1575 Selva Marina Dr RES19-0122 Wood Deck Replace RESIDENTIAL PERMIT PERMIT NUMBER
' CITY OF ATLANTIC BEACH RES19-0122
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ROAD ISSUED:4/24/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/21/2019
INSPECTIONMUST CALL
•NE LINE (904) 247-5814 BY 4 PM F•
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.
• • • r . . . • • . '
1575 SELVA MARINA DR RESIDENTIAL ALTERATION WOODEN DECK- REPLACE $950.00
RESIDENTIAL AS IS
TYPE OF BUILDING
CONSTRUCTION: NUMBER: GROUP:
171944 0000 SELVA MARINA UNIT 02
ADDRESS:
SUNSHINE COAST 513 VIKINGS LN ATLANTIC BEACH FL 32233
CONSTRUCTION
• ADDRESS:
HUTCHERSON NORMA 1 ET 1575 SELVA MARINA DR ATLANTIC BEACH FL 32233-5613
AL
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 455-0000322-1000 0 $5500
BUILDING PIAN CHECK 455-0000-322-1001 0 $22.50
STATE DBPR SURCHARGE 455-0000-208-07M 0 $200
STATE DCA SURCHARGE 455-MM 208-0500 0 $2'00
Issued Date:4/24/2019 1 of 2
Al Building Permit Application ''i, f ~ r
City of Atlantic Beach Building Department ••A OF MWTION
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Ph (904)247-5826 EmaR: Buildin ech
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Property charter Information
Name JiA�RaaG1.i tY Apr[If<$!u AdOrw 163E SELoA RIA41A'A A IIA
CIN_Jin 51b0_£L_.Zip 3E11a imene -_31L ' fIt
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address. f!3 iyj VLf [.R^" Cie 46 Stat, f, Zip. . 233
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State Certllicatipn/Regisri!dmg 7} E-Mag IAA @ S ,tAL•nA[ K.eew _ _
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Eryineenry-sName&Phonea /V R. —
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WortersCompmsil lon wu Ei LlKAE OR Esatlptn Eapiretion�W .
Apdi[abpn K herb/male to Obtain a pernnt to do the wok and opeoutbns as Indicated.I cannily thx no wart or Inttallation her,
commencxf prior to the swarm of a pernlN aro mat AI won will be performed W meet the SixMxOs Of all the I.yws regubti,p
construction in ehbjmisdkNon.I understand mat a vPa,dtep mil must be xcured for ELECTR"WORK,PWIAIIIN6,SIGNS,
WE 'P001.8,WRNACES,fiORERS,HEATM,TANKS and AIR CONOtTIONERS,etc NOTICE:Inadditiontochs•requlrrmrmts Wthrs
permH,there maybe ed0llymal rrncbpnt appba l to this property that may be found in the publlr recede of this roomy,and
there may op addltlonal permkarequired Irom 01lc ommmtal entitles such aswater management districts,rtaRagrncies,clr
federal agennes.
OWNER'S AFFIDAVIT I cel that all the fureaping information is accurate and th r all won will he done In adnpllance..in all
applicable laws regulating construction and al
WARNING TO OWNER:YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER ORAN A N E DRE
RECORDING YOUR NOTICE OF COMMENCEMENT.
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