1894 SELVA MARINA DR - PERMIT RES18-0180 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: RES18-0180
Description: install exterior door
Estimated Value: 797
Issue Date: 6/4/2018
Expiration Date: 12/1/2018
PROPERTY ADDRESS:
Address: 1894 SELVA MARINA DR
RE Number: 169462 0130
PROPERTY OWNER:
Name: SAUCERMAN RALPH J
Address; 1894 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5620
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BUTTERFIELD REMODELING LLC
Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING ONLY
ORANGE PARK, FL 32065
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$7,500.
I
1i
1
City of Atlantic Beach NUMBER
Building Department (
To assignedilding Dep''allrtment.)
" 800 Seminole Road �� O VAtlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845l g
` .„.f E-mail: building-deptQcoab.us
City web-site: httpJAvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I DS�l�y1 f'�[u�(\QY� nSewlc�
entreviewre uired ye No
Applicant: ,p�, l'� .Q-tG tK-fA.l7 O �.tn G, oning
n ,J inistrator
Project: ty,w 1 10 ( (�W� orks
ilities
afety
ices
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
O her.
APPLICATION STATUS
Reviewing Department First Review: [9/Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
DI A
PLANNING &ZONING Reviewed by: Date: s` S” d
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 0519/2017
FFICE COPY
MAY 1 8 2018 Building Permit Application Updated 12/8/17
I City of Atlantic Beach
___1800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5895
Job Address: 1894 SELVA MARINA DR. ATLANTIC BEACH, FL PermR Number.
Legal Description 45_6 0-2C29F 9FVIL I A rARDENR I INIT 1 I OT 5 RE# 184da7_M'An
Valuation of Work(Replacement Cost)$ 797 DD Heated/Cooled SF Neo-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window Door Z W
• Use of edsting/proposed structure(s)(Circle one): Commercial Residential 4 = Z (s\7}III
• If an existing structure,Isafire sprinkler system Installed?(Circle one): Yes NoNA a VVQ Z0 Vt
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: INSTALL EXTERIOR DOORW 4OOCI Q
UO
Florida Product Approval# FI !!25575 2 for multiple products We product a I
Property Owner Information M Q Z
Name: RALPH_l SAI IC'ERMAN _Address: 1R94 CFI VA MARINA ¢ LL �
City ATI ANTIf RFAr w State—FL—Zip 32233 Phone 4111-703-11219
E-Mail ... C
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Z�— ry W W
Contractor Information cc pS3c
Name of Company: RI ITTFRFIFI n RFMnr)FI INr I I r` Qualifying Agent: rY INT RUT7ERF iEI D ?a fy
Address 427n PI ANTATION QAKS RI VD #1518 Clty r1RANGE PARK State 1:1 Zip nA C
Office Phone 904-333-84119 Job Site/tonne[Number Qn 11._R4nR
State Certification/Registration# NBG-14 E-Mail iu Hit rHFc151R®rtadn rnN
Architect Name&Phone#
Engineers Name&Phone Al
Workers Compensation
vemp Inwrer/Wse Employces/Expiation care
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal lation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,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 restrictions applicable to this property that may be found in the public rents of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT:I certify that all the foregoing information 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 0 N TTORNEY BEFORE c
RECORD IG YOU T OF COMMENCEMENT S4,sQ I
r�
_GLI cal r"Tco :Irl n('/(yL,
(Sigrfal rep neror Agent) (SignMure of Contractor)
(including contract or)
Signed and sworn to(or affirmed)before me this L3ay of Si neg d and sworn t{or affirmed)before me this day
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