BIG PINE KEY 1035 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address Q'3
Date
Heated Square Footage @$kJ per sq ft= $
Garage Shed @ $ per sq ft= $
Carport Porch @$ per sq ft= $
Deck @$ per sq ft= $
Patio @$ per sq ft= $
TOTAL VALUATION: $
$
Total Valuation P, $ loco
$57 per thousand
Remaining Value
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $ C-)
ZONING: + 1/2 Filing Fee $
FLOOD ZONE: )Fireplaces@$35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON .0050 $
SECTION H PAVING( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
$
GRAND TOTAL DUE:
CITY OF ATLANTIC BEACH
.. .. ..........
ROOFING PERMIT APPLICATION
Date:
Job Address: L9 tjr
Owner of Property: U MI)A VLUA9
Address: p 15- ;,ICY Telephone: ;Z q b'S 2 3 0
Contractor: 12.6mqWo W0efjVq Ve,.evje_?_.v State License Number:
'X e e-7- _L c 9 cli ZZ
Contractor's Address: 19 R fl,,g WE
Telephone: C?,Q I/ Fax: 9 0 (/g�
Scope of Work:
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work:
Product Name(Example:Timberline):
Manufacturer(Example: GAF):
k
ASTM Designation(s):
Required Inspections: Sheathing and Final
rA.
Signature of Owner: Date: os—
Signature of Contractor: —Date: C/
AS TO OWNER:
Sworn to and subscribed before me this day of 05-.
State of Florida, County of Duval Notary's'Signature:
.y P 1PP T A 0
EL
My CONSUSSION#DD357393
ExpUZFS:Sqytwber 23,2008 M Personally known
105Y Fl.Notuy Dm—t A—Co'
1400.3-NOTARY
Produced identification
Type of identification produced
AS TO CONTRACTOR: . 20
Sworn to and subscribed before me this day of
State of Florida,County of Duval
Notary's Signatur
Personally known
ELAINA RO r
My COWSSION#M357393 M Produced identification
to
01Y EXPMS:ScPwn*&13,2008 Type of identification produced
14MMOTARY 0 N-Wy Dwowt Am.C�
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.cLatlantic-beach.fl.us
Page 1 Revised 2/21/03
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7" ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030084 Date 4/13/05
Property Address . . . . . . 1035 BIG PINE KEY
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3970
Owner Contractor
------------------------ - -----------------------
KELLAM, LINDA ROMANO ROOFING SERVICES
1035 BIG PINE KEY P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5230 (904) 246-5649
----------------------------------- -----------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3970
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
Cope.
0:
4�' +
BUILDING OFFICIAL
LAYOUT12LANS WALI
EX15TING DUILDING
96,75"
45" 45"
LU / i�
(MAX) ------------------------
STUDIO SIDE WALL (A)
LIJ
> U-
xu�WOOOEN PO,5T
7,5,,x7,5,,W EM 6'91�
Uor-- X75"W
B WALL
13'-gl
STUDIOTL 96,7511
OOK PLAN
"10
Mill
f!
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date: A0-
jo-
Property Address:
in ine
_j
Owner: _Pe e- r(-)n
Telephone
Contractor:��6Cd<S h DeNfiQ
__Onci U m bcA(A phone #: 2A I -q(19
Contractor Address:42- (_3nif 1�f h _S�Vfe7� Fax #: 2 Y�l 070 3
Ln considerazion of permit given for doing the work as described in the above statement, we hereby agree to perform said work in
accordance with the artached plans and specifications wWrh are a pan hereof and in accordance with the City of Atlantic Beach
ordLnanoe and smndards of g Practice Usted therein. I
Building: Building Type: Q Trailer Service: If otbcr constriictioa is
Z) New Q Residence a Temp. being done on this budding
Old 0>4-- 0 New Or site,ii�st Ehc budding
Q Commercial C) Signs Q Increase Perma number
Re-wire Q Addition Sq. Ft. 0 Repair
Conductor §7Lz-c. ANDS: -COPPER ALUNffNUM
Switch or
Breaker ANTS �PH W VOLT WAY
Existing Service PH W RACE
size AMPS VOLTZ�(O� WAY:5
Feeders� NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED OPEN
I j 100 A M'Pq
Switches
Lncandescent
Fluorescent &
M.V.
Fixed 0 100 AMPS OVER BELL
_.&,_pphanccs L TRANSFER.
Air HT RATING H.P. RATING CEILrNG KW-HI—EAT
Conditioning COW MOTOR OTHER MOTORS AMPS HEAT
Motors 0-1 H.P.
j VOL T_AG E PH
OVER I H.P._ PHS
I QVER600V
Transformers NO. KVA NO. KVA
Tran'f
No Neon Transf.
-Ea._Sign T
Miscellaneous 1—e—6040e 6-7"�'
1 800 Seminole Road - Atlandc Beach, Florida 32233-5445
Pbone: (904) 247-5800 - Fax: (904) 247-5845 - b"p://Www.ci.atiantic-beach.fl.us
CITY OF
r4e�fz�z geazlt ?�auda
�0o �;EMINOIJ,* ix
ATLANTIC
I'Fl.1��III I ON El
7
-�t'NCOM
CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU. AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU 00 NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING, YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LE-ASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AF7E:R THE CONSTRUC71ON IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER 70 IMPROVE THEIR OWN PROPERTY WHEN 17 IS FOR PERSONAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A SUILOING P-ERM17 AND PASS
ALL NORMAL INSPECTIONS. 7HE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON
THE JOB AT ALL 71M WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." 7His DOES N07 ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE: TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE.
THE: OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE:" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-
5a2e) IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
--FIROF�ERT� OWNER/BUILDER
AbORESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THIS
NOTARY PUBLIC Wdaftowb
NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES
ARE EMPHASIZED BY THE: BUILDING August 27,Wl
DEPARTMENT. Aw". 0 BOHM THRJ Tw FAIN INBURWA,ING,
R :IVED
ECE
CITY OF ATLMTIC BEAM �& 9 1999
PMOCT APPLXCATION REWDELf ADDXTXCKSf OR AL TIONS
MOVING,DEMOLITICKS City of Atlantic Beach
Building and Zoning
Owner(s) L Lo J, A-
Job Address: Y hone: V6
4
Lot # 3'7 Block or unit subdivision: Sc I V a
Contractor: (') "X_� ry r— —State License #
Address: —Phone No:
City State Zip Code
Describe work to be done:— j r,C', t
Present use of building:
valuation of Proposed Construction:
Proposed use: I L')ck I-)
Is this an addition? If yes, what are the dimensions of the added
space: ft. X ft.* Will the added area be heated and
cooled? New electrical (or increase) ?
New plumbing fixtures? New fireplace? New Heat/AC?
SoMar IM= (ccmMt0Z&Z) Mo 4MSXDXXTZAL) CCRWZXZX 8=8 OT FX"S, n==nro
SXTZ FzM' Xj"Xr' MrAwr colm zMa, NMrCz or AND
IM/CON7PACTOR ArJfTnaVXT, Ir XS CONTM=0R.
Date:
Signature OWNAA: -6, K'-
Signature CONTRACTOR: Date:
AS TO OWNER:
Sworn to and subscribed before me this 10�
_y of 77�a� Ar
NOTARY PUBLIC
AS To CONTRACTOR:
Wdaftmft
Sworn to and subscribed before me this day _11� MSSIQN 0 GC553881
hgW 27,2000
NOTARY PUBLIC
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION ...... LOCATION INFORMATION
Permit Number: 17887 Address: 1035 BIG PINE KEY
Permit Type: FOUNDATION ONLY ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Subdivision: SELVA JaKMEE LAKES
Square Feet:
Est. Value: Parcel Number:
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 3/09/1999 KELLAM, LINDA A.
Total Fees: 25.00 Address: 1035 BIG PINE KEY
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/09/1999 Phone: (000)000-0000
Desc: SLAB FOR FUTURE E (TENSION OF PATIO
APPLICATION F S
CONTRACTOR(S)
I—P—ROPERTY OWNER 25.00
Inspectio
1 FOOTING SLAB
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"
D A
ISSUE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBjECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
P'A I D
MAR - 9 1999
&NTI PT.
MAY I 200b
To:
Building Dept.
Re: Permit#
General Affidavit
Before me,the undersigned authority,personally appeared
License number C-f,7q�,� who being first duly sworn, deposes and says:
I am licensed as a(n) V-j-Df��rV, (bf)�(QMrOn or about ZZ!�
did personally inspect the roof underlaynwht&flashing work done at I CEL-!� a�R
Based upon that examination I have determined the installation was done accord,
Florida Building Code and amendments effect in Duval County as of the date.
Further afflant saith not.
nt S'
STATE OF FLORIDA Affia 7 ature
COUNTY OF
Sworn to and subscribed before me this
-fD-day of 20C15,by
Notary Public, State of Florida
--LLA-CA- a'-�Z�z
(Print type or stamp name)
Personally known or Commission No:
Produced Identification
Type of Identification produced
ELAINA ROMANO
My COMMISSION#DD357393
.0' EXPIRB:STtwbe,23,2008
1400-3-NMARY Fl.Navy Dis�t A&,C...
CITY OF ATLANTIC BEACH Cc:
BUILDING / ZONING DEPARTMENT
L. Hi ins�
gg
S.�
rr
800 Seminole Road oerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #.05-�3(D�
Property Address: J31 Q-A J��)
Applicant: 1�2'
Project:
This permit application has been:
ED""-Approved
D Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date: is
Date Contractor Notified:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 1035-1043 Big Pine Key
PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY oj�
\ - V
LICENSE NUMBERS MP145 State RF0037503
OWNER R G M
BUILDING CONTRACTOR g G M
TYPE OF BUILDING- - Duplex
SINKS 2 SHOWERS
LAVATORY 2 WATER HEATERS
2 'BATH TUBS 2 DISHWASHERS
URINALS 2 DISPOSALS
6 CLOSETS 2 WASHING MACHINE
FLOOR DRAINS OTHER
_2B__TOTAL FIXTURE COUNT X$3- 50 + $10. 00
DATE 3 / 27 / 86 TOTAL AIMOUNT $108 . 00
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
DEPARTMENT OF BUILDING 7483
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO_
PERMIT TO BUILD I I D%00 T
THIS PERMIT MUST BE POSTED ON JOB
I i 08.00CRT
Date 4/15 2M 19 86 1364 1 A 4/j15/12
74n3 *00CA
Valuation$ 108.00 1304 11 4/15/91
I
This pemit 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 V.W. Fair Plumbing RF00�7503
has permission to Install plumbing
RESIDENTIAL
Classification Zone
Owned by RGM
Lot 37 & 38 Block S/DSelva Lakes I
House No. 103S & 1043 Big Pine Key
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 10 4- M
0 Building material, rubbish and debris
zfrom this work must not be placed
in public space, and must be cleared
up and hauled away by either con.
trac or owner
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
C11Y OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN—NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: )131)45 7 �)tc-' pfmc--
LOCATION P�46 347*3 8
OF Intersecting Streets: Between And
BUILDING Sub-divis;on !SeLvA Lpaces
11. IDENTIFICATION — To be completed by all applicants.
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 attach_ad plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
Of good.prectice listed therein.
Name of Mechanical Contractors
Contractor (Print) C:�NI -s-ninq Master tAA(?—j?(
Name of
Property Owner
.of Owner Signature of
Agent
or Architect or Engineer
III. ORMAL 1Nk99WT11ON
A, Type of heating W: B. IS OTHER CONSTRUCTION BEING DONE ON YE<
Metric THIS BUILDING OR SITE?
13 fm—0 LP 0 Natural E3 Control Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
13 00 PERMIT
0 Other — Specify
IV. M111110MMICAL 11OUIPM11INT TO U INSTALLM NATURE OF WORK
(Provide complete list of coMposeaft on back of this lleft) Residential or El Commercial
-W "siat 0 Space C3 Recoftedl IK central 0 Flow Now Building
Air Conditioning: 0 Room X central I( Existing Building
ouc� system: mat*riaiIDVQ�Q Thickness--!— Replacement of existing system
Maximum capacity. cfm. X, New Installation(No system previously installed)
El Extension or add-on to existing system
0 Refrigeration 0 Other— Specify
0 Cooling lower: Capacity 9-P.M.
C) Fire sprinklers: Number of h".
C) Devotor E3 Monliff [I Escalisto (Number) THIS SPACE POR OPP= USE ONLY
E3 000000 PumP'L— (number) (ftedolho'1111)
C3 Tafth (number) Remarks
[3 LPCP confainers.— (number)
C) Unfired pressure vessel
Permit Approved by Dahs
other — Specify Permit
LOW ALL EQUIPMENT
AJR CONDITIONING AND REFRIGERATION EQUIPMENT
Number units D"arlipuaft Ma"Number manufaebuor (70111111117 A861111111W
DEPARTMENT OF BUILDING 7484
CM OF ATLANTIC BEACH,FLORIDA PERMIT No.
PERMIT TO BUILD 76*001]L
THIS PERMIT MUST BE POSTED ON JOB 76*onrK rr
Date 2/24,1986 7464 *00CA1 G
$ 76.00 24� 1 A 4/111 A '3
Valuation$ 1 Gan
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 MHAR-786
has permission to
Classification ReSidential -Zone
Owned by RGM
Lot 37 &__38 Block s/D Selva Lakes I
1035 & 1043 Big Pine Key
House No.
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 0-1 0 Building material,rubbish and debris
Z-1 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr or or owner.
Building Offici2l.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
_w 31 ) 1
CITY OF ATLANTIC BEACH, FLORIDA ql�5
Approwd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— :3 191.�2
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACM ORDINANCES.
iLECTRICAL FIRM: ECTA`l'CIAN' SIGNATUBE __pp" JOURNEYMAN
NAME V\ 22J:Q ILI ADDRESS:I DIK' (1\_!� P�OL kC-1 RFD-------BOX—
BLDG.SIZE —BETWEEN:
RES.Vf APT. ( COMIMIA PUBLIC INDUS.I I NEW( -< OLD( REW.I
ADDITION ) TRAILER ( TEMPA SIGNS ( ) SO. FT.
SERVICE: NEW Wf INCREASE( REPAIR FEE
CONDUCTOR SIZE ;jD AMPS I K'D . COPPER ( I A L U M. f") o'"
I
SWITCH OR BREA AMPS I PH W QIDVOLT RACEWAY
.AER
EXIST.SERV.SIZE AMPS PH W. VOLT , RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS, 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&MI.V.
IFIXED 0,100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MIMLEXNEOUS
TRANSFORMERS: UNDER 600 V. OVER6wV.
BUILDING PERMIT WORXSHEET ELECTRIC PERMIT 0
,ated Square Footage P ,�D TEMPORARY ELECT. j
@ s $
__yer sq f t
irage/Shed 407 @ $
per sq ft 60
irport $ —Per sq ft - $
)rches .......... $ ___per sq ft - $
!ck _@ $ -per sq ft - $
Itio @ $ per sq ft - $
TOTAL VALUATION
,tal Valuation Data lst $
00
mainder Valuation @ $ c-;�.60per tbousand
or portion tbereof
TOTAL BUILDING FEE
+ -1 FILING FEE $ c2s-
FIREPLACE @15.00 s CO
TOTAL BUILDING PERMIT $
-----------------------------7------------------------------------------------
UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ECT. TEMPORARY $ ELECTRICAL PERMIT
rER METER SIZE ACCOUNT NUMBE'R
JER IMPACT FEE $
rER CONNECTION $ (@10. 00 P�er fixture unit)
'ROVED BY: TOTAL BUILDING/.PLAN FILING FEE $
TOTAL WATER METER CHARGE $ 00
TOTAL SEWER IMPACT FEES $ 00
TOTAL WATER CONNECTION CHARGE $ e767, 00
cMISCELLANEOUS CHARGES
GRAND TOTAL DUE:
16�.6 .9-
A PLUNbiNU PLKMIT
BUILDING PERM1T WORKSHEET ELECTRIC PERMIT
TERPORARY ELECT.
cated Square Footage
,L,39r @ $
e r s q f t - $ _1-,3 7f,47, S-0
arage/Shed @ s /S'_____per sq f t - 60
arport $ ____per sq ft - $
orches @ $ -Per sq ft - $
eck $ per sq ft - $
atio @ $ __per sq ft - $
TOTAL VALUATION
7,
ital Valuation Data lst
?mainder Valuation @ $ ;2.00per tbousand
or portion tbereof
TOTAL BUILDING FEE
+ k FILING FEE $ 2
FIREPLACE @15 .00 s 4.5700
TOTAL BUILDING PERMIT $
------------------------------------------------------------------------------
,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
,ECT. TEMPORARY $ ELECTRICAL PER14IT $
�TER METER SIZE $ ACCOUNT NUMBER
:WER IM�PACT FEE $
iTER CONNECTION $ (@10. 00 p.er fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ d37,
TOTAL WATER METER CHARGE $ 6 0
TOTAL SEWER IMPACT FEES $ (�0
TOTAL WATER CONNECTION CHARGE $ 00
BMISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $ �7
13 9 5-
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development ,' New Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevation
If 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 elevaFi—on
established fa–r 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 developemnt .
Date ApplicanCs Signature
-----------------------------------------------------------------------
Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative
CITY OF ATLANTIC BEAfH
APPLICATION FOR BUILDING PERMIT
O�mer 9, Phone
a 79-ej r, _Mdress g&. t7- E- .Ma--
Architect/J,i_,LV 4Z,1,*AW Address 1YV A.) fa—, t:�;164 &Aj4 —zip3-j,1,S-4 Phone.,119-tiliz,4
Contractor R Address I 1&&.r Phone
4
Contractor's L*cense NLuber A t4 S-gl Expiration Date on File
Lot
Block or Section Subdi-visionS
I ,&, —ZmiM
Street,&g &,u&- 1��' tj_____�etween and side
Valuation $ e of Construction
Purpose of Building__________________________�urrber of Unit, Fireplaces
Utility Service: Water Sewer
If the City if providing water or sewer service, do we need to make taps?
Dimensions: Building_Lot Size Footings
Sz. Piers 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______________jolid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD conplete page 2
SUBDET: Two complete sets of plans, including a detailed site plan.,
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required;
1. When steel is in place and ready to pour footings.
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam.
4. When frmfLng, mchanical, plurbing, electrical, fireplace, is completed and ready
to cover up.
5. Final inspection. SETBACKS
No INSpECrION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.
A..-t
In case of rejection, reLrispection MUST be called for after Rear Lot _n-e-
corrections are made.
in consideration of permit given for doing the Cn Cn
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-.
rD
Signature Owner k - /-- - ^,A
r1FA/A lo
Signature Contractor
r)
—T:7
Z Front Lot Line
DEPARTMENT OF BUILDING 7482
0.-
CITY OF ATLANTIC BEACH,FLORIDA PERMIT N
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 496*50 T
Date 2/24 1996 496*50CKT
9454 1 A 3/04/0
Valuation$_ 128,062.60 Fee$ 496.SO 74,92 *IIGCAC
9454 1 A 3/04/8'1
This permit not valid until above fee has been paid to City Treasurer,and is 11711MI
subject to revocation for violation of applicable Provisions Of 12W. i
This is to certify that Reyhani, Inc.; 1113-3rd Street, suite 9
Neptune Beach, FL 42235 RR0034591
has permission to budd. TOWIIhOuSe
Classification ftsideutial —Zone PUD
Owned by RGM Propertit's
Lot_37 & 38 Block S/D_��lva Lake I
House No. 1035 - 1043 Kit Pine Key
According to approved plans which ate part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material,rubbish and debris
z_i from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr4c -gr o ner.
,�ding Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
AMP SHOWING SURVEY OF
LOT 37 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COWNTY.., FLORIDA.
0
7
pop,_
to
00
Raw7nycrxch.1 4A.4 err
1 Ist4clIA444
`74c� :-,
irmm:) '04.gwz
A-AP.-
fn
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT—Applicant to complete all items in sections 1, 11, 111, and IV.
StreetAddress: / D �! g: 4��"— 4��4
LOCATION:,:OF]IatersectingStrt:6ts:Bel-we�n— e'
BUILDIN: Sub-division
E. INDENTIFICATION—To be completed by all applicants.
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.
Name of Mechanical Contractors
Contractor(Print) 944 e��c Master
Name of Property
Owner )<0 V 667 ,5 2-32
Signature of Owner re of
Arc
Or Authorized Agent It A Z 92, J'Kitect or Engineer
111. GENERAL INFORNfflOIN
A. Type of heating fuel: B.
Cl Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
Q Gas: —LP —Natural —Centmi Utility BUILDING OR SrM9
a Oil
Cl Other–Specify IF YES,GIVE NUMBER OF CONSTRUCTION
IV. PERMIT
MECHANICAL EQUIPMENT TO BE 416TURE OF WORK
Mr Residential or Commercial
INSTALLED Q New Building
(Provide complete list of components on back of this form) 0-51--sting Building
C3 �keat _Space _Recessed —Central Floor Q,' Replacement of existing system
Air Conditioning: Room Gi Cl New Instal lation.(No system previously installed)
Q Duct System: Material Thickness_ C3 Extension or add-on to existing system
Maximum capacity –cfm C2 Other- Specify
0 Refrigeration
0 Cooling tower- Capacity -------gpm
Q Fire sprinklers' Number of heads THIS SPACE FOR OFFICE USE ONLY
0- Elevator: _ Nlaalift_Escalator_(Number) (Received)
0 Gasoline pumps -(Number)
0 Tanks (Number) Remarks
0 LPG containers (Number)
0 Unficed pressure vessel
Permit Approved by_ Date
0 Boilers
Q Other–Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
4 ons) Agency
Q4 d - ra.4z:�
BEATING–FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
(BTU) Agency
TANKS
How Many Nominal Capacity Type Liquid Nameof Serial Approving
And Dimensions Contained Manufacturer No. Agency
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-"FEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFokm_AfbN__
Permit Number: 24477
Address: 1035 BIG PINE KEY
Permit Type: MECHANICAL
C ATLANTIC BEACH, FL 32233
lass of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LINKSIDE
Est. Value: Parcel Number:
Improv, Cost: OWNER INFORMATION
Date issued: 7119/2002 KELLAM, LINDA A.
Total Fees: 27.00 Address: 1035 BIG PINE KEY
Amount Paid: 27.00 IF ATLANTIC BEACH, FL 32233
Date Paid: 7/1812002 0-0000
__9000
Work Desc: INSTALL CONDENSE*-
CONTRACTOR(S)
(S)
1ARLINGTON AIR CONDITIONI
27.01
R INN
U
7
7
"P, h,
t
RK1 , 7777
7,
'$T
NOTICE 0I JW-R-E,WA E -.EDA� T,L-EW,24-
�FR SP TION
W - 1.
BUILDING MATERIAU'l 1.&' ROM T"
M
IC SPACE, AND
MUST BE CLEARED UP, A Y �Y E!THF,,K�,, b
L
"FAILURE TO COMPL IN THE
PROPERTY OWNER P
ISSUED ACCORDING TO APPROVED
AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROM
ATLANTIC BEA—CH YUILDING PT. 14
$27.*
p1m my
CA ca 827.0
Was d1W: 7/19/9 ?in: 17:66:5l
MAP SHOWING SURVEY OF
LOT 37 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
Z oyel?d
RIW— Denoles Rl�hl-of Alay
R — Delvles Radius
4 — Dnwlos *c Zlfoglb
-17olr, 1'1�vrYZev)qll�
01— De L
Denotes D&1lc ,417q1c
f.7
4:3.5'
A.
0
V
10
0
A0,
NOTES:
THIS IS A BOUNDARY SURVEY.
BEARINGS ARE BASED ON THE NORTHERLY LINE OF LOT 37
AS BEING S.83*21'32"E. BY PLAT. 0
..-NO BUILDING RESTRICTION LINE BY PLAT, BUT THERE MAY BE
RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY
BY ZONING OR RECORDED IN THE PUBLIC RECOPDS OF THIS COUNTY
THAT ARE NOT SHOWN ON THIS-SURVEY.
THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS
REVISED 4/17/1989, COMMUNITY PANEL NO.120075 0001 D.
I HEREBY CERTIFY TO: LINDA KELLAM:
UAIAC&lr%C I CLlr%lLlf-- ILI^