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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 ttn ilea I c,ron t a 909S-LIVZ-406 Sweisl(S uollewjo}ul e££e0 90 90 PO P%20Documents.EML/1_mu... 10/6/2006 https://owa.woodgroup.biz/exchange/Jay.Leighton/Inbox/Roo 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 swelsAs uoiletwo;ul els: 'G 90 cn 1aCll https:Howa.woodgroup.biz/exchange/Jay.Leighton/Inbox/Roof%2ODocuments.EML/1_mu... 10/6/2006 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: Y + k ' F# _ f ti .A•a l+j.A'.r,' �fl,.a 6�1 i w rlC •'"�.,�� . is t7� -r 4.e T 12 T Za.1 . ! ' = . 'k l:c, c? s; a • �[2—�'- ,._ -TEL Y4 A.CTAa•Wil_ GL.�? LAIC✓ Contractor: /-G= e7L :gelSA�✓l�G� . PF Address: .S_L - _?j O Doss.=r .kze t,•oxlt to iae t7jtr1 : p�t/1Titut7' e 6fti o SOT �t f 55,,cci A� ar ValV`"1 A.r .$1F1 Sd.. ��+'~� V 1C�. �'•=Rl A7,•, �.,.,� }/T\. ' ,nom..-w _r'..w.•-+-... ?•,n t 's., :' tF,�a.• P.rcz th_ •dimonsions of tithe added space: . - . , -. •.iA � the Zdded area r 10 � 4+ , �W-944n9 fiIttmro&+ 4Jk4 T Ste' p,.o `?• �SU IT Ts`SWE,.t.2 COMPT,PIr'.P„^'-. SETS 0T, .Pnr�A�l'i,�? .: W"I RGY C0Dz x={J,►�I B, him Q--INS R/=�`I'-TU.C`l2pR , IF U;IN It-g a. 01 jf lS'.A: = DFAt.u: Signature CONTRACTOR: azg Date : w ID pR0 w 2 ,11995 Building. and Zoning t 7 , �11i1•� ryw�e, � , ti r a n =:U1't 0 't+ DONNA JA'MESK`r 9 u J 1. ". �. '+.TiAr'�•iupbl}5^twt/+::4gL'nAC154RW1CY11�^i����i#w!e. u Y2.M`-.T .•' -•':i:�(a{G�.Y•:.w.ds'aP'-:.:aa.�wfws�„#rYs'/.'10/. -�:4 Yt3..:... '.'�L:',".i".::.-.':' Fir ° '�°." IV �y !F!'s v^�n F¢erj ! + e�R,4 '� 4,' +^ '—+ r ,.•;, Gr! � S k �S ': 6 d .A a.l� .F .`,�.:P a_.��- ' 6.� `,.. n ► H we . •-,..�'�d~ F 1 r��IA LAKES UNIT TWO, AS RLCOI2DED IN t'I,1',T DOW" 4 3 , 1'l1.G S 1 1 , i IA, 1 'lB OF `L'1211, C;URRONT PUBLIC RECORDS OF DUVAL C:OUNTYF V!,OM.DA. 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Fi�F=`f,t�?/-T ."�r41'� ?C�rc17- • ���j i .. ...e"�}.<'•? ,...Zt '4.'. y.>:L /FEr:a:t,J �V /`'lir:'f?• C.. , ' f..t��i:`i:'-i P'r_:!.-i�'. y � '• '1q4� 'Y o-1�'i' �� 1: ,.i 'r i'z °,f r 717- 1 7-7-7777 �ilR 1CY''NOTrYALID UNl:EJ10 t'�w,ur Tr:i...f.""2-2-95 ;SUN 06 00 DONNA JA'NESKY 9043962.351 - P. 01 MAP SHOWING BOUNDARY SURVEY OF SLLVA LAKES UNIT TWO, AS hLCO1tULG IN PIrAT BOOK 4 :1 , k'nG7.:S . 1 1 t 1 111, ,Tt'V 11B OF THE CURRENT PUBLIC RECORDS OF' UUVAL COUNTY, 1'LO1tJ.l�A. /,p/;'/P,6 R` LANE _ Alo 0410 6.13OYLY:O � �/ .N/ fir?•�C� FIX/�tla.7� /ROIL s /q./� CXn� �C.�� W No G4P + ... D��QTES HORTU r ' �""" a DEYiOTZ3 SOUTH q k I DENOTZS 9A&T � g N D&NOTEA W-ST "orkr.it'N,FwtOW � 2 6! YTEHOTE3 l t. 0;;G,421; } � CT} +C 1. ,alb J ,roc Gr wswp �f�Gd �5r DHHGT93 75 M vi C . or Aw 0,169 a4Yicl-j / CY?y"i�y_g ! 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A Z�..:�`{i i}T ._. .�, .» w,•-..o..w-.+ d }d.......rr, F 4'rH1 "•ca. 7dd SOd 70 •. ° ,�.crc�mrvws es.cn,t=►or,oa ����: ffiCALI�C: __- _ 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 Z> 0W r ;um Z> drn < m Ol> Z n > m N Q � i NMOHS 31VO -10 SAVO OC Sa.Nnzj3a ON CM C7 > NIH11M alVd lON Al 3ONVAOV NI 316VAVd O .� Rl Iin i Z03nNI17 N0S1a 301AU39 r' r A C m 6 -n GrUS SIHI NIV1.3H r "u_ m � Fri CD m � W o Z_ 'MUOM 3 (la3NOS Cl 'Id-0 S�iLOPA Ea n ( Q 011CIN Ol ldl_ 73-; >i 1 d�0�''� hl Z —� L W wW �OJO� ���I! 1� N C', C7� � �� (CI rM! V ' �1 L Fri ai ro R1 sa313w C- 0 C/ m Iwo (n•� 3na u3H10 35vauvo u3M38 2131VM U31VM 31VO w L_ 7V101 > Z < gccc — ° lll8 Amun n r = Gn` 26CZ'6VZ :3NOHd3"731 o o a d I V d HOd38v OIlNVIJLV J0 01114V-1-Ly A110 o ; s p, c-I b3ansv3n damoij 'H:)V38 :)I1NVIiV 10 AiD Ol 31g`v'kVd S)103H:D DVN }uaw,kod paAiaaab }diaoa,d Ioioi}}Q ue sawooag sigl 'pajagwnN pue pa}ad 'pau613 uagm 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 OOZS-£b£-Tb# aa3 la-eduij aamaS 00'OLO`Z$ as oudm aal-BM 00109b$ OOL£�£b£`Ob# 3 � I ££ZZ£ peag aunjdaN 6# 400-IIS paTU ZTTT SS321aad auI`TuegAad 3WVN L261 9Z aunr YON01d 6F6V '°N H :) d3s :) UNVILV 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