639 SELVA LAKES REPLACE SIDING 11 SS 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: RES18-0098
Description: replace rotted T1-11 siding
Estimated Value: 19090
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 639 SELVA LAKES CIR
RE Number: 1720275904
PROPERTY OWNER:
Name: FIVEASH JOHN
Address: 639 SELVA LAKES CIR
ATLANTIC BEACH, FIL 32233-5986
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Virtue, Inc.
Address: 10752 Deerwood Park Blvd S #100 S #100
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
SS
800 Seminole Road �s I
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us IL Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C1 'S.0 WC, W U�s(A' t Dep"ent review required Yes Ao
(-I�u_ilding' )
Applicant: C --Pianning--&Zoning
Tree Administrator
Project: � LQkaLk_ ( DAZ01 I - I� SIA 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: M/Approved. OlDenied. E]Not applicable
(Circle one.) Comments: P) 0
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [—]Approved as revised. F]Denied. U E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [:]Approved as revised. OlDenied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Mar 15 18 08:39a EcoView Windows Jacksonv OFFICE COPY 9043741836 P.1
Mar, 10. 2018 2: 3 7NA NO. 3206 P, �,
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Sominole Road,Atlantic Beach,FL-32233 pR 1 5 2018
Phoite:(904)247-5825 Fax:(904)247-584$
JobAddress. 639SELVA LAKES CIRCLE Permit Number:
Legal Description 44-60 15-2S-29E SELVA LAKES UNIT 3 LOT 156 —RE#
Valuation of Work(Replacement Cost)$ 19,090-00 Heated/cooledSF 2454 Non-Heated/Cooted 2147
19 Class of Work(Circle one): Mew Addition Alteration Repair Move I*mo Pool Window/Door
• Use of existing/proposed3tructure(s)(CIrde one): Commercial Residential
• if an exisdng structure,is afire sprinkler system Installed?(Cirde one): Yes No NIA
• Ribmit a Tree Removal Permit Application If any trees aria to be removed or AfRda%fit of No Tree Removal
Describe in detail the type of work to be performed: Replace rotted TIA 1 with Hardie panel on 3 sides of home.
Florida ProduU,Approval it 1_30,eS. 1 for multiple products use product approval form
Property Ov
Aer Information
Name: JOHN FIVEASH Address, 2472 DEN ST
City ST_AUGUSTINE State FIL Zip__=92 Phone. 9o4_8a7_os56
E-Mail WA
owner or Agent(if Agerit,Power of AdorneV or Agency Letter Required)
Contractor Informatio
Name of Company: VIRT LIE INC. Qualifying Agent TROY BURLINGAME
Address 10752 DEERWOOD PARK BLVD.S. CitY_�LA—CKSONVIUE State FL ZiP32256
Office Phone 904-803-2777 Job Slte��ntavt Number 904-803-2777
State Certification/Registration 4 gB9qt)a35T9 E-MBI) -SiMDleljvi home8ifflftmailxom
Architect Name&Phone#
Engineer's Narne& Phone#
Workers Compensation The Norris Iftw ra rice Agency AVVC 1092 048 Expires 9/5/2018
Vxempt/lmurw/Lease Emp)oVees I Jxplirallon Dale
Application ishereby madetoobtain a permit to do the work and Installations as indicated.I certffythat no workor installation has
commenced priortothe issuance of a permit and that all WDrkwlll be performed to meet thestandardsof all the laws regulatione
construction in this jurisdiction.I understand thataseparate permit must be secured for ELECTRICALWORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc,NOTICE.In addition to the requirements of this
permit,there may be additional restriMons applicable to this pr'operty that may he found In the ptiblic records of this county,and
ther2 may be!additional permits required from other governmental entities.such as.water management districts,state agencies,or
federal agencies.
OWNER'$AFFIDAVIT: I certify that ail the foregoing informalion is accurate and that all work will be done In compliance with all
applicable laws regulating Construction and zoning.
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 ORAN ATTORNEY BEFORE
RECO UINGY UR OTICEOFC ENCEIVIENT.
7C
(Sign wre of Owner or Agent) V (Signacure af Contract4l
(incittling contractal
Signed and sworn to for affirmed)before me this day of Signed and sworn to(or affirmed)before rne this day of
by by
Pe(gonally Mown OR ROBERT D.PHILLIPS Personally Known OR ROBERT D.PHILLIPS
NOTARYPUBLIC NOTARY PUBLIC
Do Produced Identil"Ication STATE OF FLORIDA P-duced Identification STATE OF FLOPJDA
Type of identificallon: Go—F-096305% Type of Identification., imr_4
Mar 15 18 08:39a EcoView Windows Jacksonvi OFFICE COPY 9043741836 p.2
Doc # 2018059823, OR BK 18314 Page 80j , Number Pages: 1 ,
Recorded 03/14�2018 10: 14 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
I-F] 0- iol 4 2, ;37;� pe Co
1�,i�.. 3 2
NOTICE OF COMMENCEMENT
TaxFohoNc. 1345108.0000
,;t.aW of FLORIDA
Cowry of DUVAL
TO Whom It*&v Cimcrim-
11L, C.
. .undcrsi"cd hercoy in famu you that impruvemen(s wiU be made to certain rtat property,and in accOrd=",wit),Suction 713 of
ti-x�Iorida Statutes,the fo)lowllig ir4rmatioa is staed in 11xis NO*=OFCOMMENCEN=.
LcgaJ.Dmczip*.ion of'properrybehipirnproved: 44-60 16-25-29E SELVA LAKES UNIT 3 LOT 156
Address of1propenybeingimpicrved: 639 SELVA LAKES GIR ATLANTIC BEACH, FL32233-5986
t>
Genezal descrigion cz^improvements.' HARDI PANEL REPLAGMENT
Dwnw- JOH jfjVEASH Address:._2_472 DEN STST_AUGUSTINE. FL 32092
Ownees intert3t h7i:siwof t�-.improveirerv.
Fcc Simplr,Thl6cdder(if ot�iec than ownd):
concract,or: VIRTUE INC.
Address:_tQ.75Z_aEr;R
WQQa PARK BLVD.S. STE 100 JACKSOINWILLE,FL 32255
Telepbone No.:904-803-2777 RuNa: NIA
Surety(If any)
A4dress: Amount of n ond S
T FaxNo:
Name and address of any person making st lomiffor the construcdor.of the it-qxoveulents
hlame�
Address:
phune.No:
Kam,� af person witi�the St9le of'_Florida. Whey ti=himself. desig>nated by oymer upunwhorn noErt;r.or orher 4oantertuxtiq be
-kddress-
.
Teleph one No: Falz 140. A/�/A7
Tt addition to himself, owner dtSignates the folloviing peraon to xevvive a ccpy of the Uenor's Notice 2�, provided in SectLor.
13.06(2)(b),Floiidr.Startmi. (Fill in at Owner's opticn)
Niame:
Address:
Telephone'Na: FaxNo:
Ex-pir4ondat_of Notice ofCornmcncement(the expiTAion dwte-�s one- year from to dv--+P,of recording U.Uless a diffireat dFte is
THIS SPAC1,VOR RECORDER'S USE ONLY OWNF4 .
rite this JOIH dayoF MART -coury err)uve�&-itc;
Of Flori&t,lim p=orrtai4 ipperatd
.d..
N�olury P-,iblic at L3-ge,Stam offlo'dia,
My con 'ssion expirts:
Cr
?m1mcd:dentincitlDn:
_ANRNT)TARY PUBLIC
C
S A71 OF 0 it)A