1645 SELVA MARINA DR WINDOWS 2017 CITY OF ATLANTIC BEACH
�> 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL-ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0035
Description: new windows
Estimated Value: 6000
Issue Date: 7/6/2017
Expiration Date: 1/2/2018
PROPERTY ADDRESS:
Address: 1845 SELVA MARINA DR
RE Number: 171994 0000
PROPERTY OWNER:
Name: FORDPHILLIPS PROPERTIES L L C
Address: 1835 3RD ST N
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PHILLIPS BUILDERS LLC
Adder: 1250 SELVA MARINA CIR QA BARBARA CAROLINE PHILLIPS
ATLANTIC BEACH, FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Building Permit Application Updated 5/5/17
City of Atlantic Beach OFFICE COPY
u 800 Seminole Road, Atlantic Beach, FL 32233
,, Phone: (9Cr04)247-582266 Fax: (904)247-5845 p-
6 10 45 Sic.0) JXA01 N/ A, LJ � • Permit Number: R-ESl�
lob Address: Z to NF4
Legal Description RE# _ _ —2 la i
Valuation of Work(Replacement Cost)$ 06 ' Heated/Cooled SF Non-Heated/Cooled J Ill.) Z�_�
• Class of Work(Circle one): New Addition Alteration Repair Mov Pool indow oor OmOOzo
Q
• Use of existing/proposed structure(s)(Circle one): Commercial Residential LLI p
Z
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A _ __ -J13 Z Z 3
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal O O 2
Describe in detail the type of work to be performed: MAY 1 9 201 Q f- w
Q
Florida Product Approval# g , for multiple products use produUlb r� rmm
F 'r
_. . .-_-.._ VN awl W
Pro Gert Owner Information �1 _b
Name �,f,� L fi�t}t ,L LT'S _Address: 1ZS� SGI,✓+° /W �I•l/f1- LI
c'tv 6 state Fl, zip 3223 Pnone�64 - �-- 9 Js
E Mal FSH II111�3 PCU (G � C-��Q� �T
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information II -
Name of Company: P I IPS L-L..Ci _Qualifying Agent:
Address 1 2-t') 2)AIA o 10 cry )I /3. State 7—:1 . zip 3223
Office py, Q>.tl. 741 _ Z,Zq Job Site/Contact Number
State Certification/Registration#f--�- L � E-Mad
n z + SIPS a� •l P1Z G6ti��roc-r II/O"T
Architect Name&Phone It
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work r i sdallatio.
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the �gt
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, FLU' '-SIG
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compiianc w
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME T
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEF R
RECORDING YOUR NOTICE OF COMMENCEMENT. Q
• (Signature of Owner or Agent) (Signature of Contra r)
(includingc racror) I
d and sworn to r affrme ) efor a this L ay of S" and sworn to(or )ffbY m d) efore thi liday of
Q„ ,Z6( 7�n r7F'
(Signature of Notary)
T^u161NDLE5PEPGEP
. •^,g5t TOPo fdNDLE3PFPfEF
'�S EXFNE.S Q.Op bNl9
il
" '/ yllKnown OR A/t•'Dl^A...l.�n'ii. '-'a
`te flq: ao�aea TnNw PrP of ur.<e.�ua y ersonaEXPIRES Oclober62o19
(�rsonally Known OR 2 e,,,danru wuyP�eeum...mrn
( ]Produced Identification l 1 Produced Identification Nrf
Type of Identification: Type of Identification:
41"
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole RoadO�Atlantic Beach, Florida 32233-5445 tLCPhone(904)247-5826 - Fax(904)247-5845E-mail: building-dept@wab.us Dale routed: L/� I I�� I 14
City web-site: hftp://w .mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Add ress: S-agCk Kb4t(-\Cl P1 . Department review required Ye No
Applicant: V WVW5' Planning &Zoning
1 Tree Administrator
Project: �\ to 4j tyl(]')S Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Flodda 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: LyApproved. ❑Denied.
(Circle one.) Comments:/IV 0
BUILDING
PLANNING &ZONING Reviewed by: Date: ."a 6%7
TREE ADMIN. Second Review:
❑Approved as revised. ❑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 07/27/10