707 SELVA LAKES CIR - ALTERATION INTERIOR i i f CITY OF ATLANTIC BEACH
;-. A 0 800 SEMINOLE ROAD
) !, ..._ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1953
Job Type: RESIDENTIAL ALTERATION
Description: SHOWER REMODEL
Estimated Value: $300.00
Issue Date: 8/25/2015
Expiration Date: 2/21/2016
PROPERTY ADDRESS:
Address: 707 SELVA LAKES CIR
RE Number: 172027-5870
PROPERTY OWNER:
Name: LEVIN, LEON YALE
Address: 707 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: RADON PROFESSIONAL SERVICES
Address: 336 14TH AVE QA WILLIAM TONY DAVENPORT
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $27.50
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONI.Y IN ACCORDANCE '.VI"III ALL CITY OF ATLANTIC BEACH ORDINANCES AND "IIIE FLORIDA
BI.1I.DING CODES.
rsl:L�; City of Atlantic Beach APPLICATION NUMBER
.41 t1 Building Department (To be assigned by the Building Department.)
800 Seminole Road / -- ff - /953
Atlantic Beach, Florida 32233-5445 F-�
Phone(904)247-5826 • Fax(904)247-5845 (�
��j 0 E-mail: building-dept @coab.us Date routed: Q ��//c
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7o 7 J' /LTL Ltie“. Department review required Yir No
Applicant: /?i,'I.'ô,i ! r d Gi put` Planning &Zoning
Tree Administrator
Project: ,fit-obae egmo d, L 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: gcp roved. El Denied.
(Circle one.) Comments:
BUILDI
PLANNING &ZONING Reviewed by: )'7'k Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION " V E-�
y CITY OF ATLANTIC BEACH D U
FLE8 00 Seminole Road, Atlantic I3each, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 AUG 1\711015
Job Address: '7o 17 5e VA- Permit Number:
Legal Description 4'ta0 Vi- 25-2A Fi .- 5 Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 300 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition iteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Resid-• '-
If an existing structure,is a fire sprinkler system installed? (Circle one): 'es N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: eii c k4 p/1 Qal fO 2 a A TA Ao AA (r Le'
M od/i -Eram iYn 'Par- a l air9vr sho vvy a- nova a r oi/U
Property Owner Information:
Name: Le 041 621/1 Address: 707 ce l Va. L o -ke s C -c f
City."f' (Jry.Stie. Stat <...-Zip 3 22-3 3 Phone
E-Mail or Fax# (Optional)
Contractor Information: Alt Company Name:R.h,v. ,P, ecs(cry-0.0 saAtiCr---a-. Qualifying Aaent: �, 7 beocty oa fej-
Address: 33(p . /i/ f City J P 4J State_ Zip,322.S
Office Phone' o y. SGj/ -/Z/o Job Site/Contact Number 46 c( . f 2 10 Fax#
State Certification/Registration# G G a 5 ) 7'13
Architect Name& Phone# 130.1 b arc, fl es :err. t (o • ��L?ti L-;L � 75'7
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
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 ail laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,eta
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.
I hereby ertify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of 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
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor (tJ r1,ef y,">—
Print Name ON l.._��V Is' Print Name
Sworn} • and subscri•ed before me Sworn.t9 and subscrib-d •e • - 11
,�
I Day of maivA• • —yeIM .. ,
� ,. this ( b. . • • ••t�J�mf'�� 20
-St to �f Flori�a
; Notary Public=od%:: Notary Public State of Florida_ ,„„ „, , Comm.Eres May 5.2016}r ,;r a Public 's^.1,��Sldc Commission#EE 195483 Pu• Commission#
°i;Ps' Bonded Through National Notary Assn. ',,c;'"°`' Bonded Through National Notary Assn.
, -• I . •. ,
r1 nryly
NOTICE OF COMMENCEMENT
State of FL O'' ((Ri fJA Tax Folio No.
County of D V tit4
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 OFnCOMME CEMENT./ ��
Legal Description of property being improved: 1 a 7 5i✓t VA- L 1. (GLe_
Address of property being improved: igsArt ,4 p o
General description of improvements: i emole L
Owner: /Ppki Le U i N Address: 7o 7 5eLUi Lfhes CCncL e
Owner's interest in site of the improvement: O 6 78 ii 7'1-A-1371-'c g @AIc
Fee Simple Titleholder(if other than owner):
Name:
•
Contractor: e4"OA /Prue f /,s e/LU CQS
Address: 33(s r 7- A ti. r f}'.,i gpAe 4 F [ 3 2_2-
SOU
Telephone No.: 2 ((6- gq 7 b Fax No: Z Lti 4( -3 g c( 6
Surety(if any)
Address: Amount of Bond$
Telephone 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:
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 > G
Signed: , Date: o, t I
Before me this % —1 day of M in the County of Duval,State
Of Florida,has personally appeared
Notary Public at Large,State of Florida, oil, •f a W44.
Doc#2015188306,OR BK 17270 Page 2370, vly commission expires: $
Number Pages:1 'ersonally Known: •moo` �%s- o
Recorded 08/17/2015 at 09:56 AM, ?roduced Identification:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ;"� -
COUNTY :j.�-'���� Commission EE 195483
-�''° � Bonded Through
RECORDING$10.00 ph National Notary Assn.