification L__
STATE OF FLORIDA
Comm#EE854609 verification Pul5uant to Scuti Qn-2 .525,Florida Sjttutos
Expires 12/29/2016
Undcr penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my k,n6�rldgZ�,� lief.
!Wgruiture of Natural Person Signing Above
Reviscd 7128,14
City of Atlantic Beach APPLICATION NUMBER
(To be assiped by t e Building Department.)
Building Department
Z_
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
ele-
Property Address: _7zlto Department review required Yes,., o
'BuiIdi_n_g -->
OPran—n—ing &Zoning
Applicant: Tree Administrator
Project: Public Works
Public Utilities
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
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: Wpproved. DIDenied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by-.— —Date: 01
TREE ADMIN. Second Review: F]Approved as revised. [—]Denied
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 07/27110