2039 SELVA MARINA DR - ROOF :„ CITY OF ATLANTIC BEACH
...- ,,-., - ., 800 SEMINOLE ROAD
t) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'r�r}i31�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-732
Job Type: ROOF PERMIT
Description: roof repair due to tree
Estimated Value: $18,600.00
Issue Date: 3/29/2016
Expiration Date: 9/25/2016
PROPERTY ADDRESS:
Address: 2039 SELVA MARINA DR
RE Number: 169506-1076
PROPERTY OWNER:
Name: BOWLES, CHRISTOPHER HF
Address: 2039 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: CLADDAGH CONSTRUCTORS, INC.
Address: 3997 AMERICA AVE A MATTHEW FRANCIS FENNELL
Phone: - -
FEES:
PLAN CHECK FEES $71.50
BUILDING PERMIT FEE $143.00
STATE DCA SURCHARGE $2.15
STATE DBPR SURCHARGE $2.15
Total Payments: $218.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE Cyr" '
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2039 Selva Marina Drive Permit Number: /(o —Roo / —7 3 2
Legal Description 03907 SELVA NORTE UNIT 01 1-dr 3$ Parcel# 169506-1076
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 18,600 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration I—Relad Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial I Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No j N/4
Florida Product Approval # Tamko Laminated architectural shingles FL 1956.1
Midstate Peel n stick underlayment FL 13857.4
For multiple products use product approval form
Describe in detail the type of work to be performed: Demo and rebuild rear loci,roof dams•ed b fallen tree
Property Owner Information:
Name: Houston and Patricia Bowles Address: 2039 Selva Marina Drive
City Atlantic Beach State FL Zip 32233 Phone(904)482-4068
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Claddagh Constructors, Inc. Qualifying Agent: Matt Fennell
Address: 3997 America Avenue City Jacksonville Beach State FL Zip 32250
Office Phone 904-241-1012 Job Site/Contact Number Matt 904-813-1728 Fax# 904-242-9344
State Certification/Registration# CBC 058367
Architect Name& Phone#
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 all 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 ElectricalAVork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air 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
€1 Tw Tr, 1\rm
�r
F ■ X lI,M4;1,i>Clerk;
�1■ u icanvoir
01 ' `l City of Atlantic Beach
•
APPLICATION NUMBER
6S t Building Department
sa (To be assigned by the Building Department.)
k - :S- 800 Seminole Road
\� �N Atlantic Beach, Florida 32233-5445 /6- d �- 7�Z
Phone(904)247-5826 • Fax(904)247-5845
A,0109'' E-mail: building-dept @coab.us Date routed: 3 24 j'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 02639 k i 4_ Department review required Yes No
Building
Applicant: /,40/C/Q. an an Zoning
Tree Administrator
Project: aV , h`!)-nai f t6 ty 7ti( Public Works
1 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: [ pproved. ['Denied.
(Circle one.) Comments:
:UILDING
PLANNING &ZONING 31078//‘Reviewed by: Date:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Deni d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE CO
r
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2039 Selva Marina Drive Permit Number: /é --go c 7' —7 3-Z
Legal Description 03907 SELVA NORTE UNIT 01 t-dr'*3$ Parcel# 169506-1076
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 18,600 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration I Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial j Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No J N/A/
Florida Product Approval # Tamko Laminated architectural shingles FL 1956.1
Midstate Peel n stick underlayment F�3 57.4
For multiple products use product approval form
Describe in detail the type of work to be performed: Demo and rebuild rear;t6 roof damaged by fallen tree
Property Owner Information:
Name: Houston and Patricia Bowles Address: 2. 039 Selva Marina Drive
City Atlantic Beach State FL Zip 32233 Phone(904)482-4068
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: Claddagh Constructors, Inc. Qualifying Agent: Matt Fennell
Address: 3997 America Avenue City Jacksonville Beach State FL Zip 32250
Office Phone 904-241-1012 Job Site/Contact Number Matt 904-813-1728 Fax# 904-242-9344
State Certification/Registration# CBC 058367
Architect Name& Phone#
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. 1 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 all 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 ElectricalpWork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air 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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o 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 —�
Print Name --kislin D. sojes Print Name 01 4-1 I r-Q-x-i/1 e'll
Sworp d subscribe effore me Sworn to and subscribed be ore me
this t V Dfay of \ I M(..)■--, ; 201 a this ;k-h !:y of (L'lfra-ti-A , 20 1(G
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Notary ub is Notary Public
Revised 01.26.10
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= Notary Public • State of Flu Ana Commission # FF 94367`. My Comm.Expires Dec 15 AFty PUBLIC STATE OF FLORM
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