1871 SELVA MARINA DR - BATHROOM UPGRADE r >_� CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
J�iiiv ATLANTIC BEACH, FL 32233
"�l..);3 s)_ INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0124
Description: UPGRADE BATHROOMS
Estimated Value: 43500
Issue Date: 8/7/2017
Expiration Date: 2/3/2018
PROPERTY ADDRESS:
Address: 1871 SELVA MARINA DR
RE Number: 172020 0846
PROPERTY OWNER:
Name: POWELL GREGORY M
Address: 1871 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5619
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Direct Movement Group LLC
Address: 7630 W Windward WAY
JACKSONVILLE, FL 32256
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.
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I JJ City of Atlantic Beach APPLICATION NUMBER
st\ Building Department (To be assigned by the Building Department.)
-' . 800 Seminole Road J�_ `` _ 1 �
',ft..-':2 Atlantic Beach, Florida 32233-5445 �
Phone(904)247-5826 • Fax(904) 247-5845
_J
(; 9 P<31�'r E-mail: buildin de t@ coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 67( SCLV A / 1 1ptetNA 0 D ment review required Yes o
uildin
Applicant: b (fE,CT 1Y i Off-e,'Y e Y ' Qoanning &zoning
Tree Administrator
R O L Public Works
Project: toll- E-( �O�l C� p� Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required Date
of Permit Verified By -C-i -C—
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers 6.L....
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. DDenied. ❑Not applicable
(Circle one.) Comments:
BUILDING n �7
PLANNING &ZONING Reviewed by: ikl Date: / 1
TREE ADMIN. Second Review: ['Approved as revised. ❑Denie . Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
�Off`ice�(904)247-58267 Fax(904)247-5845 r, Q
Job Address: l'71 I i a r' ka.t"1 i `Df , qpermit Number: R ES t 7-0( z �1
Legal Description g 3 LD 3-7 vtitsOAC✓ /7-'!0 I1-as Parcel#
loo,Area of Sq.Ft. e)�^^C)2 Sq.Ft p
Valuation of Work$ 43j SD. ,)Proposed Work heated/cooled ,7t)7�J non-heated/cooled 777 I
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure ,is a fire sprinkler system installed?(Circle one): • `o LN...
Florida Product Approval#
For multiple products use product approval form r`
Describe in detail the type of work to be performed:$a'HnrOOVV\ (Ap3 r10Qs
Property Owner Information: Q (� i
Name:6 i� Ca �
- i
18oo& Address: `1S 11 Se 1 JQ )0/ v l\/ r
' U
City / R C.•lik State aZip 2 Phone "JOr-f —a tf et —ya aa-
E-Mail or Fax#(Optional) J `J J yeQ� M t,Et S o dor. Pgyv..
Contractor Information: `,
Company Name: (' d OY' I lA 0 Qualifying Agent: Jago rl rrY OK s-
Address: 11,0Y• S 0.11 el— L 3. (7 City J State F Zip 3aa 17
Office Phone�l't"'r) • 14 '11' ' -d' Job,S^ite/Contact Numbe Awl S # YI I A.
State Certification/Registration# G VI ,t a 17 .3%
Architect Name&Phone# k(et
Engineer's Name&Phone# 11,(A. _ p,�
Fee Simple Title Holder Name and Address .1 • �, 0 — o, ( . /1
Bonding Company Name and Address h f
Mortgage Lender Name and Address Q
Application is hereby made to obtain a permit to do the work and installations as indicated. I cergbi that no work or installation has commenced prior to the
.l 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 a period 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,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.
I hereby certify that!have read and examined this application 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 s• ct ed herein or not. The granting of a permit does not presume to give authority to violate or ca • the
provisions of any other fele al.state,or local .re• ing construction or the performance of construction.
%I 4
Signature of Own 11 I �r / / / Signature of Contractor ' ��
,1� ( � /I
Print Name C(-. 1 �0`}� P.V\ Print Name J' ' • . t{"t) • (445
Swoq�,y�•and subsc 'i;r s- r r• me Swo td subsc r j.-• • o•p e
this y' Day of zn/N�;1.. 20 17 this Day of I il�/ �'A/�� ,20/7
i t k : ; t ( l YV, •
Notary 'u.lic No Public j
:,;0i r•, TAMARA R.BYWA 1 :-:S Revised 01.26.10
-4:-. .a:
or
' . MY COMMISSION a GF1:1-ial!
EXPIRES February 01 20"l `• TAMARA R. BYWATERS t
140r13iNkr u4 FIOlWxNo:a•vSer.K.,:.i =�' ,�
': MY COMMISSION#FF1 19481 t ii
" EXPIRES February 01 2019 1
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NOTICE OF COMMENCEMENT OFFICE COPY
..P.'.--(°
/(ori C.c�--
State of T Tax Folio No.
County of 1)kil,V(k1
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 statesl ini this NQTICE OF COMMENCEMENT.
Legal Description of property being improved: RES UV J-7 UNI• S PER AC 37-Y0 42-22.5-.214
Ceti/a /11Arina. (Afit+allit 10-C Lo-1-S 2.2, 3
Address of property being improved: ) b SQ Via V f . � \ b_. �G 322.3
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General description of improvements: -0(7t, 1 0 Q1l Dq C c&c('e5
V
Owner:G][4 Ca-\\. '6 Y'oJ Address: I ( Se 1b M k lea •)r Gl-r
Owner's interest in`site of the improvement:
1 Fee Simple Titleholder(if other than owner):
Name:
Contractor:pt o)0\` /�Ktv_ /�C Ye up f 2
�(? ( , Address: O LtV QQ� (, i Vim` �L- c>a'
` Telephone No.:CqO) fqq-O_l 9 q Fax No: Iv "C
Sur ty(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: ‘1N\ )1-
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: IBJ 1
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: 0
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 OWNE'
Signed: Ma 01 , ` WAIL / 1 , Date: D / 1 T
Before me this ` ..-:y of ;� �, the C. ty of Ial,State
Doc#2017184146,OR BK 18080 Page 30, Of Florida,has personally ap.eared rf] %/JV A.!
Number Pages: 1 Notary Public at Large,State -F}ori ounce j� val.
Recorded 08107201 7 at 02:47 PM. My commission expires: �,.Lt/
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Personally Known: X
or
COUNTDING$10.00 TY Produced Identification: _ _ � _ /
RE •
t.• MY COMMISSION#FF194812 f
oriC.-s EXPIRES February 01 2019
i4�'13!�b. 4F J FIorWHNo:ayServ.cv ton• •