2045 SELVA MADERA CT RES PERM RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES18-0394
ISSUED: 2/8/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/7/2019
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
2045 SELVA MADERA CT RESIDENTIAL NEW SINGLE 5 ACCORDION SHUTTERS $9710.00
FAMILY RESIDENCE
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695061642 SELVA NORTE UNIT 02
--- --------
COMPANY: ADDRESS: CITY: STATE: ZI P:
CUSTOM STORM 826 HULL RD ORMOND BEACH FL 32174
SHUTTERS DIRECT
ADDRESS: -STATE: ZIP:
POTTER STEVEN A 2045 SELVA MADERA CT ATLANTIC BEACH FL 32233
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 4SS-0000-322-1000 0 $100.00
BUILDING PLAN CHECK 4SS-0000-322-1001 $S0,00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
$2.00
STATE DCA SURCHARGE 45S-0000-208-0600 _r_0
TOTAL:$154.25
Issued Date:2/8/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Bui ding Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 -C) S9 4
Phone (904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Daterouted: /3�
City web-site: http:/twww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Dgp#qq�knt review required Yes Ao
Property Address: -q8E',;2i I-
Building,-)
A p p I i c a n t: U-S.-C 0/-VN T-o PL-,I-\ A u-C nce_�' Planning &Zoning
Project: C__ C'\Cp t4 C) Tree Administrator
Cy\3 LCEa�� 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:
APPLI�-,ATION STATUS
Reviewing Department First Review: [OA/pproved. E]Denied. E]Not applicable
(Circle one.) Comments:
(S�o
PLANNING & ZONING Reviewed by: Date: /C�-//-/ 01y_
TREE ADMIN. Second Review: DApproved as revised. E]Denie�d_/ F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. E]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE CCr%\/
vsTuTEIzi M�
E
826 Hull Road
Ormond Beach, FL 32174
877-670-3737 Toll Free
November 29, 2018
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, FL 32233
Dear City of Atlantic Beach:
Please process the enclosed permit application for 2045 Selva Medera Ct.
I can be reached at the phone number above if any additional information is needed.
Once application is ready to pick up, contact me either by phone or by emailing me at:
rosekcssdus.com. Thank You very much!
Sincerely,
Rose Smith DEC - 3
Enc.
BUILDING PERMIT APPLICATION
CITY OF ATLANTic BEAcH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
JobAddress: 20Y,5 ,5elm MadeKa Ct PermitNumber: RESIP,-0394-
Legal Description W-370cl-2-S-2qr--,WlvlA. &)0rhC4U()I4-TyV0L01- areel# 1t,06?-5o(P- )tP112
Floor Area of Nq" SqXt
Valuation of Work$ ProposedWork he�tl&cooled non-heated/cooled
Chm of Work(circle one): (LD Addition Alteration Repair Move Demolition pooVspa window/door
Use of existing/proposed structure(�)(orcle one): Commercial
If an existing structure,is a fire sprinkler system installed?(Circle one)6��esNo
Florida Product Approval#
For multiple proaucts use pro-duct approval form
Describe in detail the type of work to be performed: T-A qV I I f:� a(,(o rid i o n SttuWS a V�j
-ewa �Ope! ,
Property Owner Information:
Name:S�GVem & Lc4urevi- f7offtr_Address: 7oq5 _�ejva- Kadte-CA, C4-
CitYA±�n&%;�L, Pmex-xCALN, Statej:L Zip .Pl�o z 7
E-Mail or Fax 4(Optional) 22232� e C40 P]Zjz�Qa
Contractor Information:
C�ompany Name.-�*�w�ytyi IftrtA -'Dl L44CU I>i(i6d-,Zbc Qualifying Agent: MiC&el C-- 0'
Address: 9&j. "()Il PLyj Cl __a
city cic� Zip AlLaL—f
Office Phone 22te-(P7 2--j-7.3 7 Job SiW Contact Number W-6 2-9-223 Fax#
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
plication is hereb
y made to obtain a permit to do the wor*and installations as indicated I certify that no work or installation has commencedprior to the
void ja=ii and that all work will be med to meet the standards ofall laws regulating construction in th jur c T b�- mes
a Vol w is not commenced within six 7(6�t,nths.or ifconstruction or work is sus is irdi tiom his p_ermit co nun
work is mumenced. -pended or abandonedfor a
,=od of sixfi months aten e ter
j y tim=
I understand that separate permitymust be securedfar Electrkar Work Pfumbft Sl*w, eN�,Poajjr, uMaM80jjei3,fi
Tanks and Air Con&tionem ejr-
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMEENCEMEENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEM[ENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V614i NOTICE OF
COAE%1EN`CEMMNT.
.1here certo that I have read and examined this 5pplicatian and know the same to be true and correct. All provisions oflaws and ordinances governing this
?Pwork will be cojWlieed with whether spec Fied herein or not. The grfmtfng of a permit does not presume to 91W I vio teorcancil e
provisions ofany otherfederal,state.or local law regulating construction or the pearbimahce ofconstruction.
Signature of Owm 4��N'z, Signature of Contractor
PrintName /-/fo/Z jw 7-re-fZ
PrintName
Sworn to and subscribed be
;�C.,/-I I Sworn to and subscribed b fore me
thisOm D�yf 9T me 4 20/1F this -21 Day of . p ,20
/Vol/
-\'A
,y to
Nbtary Public NotbrA-Mlic
W.R.POWERS e edOl-26.10
Commission#IFF
PATTI L.O'CONNELL 904799
ComrnMlion#FIF 984902 ExIlpires July 29,2019
June 8,2020 Boded Tin Twy Fan Inwance 80&3"19
Y�mj Troy Fain Insurarm BOO-385-7019
L 00-M
_ /-7
`Vd— 0 79
NOTICE OF COMMNCEMENT
State of PC TaxFolio No. I tog 5Oto— lLoq7—
C-ountyof �)�NJCO
To Whom It May Concern:
The undersignedbercby 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 stnted in this NOTICE OF COMMENCEMENT,
Legal Description of property being improved: Y0-3-7 0 Q-7-S--2-RE Sid VCL Qlc� 1Wh LW� :71a_
Address of property being improved: 2045" .5-ekvn, AA".ero,- cil- &e�,4 32'131
General description of improverpents: Pro Vf atf, G CLW
_h�u prok ton
Owner: Voiitir Address: ?,QLJ!� Iql5tV6L., PAOXLWO�-
Owner's,interest in site ofthe improvement:-1
-0 0!10
Name:
Contractor: CU94-6
s S2L Oil Z=Ld cxmnod, %eoxh :P -N
Addtes 44
Telephone No.: C1 0 FaxNo:
Surety ff any) 114
Address: Amount of Bond S
Telephone No: FaxNo:
Name and address of any person making a loan for the construction of the improvements
Namer 141A
Address:
Phone No: Fax.No:
Name of person within the State of Florida,other than himself,designated by owner uponwhom.notices or other documents may be
serveck Name: -94
Address:,
Telephone No: FaxNo:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as p_rgvh�ed in Sectiqu
--.--7-1-3.06(2)(b);-Florida-Statueg'-(FRI in at Owner's-aption)
Name:---All
Address-
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year fi-bm the date of recording unless a different date is
specified):
TMS SPACE FOR RECORDEWS USE ONLY OWNER
Signed:' Date: W/
Before me this Q 2� dayof zD/r
L in the County ofDavaL,State
Of Florida,has personally appebred /-,j r 4 a "On44 to,
PATTI L MONNE-1.1. ---j tz�
Notuy Public at Large,State of Flo n gDaval.
COMmisslon#FF�84902 rid
i is June 8,1020 -My commission cxpircs: 5%..4 n q,(�un o
Expire
B -TW- Personally'l(ftown:
nded TMYF8in1A6U18fiCe800-385-70i9 or
Produced Identification-
CUSTOM STORM SHUITERS
1)
D I F, C T
Property Information ] F- Building Information
Owner: Potter Laurie Wind Zone: 130 MPH.
Address: Exposure Category: B
Minimum Building Dimension: 68 ft.
Mean Roof Height: 18 ft.
ji Risk Category: 1I
Design Pressure Calculations
Opening Max Positive Max Negative
Number Pressure(psf) Pressure(psf)
21.9 -23.4
—3 21.2 -22.7
5 22.0 -23.5
6 21.9 -23.4
7 21.9 -23.4
8 21.1 -22.7
OFFICE COPY
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMiENTS AND CONDITIONS
REVIEWED BY: DATE:1�---�-411'
Prepared in accordance with:ASCE 7-10,ChapterX Wind Loads-Components and Cla"ng.6th"don(2017),RoridW Btdhkn Code.
Page I of I
Opening
1. HV-ACCORDION
(Accordion)
3. HV-ACCORDION
(Accordion)
5. HV-ACCORDION
(Accordion) 1�0 A
6. HV-ACCORDION
(Accordion) J
7. HV-ACCORDION
(Accordion)
8. 2"HORIZ ALUMINUM PANELS.050"
(Aluminum Panels)
U
7
5
6
3 0
CL
COPYRIGHT E-TEMPEST COM
SCALE
NOT TO SCALE
DATE
Jun 14, 2018
PAGE DESCRIPTION
Site Plan
PAGE
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA
Project Name: POTTER Permit
Project Address: 2045 S E LVA MAD E RA CT
As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at: floridabuildina,. rv,. ocal 4
Category/Subcategory Manufacturer Product Description Limitation of Use State# L
A.EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4. Roll up
5. Automatic
6. Other
B.WINDOWS
1. Single hung
2. Horizontal slider
3. Casement
4.Double hung
5. Fixed
6. Awning
7.Pass-through
8. Projected
9. Mullion
10.Wind breaker
11. Dual action
17. Other
— Manufacturer Product Description Limitation of Use State# Local
Category/Subcategory
E. SHUTTERS
1. Accordion 4w-
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F. STRUCTURAL
COMPONENTS
1. Wood connector/anchor
2. Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11. Wall
12. Sheds
13. Other
G. SKYLIGHTS
1. Skylight
OFFICE COPN
E210—ther
Pr=oduct
_Y/S
'ut
Category/Subcategory manufactureriProduct Description Limitation of Use State# Local
H.NEW EXTERIOR
ENVE LOPE PRODUCTS
1. --l-I I --- I ..........
In addition to completing tile above list of manufacturers, product description and State approval number for the products used on this project, tile
Contractor shall maintain on the Job site and available to tile Inspector, a legible copy of each manulhcturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is trite and correct to the best of nly knowledge.I further certify that LISC of different components other than the ones
listed in this document niust be approved by the Building Official.
(Contractor Naille) (PrintName) MICHAEL E. O'CONNELL (Signature)
x;;;
Company Name:___CUSTQM STORM SHUTTERS DIRECT, INC._
Mailing Address: 826 HULL ROAD
City: ORMOND BEACH state: FL Zip Code,. 32174
Telephone Number:( 904") . 669-5923 —Fax Number:( 386 ) 672-3738
Cell Phone Number:( -- 17-i-nail Address: rosea'cssdus.com