1555 Selva Marina Dr RES19-0351 Windows/Doors •S '' , RESIDENTIAL PERMIT PERMIT NUMBER
C) RES19-0351
CITY OF ATLANTIC BEACH
�0 .. r' ISSUED: 12/4/2019
800 SEMINOLE ROAD
`-ra.. ATLANTIC BEACH. FL 32233 EXPIRES: 6/1/2020
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:
RESIDENTIAL ALTERATION
1555 SELVA MARINA DR RESIDENTIAL WINDOWS AND DOORS $21100.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171946 0000 SELVA MARINA UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
ECOVIEW WINDOWS OF 6950 PHILIPS HIGHWAY, #1 JACKSONVILLE FL 32216
THE GULF COAST LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
ARTHUR RICHARD 1555 Selva Marina Dr Atlantic Beach FL 32233
WORSHAM
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 455-0000-322-1000 0 $160.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $80.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.60
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.40
Issued Date: 12/4/2019 1 of 2
1),L.Ir RESIDENTIAL PERMIT PERMIT NUMBER
JS
`-_.' 4u" CITY OF ATLANTIC BEACH RES19-0351
ISSUED: 12/4/2019
800 SEMINOLE ROAD
`'slur _ ATLANTIC BEACH. FL 32233 EXPIRES: 6/1/2020
1
TOTAL: $246.00
Issued Date: 12/4/2019 2 of 2
olAu- , City of Atlantic Beach APPLICATION NUMBER
4s �` 0 Building Department (To be assigned by the Building Department.)
r "' 800 Seminole Road II cD
�.: s Atlantic Beach, Florida 32233 5445 `�ESL 9 -v 35
Phone(904)247-5826 • Fax(904)247-5845 liCi"...c It y? E-mail: building-dept@coab.us Date routed: 1 t / Z (.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 555 S &LVA IV 1,Ag1 i Department review required Yes o
�-- � � j
C„,,,Building f
Applicant: GGO V l Ek V V l N t io S Planning &Zoning
Tree Administrator
Project: ��) t IV uC)(/tom £ oOlZ.s 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:
APPLICATION STATUS
Reviewing Department First Review: I�j proved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: PI 1 _ Date: /2 ' 7
TREE ADMIN. Second Review: Approved as revised. ❑Denie . ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,09`471% Building Permit Application
._ 4 Ir, City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
°n Phone: (904)247-5826 Fax:(904)247-5845
Job Address: 1555 SELVA MARINA DR 32233 Permit Number: .EdS'. —536
Legal Description 27-6 16-2S-29E SELVA MARINA UNIT 2 LOT 12 BLK 3 RE# I .7 I °I zi(p —poop
Valuation of Work(Replacement Cost)$ 21,100 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door %N
• Use of existing/proposed structure(s)(Circle one): Commercial Residential W N,
U
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Z N
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal J I O .1
Describe in detail the type of work to be performed: a. U Z (-
Replacing 14) casements, 5)fixed casements, 4) picture windows, 3)2LS, 3) sliding glass doors size-for-size u; 1‘.--='
o ui
U W lio a
Florida Product Approval# for multiple products use product approvaitfptp c$ 0
Property Owner Information L Z X Z
Name: Richard Arthur Address: 1555 Selva Marina Drive V J OU 0
City Atlantic Beach State FL Zip 32233 Phone 904-422-7424CC F" H I—
CC
Z
E-mail richardwarthur@gmail_com -- uJ
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
t="1"
Lcc U }
Contractor Information W a.w 5 co
Name of Company: EcoView Windows & Doors f- `�' o
Address6950 Philips Highway, Suite 1 Qualifying Agent: George Beck u V ` a s
City Jacksonville State FL Zip 32216 y cc w
Office Phone Job Site/Contact Number9O4281-0067 iti wState Certification/Registration#CRC1330954 E-Mail daishia.snowdden ecoviewnl•l.com LC rr
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation PayChex insurance Agency 12/4/2019
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify tho r or- � Il'tl tp'/fi i--�
commenced prior to the issuance of a permit and that all work will be performed to meet the standard's o The reg at n L
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. � n n
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compiianct h2P19
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENFCBMENTTAWrtment
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPL ' y.c. i OU" T Di.Aha, FL
TO OBTAIN FINAN ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YONOTI OF COMMENCEMENT.
x
/1/ /4 7,7z.40,
(Signature •f , ner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this /Pi day of Signed and sworn to(or affirmed)before me this 18 day of
NaycM,iFR , x1)19 ,by /t�.romeo Aczywc November 2019,by George Beck
(Signature of Notary) Si:nature of Nota
c Ns Notary Public State of Florida .NT NotaryPublic State of Florida
Daishia Snowden +� Daishia Snowden
W ' My Commission GG 299381 y My Commission GG 299381
'
[ j Personally Known .:'%a Kdr Expires 02/07/2023 01 Personally Known OR Expires 02/07/2023
[ ]Produced Identific. [ ]Produced Identificati.
Type of Identification: ,OL Type of Identification:
OFFICE COPY
Aik
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA(*REQUIRED)
*Project Address: 1555 Selva Marina Drive,Atlantic Beach 32233 Permit#: k2-3/9 — v 3S/
*Owner/Project Name: Richard Arthur
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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:www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging
2.Sliding
3.Sectional
4.Garage Roll-Up
5.Automatic
6.Other
B.WINDOWS
1.Single hung
2.Horizontal slider Simonton 2LS Single Family Residential 5179.4
3.Casement Simonton Casements Single Family Residential 5177.6(Fixed)and 107.2
4.Double hung
5.Fixed Simonton Picture Single Family Residential 5177.4
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
12.Other Simonton Sliding Glass Door Single FamilyResidentia 7612.5
Page 1 of 4 Updated 10/17/18
Instr#2019086393 BK: 4833 PG: 1104,Filed& Recorded: 11/19/2019 8:33 AM #Pgs:1
Hunter S.Conrad,Clerk of the Circuit Court St.Johns County FL Recording$10.00 • OFFICE COPY
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE',
Permit No_ &s/9 -G 3s/ Tax Folio No, 1351107.0000
State of FLORIDA County Of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
27-6 16-2S-29E SELVA MARINA UNIT 2 LOT 12 BLK 3
Address afiproperty being improved: 1555 SELVA MARINA DR 32233
General description of improvements:WINDOW REPLACEMENT
Owner
Address 1555 SELVA MARINA DR 32233
Owners interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor EcoView Windows
Address 6950 Philips Hwy Ste 1 Jacksonville,FL 32216
Phone No.904-281-0067 Fax No.904-374-1836
Surety(if any)
Address Amount of bond$
Phone 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
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(I year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Sighed:_47/A,6 �a "���� DATEt��
Estee me this /"- ay"oT yrp,04-e ---- !n e
County of Dural .•113 of Flostda,has personally appeared 4 4.vr,
Notary Public State of Florida R..V C114{0 RAEW t herein by
Daishia Snowden l nfntsetf herself and affirms that ell siaL..-_: and decleratIons herein
j My Commission GG 299381 are amend aeturate
Expres 02107/2023
j0; /
Notary t'ulalc at Large,State or .re-'4- .County of O01/41.
My commission*Orem
Perscnal:y Known
Produced(den5hceti01i