Permit 1011 Big Pine Key CITY OF
I
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
r TELEPHONE(904)249-2395
.... .......
March 2, 1987
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 *4959 - 1011 Big Pine Key
Permit *5148 - 432 Osprey Key
Permit #5149 - 436 Osprey �Key
Permits issued to Adkins Electric Co.
S rely,
ene' ngers
Community Development Director
cc:building file
Ll
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner Address _zip -7�,-�-3 _Phone 2-
Phone
�.tect Address /i ZIP )--j--j
Contractor Address CT zip
Phone
Contractor's acense Number z/j-9 Expiration Date on-File.
Lot it Z3 e?�Block or Section # Subdivision Zoning
Street 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: Size Footings
Sz. Piers Sz.,-*Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers. Greatest Span
Sz. Floor Joists Distance on Centers Greatest spa� —
Sz. Rafters Distance on Centers Greatest Span
Method of Heating Solid-Filled Ground Roof
Flood Zone If located within a FLDOD HAZARD complete page 2
SUBMIT; 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 bearn.
4. When framing, mechanical, plunbing, electrical, fireplace, is completed and ready
to cover up.
5. Final inspection.
NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. 3
In case of rejection, reinspection HJST be called for after Rear L:)t Line
corrections are made. oo-�
In consideration of permit given for doing the Cn
work as described in the above statement, we FJ- FJ-
hereby agree to perform said work in accordance
with the attached plans and specifications,
which are a part hereof, and in accordance rt rt
with the building regulations of Atlantic Beach. V
M
M
Signature Owner
Signature Con��actor
14 ront LA)t =e
AdOxess
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: $ 10105 �. 50
Total Valuation Ist $
Remainder Valuation per thousand or
portion thereof
--------------------------------------------I Total Building Fee $
ADDITIONAL PERMITS and/or FEES REQUIRED I
+ k Filing Fee $
Fireplaces @ 15.00 $
Mechanical
BUILDING,!PEPMT FEE $
Plunbing
Electric/New
-------------------------------------------------
Electric/Temp 9-79-50
Septic Tank BUILDING PERMIT $ 0=7
Well WATER METER CHARM $ CO
&Timming Pool SEWER IMPACT FEE $ ()(D
Sign WATER D,1PACT FEE $ 0 � OC)
Water Connection MISCELLANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $ 5D
----------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
PLUMBiNG PERMIT
ELECTRIC PERMIT
BUILDING PERMIT WORKSHEET TERPORARY ELECT.
,-ated Square Footage 0 ,�-o - -9
__per sq ft -
irage/Shed 407 @ s 00 er sq ft -
p ..................
irport @ $ ____per sq ft -
)rcbes per sq ft - $
!ck ___per sq ft - $
Itio @ $ _____per sq ft -
TOTAL VALUATION
00
-;i 7luation Data
�t Va lst
z !Z lj-:5- 0 0 36, OC2
mainder Valuation @ $ c;L 60 per tbousand
or portion tbereof
TOTAL BUILDING FEE
+ -1 FILING FEE
FIREPLACE @15 .00 s
TOTAL BUILDING PERMIT
-----------------------------7------------------------------- -----------------
UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
E-CT. TEI-EPORARY $ ELECTRICAL PERMIT $
rER METER SIZE ACCOUNT NUMBER
JER IMPACT FEE $
rER CONNECTION $ (@10. 00 p_er fixture unit)
'ROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES s 0 0
TOTAL WATER CONNECTION CHARGE $ 'e767. 00
cMISCELLANEOUS CHARGES $
GRAND TOTAL DUE: s
(5-
PLUMBING W W SHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT eJ Sol f5l)
FIXTURE 'UNIT'BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (ij UNITI URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN (I UNIT) -
WASHING MACHINE RES.
URINALP PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (-8 UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERATED (8 UNITS)
OUNITS)
SHOWER STALL, DOMESTIC
BATHTUB (W./OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (.3 UNITS) (2 UNITS)
DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS)
13 KITCHEN SINK/WASTE GRINDER
(3 UNITS)
70, Oo
TOTAL FIXTURE UNITS @ $10."00 EACH, #7 LO Ao,
PLUI-WINU I'LkI-111' #
ELECTRIC PERMIT
BUILDING PERMIT WORKSHEET TEMPORARY ELECT.
2ated Square Footage /0 $ er sq f t -
irage/Shed $ /(foo --Per sq ft -
irport $ ___per sq ft -
)rches ---per sq ft -
!ck $ ___per sq ft -
Itio $ ---Per sq ft -
TOTAL VALUATION
'7Y/
,tal Valuation Data lst
F�
c3f-4 0 / . $
S-6
mainder Valuation @ $ ;� .37)per tbousand
or portion tbereof
TOTAL BUILDING FEE s
+ -1 FILING FEE s
FIREPLACE @15 .00 $ 60
TOTAL BUILDING PERI-11T $
-----------------------------7--------------------------------------------------
JMBING PERMIT FEE$ MF-CHANICAL PERMIT FEE$
--CT. TE1-1PORARY $ ELECTRICAL PERMIT $
PER METER SIZE $ ACCOUNT NUMBER
4ER IM�PACT FEE $
�ER CONNECTION $ (@10. 00 p�er fixture unit)
'ROVED BY: TOTAL BUILDING/PLAN FILING FEE
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES 103,S- 60
TOTAL WATER CONNECTION CHARGE 00 - 00
MISCELLANEOUS CHARGES
GRAND TOTAL DUE: s vs�
PLUMBING WOQRKSHEET
SINKS SHOWERS DISHWASHERS '
CLOSETS BATH TUBS FLOOR DRAINS " ' .
WASHING MACHINE WATER HEATERS DISPOSALS
3- 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 GROUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (!I UNITI URINAL WALL LIP
FLOOR DRAIN (I UNIT) * (4. UNITS)
URINAL PEDESTAL, SYPHON WASHING MACHINE RES.
v (3 .UNITS)
JET BLOWOUT (B UNITS)
1V WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED
(8 UNITS)
OUNITS)
SHOWER STALL, DOMESTIC
BATHTUB (W./OR W/O OVERHEAD (2 UNITS)
SHOWER) UUNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
9,06-00
TOTAL FIXTURE UNITS @ ,$10.,00- EACff,
CITY OF
1*rew� Ewa - 716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
The Minimum Lowest Floor Elevation for
Lot jZ j- 3q O<Oju-o
is
A Survey indicating the "Lowest Floor
Elevation" shall be submitted to the
Building Department "Immediately" after
the slab has been poured.
No further inspections will be made
until the survey is on file.
No Final Inspection will be made and
No Certificate of Occupancy will be
issued unless the Minimum Elevation
Requirement is met.
Building (&partmAt
Representative
CITY OF ATLANTIC BEACH, FLORIDA
^ppro-d by APPLICATION FOR ELECTRICAL PERMIT
.4c
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
RTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SA16 WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, ANDI:IN WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
'ELECTRICAL FIRM: NkASTER ELrzCTRICI&N SIGN&WRE JOURNZYMAN
NAME-II (CM �tj)qiA*41 ADDRESS:_10LI NL RFD-BOX
BLDG.SIZE BETWEEN:
RE&KAPT.( COMM.I PUBLIC( I INDUS. ( NEW OLD�l REW.I I
11
ADDITION I TRAILER I TEMP.I SIGNS -SO.FT.
SERVICE: NEW INCREASE I I REPAIR ( I FEE
CONDUCTOR SIZE /D AMPS I S-0 COPPER ( ALUM.I
SWITCH OR BREAKER L2& Mo PH 3 W VOLT R ELNAY
EXIST.SERV.SIZE AMPS PH W VOLTI RACEWAY
FEEDERS NO.'' SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS, 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 Ampm� I OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
4",
rO
L L Af
UNDIER 600 V. OVER 600 V.
TRArJ_qFnRUFR.Q! I lill I
CITY OF ATLANTIC BEACH
APPLICATION FOR PLEIRMING PER14XT
/0// )6 ,
JOB LOCATION:
OWNER OF PROPERTY: TELEPHONE NO?'-V1l--l-?;Y
d/7 c—
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS :
STATE LICENSE NUMBER: TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES : x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE — $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Serminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
LO1CA�T1ONjNF0RMATIO.
Permit Number: 19225 Address: 1011 BIG PINEKEY
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: REPAIR
Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost:
FQRMA�
Date Issued: Na e: STEGALL
Total Fees: 25.00 Address: 1011 BIG PINE KEY
Amount Paid: 25.00 ATLANTIC BEACH, FIL 32233
Date Paid: 11/22/1999 Phone: (904)246-5771
Work esc: REPLACE WATER HEATER
11111ppir
KMMQN Eft:&:���
ALLCITY PLUMBING PERMIT 25.00
FINAL
NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.0014
Date: 11/23/99 01 Receipt: 0013829
C BEACH BUI DING DEPT.� 2215
A M%�Tl CHECKS
00100003221000
CITY OF ATLANTIC BEACH
;-:7, 800 SEAMOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 06-00032603 Date 3/24/06
Property Address . . . . . . 1011 BIG PINE KEY
Tenant nbr, name . : * * * I INSTALL HEAT PUMP & 1 AHu
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
STEGALL, WILLIAM DONOVAN HEATING & AIR
1011 BIG PINE KEY 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79. 00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79. 00 79. 00 . 00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WfM ALL crff OF ATI.ANTIC REACH ORDINANCES AND THE FLORIDA
BU"ING CODE&
BUILDING OFFICIAL
IF,
CITY OF ATL
MECHANICAL PERMIT APPL
Date: iA6
Property Address: /01/ �2 Pine -,t
Owner: 57 e Telephone#-. ?
Teleph �3
Contractor: one#: V-) z
4ve
Contractor Address: yax,#: L.0
b/
contractor Signature:
Mhereby agm to In;ccordanw
Paula
W pan*given
in amidwat" for doing&e Work a f;dw above stalman0ft 3414 WQ*
des"Ibed
with ft allwFwd plans and specificadow whials we a put hamf ad in w=da=with ttwCity of Atlantic Boa ordiasaw ad 44'Wards of
good
Practice 11sw themilL
Type of Ranting Fuel: If other construction,is being dotw on building
or si%Us the building permit numbqn
M---Electric
0 GaX —Natural Qcatral Utility
0 oil
0 Other-Specify
NATURE OF WORK
MECHANICAL EQUIPMENT TO BE INSTALLED,
C) :Heg Space RwC33*d Central Floor 3"PLesideatial
3---Air Conditioning. _Room
Q DuctSystem: Material Thiclmess_ 0 Commercial
Maximum capacity chn
0 Now Building
a �Refteradon
a Cooling Tower.Capacity -Apm 0 Existing Building
a.,.Fire SpriAldus:Number of Heads
Elcvgor.. anlift r 0--o'Replaotment of Existing System,
C) ��Gssoliae pumps
_(Number)
=bar) 0 New lnstallwq�
(No system priviously
0 . LPG CTntzinm________.(Numba)
Unfimd Pressure Vessel 0 Extension or Add-on to Existing Pystem
Boilers
y
0 . Other Specif
a', -Gas Piping
0 Spec
LIST ALL EQUIPMENT
AM CONDMONING,REFRIGIESAMON F.QUIPMZNr&CONDENSOWS Appmving,
Nuniber Units DacrOon Model 0 manull"Wer Ton's
4,
2�r4v iz 3c, 0 7W4-A�1,5
-4 A,
Approving
.HyATING FURNACM Bonya%FUWIAczs&AUt HANDLARIS
'Mu's -Agency
.-N.umbqr Units Description Model 0
C)
7-7e 7/ tw6" 2040
apscity Type Liquid Serial AWaY4
TANKS Nominal C
How Many A Dimensions Contained Manufacum No. Agegg
goo Seminole Road 9 Atlantic Duch,Florida 32233-5445
-SUS 9 httt)://www.cf.atlantle-beseh.fl.us Rovised-L104
Phone:(904)247-5800 a Fax: (904)247
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00029954 Date 3/28/05
Property Address . . . . . . 1011 BIG PINE KEY
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4200
Owner Contractor
------------------------ ------------------------
STEGALL, WILLIAM WHITES ROOFING COMPANY INC
1011 BIG PINE KEY 14262 PLEASANT POINT LANE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 220-5546
---------------------------------------------------------------- ------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4200
Fee summary Charged Paid Credited Due
----- ------------ -- - ------- - --------- --- -- ----- ----- -----
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 83 . 00 83 . 00 . 00 . 00
1; APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
CITY OF ATLANTIC BEACH Cc:
BUILDING / ZONING DEPARTMENT D,,FVrff:::7�
(LH* J is�
800 Serninole Road _igp
S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
,Dill
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
CA
Property Address: L Lcx_pt V_t-c_� k�w
Applicant: LO_ti i—re(a_JQQC>-E
Project: 'R�i_ Q_,c, F
This permit application has been:
10/ Approved
F7 Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH MAR 2 -A
k:�n1r . ROOFING PERMIT APPLICATION
CDate:
Job Address: L(1 11 43 iri A
Owner of Property: ff/// le,j
Address: /V 1/ 02 ON7(' kf L; Telephone: JL173 72,6,
Contractor: Ijb 14A lRoof 1'vl!�) State License Number: Cec 05*F(91 7
Contractor's Address: Z g2jec,5ee, 4 1) �. j_f'
U,
Telephone: Fax: 2AC
ScopeofWork: ReWc%.,re S roo�' _-L ru-5 e,_�,
Deck Slope: Q11 —Greater than 2:12 Less than 2:12
Valuation of work: o
Product Name(Example: Timberline): C?!Ej
Manufacturer(Example: GAF): 6—,A
ASTM Designation(s) .2) (/402,
Required Inspecti ons:
eat Ind
—0
Signature of Owner: Date:
Signature of Contract ate:
AS TO'OWNER:
Sworn to and subscribed before me this 6 61 day of 20
State of Florida,County of Duval
Notary's Signature:
my CWMV$$1W COMW
<e na known
Pr rso c Ily Expm Sop*nbw 22,2=
od ed identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day' of 20
State of Florida,County of Duval
Notary's Signature: Lit.2 Aixm C, oe/k--�
N"Personally known UUMM A w9son
Pr(
Produced identification W CwwbWm W329W
Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us
Pagel Revised 2/21103
NOTICR OF COMMEW'MMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
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.
Legal description of property being improved: A) Piazc ke�j
Address of property being improved: 5/2 Q,'ru e�:� (c, 5eeiCk-
General description of improvements: e-ytoo e e f 00,C FrI5-�,Jl ne- --,,
Owner
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor 1�oe-p,,Y15
Address Z al-e,5 5 e--? ja LA).
Phone No. Fax No. 7
Surety(if any)
Address 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 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 Uenofs Notice as provided in
Section 713.06 (2) (b), Florida Statutes, (Fill in at Ownees option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the exi5iration date is one(1)year bw the date of recording unless a
different date is specified):
1 iA JI
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address /0 11 t 1,IE— -V—E-q
Date zzi f 0,�>
Heated Square Footage @ $ per sqft= $
Garage Shed $_-&jq2:_persqft= $
Carport Porch $ per sq ft= $
Deck @$ per sq ft= $
Patio @$ per sq ft= $
TOTAL VALUATION: $
,42-CO . I $ 35 1---
Total Valuation I A $ 40c"o
- v- C)b $ �;to
Remaining Value per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
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: $
Tratf tratr of Mrrupaur#
CITY OF
AUS& &Wk- Rai&
Oppartinput of Nuilbing
This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use, For the following.
Use Classification
Bldg.Permit No.
Group--Type Construction� Fire District.
Owner of Building— `01'r —Address__A, 4,
7,�
Building Address LA)Cality
By:
Bu'il—ding Official
Date:
0"T IN A CONSPICUOUG PLAGR
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested: 3/2/87
Building Contractor: REYHANI, INC.
Building Permit Number: 7778
Address: 1011 BIG PINE KEY
Legal Description: LOT 34, SELITA LAKES UNIT I
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
TOWNHOUSE
Comments:
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY:
Fire Chief 3/2/87
Public Works 3/2/87
Planning Director 3/2/87 3/2/87
Building Inspector 3/2/87
DEPARTMENT OF BUILDING 7779
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB Vogn T
97.60'CKT
Date 6/27/86 ig 59t4
Q'7 7779 VOCAC
Valuation$ $_ .7 If .50 6/27/$3
This permit not valid until above fee has been paid to City Treasurer,and is I CIO()I
subject to revocation for violation Of appliC2ble provisions of law.
This is to certify that FAIR PLUMBING
has permission to U&I install plumbing
Classification Residential —Zone PUD
Owned by— RGM Properties
Lot 33 & 34 Block S/DSelva Lakes
House No. 1007 4 1011 Big Dine 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 01 4 1-0 0 Building material, rubbish and debris
z-f from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tra tor or owner.
Kildi g—OR-Cial.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 1007-1011 Big Pine Key
PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY
LICENSE NUMBERS MP145 State RF0037503
OWNER R G M Properties
BUILDING CONTRACTOR R G M Properties
TYPE OF BUILDING Duplex
2 SINKS 1 SHOWERS
7 LAVATORY 2 WATER HEATERS
2 BATH TUBS 2 DISHWASHERS
URINALS 2 DISPOSALS
5 CLOSETS 2 WASHING MACHINE
FLOOR DRAINS OTHER
25 —TOTAL FIXTURE COUNT X�3. 50 + $10. 00
D1111TE 6/ 27 / 11 TOTAL A1,10UNT $97 .50
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
MAP SHOWING SURVEY OF
LOT 34 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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