1726 SELVA MARINA DR - GARAGE DOOR CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1)1fATLANTIC BEACH, FL 32233
'4'!0w INSPECTION PHONE LINE 247-5814
RESIDENTIAL - ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0283
Description: Garage Door Replacements
Estimated Value: 2346
Issue Date: 9/6/2018
Expiration Date: 3/5/2019
PROPERTY ADDRESS:
Address: 1726 SELVA MARINA DR
RE Number: 172005 0000
PROPERTY OWNER:
Name: MOBLEY WILLIAM R ET AL
Address: 1726 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5618
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PRECISION DOOR SERVICE OF N FL JASO
Address: 11323 Business Park BLVD
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$7,500.
‘'1 . ,, Building Permit Application Updated 12/8/17
K7•NW
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
\\ (` �Phho/n�e:(904)247-5826( Fax:yx(904)247-5845 /�
Job Address: Vi 2U �c` JC\ \"`C\` `►v"` OV. Permit Number:re.sig--r, 62- 3 (,
Legal Description 3 )-2U V . 2s-2� t `;;t\\1C\ \"\�I(\�1 ��111l 5- RE# k 1 2OO 0l 0)v &)
Valuation of Work(Replacement Cost)$ 2.3 7 l 2 —Heated/Cooled SF Non-Heated/Cooled 21e, 2 'fes
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door ' Z N r
• Use of existing/proposed structure(s)(Circle one): Commercial Residential - I Q Z i
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A D. <( O 1_
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal n H �� w
Describe in detail the type of work to be performed: C.) () C1 Q
VeptC\.(' 'V O c)C4xc\ce coons vW\}V\ Ne\ w rz a a
O a 9 a
Florida Product Approva '� IDOW for multiple products use product�¢pFbv fW m�
_ tt-- i-
Property Owner Information CC <C 1- Z
�1 � ua
Name: VAT- \\` Address: k- 2i Se`\01 M�\Y\�1� "° rt Lj
City AC (`aC\'1 State F L Zip 3.22-2)-6_Phone CAO'- 2Alc-91 ;� ' m
E-Mail , I- d 8 W
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) W U N la �?
Contractor Information C1 f1 w
w1 1'Y W
Name of Company: •- - 't5t vri $to -NV CC OF 1v CL-Qualifying Agent: 7CA75C' A 5
Address\\M.-?..) 'N_A 1Nt5S co,4- eAv City 7CA7• State FL Zip 2S I,j
Office Phone G b4- VDcS' tTJob Site/Contact Number
State Certification/Registration#C. c-25:Y'AS)CA E-Mail mobrCk`nC?lm-p j • (7�[Y1C41\ b Y)")
Architect Name& Phone# •1 _
Engineer's Name& Phone#
Workers Compensation je� C:CrV\CL(),\t kl I 'a
Exempt/Insu r/Le se E ployees/Expiration Date
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 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 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.
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 OR AN ATTORNEI*FORE
RECORDING YOUR NOTICE OF COMMENCEMENT. /_
7)71/OtAi , ,-,
L,
(Signature of Owner or Agent) Signature of Contractor)
(including contractor) _
Signed and sworn to(or affirmed)before me this‘5 day of Signed and sworn to(or affirmed)before me this 15 d y of
gU , t�s , by'�Y1CA�Yc' s \\ �, , by ,SCkson511 tpi C�Ye
JVonn,t,1uL(A. C /b0
::4•4'i&p�.• MICHELLE VAN VUREN "''4'' ',, MICHELLE VAN VUREN
[ j Personally Known OR (? :. Notary Public-State of Florida , [ i Personally Known . 0�1,7,‘•-*) Notary Public-State of Florida
Produced Identificati. .` � Commission r GG 203567 Commission r GG 203567
( j Produced Identific. i. .�.
I I ',„,orM1 My Comm.Expires Jul 29,2022 :F My Comm.Expires Jul 29,2022
Type of Identification: Type of Identification: .- . .• •
o+Anrir, City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned by the Building Department.)
800 Seminole Road �S/per ,�
10Atlantic Beach, Florida 32233-5445 sig-O
Phone(904)247-5826 • Fax(904)247-5845 . ill ,
!on O• E-mail: building-dept@coab.us Date routed: A
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
•
Property Address: I1 vel 1lt- Alan Department review required Yes/No
Building---)
Applicant: ?recatsc6 nD66( SVC- Planning &Zoning
Refk.Ce
Tree Administrator
Project: Q_ /60(-5 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature` 3
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: [Kproved. ['Denied. ❑Not applicable
(Circle one.) Comments:
IfaIVet .or d ' tJJoIT—LC N'ti S .IVIS 1 flay
(3—UILDIN Re t u ;re ,I/ CSG. .
PLANNING & ZONING Reviewed by: / riDate: U "av^18-
TREE ADMIN. Second Review: ['Approved as revised. I '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 05/19/2017