631 and 635 Selva Lakes Cir (vault) r
CITY OF ATLANTIC BEACH
r J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
=� Ir 1�
Application Number . . . . . 06-00034313 Date 11/30/06
Property Address . . . . . . 635 SELVA LAKES CIR
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------------------------
Application desc
RE-ROOF
---------------------------------------------
Owner Contractor
------------------------
---------------
LEIGHTON, JAY & LISA PRINCIPLE CONSTRUCTION, INC.
635 SELVA LAKES CIRCLE 3119 SPRING GLEN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 398-3525
------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 48 . 50 Plan Check Fee . 00
Issue Date Valuation 3700
Expiration Date . . 5/29/07
Fee summary Charged Paid Credited Due
------------------------
----- ---------- -------
Permit Fee Total 48 . 50 48 . 50 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 48 . 50 48 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�s I CITY OF ATLANTIC BEACH
r PLAN REVIEW SHEET Routed to:
D.Hufstetler
Building Department Public Works&Public Utilities Departments S. Doerr
1200 Sandier Lane R.Carper
800 Seminole Road Sandpiper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. KaluzniakPublic Safety
(904)247-5800 (904)247-5834
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVIEW COMMENTS
Permit Application#
Property Address X035 ��i�il�i¢ -5
Applicant: i iv iyf'r C�Dn�SrpcL�,r1 D/II -�/
Project: d F
This permit application has been:
Approved as noted by the Department.
Final application approval must come from the Building Department.
El Reviewed and the following items need attention:
�p0 . DO
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public orks and Utility information at top of page,
failure to notify the o rect department may delay your permit from
i
beingissued.
Reviewed By: Date:
Date Contractor Notified:
Page 1 of1
t
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: i
PLFA.SF.SUB,NIT(2)COMPLETESF.TS OF PRODUCT APPROVALS AND IIVSTALLATIONINSTRUCTIONS
WITH APPLICATION.
Job Address: G3S SP/✓d �� 3 `'= /� �`—�" �L
Owner of Property: 'T_� � .�.Sc; �F/
`/,, _- .Telephone: zyj-j9 93
Address:
Con tate License Numbet-`lL"lOSs�
Conactor's Address: S % i> / .�//O
tr
Telephone: _S'F_l - Fax:
Scope of Work: ze AOOr _
Deck Slope: -9-,I.L Greater than 2:12 S/.'/L Less than 2:12
Valuation of work: -
Product Name(Example:Timberline): �'.�1 SAW16e&7
Manufacturer(Example:GAF): &A9
ASTM Designation(s):,Q � /I"! O /R3• —
Required Inspections: Sheathing and Final
Signature of Owner:Y Date: " f�• �4�
AS TO OWNER: ss11
Sworn to and subscribed before me this //✓ day of y
-- -
,ate of Florida.Cotrr\ of Duval
oAlP"r Pup. E.Leon Stephens,
Jr. '.Votary's Sign —
2 *Commission#DD423083 Personally know
ires May 4, 2009 produced identification
A Bonded Troy PeVn•i�sur°nce,enc Wo-V5.7019 c,ide ification produced
Signature of Contractor Date: /,z
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of `1 ___.2010(
._
State of Florida.County of Duval
Notary's Signature:
SMIRMLI L.C,RAHAM
♦ "�s�
t�Public-Stele of Florida ❑ Personally known
_. 3uty Commission Expires Feb 14,2010Toduced identification Type of identification produced
Commission#DD 518533
Bonded By National Notary Assn.
4u. minute Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 •hitp://ww-w.ei.stlantic-beach.n.us
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Page 1 of 1
f NOTICE OF COMMENCEMENT
State of Tax Folio No._I7•z�Zt� S.S�
County of !7c/.✓aj _—_-.__ __�
To*'hom 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 thi NOTICE OF COMMENCEMENT.
Ixgal Description of property being improved: c3
Address of property being improved. --_--
General description of improvements: Are__lfl'R4-
Owner: 1 )4, Address:
Owner's interest in site of the improvement. zoc�,
Fee Simple Titleholder(if other than owner): ' __--_-__— --__- ._.---------
Nam- _ / _-----
Contract or�X04j— ._ rtn�o 1 .—� T, ,iH�l�/i�'
-- �
1 Address:
n(A Telephone No.: a Fax No:
Surety(if any)
Address: Amount of Bond S _
Telephone No: _-_— Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: �17G.-- - ------ -
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: At/ix
Address:
Telephone No: Fax No:
In addition to bimself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
'313.06(2)(b).Florida Statues. (Fill in at Owner's option)
Name: ,r/6 r2'/ -
Address: -----
Telephone No: _ Fax No:
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
signtd:lX
Before roc % _ of��_ a►�in the County oillursi,Sate
Doc#2006405339,OR BK 13657 Page 37, Of Florid as personalty apps i ed —
Number Pages:1 Notary Public at Large.State of Florida,Cbunn or Dui I.
Filed&Recorded 11/22/2006 at 09:45 AM, My Commission expires: \ )
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Personally Known:;D CRY�U�-E—Leotl Step.�ns,jr-20_ - *CommiSSiorr#DD423083-01 lJ
RECORDING$10.00 Producedldentiticanon: i._ _ 2009
'3 Expires MaY —
Fain- 800.3w7019of,kttmm.a my
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Principle Construction, Inc.
3119 Spring Glen Road, Suite 110
Jacksonville, Florida 32207
November 22, 2006
Ms. Shirley Graham
Building Dept
City of Atlantic Beach
800 Seminole Rd
Atlantic Beach, F132233-5445
Re: Additional required documentation
Roofing Permit
Jay Leighton
635 Selva Lakes Circle
Atlantic Beach, Fl
Dear Ms. Graham,
Attached find the Product Approval information and the Notice of Acceptance for the GAF Royal Sovereign
shingles, including installation instructions.
Hopefully this is what you need. If you need anything further, please let me know.
Yours truly,
E. Leon Stephens, Jr.
Office 398-3525
Fax (904) 396-4147 Mobile 631-6149
Certified Building Contractor CB C046757
Certified Roofing Contractor CC C056975
CITY OF ATLANTIC BEACH
! J 800 SEMINOLE ROAD
J
r ATLANTIC BEACH, FLORIDA 32233
F INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030277 Date 5/06/05
Property Address . . . . . . 631 SELVA LAKES CIR
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
- --- --- - -- ---------- - -- -
- ------- - ----- ------- -- -
WHITE, NATALIE SNYDER HEATING & AIR
631 SELVA LAKES CIRCLE P.O. BOX 16826
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 641-0600
--- -- ------------- -- -------------- ------ -- ----- ------------------- ----------
Permit MECHANICAL PERMIT
Additional desc INSTALL A/C & HANDLER
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
------------ ----- ---------- --- --- -- -- ---- - ----- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
BUILDING MATERIAL;RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
AY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
Up AND HAULED N
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
1(UI ING O CI
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
f
ACHOJ�A "IOZ566 Date: -'r;'.s-4;
Property Address: 6�i Sk.LVR LAW(& C&
Owner: NA-TA Lk( c,,jHi1F Telephone #:
Contractor: sw%o 2 t- Telephone #:
Contractor Address: ri,. /5cy iwL 5Ay,r, 3;l2wS Fax#: 4w-;3.2"
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
or site,list the building permit number:
Electric
❑ Gas: _LP Natural _Central Utility
❑ Oil
❑ Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
I/-/Heat Space _Recessed _/Central _Floor Residential
3 Air Conditioning:_ _Room _/Central
❑ Duct System: Material Thickness ❑ Commercial
Maximum capacity cfm
E3 Refrigeration O New Building
❑ Cooling Tower: Capacity gpm Existing Building
❑ Fire Sprinklers:Number of Heads /
❑ Elevator: __ Manlift Escalator (Number) PI Replacement of Existing System
❑ Gasoline Pumps (Number)
❑ Tanks (Number) ❑ New Installation
❑ LPG Containers (Number) (No system previously installed)
❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System
❑ Boilers
❑ Gas Piping ❑ Other-Specify
0 Other—Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
CUA �w/Llujo B/Ls..( .S u�
HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
l A 10 IILA
NIS if4 Nf'I/yDf '/!/L �L
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
800 Seminole Road•Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.stiantic-beach.fLus
t
CITY OF ATLANTIC BEACH
APPLICATION FOR PLU148ING PERMIT
JOB LOCATION: ��S SGL vA �-/aKES C��
�` 2417-57(06
OWNER OF PROPERTY: �/h� (.�/dl`TD TELEPHONE NO. �
PLUMBING CONTRACTOR 6R4WW)
CONTRACTOR' S ADDRESS : ��-Z 2�r /�'J �/� '�� '3Z4-77
STATE LICENSE NUMBER: Zfi�l / TELEPHONE: Y3 '1'���
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SH WERS
LAVATORY WAT HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
b�Tl��
REPIPE OTHER
TOTAL FIXTURES: x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE
CODE.
WTH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
I
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
- PERMIT INFORMATION -- -- LOCATIOttINFORMATION
Permit Number: 19653 Address: 635 SELVA LAKES CIRCLE
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 ,
Class of Work: IRRIGATION/DRAINAGE Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: Parcel Number:
Improv. Cost: --T , OWNEDINFORF&ATlO
Date Issued: 3/02/2000 Name: LEIGHTON, JAY
Total Fees: 25.00 Address: 635 SELVA LAKES CIRCLE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/02/2000 Phone: (000)000-0000
Work Desc: IRRIGATION SYSTEM
CONTRACTORS ; h - PLtC�i'1'lOt -FEE
u
GREEN EARTH IRRIGATION PERMIT 25.00
s �
Spec ions Re uire
FINAL
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" — — —
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION-OF APPLICABLE PROVISIONS OF LAW.
$25.00 14
45
Date; 3/02x'00 01
Receipt: 003866014
CHECKS
—&IC BEAC BUIL ING DEPT.
00100003221008
�
PSR-3844 /� � � � -y
� � �� /
~` ___________ __ .
` _-_ - _--_---_-__-
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address C . 3 _ r= V4
Date
Heated Square Footage �@ $ per sq ft = $
Garage/Shed �@ $ per sq ft = $
Carport/Porch @ $ per sq ft = $
Deck -
5 @ $ per sq ft - $ .
Patio $ per sq ft = $
TOTAL VALUATION: $ �.
� 0C ��'L�
Total Valuation 1st $ /1 ,000.60
Remaining Value k-0: 'per thousand
or portion thereof
TOTAL BUILDING FEE $ `
+ 1/2 Filing Fee $ -2- - O
( ) Fireplaces @ $15 .00 $ o
BUILDING PERMIT FEE $ '
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER '
SECTIO 7
HYDRAU SS u —y--
CROSS I J
OTHER
GRAND TOTAL DOE V�} Lu r4-T7
7
ADDITIONAL PERMITS OR FEES: M
270 0
Electric/New Electric/Ten r;
Septic Tank Well ion
Survey ; Other
CALCULATIONS and/or NOTES:
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__- _
CITY OF
Ouil�aing �n��pttinn
� ntPnt Southern Standard
f Section 109 of the
ents o m dance with the
re uirem as in cu }�
pursuant to the 9
This Certificate issued p issuance this structure nv
, that at the time of 011 140 certif yin use. For the f
Building Code cunstructionn or i
irnancc, regulating building o.
Bldg.permit
N
various ord'
Fire ict i�
Uu Classification -.
Type Construd,o^ -- t� 5
Address —�—
__— P �;�,
Group—
(,orality
wnu ------.._ti �J_
Oof Building —
By. 10
Building Address
pate:
ial
�—Buildmg Of0 •w* rt a cohsncuous
BUILDING, PLANNING AND
ZONI G INSPECTIODpDEPARTMENT
CITY OF A
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested: /U/7-/g O
Building Contractor:
Building Permit Number: 2 3 7
Address: , 3 j
,se/vQ G�/lts G'�re�.
Legal Description:
/�4 6-/Lk
erty have been completed
Improvements to the above described roit and is certified to be
in accordance with the terms of the perm
ready for occupancy as ^ � J � -------
Lowest Floor Elevation: ____ - -ate
required built n/a
Sales Tax Certificate: ----date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED:
DATE APPROVED: BY:
Fire Chief --------
---------------
Public Works ---------------
Planning Director --------------- ---------- --- ��
Building Inspector
A
ADDRESS J =�p ,`�--- -
Z;R: - ---------
CONTRACTOR- _ [�1y�---------------------------------
OWNER
BUILDINGMECHANICAL_____-_- PLUMBING-------
ELECTRICAL_ 5�(42_ TEMP POLE--------- MISC__-________
ELECTRICIAN_&L,A� _ _ --
DATE FAILED DATE PASSED
TEMP POLE JEA---------- ----------- -----------
FOOTING
----------- -----------
ROUGH PLUMBING
SLAB ----------- -----------
FRAMING
MECHANICAL/FIREPLACE
----------- -----------
TOP OUT PLUMBING
----------- -----------
ROUGH ELECTRIC
----------- -----------
FINAL ELECTRIC .cl/ �_ __s- �-T 9
FINAL BUILDING _jj �o� 3-7-9 9 _
ELEVATION SUBMITTED ----------- _-____-___-
CERTIFICATE OF OCCUPANCY _____---_-_
DATE ORDERED -3-j-0�___
DATE ISSUED -----------
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
permit No.
Date A.M. District No
Time P.M.
Received
Locality
o ddress
Owner Contractor MECHANICAL
Name ELECTRICAL PLUMBING
CONCRETE Rough ❑ Air.Heating & ❑
BUILDING ❑ Rough Wiring ❑ ❑ Fire Place
Framing ❑ Footing ❑ Temp Pole ❑ Top Out Fire Place
Re Roofing ❑ Slab Pre Fab
Lintel ❑
�
READY FOR INSPECTION P.M.
Thurs. Friday n/
Wed.
Aon. Tues. A.M.
P.M.
Inspection Made Fin
inspector Certificate of Occupancy
Date
CITY OF
Office of Building Official
/ REQUEST FOR INSPECTION ODGT�
sPermit No.
Date
A.M.
Time p is 'q[NO.
DJ
Received
Locality
Jo ddress r
Owner's �� Contractor
Name MECHANICAL
BUILDING CONCRETE ELECTRICAL PLUMBING ❑ Air.Cond.& ❑
❑ Rough Wiring Rough
Framing Footing Heating
Re Roofing a Slab C Temp Pole C Top Out ❑ Fire Place Cl
Lintel ❑ Pre Fab
READY FOR INSPECTION P M
Mon. Tues.
Wed Thurs. Friday
A.M.
P.M.
Inspection Made
Final Inspection E]Inspector
Certificate of Occupancy
�� Date
(ttrutt
' ratt of
CITY OF
data & .
rttttx~xmpn# of +�utldtng Jn��rrtimt
r Section 109 of the Southern Standard
This Certificate issued pursuant to the requirements of
that at the time of issuance this structure was in compliance with the
Building Codecertifying For the following•
various ordinances regulating building construction or use.
Bldg.permit No.
�IN�L�', FAPtIIY �TI,A�ITIC r , --
Use cussification- ;IRA IF, Fire District_.
Constnsciion�—'
Group------- iA INC,��Address-- ^ G
nT_.1 CF• ;
wner of Building locality
ptr
C F (tom}k,�;k,-
Building Address
Buil ing Riaal
POST
IN A
CONSPICUOUS P"C[
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested :
Building Contractor :
Building Permit Number:
Address :
Legal Description :
Improvements to the above described property have been completed
in accordance with the terms of the per it and i 'certified to be
ready for occupancy as
Lowest Floor Elevation:
---------- ---------- ----------
required as built n/a
Sales Tax Certificate:
-----------------------
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY, THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED:" BY:
Fire Chief
---- --- ------ --------------- ---------
Public Works
Planning Director
Building Inspector -I V?-Vik� OX4
f DEPARTMENT OF
BUILDING
a CITY OF ATLANTIC BEACH,FLORIDA Q
PERMIT NO.._aB_'6
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON dog
Date 4570+313 T
19457*5nCKT
+ Valuation$ 110 804.00 _$7 679 l A 7/13/$
Fee$ 457.50 98326 •'1CCA
This 679 ! A 7/13/6
permit not valid unto
above fee has been paid to City Treasurer,and is
subject to revocation for violation of a 1 NO
pplicable provisions of law,
This is to certify that Re hani
1 1112 Third St. # y ,Inc
9 Ne tune Beach
has permission to build C 32233
pl ex
Classification New Residential
Owned by RGM pZone PUD
ro erties Inc.
Lot 81 f 82
House No, 631-635 Selva Block U----------_ nit_ S/D Selva
Lakes Circle Lake I
According to approved plans which are
part of this permit
NOT
AND
FOOTINGS CONCRETE FORMS
SPECTED BEFORE POURING. IN-
PERMIT VOID SIX MONTHS l
��� �_♦ AFTER DATE OF ISSUE
Z Building material, rubbish and debris I
—I from this work
space,
not
in publics be Placed
P , and must be cleared
IP and hauled away by either con-
-tract,\ or owner.
FOR OFFICEBaud 8 official.
USE ONLY PERMIT
NUMBER DATE
TRA
PLUMBING CTOR
IELECTRICAL
ISEWER —_
WATER
I i
AW
A
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Fri
ai ro R1 sa313w
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w L_ 7V101
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aTaaT� saxgrj EATaS S£9-T£9
sax,eZ UATaS II 4Tufl Z8 $ TS 5401
T Jnr
00.0£S`Z$ (Q I `�1 d
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00'OLO`Z$ as oudm aal-BM
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££ZZ£ peag aunjdaN
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do 'kilo
----- -- PLU, B114G PL MIT 10
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT 0
A SO TEMPORARY ELECT.
gated Square Footage @ $ __per sq ft =
3 rage/Shed '4b 0 @ $ 10 °o per sq f t - $ aUO •60
irport @ $ per sq ft - $
)rches @ $ per sq ft - $
!ck @ $ per sq ft = $ '
Itio @ $ per sq ft = $
TOTAL VALUATION $
)tal Valuation Data 1st
mainder Valuation @ $ .37)per thousand
or portion thereof
TOTAL BUILDING FEE $
+ -1 FILING FEE $
FIREPLACE @15. 00 $ 60
TOTAL BUILDING PERMIT $ ,g/g, 7
- ------------------------------------------------------------------------------
JMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
�.CT. TE1•iPORARY $ ELECTRICAL PERMIT $
PER METER SIZE $ ACCOUNT NUMBER
1ER IMPACT FEE $
('ER CONNECTION $ (@10. 00 per fixture unit)
ROVED BY: �y ,5D TOTAL BUILDING/PLAN FILING FEE
17t).00 TOTAL WATER METER CHARGE $ UO
a670.bb TOTAL SEWER IMPACT FEES $ OO
Y�0•aT TOTAL WATER CONNECTION CHARGE $ oZ UO . UO
3 5 S MISCELLANEOUS CHARGES $ r
GRAND TOTAL DUE: $ �i �5� 9. �J
PLUMBING WORKSHEET
SINKS SHOWERS _ DISHWASHERS
o� CLOSETS BATH TUBS FLOOR DRAINS
' WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT �I J FS
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND _T
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (31 UNITI URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN Cl UNIT)
WASHING MACHINE RES.
,--,-T URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE- OPERATED
1 WATER CLOSETS, TANK-OPERATED (8 UNITS)
(4UNITS)
BATHTUB (W/OR W/0 OVERHEAD SHOWER STALL, DOMESTIC(2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
2 DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS @ $10.;00. EACH `d ID,00 9D6.00
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development :
--------------------------------------------
Flood Zone•
Required Lowest Floor Elevation:
---------------
If building is located within a flood hazard zone (Zone A), a
survey must be made AFTER THE SLAB HAS BEEN POURED, certifying
that the LOWEST FLOOR ELEVATION is equal to or above the base
flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement : I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances effecting the proposed development.
Date Applicant 's Signatures
----------------------------------------------------
Department Use ,
Required Lowest Floor Elevation _________________
As Built Lowest Floor Elevation
Survey Filed with Building Department ___________
-----------------------------------
Bui;ding Department Representative
page 3
BUILDING PERMIT WOR.KSNEET ELECTRIC PERMIT
.: TEMPORARY ELECT.
Ira ted Square Footage 5 @ $ er sq ft = $ J-3. 7�7,
S O
:arage/Shed per sq ft - $ pZ00. 00
arport @ $ per sq ft = $
orches @ $ per sq ft - $
leck @ $ per sq ft = $ '
atio @ $ per sq ft = $
TOTAL VALUATION $ '
otal Valuation Data 1st $
er ainder Valuation @ $ a.UUper thousand
or portion thereof
TOTAL BUILDING FEE $ Z10 , SO
+ k FILING FEE $ zs
FIREPLACE @15 . 00
TOTAL BUILDING PERMIT $ a3
-1 ---------------
!,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
;,eCT. TEMPORARY $ ELECTRICAL PERMIT $
1 ER METER SIZE $ ACCOUNT NUMBER
R IMPACT FEE $
'ITER CONNECTION $ (@10 . 00 per fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE
TOTAL WATER METER CHARGE
TOTAL SEWER IMPACT FEES
TOTAL WATER CONNECTION CHARGE
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $ / 4o
13 9 5-
13 -
PLUMBING WORKSHEET
SINKS SHOWERS L DISHWASHERS
BATH TU
CLOSETS � -T-
----„ BS FLOOR DRAINS
WASHING MACHINE WATER HEATERS _ DISPOSALS
/ LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT I�y� 3SO /, D O
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS- THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM,
1 0 BATHROOM GROUP CONSISTING OF •2, LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS)
(3 UNITS)
DRINKING FOUNTAIN (11 UNIT), URINAL, WALL LIP
FLOOR DRAIN Cl UNIT) (.4 UNITS)
J WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, TANK-OPERATED
WATER CLOSETS, VALVE OPERATED
-,----
(4UNITS) ($ UNITS)
BATHTUB (W/OR W/0 OVERHEAD SHOWER STALL, DOMESTIC
SHOWER) (2UNITS) (2 UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) —T (2 UNITS)
o9- DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS)
3 KITCHEN SINK/WASTE GRINDER
(3 UNITS) - _...
TOTAL FIXTURE UNITS @ .$10-,,00. EACH ` �G @�0•ao �GD,dO
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
39 SbL.VA LAcLes GR.
Owner � o�EJ�ZL _�x_ __Address F}"L4s��r?��_t�_ c I ___ _phonee- 7.
Architect JA,I-':f_L�&-L-,„E__ Address_/.irI_?'_, � e_zipLyJo phone,�c1_7_y.T2
Co,ntractorl&y1��,��y ��Address� ,t►_ zip _phone 2y/-4{f
Contractor 's License numberjLtl{ ....expiration �a
Lot__'Z1...Block or Section---------Subdivision...............Zoning........
Street-------------between and side
___________
Type Construction.... ---------No. Units----------No. Fireplaces___________
Purpose of Building---------------------------Est. Valuation $--------------
Utility Method - Water_____________ Sewer
Dimensions - Building--------------Lot-------------Size Footings___________
Sz. Piere------------
Sz. Sills-------------Greatest Span Sills...............
Sz. Ceiling Joists---------Distance on Centers---------Greatest Span_______
Sz. Floor Joists _________Distance on Centers---------Greatest Span_______
Sz. Rafters _________Distance on Centers---------Greatest Span_______
Method of Heating-----------Solid or Filled Ground____-------Roof__________
Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3
In consideration of permit given for doing the work as described
in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications, which are
a part hereof, and in accordance with the building regulations of
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-way and to clear, clean, grade, and
drain said right-of-way to City
specifications.
Signature OwneDate
Signature C tractor 1/, ;.., _� �L� ._Date_
Jr T
page 2
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development :
............................................
Flood Zone:
Required Lowest Floor Elevation:_______________
If building is located within a flood hazard zone (Zone A), a
survey must be made AFTER THE SLAB HAS BEEN POURED, certifying
that the LOWEST FLOOR ELEVATION is equal to or above the base
flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement : I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances effecting the proposed development.
Date_ _�/ _� _ _Applicant 's Signature_ __W 4r
Department Use
Required Lowest Floor Elevation _________________
As Built Lowest Floor Elevation _________________
Survey Filed with Building Department ___________
-----------------------------------
Buihd3ng Department Representative
page 3
!w
UTILITY SERVICE AGREEMENT
(Water and Sewer)
THIS AGREEMENT entered into this 26th day of June
198 , between the City of Atlantic Beach
a
Municipal corporation, hereinafter called "City", and
Reyhani , Inc/RGM Properties a
corporation, its successors and assigns, hereinafter called "Developer".
W I T N E S S E T 11 :
WHEREAS, Developer owns land in Duval , County, Florida,
more particularly described as Selva Lakes Units 1 II III
refer to acreage, plat engineering
drawings, or legal description as Exhibit A
and
WHEREAS, Developer plans to develop said land by constructing
,prx. 100 buildings,* 'aprx.20C residences and/or other improvements
thereon consisting of' ' a Planned Unit Development/Townhouses
and
WHEREAS, City is the owner of water and sewage treatment plants and
water distribution and sewage collection systems in the vicinity of the
property described above; and -
WHEREAS, Developer desires that City provide water and sewage
collection service to said property and City desires to furnish same;
and
WIIEREAS, City is willing to operate such water and sewage
collection and treatment systems so that all buildings constructed oil
Developer's property by developer or by any person, firm, joint venture
or corporation holding by, through or under Developer may have furnished
to them and to their occupants water and sewer service subject to all
terms and conditions of this Agreement; and
WHEREAS, in order to provide water and sewer services to Developer
it has been or will be necessary- for City to enlarge and expand its
offsite water and sewer plants and facilities and it is the desire and
intent of Developer to contribute financially to the costs of building
such additional offsite water and sewer plants and facilities and to
reserve capacity in City's water and sewage treatment plants so that
City can provide service to .the Development without imposing a burden on
its existing customers;
NOW, THEREFORE, in consideration of the premises and other good and ,
valuable considerations and in consideration of the mutual covenants and
conditions hereinafter contained, subject to any necessary approval by
other governmental agencies having jurisdiction, it is agreed by the
parties hereto as follows:
I. Developer agrees that City shall have the exclusive right to
furnish water and sewer service to the real property described above and
hereby grants to City . this exclusive right . to provide water and sewer
service for all uses within all structures now or hereafter constructed
on the real property described above.
2. City agrees that after Developer has connected to the systems
Of City, City will provide at its own cost and expense, water and sewer
service to Developer's property in a manner conforming to the reasonable
requirements of public or governmental agencies or parties having
jurisdiction over City's water and sewer operations; provided, however,
that such service shall be in accordance with other provisions of this
Agreement, Including City's rules and regulations and rate schedules.
3. In the event that Developer or assigns fails to complete
construction of all improvements required to be built by Developer and
fails to pay all plant and service availability and other fees listed in
this Agreement within "six " " months from date of execution of this
Agreement, for any reason whatsoever, but through no act or fault of
City, this Agreement shall terminate and City shall be relieved of its
obligation to perform under this Agreement. Upon termination of this
-2-
Agreement under this provision, City reserves the rigl►t to negotiate
Wit], Developer a new agreement for any additional sums to be paid by
Developer to City as plant capacity and service availability charges,
fees or other charges based upon increases in tile: cost of living and/or
such other factors as relate to the cost of supplying water and sewer
service.
4. All taxes or charges imposed upon the property described above
by any governmental entity. or agency shall be paid . by Developer except
such part thereof that has been deeded to the City in accordance with
the te"I's of this agreement.
S. The rates charged by City for water and sewer service shall be
in accordance wit]► its rate schedule which shall be subject to change •
from time to time.
City shall have ti►e right to determine reasonable meter size
and location.
G. Developer will grant to the City, at Developer's expense,
adequate easements for water and sewer lines, for access to lift
stations and water stations and related appurtenances. Said easements '
shall be transferable. Developer will also furnish title evidence
@
satisfactory to the City that said easements are superior to mortgages
or other interest in the land, and Developer shall cause any such
mortgages to be released or subordinated to said easements. Easements
will also be furnished to provide for onsite water distribution lines,
including meters and sewage collection lines. Sites for lift stations
and water stations and related appurtenances shall be conveyed by
warranty deed i►1 fee simple by Developer . to City. Developer will
furnish City a warranty deed, title evidence satisfactory to City and
any releases from lien holders for any sewage pumping station and water
station sites as required by City. Developer Ile reby grants to City the
right to utilize any onsite water and sewage lines and systems to
provide services to properties other than Developer's property, provided
this does not unreasonably interfere with , service to Developer's
project.' Where Developer's property is adjacent to any state road
right-of-tray, City will be granted a 2S-foot easement along and adjacent
Lo gild SUILe road right-vf-way. Developer shall further graft to the
City, its successors and assigns, the exclusive, perpetual right,
Privilege and easement to construct, reconstruct, operate, maintain,
repair, replace, improve, alter, remove, relocate and inspect water
transmissions and distribution mains, sewer collection mains, sewer lift
stations, pipe lines, lateral lines, valves, connections and appurtenant
equipment over, across and under the Developer's property, including the
right to ingress and egress to each of the building sites on Developer's
Property which are served* by City. All such easements shall have a
width which is acceptable to the City.
7. City does not guarantee an uninterrupted supply of water,
or water at any particular pressure, and reserves the right to shut off
the water in its main at any time for the purpose of making repairs or
extensions of for providing temporary or emergency water supply. City
will not be responsible for any damage caused by low pressure or
interruption of service. Neither Developer nor any of its successors or
purchasers shall discharge into the sanitary sewer system water from
"non-domestic" drains including without limitatioll swimming pools, air
conditioning condensation lines, cooling lines or other discharge from
ally type of equipment. City shall not be obligated to furnish any water
or sewer service to any building w11ic1l is built On Developer's property
to which the City does not have access. The Developer hereby agrees and
warrants that the City will not be Held responsible for flooding
problems which may result from the failure of sewer line back flow
preventor valves ori Developer's property. The Developer hereby agrees
to hold harmless and indemnify City for all costs and damages resulting
from flooding due to .back flow preventor valve failure.
8. The construction and design of all facilities to be
transferred to and to be owned and operated by the City shall at all
times be subject to prior approval by the City and its engineers. City
Will provide assistance to Developer's engineers as to design and
construction requirements and must approve all plans, documents, and
construction requirements in writing prior to any construction being,
commenced. Callstructioll of all facilities will be performed by
Developer or its contractor. Developer will pay the cost of all such
construction. The Developer's engineer shall incorporate into the
Developer's engineering design, plans and specifications the applicable
standards and specifications of the City.
9. A. If the Developer modifies his development plans for
Developer's property wl►icl► would require greater water usage, greater
fire flows, additional water facilities, greater sewage flows, or
additional sewage facilities, than the water and sewer demands previously
approved by the City, then the Developer must obtain approval by tl►e
City for tl►e construction of such additional water or sewer facilities
which shall meet all City and governmental design requirements. The
Developer shall pay al.l additional contributions and fees as may be
authorized by the City's• service availability policy wl►ic)i is in effect
on the date said new agreement is executed.
B. In addition to paragraph 9A above, any other change order
between Developer and its utility contractor issued after City approval
of original plans must be approved by the City before the change order
is put into effect. .
C. City shall have the right to review the systems design
drawing and specifications to ensure that they meet the requirements of
the City. The systems design drawing a►.
specifications are to be in
accordance with the City of Atlantic Beach requirements unless otherwise
.specified by City or its engineer.
D. The City also reserves the right to approve the utility
contractors to wl►icl► construction bids are sent by Developer as well as
the contractor to which the award is made.
B. A representative of City or its engineers will be the
.inspector of the project along with the Developer's engineer, but City
reserves the right to final acceptance of the work and materials.
Neither tl►e City or its engineers shall be deemed the agent of any other
person in making such inspections.
10. After installation of the water distribution and sewage
collection systems serving the property described above and acceptance
thereof by the City, the City or its assigns shall then be the sole,
absolute and exclusive owner of the facilities of said water and sewer
systems whether located on, u►tder, above or outside of the property
described and regardless of who may have installed or constructed same
to the extent described below:
A. All water mains, pipes, valves and fittings and
appurtenances up to and including all meters shall be dedicated to and
will be owned, operated and maintained by City.. All water pipes on the
customer's side of the meter shall be owned, operated and maintained by
the customer or its assigns.
B. All sewer mains, manholes, pumping stations, force mains
and appurtenances, including service pipes in public right of ways and
dedicated easements, shall be owned, operated and maintained by the
City. Except as provided in paragraph 9C, all sewer lines on the
customer's side of the property line shall be owned, operated and
maintained by the customer or its assigns.
C. With reference to any blanket easements for multi-fiunily
projects such as apartments, mobile home developments, condominiums and
PUD's or for co►mnercial developments, all water mains to and including
the water meter, all sewer mains, force mains and manholes in such
blanket easements over private property allowing utility operations
shall be dedicated to and shall be owned, operated and maintained by the
City except that the full length of sewer services from the sewer main
or manhole shall be owned and maintained by the customer. All such City
lines shall terminate with a manhole.
U. Ey these presents, Developer hereby transfers to the
City, the title to the water distribution and sewer collection systems
to be installed pursuant to this Agreement, such conveyance to take
effect without further action upon the completion and acceptance by City
of said installation. As further evidence of said transfer of title,
upon completion of the installation and acceptance by the City,
Developer will provide. City *with , a Bill of Sale or Warranty Deed
describing all properties transferred and dedicated to the City by the
Agreement.
11. Developer shall pay the City upon. execution of this Agreement
tyre sum of ' lot
per water connection per
equivalent residential connection (ERC) as an advanced deposit to cover
engineering, plan review, inspection, test, legal and administrative
expenses of City in connection with this Agreement. Developer shall
also pay to City upon execution of this Agreement the sum of
10� per sewer connection per ERC as an advanced
deposit to cover engineering, plan review, inspection, tests, legal and
administrative expenses of City in connection with this Agreement. The
charges for engineering and legal expenses and for engineer's inspection
and plan review fee for non-residential units shall be based upon
estimated cost to City: Actual cost will be determined and a refund or
additional charge will be made for the difference between the advanced
deposit as calculated above and actual costs.
City agrees to provide water and sewer service to the
Developer's property in consideration for plant capacity charges, fees
and other charges to be paid by Developer as follows:
A. A water plant capacity charge at the rate of
$10.00 per fixture unit. Such charges shall be due and payable, as
provided in paragraph 12.
B. A sewer plant capacity charge at the rate of
onethousand thirty ,five dollars1 035.00
($_ ) , per single
family unit. Such charges shall be due and payable as provided in
paragraph 12.
C. A sewer plant capacity charge for any commercial
customers on the land as described above at. the rate of
Such charges shall be due and payable as provided in paragraph 12.
-7-
t D. A meter installation fee to cover meter cost and meter
istallation (but not including curb stop or meter box) according to the
City's service availability policy at the time of installation wllicii
currently is $85.00 per 3/4" x 5/8" meter
E. If available, construction .water will be charged to
building based on metered usage in accordance with current rates.
F. Hydraulic.share of main extensions - payment or refund.
1. Developer recognizes that water or sewer utility
service to the Developer's property.. is prgvided by the use of a mein
extension and other improvements constructed by a prior developer and
that Developer is obligated to refund a said prior developer'Developer's
share of the cost of said main extension or other. improvements.
Accordingly, Developer shall pay its pro rata share of the cost of said'
main extension or other improvements to City. Said pro, rata share shall
be based on Developer's percentage of the hydraulic capacity of said
extension or other improvements. For the purpose of this Agreement, the
cost of Developer's said hydraulic share shall be $
payable upon execution'of this Agreement.
2. With respect to utility facilities installed . by
Developer to which future developers connect directly, and .in
consideration for monies expended by Developer toward said facilities,
City shall refund to Developer, or Developer's successors or assigns,
solely from monies collected from said future developers, said future
developer's pro rata share of the cost of said facilities. Said refunds
shall be calculated on the basis of the hydraulic capacity and demand of
said future developer whenever feasible. The refund obligation of City
hereunder and the benefits to Developer related thereto shall expire-
five (5)
xpire
five5 � .
( ) years from the date of execution of this Agreement. Said
refund shall be made to Developer within sixty (60) days of the receipt
Of payment by City from .a future developer. Refer to addendum if
applicable.
G. Payment of service availability charges and other
additional aids in construction for—
'
at a cost of $
12. All charges to Developer shall be paid by Developer to the
City in accordance with the following formula and procedures:
A. The advance deposit for engineering, administrative and
legal fees and the inspection and plan review fee upon the execution of
this Agreement, a total of
and
B. Water plant capacity charge upon the execution of this
Agreement, a total of
and
C. Sewer plant capacity charge upon the execution of this
Agreement, a total of
and
D. Meter installation fee according to the City's service
availability policy at time of installation which currently is
upon
application for hook-up of individual lots, apartments, multi-family
lots or units; and
E. Construction water based on meter readings in accordance
With City's rate schedule; and
F. hydraulic share payment, in accordance with paragraph
11F-1 of this Agreement upon execution of this Agreement, in a total
amount of,$ and
G. Service availability charges and other additional aids in
construction in accordance with paragraph 11G of this Agreement in a
total amount of $ . . . • .
payable . . . . . . . . . . . .
If. Any plafit capacity charges, fees, or other charges due to
City are intended to assist in defraying costs as to offsite facilities . .
and in no way are to be considered a payment toward the cost of onsite
water distribution and onsite sewage collection systems which costs are
to be borne by Developer.
13. City agrees to connect individual buildings and structures on
the developed property upon application by the builders, plumbers or
individual owners subject to tine operating rules and regulations of the
City and payment of all fees and charges in effect on date of
application and compliance by Developer with all provisions of this
Agreement.
14. The charges, costs and fees for any separate emergency fire
protection water systems. for subject project will be subject to
negotiations between City and Developer. if buildings of more than two
stories are a part of the project, Developer shall furnish at its
expense water pumps and other appurtenances as necessary for pumping
water above.
15. All plant capacity and service availability charges, fees and
other charges as outlined above are based on normal domestic sewage
defined herein as containing not more than three hundred (300) parts per
million biochemical oxygen demand or three hundred (300) parts per
Million suspended solids. Whenever water which contains more than these
amounts is to be admitted to the sewers, both the City and the pollution
control agencies must specifically agree to the connection. An
additional charge will be calculated in direct proportion to strength at
seventy-five cents ($0.75) for each part per million of either
biochemical oxygen demand or suspended solids over three hundred (300)
parts per million. All such connections shall provide for a suitable
point for the waste to be sampled by the City or the regulatory
agencies. An additional charge equal to the pro rata share of any
additional sewage treatment plant costs above ninety percent (900)
treatment, and of the cost of any additional required outfall pipes to
may be required by City.
Developer shall have the right at all reasonable times to inspect the
invoices of the City in order to determine that said funds have been
properly expended by City pursuant to this paragraph.
16. Developer warrants that it is the owner of or the holder of a
binding contract to purchase the fee simple title of the real estate
described herein and further agrees to have all mortgages or other liens
subordinated to tl►e terms of the AgreemeInt and easements required herein
prior to any acceptance of the facilities by the City.
17. Upon application by owners, builders or their authorized
representatives, the City agrees to connect tl►e requested dwellings or
structures on the said property at no additional connection fee (i.e. ,
in addition to those provided for above in this !Agreement) , but subject
to the continuing operating rules and regulations of the City including,
Without limitation, the periodic payment of the water usage and sewer
usage charges in effect on the date of such applicatio►i or thereafter
reflected in tl►e City's rate schedule.
18. This /Agreement shall be binding upon and shall inure to the
benefit of the Developer, City and their successors and assigns.
Ilowever, in the event the Developer has not paid and delivered to the
City the plant capacity and service availability charges, fees and other
charges provided to be paid to the City by Developer under the terms of
this /Agreement, and all ease►nent and conveyances required by this
/Agreemer►t, their this /Agreement shall not inure to the benefit of the
successors or assigns of the Developer.
19. It shall be 'tl►e responsibility of Developer to locate for
builders any water and sewer taps or lilies necessary in conjunction with
residential or commercial construction.
20. Unless the damage to any onsite improvements are the result of
the negligence or willful act of tile City, its officers, or employees or
authorized agents, the owner or Developer ,of such property upon which
the damage occurs shall be responsible for the payment to the City of
such damage to City's property including all necessary and reasonable
repairs which must be made by the City or independent contractors
engaged by the City to effect such repairs. If the owner or developer
of the real property shall fail or refuse to pay costs of euch necessary
and reasonable repairs to cure said damage within thirty (30) days from
the sul>mi:cion tv tl►o ow►►er .of a stateme►►t' for such charges, the City
shall have a lien against such owner's or Developer's property
subordinate to those Bens created by or under agreements of record
Prior liereto, for the payment of such necessary and reasonable costs and
expenses for effecting such repairs and restoration to such onsite
facilities located upon the owner's or Developer's property. Notice of
such lien or claim on lien describing the real property and the amount
owed may be filed within ninety (90) days of the date from the last date
Upon which any such repairs or restoration were made by the City or its
authorized representatives. Thereafter, the City shall be entitled to
bring an action for the foreclosed under the laws of Florida.
21. Prior to final acceptance of the utility and other public
facilities improvements by the City the following requirements must be
met at Developer's expense:
A. if the property is platted, one copy of the recorded plat
shall be furnislied to the City.
B. "As built" drawings of utility improvement sl►all be
furnished one week prior to final inspection. "As built" drawings shall
be certified by a registered engineer with the cost being borne by the
Developer. TWO mylar and three printed copies of said drawing shall be
furnished to City,
C. 1111 lot corners s}►all be properly marked so that utility
company or its engineer can, upon receipt of "as built" drawings, verify
the marked water and/or sewer services as to location and depth. In
addition, for purposes of locating and protecting installed service
lines and valves Developer or his contractor shall mark each service
line and all valves with an eight (8) foot pressure treated wooden post
in the manner as sl►own on the design drawings and specifications.
Developer's contractor is required to install curb stop, meter box and
valve box on each water service and valve as shown on design drawings.
D. All water and sewer services and valves sl►all be marked
on the street curb by etching into the concrete or if no curbing is
available, a two (2) inch square metal tag is to be nailed to the
street 's pavement and painted as specified on design drawings,
L. Developer's contractor sl►all furnish a one (1) year
maintenance bond in the amount of 100% of tl►e cost of the facilities
installed. •11►e bond may be in the form of cash, surety bond or
r
irrevocable letter of credit, the terms of which will indemnify and save
i
harmless the City from any loss, damages, costs, claims, suits, debts or
demands by reason of defects in the workmanship or materials used in the
facilities discovered within a period of one year from and after the
date of acceptance by the City of the facilities.
F. A Bill of Sale for facilities from the Developer to City. ,
G. Conveyance of easements as required under this Agreement.
11. A deed fof ,any and all land on which lift stations or
water stations or other improvements if required by City.
1. The title evidence, mortgage releases and mortgage
subordinations as required in this Agreement.
J. For onsite and offsite construction provide City an
accounting of the actual costs (schedule of values) and releases of
llens from utility contractors in such detail as the City requires.
K. City shall have the right to refuse to accept title to
Developer's construction 'u I Iltil Developer's construction has passed
certain tests, including, without limitation, closed circuit television
inspection of the gravity sewer lines, witnessed by a City
representative, to determine whether the Developer's construction is
constructed in accordance with the approved engineering plans and
Specifications. Said tests may be performed at - least three (3) times:
the first test upon completion of the systern; the second test upon
completion of all building, roads, paving, drainage, and all
construction witl►in the right-of-way easement area of adjacent areas. A
third test shall be required if the City deems it necessary within a one
(l) year period after acceptance.
L. Letters of acceptance from the appropriate regulatory
agency for the water acrd/or sewer system, are required prior to final
inspection.
M. A copy of the certified water pressure test and force
main test as applicable.
N. The certification by the design engineer that the system
was constructed as designed is required prior to final acceptance.
0. Pump performance test oil pumping stations if applicable.
22. All notices that may or must be given under this Agreement
shall 'be in writing and shall be valid if mailed by United States
registered or certified mail, postage and charges prepaid from addressed
as follows:
To Developer:
+
To City of Atlantic Beach
City Manager
716 Ocean Boulevard
Post Office Box•25
Atlantic Beach, Florida 32233
IN WITNESS WHEREOF, the parties hereto have executed this Utility
Agreement the day and year first written above.
Signed, sealed and delivered
in the presence of:
Developer Witness
City of Atlantic Beach Witness
+
1.
t
— 14—
. .7 .
CITY OF _
-& - �
Office of Building Official
Date REQUEST FOR INSPECTION
Time
Permit No.
A.M.
Received
3 - P M
District
-
Job Address
Owner's
Locality
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING
FramingMECHANICAL
Footing _ Rough Wiring ❑ Rough C Air.Cond.&
Re Roofing C Slab = Temp Pole ❑„ Top Out
Lintel Heating
Final (7� Sewer
- Fire Place
READY FOR INSPECTION Pre Fab
Mon A(/I Y' Tues Wed. Thurs. A.M.
Friday PM
Inspection Made A.M.
P.M.
Inspector
Final Inspection
Certificate of Occupancy
Date
CITY OF
fi�'a�c �eac�-�Qancda � ,b
Office of Building Official 5 /S
Q�'7 REQUEST FOR INSPECTION
Date ���� U / Permit No._ M 1�
Time A.M.
Received P.M. District No.,
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing = Rough Wiring 4-� Rough - Air.Cond.&
Re Roofing Slab - Temp Pole C Top Out / Heating
Lintel ___ Final Sewer = Fire Place
READY FOR INSPECTION Pre Fab
t) i,n
Mon. Tues. ?? Wed. A.M.
�7`/�� Friday PM,
Inspection Made - 3 ��
Inspector Final Inspection
Certificate of Occupancy
Date
CITY OF /,or (' / � X 2-
4&iia &7&1 d,a
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received p.M. District No._
Job Address Locality
Owner's /✓�
Name - Contractor ' 1
BUILDING C ELECTRICAL _BING MECHANICAL
Framing ❑ oo Rough Wiring ❑ Rough Air.Cond.& ❑
Re Roofing ❑ Slab Temp Pole ❑ Top Out Heating
Linte Final ❑ Fire Place
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tu Wed. Thurs. Friday P.M.
Inspection Made_ I P M
Inspector Final Inspection❑
Certificate of Occupancy
Date
CITY OF
4&4#d o 13W4C,4-IIOUa 4
Office of Building Official
REQUEST FOR INSPECTION
Z:�Date p �� Permit No. v V '�
Time A.A
(� M.
Received ' rM. District No.
tes Got
Job Address ^ ��. Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing C Footing Rough Wiring ❑ Rough Air.Cond.& ❑
Re Roofing ❑ Slab Temp Pole C Top Out C Heating
Lintel Final C Fire Place ❑
Pre Fab
READY FOR INSP��
�� A.M.
Mon. Tues. ^� Wed. T Friday P.M.
Inspection Made
Inspector / 1 -�-+----� -_-- Final Inspection G
Certificate of Occupancy
Date
JOB #4762
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:
DATE: 19
IMPORTANT NOTICE: lK AS
ED IN THE FOLLOWING, WE
IN CONSIDERATION OF PERMIT GIVEN FOR DOING C WITHOTHE ATTACHED BPLANS AND SPECIFICATIONSCITY OF
WHICH ARE A PART HEREOF, AND IN ACCORDANCE W
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDAN
ITH THE ELECTRICAL REGULATIONS, CODES A
ATLANTIC BEACH ORDINANCES.
Wd-/<< "
ELECTRICAL FIRM: MASTER ELECTRICIAN IG A URE
ADDRESS: 6r -IME C� ` RFD-BOX-
NAME (/
BETWEEN:
BLDG.SIZE
RES.11 1 AFT. ( 1 comm.( 1 PUBLIC ( 1 INDUS. ( 1
NEW( 1 OLD ( REW.
1 l 1
ADDITION ( 1 TRAILER ( 1 TEMP.( 1
SIGNS ( 1 SO. FT.
-/ FEE
SERVICE: NEW('%! , INCREASE l 1 REPAIR ( 1
CONDUCTOR SIZE
AMPS l�S v COPPER ( 1 ALUM.
W VOLT RACEWAY
SWITCH OR BREAKER (.-
/ S AMPS
PH yr
EXIST.SERV.SIZE AMPS
PH W VOLT RACEWAY
SIZE NO.
SIZE NO. SIZE
FEEDERS NO.
TOTAL
LIGHTING OUTLETS CONCEALED
OPEN
OPEN TOTAL
RECEPTACLES CONCEALED 31,100 AMPS.
O.90 AMP3.
SWITCHES
INCANDESCENT
FLUORESCENT&M. 100 AMPS, OVER
FIXED BELL TRANSF.
APPLIANCES
H.P.RATING H.P. RATING
AIR OTHER MOTORS AMPS CELL HEAT: KW HEAT
CONDITIONING COMP.MOTOR
OVER PHS
0.11 H.P. VOLTAGE
MOTORS H.P. VOLTAGE PHS NO.
MISCELLANEOUS / N
TRANSFORMERS: UNDER 600 V.
OVER 600 V.
NO.
KVA NO. KVA
NO. VA. MA. MOTOR SIZE SWIT
NO.NEON TRANSF. CH FLASHER
EACH SIGN -'
FORWARDED
$ � S rC)
TOTAL FEES
JOB #4761
S
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
DATE: 19
TO THE CHIEF ELECTRICAL INSPECTOR:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING NC HEI
RK AS DESCRI13ED IN THE FOLLOWI
WE
ATTACHED PNS AND SPECIFICATIONS,
HERBY AGREE TO PERFORM SAID WORK IN ACCORDA
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY 0
ATLANTIC BEACH ORDINANCES.
ASTER ELECTR//ICIAN SIGNATURE
ELECTRICAL FIRM: M
/— ADDRESS: (D 3 " f3� ✓/9— (M��S C'i e.RFD�.—BOX
NAME
BETWEEN:
BLDG.SIZE
REW.
RES.( 1 APT. ( 1 comm. ( 1
PUBLIC ( 1 INDUS. ( 1 NEW (� OLD (
1 ( 1
ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( )
SD. FT.
FEE
,i
SERVICE: NEW INCREASE 11 REPAIR l l U v
1�1
AMPS COPPER 1 1 ALUM. ( 1
CONDUCTOR S12E /)
SWITCH OR BREAKER
!/ AMPS PH W VOLT RACEWAY
��
PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS
FEEDERS NO. SIZE
NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED
OPEN TOTAL
RECEPTACLES CONCEALED
OPEN TOTAL
31.100 AMPS,
0-30
S.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED O•tOOAMPS. OVER BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT
OVER
0�1
MOTORS
0-1 VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS:
UNDER 600 V. OVER 600 V.
KVA NO. KVA
NO. _ _ -
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
1
8828 I
DEPARTMENT OF BUILDING PERMIT NO.
CITY OF ATLANTIC BEACH,FLORIDA 97,50 T i
PERMIT TO BUILD 97.50CKT
THIS PERMIT MUST BE POSTED ON JOB 4961
June 26 19 87 932,8 100CAC
Date 4901 I Q 13/20/0 �
Fee$
97.50 1 n00
Valuation$
and is
This permit not valid until above fee has been paid to City Treasurer,
I
subject to revocation for violation of applicable provisions of law.
Co- liP 14 S
This is to certify that F {� fair Plumbin�_ ,I
has permission t
xmX install lurabin
New Residential Zone PUD
Classification jnC.
RMProperties,
Owned by k Un' Selva Lakes �
ILot_ 81 €r 82 BlocI
House No. 631-636 Selva Lakes Circle
According to approved plans which are part of this Per NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMITAFTER DATE OF HS
OF ISSSUE
is
O Building material,rubbish and laced
zi from this work must not be p I
in public space, and mustbe erecon
up and hauled away by
tractor or owner•
/ Building Official-
FOR
I
FOR OFFICE PERMIT DATE �.
� USE ONLY
NUMBER
PLUMBING
IELECTRICAL
SEWER
�I
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395 .
JOB LOCATION _ IR.
PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY n
LICENSE NUMBERS MP145 State RF0037503 '
OWNER RCM PROPERTIES_
BUILDING CONTRACTOR RGM PROPERTIES
TYPE OF BUILDING DUPLEX
--2 _S INKS 1 SHOWERS
7 LAVATORY 2 WATER HEATERS
2 BATH TUBS 2 DISHWASHERS
URINALS 2 DISPOSALS
5 CLOSETS 2 WASHING MACHINE
FLOOR DRAINS OTHER
25 TOTAL FIXTURE COUNT X$3. 50 + $10. 00
DATE 7 / 15 / 87 ICTAL A iOUNT $97 .50
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
v •
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BE
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
P
LOCATION Street Address: '
OF Intersecting Streets: Between c•�� R� And �t'hl�� �
BUILDING S5wA;-
Sub-division
II. IDENTIFICATION — To be completed by all applicants
on of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
nd specifications which are n
In consideration d standards
with the attaon plans a
of good practice listed therein.
Contractors ^^ f4,—��
Name of Mechanical Mester I T
Contractor (Print)
Name of
Property Owner
Signature of
Signature of Owner // \� Architect or Engineer
or Authorized Agent `
III, GENERAL I ATION
A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON GS
THIS BUILDING OR SITE?
.�Elecfnc
❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Oil
❑ Other — Specify
NATURE OF WORK
IV. MWHAN1CAL
EQUIPMENT TO BE INSTALLED
Residential or El Commercial
(Provide complete list of components on back of this form)
New Building
Heat ❑ Space ❑ Recessed KCentnal O Floor
❑ Existing Building
Air Conditioning: ❑ Room kCentrel I
❑ Replacement of existing system
Duct System: Material � "� Thieknesa�l.----
New installation(No system previously installed)
Maximum capacityc.f.m.
❑ Extension or add-on to existing system
❑ Refrigeration ❑ Other — Specify
❑ Cooling tower: Capacity g.p.m.
❑ Fin sprinklers: Number of head
❑ Elevator ❑ Manlift ❑ Escalator (number) FRemarks
IS SPACE FOR OFFICE USE ONLY
❑ Gasoline PUMPL
(number) (ReceivedI
❑ Tank: (number)❑ LPG containeK —(number)
❑ Unfired pressure vessel ed by Date
❑ biles
Permit Fee
❑ Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT city A rovfn�
Number Units Description Model Number Manufacturer (Tons)
L t
n <<
HEATING - FURNACES, BOILERS, FIREPLACES capacity
Description Model Number Manufacturer (NM)
Number Units _ C—
Ir
TANKS Serial =Ap=9
MW�y Nonan mks Type T Name of No.and
Contained Manufacturer
i
DEPARTMENT OF BUILDING
PERMIT NO. 8827
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD I
THIS PERMIT MUST BE POSTED ON JOB 5�•�f7 T I
June 26.19 87 3 .OQrK�
Date
Fee$ 52 d0 8327 •f nck
Valuation$ 5883 { A 9/09/fl
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that Ocean State Heat Air
has permission to bX
install heat air
Classification New Residential
Zone PUD
hI Pro erties, INC.
RG
Owned by Block Unit
II—S� Silva Lakes
Lot 81 4 82
House No.
631-635 Selva Lakes Circle
According to approved plans which are part of this Per I
NRETE FORMS
OTICE—ALL CON(
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
T AFTER DATE OF ISSUE
O Building material, rubbish and debris
----� —� from this work must must be ot be cleared
in public space, either con-
tractor
-and hauled away by l
Ztractor' Wner.
Building Official.
i
I CONTgAC}j.R
FOR OFFICE PERMIT DATE
NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH, FLORIDA
Approval by APPLICATION FOR ELECTRICAL. PERMIT
� 15 19��
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE: IBED IN THE
IN CONSIDERATION OF PERMIT GIVEN FOR DOING ANCAS DESCR
E WORK ATTACHED PNS AND SPECIFICATIONS,
CATIONSE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORD
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY 0
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
(()l (( e.� L l� S�U— ( .A&o:tS ��, RFD_ —BOX
NAME 1� DtOOd�ADD R ESS:
BETWEEN:
BLDG.SIZE
RES. ( 1 APT. ( 1
comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( REW.
1 ( 1
TEMP.(�[I SIGNS ( ) SO. FT.
ADDITION ( 1 TRAILER ( 1 '` FEE
SERVICE: NEW( ) INCREASE ( 1 REPAIR ( ) dp
CONDUCTOR SIZE
AMPS O COPPER ( 1 ALUM. L ) V
SWITCH OR BREAKER
a.�}l7 AMPS PH W VOLT RACEWAY
AMPS
PH W VOLT RACEWAY
EXIST.SERV.SIZE
FEEDERS NO. SIZE NO.
SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED
OPEN TOTAL
RECEPTACLES CONCEALED
OPEN TOTAL
31.100 AMPS.
0.90 AMPS.
SWITCHES
INCANDESCENT --
FLUORESCENT &M.V.
FIXED 0-100 AMPS. OVER BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0 OVER
-1 PHS
MOTORS H.P.
VOLTAGE PHS NO. 1 H.P. VOLTAGE
MISCELLANEOUS
TRANSFORMERS:
UNDER 600 V. OVER 600 V.
NO.
KVA NO. KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED 00
$
8
TOTAL FEES
CITY OF
13�-6;&14-t&
v /
f
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Data G�/ ((/ A.M. District No.
TimeP.M.
Recall
�SLocality �
Job Address �� �J —
owner's Contractor
Name PLUMBING MECHANICAL
CONCRETE ELECTRICAL Rough ❑ Air.Cond.& ❑
BUILDING ❑ Rough Wiring ❑ Heating
Framing ❑ Footing Top Out ❑ Fire Piece ❑
❑ Temp Pole G�
Re Roofing ❑ Slab ❑ Final ❑ Pre Fab
Lintel A.M.
READY FOR INSPECTION Friday---- P.M.
Wed Thurs.
Mon. Tues. / A.M.
inspection Made b
Final Inspection❑
inspector Certificate of Occupancy
Date
C��e��i�irtt��e n# (�rru�ttnr�
CITY OF
jarvar#mrnt of + nilding Jn �rriimc
This Certificate issued pursuant to the requirements o/ Seitu tulog a ihecumplia�c Southern Swith the
tandard
Building Code certifying that at the time of issuance this s
various ordinances regulating building construction or use. For the following. 8826
Re s i dent i s l Bldg.Permit No.
UseClauification Fra-
i>each
Type�st�1on-_ Fire District.
Group 139 Selva Lakes Circle
Owner of Building
Rf' 'rotierties Address-- Selva Lakes
,35 Melva Lake____s�'-'�°`=tity_.----- - -
Building Address_
Parch
Date:
Buildings a0(fi I
p{T IN A CONorlCUOUE PLACE
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT'
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested: March 10, 1988
Building Contractor: Reyhani,Inc.
Building Permit Number: 8826
Address: 635 Selva Lakes Circle
Legal Description : Lot 82 Unit II Selva Lakes
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
-___ Duplex
Lowest Floor Elevation: 16.S' -- ______--__
required as built n/a
Sales Tax Certificate: -----------------------
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY:
Fire Chief ---3L10188------
---- ------
Public Works _3110L88 ----------------
l� ✓
Planning Director 3/10/88 ___�___1-____ _
�a--- ___
------- 777
Building Inspector ___3/9/88
Tatifiratr of (frrupaurg
CITY OF
Xf4ft& k4ds � a
Dppartwnt of -43nilding Jnopprtion
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the followin,.
'?ew Residential Bldg.Permit No.
882"
Use Classification Atlantic Beach
,`, Coo ruction Fr��"'�Fire District..
Group �`- 439 Selva Lakes Circle
Owner of Building
,ICM ?�rOpertleS Address Selva Lakes___—
Building Address. 631 Selva Lakes 1tpcahty-- --
BY�---�— 1�8gi�
March 10,
Rene' Angers Date:
��—Building Official
Posy IN A coNspicuou8 rLAcc
r
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested : March 10, 1988
Building Contractor: Reyhani, Inc.
Building Permit Number: 8826
Address: 631 Selva Lakes Circle
Legal Description: Lot 81 Unit II Selva Lakes
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
_--__-Duel---------------
Lowest
-_Lowest Floor Elevation: 16_S'
---------- -------
required
---✓/required as built n/a
Sales Tax Certificate: -----------------------
date submitted ni
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY
Fire Chief 3/10/88
Public Works 3/10/88
3/10/88 00
Planning Director _U U__ -- ----
3/9/88_
Building Inspector ---
S1--7 ab, .
CITY OF 3
Y Office of Building Official r
REGIUEST FOR INSPECTION R�2�, Permit No. --
Date A.M. District No.
Time PM
Received, J
a I
62-,oZ, � 1 �K ie YFh'�✓ La � Locality
Job Address
owner's �(� (/Y1 Contractor
Name MECHANICAL
G
BUILDING CONCRETE ELECTRICAL UMBINAir.Cond.& C
Footing - Rough Wiring Rough Heating
Top Out
Framing — Temp Pole /
Re Roofing Slab y Sewer Fire Place
Lintel Final Pre Fab
READY FOR INSPECTION A.M.
edJ Thurs.
Friday�—P.M.
Mon. Tues p
Inspection Made
Final Inspection
Inspectorv/
Certificate of Occupancy
Date
,
`R CITY OF
716 OCEAN BOULEVARD
P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE 1904)249-2395
March 10, 1988
Third Floor
Pre-Service Section
Jacksonville Electric Authority Building
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are satisfactoryi
Permit #5567----631 Selva Lakes Circle
Permit #5568----635 Selva Lakes Circle
Permit #5685----448 Osprey Key
Permit #5561----435 Selva Lakes Circle
Permit #5274----527 Selva Lakes Circle
Permit #5427----551 Selva Lakes Circle
Permits issued to Adkins Electric Company.
Si rely,
Rene' j ngers
Community Development Dir ctor
RA/tb
cc: file
2V/--37
nn � CITY OF
Office of Building Official
/ REQUEST FOR INSPECTION
Permit No. �/-/
Date TTT A.M.
Time P.M.
Received
ocality
Job Add ss
Owner's Contractor _
Name PLUMBING
BUILDING CONCRETE ELECTRICAL _
Rough ❑ Air Cond. &
Footing ❑ Rough Wiring g ❑ Heating
Framing p Top Out
Re Roofing G Slab Temp Pole Final �-. Sewer ❑ Fire Place
Insulation F � na
, Lintel Pre Fab
READY FOR INSPECTION CPM
ues. Wed.
Thurs. Friday
Mon. 161
I � A.M.
P.M.
Inspection Made LAXFinal Inspection
Inspector Certificate of Occupancy
\/I Date
C-8'Y?CPnfi4 0�1
j CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 24195 Address: 635 SELVA LAKES CIRCLE
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 6/04/2002 Name: LEIGHTON, JAY
Total Fees: 25.00 Address: 635 SELVA LAKES CIRCLE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/04/2002 -..(000)000-0000
,.
Work Desc: REPLACE HEAT P NQENS� _
A ICATION FEES
CONTRACTORS _ G— _!SIT - 25.00
DONOVAN HEATING AND Al
>,
ry
�
a'` '"•" ,. ,fin' r y ,. ,� ' '
*Lw
F z "`µkt ✓ �+ ,,,i 'gK" .y g v r 'r,.'r ''E Z_ISZ7�zl�lw
.31
�! g, Axa �_V01M
4 04K_ w ,4,
51
...�
' � ::- m' ...., "_ ,._..._.,-.c- .• � k� ''fir' "y' Vit' '"'.Y,sn.�' t°
NOTICE'S INSPECTI'C UST BE REQUESTED AT LEAST 24 HOURS PRIOR TO 1NSP CTION
— —
BUILDING MATERIAL;�F2UBBISH AND DEBRIS FROM THIS WORK MUST NOT BE CED INP LIC SPACE, AND
MUST BE CLEARED UR.,AND HAULED AWAY BY EITHER CONTRACTOR OR ER
"FAILURE TO COMPL`VITH T.R TION L IMPROVE
TS,ES 'i' IN THE
PROPERTY OWNER PA -TMC FOR_,S IM _
ISSUED ACCORDING TO APPROVED N WH'Z ARD'PART„OF S p^ IT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISt LAIN
cr C Dann Tips: Oc k ws: 1
Dste: 6MM h lEeosipt so: 67!37
14 PEIt1fITS-11r1LDIN6 1 lQS.N
N11111Q?21�N
e
ATLAN C BEACH BUILDING 635
�L sm 157•46
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC 11"CH,FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant to complete all items in sections I, II, III, and IV.
I. '
LOCATION Slraef Add,.- 3
OF 10--ting St—fs: 11.1—nuM fi C —yd And s Q
BUILDING
Sub-dl.bion
II. IDENTIFICATION —To be completed by all applicants
In canra
idetion o! P-,-;f given for doing the rock e, described In the .bons stehm•nl we hereb
Y-9aij 1.
'Ih the atteclg,d plan and specification, which are • pert hued( and in •ccordence
of good.prectice listed lher i.. rilh the C fy o(aJacksonvto ille and standard,
NealContado
v�CenT
Nome ofBorate, Y/
Property O—r LIS(( Ie I
Signalvra !Orner Siq nature o!
w Aelhuhed Agent C, CD-7 ( Mchilecf or Englneo
Ill. GENERAL INFORMATION
A. Type of heating fuels g,
IS OTHER CONSTRUCTION Electric THIS BUILDING R TION
❑ 64s—C] U ❑ N4hra1 ❑ Coofrel UIIIHy UCTION BEING OON[O
❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
[3Other—Specify
IV. MICHANICAL SQUIPWINT TO SE INSTALLED NATURE OF WORK
((Frevide complete IIA of compomnh on back doff this"I A Residential or ❑ Commercial
Lli Hest ❑ Space ❑ Recanad fl Central ❑ Floor ❑ New Building
0 Nr CoAddionieq: ❑ Room Central ❑ Existing Building )`�
❑ Dect System: Mehr»( Thkhnaaa icement of existing system /l
Muimwa capacity c.f.m. u New Installation(No system previously Ins(sllod)
❑ Rdrigenlion ,y❑ Extension or add-on to existing system
❑ Coolinq tover: Capacity J( Other Spa Ify
❑ Firerprinki—: Number o/ hood.
❑ Have for ❑ Men1ift ❑ Escelaher (member)
THIS SPACE POR OFF=US&ONLY
❑ 648011.0 pumas (number)
(Reeafeed)
1_-) (number) Remarks
❑ LPG canhin.r+ (number)
❑ Unflrad pressure wanes
❑ Bollen Permit Approved by Data
❑ Other—'Sp-fy Permit Fe►
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
X4mber Unita Dssartpt
1A AWD
Lion Model Number Manufacturer A=
HEATING - FURNACES, BOILERS, FIREPLACES bpd
Number Unita Deecription Modol Number Manufacturer
TANES
S '
now 7RanE Naminal CapaclRj Type L"" Name of Serial AppsoVin�
and Dlm4nalooa Contained Manufacturer No. Y