1520 Selva Marina Dr ACC19-0090 Deck Repair rS' ''''% ACCESSORY PERMIT PERMIT NUMBER
�-�: CITY OF ATLANTIC BEACH ACC19-0090 800 SEMINOLE ROAD €
.`O i19'' ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020 ISSUED: 12/5/2019
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: I VALUE OF WORK:
ACCESSORY SINGLE OR TWO DECK REPAIR ABOVE GRADE
1520 SELVA MARINA DR
FAMILY ACCESSORY 12" 5000.00
TYPE OF REAL ESTATE ZONING: I BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171984 0000 SELVA MARINA UNIT 04
COMPANY: ADDRESS: CITY: STATE: ZIP:
SUNSHINE COAST 513 VIKINGS LN ATLANTIC BEACH FL 32233
CONSTRUCTION
OWNER: ADDRESS: CITY: STATE: i ZIP:
STRICKLAND BRUCE W 1520 SELVA MARINA DR ATLANTIC BEACH FL 32233-5614
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.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
Issued Date: 12/5/2019 1 of 2
1
,olAwe f ACCESSORY PERMIT PERMIT NUMBER
�
CITY OF ATLANTIC BEACH ACC19-0090
800 SEMINOLE ROAD ISSUED: 12/5/2019
ss 9 ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020
3 r PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $80.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $40.00
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.55
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $299.55
Issued Date: 12/5/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
(.1),J. ,
#: 4 Building Department (To be assigned by the Building Department.)
,=,. •s 800 Seminole Road ta ) •
_ .0
j Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
A. o E-mail: building-dept@coab.us Date routed: I ZZ
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I B Zc SeLvA il\) aio4 De artment review required Yew No
uild•
Applicant: 0 NDS H(EDC _n(-1S l Manning &Zoning
Tree Administrator
Project: Ecii RP -tR - public Worl
/ i . Public Utilities
O M P OSS(�E o Pt�� ��p,-BO�f G Public Safety
6, j O& 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:
APPL CATION STATUS
Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable
(Circle ��C""om_mnents: Q) n O6 . 0 11 t,)L. fl-C4.P".INAS 1A S fed id"
BUILDING
1v-ef1`t Re- , 4.,,,J1' nS ptecle �arcls 1
PLANNING &ZONING nr--Reviewed by: Date: /2- .)' 17
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ❑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
ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
3 rt"��r�n HIGHLIGHTED IN
" City of Atlantic Beach Building Department GRAY IS REQUIRED.
r
"V/07
800 Seminole Rd, Atlantic Beach, FL 32233
(J'''~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: A C I y - JO l°
❑ Revision to Issued Permit OR LJ Corrections to Comments Date: f 2/0q
Project Address: )57) cEm4' ,4 A iRivf_
Contractor/Contact Name: SVNsr,,vf CoAsf tc,'"f1*Ccylu,✓, /^'C. JuE /2v..01,1A,c,/f
Contact Phone: 9oy lOt. /0 ey Email: J0e e Cv^sh-4k' t0957-inc• CO M
•
Description of Proposed Revision/Corrections:
APDE4 AiQvESrf_0 SvtvE;-- lii N S ,T[ rv/Lim(4, 1
of DEci< ,
I J d ievet Aix/`i�< affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Millroposed revision/corrections add additional square footage to original submittal?
LI No ❑ Yes (additional s.f.to be added:
• Will oposed revision/corrections add additional increase in building value to original submittal?
o ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due a 4041.'
Revision/Plan Review Comments
De .arimett Review Required:
Building
ing Zoning , Reviewed By
= wee Administrator
Public Works
Public Utilities ` y�
Public Safety Date
Fire Services Updated 10/17/18
�,rs'-''�%;� Building Permit Application OFFICE COPY Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
��ur:U� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us /� �
Job Address: ISL() S t.LA t'1' i 1.ti A Q�c.' i Permit Number: t\ CCt q - bc)9 b
Legal Description 3 a - Z 0�:" •S-zyt jf i.vl4 194/1 1v UGIT '( Lor 7 RE# 17H qg 1 - Cod o
Valuation of Work(Replacement Cost)$ 5;4'03 Heated/Cooled SF i'f//q Non-Heated/Cooled /-74
• Class of Work: ❑New ❑Addition Alteration L1Repairyy❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial L(Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes L°1No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) (T�`f'lo
Describe in detail the type of work to be performed:Ott f 1„6 f/4 i, , f x'r.ri'''','r i'=r. i' API- i,0 i. /2 ' 0 if (.)4,1a.,'.
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Florida Product Approval# ,/�l'!�`I for multiple products use product approval form
Property Owner Information 3 fi,l "'y PA(.."nv U 13�;odti A-1Gc/1'
Name 60i.d1i Q. A)/NN•A STie te/tz;lK/['a Address P; %J 5EL✓',4 i1/.4/4"1 61k..1 vi
City /t?r1_`#•"r)K elEi,4(Ix State ft. Zip 31 21? Phone 4J'/ 5-10 7 &
E-Mail 5 rr it/C br'v- f/gnri� yo„u.i.L:tri
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 0;,,,4-' IL
Contractor Information
Name of Cor9apany 5(;I''}if/A14: C°11-511.-d""/"."m"; d`4 Qualifying Agent J • P// /rt ,�C'vr'iil��/k
Address )i V/K0163 It-Mil'.;: City /}TL4"'trt 4,14/1010 State /'C Zip 3Z 233
Office Phone '1 ij tf Z-01 c. /4`$ y Job Site Contact Number 4I0 y. z.c F, . /U ?3' (/
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State Certification/Registration# L 17.315i C E-Mail _)1-)e e S v lSti,qe(0,Q 5r i n C• C o'i LLIU v
Architect Name& Phone# iv/A
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Engineer's Name&Phone# eyi c' g
Workers Compensation Insurer Co''U</ ( E'�c'C OR Exempt❑ Expiration Date /O// / .bt12 �,' O
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lat ibs0
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulenfin F-
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGsO E 8 8
WELLS,POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirementfAis4 a
permit,there may be additional restrictions applicable to this property that may be found in the public records of this countty,ari O Q
there may be additional permits required from other governmental entities such as water management districts,state agencips.ArLI-
federal agencies. G:' f— Imo.. Z
Z
0 &aOWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witiallu- ti-
applicable laws regulating construction and zoning. ® � ;5
�'t to
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Mce
m F= iu o u
RESULT IN YOUR PA G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTXND cc w
TO OBTAIN--F-I e 1 CI G, ULT WITH YOUR LENDER OR AN AAde,TT�,'I" Y BEFORE
RE • : IiGYIP ' N1TI�iE • OMMENCEMENT.
_ . A A
( ignature of•wn7 r or Agent) rii gna : - of Contractor)
Signed and sworn to(or affi ed)b:'fore uiI_ ra day : Signed and sworn to(or aff rm:d bef s22 ..y of
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S!.:L�ir City of Atlantic Beach APPLICATION NUMBER
s r* KBuilding Department (To be assigned by the Building Department.)
800 Seminole Road C3
�� ' r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
^\o;;t�� E-mail: building-dept@coab.us Date routed: I ZZ..-
City
ZCity web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 5 ZD S. ELVA 14\R-biol.-I- Department review required Yes No
:uildii. -
Applicant: ('NDS Hl OAC ( S ( elanning &Zoning
Tree Administrator
Project: P-,OR Works
Public Utilities
C O M P 05`re ®(���
/ ta "po PublicSafety
6, 0 e- 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: ❑Approved. enied. ['Not applicable
(Circle one.) Comments:
BUILDING Need rcti,
PLANNING &ZONING r
Reviewed by: � Date:
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ❑Not applicable
Comments:
1
Reviewed by: _Date:
Revised 05/19/2017
ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
HIGHLIGHTED IN
Til °, City of Atlantic Beach Building Department GRAY IS REQUIRED.
VV/jr-1800 Seminole Rd, Atlantic Beach, FL 32233 A
Phone: 904
247-5826 Email: Building-Dept@coab.us PERMIT ' C' I y - J° 10
❑ Revision to Issued Permit OR LJ Corrections to Comments Date: / 2/y/i/
Project Address: J $ZO cELDA ill/VI/1/A PRtvf_
Contractor/Contact Name: SV#''> ir,vf (o,q ST CoAivCvt >wz_ JOE /2V/14wci/c
Contact Phone: /(1 y • 10 r. /0 iy Email: Joe e Cv454;4e (0g5Tj.tc. t o
Description of Proposed Revision/Corrections:
APOEO ICF QvEsre0 Sv,Cve"-- t�ii H S ,7E /t9f4f v2i,01E�;1
of PEu .
I J t1 t 2✓^Aivt affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• V)/jWproposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added:
• Will oposed revision/corrections add additional increase in building value to original submittal?
o ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
De ar_tment Review Required:
Bili
t
m� Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities ( 2_ -
Public Safety Date
Fire Services Updated 10/17/18
1�S,.Ly; City of Atlantic Beach APPLICATION NUMBER
�s. Building Department (To be assigned by the Building Department.)
800 Seminole Road NOV 2 5 2019 -
• Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 zZ
„r j o' E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 S zD SELVA
0\Pte-U0 De artment review required Yes No
uildi
Applicant: ('poS(—ktCCDPI-S ( lanning &Zonin
Tree Administrator
Project: EPA RPf-tR.. — • • •
Public Utilities
0 ty, P CSS(-ye. o pri2:b / (Z `r r6ovr E Public Safety
` �QO 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: lVApproved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING i d� /• /y
Reviewed b • , / AVAk Date: .2
TREE ADMIN. Second Review: ['Approved as revised. Denied.
❑ pp ❑ ['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
NOTICE OF COMMENCEMENT
rtot-104 i ,_.7 1 /...,
•
State of Tax Folio No.
r�
County of 4�ui,Ai"
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: 30- 2. g -- ‘ c; — 2 5 2 9Z: c fl-0144- AAA/NA 1)N1r
N Lo r 9 !stuck `
Address of property being improved: /5—243 CCLvg iign,/vfl M , 4,5,1t 32233
General description of improvements: f ICk A4 MA
Owner: g:'vcC Q f/(S1VA ST21c/c LAlddress: /S O SEUvA /'"4/4./4 The 4die 7??
Owner's interest in site of the improvement: OvV ##
Fee Simple Titleholder(if other than owner): fijn`
Name: 9 /
C / I 0 L (1/1-44C&
Contractor: )��S Nlti� C o/� 5% C v•,�sj��,c TIUti iZ/f^.
Address: c73 p I//k/`'GS LA�6 /3� f. 3 2233
Telephone No.: /° V 2 /08't Fax No: AM
Surety(if any) /f//,��/ /.1"'?
�1�
Address: /' , z Amount of Bond$ l"�/� _
Telephone No: Fax Fax No: /�
Name and address of any person making
maaking a loan for the construction of the improvements
Name: /re.
t/
Address:
Phone No: Fax No: Aj4
Name of person within the State of !ori a, they than himself,designated by owner upon whom notices or other documents may
be served:Name: ��
Address: Fax
//f
Telephone No: SC 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. (Fil ,97ner's option)
Name: ���V
Address: /7/4
Telephone No: Fax Fax No: 'tfri4
\fJ
Expiration date of Notice oficement(the expiration date is one (1)year from the -'
date of recording unless a different c s`
.
specified): t
N
THIS SPACE FOR RECORDER'S USE ONLY OWNE• ,j
..
VDoc#2019270621,OR BK 19015 Page 27, Signed. I Date: i l I a� 1 z
Before me this ; say of loll in the Country of D val t> e
Number Pages:1 1
Recorded 11/22/2019 12:55 PM, Of Florida,has personally appeared 1 (U_.�-L (.J 3)'1ntG1e i lttY\ Tn' c a -o =
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,Count of Duval. Ti' a c
COUNTY My commission expires: 111 - 30- 2 1
RECORDING $10.00 Personally Known: ��,�� �-. _ or
Produced Identification: �j1tr_�:�g�. .—_
tiorivw PV8LIL si 0vft v'r a / 0