Loading...
1510 SELVA MARINA DR - GARAGE DOOR RESIDENTIAL PERMIT PERMIT NUMBER =" J ��►,;w, s, CITY OF ATLANTIC BEACH RES18-0374 \Jr 800 SEMINOLE ROAD ISSUED: 11/19/2018 ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1510 SELVA MARINA DR RESIDENTIAL ALTERATION GARAGE DOOR $3810.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171983 0000 SELVA MARINA UNIT 04 COMPANY: ADDRESS: CITY: STATE: ZIP: D & D GARAGE DOORS INC 9425 Phillips Hwy Jacksonville FL 32256 OWNER: ADDRESS: CITY: STATE: I ZIP: FOSTER ALAN R 1510 SELVA MARINA DR ATLANTIC BEACH FL 32233-5614 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $70.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $35.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date: 11/19/2018 1 of 2 -11A1.1.0 RESIDENTIAL PERMIT PERMIT NUMBER C) CITY OF ATLANTIC BEACH RES18-0374 1.5v x it 800 SEMINOLE ROAD ISSUED: 11/19/2018 ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2019 Issued Date: 11/19/2018 2 of 2 /I.A.o, City of Atlantic Beach APPLICATION NUMBER tri �1 s� Building Department (To be assigned by the Building Department.) 800 Seminole Road }- • — /J ;� �:. Atlantic Beach, Florida 32233-5445 _ 4 Phone(904)247-5826 • Fax(904)247-5845 aw A:,011 0 E-mail: building-dept@coab.us Date routed: I 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Lt ?— Property Address: 1st O E=;L,‘itQk• Rionviztjull Department review required diYe No ilng) V Applicant: Q. [I- GRI2A(.-- 6.- O©12 —Planning &Zoning Tree Administrator Project: A RG C °of? 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: Approved. ['Denied. ❑Not applicable (Circle one.) Comments: ILDI. NG PLANNING &ZONING /'/51r Reviewed by: /�// rJ/�� Date:/ 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 05/19/2017 OFFIUL UUVT ''Y,�y, Building Permit Application updated 10/9/3.8 47 ' +T, City of Atlantic Beach Building Department **ALL INFORMATION W 800-Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ,r1`r'� Phone: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED. 0 rr LU //'� V Job Address: 1510 Selva Marina Drive Atllantic Beach Fl 32233 Permit Number: R c--.„---- (e) — �4- N Legal Description 30-28--16-2S-29E Selva Marina Unit 2 Lot 6 Blk 8 RE# 171983-0000 Q In U Z I ' Valuation of Work(Replacement Cost)$3,810.30 Heated/Cooled SF Non-Heated/Cooled a E�� p n La — a w Z • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ZWindow/Door • m 8 O Q • Use of existing/proposed structure(s): Q W H a 0 Commercial Residential • Z ccZ • If an existing structure,is a fire sprinkler system installed?: ❑Yes ONo 0 Q0 a N • Will tree(s)be removed in association with proposed project?DYes(must submit separate Tree Removal Permi taw I- Describe in detail the type of work to be performed: 0 2 W U.Garage Door Replacement—with a new Clopay 9202W6 18'2 x 7 Long Frosted Glass Slate Cc�3 a w} _� cL ac m Florida Product App val#16546.18_______) for multiple products use product ap14.1 LA 10 .got5 fi rti W Property Owner Inform > W la W Name Alan Foster Address 1510 Selva Marina Drive LU cc Lu City Atlantic Beach State Fl Zip 32233 Phone (904) 241-3609 E-Mail alahatlan@aol.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Company D& D Garage Doors Inc Qualifying Agent Dallas Miller Address 9425 Phillips Hwy City Jacksonville State Fl Zip 32256 Office Phone (904) 281-9199 Job Site Contact Number State Certification/Registration# CBC1258205 E-Mail mwilkinson@danddgaragedoors.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer USI Insurance Services National Inc OR Exempt❑ Expiration Date 03/01/2019 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 regulating 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 ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT. L.Q-k--,.. R.-8 ,17-‘ (.,.. .,92,4,_ A4t\rue, / (Signature of Owner or Agent) A (Signature of Contractor) Signed a d sworn to(or affirmed)before me.this //iday of Si d an sworn�toJ(or raffirm- be o e met i flic-lay of u//1-1--, ZDt0/ ,by 4 , .ier�'J� � �`r by /,� ,1P.R (S NO �r1��P if f& �.1 . tt,(&f• qt lLIC oir :IV STATE OF FLORIDA ���► gTATE OF FLORIDA ,� ,riComm*GG272281 0 �;��?Corm GG272281 [ ersonally Known OR ` [ ersonally Known OR y ,,,.,..• [ ]Produced Identification Expires 10129/2022 [ ]Produced Identification Sik \. Expires 1012912022 Type of Identification: Type of Identification: Perin, 71 le&s` & —G 3 7 Y NnTlrE nC rnnnnnrnirrnnrwrr / Doc#2018267529,OR BK 18594 Page 2311, '!� 1.04/MA- Number Pages:1 State of i '/ 1 Recorded 11/13/2018 10:25 AM, 61 V RONNIIEFUSSELL CLERK CIRCUIT COURT DUVAL County of VkA, V RECORDING $10.00 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF CO1v1MENCEM pT. Legal Descriptio •of propert being improved: 30 2 `C3 — 1 (0 - 2-5 - .1-9 e cc V� , 4,v-i�e t,�vt ti". 2- L 6 g�k €. Address of property being improved: 5/0 Se( v4 litth Ir< g"7Ls v iic '`1L ft- '; 22-33 General description of improvements: _ ,' - i CS�YL- _ _! �S_ . ..*i.- AT'- Owner: ^ j l' Address: 1c I U Sc-t'' V `A "ib-- VI" ,A74..rtih4 •'' , Owner's interest in site of the improvement: IS-1:53 Fee Simple Titleholder(if other than owner): Name: Contractor: '\>c1) a t+r C 71.,..4......... Address: q Zs- i 'k Telephone No.: goFa No: �3 71' A�l t; � � Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: 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: 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: 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 OWNER ��Q Mark K.Widcins�tgned: G"L^ 2 Z` RNDate: t V—S— 1 ,ti - r NOTARY PUBL�fore me this ��- day of /VD✓Q'►''L v in the County of Duval,State `tt ` STATE OF FLOWIElArida,has personally appeared GJian e 'F - T 41-3' Comn#GG2721g61ary Public at Large,State of F orid ,County of Duval. *' �� mission expires: O 2 a 4.2- t • Expires 10/2g41028n p ?�j� Personally Known:_ feint nelP✓/ /kn0'w' or Produced Identification: