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http://maps.coj.net/WEBSITE/DuvalMAps/toolbar.asp 6/1/2004
MAP SHOWING SURVEY OF
LOT 30, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE
LOT 0
FCURREN;T' PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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.Ax
-Ole
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
December 29, 1986
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
satisfactory:
Permit #4839-40 - 1018-1026 Big Pine Key
Permit issued to Adkins Electric Company.
Permit #5084 - 464 Orchid Street
Permit issued to Barkoskie Electric Company.
Sincerely,
Ren�' Angere
Co munity Development Director
cc:building file
MAP SHOWING SURVEY OF
LOT 30, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORJDA.
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PLUNBING WOQRKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT
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 MOUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (11 UNIT) URINALt WALL LIP
FLOOR DRAIN Cl UNIT) (4 UNITS)
WASHING MACHINE RES.
URINALP PEDESTAL? SYPHON (3 UNITS)
JET BLOWOUT (B UNITS)
Ll WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED
OUNITS) (8 UNITS)
BATHTUB (W/OR W/O OVERHEAD SHOWER STALL, DOMESTIC
(2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (.3 UNITS) (2 UNITS)
DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS 0 .$10.,OG EACH�
PLUMB1NG PERMIT #
ELECTRIC PERMIT
BUILDING PERMIT WORKSHEET TEMPORARY ELECT.
1,,3 9 S— _@ e
eated Square Footage $ r s q f t J�0 7y�7,
arage/Shed @ s e r s q f t al d 0-
arport @ ___per sq ft
orcbes ___per sq ft
eck ____per sq f t
atio @ $ ____per sq, ft
TOTAL VALUATION $
:)tal Valuation Data ist
,Lo—ot 7.
mainder Valuation @ $ ;2.00per thousand
or portion thereof
TOTAL BUILDING FEE $
+ k FILING FEE s
FIREPLACE @15. 00 $ /1-5700
TOTAL BUILDING PERMIT $ c,?3 2 �7S
------------------------------------------------------------------------------
,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
,ECT. TEMPORARY $ ELECTRICAL PER141T $
�TER METER SIZE ACCOUNT NUMBER
:WER IMPACT FEE $
iTER CONNECTION $ (@10. 00 p.er fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ C�3 1r7
TOTAL WATER METER CHARGE s
TOTAL SEWER IMPACT FEES s /0,3S-- 00
TOTAL WATER CONNECTION CHARGE $ 670
BMISCELLANEOUS CHARGES $
GR"D TOTAL DUE: s-
13 9 5- Npr
PERMIT WORXSHEET ELECTRIC PEPWIT
TENPORARY ELECT.
sq
Address—) 0Q
Heated Square Footage @ $ 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 lst $
Reminder Valuation per thousand or
portion thereof
--------------------------------------------I Total Building Fee $
ADDITIONAL PERMITS and/or FEES REQUIRED, I
+ k Filing Fee $ ) 55150
Mechanical Fireplaces @ 15.00 $ 30. 00
BUILDING!PE1(MIT FEE $ L-1 ge'. 50
Plurbing
Electric/New
-------------------------------------------------
Electric/Temp BUILDING PERMIT $ qq6. SL)
Septic Tank WATER =R. CHARM $ 00
Well
Swimrdng Pool SEWER IMPACIC FEE $ �0-70, 00
F-'A
Sign WATER IMPACT FEE $ 53C
Water Comection MISCEIIANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $
----------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
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 o___o_r_`a1;_ove the base flood eleva7E'3-on
established fo—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 aind 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 ApplicantIs Signature
-----------------------------------------------------------------------
' Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required -Lowest Floor Elevation
Building Department Representative
CITY OF ATLANTIC BEACH
APPLICATION FOR B=ING PERMIT
Owner lzeay Address Z' Phone...2c/i�
Architec 1 40 Address L zip a
A&24 -5�4x 17e,#e-A, Phone
C an t ra c t o r, d SS
Addre ;%r 5P ziplIW2 Phone
Contractor's License Number Expiration, Date
S�2 on-File,
Lot #,2gy�a Block or Section # Subdi-vision Zoning
Streea,,,,- Z&Z,�E: Xjc-:�� Between and _side
Valuation $ Type of Construction
Purpose of of Units Fireplaces
Utility Service: Water Sewer
if the City if providing water or sewer service, do we need to make-taps?
Dimensions: Building......_____�Ot 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 ___________�olid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD couplete page 2
SUBMT: 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 colums/lintel.
3. When steel is in place and ready to pour beam.
4. when framing, mechanical, plunbing, electrical, ,fireplace, is completed and ready
to cover up.
5. Final inspection. SETBACKS
NO INSPECTION WILL BE YAM IF WILDING CARD IS NOT POSTED ON JOB.
In case of rejection, reLrispection 1-UST be called for after
corrections are made. /018 0 Q
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, 4WI 4ex)1
which are a part hereof, and in accordance rt rt
with the building regulations of Atlantic Beach.
Signature Owner -�O/W4 1-9 1/,
r I 'll
Signature 7 tor
c7vilc 9tV1,,1W /
Front ME Line
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 7570
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date- March 12 19 86
Valuation$ 128.062,50 s 496.50
This permit not valid until above fee has been paid to City Treasurer,and is 496*50 T
subject to revocation for violation of applicable provisions of law, 419K,50CI(T
I
A W!
This is to certify that RP-2haliz Inc. 0,0034591 2S 2ri
L
9760 1 A 3/13A
has permission to buifd Thd3bouse
Classification BeSidential _Zone PUD
Owned by RC14 b2Zxxtiez
Lot 29 & 30 Block I S/D Selva Lakes
House No. 1018 & 1026 U& Pim Liu
According to approved plans which ate part of this permit
NOTICE—A CONCAETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING,
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
4 from this work must not be placed
I -J in public space, and must be cleared
U
10 J
6-`s]�O
up and hauled away by either con-
�t
r i r or owner.
lo
Building Official.
J
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
AW
BUILDING AND ZONING INSPECTION DIVISION "T-D
CITY 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:_ loz4p - tot cid za" PtMG ks'-y L-er 2a C)
LOCATION
OF Intersecting Streets: Between And
BUILDING Sub-division Se L—v& Loicy=_-5
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 attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good.practice listed therein.
Name of Mechanical Contractors
Contractor (Priint) sKlpmoz Master
Name of
Property Owner 12 GP r)r\
Signature of Owner Signature of
or Aafhorhad Agent Architect or Engineer
III. 094RAL IN4!��TION
A, Type of basting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
ABeclivic THIS BUILDING OR SITE 7
(3 Cres—0 LP 0 Natural (3 Central UIHII+Y IF YES, GIVE NUMBER OF CONSTRUCTION
(3 09 PERMIT
13 06W — Specify
IV. k490WAIM 19161111111111illilliff TO U INVALLID NATURE OF WORK
(Prev comPlaite W of compowts on bed of this form) X Residential or 0 Commercial
LK,Heat C3 Space 0 Itec"sed A centae'l 0 PAW X Now Building
BUi
Cb"411flainiftv E3 Itoom )d C."firell Existing 14160
Dvc� 4-09m: MateriallbQGAM Thicinsel, C] Replacement of
Maximum capacity :2-2_c>o ,existing system
K Now Installation(No aysterin previously Installed)
G Refr*ration C3 Extension or add-on to existing system
(3 Cooliag tower: capacity C3 Other— Specify
C3 Rro Wrinkfors: Number of has
13 Bevoter 13 Monliff 13 Ewalete
THIS 11PACIII Poll OpF= US 014Ly
C3 Gualino pumm —(nvmber) (Re"I"d)
C3 (number) Remarks
13 LPG OWW# (number)
0 U"f1rW Preaure V*"
0 Permit Approved
d otheir specify Permit
Ulrr ALL EQUIPMENT
AOL CONDITIONING AND nFILIGERATION EQUIPMENT
Cl"dtY AppMvbg
XUMberUnite Efteriputle Ko"NUMbar Manutseb"r
!Cem.oforc uwamlock mkmiez 27 U1'_
IL tQ DC-MIA4 -21
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 75U nor-A C
5026 -1 a r-/n-q/01
may 29 86
Date 19 1 Ono
Valuation$_ - — $ 52.00
This pertnit not valid until above fee has been paid to City Treasurer,and is
ubject to revocation for violation of applicable provisions of law.
Ocean Stime Heat & Air �M-786
This is to certify that
has permission toX=_Tnnt-_q1 I Heat A, Air
Classification P-Sidenti'al Zone—
Owned by— =4 -
Lot 29 & 30 Block—S/D So 1va Lakes
House No. ID18 & 1026 = RIM Ka
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
M
01 0 Building material,rubbish and debris
31 from this work must not be placed
in public space, and must be cleared
up, and hauled away by either con-
tr ctor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBIN-G
ELECTRICAL
SEWER
WATER
3S3"-)
CITY OF ATLANTIC BEACH, FLORIDA
ApprdvW by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: L
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRI13ED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFOR'M,4AID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF,'JANID IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
LAwf
ELECTRICAL FIRM: MAkERjEL90RICIA_jIGNAWRE JOURNEYMAN
NAME W02Qo-_Lt'2-ADDRESS: L02 I RFQ_8OX_
BLDG.SIZE BETWEEN:
REL 14"" APT. ( COMM.( PUBLIC I INDUS.I NEWI�/ OLD( I . REW.I
ADDITION I TRAILER ( TEMP.f SIGNS ( SO.FT.
SERVICE: NEW t INCREASE I REPAIR FEE
C."DUCTOR SIZE n AMps SO COPPERf ALUM.
MT—CH OR BREA R AMPS PH 3 W 01-70VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
SIZE SIZE NO. SIZE
fRS NO.
LIGHTING OUTLETS 'CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
.SWITCHES 0-30 AMPS. M
INCANDESCENT
FLUORESCENT&M.V.
FIXED -0-100AMPS. I OVER I
APPUANCES I I I BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
V �n
MISCELtXNEOUS
TRANSFORMERS: UNDER 600 V. OVERSWV.
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 1018-1026 ,Big Fine Key
PLUM13ING CONTRACTOR F. W. FAIR PLUMBING COMPANY
LICENSE NUMBERS MP145 State RF0037503
OWNER R G M
BUILDING CONTRACTOR R G M
TYPE OF BUILDING Duplex
2 SINKS 2 SHOWERS
8 LAVATORY 2 WATER HEATERS
2 BATH TUBS 2 DISHWASHERS
URINALS 2 DISPOSALS
6 CLOSETS 2 WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT X$3- 50 + $10. 00
DATE 3/ 27/86 TOTAL AMOUNT $108 - 00
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.- 7571
0900 T
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 11,10*OnCKT
1�86 1 A 4/15/8
Date 4/1S 9 86 7571 OrOr-AC
Valuation$ ---- $ 108.00
This permit not vaW until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
F.W. Fair Plumbing RF0037 503
This is to certify that
has permission to%�% Iwtall Plumbim
Classification RWidMtlal Zone
owned by RM F-r-PR992LIM
Lot —Block S
House No - 1018 & 1036 Big PIM &a -_
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
94 111. 0 Building material,rubbish and debris
Z_4 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con.
t a
r Itor or owner.
puildi.g official.
3
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH, FLORIDA
wd
Appro by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
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 BEACH ORDINANCES.
ELECTRICAL FIRM: MALTtR ELECTFtIdIAN SIONATIJRE JOURNE
I b4 1 2*4%
NAM tJ996ADORESS:_Jo;(' N% I" RFD-BOX
BLDG.SIZE BETWEEN:
RESX. APT. I I COMM.( PUBLIC I INDUS. NEW>< OLD( I REW.I
ADDITION ) TRAILER ( TEMP.( SIGNS ( I SO.FT.
SERVICE: NEW INCREASE ( REPAIR FEE
22!R!LCTOR SIZE AMPS /,!�O COPPERf 11 ALUM.*bo
"TCH OR BREAKER AM I PH jk C2,Z_,'O T RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS E NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN ITOTAL
0.30 AM a. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT M.V.
FIXED 0.10 1 CAMPS, ovrR
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT] KW-HEAT
OVIR
.00
AV
MISCELLANEOUS
TRANSFORMERS: UNDER SW V. OVER 600 V.
CITY OF ATLANTIC BEACH
PE=T APPLZCATION PMTCDEZ, ADrITIONS, OR ALTERATIONS
MOVING, DEMIGILITIONS
Owner(s) : d7,,,
Job Address: &P� Oki Phone:
Lor- 31cck or Unit Subdivision:
Contractor: State License 4- o
Address: Sea II;- PLA—LIA No: 2c
-- �YAK - -zo - F
Stac:e Z4- :Cde
,qc--k :-o te dcne: Vf A-/s4 S i C4 Z64
�resen7: use of nz:
va--4az:.cr. z:-f
7-:'o--C s ed '--5 e
is t.�iis an ad,-4-4tion? If ves, what are the dimensions of the added
Z� F7: . neated and
space, x the added area be t
N� ew eiaczr-� ca-' (or increase) ��
New piumbi-ina -f-",ftu=as? New fi-renlace? New Heat/1'71
SUBMZZ' TR= (CowdMCZAL) TWO (RESZTENTZA_L) COjjFLET_%- SZTS OF PLANS, ZNC-'=-rNG
CODE Fop
SITE PLAN, SURVEY, MS, NOTZCE, OF CoMdENCM-ENT, AND
owzq=1caNTRACTaR AET'ZDAV:r F aw wER is CONTRACTOR.
n �7�,
Signature OWN,ER.--4 Date:
Signature CONTRACTOR: Date: hj
AS TO OWNER:
v-- 19
Sworn to and subscri-b)edibe"foree this
john L RIIr
NOTARY B I My COMMISSION#CC727756 EXPIRES
AS TO CONTRACTOR: Match 24,2002
AIN INSURANCE INC
1BONDEDTHRU TROY F
Sworn to and subscribed before me this da of ' 19
-47-
ROTARY FUBLIC Martha B.Crites
`q My COMMISSION#CC714063 EXP ES
April 18,2002
U TROY FAIN INSURANCE INC
BONDED THR
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
m7
'Rg
Permit Number: 19376 Address: 1026 EY
Permit Type: SIDING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: Parcel Number:
Improv. Cost: 1,880.00 �WM—02122 M�Mw�-
Date Issued: 12/20/1999 Name: PIERRE BARON
Total Fees: 30.00 Address: 1026 BIG PINE KEY
Amount Paid: 30.00 ATLANTIC BEACH, FL 32233
Date Paid: 12/2011999 Phone: (000)000-0000
Work Desc: VINYL SIDING
W. W. CRITES, INC. PERMIT 30.00
Otto!; S!111
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. --
$30.0014
Date: 12/22/99 @1 Receipt: 0021656
A4TN—TRIC-�BEA� BUILDING�DEPT� CASH
NOTICE OF COMMENCEMENT
(PREPARE IN OUKrATE)
Permit No. Tax Folio No.
State of County of
To whom It may concern:
The undersigned hereby Informs you thin Improvements will be made to certain real property,and In
a ccord or'ce w Ith Soallon 713 of the Florida Statutes, the following Information Is stated In this NoncEOF
COMMENCEMENT.
L.Kal Oewlpdon of property"Ing Improved: Z�I _2 Za 6-:57
Address of property being Improved:
,&:t (R
General deactipoon of Improvements: Z�do,.50re__,
Owner F17rre- ar&,, A
Address D,
Owner's Interest In site of the Imbalement
F" Simp4e T'Itleholder(if other than owner)
Name
Address
Convector Suntastic Inc.
Address 9776 Beach Blvd Jacksonville FL 32246
Phone No. 904-M-1616 Fax No, VJ4-996-1414
Surery(11 any)
AOdrem —Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements.
Name
Address
Phone No Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom not1ces or other
documents may t>e served:
Name
Address
Phone No Fax No.
In addition to himself, owner designates the following person to receive a copy of the Llenor's Notice as provided in
Section 713 06(2) (b),Florida Statutes. (Fill In at Owner's option).
Name
Address
Phone No- -------—------- Fax No,
Expiration date of Nodca of Commencement(the expiration date Is o par from the date of recording unless a
arflerent date is spechled): n��,
T'HIS SPACE FOR RECORCER'S USE ONLY OWNER
Signed: Date:3-i-i-y2
Doc#2007168147,OR BK 13993 Page 472, itr
Number Pages:1 Before me this day Of I-Cv;2 in the
Filed&Recorded 05/22/2007 at 10:23 AM, County of Duval,State of Florida,has personalty appeared
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00 al-e4'ee
Notary Public at Large, State of F"Ida,County of Duval
My commission explres:
Personally Known L11_11 or
Pro(juced_L0entftation
WCHAELKAUFMAN
P V
MY COMMISSION#DD 201 V9
P
Bonc6d Thru Nota
EXPIRES:August 9,2007
ry Public Underwriters
Date: 3/25/2004 2004 -#41
Betterliving
PATIO& SUNROOMS Page 5
Design Pressure (DP) Rating for Window.& Door Units (psflI
Product Aluminum Unit Sizes*
Type 33" —39" 45" 51 57" 63# 69"- 75" 81" 87"
Single Glaze Door 20 20 20 20 20 20
Single Glaze Window 200 20 20 20 20 20 20 20 20 20
Single Glaze Door
with Stiffener 35 35 35 35 35 35
Single Glaze Window 35 35 35 35 35 35 35 35 35 35
with Stiffener I
Insulated Door 20 20 20 20 20 20
Insulated Window 20 20 20 20 20 20 20 20 20 20
Insulated Door 40 40 40 40 40 40
with Stiffener
Insulated Window 40 40 40 40 40 40 40
with Stiffener 1 1 40 40 40
SELVA LAKES HOMEOWNERS ASSOCIATION
REQUEST FOR ARCHITECTURAL APPROVAL
This request form is to be completed by the Homeowner and submitted to the(ARC)prior to the commencement of work.
DATE RECEIVED BY ARC: 3-a-7,
THIS SECTION TO BE COMPLETED BY HOMEOWNER
Date:
NamR Lot#
Address: C-)A(c)
Home Phone: 1 Q —I Other Phone:
Contractor:- S '�ej- (— ) C
Describe the work to be done: (i.e. screen room, addition,fence,garage door,siding,outdoor lights, exterior painting,
roof repairs/replacement,gutters, etc.)
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Location: Attach a copy of your survey indicating the location of the work to be done.
Describe Location:
Specifications: Attach a copy of the plans,drawing,picture, specifications(material,color,etc.) All exterior paint must meet SLA
specifications.
Estimated date of completion: u,
NOTE: Owners are responsible for the conduct of the contractor. You are required to supervise the work being done. You are
personally responsible and liable for any damage done to common property or adjacent property. When required by the City of
Atlantic Beach,you are r uired to provide the A%ith a copv of the building permit.
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Homeowners Signatur:V(1-11�YU (k)/) Date: (X
Date Approved te— .1AJ4,n Date Denied
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ARC Signature(s): (q
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