2009 Selva Madera Ct RES19-0097 Garage Door RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES19-0097
800 SEMINOLE ROAD ISSUED:4/1/2019
ATLANTIC BEACH. Fl.32233 EXPIRES:9/28/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE:In addition tothe requirements ofthis permit,them 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:
2009 SELVA MADERA CT RESIDENTIAL ALTERATION GARAGE DOOR $1417.00
RESIDENTIAL
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695061654 SELVA NORTE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PRECISION DOOR SERVICE 11323 Business Park BLVD JACKSONVILLE FL 32256
OF N Fl- JASO
OWNER: ADDRESS: CITY: STATE: ZIP:
COYKENDALL MARYANN 2009 SELVA MADERA CT ATLANTIC BEACH FL 32233-4531
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.
AN& ACCOUNT QUANTITY PAID AMOUNT
BUILDINGPERMIT 455 GOOD 322 LOW 0 $60.00
BUILDING PLAN CHECK 455 WOO-322-1001 0 $30.00
STATE DBPR SURCHARGE 455 0000-208-0700 a $2.W
STATE DCA SURCHARGE 455 0000-208-0500 0 $2.00
TOTAL$94.00
Issued Date:4/1/2019 1 of 2
"`�..... RESIDENTIAL PERMIT PERMIT NUMBER
-0097
RES19
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 4/l/2019
ATLANTIC BEACH. FL 32233 EXPIRES:9/28/2019
Issued Date;4/l/2019 2 f 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
11111111311116 111 800 Seminole Road
Atlantic Beach, Florida 3223M445 C) -009-7
Phone(904)247-5826 Fax(904)247-5845 -2
E-mail: building-dept@coab.us Date routed:
Citywelb-site: hftp://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZC�09 Se.LVAAA &apartment review required Y No
Buildn
f (11 i"_ __g
Applicant: L)OC:)e -Ra-�99�nlng
Tree Administrator
Public Works
Project:
Public Utilities
Public Safety
Fire Services
Sig 1 1111 �
Other Agency Review or Permit Required Review I
Of Pemnit=P3y Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns Rlwr Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: UTApproved. ElDenied. E]Notapplicable
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Dj�— Date:31,?71-7015?
TREEADMIN. Second Review: DApproved as revised. []Denied. v E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
lkov�0511W2017
Building Permit Application OFF111 lop,
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
f Phone:(904)247-5826 Fax:(904)247-5945
Job Address:20(jOk "D&ra Permit Number: R G 009-7
Legal DescrptlonAP_S-1- M --IG-10liE '? RE# \lUCNWi0 —11jo L-A
Valuation of Work(Replacement Cost)$ Meted/C..Ied SF—Now Heated/Cooled XI10
• Class of Work(Circle one): New Addition Alteration Repair Move
• Use of existing/proposed structure(s)(tirde one): Commercial Cesid!eottia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Nd�
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe In detzil the type of work to be performed:
Florida Product Apprbk*# 13�. il�' for multiple products use product approval form
Property Owner Information
Name: I All fidklrT,�2M c�)��(X Qt CA
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city M1101" State c�v zip Phone LA0,9k
E-Mail r4jA
Owner orAgent(if Agent,Power of Attorney or Agency Letter Required)
Contnictor Inforination
Name of Company: lifying Agent-lo'Son Sy1qi;)0krZA
Addressfolli-Ito -3
LO�QC�S�Wte L_ ZIP
Officei Phone q0"'i- ')'k LL) Job Site/Co b 1, _'I —
State Certification/Registration#CV-CIW-.zz0k0 D!!A E-M 11 ot I i c am
Architect Name&Phone# Pit-AW y
Engineers Name&Phone#—E——
Workers Compensation..st Celryryi�(a
Uernin I ln,mi,r/tene E.1xv%j Eisirawn rutis
Application is hereby made to obtain a permit to do the work and Installations as indicated.I certify that no work or installa&' n has
commenced prior to the issuance of a Permit and that all work will be performed to meet the standards of all the laws regut3iong
construction in this Jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIOS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. —i Z
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OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done In compliance witl Z P:
applicable laws regulating construction and zoning. * La 0 —0
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WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M 906
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU 11i
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Type of Identification: Type of Identification: