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320 17th Street (Vault).~~~+,~ City of Atlantic Beach ~, Building Department =% . z~L 800 Seminole Road • ~ Atlantic Beach, Florida 32233-5445 • ~ - ~~~ Phone (904) 247-5826 Fax (904) 247-5845 ~~=~_;~ li~'~.. - E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLI+CATit31`~i•NUMi3ER ~: . (To beassigned b the Building Depaitment:)~ . ~, Date routed: ~~ ~ ~ ~ ~~ Q roperiy Address: ~20 /~~ r1'T~~f ,~ ppficant: /~. ~ ~ / L any Tree raject: Cam-,' ~'~`~ a~--2 ub~. Utilities review required ~ Yes G Fire Services I I I ®ther Agency Review or Permit Required Review or Receipt of Permit lferified B pate Florida Dept. of Environmental Protection Florida Dept of Transportation St. Johns River Wafer Management Disfdct Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: AP~L.~CAT[®~d STATi1S eviewing Department I First Review: (Circle one.) Comments: BUILDING NING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES ^Denied. Reviewed b : ~ ~~' Y Second Review: QApproved as revised. ^Denied. C®mments: Reviewed by: Third Review: Approved as revised. ^Denied. Cczcns~aenfrs: Reviewed by: Date: Date: :v6sed 05f74.~'Q9 '~~ ~~ ~ s '~> y3 ~~ CITY OF ATLANTIC BEACH S00 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5645 BUILDING-DEPT~COAB.US Q~ n~ nl~r, pt=RMIT oPPI_IC4TION ._ . 09 ,~~" ~ ._...I____.I ~_ _h_. I DUVALCOUNTY - --------- - ,J,'JOBADDRESS - 2. VALUATION OF WORK 3` SO FT UNDER ROOF . , 4 LEGAL DESCRIPTION' J/ ` 1 JA ( S~,/VCS Mtn r r~ r a U.,,'t LOT/ 1 BL~KJ SUB DIVISION ~ 5 CLASS OF WORK '' ' 6 USEOF STRUCTURE: ^ NEW BUILDING ^ DEMOLITION ~REBIDENTIAL FQADDITION ^ CONVERTING USE ^ COMMERCIAL ? Z. RESCRIPTION OF,WORK - ` ^ ALTERATION ^ ACCESSORY BLDG. B? FIRE SPRINKLERi ^ REPAIR ^ POOL /SPA ^ YES ^ NIA ~ ~ ^ MOVE ^ OTHER NO PROPERTY,OWNER CONTR_ AC OR`. ARCHITECT 1, ENGINEER: 9. NAME: ~^ ~•Ji,~V~r'd ' ~ ' 15 COM~~PwwANY NAME: t~./n. ~tl v.~.`~ ~n~~v v'..w 2j3. OM/eAN1{RNAME: ; _ •+ /'~'~IJ'VLY' ~h 1Ml°r/IN -~v` t G V 16„QIAME~ ~ ~~ , ~4 `~l o ,~ r c..-.~ , 24. LICE S E NAM J~~~ 10. ADDRESS: ~• ~ 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO : 1( '~ Q ,( /i T~C~w~I~C ~l~r.C~ 18. /ADDhRESS: ~'~ ~ I F7V ~~~~. ^ D ~ ~. / ~ ~ A DRESS: ~` 26). I ~ , F C ~1 ° t! - y ] y ~ lrl ~t ~Cr. // I~LI . 7 l~~HtWJ /.7 ~Cc ~. ~ , . 11.OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20.; `NO.:~ ~ ~~ •~ 27.OF~C~EAP ~ ~ O / S O 2 ~ G U ~ L 4~ 13gCELL PHONE n q l / ; 21. CEgLL P„HONE: ] LL PHONE: 29. CE 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 4 / ~ f 1 30. EMAIL ADDRESS: ~ k J L«r J ! rew.~~:r, c.~ .ar FEE SIMPLE"TITLE HOLDER; ' ~ (IF OT}IER THANOWTIER) , ~. - B NDING COMPANY:. ~ " MORTGAGE LENDER: . 31. ME /' 33. NAME 35. NAME: ~Y'r' G~!`/1/4 /'J 1 1 32~ D IRESS: 7. h 34. ADDRESS: 36. ADDRESS: v ~ ~ ~ r~~ T Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six, (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 1 will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law. ~'*'k WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWIV~R or AGENT "-' _ _ `CONTRACTOR` . (If Agent Power $f Aitomey.or Agency Letter Requi~d) ( ualifie~ On Signed: I• ~• d Q Signed: Date: __~ / Before me this day of y~ , 2009 in the county of Before m this ~ day of ~ , 2009 in the county of all y appeared lorida, has perso Dw of u al, State f Florida, h personally ppeared , F f / herin by himself /herself and affirms that all statements and declarations are herin by imself /herself and affirms that all statements and declarations are true and accurate. ' / // Npt~eytpublic at Large, State of /~L , ,County of (~T (~ true and a curate. No Public at La to of ~, County of ~~ P Wally Kn / ~ ~7~'~7±! ~ ' !~ ' ~~ • ' V ' ~ ' Wally Kn Ced Ide tiff fion - P f o - llfProduced Id tiff , u Notary Signat Notary Signatu ~- l tea; "'"""••,, REBECCA C. COOPER ~~' Notary Public .Stab o1 Fbdda BLDG01 Penn 4~~ Nov 11,2009 ~1 1 ?~~R~~~',• ~ Corrlmb~ # DD~81s28 • ~~'PV P''•b, REBECCA C. COOPER ~~ Notary Public - State of Florida • My Commission Expires Nov 11,21)09 `^~~ ~f l '~,,~~~ ~~•••~ Commission#OD46t1281 ~l ~ LL ~~1~f Utz' LOT 19, BLOCK 5, SELVA ':MARINA UNIT NO. 6, ACCORDING TO FLAT THEREOF A5 RECORDED IN PLAT BOOK 3 4 , PAGES 51, 51A AFiD 51B , OF ; THE : CU~tRENT . PUBL {,t C RECORD~_ OF DUVAL COUNTY, gLORIDA, TOGETHER WITH THAT PORTION O~'•T_•CT "A""SELVA MARINA UNIT NO. 6, LYING NOI3,fiH OF . THE EASTEIRLY PRt3JEC'~IO~t IN A STR~IIGHT LINE OF THE 30UTH LINE OF LOT 19, BLOC~C 5, SELVA MARINA UNIT NO. 6, ,PLAT BOOK 34, PAGES 51,51A AND 51B. _ CER71FIEfl FOR: ~..~' e' G~..~oc...,~E 5.~,.~~-s • 5~~~ ~ ..` p~:..~_ ~or~-,~~ ...= ~Ea- ©~-.-rS ~ ~,v~ Gov +~- l ~v .A..~.J ~j`.' .r.(p :t (J'_Iti..,1-- fr,~fo•Zr~- o. ~~ ~ ~ ~~ cS' •t3e~c-- r. 1~.7. o- d' ~• ~~~ ~a ~~ 'r- ~, ~. 7 ~ . '~• ~d. a 4 ~~ " ~g7• ~o .~ 0 r-~- ~coo I_ to ~ ~ ~- ~ qq N jn I(1 9 r ~ ~~ r -~~.~. .Q G3 b Gam, a Q x ~." og t~w~ x...~'S8°4~ ~'ao"E GS~Zr • ~Z- e~ 33.9 . • ` •. •~ ~ •• ~ ;.. • •. •.• .~ 1, U ~ ~ • • . 0 i~ M ., -ra~-z- •:~- 5 z8°3~ Wiz' i ~ NOT VALID; UNLESS EMBOSSED `N97H SEAL OF THE L-NDERSJGNEb BEARINGS_ BASED ON ~- ire LINE AS SHO THE PROPERTY SHOWN HEREDN APPEARS TD UE WITHIN FLODD HAZARD ZONE- ~~ K- ~ A. S SCALED :FROM FLODD INSURANCE RATE MAP~J.FOR .~'~.,~-~ti-. 8~=-~ ~-+y fLORID,q, DATED Q-- -'~- - Pmt ~~~:~,~ City of Atlantic Beach /~~• . ~'-°-~'~,4 ~ APPLICATION~NUMBER . ~~" .. ~1 Building ©epartment ~ CJ~~1 ~ ~~• *, .;, (To be assigned by the Building Depaitment:)~ k :~. 800 Seminole Road ?~ ~ f~ ~-~-,~ "~ . ~~ Atlantic Beach, Florida 32233-5445 ~`~'~ J~~I` - :Q ~ .. /~ . ~ ~ - ~~ .. .zs; r. ~.;\,\ . '~`'~ ,"~Y"•-`~'-='~ Phone (904) 247-5826 Fax (904) 247-5845 ''*.;. s'~~-:~31~... E-mail: building-dept@coab.us tia ~ Date routed:- '- ~- .~ ~~ Q - City web-site: http:!lwww.coab.us `~~~. ra~ser$g/ Address: ~20 ~~~ ~£~'~ ent review required Yes g~pfican#: /~. ~ . ~ /~ L. annin Tree A ' 'strator roject: ~c~' ~'~I ~~~' a~ ub ublic Utilities I Fire Services I I I ' F~„"'2..~~.;`"~'..~.'kw'~.',~+ "~a.'S~: 'x'*vF'" ^"'iT~=i~t vfa"Fnn~S~?r~ ~ v ~crr: R~r :~:~ ~~..:.~~:~=~r~~,~~:.~x~ ~ Dep:~,S,t~t~re'- r~--~~~ -~ ..~~- 3 .F~~..,,~~~ O~tiner Agerocy Review ar Permit Regtaired Review or Receipt of Permit Verifaecf B Date Florida Dept, of Environmental Protection Florida Dept. of Transportation St. Johns River VIlater Management District Army Corps of Engineers Division of Motets and Restaurants Division of Alcoholic Beverages and Tobacxo Other. AP6~L.~CAT6t)~! STAT~IS eviewing Qeq~artrneret First Review: Approved. ^Denied. (Circle one.) Cornrne~ts: BUILDING 'CANNING & ZONING Reviewed by: Date:_ ~~--~/-C~ TREE ADMIN. Sec®nd Review: ll ^Approved as revised. ^Denied. PUBi~ WOR(~S Cos~mer~ts: PUBdI.f~ SAFETY FIRE SERVICES Reviewed by: Third Review: [Approved as revised. ^Denied. C~cnrraerots: Date: Reviewed by: Date: :veered E751'l4P09 ,~i '` s~' ~`~'` f' CITY OF ATLANTIC BEACH ~ ~5 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~+ OFFICE: (904)247-5828 ~ FAX NO.:(904)247-5845 J BUILDING-DEPT~COAB.US `1..,~~ BUILDING PERMIT APPLICATION 09- .-.I_ r._.. I ~.__r~.__~~....._...I ouval_ c~unlTv 1; !"JOBADORESS: 2 VALUATION OF_WORK 3 SO: FT,UNDER ROOF .3 ~~ / 7 h S~r~ I4v ©O© 4: LE AL' DESCRIP G TION 5 CLASS OF WORK:: 6 USE`OF STRUCTURE: A ) { S~./v~~ M~Yl~n.~ Un,`/ ( ~ ^N~vBUILDING ^DEMOLITION ~3fRESIDENTIAL LOT/ BLOCK) SUBpIVISION ~- 1~ADDITION ^ CONVERTING USE ^ COMMERCIAL ,:.7s DESCRIPT)ON OF WORK: - ^ ALTERATION ^ ACCESSORY BLDG 8, FIRESPRINKLER. - . ~ ~ c ^ REPAIR ^ POOL! SPA ^ YES ^ N/A r ^ MOVE ^ OTHER NO -' „PROPERTY'OWNER:, " ,; CONTR AQ OR: " ARCHITECT _ 'f ENGiNEERc - _ . __ 9. NAME: ~ `` ~ ^^ ' ~ 15 OMPANY NAME: ,, j ~~ ~ t~~ 23. COM AN NAME: ~ ~ I ~ ~ i/VP- C... d V'I /1. . »/tar v:iv rn, i~ b -n tnf J r`r^ l~ 18~JAMOE:} ~ r ~ ] ~ ~ ~ ` r U `) lJ f" I 24. LICE EE NAM ~~LE r 1 10. ADDRESS: ~ ~ 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: Y c ~, A~l~ ~r'c ~~r 18. ADDRESS: I~e ~O /~rel 28. ADDRESS: J ~ x 1" f ,., . . ~, rl~. ~ ~, ~ ~ t'~~. ~ ~ I'l~~~'r ..S'~J3~ ;r,~}rK t ~ ~. 11. OFFICE PHONE: 12 FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. CELL PHONE: ~ o~r - ~ - °1 t ~ 21. CELL PHONE: °~ a ~r - ~t31 •- d 1,~ ~ 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: t* w„{ ~ r , 43 ? I J c L' ~"1 r / ~l // ~ 30. EMAILAD/.D_RESS: ~[ . i1 C- / FEE'SIMPLE~TITlE HOLDER: . ~~. ~ pF. OTHER THAN OWNER) g NDING COMPANY:- ... _ MORTGAGE LENDER: ' 31. ME 33. NAME 35. NAME: 32. ADDRESS: ~ ~ -1 34. ADDRESS: 36. ADDRESS: 2O I7 cS7fr ~ ~- T Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, .Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the #oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent, Power of Attorney or Agency Letter Required) ( ualifier On Signed: ~• ~• lJ ~/ ~ ~j ~ ~ Signed: Date:---1~= 9 Befiore me this day of Y, 2009 in the county of Before m this ~ day of ~ , 2009 in the county of Duv of Florida, has perso ally appeared c ~i f ' - uval, State Florida, h personally ppeared . Y 2i er5 -- - ~ _ herin by himself /herself and affirms that all statements and declarations are herin by imself /herself and affirms that all statements and declarations are true and accurate. //,/ l~pt~ryfPublic at Large, State of ~L ' ,County of ~t (/ true and accurate. /~ No Public at La to of~ County of ~~~"~ .~,//p~sonafly Kno ~f n ~~-ry." urProduced Ide tiff 'o - ~~ ' /~T~- ' G ~ • ~ (! • , Ily ~ p used Ide tiff lion - . Notary Signat Notary Signatu l -~_~ii` ~; "~ "'"'~, REBECCA C. COOPER 3 . ___ Noary PubNc - State of Florida BLOGOI Penn gsRE~~ ~ 11,2009 ?,~ f~,ra n#pp~6281 ,.1't„.. -~,~s'~°P'''., REBECCA C. COOPER Notat PutNic - State of Florida ,~ ~- My Commission Expires Nov 11,2009 ~ ''.'~~o~ ~ ~~.~~ Commission # Dp468281 rj ~~ rl~~f ~li' J LOT 19, BLOCK 5, SELVA 'MARINA UNIT NO. 6, ACCORDING TQ PLAT'THEREOF ASs RECORDED I N PLAT Bt70K 3 4 , PAGES 51, 51A AFtD 51B , OF : THE : CU RENT . PUBL ~ C RECORDS OF DUVAL COUNTY, FLORIDA, 'fiGGETHER WITH THAT PORTTOi~ QF~ TGT "A"" SELVA MARINA UNIT NO. 6, LYING,NOR'~H-OF. THE EASTERLY PROJEC~ON IN A STRf1IGHT LIN£ OF THE SOUTH LINE OF LOT 19, BLOCK 5, SELVA MARINA UNIT NO. 6, PLAT BOOK 34, PAGES 51,S1A AND 51B. CERTIFIED FOR: ~..,c.r' e' ~~.rGOC.~,~.~E.. S-~..,.~~-s ' 4~~~c.~ C7~~ ~o~-tv~,r .r SEo- ~ ~•..-r5 ~ l~-,vE o-- ~' d ~~ ~0 a _~ ~a .~, ~ ~ ~: Q ~ ~~ .~ So(r,~ t3` ~, '~` EM 4 ~E7L..~. C ~~ ' ~ ~ r,.., c.' oS Gyo v-~ ~. ~v 38°43 'SO"E Qz. • ~- . 5 -~ 3° 3to~ ~ g" ~ z'S.<<` 5 z8°3s~i:' ZZ- -~3 THE PRl9PERTY SHOI!!~J N~REON APPEARS T4 UE W17NlN FLDDD HAZARQ 2DNE- ~` K-~ AS SG,4LED FROM Fl.OOD i INSUR,~WCE RATE MAP~IFOR .~`~..~r*K- SR--r =~~ FLORIDA, DA7ElJ 4--' t"z - PR TNL~_' , _ _ t~-~..e- P ~j,.a:o t~.., s...~C,~- ~twL'~~Y 5+~~ ~.vEy Q~ ; . LOT 19, BLOCK 5, SELC~A ;MARINA UNIT NO. b, ACCORDING TO PLAT THEREOF A; RECORDED IN PLAT BOQK 34, P.i1GES 51,51A AND 51B, OF: THE: CURRENT PUBLIC RECORD: OF DUVAL COUNTY, FLORIDA, TOGETHER WITH THAT PORTION OF•TRACT "A" SELVA MARIN2 UNIT NO. 6, LYING NOR'T'H" OF ~ THE EASTERLY F~RO~ECTIO~1 LN A STRl~IGHT LINE OF THE SOUTH LINE OF LOT 19, BLOCK 5, SELVA MARINA UNIT NO. 6, PLAT BOOR 34, PAGE: 51,51A AND 51B. CERTIFIED FOR: _ ~..~c..' e' G.4.rz.o~..~~.~,E.. S~~Y~-s : S~,p ~ .= p.._.~_ t~otz..-n:~~ ..= - ~.1V /C~. CA IL.~Q. ~i fL.'ST . '~ ~ r~~~ • ~ ' ~T~"1'[_t : 1 wJ'S. ~' p 2~.fl. • ~ l:` 1~~T'S~'wJ - ~Ee,. ~ ,STS ~ ~ ~ v ~ ~- oS do c...~.., ~ 0,4,3 5o C ` .. • ~ ~ 38 ' --~ .. s ~ ~ ~ es ., ~~ ~, ~ -~ s ; - ~~ ~ ~ ~ o~ ; ~ _ ~ ~' ~ 'z~-~ 3'3.9 !I, -~.._ ' ~ r -~.'~ _ a .. ~ ~ ~~, . J M ~ ~ ~ ••, ~ .n ~ -~ .. ,~ •,,y t U -r' ~ , ~ • ~ ~ ~. J ~. ~ ~ ~ ~ ~ ~' ~o ~ _ ~ -~ ~ o ~,- x `~ ,~. .., ~~- i oa ~ K.. 1.....~ NOT VALID; UNLESS EMBOSSED WITH SEAL OF 7NE UNDfRS7GIVE0. BEARINGS, BASED ON -Z ~~ LINE AS SHL 7Hf PROPERTY SHOWN HEREON APPEARS TD LIE WITHIN FLOOD HAZARD ZONE ~~?L-~~ AS SCALED FROM fZOOD INSURANCE RATE' MAP~1 FOR ~--R.-....a-~-~.. 8~~~' i+-~ FGOIR/D~i, 'DATED - 4--' -'~ - ~ ~~. ...xc 3 ,~ ,~~ City of Atlantic Beach / Building Department 800 Seminole Road ~~ . ,_ Atlantic Beach, Florida 32233-5445 ~,", Phone (904) 247-5826 Fax (904) 247-584 E-mail: building-dept@coab.us .r ~.. ~- ^ ~~ '"~~ APPLI~CAT[~N NUMBER ~/~ ~'';rr^ ~. (To beassignecl 6 theBuilding Depatment:)' Data routed: ~ °-"~~ ~~e~~/0 `~:: ~. ,.. .~ . City web-sitae: htfp://www.caab.as `~~~:.;~~ ,/ f r0`3er$y ACldlreSa: 020 /~~ ~~~~.,~ pp~icant: 1c. ~ ~ ~ L. , roject: ~c~--,' ~~~~ay'? en$ PEV'ie1A/ Pe aired YES No annin Tree ' ' trator ub ublic Utilities a ety Fire Services . ~°~" _ '~' ~ .~, fi"3' '.'~.'~'r;€ ~-+°,' ~'c~- s "~^`''~`' '~ "'~ ~'~` '`~ ffr'T'~S h~ ,-fib, = t ,~,t._• ~~ ~~ _ ~ ~~e{.~~~~r,~~~~:,~'~~~~ ~ JAI '~~lr8~~" 1 °n- ~`~~~ ~ ~~~~,. , ` r..d. _ a~~~.e:axt,:~~,_i3.".:~ ..~~ ~~;"`..x._.3.r.Fv...ni'~.'.~...~, . !4~ CtErer Agency Review or Permit Required Review or Receipt o€ Permit d/eri€ied B Date Florida Dept. of Environmertfaf Protection Florida Dept. of Transportation St. Johns River Wafer Management District Army Corps of Engineers Division of Hotels and Restaurants Division of AtcohaGc Beverages and Tabaoco Other: t~P~L~CATtp~! STATUS eviewing Department First Review: [Approved. ^Denied. (Circle one.) Comerrents: /'f ~~ BUfLD1NG ~ -- ~gJIO/~Y"'' 'LANNlNG & ZONING Reviewed by: TREE ADMIN. Second Review: Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Third Review: Approved as revised. ^Denied. Coctvrnents: Revie~nred by: ~~ Date: Date: :v6sed Ef5f74~r?9 s ~ "` CITY OF ATLANTIC BEACH ~`~ ~it 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ti~ rt OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5645 J BUILDING-DEPT~COAB.US ~J =~~~ BUILDING PERMtT APPLICATION 09 ~_..... I,_. rv_.L~_..__.I_..._...I DUVALC~UNTY 1. JOBADORESS: 2.:VALUATION`OF WORK - 3. SQ FT UNDEF2 ROOF _ _. .3 2~ / 7 ~ Syre IOV Ofa©> 4:LE G ALDESCRIP TIONi 5 CLASSOFWORIC'' 6:USE'OFSTRUCTURE- p ` ) ~~V~~ '~t~Mf`r.:,• Uh,'/- ( y ^NEWBUILDING ^DEMOLITION PRESIDENTIAL LOTr BLOCKJ SUBDIVISION T 11~ADDITION ^ CONVERTING USE ^ COMMERCIAL },7.. DESCRIPTION O.FiVVORK: - ,: ^ ALTERATION ^ ACCESSORY BLDG. 6. FIRESPRINKLER. _ J ~ ~ ~ ^ REPAIR ^ POOL /SPA ^ YES ^ N/q ~1 f ^ MOVE ^ OTHER NO ;:'•, PROPERTY;OWNERe _ , CONTR AC. OR: ARCHIT__ECT f ENGINEERS `' 9. NAME: ~ ~~ ^ ' ~ 15,,c OMPANY NAME: f Ih `~ E I 'f l~ 23.,c OMRRAN NAME: r ~ ~ ~ ~ . v~~ d V'r G , - ,..,, ~ ~r -- ~r . n (tn(J ,.I lyer//n er l 16 ME 24. LICE SEE NAM 10. ADDRESS: ,~ ~ 3 ~o /7 J'~. 17. STATE OF FLORIDA LICENSE NO.: C C lam- ~ !3 25. STATE OF FLORIDA LICENSE NO.: 1~ `^ =L /°~ 3 ~J"-~ c ~, ~ ~ ~o ~l ` ~ ~ t? ~ 18. ADDRESS: G O ~ r c~ e ~ J c. 26. ADDRESS: J v. x r F L. ... ~ , tl~. ~ ~, ~ l~~4. t ~ lI~-r~'i J'!=~oecL7~~rd .t ~~1. 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27.OFFICE PHONE: 28. FAX NO.: :~ --'~ 2~ 88~ - zti o i ~ ~ u ~- ~ 3G ¢~ 13. CELL PHONE: ~ o~-~ - ~ - °l ! ~ 21. CELL PHONE: °~ o ~i - ~~31 ~- d :Z 6 ~ 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 1 / 30. EMAIL ADDRESS: FEE SIMPLE TiTLE'HOLOER>' pF OniERn-IgFi`ovur~eR> - - B NDING COMPANY: MORTGAGE LENDER: ' 31. AME: % `/ ~ ~ ~ ' ' ' 33. NAME: 35. NAME: / Vc J r l / 32~ OGRESS: ~ 7.~ ~~ ~ r~~, 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit fo do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be pertormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Welts, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that a0 work wilt be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and .prior to obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER ol•'AGENT CONTRACTOR' (If Agent,.Pawer bf Attorney or Agency; Letter Requue C) ( ualifier On / Signed: J • ~• p Q Signed: Date: /~ . S • o / Before me this day of ~~ , 2009 in the county of Before this ,~ day of ~ , 2008 in the county of Duv of Florida, has perso ally appeared s ~~ M oval, State Florida, h personally ppeared yers i herin by himself /herself and affirms that all statements and declarations are herin by imself /herself and affirms that all statements and declarations are Gue and accurate. /~ ublic at Large, State of ~L ,County of ~ V true and a orate. No Public at La to of ~, County of ~~~ P Wally Kn / , ~/ L'~+~ ~d Produced lde tiff -~~ ' 1r • nail Kn Y P used Ide tiff bon - . Notary Signat Notary Signatu ~- l ~; "Y""'~~., REBECCAC. COOPER ~+4 s Noilry PtlbNc - Sfaie of Fbrba BLDG01 Perri 5RF.Vl~~~t~~N01111~'~(~ y a,~ a .' ,, ~ a# pp~6t3281 ~~~.. ~;~a+ P"'~ ~~- REBECCA C. COOPER Notary Publ'IC - State of Florida ;,,~ ~ My Commissbrl ExRlres Nov 11,2x09 ~ '••.~~o~ ~ ~~~,~~ Commission # OD488281 ~~t71I t~~~rb«• LOT 19 , BLOCK 5 , SELVA 'MARINA UNIT NO . 6 , ACCORD-I-N6 TOQ PLAT ` THEREOF A5: RECORDED IN PLAT BOOK 34, PAGES 51,51A APtD 51B,_OF;THE:CU RENT.PU$L~C- RECORD OF DUVAL COUNTY , gLOR I DA , ~thGETHER WITH- THAT PORT i Uid OF • TGT "A" SELVA MAR fiNA UNIT NO: 6, LYING , NORfiIi OF - THE EASTERLY PRQdEC~'IOkY IN A STR~iIGH'fi' LINE OF THE SOUTH LINE OF LOT 19, BLOCK 5, SELVA MARINA UNIT NO. b, FLAT BOOR 34, PAGES 51,51A AND 51B. _ _ CER7If7Efl FOR: €~...c_.' £' G:,o.r~coc.~,~..~E.. 5•~,.~--s a - ~,~- p+...~_ n~~-,vmc.,~ - vtG.C- Gc2--P• ~~cL. -r ;,=-..-.=Vic...-,*:l T ~•,~~. 2...£7. • ..:._i-so.~.r AA~ V_ ~` .~~ _~ ~o N .~, ~ ~. 4 W ~ D .3 o~ . a ___ __ ~~ss. Q .~.TS ~ ~-,vE •~~~ ~~ ~ .,, , ., . . ~ , ~~-~ ~e.~,.., ~~_ 1Q.7. .~ <<00 i~ 0 ~ (rj.Q ' {~• •~~ J~ ~~ m~ 0 ~n o$ ~ 1~ ` ~ /~ ~o n `~ ~+ 1~ ~;" as~~~ e~ 38°~ •5o•'E ez.. • ~- • 33.E :. ` - r _! '~ } •• . ;.. ~~ ~~ 1 J t' r ... 9 /M W 1~ ~ Ga-• ~.~ - P' _, iv ~° `' . ~ C-v-~r ' ~ Q S C~(o°'t ~. ~~-~' "c.. Ste, -~/- a 1 I ~ 5 -~ 3° 3~0 ~ g., ~ Z'S.~a• "J ~°~~ jZ.~• r _ NOT VAUD: UNLESS EAIBOSSFD 'WITH SEAL Of ZHE UNDERSI~JV~'D. BE,4R/lV'GS. BASED .AN. +Z~- ~~ UNE AS SHOT THE PROPERTY SHOWN H~EON APPEARS' TO UE N9TH/N fZ000 HA2ARD ZOA/E_ ~~ x-- • AS SCAI.€D . Ff?OA/ FLDOD INSURANCE RATE MAP.~J.FOR :b-'~.~T~'K-• .~~-r -~-a~ fCORIDA, DATED :d-- t-t - ~ - •.r.,w r , K:o ru s~..iG+ ~altit~.2.~Y '~-> 2_vCy Q~ LOT 19, BLOCK 5, SELVA `MARINA UNIT NO. 6, ACCORD-IN~ TO PLAT THEREOF A! RECORDED IN PLAT BOOK 34, PAGES 51,51A AND 51B, OF, THE: CURRENT PUBLIC RECORD. OF DUVAL COUNTY, FLORIDA, ~bGETHER WITH THAT PORTION OF-TRACT "A" SELVA MARINA UNIT NO. 6, LYING NOR'~H" OF ~ THE EASTERLY P~ROJEC~PION LN A STRAIGHT LINE OF THE SOUTH LINE OF LOT 19, $LOCK 5, SELVA MARINA UNIT NO. 6, PLAT BOOR 34, PAGE: 51,51A AND 51B. G'ERT1f7E© FOR: ~~.~c...~e' G.•,.eo~..~~..~~ S~`.,.~~s : 5~sa ~ .- p.•.•~_ ~n,o~~a„c~ ys ~J o) Y . r a ~.>. ,. ~, : (~ Cn 3a. o- d~ ° ~ cQ o~~ ~o m N ~- ~' J ~. ~w o~ .~ ~~ r , 1~.~. ~ ~ ~o 0 ~ ~ - ~ ~. . ~ /g ~' ~~ ~ -~ ~ ~, •:J ~ i `-i a 0 , ",~'-' 1 j 1 v _ J ,~ ~• • ,. N ,~.~ 'r~ -~ _a i ~ t.._.o~- t ch F; oS L~~ c...~.~ ~ ~3 38°4~S ~50"~ ~•~.~ ~\ =Z.-~.c~ 33.9 1~~ nn ..~ ~Y 3 ~ j~ _ . ~ ~~ ~9 '. ~, ~ r .3 iD ,~ °'- :. ~ ~ .~ ~ z--:.~ - ~ - ~. 6 G.d-' 33.x' - M '1 ~ ~" Q ,~ ' ~ ~ . x I ~~ ~' ~ d 1 J t~ r ^C~ 5 -~ 3° 3~• ~ 8., E Sald° i 3` 5'~j.' ~ fc~,,zz. Z_Z_ -43 . EM t ~...Ipt.rE. ~.`o....O (~ i ~o ~ R.. I ......, NOT VALIO; UNLESS E7NBOSSED .iMTH SEAL OF Th-E UNDERSIGNED. BEARINGS. BASED DN ~ ~+~-~ UNE AS SHL 7HE PROPERTY SHOWN H6REDN APPEARS' TO LIE W1TH1N FLDDO HAZARD ZONE ~~ ~.. AS SCALED FROM fZ00D INSURANCE RA 7L MAP, ~'~2' l FOR .~'~;-.~.~'~... S~c_...~, fZORIDti, DATED - ~ a--- ~"~ - P~ NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. / ~ ~: ~ ~ ~' "~ ~ t - ~ ZI State of County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated In this NOTICE OF COMMENCEMENT, ~ ~ j ~ l Legal description of p perty being improved: ~ ! l O G i'C Address of properly being improve/nd~: ~ .~ ~ ~ ! ~ ~ / r ~ t General description of improvements: _ ~d D/: ~ y-` f.+ Owner ~ ~~^ -` L ~,: ` ~v ~ ~ ~ Address ~ v1 d ~ 7 y ~ ~~• Owners interest in site of the improvement Fee Simp a Tifl holder (if other than owner) Name Address ~ Contractor ~~ . ~ . t<G, ..... ` ,+~ L .n A ~ ~~ ~, a ~ ~K c= ~)~~ ~.~' : Address 43 O ~" t~~ f ~ ~ 7` ~ c..~ ~~ `c ~ ~. ~ ~ ~~~ Phone No. ~ (~ z_ f " ~ ~ /" ~ ~- ~ Fax No. ~ Surety (f any) Address Amount of bond $ Phone No. Fax No. Name and address of any person malting a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owners option). Name Address Phone No. Fax No. F~cpiration date of Notice of Commencement (the. expiration date is one (1) year from the date of recording unless a different date is speed): THIS SPACE FOR RECORDER'S tJSE ONLY .,.^ r _ OWNER Signed: Before ~ DOC~F'Ll)U9LIt71G'1, OR tiK'15Ub'L Page 14(S, Number Pages: 1 Recorded 111091200) at 02:12 PM, JIN1 FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 of ere true an urete ~/ Il f" No ry Public at merge, Sfate of My mmission expires: Perso ally Knoum Produced IdentiFcation LATE ll• ` •~~ in the herein by ms herein e /~ • 2~~ of F[/ ,,.~ CITY OF ATLANTIC BEACH I I I I I `~ i5 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 O~ rye ~ ~' ~W. s} OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 ''~ -: BUILDING-DEPT(~COAB.US ~:w=:,.,r BUILDING PERMIT APPLICATION DUVAL COUNTY 1: JOB ADDRESS' 2! VALUATIQ,N OF :J'~Pk B. SO: FT: Ut1DEF r'?7F 4;LEGAL DESCRIPTION: - -' ~~ ,5: CLASSOFWORK: ]~j S ~? w.:~ //I t, r ~' n :~ 1.1 h , ~ ^ NEW BUILDING LOT! 1 BLOCK SU© DIVISION ~ j~ADDITION 7iDESCRIPTIONbF.WORP;: ^ALTERATION /r `. ^ REPAIR 7- ^ MOVE PROPERTY OWNER: CON1'f~AC OR: 9. NAME: ~^ / 15 OM~tP~ANY NAME ~V' I' G '~J r~/V^P /'> / -./i+. ~-~ vh~~~ ~n ~~v v 'ter 10. ADDRESS: 3 ~ o / 7'~nh s'/~• 11. OFFICE PHONE: 112. FAX NO.: 13. CELL PHONE: 14. EMAIL ADDRESS: 16~lAME~ ~ ) / ~a ~~l 0 ~ / rl Cn ran . 17. STATE OF FLORIDA LICENSE NO.: Ca C 12~ ~ 7 l 3 1 B. ADDRESS: 6 b ~`} r el ~ 1 ~ G. A f-l ~. ~ 7~,` ~ ~ P c~ c 1, 19. OFFICE PHONE 120. FAX NO.: 21. ~L POHOf E: ~~ ~~ L 22. EMAIL ADDRESS: d ^ DEMOLITION .ZQ RESIDENTIAL ^ CONVERTING USE ^ COMMERCIAL ^ ACCESSORY BLDG. 8: FIRE SPRINKLER. ^ POOL /SPA ^ YES ^ N!A ^ OTHER NO ARCHITECT L ENGINEER: 23. OM A NAME: 25. STATE OF FLORIDA LICENSE NO.: 6. ADDRESS: ~ ~ x 2 r 77 J ) / / 1~~ ~[~RVI t~J~IR~t ~ 27. OFFICE PHONE: 88~-Zbo r 28. FAX NO.: ~,6a-~ 29. CELL PHONE: J 30. EMAIL qrf~/j~ F(. /t ~ ~. t hL{~ H~~rbel FEE SIMPLE T(TLE HOLDER: Bi~NDING COMPANYr MORTGAGE LENDER: (IF OTHER THAN OWNER)' ^'' ~, ;_.. ,. __- ~. 31. ME: / 33. NAME: 35. NAME: r 32. ADDRESS: ~ h 34. ADDRESS: 36. ADDRESS: ~+', ?:LC) /7 ~fr~~~ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation 'i1 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspende abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, eta OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applica laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law. ~k WARNING TO OWNER: ~ v YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YO PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOR T~~ ~ FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOU ~ W o LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE E~b`f~ ~ OWNER or AGENT CONTRACTOR `_ ~ (If Ager t Power of Attorney or Agency Letter r,e~tl r4-d) ~ t` ualfier On Signed: ~• ~• D Signed: Date: ~ / r ~ Lt: Before me this day of {~~ .2009 in the county of Before me this ~ day of /~L , 2009 in tFj cdlff J ~ Duv of Florida, has perso ally appeared 2i~ ~i ~yers herin by himself /herself and affirms that all statements and declarations are true and accurate. ' /'/ Nptae~public at Large, State of ~L • ,County of (mot V P Wally ICno - ~~ ~~ ~ n/ . ~ ` llrProduced Id tfi 'o G Notary Signatt r ~ t'•` ~~~~ . g `fir a~'~ .,, REBECCA C. COOPER _ c';, Nary Ptlb~ic - 5t;>Ita of Fklfida BLDG01 Penn' ~ g~RE.V~ Npy 11, 2009 a herin by Iimself /herself and affirms that all statements and We and ac urate. Not Public at La to of ~, County of: nany Kn P uCed Ide tiff lion - Notary Signatu ~ - ~Pa° P"''••, REBECCA C. COOPER '~;* ; ~. Notary Public - State of Fknida -' ' ~ My Commission Expires Nov 11,21 ~N~';kove~~S Commission#DD4fi8281 '~nnm•- `mss .~ Q L~ PG FIOV+.23-*2009 10:17 PM Ft_O HEMNER 904 220 2965 I~tw. Mae^a t, yoop Ft,ORiDA lNRRaY EFPIC1tiNCY CDDE FOR EBIILDINQ CONSTRQCTIQN P. 02 APPENDIX 13"D Complbnct with AAethaO 8 of Chapter 110} IM tlorletN BWld/nt Cddl. Raldtnat(of 8ubolropter 19.8 of iM Rohde BuNdlnp Cone Bueylnp, may ee demonNrepd by 1M ute of Form 11008 tar atnplaand muRiplt•tamiry ntldtirott at three ttorlee er tree In htlpht, tddltlone to exittinp netdtntitl eull0lnpe, rertowtlone td edatinp neldemlu eundinp0. ntw htninp, apeunp, end wetter htttlnp tyetdme to Mdlnp bulldtnpa, and tltredded comwnxw of nNnutecNrtd nomtt end menllteotured bulldtnpe.to comply, 1 bulldltlp mtat meet pr extNld pl 01 tM tnarpy ttncitncy reaultammtt on 19bk 11 B-t and ell applkebu mendedory rogtnremenb eummeraed to Ttble 11 B•2 of thle form. I1 • rudlAMw Awee wwl wnwu,lu u1Mk MJe ,weM,wA a ,•,ev wWl en,nwlu „Mwr eew,,,wA A M f!e.Mwr t1 wrC„h"A"n,wr ea.a wr 11u e,.d4."I,Iw www. -t~Cr NAME, auttoER: AND AOOR886: r PEe1MITTINO orPNCe: OWNGR PiRMiTNO.: JUt118DIt:TIDN NO.: 1. New oonaErucpan in0ludlnp eddRbro whbh trieorporatd em d the followlnp leelumt canrtm comply utinp ndt method: tlprllphfa or otnernonverucet ro01 plan, poet erase In txoea of tp petitnl of eondftbteed lbor arts, tnd Necbtc nNetence ntat Sat N01tt ro rime t t 8•t an papa 2 . 2.Rp M pli the eppOoeWt tpeoee pt IM "tb Bt Inegldtd" column on'tbbie 11~•t WRh Bic IMdrmttlon requeNad. Ail "TO Be InaGlled" vtiuw moat be eaWel to er more etecbm then tM requlnd IreNe. 9. CompNro ppt t tteetd on the "At Bt InNelltd" otNUmn mromletlon, 4. Read "tNtnimum tkqulnmenq for All Peelmpee',ltbit 118.2 and OMck each box to Indltxte your Intent to comply wen tN epptlcablt Items. 9. Read, tpn and data iM "artpprod 8y" corUflcadon etettment tt pw 601rom 0f peps 1. Ilre owner or owners eptfn must Nao dpn ens de4 the farm. Plea~a t^nty cK 1, Ntnr eonslruMlon, addlllon, or aalatirtp bulldlnp 1L-.a~~~ r J ((~ "~^-~ - o. Otr1dIF4Atttlty dataehad or multlple•fernliy attaohatl 2. ,,,,~„~~ ____ 8. It multlpfo•IAtnily-Nv. of un(h oovand by thlo oubmiwlon 8, - 4. IA thla n tNOra) vaNy (y.Nno) 4. - d. ConNBlonad Moor sofa (aq. A.) !. e. ghtes typo and ana: e, v-r^~wr ee, h - a sxac •b• _._.. 7. PortNantaoa of Olaaa to Moor ens t-, X - 6. Moor type, Agee ttr pa-Irrlelar, Md (naYlallon: e. Sieb•on•teade (R•releej 8e. R. ~ Iln. h. - b. Wood, robed (R-value) 8b. Ra eq.tt. ,,,_, C. Wood, common (R-value) 8a R ^ eq. ft. - d. Concteter felted (R•vetue) &1. R. eq.lt. !„ e. Concrete, common (R•value) Ba. R^ aq.h, - 8. Well type, ens and Inaulatlon: ^. 8xgd0~e 1, Maeaary (lneulatfon R-value) ~. Wood framo (Irroulttion R-value) Oa•1. R^ aq.ft. Aa•2. R ^ ~~ ~~, ft, - IA AtU^oanu 1. Met>omy (Ineuletion R-value) Oe-t. R^ eq,1t. 2, wood Rama (Ruuiatlon R•ralce) tom. R. , ft. - 10. CNtlnp typo, arai and Inwlat:lon: e. Under attic (ineul^tlon R value) 10a. R •,.y,~;Q_ eq. ft. _ b. 9latta aeembly (ituulstlon /!`Value:) 10b. R^ eq.it, - H. Alr dlaMeuNOn eyetemt Duot Inaulatbn, Iewnpq t ta. R^ ~, 'Mt ropott tequlr0d if duct in uneondidoned epxe 1 i b.Tiat sport ehatl7 Yea o 12. Cooling ayatemr '~• ryPa• ~ ('types: ceatn4 room uMt, peciretc tvmind A.C.. pa, sorts) ~ I ra tttb. SClMiRt t AIC, Capa0lty: 1 18, lloatlno syabm: 18a. Type: _,_„ I'fypaf: 6ett pump, elec. strip, rrsl, gen, IP•Oet. Sst d.p., room '~~ 19b, NBPFICOP/AR'UE: 180 Ci bl N IlVAC P ll d . ty: ~ ~- topnmtt-a a 14, unnotrtal Inata a on ayelNma: y4, No t e. Na teat« ayaum: ~~ , ~ , "~ .~ t aa, Typ.. ~ (7ypae: elec., net. tae, Lr•ta, ecru. lwse roe., des. hea a r, J 16b. SF• ' t nenbr anth drt the arts end t etlNetll II qa by pM aleuMtlan ue In ee Itna w RevNw orplene ens epedrbNlalt eorena ay mIe oelteMeon IndNatw ooAIpllMee wNh tM Flo:ae IM nerlde Enxey ~~c ~~ rqy Cove. Nefera aonalvaion a compNled, IMN fwNdlnp wIN Ne hfppNd (a W mglenee In sense wlel eeetbn Iibt.tpt .s. paeruteo ; ILOING OiFICIAL: 1 IxreNy eeruy eMt Itet buNdbp b In campaence wltn Ise Rtrye Enxpy Code; .•. t)V!e!R AOENf; HATE: OAfE~ 2007 FLORIDA pWLDINQ coos-suaotNO ~~-D,ag ~.ra.,a.. P S K:O K.i aw.~GJt ~dJVt~.e'..Y `~-~ Q-.v~y Q~ ; _, LOT 19, BLOCK 5, SELVA ;MARINA UNIT NO. 6, ACCORDING TO PLAT THEREOF A; RECORDED IN PLAT BOgK 34, PAGES 51,51A AND 51B, OF, THE:GURRENT.PUBLIC RECORD'. OF DUVAL COUNTY, FLORIDA, ~'OGETHER WITH THAT PORTION OF•TRACT "A" SELVA MARIN2 UNIT NO. 6, LYING. NOI~'t'H OF THE EASTERLY P~O~ECTION I:N A STRpiIGH~ LINE OF THE SOUTH LINE OF LOT 19, BLOCK 5, SELVA MARINA UNIT NO. 6, PLAT BOOK 34, PAGE: 51,51A AND 51B. CER 11FlED FOR: ~~.~.~.•, ~ e; G:... ~c,~ „~.. ~ S ~~.,.~,l=..s Say Q - -= O~ ~_ c~a ~~c:~~ ,r. ~..~C.~v lf...•C. ~JD R...j~ ~~ T :~=-..~~G.r.•~.l T (DVS. Z...C~. ~ .~1^S~.~J v tom" ~ ~~ s v ov a .~ o- d~ ° ~ ~~~ ~~ D N ~' ~. a . ~' ~ ~ ~., /1~..~ t •• ~• , ~ ., ~ .. ~: •.. ~ ~ ~o. •r3e~ "l~. ~' ~ ' .. ~ -~ ~ 1~.7' ~ ~o ~ ~ ~ ~ /g ~' In ~ ' ~ ~ S 1 -~,,, i~ ~ ~ C_oT a (moo o. "~~ ~~ ~ ~ t Q ~~~ ~; os r~ r~ ~ ez • ate. cs ' Z..-,.~, 33.9 a .• ~ .• ~ s . . ~' -~ ~ ~ •Q J • In J ~ [~ , ~ ~ 9 9 .. .'. ~ J ' ' a 1 °" ~ ~• • ~ o . 'Z ~•(o ~ ~ ' Z D 6' Gam-' '~.~o _ Q s ' `^ -J I F ~~ h~ ~~ .r J t~ r ... ~a~30 3~~ ~ 8.,~ I Ex> ~ R.. (,,.J l NOT VALID; UNLESS EJNBOSSEU :WITH SEAL OF XHE UNDERSIGNED. BEARIII~GS. BASED ON ~ ~~ LINE AS SFl~ THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE-~~ ~.. AS SCALED FROM FLOOD INSURANCE RATE MAP~~•FOR ~-'~-.+.~.r1-K.-- 8~ic.......~ FLOR/DA, 'DATED d-- l~ -1~ t.~.s,. r ~, --uc~ ~a..~.wJU (~CVVCa...e..Y ~> ~vE Y Q~ LOT 19, BLOCK 5, SELVA ;MARINA UNIT N0. 6, ACCORDING TO PLAT THEREOF AS RECORDED IN PLAT BOOK 34, PAGES 51,51A AF1D 51B, OF THE OURRENT PUBL2C RECORDS OF DUVAL COUNTY, FLORIDA, fibGETHER WITH THAT PORTION OF•TftACT "A" SELVA MARINA UNIT NO. 6, LYING NORTH OF. THE EASTERLY PROJECTION IN A STRpiIGHT LINE OF THE SOUTH LINE OF LOT 19, BLOCK 5, SELVA MARINA UNIT N0. 6, PLAT BOOK 34, PAGES 51,S1A AND 51B. CERTIFIED FOR: ~_.~. E' G.%A-rzo~...~~E.. `~.~.:_..~,r_s • Sa,a r ~ pti~_ Mom-rc:~~ .~= - J~~ -v~c,c. cArt.^v~ ~'~a..gZ- .~Y.~:.c,.~-a..l. -r:-~-L.c (..-.,5. ~2~. • ,,~/...-;r-so.J ~jEd. Q •~.-r5 ~ ~,vE (~ ~ I w... . ~ ~'o°- • i to c C~'• t~.~r -. ldo.z.~- •'. - • •.~ • • ~ • - •• f~ ~n o- •~~ -, r ,r~.~. n ~• ~~ m O~~ ~a ~_ ~ J~ a ~, ~~ . ~• ~~ og 3 IM " /9 ~ ~n .~ h '1' N _~ ~~o -o ,,~.o ~~ 0 c~,~- ~ c1 M •~~ ~~ r V F;• oSC•~_~,~ u 38°4~S ~'ao"~ e~ g .. n 99 • 6 G,a' ~.~ _i ~ ~J 0 x ~~ 9 1y ~~n .•. 0 ~~ f^F ~ Y ' o~ 1 J t' r ... ~ ~3° 3ro' ,~ a"~ "r'tt~c:_-r ".~" S Z8°3~ Wiz.:' C ~~~~ ~~~ 1 NOT VALID. UNLESS EMBOSSED W1TH SEAL OF THE UNDERSIGNED. 8EAR/NGS BASED ON +Z ~~ UNE AS ~OV THE PROPERTY SHOWN HEREON APPEARS TO tlE 1MTHlN FLOOD HAZARD ZDIV6 ~~ x--•• AS SCALED FROM FLODD INSURANCE RATE MAP~~•FOR .~'~,-..,.r-~.. 8~_r~c_..+~ FLORIDA. DATED - 4-' ~"~ , Pla - NOti/-23-x2909 19e17 PM FLO HENNER 904 220 2965 P. 03 AF-PENOIX ta•p ~ TAa1! 111•) MIiaNUM IaaIaREMlNta (aces NOIe 11 ri CamaM raMe MMi.tlaep COMtaUNRNT - ParoewtNC! gaTa111A svaTAL~I!D VALUBE: ~.. U•Pa01or . O.ei U•Paater. Wrrbowa Nw NMa 4): ErKtC .0.30 BNOG . t aCJ 'goICFAs.lax ,,,,_ l6dCFA^ t5tteaOr waeearn _~„_~,,, T , Wa1M-fle. end Ad). (Na NoMl1~ Forma R•13 ' R•Valw . hMaa (aces Note e) MMiw of rock: R•e R.Vdua • , erwle- d arN: R•r ~„•,,,,,,,•,,,,,,,. R-Vrue . Elaabie Nola , ,,,-„_,_ ,, ,_ Reola; EMtron.pnee Neeequlrymeni R•Valus^ Over uneonaabnee w Nda a R•13 Hot Iwaer eytlanr (aMrage type) EIeChIC (ew Note et: ~0 " tee ~ e p Y~ ~ , O.eO ~! "p '/ d EF . (lea Plea leas Naa afi r0 dal: EF ^ 0,99 OaNena ^ 50 :EF^a.e F^ tw des Note EESR ^ 3A R ^ Mawr pump eyNrrr law NeM et BEER . ta.o aEEFt NEPP . 7.7 HEPF . faro AFUE ^ 714 w, ~! AFVE • OII AFUE r 7 K AFUE . an tN HVAC m O;rNrone (eN NOM 0P Laoetton: Unaenewrlad M:++e" R-E, TEETED urromelonw apaoa Corldleonaa epees NA R-Vrw . Urnamad a11b aeeamby par RaoeA vWM krWlllen el Me r0al Plana R•4,a ( Twl ntpon: Carglnvned space ~ ~ ~ R•Vrue ^ / ` Nowt AN IlendlR looaaon: UneenAeanad ele0" Or pare. Nagrxrea tact rtrpart Looeeon: f CondMOned apace w - Tw1 repere Umant b r Ra00.4 wlih Itruhtlon at M tool eM tluet Nel tad )irvrtw Mem~oO A~eempMenCelmuet ~j.n°me moat meet rrr ale psAOrmenae crhsrla In ceder to Damply with th4 code uslnp mle method: otM ;(2) Windows and door gwN1yMQ aE plaaad felraatratlon ana9 mwt comply with both ttte mtudmum u~Facta end the rtlexllnum 9lt(iC (Soler Neat ONn CoeMlolam) erhsrta and lava 9 meldmum to11U wlntlnw Brea equN to a bw than 16rh of the celydDlonetl door arse (CIA), otMrwMe Method A mwt ba uaee for txattpllanoe, k11a9pdau t. Ad~ dltlons gt~0p lpgy~~ feet t)0 tiff a I g,9ay haw muimum plea W CFA of DO percent. 2 penowdbne wqh new wlndowa untlera 2 toot overhang whoes lower edge does not 9xMnerthltn rum la IlvrPhartp may haw tlr-ts0 plaslnp or doublrpetre clear plump. Replacsmsm akyupnte Iratelhd In nnowUOns ehN1 be doubleosned or Blnpk paned vrlth a dlMwar. (3)1F aloes an for Insuls0on rtlNsrlel only u applNtl In eccadarKa with manufacturers' Inet9iletltln Inetructlons. Fa mass wolfs, the "lMeltar of wall" roculnmsnt (R-ti) must b1 mrn exsspt d et laser 90% tN the !t•a InaukOon vulva required fa the "exterior or walla ! lnatallsd extsrlor d, ar Integral to, the wNl. (~) A1da knee wNa MeN w Mtuhtall to came level ea celllrrga and shah haw a positive means d mNntalnlnp InWledan In ppa, Such mesna may Inautle rlpttl IneuUtbn board or ax Damer eheM materNW tdequpteiy hetenad to tt-e atds Ndu at Nrres wall Iraminp materbds• (6) For o1116r eleClrlC alaapl volumo9, mlMmum EF ^ D,D7 • (0.00132 • volume), (ti) Fer other natural gas starape valurtlse, mlMmum ff . 0.l7 • (O.ODlD • vdame). +7) Fa all oonwmM>nal untie rotor cspaereee pnater than 90,000 8tulhr. For Smae•OUCt, Hiph•VOlodty untie, tipaca Constrained untie, end antra with oapecnbe Wee than 30,000 !ltWhr see table 13~Dt'.AB.3.2A of the ffor<da BuNdlnp Code, euHdingl or 1pbW N1101,AB.3.ZA of Uro floNda t)bHdinp Cade, Asaldrnt/a1 (8) For tlI wnvanOonN oohs with aapsohNs pnatartMn 30,000 Btv/hr, Fa Snall•DUOt, MIpMVNOeIy unlle, space Comtnitled unAS, entl unite whh wpaaNies Nse tnen 30,000 tlbllM ew ltlbh- i 3•E07.A8.3.28 of the FrdMda &tNdlnp tiOdA BtlUdlnp sr Toble Nt101,A9.3.28 0l the 19orfda Bu0o7np Code, Resldentkl (g) AN duet sod alr handWn shell bs NNrar located in condRh-nsd spew or toned by a Ckse t OENg rater to be'subsumluty^ le-k tree, "9utntandetry reek tree' ehtdl mean tllstrltntdoa system alr IesNaga to otrtdaon no pnats- than 3 otm par 100 equere Teel of oontlltbnsd ntlor era at a p-eeeuro diflererdisl of db Psrleal 0.1 O in, wa.) aoross me endre sM dWtrlbutlon yrstem, InaludlEp the menuhtctunn elr handler ancWsure. Ellsspllaa: New or npieameM dude Installed onto an exinlnp air ~htrlbutlan ayelem ee part of an addldon or nnovta-on, each duets sties ehher tre Ineulahd to R~6 tN w Inetelled In condllbrted epaln. t0) The orahlbMlan on Nemtic nnaanq heat end the rsaulremeni for propnmrneb(e thsrmalsta do rapt apes to lddnlsna nnovatlons.sod new nesting ayetsme Installed In aNlstlnp bulttllnpe. TAa1Ll 1 M RaaAllltaealNrE PO IIALL PAt31rA !~ ~ ~.. ~- coMPON II6CTION ~ In1lElii! Eat N110E.AB,1.4 T Ivaalnere1r r t EMene- n N 10E,Ai.1,1 Mena ena~.e01m! .h. re a. BOM a T P NI IOa,AB.l,a.1 Eck Ma a UDM 1 N of eMenOrwrh m Reeeeae0 L 1 4 T IC rated wire ne n (two altflrlaww rMww). , Nouaea N1 ~ r ar Mr el r vlt betwwn Poem, E;Ihaual Lana N 11 Od,A8.1.8 Eahawl has vsraee h unaandllhned epee ehgl have dampen. except Mr eombuellar darMw arch Integral wwlr du ~. Water NwMra NI118.AB.E Comply vNlh aladeroy raOWremanb In Table Nt t 18,AY.a. Bwadr a ahany maAtao oveulr bMakar areevro or curd! m . 6 oral a• r, r r verllor aw mart. Bwhrmeq Paola 6 JNpea Ni 11x.A0.lAA Epee d haaNd pooh muM nave mven (Oaoept edv haaudl. Nanaemmewrr poON mwt trove a pump errrr. tdsa l pool nwlen m Wl tiara mhlmum Ihsrnrl ellkhnry or 1976. MNI pump pool twrn snee have a nxnanwn ~oPa+. . Hot W r N/ 118,AB.B eterxsaon u hot waM d rN M ova uNta . 9naarr NerM ,9,a waver sew mar to ne nrra than 4.e oar er min NYAC throl CartNglan, 0nelxa110n E kreWlatlpn Nt 1 f0,A9 All dude, menpe, madrniwl aqulpmant end piarum enemben Maa Ca meolrnlwlty eMOned, ewlW. Ineukted eras Nrullad In aowrdanw rxtn Inc enraxb d Baorkn Nt71ea9.00041n ale0i mwl M MN1Aew ro a mlNmum d ~ hiV • Nt t07.AB.4 __ >a. ,nee reader a0eeeel manual or aUtarmlb Ihnmgeyt ra erfi~rem. 1 a-t).z4 ZQO~ !'LOFitDA BuILDINO co~FtBUILDINQ DEMILEC (vsA) LLC. PotYURETNANE SYSTEMS MANUFACTURER TECHNICAL DATA SHEET HEATLOK® Soy INSULATION RIGID, SPRAY-APPLIED POLYURETHANE FOAM Zero Ozone Depletion Substance, Class I ASTM HEATLOK® SOY is two component spray applied rigid polyurethane foam, green in color, having a nominal density 21bs/ft'. This spray foam has been specially formulated to meet the intent of the US Building Codes and is used primarily in air barrier and insulation applications. HEATLOK® SOY is environmentally-friendly foam developed from recycled plastic materials and renewable soy oils, while the blowing agent is the HFC 245fa. Method Description Imperial units Metric units ASTM D1622 Density (core) 2.1-2.3 Ib/ft3 34-37 Kg/m' ASTM C518 (R-Value) Initial Thermal Resistance, 1" Aged Thermal Resistance, 180 days @ 23°C, 1" 7.2 ft2h°FBTU 6.6 ft2h°FBTU 1.26 mz°C/W 1.17 mzoC/W ASTM D1621 Compressive Strength (10%) 28.3 psi 195 kPa ASTM D1623 Tensile Strength 51.5 psi 355 kPa ASTM D2126 Dimensional Stability (28 days) (sample without any substrate) -4°F (-20°C), ambient RH 176°F (80°C), ambient R.H. 158°F (70°C), 97% R.H. % Volume Change -0.03 + 2.9 + 9.8 ASTM D2842 Water Absorption 0.8% Volume ASTM E96 Water Vapor Permeance, 1" 1.2 perms 69ng/Pasm2 CCMC 07273 Air Permeance @ 75Pa, 1" 13.1*10$ft3/sftz 0.00004L/smz ASTM E84-05 Surface Burning Characteristics, 3"thick • Flame spread index • Smoke development 20 450 CAN/ULC 5774 VOC Emissions from Polyurethane Foam Pass (1 day) ASTM C1338 Fungi Resistance No fungal growth ASTM D2856 Closed Cell Content > 92% The infomtation herein is to assist custortrers in determining whether our products are suitable for their applications. We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. Nothing herein shall constitute a warranty, express or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent infringement. All patent rights are reserved. The foam product is combustible and must be covered by an approved thermal barrier. Protect from direct flame and sparks contact. The exclusive remedy for all proven claims is replacement of our materials. 2925 GALLERIA DRIVE • ARLINGTON, TEXAS 76011 -PHONE: (817)640-4900 • FAX: (817 633-2000 WWW.DEMILECUSA.COM • INFO(Q~SEALECTIONSOO.COM Page 1 of 2 Rev. 03/08 ~` DEMILEC cusA)1.1.C. POLYURETHANE SYSTEMS MANUFACTURER TECHNICAL DATA SHEET HEATLOK® Soy INSULATION LIQUID COMPONENTS PROPERTIES PROPERTY ISOCYANATE A 100 RESIN B Z00 Color Brown Greenish Viscosity @ 77oF 150 - 250 cps 150 - 350 cps Speck gravity 1.20 -1.24 1.20 -1.24 Shelf life* 6 months 6 months Mixing ratio (volume) 100 100 Vapor pressure @25°C 10"~ psi 7 - 9 psi *See MSDS for more information. Note: Store the Resin at temperatures 59 - 77°F (15 - 25°C). Keep away from direct sunlight. PROCESSING PARAMETERS Imperial units Metric units Type of machine Graco Reactor E-30 with Fusion Gun and OZ Mixing chamber Components A&B Temperature 100°F 38°C Components A & B pressure 850-1000psi 5860-6900 kPa Ambient temperature 73°F 23°C Thickness per pass 1 1/4 inches 30 mm Number of passes 2 Substrate Polyethylene Board REACTIVITY PROFILE Cream time, s Gel time, s Tack free time, s End of rise, s 0-1 2 4-5 4 RECOMMENDED PROCESSING CONDITIONS Imperial units Metric units Mixing ratio A/B 1/ 1 Mixing temperature 100 -120°F 38 - 49°C Mixing pressure 800 psi 5516 kPa Substrate & Ambient temperature > 14°F >(-10)°C Curing temperature > 14°F >(-10)°C Maximum thickness per pass tin 50mm GENERAL INFORMATIONS It is recommended that the foam. is covered with an approved thermal barrier in accordance to the local and national building codes when used in buildings and a protective coating when used outside. This product should not be used when the continuous service temperature of the substrate is outside the range of -76°F (-60°C) to 176°F (80°C). Spraying too thick sections too fast ma result in charrin of the foam, or in extreme conditions a fire ma result. 2925 GALLERIA DRIVE 'ARLINGTON, TEXAS 76011 • PHONE: (817) 640-4900 • FAX: (817 633-2000 WWW.DEMILECUSA.COM • INFO(p7SEALECTION500.COM Page 2 of 2 Rev. 03/08 CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 96-72, please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuildina;.ori; Category/Subcategory Manufacturer Product Description FL Approval # (s) EXTERIOR DOORS a. Swinging ]~ i`~~ L ~~ b. Sliding c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung - T' , ~ / ~ 3 f`-_ ,S b. Horizontal Slider c. Casement d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Siding r ,` f- c.~ r ,` A ~ 8~ b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles r~, ~ ~ e N ~, ( ~~~ ~, ~ FL b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other STRUCTURAL COMPONENTS a. Wood Connectors b. Wood Anchors c. Truss Plates d. insulation Forms e. lintels f. Others NEW EXTERIOR ENVELOPE I understand that, at the time of inspection, the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A copy of the applicable manufacturers' installation requirements. Further, I understand a prod may have to be removed if approval cannot be demonstrated during inspection. l~ /~ -- D ~ Applicant Signature Date ~ ~' H:/Product approval spec sheet short form.xlsx Hamil Construction License # CBC 1252713 329 11th Street Atlantic Beach, FL 32233 904-631-6268 Cover Page for Silvers Project: Eric 8s Caroline Silvers, 320 1?~ Street, Atlantic Beach Residential Single Family, Group R-3 Designer: Kevin Mullican, 904-745-55?4 Drawing Index: 1. Architectural Site Plan SPl 2. Demolition Plan D1 3. Floor Plan Al 4. Exterior Elevation A2 5. Wall Sections A3 6. Electrical Plan A4 ?. Exterior Elevation A5 8. General Engineering S-1 9. Foundation Engineering S-2 10. Wall 8s Ceiling Engineering S-3 11. Threaded Rod Engineering S-4 12. Roof Framing Engineering S-5 13. Sections 8s Details Engineering SD-1 CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department 800 Seminole Road Atlantic Beach, FL 32233 904-247-5826 PLAN REVIEW COMMENTS Permit Application # (7 ~ - /~°(~ (~- Property Address 30~ C7 ~7 ~ /, 5'7r'. , f~ Applicant: ~ ~ ~O /7") i n / Project: VC E? S iCP'P~"l 7~ i A ~ ~ ~ ~~ G-Y1 ,r Review Result (Circle one): Approved Disapproved Approved w/Conditions Review Initials/Date /'~ Development Size: Habitable Space Non-Habitable Miscellaneous Information Occupancy Group ~~ Z Type of Construction~_ Number Of Stories L Max. Occupancy Load Fire Sprinklers Required Flood Zone~_ ._ _... ~' .._ __..~_/~t 3 Fa Pn ~ n •~ A ~t -~ v,r ~ ~ » p « ,, r ~ ' ~a'~ a c~ .~ ~ ~ S . S ~ Svc d rya.. r O E'r ~ar ~ `i n E'' rid Srn ~'e. o/e 7~F'c ~ /~ ~O v; r-e,cl~ ' ~a e a fPr resQ at a s~ -~' rx ~,~,~ p r Gt ~t? C. i ~' @ ~ e c ?ICJ a 1ca-,- re c~ ~_. _... _ ..._„. ~ _ ~. ~ _ V .. ~.t, __ ., __~. ___ _ y Hulsberg Engineering, Inc. 11481 St. Augustine Rd., # 202 Jacksonville, FL 32258 (904) 886-2401 /FAX (904) 260-4367 FL CA No. 25846 November 25, 2009 Mr. Don Ford City of Atlantic Beach Building Dept. 800 Seminole Road Atlantic Beach, Florida 32233 PROJECT: 320 17th St. Silvers residence To Whom It May Concern: On the subject project, I submit the following: The 2x6 rafters at the new rear porch roof shall be toe-nailed to a 2x81edger. The 2x8 ledger shall be fastened to the existing wall with (4) 0.131" x 3 '/a" nails @ 16"o.c. (each stud). If you have any questions please contact me. Sincerely, P.E. FL PE No CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00001860 Date 11/25/09 Property Address 320 17TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation 100000 ---------------------------------------------------------------------------- Application desc RESID ADDITION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SILVERS R.M. HAMIL CONSTRUCTION 320 17TH STREET 60 ARDELLA DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (604) 631-6268 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 480.00 Plan Check Fee 240.00 Issue Date Valuation 100000 Expiration Date 5/24/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 480.00 480.00 .00 .00 Plan Check Total 240.00 240.00 .00 .00 Grand Total 720.00 720.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f ~. ~`~'r ~~ _. SL~,. ~'' S~ ~: y_„ City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@COab.us City web-site: hftp://www.coab.us APPLICATION NUMBER (To beassgnecl b the Building Department:) o~~ ~~ Date routed: l ~ Q ~r"~L~vl~1T1~1'~i i~~V~~~ KIV® Tf'~/~i~~I1V~ ~~I~~ Property Address: ~20 ~~~ ~,£f,,"~ _ Applicant: /r, rn ~~"~rn i L n~ Tree Project: ~i~--+' r~~~ aY~ ub_ Utilities revie~r ( l Fire Services I I I ..~ rc '~ `7s` ,.t~' y '.~'Fa-~.ti .~. "`ss~crr^ R ~a''+nS~,Ha'~.. czu~'c~'~+iST)"~~bi~ rr6~z;£ ~~~'i Other Agency Review or Permit Required Review or Receipt of Permit Verified 13 Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPL9GATi0~! STATUS Reviewing Department First Review: Approved. ^Denied. (Circle one.) Comments: URDING PLANNING & ZONING Reviewed by: TREE ADMIN. Second Review: QApproved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES Date: ~ ~ ~ `D PUBLIC SAFETY ~ Reviewed by: Date: FIRE SERVICES ~ Third Review: QApproved as revised. ^Denied. Cr~craments: Rev~e~rEfAd by: Date: Rev6sed o5l44~Q9