2017 Duna Vista RES21-0265 Garage Door F.,___
RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES21-0265
ISSUED: 9/16/2021
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 3/15/2022
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:
2017 DUNA VISTA CT RESIDENTIAL GARAGE DOOR $0.00
WINDOWS/DOORS
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1624 SELVA NORTE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
FIRST COAST GARAGE 406 W TABOR DR JACKSONVILLE FL 32216
DOORS
OWNER: ADDRESS: CITY: STATE: ZIP:
WOLFEL JOHN JR 2017 DUNA VISTA CT ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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 CONDITIONSI
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
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$86.50
Issued Date:9/16/2021 1 of 2
//////t'''�' ` RESIDENTIAL PERMIT PERMIT NUMBER
/r In
/� '` RES21-0265
�I ."`:. _ CITY OF ATLANTIC BEACH
�P ' ISSUED: 9/16/2021
�� 800 SEMINOLE ROAD
oltil ATLANTIC BEACH. FL 32233 EXPIRES: 3/15/2022
Issued Date:9/16/2021 2 of 2
JOB C O PV REVIEWED FOR CODE COMPLIANCE
t-$"4:• BuildingPermit A lication
f
• City of Atlantic Beach Building Department REVIEWED
800 Seminole Road, Atlantic Beach, FL 32233 By Mike Jones at 1:50 pm, Aug 31, 2021
Phone: (904) 247-5826 Email: Build ing-Dept ,t3.us
lob Address. 201? rivaA t/1>ii, Cam. t- Permit Number RES21-0265
legal Desc.riptron ,yv- 37 09-PS - )!E • S(Ii NVfth Of/Twit) hof fp-7 Rix 1(ii -Atli
Valuation of Work(Replacement Cost)S 3,,„CD0 •
Heated/Cooled SF Non- ;, - r • 1E1.Y
• Class of Work L:New L. Addition i:_JAtteration Moatr C1Move C1Demo CIPool r:' +o* r2 0 2021
• Use of existing/proposed structures) 11Commercial )4esrdential
• If an existing structure,is a fire sprinkler system installed' :Yes ?ANo BY:
• Will treels)be removed in association with DtQJDsed orutect'L'Yes(must ,irbm.', seoarate T'iir Re! ova!Per rnIt10
Describe N dotal the type of work to be performed
3A4.11 1002 tq'/ilc"'121-
Florida Product Approval I 04023 • rDfor multiple products uie product approval form
Pr9RertY QINn rillf Mation
Name_ J 0tj'f W OLFS L Address Z.-01? ) PIIt ✓&4 CT
City pif(rn#(L 4t-k State ft' ZIP,,__ 'OtZ ) Phone I6(Q'1rr1200
E-Mail J 0"/W uL ( 0_€ hn?11.C.f,M
')wner or Agent(If Agent,Power of Attorney or Agency letter Required) 0 101•J _
ttuktor Mtormgic#n
lysine of Cvmpariy �.`` "f- avail" e Ivo n:r fluatifying Agent irO, � J C.k. ft
Address Y05-7 i4t r' d' 4i City a' t tate f Zip „Laid
Office Phone K/-)t..4-yl/o1 lob Site Contact Number - d
State Certification/Registration• E-Mail re c% c OAn a(b/a,
Architect Name& Phone M
Engineer's Name&Phone I_f E nk _
Workers Compensation insurer _ OR Exempt tellirpiration Date ( f
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation ha,
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
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. NOTICE In addition to the requirements of this
permit,there may be additional restnctions 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
OWNER'S AFFIDAVIT I certify that all the foregoing information is accurate and that all work will be done in compliance with art
applicable laws regulating construction and zoning
WARNING TO OWNER! YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO tNEY BEFORE
RECORDING Y UR NOTICE C MMENCEMENT.
_ ,_ -- .
(Signature of Owner o r°•+i, (Signature of ContractorI �j�j
tititted and sworn to(or affirmed)before me his d y of S,ned and sworn to(or affirmed)before t _.7 day of
�A 5f ,. a ,by I _ 141AjN5-I_ aa-11... .60 _ go .4.4., -; / ,;4-
!.S _, ', -- �.:. ti BAAIAlITliAPERftON
;:d'� i: PERRON :4: '1, MY COMMISSION t GG 253947 i ;�
441,// ; its :.; MY COMMISSION O GG 253917 :• .' EXPIRES:September 10,2022 I '4
Personalty Known OR %jam o�8f "'VIES:September 11° ! I Personally Krwwn Oft ,n° ' Banded Thou Ndary Public Underwriters t'
t 1 roduced Ile htifk:atron.� " _ x1 Produ ed kt•ntAaatior,
type of identefrcat.oft ____ __ f y�::t identificatron /vers 6)L t i_1
JOB COPY RES21-0265
NOTICE OF COMMENCEMENT
State of c�/av Tax Folio No. 1 di 1e, `X61 Y
County of Oc.'14
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 COMMENCEMEN .
Legal Description of property being improved: 4O--37 C79_ 2 "elc7`L , Se hici i(hs� e1
Address of property being improved: .2L of 7 Ooii (/�
General description of improvements: A/( j,r cIaa.s
Owner: L)P(in i'4I rL/ Address: .7-O7 atiq ast C L /-
Owner's interest in site of the improvement: _
Fee Simple Titleholder(if other than owner): _
Name: /6, w
Contractor: "1�r�- 1�'t' Gc ces e al7or•
Address:
Telephone No.: q04-7.24-4(1 0 i Fax No:
Surety(if any)
Address: 41-0 r TR b v.^ J ' 6-" Amount of Bond$ _
Telephone No: yo"{-?at-duo 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:
Telephone No: Fax No:
In addition to himself, owner designates the following person tc Doc#2021216731.OR BK 19672 Page 865,
713.06(2)(b),Florida Statues. (Fill in at Owner's option) Number Pages:1
Name: Recorded 08/20/2021 11'19 AM.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
Address: COUNTY
RECORDING $10.00
Telephone No: Fax NC
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
1
Signed:
ki/tA/
- '�7� 2OaDate: 43
/-i
Before me this day of 4 b(5/A in thnC f Duval,State
13MUNTNAP�ON Of Florida,has personally appeared ja /1 per• emycouliss10NIOO It Notary Public at Large,State o Io ida,Ccw ty of Duva
t ^y.• �WIREkinta� pulic My commission expires: /' /c,�
Personally Known: or
cS; S n Produced Identification: