1760 Selva Marina Drive RES19-0124 Window/Garage RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RE519-0124
ISSUED: 5/1/2019
800 SEMINOLE ROAD EXPIRES: 10/28/2019
ATLANTIC BEACH.FL 32233
ALL WORK MUST C&TFORITI • 1, • • 1 • • ' 1 1
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
NOTICE:
entities such as water management districts,state agencies,or federal agencies.
• . ADDRESS: PERMITTYPE: DESCRIPTION:
17605ELVA MARINA DR RESIDENTIAL ALTERATION WINDOW, MAN DOORS AND $24066.00
RESIDENTIAL GARAGE DOOR
TYPE OF ZONING: BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:-
172009 0000 SELVA MARINA UNIT OS
COMPANY: rr •
RPC GENERAL 248 LEVY RD ATLANTIC BEACH FL 32233
CONTRACTORS
OWNER: ADDRESS:
LAURA L FERRANTE LIVING 1760 SELVA MARINA DR ATLANTIC BEACH FL 32233-5618
TRUST
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
aulLOIrvG PERMIT ass-0000-322-1000 0 5175 as
BUILDING PIAN CHECK 455-OOW122-1001 0 $8]50
STATE OBPR SURCHARGE 455-0000-208-07W 0 $394
STATE DCA SURCHARGE 455-0000-208.0600 0 52.63
Issued Date:5/1/2019 1 of 2
RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RE519-0124
800 SEMINOLE ROAD ISSUED: 5/1/2019
-01 0l ATLANTIC BEACH,FL 32233 EXPIRES: 10/28/2019
�— TOTAL:$269.07
Issued Date:5/1/2019 2 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
Phone(904)247-5826 Fax(904)247-5845
E-mail: buildingdept@wab.us Date routed'.
City web-sitehltp:JMw coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C) S & �v P, M 1w(N artmert review require Yes No
Applicant: 1 GKDep
OA77arming&Zoning
Tree Administrator
Project: L_)O C> V �' (1_) DOr.t_�LS Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept
Other Agency Review or Permit Required Review or Receipt Date y/
of Permit Verified By5
Florida Dept of Environmental Protection V r
Florida Dept.of Transportation
St.Johns River Water Management District \ �`xr
Any Corps of Engineers v
Division of Hotels and Restaurants
Division of Alwhclic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Dale:
TREE ADMIN. Second Review: []Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Dale:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [—]Not applicable
Comments:
Reviewed by: Date:—
Revised
ateRevised 0511912017
Building Permit Application OFFICE COPYuPeored=ne1]x
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1760 Selva Marina Dr. Permit Number: lq - UI Z_-, --4-
Legal
_-, 4
Legal Description 30-29 08-2S-29-E Selva Marina Unit 5 Lot 9 Hlk 9RE# 172009-0000
Valuation of Work(Replacement Cost)$24,066 Heated/Cooled SF Non-Heated/Cooled
• Classof Work: ❑New []Addition []Alteration ❑Repair []Move []Demo []Pool $IWindow/Door
• Use of existing/proposed structure(s): []Commercial MResidential
• If an existing structure,is afire sprinkler system installed?: []Yes ]ONO
• Will tre be removed in association with Proposed pro'act?[]Yes t submit separate Tree Removal Permit NNO
Describe in detail the type of work to be performed:
Replace front door, replace one double back door and one single back door, replace kitchen window
& replace garage door
Florida Product Approval# for multiple products use product approval farm
Property Owner Information
Name Laura L Ferrante Address 1760 Selva Marina Dr
City Atlantic Beach state zip 32233 Phone 904-333-5949
E-Mail Lauraferrante@aol.com
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) owner
Contractor Information
Name of company RPC General Contractors, Inc. Qualifying Agent Daniel J. Rodrigues
Address 248 Lw Road qtyAtlantic BeachState FIL zip 3
Office Phone 4 Job Site Contact Number
State Certification/Registration# CGC1523403 E-Mail Jennifer@rpcnc.00m
Architect Name&Phone#
Engineers Name&Phone# m In
Workers Compensation Insurer encan ul ers Insurance Ompany OR Exempt Expiration Date October 27, 19_ <
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal I�`ion,m 7 m
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reg®tines m -I m
construction In this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,S$NS, a m 'c O
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirem 'Es of m -n O
permit,there may be additional restrictions applicable to this property that may be found in the public records of this co ar$ - y
there may be additional permits required from other governmental entities such as water management districts,state ag s, U)
federal agencies. D O O
ZMZO
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance t all0 D 1 m
applicable laws regulating construction and zoning. 3.00 0 0 0
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Y ii o m
RESULT I R PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I TENS y n
TO O 4FINAN CIN ONSULT I�TH CYOUR LENDER OR AN ATTOR EY BEFQ E w = Z
REC YUR N fOF r` 1 EMENT. f I m
( tore of Owner or Agent) IS atureofcontra or) its
Signed and sworn to(or affirmed)before me thisd7ar"day of Signed and sworn to(or affirmed)before me this Jill day of
8Rn1 , .6701°1 .by Y ftylI . 61011by MIDI AzIfIgUeS
5" u N Lary) I " atureof Notary)
IENWFER%M „ •,, 1ENN,11LOW
Notary PoBk-Ndedrkxdi A• Noury Wdk-NMedn”.
bhl!ersonally Known O _ CanmhslanrC&a 7 Mersonally Known OR t�bws r,=y
[ )Produced ldentificati "+.'*`u?;E7.%" My OkwEryim Ngl3,"21 [ I Produced 11 antfication 1`:, t�m.E�irn Ng23,11111
moamu.mgnxaawl:rve,m.
Type of Identification: Type of Identification:
OFFICE COPY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
'Project Address: 1760 Salva Marina Dr. Permit#: 3 9
•Owner/Project Name: Laura Ferrante
As required by Florida Statute 553.842 and Florida Administrative Code Rule 98-72,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 maybe obtained at:www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Umitation of Use SUte# Local#
A.EXTERIOR DOORS
1.Swinging Jeldwen Front Door FL 13541.2
2.51iding Swinging Plastpro Double Swinging FL 15215.4
3.Sectional
4.Garage Roll-Up CHI Overhead Doors 16x7 5283 Zone 4 TS FL 15074
S.Automatic
6.Other Swinging Plastpro Single Swinging FL 15215.1
B.WINDOWS
1.Single hung
2.Horizontal slider
3.Casement
4.Double hung Anderson 400 Series Tilt Non-Impact FL 15752-R5 .
5.Fixed
6.Awning
7. Pass-through
8.Projected
9.Mullion
10.Wind breaker
11. Dual action
12.Other
Page 1 of 4 Upiored 10/11/38
OFFICE COPY
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
*Contractor Name(Print Name):Daniel J. Rodrigues *Contractor Signature:
*Company Name: RPC General Contractors, Inc.
*Mailing Address: 248 Levy Rd.
*city:
Atlantic Beach *State: FL *zip Code: 32233
*Telephone Number: (904) 241-4418 *E-mail Address: Danny@rpcgc.com
Cell Phone Number: Fax Number:
Page 4 of 4 Updated 10/37/19
Doc M 2019100615, OR EIK 18776 Page 1156, Number Pages: 1,
Recorded 05/01/2019 03:01 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00 .
NOTICE OF COMMENCEMENT
State of Fwaa Tet Folio No. 1T200BW W
County of Duval
To Whom It May Concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following information is stied in this NOTICE OF COMMENCEMENT.
Legal Description of property being Improved: 30-29 O845-29•E Selvs Marine Unit 5 Lot 9 Blk 9
Address of property being improved: neo Saha Manna la..roam.Beach,FL sa233
General description of improvements: Gamma^oor,kitchen window,front door and back door replacements
Owner Lauree L Ferrante Address: 178D3eea MM�u[tr.,Allenllc Beeth.FL 32233
Owner's interest in site of the Improvement:
Fee Simple Titleholder(if other than owner): WA
Name:
Contrettor: RPDGenenl Contradaa.Ina
Address: 248 Levy Road,Atia nic Beach.FL 32233
Telephone No.: (Fo4)mit le Fax No:
Surety(if any) N'^
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the Improvements
Name: LA
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: NIA
Address:
Telephone No: Fax ND:
In addition to himself, owner designates the following person to receive a copy of the Uenor's Notice as proNded in Section
713.06(2)(b),Florida Statues. (Fill in at Owners option)
Name: wA
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration data is one(1)year fro the date of recording unless a different date is
speci0ed): mavmlp
THIS SPACE FOR RECORDER'S USE ONLY OWN
Signe
IIV/I(/wl Date:
Befo m is r _day of A - 3011 In the County of DMI,Stara
Of Flondahaspermnallyappeered l^ '^ Ff rants
Notary Public a[large,State of Rorlda,Coun o D a
MYcommbslon exp!ia P
Penw.anyKnown: aRcAa
Produced Identification: rq1 m°�rm� r
STATE OF FLORIDA
DUVALCOUNTY
I,UNDERSIGNED Clerk of Ne Cyafl d Cow#Cwts.Dmal
Conry,Fk.00 HEREBYCERDFY7e WNb nd fae0M,
oe^Netla Id wa"arxl re mpyaftlwoVw
m Iep mam=dend ReInd*oaoof#ACNrkdarcd
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NJxbnMe,Flagg Meth ,t0
RORNI SSELL
Clerk, aM Caro
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By
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