1979 SELVA MARINA DR KITCHEN REMOD PERM -0036
CITY OF ATLANTIC BEACH RES19
EXPIRES
800 SEMINOLE ROAD ISSUED: 2/14/2019
-oil ATLANTIC BEACH. FL 32233 : 8/13/2019
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:
1979 SELVA MARINA DR RESIDENTIAL ALTERATION KITCHEN REMODEL $41118.00
RESIDENTIAL
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
L___-CONSTRUCTION: NUMBER: GROUP:
169SO61006 SELVA NORTE UNIT 01
COMPANY: --ADDRESS: CITY: STATE: ZIP:
No Limit Contracting LLC 12462 Toucan Drive Jacksonville FL 32223
ADDRESS: CITY: STATE: ZIP:
PETERSON MICHAEL B 1979 SELVA MARINA DR 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.
FEES,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $260.00
BUILDING PLAN CHECK 4SS-0000-322-1001 0 $130.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.85
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.901
TOTAL: $399.75
issued Date: 2/14/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 R r,-s�c� -(D c -
Phone(904)247-5826 - Fax(904)247-5845 L Date routed:
E-mail: building-dept@coab.us Z/7
City web-site: hftp://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
&�_\[PJ�W(Q(kDqpaAment review required Yes -No
,tuilding_,)
Applicant: Nlio L, I Planning &Zoning
Tree Administrator
Project: RFa�o 1�z L Public Works
Public Utilities
Public Safety
rFire Services
r
Re"view fee $ ept,Signatu e':-�
_p
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: KApproved. E]Denied. E]Not applicable
(Circle one.) Comments:
etl N_G
PLANNING &ZONING Reviewed by: /1-11-1 Date:
TREE ADMIN. Second Review: DApproved as revised. [:]Denied. E]Not appiicabie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. []Denied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
"ril :r Building Permit Application Up do te d 1019118
City of Atlantic Beach Building Department OFFICE CORYLL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 101 54/&_ mwiw' �c. —Permit Number: R C-":�' I C� 00 6�-
Legal Description 5 P(Vel, 0 ock::( L'ym�_l L-0 RE#_W4506 100 �
Valuation of Work(Replacement Cost)$%tom V��rayieated/Cooled SF Non-Heated/Cooled
• Class of Work: EINew ElAddition DAIteration ElRepair DMove DDemo E]Pool ElWinclow/Door
• Use of existing/proposed structure(s): ElCommercial EIResidential
• If an existing structure,is a fire sprinkler system installed?: ElYes ONo
• Will tree(s)be removed in association with proposed proiect?DYes(must submit separate Tree Removal Permit) E]No
ibe in detail the type of work to be performed:
t4lju �Ofsj �-
Eb� 5 -r _J Z
_J
Florida Product Approval# for multiple products use product apt
Property Owner Information LLI P 0
0 M - Z
00
Name N,%y-f, Address &WgJ,,/4 bQ L) 0
City Ai2AArDr. Z;4r_'" State FL Zip Phone 2 9� 1_1
Z Z
E-Mail J%
Owner or Agenr(If Agent,PowJ of Attorney or Agency Letter Required)
0
Contractor Information cc Z
PJO I� -, �_ 0 'S UJ
Name of Compan Qualifying Agent LL 't
Aciclress ('L4&.�
ci StateFf Zip
- LLJ a; EC M
Office Phone 77-19 Job Site Contact Number Q
State Certification/Registration#t J36 tZ GZ 145 E-MaiiA s,—o06'_ AJ UP UJ 0 W
IIJ Z:
Architect Name&Phone# > 9:
Engineer's Name&Phone# e� LU
UJI
Workers Compensation Insurer OR Exempt V( Expiration Date S 161 FE-15 M
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work o;instatliation 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 FINANqNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE ENCEMENT.
(Signature of Contractor)
Fjp_geqand sworn to�or affi m re m thi!;2� a of F this
be Signed and sworn toN,ffir ed)before me day of
I-(RX-3 ZQ[9 b I Y-1 t_ 4M v4�P�( 3 b
T_
1J_1 L
TONI
GER
MY COMMISSIO�N �4951
4,4`�.-= my COMMIT
EXPIRES:October 6,2019 ON#FF 924951
EXPIRES:October 6,2019
Bonded Thru NOWY Public UnderwrAers
Personally Known OR Pe _bVMn9gThru Wary Public Underweiters
Produced Identification Pr
Type of Identification: Type of Identification: C,4
4.w-je,�s I ?
Umut (;Uvy
NOTICE OF COMMENCEMENT
State of Tax Folio No. 16 fs d 00
County of.
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 COMMEPCEMENT.
Legal Description of property being improved: 5cive. Noe+�o, tA on, LD
Address of property being improved: M&(,l I Y%C,
General description of improvements: dW*A, /,A,61'Atk
V
�9 Owner: Address: Ali 5-5-LiA, AAAg,,JA
Owner's interest in site of the improvement: Yllau-Is &�A4
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address:
Telephone No.: Fax No:
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 A ent date is
specified): TONI Gil SP RGER
M GOMMISSION#FI-924
THIS SPACE FOR RECORDER'S USE ONLY EXPIRES:October 6,2019
ent date is
OWNER Bonded Thru Notary Public Unde,,ditem
Signed: 0 Date:.
,v S
Doc#2019030268,OR BK 18683 Page 1738, Before me this d @a F—�,O 7,—,IaintheCounqofD val,State
Number Pages:I Of Florida,has personally app are
Recorded 02106/2019 03:11 PM, t
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,L.tate rida,
COUNTY My commission expires:
RECORDING $10.00 Personally Known: or
Produced Identification: