Permit 540 - 544 Pelican Key (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
F 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATIO I INFORMATION
Permit Number: 22190 Address: 544 RE-1 IGAN KEY
Pennit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
I Est. Value: Parcel Number:
Improv. Cost: 11,000.00 INFORMATION
Date Issued: 6/18/2001 Name: BETW—KENNEDY
Total Fees: 98.00 Address: 544 PELICAN KEY
Amount Paid: 98.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/18/2001 Phone-_ (000)000-0000
Work Desc: REPAIR STRUCTURE PER P- NS
CONTRACTOLt(S) --v APPLICATION:FEES
98.00
MICHAEL ADAMS CONSTRUCTIOWNC
.7
k
FINAL BUILDIN Q
...............
NOTICEI� INSPECT EST
ED�ATLEAST 24 HOURS PRI4 TO INSPECTION
';'PEBRI ��MT
BUILDING MATERIALK.,RUBBISH' ..' H I S'WO R K"M�6 ST N T 135 po(CED IN E,AND
U POLIC SPAC
Uq ,
MUST BE CLEARED U)-�AND HA. . -.AWAY BY EITHER CONTRACTOR OSR 0 R
"FAILURE TO COMPLYI.NTRT NSTRUCTION �LIEN AN ES
R IN THE
PROPERTY OWNER k t`4 G .01 IF ElitNTW
ISSUED ACCORDING TO APPRO HrH T WR9;0_'AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PR
$98.N 14
ATLANTIC BEACH BUILDING DEPT. Date: 6/18/81 81 Receipt: W6335
CHECKS file
CITY OF ATLANTIC BEACH, FLORIDA
by
App_�d APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: J uti 19 loot
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.
4�71f,c
EuEcTRICAL FIRM- MASTER ELECTRICIAN SIGNATURE 4buRNEYmAA
NAME FO_ Box
649?tADDRESS:
BLDG.SIZE '15,04- --- BETWEEN:
RE'S.Pq_�_ APT.( I comm.( I PUBLIC( I INDUS. NEW( I OLDe",REW.
ADDITION ( I TRAILER I I TEMPA I SIGNS ( I So.FT.
SERVICE: NEW( I INCREASE( REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER f ALUM.1,f'J'
SWITCH OR BREAKER ------AMPS PH WI VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTA
0-30 AMPS. 1 3 1.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AM". OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHs No. 1 ILP. VOLTAGE PHS
MISCELLANEOUS 'Apo*4 4 92
n:zz w r^_� 0&-
TRANSFORMERS: DER 600 V. OVER 600 V. OF
NO. KVA NO. IKVA I
NO.NEON TRANSF. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
Ce.t 0
R E
CITY OF ATLANTIC BEACH
PERM";APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
city 01 AtjavjLjC Beac MOVING,-DEMOLITIONS
nd Zonft
Job Address 7e-&/6 eaj-,) 4;p, Phone
Lot# Block or Unit# Subdivision a,4 L 14�r__f 5
Contractor./O C144 6 e- - A,4,ns r01v5*7-,9,f r-2Z State License#
Address -�2 0 15-f S 7- Phone �6 5--
city N&-p 7-,,,ry c /_;e,!�c tt State f-L-- zip
��_ f-PA A A
Describe work to be done
1�AQ!r-/Z 5 'D
4 1
Present use of buildin 1 0 5br—
Valuation of Proposed Construction 115 c) -D
Proposed use /21-) L/ )r/UAJ
Is this an addition? At"O If yes, what are the dimensions of the added space: ft. x
Will the added area be heated and cooled? New electrical (or increase)
New plumbing fixtures? P� New fireplace? ^�O- — New Heat/AC?
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature of OWNER Date:
Signature of CONTRACTOR Date
STATE OF FLORIDA
COUNTY OF J')()Vl+(-
Sworn to (or affirmed)and subscribed before me this day of 200
AS TO OWNER: Notary's Signature
[I Personally known
[I Produced Identification
Type of identification produced
Sworn to (or affirmed)and subscribed before me this 31 S& day of /7tCL,4-
AS TO CONTRACTOR: Notary's Signature &(_a4au�
0 ersonally known
Vl--Pproduced Identificabon
MAUREEN KING
Wary Public-State of ROWWrOft"s Type of identification produced FD 4-
t4 CommWon Bq*w Mer 31,20=02
Carnmizim#CC720781
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address Irk 7-/c 0 C 7-u)e�0 c Cc
Date
Heated Square Footage @ $_per sq f t = $
Garage/Shed 0 @ $_per sq ft = $
Carport/Porch L, @ $—per sq f t =
Deck @ $— per sq ft = $
Patio @ $—per sq ft = $
TOTAL VALUATION: $
bo $ /,-r
Total -Valuation ist /000
2 /p t 0 CN ,f-0 — s S-0
Re'maining Value $ per thousand
rr - portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $-
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
RADON (HRS) . 0050 $
SECTION H PAVING
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE 00
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp_; Swimmingpool
Septic Tank Well_; Sign_Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS 1 0 0 1
66;r7y ?t��
Owner(s —< 0 7 -Ci','v,nt 4tlaialti Beach
Job Address 5"14 002-L i (-,V �z Phone '70wain
I rK-) � -8 yad-zQnIng
Lot# Block or Unit# 2 Subdivision 67 V AV
Contractor At CkA-e� 44 ftwsS, 6A,5:M",r -J-1�Ka6-0cense#
Address Wi-fffffvl� *61 Phone kw) qfe,1-C7k;,0
city N et P0 ry-V r ysc-L-i —State. )C--- zip 321-4�c-
Describe work to be done
Eee�� gl_
Present use of building of_.v Ire V4 IL,
Valuation of Proposed Construction I L 0
Proposed use 12 ES r>fo.-7y,4 C
Is this an addition? 4/0 If yes, what are the dimensions of the added space: x—ft.
Will the added area be heated and cooled? A/0 -New electrical (or increase) A10,
New plumbing fixtures? 1\40 New fireplace? A,43 — New Heat/AC? A/0
SUBMIT THREE (COMMERCIAL)TWO(RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT,AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature of OWNER Date:
Signature of CONTRACTOR Date
STATE OF FLQRIDA
COUNTY OF '1 .4 L
Sworn to(or affirmed)and subscribed before me this dav of
AS TO OWNER: Notary's Signature A/V
[I Personally known
Marsha M.Bowman $,- Produced Identification
My comMISSION#CC892725 EXARES
December 18,2003 Type of identification produced
BONDED THRU TWOY FAIN INWWCE INC
Sworn to (or affirmed)and subscribed before me this day of 200
AS TO CONTRACTOR: Notary's Signature
0 Personally known
0 Produced Identificabon
Type of identification produced
Book 10031 Page 1792
0 f:9%0(�J,45859
00,
Pa e: 1792
5 miN. RETURN Filed & Recorded
06/15/2001 10:18:32 AM
NOTICE OF COMMENCEMENTJIM FULLER
PHONE #-'-� CLERK CIRCUIT COURT
DUVAL COUNTY
TRUST FUND $ 1.00
TO WHOM IT MAY CONCERN: RECORDING $ 5.00
The undersigned hereby informs all concerned that improvements will be made to certain
real property, and in accordance with Secton 713.13 of the Florida Statutes, the following
information is stated in this'NOTICE OF COMMENCEMENT.
Description of Property -113 qA4 fRI 6" J<" C
General Description of Improvements
&w vner eTT GI Krl-w
d I C,+
C
ress:_Eqj4
Owner's interest in site of improvements:
Fee Simple Title Holder (if other than owner)
Name
Address
Contractor 199
Address—'gz.r'- 1:5., Q,*,y
2-2- 4r.C.
Surety (if any)
Address Amount of Bond
Na*me of person within the State of Florida designated by owner upon whom notices or other
documents may be served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the I-einor's
Notice as provided in Section 713.13(l)(F), Florida Statutes. (Fill in at Owner's option).
Name
Address:
OwFer
Sworn to and subscribed before me this day of—
Iff.,-N11". Marsha M.Bowman
'- MY COMMISSION#CC892725 EXPRES Notary Pubfw--
December 18,2003 m &//�v
BONDED THRU TROY FAIN INSLWMCE�INC
APPROVED
CITY, OF ATLANTIC BEACH
BUILDING OFFICE
2001
DIMING KOOM
(VAtJl:i'rZ CrILIMOP
OINING KOOM AFIA)W
GREAT ROOM
(VAULTED CF11-INC)
X)M r
OR EAT Rk W-OW
+ DW
PA?fr y T. I
MASTER SLITE
�VAULTIIM CZAAMIj
7
UN
roye �4-
VA111,Trn CMILING)
2-CAR 10AAACir
/,g
2ndFLOOR
Ist FLOOR
RESIDENCE B
,rt*ifi an artt-0;conception.
All pint-O.nm su*ct to chlinm ond tiuikb!r my
;Md MirfAfACCUMN
without rmAkt ut ObIM060A,
APPROVEn
CITY. OF ATLANTIC BEACH
BUILDING OFFICE
JUN 16 2001
DIMING KOOPI
(VAU1:ltU CeILINQ)
DINING KOOM AFLOW
QReAT ROOM R
(VAULTED CF11-11`10)
GRELAT R(DOM 5r1.0W
DW
PAW
I// MASTER SUITE
(VAIA.W.1)CMUMU)
I I FP
LIN"
roy e
r
01
Mal
11FDROOM
2-CAR QAKAGf
7
ra
2ndFLOOR
Ist FLOOR
RESIDENCE B
'fills is an Armes=Rmption,
All plarm am subj"t to char.W and wilder mijy
;MCI nuspisfacturva
WLthaul,mAIM Ut ObilfMOCA,
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
ffin MA-1- 10-N
P, N#ORMATI
Permit Number: 22416 Address: 544 PEL ICAN KEY
Permit Type: FENCE 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: 2,000.00
Date Issued: 7/27/2001 Name: JEFFERY H. PERRYE
Total Fees: 10.00 Address: 544 PELICAN KEY
Amount Paid: 10.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/27/2001 Phone: (904)241-9820
Work Desc: CYPRESS FENCE
ip
PROPERTY OWNER
10.00
PERM
W X,
lk�
g�
4 ru
VAIE A
TS
01
;P
j
4
P
TIBE REQUE$ LEAST 24 HOURS 1-0 TO INSiP 'CTION
G T
NOTICI��- INS E AT
-F-0
El
0-1;`M,�-'fMISW WUSTNOT�Be- ) IN P1,4LIC SPAC
BUILDING MATERIA, RUBBI P, -E AND
OR
ED'6F AND
MUST BE CLEAR H 1. MY BYEITHER CONTRACTOR OR
7�
A AN RESU IN
Y -LIEN L I THE
"FAILURE TO COM ATH A �CTIONILIEN
13UILDING I IW EN
PROPERTY OWNER Fi" -V�� "-'I E% T-S
R
ISSUED ACCORDING TO APPR PLA Tt, F HI ND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE P S F
-ILJ:
ATL�NTIC 8EACH BUILbINO bEPT. Date: 7/27/61 Rmtipt: 81117W6
DECKS 34%
MiIIIIIIIII Me
CITY OF ATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Owners Phone -.0
V
Address A �e
V
Lot Block andlor Unit# Subdivision
Contractor if Different From Owner
Valuation of Fence Comer or Interior Lot
fe-
Type of Construction
Attach Survey Showing location and height of fence as well as location of street(s).
APPROVED
CITY OF AT� 41,41'
JUL 2: 7 2001
By 744z'-�-
Owners Signatu
Contractors Si n
May-03-01 10:OOA MissiQ Sar-r�a P-01
MAP SHOWING SURVEY OF
LOT 88, SELVA LAKES UNIT TWO, AS RMORDED IN P�.AT BOOK 43, PAGES 11, 11A
AND 11D OF TgE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLOPIDA.'
00 A
.49'
z
'Jig
Flo
f
�Jllj f&o
2'
iw r"
a r.61
It f APPROVED
C11 Y OF ATL WIC BEACH
PtAP NING & 'ONING OFFICE
u JUL 2 7 2001
a Ala Akso-D�Vff AW10'-CJC"-� —AT
011 -Id-A r.
,%rN,% ^ft^c4*re 4eel
r w#re W dC AICIF-A
1�
-%/,�f,LALA& �4=Ze 4 .01—P
/I "
ff-�-C4 A.-a- ea"?� =11-.
a 4"C;4A 7/0 AOW "o�eAl YW4�j C�.O,g%�g
OVA 77WPA.44& CC a jP.9
IPA 1 HEREBY CK
CIOAI
TNAT THIS SURVEY m9cys THIE MINIMUM racwfhdf�^L
STANDAN08 AD MET FORTft XY VMS FLORIDA BOA 0
Of LAY493 SURVEYORS, PURSUANT TO DECTION 47f.027
FLORIDA STATUTES AN04:MAPTIER IIKH-4 FLORI A
H. A. DURDEN ADIA 1.10TRATISIN�CODE.,.
& ASSOCIATES
LAND luo-.9..4040TEReD mulkwavem wo'0��-qlr
SURVI9V*ft* SIGNED 67
Pool omm so sw7c
I lad Smulh Thw GW40 MCALS;
T"10 SURVEY NOT VAUD UN6949 THIS PRINT IS CMDO9490 WITH THE 51^L OF THE ABOVE Sj NED.
xw xlqygu Noszv�,.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
SW SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5=-FAX. 247-W7"7
A '0"
pE Y
Address* PELIUAN KI--Y
Permit Number: 2244 C
ATLANTIC BEACH, FL 32233
Permit Type: FOUNDATION ONLY !�!o
Township: Range: Book:
Class of Work: NEW Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision, SELVA LAKES
Square Feet: Parcel Number:
Est.Value:
Improv. Cost: 2,200.00 Name: JEFFERY H. PERRYE
Date issued: 6/28/2001 Address: 544 PELICAN KEY
Total Fees: 25.00 ATLANTIC BEACH, FL 32233
Amount Paid: 25-00 Phone: (904)241-9820
Date Paid: 8/28/2001
Work Desc: I-CUNDATION ONLY OW
25.00
PE IT
PROPER OWNER
1IN
uRS PRIQ
ESTED AT LEAST 24 HO TO INSPECTION
NOTICE-INSPECT ST BE RECII I
LIC SPACE,
WORK MUST NOT BE PLACED IN PYB A N
BUILDING MATERIAL;,RUBBISH DEBRIS FROM THIS
CONTRACTOR OR q%KER
AWAY BY EITHER
MUST BE CLEARED UP,AND HA .1
CTION LIEN,,,I� N RESya IN THE
"FAILURE TO COMPLY,VWTH,Tjk� STRU
F q0t&MWG�j*PK A
OVE& NTS"
PROPERTY OWNER PAY1
ROV.eD VH11CH IRE�PART F AND SUBJECT To REVOCATION
ISSUED ACCORDING TO APPI A=104- ��i � A
7 FOR vioLATION OF APPLICABLE PRI S
VIOLA
—ILDINGDEPT, Date: fi/2V61 91 Rweipb N611
C�B � U
M.N 14
AT TI C H C1
CITY OF ATLANTIC BE;C'H--
(�1�y o� A-Jan.ic 4�11T APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
Owner(s)_J-t�retj g� i2el".-.1 &
Job Address V n 11 Phone Wv/- ?-ez-o
Lot# Yq Block or Unit# Subdivision TCL-Q- CQ17e--j
Contractor State License#
Address Phone
city State Zip
Describe work to be done 14/lrrl�l 5-x iZ 1 11 "1-e_
Present use of building e e-
12� CIO
Valuation of Proposed Construction_
Proposed use 7-, ,
Is this an addition? If yes, what are the dimensions of the added space: ft.x
Will the added area be heated and cooled? New electrical (or increase)
New plumbing fixtures? New fireplace? New He
=-r PLANS,S INCLUDING
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SE S
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMEN MENT, AND OWNER/
CONTRACTOR AFFIDAV!T�. WNER IS CONTRACTOR.
Signature of OWNER'���-�, Date;, .w
Signature of C RACTOR Date n JAM
P6
"U"
t " "—t
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me this day of 0 rl-e— —, 20
Si
AS TO OWNER: Notary's Si tture
0 Posenally known
a�-'Produced Identification
u IDL No -IOU
T pe of identification oducedr-L-DL 0000-411
.E_
Sworn to (or affirmed) and subscribed before me this day of VN e , 2001
AS TO CONTRACTOR: Notary's Signature aj-
known
Er-Produced Identification
Type of identification produced
CITY OF
,-*Z� 97e4d - 5&U�4t
800 HhRNOU ROAD
ATLAIMC BEACI-L FLORMA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 4a9, FLORIDA STATUTES. PART I 'COKSTRUCTION CONTRACTING' RCOUIRr-s OWMZR/BUILor.R To
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT PoR SECTION 489. 103(7). FLORIDA STATUTES'
STATE LAW REQUIRES CONSTRUCTION To BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN campnoN To TH^T LAW. THE ExEmiznoN ALLOWS You, AS THE OWNER Or YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU Do mar HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURStL -
YOU MAY BUILD OR IMPROVE A ONE - OR TWO PAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF' $25,000.00 OR 1—. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY Nar BE BUILT rOR SAE OR I WA I-. If YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR APTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SAf 9 OR
LEASE, WHICH IS IN %AOLA-nON Or THIS EXEMPTION. YOU MAY Nor HIRE Am UNLICENSED PERSON As YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT is YoUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY
COUNT-f OR MUNICIPAL WCEN-9ING ORDINANCES.
OiRDINANCeS ALSO At t-W AN OWNER To IMPROVE THEIR QWf4 PRPPE:RTY-MEN IT 15 IrOR PERSONAL OR PAMtLY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,(::Cc) BE UNDER A BUILDING PERMfT AND PASS
ALL NORMAL isspEcnoNs. THE oRoimAmcx srATes OWNERS MAY PhTwc-ALLY 00 WORK THFJWSELvZS; OR MAY HE
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER -DIRECT SUPERVISION OIr THE OWN&R- WHO MUST BE 9MN
Tple jog AT ALL TIW ws _S LLr as ar Low
�S WHILE WORK 15 IN jo"OGRE�ss By UNuCr ED TRADE MOP 7WIS 00 N AL USE OF
UNLICENSED COfJT!RojCTORS.
SINCE OWNEl;t5 MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE 131E PURCHASED UNDER THE HomEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRitir,wpRKERs BECOME EMPLoyvm AND SHOULD ALSO ossmwz IRS WITHHOLDING TAX AND/OR
FORM I 0!QQ REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED cowrgAcTORS CANINOT ZINC EMPLOYED UNDER ANY CIRCUMSTANC95- OWNERS BEING SUBJECT
'QCCUpATiQH& IICZVASr-* is NqT ADEQUATE.
.a $5,000 PENALTY UNDER FLORIDA STATuTc No. 455-225(11. As
THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE Or COMPETENCY. OR THE FLORIDA "CONTRACTORS
CzwnrIcArx" To Ascr.RrAipa IF A PERSON IS A LICENSED CONTRACTOR. Tlla�oNrt THE Buii-oi"G OF-PARTM04T(247-
58ZtS) ir IN DOUBT.
I HEREBY ACKNOWLEDGE TKAW I HAVE READ TI-16 ABOVE DISCLOSURE STATEMENT AND THAT I cOMPI-y WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE Or AN OWNE"UILDF-rR PERMIT.
0
EFVBUILDr-R L/
------ SW e 1-1
EDCTH M.DAVIS ADDRESS v -TELEPHONE
0 9
My COMMISSION#CC 980199
�D -7
SwO@ : D ' 5 02R ME THIS DAY OF J Ll
NOTARY PUBUC
NOTE: PmRAses uNcaRuNIED Asove MY COMMISSION EXPIRES:
ARE EMPHASIZED BY THE BUILDING 7XW-4 24 c)-
DEPARTIM"T.
P.01
May-03-01 10:00A Missio Savra
MAP SHOWING SURVEY OF
LOT 88, SELVA LAKES UNIT TWO, AS RECORDED IN P4AT BOOK 43, PAGE'S 11, 11A
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
-45
4CP
A.
Flo
96P vk4l�
p P R 0
4Ty Of PTLANTil
j3jjL_D.NG OF FlCF-
loo
,2
,jrq�e/�p dry 4t-47 rl
'emr q lob~lm4cvl Xoep�ee
a A10 d%N-Ak*Vff IIAW
Are ^-Ar.
&Mrs. o0WlDo-lC-Cr"e 414-1 1
,e-* w#,ew ^ mwk ,cA
,141111,%Ad- 5,41f.,1V n—jb .-L4&b
3 46-4~ "o
ovAlr"AeAt. OCOPdg.--,�- �llfCrjC�L
TMATTH14 SUItVET 641949T6 THF ldINIb 4tc"
STANDANOG AN NET FORTM MY THE MORIOA DOAPIO
OFLAND ZkJRV9Y0R$. PURSUANT TO NSCTION 47J.027
FLORIDA STATUTES^NO CHAPTER At KH-0 FLOOVITA
H. A. DURDEN ADM INIOTRATI"_CODE.,
& ASSOCIATES
LAND
ALomvxv*x* \1�1
110.3 SwAh ThhV SV444 44ALA;
alm
THIM$U*VSV NOT VALID UN4989 THIN PRINT is 9MEOGSED WITH THE NEAL OF THE ASOVK of NZO.
so'),coo-d --,Lz# H�g XVr A17V3V
May-03-01 10:OOA Missica Sarr"a P.01
Ar 4 4,24 1
MAP SHOWING SURVEY OF
LOT 88, SELVA LAKES UNIT TWO, AS RECORDED IN F�AT BOOK 43, PAGE'S 11, 11A
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUN*rY, FLORIDA.
4CP
,06-
f
41
-T 1 f
f
.40, P R 0 V
I �,
OF PTLANTI
E3UILD,NG CO)
0
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try "L4-r-om<-�-3 --Amc
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a Am
a ww 4 Ac C-A '0�
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^F6-94 A-14. a—ro .--c-
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" A14 7"AlA d- 04 a J�a 10114��-r
TNAT TNIS SURV"M9CT8 T149 MININU04 r4tCNN+L
STANCAN0111 AN N MY FORTM my T"It PLORIOA BOA1110
FLORMA STATUTIto PURSUANT TO SIECTION 474.027
ADMA-0 :;J0 CNAPerEA All"N-4 MORITA
0'L
H. A. DURDEN
& ASSOCIATES ,...
LAND
AURVKVORS
ftw Ow—am"070 —1-1�,
l%ad- R Towmi GW40
imcbmw.A%111—oft of&"*32254 "ALM AV'
THIN SURVEY P40T VALID UNLASS THIS PRINT IS CM806411190 WITH TW9 S"L OF Tmx ASOVK NJ NIED.
H-19 xyr A17YZV sosaym
May-03-01 10:OOA Missie Sarr-a P.01
Af 4424L
MAP SHOWING SURVEY OF
LOT 88, SELVA LAKES UNIT TWO, AS RECORDED IN P4AT BOOK 43, PAGE;S 11, 11A
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
&4#
7..
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ITY JILD NG 0 ICF
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-4C&eeA7�,oAov
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All-'4ft:j'M9
TWAT THIS siolvey MEETS Tma MINImuod rac"mi�AL.
STANDAN08 A*SET POPTV4 Xy THE FLORIDA BOAPID
OF LAND ISUP"YORS, PUMSUANT To wECTIO"47f.Oa7
"OFAICIA STATUTRE AND CMAPrEft I WH-4 FLOIlITA
H. A. DURDEN ADMINISTIRWATI CODE.,
& ASSOCIATES ,...
LAND
au"vogy0fts
Fb.w Omm ow"s)v 19 e67
1140 SWAN Th"Woo
9—ok ftm.aum 6CALIC
THIO 9U*V6V NOT VALID UNLagg ymis pRINT Ig 914506490 WITH THE 8X^L OF THE AJbOVK al
xyr Alwav Nosly;t ,to,.
CITY OF
4&4#d x- Bem.4-P;"-
Office of Building Official
REQUEST FOR INSPECTION
Date --( Permit No.
Time A.
Received RM.
�5
ess Locality
Owner's
Name Contractor
BUILDING ONCRET ELECTRICAL
PLUMBING MECHANICAL
Lj
Framing — . .
Li El Rough Wiring E Rough 11� Air Cond. &
Re Roofing Slab El Temp Pole F, Top Out r I Heating
Insulation Lintel P Final El Sewer Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. A.M.
A.M.
Inspection Made PM,
Inspector— Final Inspection [I
Certificate of Occupancy El
Date
CITY OF
4&a#dw BilieIii-17"'
Office of Building Official
REQUEST FOR INSPECTION
�7
_ 3 ?
Date Permit No.
Time A.M.
Received P.M.
Job Address —Lor-lity
Owner's
Name e-(
Contractor
BUILDING ,C0'N-CREfIi----_ ELECTRICAL PLUMBING MECHANICAL
Framing El '-�Ijng Rough Wiring El Rough El Air Cond. & 1-1
Re Roofing Slab Temp Pole 1i Top Out EJ Heating
Insulation Lintel 1-1 Final El Sewer 11 Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. PM
A.M.
Inspection Made —P.M.
Inspector— Final Inspection
Certificate of Occupancy 7
Date
77 77-
237
LANTIC
Iw?0mTION ---------
T'l`ON LOCAT'0
PER
KEY
"'540 Pt
Number 8237 Address LICAN
Pormi-t-, Type:: 1BUILDINO ATLANTIC BEACH FLORID& 3223�'�:'
l 01% of Wo' k*
ei' ADDITION LZOA4,149SCRIPTION --------
SOctl
b 87 6
1WOO � �r' "', on:
colist.r-4 Typo" Lot
��Prok I e XZN ' 'Tolin hip:
os d Uio:,� $01i LPNCLOS�E s RNG 0
Diwelli I nq I s :- 1 Co Subdivi io SZLVA LAKES
do: 0
s im t e& Va uel:
$66,00.00
C �$01,00
!Wrov. lo
$67 .50
1 "Fees;
$67'.'so
ID 1,25/94
TING.
NEW
rk SCREEN ENCLOSUREVI
P
ON
--- PLICAT10N FEES,,
fe��!PZRM It
�,J
$67 .50
A
IN ATE IRPACT FEE $0 .00
KEY
v$E!�IAPACT FEE AOO"Y' $0.00
HJ* FLORIDA 4�2
#ATA AR.,
[FORHATT RADON At 54 $0 .100
N
$0 .00
1141
It IXPRO OTt tAPT AL IMPROVE
40 .00-
_TAP
lAdd ,
rois L I S�,PAR SIV Sswo
-1576
C, L 32256 HYDR L LC SHARE $0 .00
CRC04- Type CONNECTION 0()
Os
CROS
Ilk,
40'1" SEC. IMPACT
All
J9
NOTes,
t
-14 E,�-ALL SPEMOBAFORE POURIINO
*TIC CONCRET,6,FOMS AND FOOTINOS MUST BE IN',
PERMIT VOID SIX MONTHS AFTER DATE OFJlS,SUe
4UILOINd MATERIAL,RUBBISHAND.DEBRIS FROM THIS WORK MUST NOT i IE,PLACED IN.PUBLIC SPACE,,AND MUST BE
E to UP AND14AULF-I)AWAY PY'EITHER CONTRACTOR OR OWNER
AIR
L-T
&6FAILORE TacOMPLY WITH THE MECHANIICSI:.'LIEN LAW CAN RESU I*
OSR WElk PAYI I G TWICE FOR BUILDING,MPRO EM
�THEji�RO` tY 6W N ENT&19
ECT TO REVOCATION FOR
�1 3iJED,ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS,PERMIT AND SUBJ
0 0
WO
F.APPLICA0LEPAQytSl NSOFlAW.
P
TaIN
_V
T C'SEACH BUILDING DEPARTMENT
Met 41=0*0 _40.4801
BY:
2,
7771��
CITY OF AT7TIC BEACH PERMIT CALCULATION SHEET
r
Address
Date
Heated Sauare Footage @ s per sq ft = $
kv
Garage/Shed $ per sq ft = $
Carport/Porch
@ $ per sq ft = $
rt,
Deck 0 s per sq ft = $
Patio
$-per sq ft =
TOTAL VALUATION : $
6 0 4,7z) $
Total Valuation 1 s t $_/'0'0 4)
- 5-16 r o -?,o,,IV $
Remaining Value per thous�_nd
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ a'&V
( ) Fireplaces @ $15 . 00 $----,Y-
BUILDING PERMIT FEE $ -7- ziZ2
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP $4
) RADON (HRS) . 0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $_
) SURCHARGE . 0050 $
-OTHER $
GRAND TOTAL DUE $ (0 7, 6-b
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp_; SwimmingPool .
Septic Tank Well Sign Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES:
H�1,1-1 E �,-1 R TEL : 1 - 91-114--262-1436 �pr 25 94 9 : 25 �Io . 001 P . 03
P it O'V ALUMINUM STRUCTURES SIZING
Ar _MANUAL
cr 6F ATLAN111 Ics
SUr 01t4G oFIF BY
�pV( ?
LAWRENCE E. BENNETT, P. E. 411171
CIVIL ENGINEER & DEVELOPMENT CONSULTAN] �1
P. O. BOX 4368 SOUTH DAYTONA, FL 32121 APR 251994
1 (904) 253-9960
PAX# 1 (904) 255-6049 Building and Zoning
J . ENGINEERING PRINCIPI, S AND ASSUMPTIONS
This manual was prepared to select the various component structural
parts of Aluminum Speciality Structures . The manual applies to the
Southeastern United States and other areas having the same Wind Load
ch8racteristics as found in the "STANDARD BUILDING CODE" Chapter 1205
? '4"! Revisions . The following is the designers interpretation of
s,,, id code. All values are based on a mean roof height of 0- 251 .
TABLE I
WIND VELOCITY WIND LOAD IN */SF
95 MP4 19 #/SF
100 MPH 21 #/SF
III MPH 25 #/SF
120 �IPH 29 #/SF
Ui,lc-ss lc,,� , codes require a specific wind velocity load, this designer
R4� 1(-'Cts a wind load of 110 MPH for the coastal areas of North & Central
Flor ! �ja South to Lake Okeechobee and 25 miles inland. For the inland
Ore6s Previously described, a 93 MPH wind load is selected. For the area
from Lake Okeechobee South a wind velocity load of 120 MPH is selected.
All tables furnished !:-e for extrusions most common to this area and
available to contractors and suppliers . The aluminum alloy that all
suppliers and contractors should specify when ordering is shown of the
al)plicable table . If a 95 MPH is allowed, multiply the span or height
shown on the 100 MPH wind load tables by 1 . 06 and use those values
Wind loads for Pool Enclosures , Screen Rooms and Vinyl walls are the
same for all wind conditions .
H TEL RP r- 2-15 ,94 9 : 24 No . 001 P .02
OIV E: D I LAWRENCE E. BENNETT
APPR ic 8-43 -
CT" '6F OLAT41 r F- PrL%
9Ujj_0jt4G CIVIL ENGINEER & DEVELOPMENT CONSULTAANWIX(g1jay
P� 0. BOX 4368
bOUTH DAYTONA, FL 32121-4368 APR 2 5 1994
TELEPHONE 9041253�9960
Building and Zoning
TO-WHOM.-I T-MAYCONCERN
This letter is to certify that the these span & height tables have been
pi,epared in accordance with the writers interpretation of the codes
referred to in the following pages . Structures sized with this manual
are designed to withstand wind velocity loads , walkon live load , and/or
Icads as listed. This manual is reproduced in reduced form on drawings
that corresponds to the type structure the spans or heights are for. The
book is for ease of reading and does not require 94gnature of every page
to comply with Florida Statutes governing Profes�`ional EngIneers . Such
i-tems as this may be certified using a certific j,rn' ; ge if the pages
ate numbered,
CERTIFIED MAY 3 , 1992 BY: w r n'c"e' t, n n
P. E. Fl # 16644 ; Ga # 9 5 3 Xy,' # !'!050
TABLE OF CONTENTS
STRUCL-,�R:� -YPE PAGE DESCRIPTION
Ai�L TYPES 1&2. Design Theroy & Various Load Conditions Used
POOL 'f�NCLOS,'-IRES 3. Design Example (Pool Enclosure)
4 . & 4a. Pool enclosure Roof Beam Spans
5 . & 5 . a Upright Heights , Minimum Upright to Beam,
& Min . # Screws for Rigid Beam to upright
connections
U -ASS ROOMS 6 . & 6a. Glass Room Pan Roof Spans
01 7 . Glass Room Composite Panel Roof Spans
8. Screen, Glass , or Vinyl Room Upright heights
It 9. 1 It to Front Wall Beams Spans
ATTACHED/FREESTANDING CARPORT9 ,
SCREEN/VINYL ROOMS 10. & 10. & Pan Roof Spans
It 11 . Pan Roof Spans
It 12. Roof Beam Spans
It 13 . Roof Beam Span & Thru Bolt Schedule
it 14 . Carport Post & Isolated Footing Capacities
15 . Capacities of Aluminum Post used as Support Post
for Coventional constructed house pourch
0-vo EnoinpArmn i nnei. pipn.n.nn
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) :
Address :
Phone: C1 I — 0?1
Lot Block or Unit # On(�7_uso
Contractor: Subdivision: '
f u(/7,Yx)�:f
4r
----------
Address: 10h('I
Phone No:
Describe work to be done: �17
1-4 - L .0 F_
Present use of building:
Valuation of Proposed Construction:- 4UCo
Proposed use:
Is this an addition?
the added space: If Yes, what are the dimensions of
___�f t . x ----�f t . Wi 11 the added area
be heated and cooled?_7A�� New electrical (or increase)? d
New Plumbing fixtures?_1�4_) New fireplace?�_LNew Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR. -
Signature OWNER:
Signature CONTRACTOR: Date:
Date:
v0o
4PR 18 94
( 01 BU.ilding and Zoning
Wr
Date,
Job Address: Ire
Owner of Propertr z
:C^,\ 114-4 Telepho4e:
Address: C/
contractor: vV', 4,, State License Number:
gamk��ti -
Contractor's Address:
Telephone: -7 Fax: 2- Y -2
Scope of Work:
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work: 0 C-P CD
Product Name(Example:Timberline): A-,
Manufacturer(Example:GAF):
ASTM Designation(s):
Required Inspections: Sheat n Fina 11'!�,
Signature of Owner: Date:
Signature of Contracto f r: Date:
AS TO OWNER: J 20 06.
Sworn to and subscribed before me this '20 day of
State of Florida,County of Duval Notary's Signature:
W MW*w Gon Cglre�-rs-onall nown
My C`*GiOn D9!T79oduced identification
4VE*k"A0*14.2008 Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this C210 day of J-6t A
State of Florida,County of Dwftl Notary's Signature-
BRIGITTE REYES
My COMMISSION#DD 252314 Er-i-e'rsonal y knoZ497�(
EXPIRES:October 22,2007 0 Produced identification
BmW Thru BWpt NoUry Sw�As Type ofidentification produced
MOW,
80,84WOole Road -Atlantic Paul �12"-SW
'47 -Fax: (904)U*r,: -A-
(*4 .511199 atlantic
Rmind 241103
NOTICE OF Co"AMCNIW'.
Swe of
COWY
To,1111111ma"Cai"M
16A mme 1,1wfflbe=g&to=KU=- NMjQa0ClX*1=WftS96dW7130t
the I smftd In d.6 ffom�;H I
Ms
ed: C C-1 ma c-,--
Addmw of"otly bmg q^,
chnend&MCZ41tion of impovimic Be-roof
ownw.- 1-1 UK A&#em- C x 11 e A4 ib, A.4 C AL&P
V
0-mmer-'s in*0 of*0 hVIXOve
Fee MmIlple ridebomw Oratb" 0"Xw):
J6
Name:
Gates Roofing.Empirejnc.
A
.4*c= 1089 AtIghtic Blvd. Atlantic Beach F1, 32233
-�ckpbwc?�9.247-2228 247-3920.
Surety*Cif WLY)
AddresL-
Amourtt of Bond S.
.. .WephmeNp: Fax2.405
t,rame ana UW=of any pemn makla a lc;m fbF the
constructim ofthe improvemimits
Name:
phone No: F&XNO:
N- aL=Of P=Wa wl*Lm the SWe Or-Mcnda, O�than hxlms1J4 destgnated by owner upcirx whom notcft or od=d may be
served: Namw 77
Address:
Tckphom No: Fax No:
la addWm to
b'm3"4 owl= d05i9=k* LU f01krWing PerSOn tc rcv:iyc a cm of the Lj=cu'3 Notict as VVVi secucr�
713.06(2)(b),Florida Stuuics. (Fill im at ownce 3 ooca)
Name:
Addres3--
Telcpho3i�e'-N'o; FWL No:
Exphzidm date ai N-Oti= Of CorarnjenCeMCnt(the expir-� date is one (1)year the datL- of recording uridess a cfifD=n±date is
Mm SPACX FOR RECORDIgRtS 1USjL ONLy Oyn4-gR
owner N001p. SjV.&.
-711.
day of in Coum of U64 SMIC
appeamd eer
L,e jV-
69�;at�Luxo.90to of Fbdde.C&xiuty dVDWMk,-DPbE
Doc#200626045 1,OR 6 K 3419 Rage 1922, My COMMINIM dwpk=--* �- _.�W B-R.'GR4rE REYES
Number Pages: 1 ?=MAW Knowix MY COMMISSION 100 252214 or
Filed&Recorded 07/2612006 at 01.41 PM, hadoced ZVI) 9;
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY udget Notary Safts
RECORDING$10.0o
CITY OF
4&4r*X& Be,acA-&7&U*c&
office of Building Official
REQUEST FOR INSPECTION
Permit No.--Z�
Date
Time A,M. District No.
Received P.M.
ocal
K
Job Addre;ss P
owner's Contractor—
Name ELECTRICAL PLUMBING MECHANICAL
BUILDING CONCRETE
Footing 0 Roughwiring 0 Rough Air.Cond.& 0
Framing o Top Out Heating
Re Roofing 0 Slab El Temp Pole 0 Fire Place 0
Lintel 11 Final Ei Pre Fab
READY FOR INSPECTION 10 A
ay
Mon. Tues. Wed. Thurs. fl" Frl�j
Inspection Made
Inspector Final inspection 0
Certiticate of occupancy
Date
Milo
cl-ry OF
Dppartrdettt souther"Standard
ant to the requirements Of Section log of the lince with the
This Certificate isstied pursu t at the time of issuance this structure a,i".comp
Building Code certifying tha I For the followt,16".
various ordinances regulating building c 01's I t ruction or use. Bld..Permit NO-
'U'cla"ification Fire. Distric'
Type consItrudion—
Address——
Gw"P
owner of Building ality
Building Addle" BY:---
v, Dste�
C014SPIGUOU" PL.ACK
pw IN
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACN, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SNEET
Date Requested: August 4, 1987
Building Contractor: Reyhan i,Inc-
Building Permit Number: 83S7
Address: S40 Pelican Key
Legal Description : Lot 87 Unit II Selva Lakes
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Duplex
Lowest Floor Elevation: 13.3-------- 13.751--- ----------
required as built n/a
Sales Tax Certificate: -VL1 -------
'ia eteW ed
BEFORE ISSUING CERTIFICATE OF OCCUPANCY TNE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE A P OV ED: By.
Fire Chief 8/4/87
8/4/87
Public Works
Planning Director 8/4/87 x��f�
Building Inspector 8/4/87 ----------------
En
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IMNAMCIA%.PRINI INC,Cr-tAW?*
of Ommacement
(PMBPANK IN DUPUCAM
To whom it mav concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
ac,zord"ace with szctlarx 713.13 Of the Florida Stttutes, the following information is etated in this NOTICE
Cr.. COMME�lCrvlV?T.
Description Of Prop-- —--—-----------------------—------------------—-—--------—--—------------
_q-------------------—--—---------------
-------------------------------------------------------------------------------------------------------
General description of improvements —E-V---(La---P_�L--—-------------—--—---------—------
-------——--—--—----—------------------------------------------------------------—---------—------
I
OwnerC Lo -0---—-------------------------------—------———---
Address -----�2qcl__PLL'C,_�_ _LL4-----------------------------------------------
Ownees interest in site of the improvement ----------LCU_QQ\---------------------------------—--------
Fee Simple Title holder (if other than owner) --------------------------------------------------------------
Name ---------------------------------------------------------------------------—--------------------------
Address -------------------------------------------------------------------------------------------------
Contractor ---------------------------
Address ----U_2_()_�--- L U( I -4---ILA------------------------------------------------
Surety (if any) -------------—-----------------------------------------------------------------------------
Address -----------------------------------------------------------------Amount of bond $--------------
Name and address of any pers& ff4ing-a.loan for the construction of the improvements.
Name -------------------------------------------------------------------------------------------------------
Address ----------------------------------------------------------------------------------------—-------
Name of person within the State of Florida, other than himself, designated by Dwner upon whom notices or other documents
may be served:
Name ----------------------—--—---------------—-------------------------—---------—----------——----
Address ------------------——--------------------------------------------------------------------—-----
In addition to himself, owner designates the following person to receive a copy of the Lienoes Notice as
prov'ded in Section 713.06 [21 [b], Florida Statutes. (Fill in at Owner's option).
Name ------------------------------——-----------------------------------------------------------------
AAA
,j5353
7 MAP SHO MVG 30 UIVDARy SURTIFY OF
LOT Rz BLOCK -�L — AS SHOWN ON MAP OF
I��Z v4 L.4k-�f
AS RECORDED IN PLAT BOOK 43 PAGES /Z-/Z OF THE PUBL,'C RECORDS OF DLIvAL CCUN�Y, FL' cqlDA
CER TIFIED FOR: AL2 -7-17-�-,e ,LY
rt)
k.4
/9
-0- 00"
19'
1.0
c,0
05
119�
go 0�
D
I i v 18 1994 40
vi
LJL'ildi-19 and'Zonin,
NOT VAUD UNLESS EMBOSSED W77-/ SEAL OF THE UNDERSIGNED. BEARINGS BASED O)V LINE AS SHOW;
Twr DPI1,0rPTY IZPOM NFRFON APPFAR,'� TO /IF K1774/Al Fl OOD HAZARD ZONE Y AS SCALED FROM FLOOD
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00029482 Date 1/06/05
Property Address . . . . . . 540 PELICAN KEY
Tenant nbr, name . . . . . . 12 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CUNNINGHAM, MAUREEN PLUMBING EXPRESS
540 PELICAN KEY 4SO C SOUTH PICKETT STREET
ATLANTIC BEACH FL 32233 ALEXANDRIA VA 22302
(904) 614-6413 (703) 887-9849
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 119 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
--------------- -- ---------- ---------- ---------- ----------
Permit Fee Total 119 . 00 119 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
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.
BUELDING OFFICLA1
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address:
Owner: N\AvF-f" Telephone#: &6
Contractor: TI-vmk"'(R� kPkjEss Telephone#: 2)t7 IMT
Contractor Address: A%oc !S --Pj'4AqT ky . . iFax#: 4(ol ()� 49
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
E3 New list the building permit number:
o"' Re-Pipe
Number of Fixtures:
7- Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory 7-- Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: I-L X$7.00 + $35.00
800 Seminole Road -Atlantic Beach, Florida 32233-WS
Phone: (904) 247-5800- Fax: (904)247-5845- hftp:llwww.ci.atiantic-beach.fl.us
Revised 1/04
CITY OF ATLANTIC BEACAR
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION pHONELINE 247-5826
Application Number . . . . . 06-00033582 Date 7/27/06
Property Address . . . . . . 544 PELICAN KEY
Tenant nbr, name RE ROOF
Application description . . . ROOF
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
Owner Contractor
------------------------
GATES ROOFING EMPIRE INC
PERREY 10575 OLD DIXIE RD, SUITE B
544 PELICAN KEY FL 32095
ATLANTIC BEACH FL 32233 ST.AUGUSTINE
(904) 247-2228
------ ----------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . - Plan Check Fee . 00
Permit Fee . . . . 75 . 00 Valuation . . . . 4000
Issue Date . . . .
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 .00 . 00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH PERNUT CALCULATION SHEET
Address aL t CAO
Date
Heated Square Footage —@S a 4 'Per sq ft
Garage Shed __per sq ft
Carport Porch .ersqft-- S ,
Deck. per sq ft
Patio persqft= S-
-TOTAL VALUATION:
Total Valuation .(06)6)
Remaining Value $j,."per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING:' + 1/2 Filing Fee
FLOOD ZONE: )Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
-BU ILDING PERMIT FEE $
WATER IMPACT FEE S
SEWER IMPACT FEE' 3
WATERMETERJAP $
CAPITAL IMPROVEMENT
SEWER TAP $
C RADON .0050 S
SECTION H PAVING $
HYDRAULIC SHARES
CROSS CONNECTION S
ST( SURCHARGE S
OTHER
0 C)
GRAND TOTAL DUE:
CITY OF ATLANTIC BEACH edt
Routed to:
PLAN REVIEW SHEET J(J
S Higgins ki
Building Department Public Works&Public Utilities Departments L
. 0 rr
5,09'", 800 Seminole Road 1200 Sandpiper Lane oerr
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R.Carper
(904)247-5800 (904)247-5834 D. Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW CONMENTS
Permit Application#
Property Address:
Applicant:
Project:
This permit application has been:
Approved as noted by the Department.
Final application approval must come from the Building Department.
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: 4 Date:
Date Contractor Notified:
AF 44241
MAP SHOWING SURVEY OF PAGES 11A
LOT 87 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 ,
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
fig it
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ire. A
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AF 44241
MAP SHOWING SURVEY OF
LOT 88, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 11, 11A
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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CITY OF
4&aa& BeacA-0;&Ti9&
office of Building Off IcI81
REOUEST FOR INSPECTION
Permit
Date A.M. District No.
y Locality
Job Address
Owner's Contractor
Name� CONCRETE ELECTRICAL PLUMBING MECHANICAL
BUILDING Footlng RoughWiring 0 Rough 0 Air.Cond.& 0
Framing o Temp Pols 0 Top Out 0 Heating
As Roofing 0 Slab 0 Fire Place 0
Lintel Final Pro Fab
Y FOR71NISIPVECTION A.M.
7'''m P.M.
r
Mon. Tues. Wed-. Thurs., Friday
7 CW
inspection Made
Final Inspection 0
inspector Certiticate of Occupancy
Date
CITY OF
,q&"& BeacA-9V&Uc&-
office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date A.M.
Time P.M. District No.
Received
L Local"
ocality
Con tractor
A N
M = &
Job Address BING ATC
Owner's Contractor
Name� CONCRETE E�LECTRICAL UMBING MECHANICAL
BUILDING uugh Air.Cond.&
T Ing Ll Rough wiring L-- Heating
Framing Foot Temp Pole L, Top Out Fire Place
Re Roofing Slab 0
Lintel El Final El Pre Fab
,READY FOR INSPECTION A.M.
Thurs. Friday—P.M.
Mon. Tues. �42ed
A.M.
zf—p TON
Inspection Mace
Inspector- L Final Inspection C3
Certificate of occupancy
Date
NOMMEMW
CITY OF f A,
4&,rm& 8"-0;&U-4&
office of Building Officl8l
REQUEST FOR INSPECTION
(5-3
Permit No.
Date
Time A.M. District No.-
Received X11 b
L lity
Owner's Job AWress �R
Name ECT ICAL, PL BING MECHANICAL
BUILDING CONCRETE r 11 Air.Cond.& El
0 Footing Ll 0 Rough El
Framing Temp Pole Top Out El Heating
Re Roofing 0 Slab C Fire Place
Lintel Ll Final Pre Fab
READY FOR INSPECTION A.M.
Thurs. Friclay�P.M.
Mon. T Tesj, W
F.M.
inspection Maae
I nspeCtor Final Inspection El
Certificate of Occupancy
Date
CITY OF
4&aa&c Beai;4-0;&U*0&
Office of Building Official
REQUEST FOR INSPECTION
Do, Permit No.
T Tim A.M.
ime District No.
Received P.M.
Locality
JobAddress
owner's Contractor
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 RoughWiring 11 Rough 0 Air.Cond.& 0
0 Temp Pole 0 1 Op Out 0 Heating
Re Roofing 0 Slab Fire Piece 0
Lintel El Final Pro Fab
READY FOR IN=1
I I
Mon. Tues. Wed. Thurs..
A.M.
inspection Made
Inspector Final Inspection 0
Certificate of Occupancy
Date
CITY OF
*4,,a, Vead - �740re& 716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
August 4) 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 # 5298-,.,-540 Pelican Key
Permit # 5323-,-,531-Pelican Key
Permit # 5324....535 Pelican Key
Permits issued to Adkins Electric Company,
Sincerely,
.....................
Renel Angers
Community Develonm6nt irector
cc; file
RA/te
CITY OF
jftu� Vead - 96u�k
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
July 23, 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 #5299----544 Pelican Key
Permit issued to Adkins Electric Company.
Permit #5491----1965 Seminole Road
Permit issued to Bill Thompson Electric Company.
Permit #5267----1878 Beachside Court
Permit issed to Bill Thompson Electric Company.
Permit # 5520�".,1062 Snug Harbor Court
Permit # 5521--,-1064 Snug Harbor Court
Permits issued to Early Electric Company.
Sincerely". P
Rene' Angers
Community Development Direct or
cc; file
RA/te
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL PERMIT
�l 9
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 ZACCORD CIE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
MASTER ELECTRICIAN SIGNATURE JO N MAN
ELECTRICAL FIRM:
NAME ADDRESS: S Ll Ll- NA"LA") —RFD_BOX
BLDG.SIZE BETWEEN:
RES.(/f APT. ( COMM. PUBLIC INDUS. NEW OLD REW.
ADDITION ( ) TRAILER ( ) TEMP.( SIGNS ( ) SO. FT.
SERVICE: NEW("f" INCREASE( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER I ALUM.
SWITCH OR BREAKER AMPS PH 3W -23--'�-V MOL I RACEWAY
EXIST.SERV.SIZE AMPS PH w - VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN ITOTAL
31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1 o.I oo^mPS. OVEI
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
UD pw_q fin OVER
o"i I %ini 1 H.P. VOLTAG7E PHS
L L I ro
CITY OF ATLANTIC BEACH, FLORIDA
APPrc"d bY I APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z_ 19
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.
'N�<S bkA
JOURNEIMAN
ELECTRICAL FIRM: MAiTOR ELECTRICIAN SIGNATURE
'!��Lj 0_j)-tj RFD-BOX
NAME \ (AL\ Pr �A� ADDRESS:
BLDG.SIZE BETWEEN:
RES.I If- APT.( comm.I PUBLIC INDUS. NEW( OLD( REW.
ADDITION I ) TRAILER ( TEMP.( SIGNS ( ) — SO.FT.
SERVICE: NEW( INCREASE ( REPAIR ( FEE
_L COPPER f I ALUM. ( /) 1>
CONDUCTOR SIZE AMPS 7>
SWITCH OR BREAKER AMPS PH 3 w 230 VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS -NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALEDJ OPEN TOTAL
AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED a IOU A�Fps. OVER
APPLIANCES r I I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
km%lrnme 14 P vnt TArF I PHS NO. 1 H.P. VOLTAGE1 PHS
8351
esviter
U 1LjDjt4G i�to*Vill
Of: a 49S V'�6cy,
-,,,-Tic 9SXrV4, 2/'IT/
crry OF x7r IUILD
MI-T-to joi3
r 7
c
5.POSTED
1"Is PERO yeb.
Date
�-ree$ 499-50
10 , a to City Teaswel'ana
'Auatilou$ above fl'DZS been 1)21 Vtol,jolls of law.
I-cable
vcl,,,t not vaua unt, -12t.lot,0(
to xcqctjou foT V,
liat TCT�� a
is to certill t
Vefvn�ls'lon t zone
class-fication
I Block,
OVV"a by Ej, T-09,MS
C01,40, -BY, 111
JLot ipelnlit
1patt oj tW 40TICV--W, MA)ST
140 whjch ate t VOOfjj4GS POU'P,114G.
Roase Ve 101 N14D MO,4-['RS
Nccoraing to alpylo SPECrBD VOID SM
of SS1JB
bbsh aimcl aebtis
t,,aterisls To t be Oacecl a
�D 'Builaing 0 u Must 110 be cleate
'Z frova at% elluer Cow
0 tills VV t a Taust
blic space, Wy
in pla ha'aled wwal
wp SO )0-witer-
tr
COS Ott
efttAIT
O"f1ce UVASFR
FO OS%-'Y
u
SC.TRICKL
rj_Uj,jbJj4Lp I'LiUlil V_
BUILDING PERM1T WORKSHEET ELECTRIC PERMIT
21 TEMPORARY ELECT.
s SOO ze--e>
--ated Square Footage -L----Per sq f t 9— CC)
o 7 $ 00 er sq ft 60
irage/Shed p
irport (a $ Der sq ft
)rches @ $ ____per sq ft - $
!ck ---!@ $ -----Per sq ft —
Itio @ $ ____per sq f t
TOTAL VALUATION $
15-0 670
,tal Valuation Data is t
00
ma-inder Valuation @ $ 60 per tbousand
or portion tbereof
TOTAL BUILDING FEE
+ k FILING FEE $ c2S__
FIREPLACE @15. 00 $ co
TOTAL BUILDING PERMIT
-----------------------------7-------------------------------------------------
UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ECT. TEMPORARY $ ELECTRICAL PERMIT $
rER METER SIZE ACCOUNT NUMBER
JER IMPACT FEE $
rER CONNECTION $ (@10. 00 p�er fixture unit)
3ROVED BY:
TOTAL BUILDING./.PLAN FILING FEE _ 00
s74
TOTAL WATER METER CHARGE $ eVev v
TOTAL SEWER IMPACT FEES s 103.5r: 00
TOTAL WATER CONNECTION CHARGE s c>1 0 0
MISCELLANEOUS CHARGES $
__GR�ND TOTAL DUE:
C",
6-.6 -,9- Fr
PLUMBING Hqff�HEET
�'SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT IS'
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 CLOSETO LAVATORYt AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(.6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (11 UNIT) URINAL, WALL LIP
(.4 UNITS)
FLOOR DRAIN ,(,l 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)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
740. 040
TOTAL FIXTURE UNITS $10..00 EACH�- CD A9, *
PLUMBING PERMIT
ELECTRIC PERMIT
BUILDING PERMIT. WORKSBEET TEM.PORARY ELECT.
/,39,5 @ s - $ -1-3-217, -!�-0
cated Square Footage v —d�er sq ft
arage/Shed 54640 @ $ IS60 ___per sq f t - 7eRod. 00
arport @ $ Der sq ft -
orches @ $ ----Per sq f t
eck @ $ ---Per sq ft - $
atio @ $ ___per sq ft - $
TOTAL VALUATION $
:)tal Valuation Data 1 s t �:5:
(?e 7,
mainder Valuation @ $ ,;�.()()per thousand
or portion thereof
TOTAL BUILDING FEE $ -5-0-
+ FILING FEE s
FIREPLACE @15. 00 s 00
TOTAL BUILDING PERMIT
------------------------------------------------------------------------------
.UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
,ECT. TEI-EPORARY $ ELECTRICAL PER14IT $
�TER METER SIZE ACCOUNT NUMBER
:WER IIEPACT FEE $
iTER CONNECTION $ (@10. 00 p.er fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES $ A-0
TOTAL WATER CONNECTION CHARGE $ C2 6- 00
MISCELLANEOUS CHARGES $
GRAND, TOTAL DUE: s
1 -5 9 5-
13
PLUMBING WWSHEET
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 $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM,
BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT)
WATER CLOSETP LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN N UNITI URINALt WALL LIP
FLOOR DRAINCI UNIT) * (.4 UNITS)
WASHINGMACHINE RES.
URINALP PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (B UNITS)
Ll WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED
OUNITS) (8 UNITS)
BATHTUB (WIOR W/O OVERHEAD SHOWER STALL, DOMESTIC
(2 UNITS)
SHOWER) OUNITS)
BIDGET 0 UNITS) LAUNDRY TRAY
(2 UNITS)
DISHWASHER C2 UNITS) KITCHEN SINK UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS' @ .$-10, '00. EACH,
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Y.- A d d r e a s
zipL_2...� _phone
42 _phone2
Architect _Address-eL
'21
Contractor Address _phonee
At y-�je-4-1 I L __
Contractor's License number.................expiration------------
Lot ___Block or Section_ Subdivision---------------Zoning--------
Street-------------between---------- ---and ................side-----------
Type Construction---C ---------No. Units----------No. Fireplaces----------- -
Purpose of Building---------------------------Est. Valuation *--------------
Utility Method - Water------------- Sewer------------
Dimensions - Building--------------Lot-------------Size Footings-----------
Sz. Piers----------- Sz- Sills ............Greatest Span Sills---------------
Sz. Ceiling Joists---------Distance on Centers---------Greatest Span.......
Sz. Floor JoistA _ Distance on Centers---------Greatest Span-------
Sz. Rafters ---------Distance an Centers---------Greatest Span.......
Method of Heating-----------Solid or Filled Ground...7-------Roof----------
Flood Zone-------if located within a FLOOD HAZARD ZONE complete page 3
In consideration of permit given for doing the work as described
in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications, which are
a part hereof, and in accordance with the building regulations of
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-way and to clear, clean, grade, and
drain said right-of-way to City
specifications.
Signature Owner
) 7
Date
;:2a Date-,4----
Signature Co racto
page 2
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
CLIMATE ZONES
SECTION 9--RESIDENTIAL POINT SYSTEM METHOD —
NORTH 1 20
FORM 900-B-84 DEPARTMENT OF COMMUNITY AFFAIRS
PROJECT NAME 6 3 PERMITTING OFFICE: PR-(- BEACL-t
AND ADDRESS: CIRCLE CLIMATE ZONE:1
PERMIT NO.:
BUILDER:
OWNER: JURISDICTION NO.:
STATISTICS
IF MULTIFAMILY,NO.OF UNITS GLASS AREA AND TYPE
DETACHED COVERED BY THIS CALCULATION: FT141 CLEA ITINT,FILM,SOLAR!SCREEN
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNIT TYPE.CHECK IF F\;�j
xATTACHED THIS CALCULATION REPRESENTS A WORST DBL DBL
I CASE CONDITION.
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY
I I El FT�-1-111 111 � 1*�� F-G.1�1 1 1 ) �s�sR R= aj�dj� R=
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
–] ELECTRIC RESISTANCE SOLAR
ELECTRIC STRIP GAS NONE Fy
Lor-'s.1 —1 [1
F\7/ CENTRAL F1 NONE 1 1:1 1:1 1:1
17 ROOM F� OIL F� SOL AR HEAT RECOVERY GAS
F�PACKAGE TERMINAL AC gHEAT PUMP:COP DED.HEAT PUMP:COP
EER/SEER = E]:�f [i� 1 1:1 OTHER: OTHER:
CALCULATED E.P.I.: I I S CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS
In accordance with Section 553.907 FS., I hereby certify that the plans Review of the plans and specifications covered by this calculation indi-
and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is
Florida Energy Code. completed, this building will be inspected for compliance in accordance
with Section 553.908, F.S.
OWNER/AGENT BUILDING OFFICIAL:
DATE: DATE:
THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT.
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development:............................................
Flood Zone:
Required Lowest Floor Elevations...............
If building is located within a flood hazard zone (Zone A), a
survey must be made AFTER THE SLAB HAS BEEN POURED, certifying
that the LOWEST FLOOR ELEVATION is equal to or above the base
flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey in on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement: I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all 'other lave or
ordinances effecting the proposed development.
Date..............Applicant's Signature..........................
----------------------------------------------------
Department Use
Required Lowest Floor Elevation .................
As Built Lowest Floor Elevation
Survey Filed with Building Department ...........
-----------------------------------
Bui;d'ing Department Representative
page 3
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ea
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
z i PZ;- phone.-- 7-
Address
zhitect--�,L 4
1 e- z i p �-a-L-phone
3ntractorie "C'7. 5;'
_Address_4/-e-2-
ontractor's License number
-----------------expiration
'ot-( 01-�--Block or Section---------Subdivision---------------Zoning........
Street-------------between--------------and-----------------side
Type Construction_-_ ---No. Units----------No. Fireplaces-----------
Purpose of Building---------------------------Est. Valuation
Utility Method - Water------------- Sever
Dimensions - Building--------------Lot-------------Size Footings...........
Sz. Piers------------SZ- Sil193-------------Greatest Span Sills
Sz. Ceiling Joists---------Distance on Centers -Greatest Span.......
Sz. Floor Joist's. .........Distance on Centers---------Greatest Span.......
Sz. Rafters ---------Distance on Centers---------Greatest Span.......
Method of Heating...........Solid or Filled Ground...7-------Roof
Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3
In consideration of permit given for doing the work as described
in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications, which are
a part hereof, and in accordance with the building regulations of
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-vay and to clear, clean, grade, and
drain said right-of-way to City
specifications.
Signature Owner
7
n r
Signature Cont ctor Date
page 2
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development:............................................
Flood Zone:
Required Lowest Floor Elevation:...............
If building is located within a flood hazard zone (Zone A), a
survey must be made AFTER THE SLAB HAS BEEN POURED, certifying
that the LOWEST FLOOR ELEVATION is equal to or above the base
flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement: I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all 'other laws or
ordinances effecting the proposed development.
Date..............Applicant's Signature..........................
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
Survey Filed with Building Department -----------
-----------------------------------
Bui�dlng Department Representative
page 3
R TME"-r OF: BUI L D I f 4 G VIERMIT T40'
JBF
CITY OF ATLANTIC _AC,.FLORIDA
,UILD
PERMI-TTo 11 Ot4 J05 j:;n T
MUST BE POSTED 87 CKI
THIS PERMIT 2112
Date 2133
M-50 nnr
Fee$ Z'i3b9
valuation$ a to City Treasurer, ,a is 133
. not Valid until abo_fee I'll been pal .. of law.
This Per-, .for of applicable PrOvs"'
Ubiect to revOc2tio
This is to certifY
Sion to
has pern"s one_
Classification s/D
owned bY---:-
Lot POWs
House No. are Part Of this permit ALL CONCPETE
According to approved plans Which NOTICE— NGS M'UST BE IN-
NND FOOT1 pOuPLING,
SPECTED BEFOPI'E
OID Sly
pEpMIT V . MON""'
ApTEW DATE OF 'SSAJE
. I ru,
,,ijdin,inateria 9 obish and debris
11 be placed
0
z from this work niust not
and niust be cleared
in public s aces by either con-
up and a ed away
0 owner..
trac
official.
CONTRACTOR
pERMIT DATE
FIR OFFICE NUtABER
USE ONLY
PLWABING
ELECTRICAL
SEWER
WATER
CITY OF -ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 540-544 Pelican key j
PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY
LICENSE NUMBERS rf'Pl 4 5 State RF0037503
OWNER R .G .M . Properties
BUILDING CONTRACTOR R .G .M . Properties
TYPE OF BUILDING Duplex
2 SINKS 3 SHOWERS
8 _LA VATORY 2 WATER HEATERS
2 -BATH TUBS 2 DISHWASHERS
URINALS
2 DISPOSALS
6 CLOSETS
2 WASHING MACHINE
FLOOR DRAINS OTHER
29 TOTAL FIXTURE COUNT X"P3. 50 + $10. 0o
Dj"%TE 2 / 17 /87 TCTAL AMOUNT—$111 .50
INSTALLATION OF PLUlfBI NG AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
BUILDING AND ZONING INSPECTION DIVISION
C17Y 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: 540- SL --tice-
LOCATION ALA C tAi kia
OF Intersecting Streets; Between And
BUILDING Sub-division SEL—Vok LA-i<(—=�-;
11. IDENTIFICATION — To be completed by all applicants ,
In consideration of permit given for doing the work as described in the above state ent we hereby agree to perform said work in accordance
with the attaOLed 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 (Print) Master
Name of
Property Owner C>
11
Signature of Owner <: Signature of
or Authorized Agent Architect or Engineer
Ill. GENERAL 1NF6udAT(0N1
A, Type of hosting fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE? XE JS
0 Ges—0 LP [3 Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
13 00 PERMIT
13 Other — Specify
IV. 1110111111110KANICAL SOUIPMENT TO 11111 INSTALLED NATURE OF WORK
(PfOvW*Complete list of components on bock of this form) Residential or E] COM
)9-�'Heat 0 Spec* 0 Recessed X,Cilinthill 0 Flow New Building mercial
Air Conditioning: 13 Room
Duct System: me Central Existing Building
I terioz__A�tw 13 Replacement of existing sYstem
0 Rqfri"#;" Maximum capacity---ZZ c.f.m. ;—K New installation(No systern
0 Cooling tower: capacity El Extension or add-on to existing system
9.pjn. Other — Specify
13 Fife sprinklers: Number of he,
13 Elevator 13 Monlift C1 Escal,t,, —(number)
C3 . Gasoline pur"PL-----�(numbsr) THIS SpACE. poll OFFICE. USE ONLY
E3 Tsrilkil`----�(numbor) (Raleeiiiined)
0 LPG confoinors.--.(numbor) Remarks
0 Unfired Pft"uro vessel
0 1111101111m Permit Approved
Cl othw — Specify by------
Permit Foe--------
LiS—TAL—L EQUIPMENT
AIR CO 11ONING AND REFRIGERATION EQUIPMENT
N.Umber Units DeseripUcin X01114111 Number Manuracturier C
.........
AF 44241
MAP SHOWING SURVEY OF
LOT 87, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , 11A
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
.IC,d,Al
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AF 44241
MAP SHOWING SURVEY OF
LOT 88, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 11 , 11A
AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
cod/'/ o4dejeyoo'
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oVA774AIAL. 04i0J>X.—,oir- voerocqt.
Tprfif tratr of (Orrupaury
CITY OF
oftftuo hak- %"
19pparimput of Nutthino 3napprunn
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.Construciion ' _' �; � _,i� � — �
Fire District,
Owner of Building
--Address
Building Address Z
Locality
By:
building Official
Date:
POSIT IN A CONSPICUOUS PLACE
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested: 7/24/87
Building Contractor: Reyhani,Inc,
Building Permit Number: 8357
Address: 544 Pelican Key
Legal Description: Lot 88 Unit Il Selva Lakes
Improvements to the above described Property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Duplex
--------------
Lowest Floor Elevation: . 13.3 ' __ -1-175/
required as built n/a
Sales Tax Certificate:
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: Y
Fire Chief ------7/24/87
--- Ty
Public; Works 7/24/87
Planning Director 7/24/87
---Zl----- -----
Building Inspector 7/23/87
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION"ESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 9MB-84 DEPARTMOff OF COMUWTV AFFAIRS NORTH I Jal)
PROJECT NAME 7 lb� PERMrMNG OFFICE:
AND DfESS: nEu" Jho�&k+
CIRCLE CLIMATE ZONE:1 29�
BUILDEW PERMIT NO.:
OWNER: f
JURISDICTION NO.:
STATISTICS
FDiLTACHED IF MULTIFAMILY,NO.OF UNITS GLASS AREA AND TYPE
COVERED BY THIS CALCULXnON: CLEAR TINT,FILM,SOLARISCREEN
F rV7 'F
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNITTYPE.CHECK I Ll I
TIA R., 62%
CHED THIS CALCULATION REPRESENTS A WO DSL
I CASE CONDITION. � I-) ffb�l DBL
NET WALL AREA AND INSULATION CONDITION
ED CEILING INSULATION
CBS Rw FRAME R= FLOOR AREA UNDER L ASSEMBLY
=11 ATTIC SG
I I I __= Lj) :�� I FF( -K R= ��Rfa I R= =.fl�
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
CENTRAL —1 NONE ELECTRIC STRIP GAS NONE ELECTRIC RESISTANCE 0 SOLAR
F F1 1:1 F 9
ROOM F-1 OIL F-1 SOL AR HEAT RECOVERY F] GAS
-1 HEAT PUMP:COP = DED.HEAT PUMP:COP
PACKAGE TERMINALAC r F.�e-
F] I I F
EER/SEER OTHER: OTHER:
CALCULATED E.P.I.:
L I 6F7ff:1_ CALCULATED E.P.I.MUST NOfEXCEED 100 POINTS
In accordance with Section 553.907 FS, I hereby certify that the plans Review of the plans and specifications covered by this calculation indi-
and specifications covered by this calculation are in compliance with the cates compliance with the FWda Energy Code. Before construction is
Florida Energy Code. completed, this building will be inspected for compliance in accordance
with Section 563.908, F.S.
OWNERIAGENT BUILDING OFFICIAL:
DATE: DATE:
THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT.
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
QUEST:
INSPECTION EMAIL RE
Building-deptgcoqb.us
Application Number . . . . . 08-00000267 Date 2/27/08
Property Address . . . . . . 540 PELICAN KEY
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-- - ----------------- - - -- --- - - ----- - - - - - -- -- -- - -- -- -- - - - - - - - - - -- ---------- - --
Application desc
INSTALL WATER HEATER
------------- --- - --- ---- -- - - -- - - - - - - - - - - - - - - -- - - - - - - - - -- - - - - - - - - - - --- - - -- - --
Owner Contractor
-- ---------------------- --- --- -- --- ------ -- - - - - -
CUNNINGHAM JACKSONVILLE PLUMBING AUTH.
540 PELICAN KEY MANNING, MARK
ATLANTIC BEACH FL 32233 108 LEE RD
JACKSONVILLE FL 32225
(904) 720-5647
------- --------- -- -- -- - - -- - - ------- ----- ---- - --- - - -- -- -- - - -- - - ----- ------ - --
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/25/08
------------- --- ----------------------- --- - --- - -- ------- ---- - ---------------
Fee summary Charged Paid Credited Due
----------------- -- -------- ------ ---- --- -- ----- --- - ---- - -
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r.4 CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address: SLA(D ��\�cw*'� Ve_ U1_
tj
owner: Matkag-rN Telephone
U
Contractor: -,A \e�-k—>�u_m V-A jx I Aj�,AJA6,,jh� Telephone#: '1a'Q -b(y-Ljj
Q
Contractor Address:_06 UP_ Fax#: -7?-G - �*�A'A
Contractor Signature:
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
Ll New Est the building permit number:
D Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System Other *See attached sheet see
For Backflow and Irrigation procedures
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00 A-M
800 Seminole Road -Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800- Fax: (904) 247-5845- hftp://Www.ci.atiantic-beach.fl.us
Revised 9/06
CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
r jilt , Building-dept(&coqb.us
Application Number . . . . . 08-00000062 Date 1/16/08
Property Address . . . . . . 540 PELICAN KEY
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
--------------- ---- -- -- --- ----- --- - - - - -- ----- --- -- -- --- ------ - --------------
Application desc
sprinkler system
- --- --------- -- - -- - - - -- --------- --- - -- -- - - - --- -- -- ---- - ---- --- --------------
Owner Contractor
--------- ----- -- -- --- --- - --- ------ -- ---- - -- -----
CUNNINGHAM HULIHAN TERRITORY
540 PELICAN KEY P.O. BOX 331268
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 285-8505
-------------- -- -- -- ----------------------- - -- --- -- -- ----- - -- -------- -------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/14/08
----------------- -----------------------------------------------------------
Fee summary Charged Paid Credited Due
--------------- -- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07- ,
OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
PLUMBING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE:
0 NO
o Qs� 0 YES PERMIT#:
Atlantic Beach, FL 32233
PROPERTY OWNEP_*
4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
�\r\Q ��
PLUMBING CONTRACTOR:
7.NAME OF COMPANY: 8.ADDRESS.:
k�Il 7 C1
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.:
'a!- '�ri E4, 9.a Q_110 Q3
12.EMAIL ADDRESS: 13.OFFICE`9)"E: 14.
a'i� � !R z CD's
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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.
CONTRACTORS SIGNATURE:
15.NATURE OF WORV_ 16. 17. 18.CURRENT CODE:
0 NEW 0'06 FLORIDA BUILDING CODE-
0 RE-PIPE PLUMBING
0 OTHER:
19.NUMBER OF FIXTURES-
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER(SPECIFY):
ROOF DRAIN
20.PLUMBING PERMIT FEES:
PERMIT ISSUING FEE: $35.00
TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00
EVISM 101192W
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00029593 Date 1/28/05
Property Address . . . . . . 544 PELICAN KEY
Tenant nbr, name REPLACE GARAGE DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 800
Owner Contractor
--- --------------------- ------------------------
PERRYE, JEFFREY DUVAL OVERHEAD DOOR CO INC
544 PELICAN KEY 6101 LOTTIE STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(954) 658-8126 (904) 724-3636
-------- --------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 800
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA.BUILDINQ
CODES.
ii-UILDING OFFICIAL
CC:
"'Z CITY OF ATLANTIC BEACH
D.Ford
ins
BUILDING/ZONING DEPARTMENT _-�J
800 SEMINOLE ROAD S.Doerr
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5845
http://ci.atiantic-beach.fl.us
PLAN REVMW COMMENTS
Permit Application# OC-5
Property Address: . 5 q 1� Pr h' cA/n k--p A4
Applicant: UrVC*-KVPJ K
Project:
pplication has been:
E�-keviewed and the following items need attention:
( ,eco)
Q.M QJL�', , cc)PA E-s 0
Please re-submit your application when these items have been completed.
Reviewed by: Date: 4C
_9 GIVK&_r
CITY OF ATLANTIC BEACH
HURRICANE SHUTTERS
IGHTS, GARAGE DOORS,
WINDOWS, SKYL
LOW, , Date:
Job Address: I-lei
Owner:
3 /-2-3 3 Phone: �7J Z' Z-C
Address: f-'�Nl�e 6 C e:l,,
Legal Description: Block Number: Ll Lot Number: 1'9 Zoning District:
Contractor: DXAV�'L rj\jjM�t�p_ J)QO� State License Number:
Phone: 3,&3(,
Address: G101 LOTIllp— 91PIE1
city: State: Zip: Fax:
Describe proposed use and work to be done: Rt
Present use of land or building(s): 1.z�
Valuation of proposed construction:
Is approval of Homeowner's Association or other private entity required? If yes,please submit with this
application.
Required Building Data:
I L Building Width _(ft) Building Length Z
Mean Roof Height Lft)
Roof Slope_ Window Height (ft) Window Width (ft)
Window Elevation from Grade (ft)
Measurement from corner of building to window (ft)
Number of windows being installed
Mean Roof Height
--4w
800 Seminole Road Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/27/03
Page I
Procedure: In order to expedite issuance of permits provide all information as appropriat Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the fonowing information is required:
1. Manufacturer's Test Report with Uniform Structural Load(psf)
2. Installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Hurricane Shutter Description/Type
7. Elevation View of Window Locations
I hereby certify that all infix-ffiation rovided with this application is correct.
,ify that all
orma tion rovided with th
1:�-- - ---------
Date:
Signature of Own
I hereby cerd at I have read an amined this application and know the same to be true and correct. All provisions of the laws and
ill con
w, w
ordinances governing this type work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the perform ce of construction o e roperty. I understand that the issuance of this permit is contingent upon the
a or the p4erform e con uct*on 0
lans po
c 4
of str
t
above information being true and corr and that 4IL14 plans d s ,orLing data have been or shall be provided as required.
Signature of Contractor: 1 041-100, Date: dT
lf tion of p rso to iv
Address and contact in tion of person to receive all correspondence regarding this application(please print).
Name: e- _,1,
Mailing Address:
/- Z_ Fax: E-Mail: e-
Telephone: �5 ,
AS TO OWNER:
Sworn to and subscribed before me this day of 20 D
State of Florida,County of Duval
Notary's Signature:� Kestel
Elaine Kestei
My Commission DD231461 N9 Personally known
Expires September 20,2007 F-1 Produced identification
Type of identification produced
AS TO CONTRACTOR:
day of 1110 A0 ...0 200
Sworn to and subscribed before me this 45
State of Florida,County of Duval
e0v Judy A Ledbetler
Notary s Signature..
W Cwo*Wm DD199M r
1,.;V EVWApIO3,2007 21"Personally known
F-1 Produced identification
Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 http://ww-w.ci.atlantic-beach.fl.us
Page 2 Revised 1/27/03
NOTICE OF PROPOSED PROPERTY TAXES 293, 600
DUVAL COUNTY TAXING AUTHORITIES
C/o 231 E Forsyth St, Suite 270
JACKSONVILLE, FLORIDA 32202
*"YOUR FINAL TAX BILL MAY CONTAIN NON—AD VALOREM ASSESSMENTS WHICH MAY NOT BE REFLECTED ON THIS
NOTICE SUCH AS ASSESSMENTS FOR ROADS, FIRE, GARBAGE, LIGHTING, DRAINAGE,WATER, SEWER, OR OTHER
GOVERNMENTAL SERVICES AND FACILITIES WHICH MAY BE LEVIED BY YOUR COUNTY, CITY, OR ANY SPECIAL DISTRICT."
INTERNET ADDRESS: WWW.COJ.NET
PERRYE, JEFFREY H
340 SUNSET DR UNIT 706 LEGAL DESCRIPTION
FORT LAUDERDALE, FL
33301-2643 43-11 17-2S-29E USD3
SELVA LAKES UNIT 2
LOT 88
RE No. : 172027 5572 USE: 0100 PROP ADDR: 544 PELICAN KEY
The taxing authorities which levy property taxes against your property will soon hold PUBLIC HEARINGS to adopt budgets and tax rates for the next year,
The purpose of these PUBLIC HEARINGS is to receive opinions from the general public and to answer questions on the proposed tax change and budge( PRIOR TO TAKING
FINAL ACTION. Each taxing authority may AMEND OR ALTER its proposals a the hearing.
TAXING YOUR PROPERTY YOUR TAXES THIS YEAR
�UT 0 TAXES IF PROPOSED BUDGET A PUBLIC HEARING ON THE PROPOSED YOUR TAXES THIS YEAR
AUTHORITY IF No BUDGET
LAST YEAR CHANGE IS MADE TAXES AND BUDGET WILL BE HELD: CHANGE IS MADE
COUNTY 977. 75 971 . 36 6:00 PM TUESDAY SEPT 14 1ST FLOOR 926.8-3
CITY HALL 117 W DUVAL ST, AX FL
PUBLIC SCHOOLS:
BY STATE LAW 873 . 68 821 92 6: 00 PM TUESDAY SEPT 7 851 .12
BY LOCAL BOARD 401 . 31 406: 78 1701 PRUDENTIAL DR
FLA INLAND 5. 75 5.85 6: 30 PM WEDNESDAY JAX FL 390.95
NAVIGATION DIST. ftPT 8 5. 62
21 S. CYPRESS ST FELLSMERE, FL
ATL. BCH 453. 77 461 . 51 7:15 PM MONDAY SEPT 13
WATER MANAGE- 800 SEMINOLE RD ATLANTIC BEACH 431. 22
MENT DISTRICT 68 . 97 70 .15 5: 05 PM TUESDAY SEPT 7 65.78
STJRVMGT HY 100 W, 4049 REID ST, PALATKA FL
INDEPENDENT
SPECIAL DISTRICTS
VOTER APPROVED
71 .82
DEBT PAYMENTS 76. 29 71 .82
TOTAL PROPERTY TAXES F_
I Q r,7 r,1) 1 F R DETAILN LIN INDEPENDENT SPECIAL DISTRICTS
COLUMN 1 1 CO UMN 2 AND VOTER APPROVED DEBT, CONTACT YOUR TAX
SEE EXPLANATION ffio—w COLLECTOR AT:
C)0 0-2000 SEE EXPLANATION
YOUR PROPERTY VALUE MARKET VALUE ASSESSED VALUE EXEMPTIONS BELOW
LAST YEAR WITHOUT TAXABLE VALUE
SENIOR HOMESTEAD 149, 296 149, 296 0 149, 296 PLEASE NOTE
- YOUR PROPERTY VALUE
THIS YEAR WITHOUT THAT THE
SENIOR 0
_. HOMESTEAD 151,842 151 ,842 151 , 842 SENIOR
* YOUR PROPERTY VALUE - HOMESTEAD
LAST YEAR WITH SENIOR NA NA EXEMPTION
HOMESTEAD NA NA ONLY APPLIES
YOUR PROPFRTY VALUE TO THE COUNTY
THIS YEAR WITH SENIOR NA NA NA AND MUNICIPAL
HOMESTEAD NA MILLAGES.
IF YOU FEEL THE MARKET OR EXEMPTION VALUtZi OF YOUR PROPERTY IS INACCUF!i�TE,-CONTACT YOUR CUUNIT PHUPLHTY APPRAISER AT:
3RD FLOOR 231 E. FORSYTH STREET JACKSONVILLE FL 32202-3361
IF THE PROPERTY APPRAISER's OFFICE IS UNABLE TO RESOLVE THE MATTER AS TO MARKET OR EXEMPTION VALUE, YOU MAY FILE A PETITION FOR ADJUSTMENT WITH THE VALUE
ADJUSTMENT BOARD. PETITION FORMS ARE AVAILABLE FROM THE COUNTY PROPERTY APPRAISER AND MUST BE FILED ON OR BEFORE
EXPLANATION
COLUMN 1 - "YOUR PROPERTY TAXES LAST YEAR" COLUMN 3 - "YOUR TAXES IF NO BUDGET CHANGE IS MADE"
This column shows the taxes that applied last year to your property. This column'shows what your taxes will be this year IF EACH
These amounts were based on budgets adopted last year and your TAXING AUTHORITY DOES NOT INCREASE ITS PROPERTY
previous assessed value. TAX LEVY. These amounts are based on last year's budgets and
your current assessment. The difference between columns 2 and 3
COLUMN 2 - "YOUR TAXES IF PROPOSED BUDGET CHANGE IS MADE" is the tax change proposed by each local taxing authority and is
This column shows what your taxes will be this year under the NOT the result of higher assessments.
BUDGET ACTUALLY PROPOSED by each local taxing authority. Note: Amounts shown on this form do NOT reflect early payment
The proposal is NOT final and may be amended at the public discounts you may have received or may be eligible to receive.
hearings shown above. (Discounts are a maximum of 4 percent of the amounts shown on
this form.)
For homestead property. value as limited by State Constitution
ASSESSED VALUE MEANS: For agricultural and similarly assessed property: classified use value
For all other property market value
EVALUATION ENTITY ANUFACTURER
Gary Pfuehler,?. E. Product Evaluation Report Nopay Building Products Company
5665 Green Oak Coun 8585 Duke Blvd,
Fairfield,OH 45014 for Florida DCA Mason,OH 45040
Evaluation Report# 73W5-16 513.770.4800
Statement of Compliance:
The Clopay Building Products Company sectional doors as described on the drawings listed below meet the
design and test pressures shown. Based on the testing and rational analysis detailed below,this product is
evaluated to be in compliance with the following provisions of the Florida Building Code:
0 160 1.1 Wind Loads 0 1625 Cyclic Tests for HVHZ 0 1626 Impact Tests for HVHZ
0 Other�
Description of Product. Stee;I-Pan(min.25 ga.)Double Car(9'2"to 16'0"wide) WindCocie"W5 G arage Door
Des - Pressures: +30/-30 Test Pressures: +45/45
Specific Models and Technical Documentation:
Model Test Report Drawing No. Comments
73W5, 75W5, . Glazing approved per HCN-I 8illy-3. Low head room track
84AW5, 94W5 HCN-8 101593 approved p r HCN-1 26�
42W5,48W5 HCN-8 102052 Glazing approved per HCN-I tI3141C. track
— ---- approved per HCN-126.
4 RS TW 5, 6 RS TW 5, HCN-8 102144 Glazing approved per HCN-18'5C, HCN-3. Low-h—e-awd r-o-1mr track
approved per HCN-126.
150OW5 HCN-8 102556 Glazing approved per HCN-185 C,HCN-3. Low bead room track
approved per H CN-126.
4RSFW5, 6RSFW5 HCN-8 102557 Glazing approved per HCN-I 85C, HCN-3. Low head room umck
-- �pTroved per HCN-126.
76WS HCN-142E 102416 G lazing approved per HCN-I 85C, HCN-3- Low head room track
approved per HCN-126.
2RSTW5 HCN-142E 102428 Glazing approved per HCN-I 85C, HCN-3. Low head room track
approved per HCN-126.
H73W5, H76W5, HCN-8, 102512 Model uses horizontal reinforcement; door height does not affect
H94 W5 HCN-142E performance.
H2STW5, H4STW5, HCN-8, 102513 Model uses h0fi20111W reinforcement� door height does not affect
H6STW5 HCN-142E performance.
Model
H50-OW5 HCN-8 Uses horizontal reinforcement; door height does not affect
102575 2erformance.
H4SFW5, H6SFW5 HCN-8 102579 Model uses horizontal reinforcement, door height does not affect
performance.
!I ORW5, 120RW5 HCN-8 101982 Glazing approved per HCN-I 85C, HCN-3- Low head room track
I approved per HCN-126.
Installation requirements. Installation must b-e in accordance Vinan ctur®r's installation inscruciions.
s
ss
Limitations and co,nditioni of usei Jambs, lintels, sills or oLh INS
rstutur cle to prepare openings are not covered.
The design of the supporTing structural elements shall be the respall of i a] of record for the building orstructure
and in accordance with current building codes for the loads listed on the drawing ref6rentabove.
Cerlification of Independence of Evaluation Entity I hereby certify that(1)1 have no financial interest in Clopay Building
Products Company, (2) 1 am an independent licensed Professional Engineer in the State of Florida; and(3)1 comply with the criteria
of Mependence as stated in 9B-72.1 10 F.A.C.
Signature
Gary Pfuehlee P. E.
Florida P. E No.49850
(A T Y APpRO V i:D
D-ace: Or A!Lkv-j-16 8EACH
81-111,DING OFFICE
JAN PS 2.nn5
BY:
FiLE:73W5-16 REvoo.DOC
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DUVAL OVERHEAD DOOR CO. , INC.
6 1 u 1, LOM E ST ET
JACKSONVILLE, FLORIDA 32216
PHONE: (904) 724-3636 FAX: (904) 721 -2881
FAX TRANSMlSSl0Nw****c4(*;x**w*
FAX NUMBI:R_Z!���.
COMPANY NAME;
NUMBER OF PAGES /INCT—UIDING COVER SHE' ET. V
Ac�
PAX M- BY:
CITY OFATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,
FLORIDA 32233-5445
TELEPHONE:(904)247-5800
r) FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
October 5, 2001
Mr. Jeff Perrye
544 Pelican Key
Atlantic Beach, FL 32233
Dear Sir:
We have performed an inspection at 544 Pelican Key at your request to
determine if the windows were installed properly by Michael Adams Construction
Company. Our inspectors stated that the windows appear to have been installed
properly and that the flashing above the windows appears to be adequate.
The only way to positively determine if the windows are installed properly is to
wait for the next storm and monitor the windows closely to see if there are any leaks.
If you have any questions please do not hesitate to contact me at 247-5826.
Sincerely,
Don C. Ford, C B.O.
Building Official
DCF/ph
cc: City Manager
CITY OF
13 e4CA-&;&UJ4
office of Building Official
REQUEST FOR INSPECTION 96,
Date ';z A.M. Permit No.
Time P,M.
Received —17
lz:�7z
cality
Job Addressl.-_-:�)
Owner Contract
Name ��L E PLUMBING MECHANICAL
CON�TE ELECTRICAL
BUIL G [1 Rough t:i Air Cond. &
Framing Footing El Rough Wiring L] Top Out [-j Heating
Re Roofing Slab El Temp Pole Ei Sewer FJ Fire Place
Insulation Lintel E Final P
READY FOR INSPECTION Friday7—�q
Tues. Wed. 8
( F L A.M.
Inspection Made PM.Final Inspection N
Inspector 1(2 I�E?JIIII!III jif Certificate of occupancy El
Ul-�Cou
F 15611 e6-SM" Date
-e
PE to,1(6,
I-rOm:JeffPerrye To:Don Ford Date:9/20/2001 Time.12:06:44 PM
Page 1 of 2
Tel: 904-725-3030
CenTnc Fax, 904-725-2104
FACSIMILE COVER PAGE
To: Don Ford From: Jeff Perrye
Fax* 24 75845 Fax#: 904-725-2104
[�OmPany: City of Atlantic Beach Fel #: 904-725-3030
Subject:
Sent: 9/20/2001 at 12:06:42 PM �Pages. 2 (including cover)
MESSAGE:
N
Don,
I have an unfortunate situation with Michael Adams Construction, Inc.
I mentioned this to you when I was in a couple of weeks ago to get copies of my building permits.
As we discussed, I would like you to have someone come out and take a look at the window
installation.
Please call me if you have any questions or would like to discuss this matter,
Thank you,
Jeff Perrye
544 Pelican Key
Atlantic Beach, FL 32233
241-9820
241-9066 fax 9 fj u,o 1
Ljv C-11
-1,yc lu.uonrora Date:9/20/2001 7imc 1206A4 PM
Page 2 of 2
September 20,2001
Michael Adams
Michael Adams Construction,Inc.
320 First Street
Neptune Beach,FL 32266
By Fax 246-5903
Re:544 Pelican Key
Dear Mr.Adams,
On August 20,20011 first notified you of the problem with the windows leaking in my house.
Subsequent to that time I sent you several additional notifications regarding this and other issues,
including having my attorney write you a letter.
Four weeks later,on September 14,2001 you and Dean Thompson came and observed the problem. You
acknowledged that the windows were not properly instal led by your sub-contractor and assured me that
you would have your best window man out to fix the problem on Tuesday, September 18'h. On Monday,
September 17*,Dean Thompson came by to inform me that the window people could not make it on
Tuesday and would be out first thing on Wednesday.During this visit I took the opportunity to walk Dean
through the house and point our several other areas where there was defective workmanship and/or
collateral damage due to the window leaks.On Wednesday,Dean came be to tell me that the window
people couldn't make it again and they would be out on Thursday. As of now,I have not seen your
window people and have not heard from you or Dean regarding their status.
Michael,you personally acknowledged that windows were not properly installed by your sub-contactor.
You are responsible for correcting this defect in workmanship. If you will not remedy this situation.I will
have to hire another contractor to correct the problems and take any and all legal remedies available to me
in order to recover the cost from you.
If you would like to avoid litigation in this matter,please respond in writing with your specific schedule
for completing the repairs to the following defects/damage
I. All windows installed improperly(missing flashing)—leaking
2. Repair of water damage caused by window leaks—warped window sill,drywall,paint
3. Water leak in garage wall
4. GFI tripping when it rains—appears related to water in garage wall
5. Replacement of kitchen shelves that were removed
If I do not receive a written response from you by 9:00am tomorrow morning,I will instruct my attorney
to begin legal proceedings against you.I will also file complaints with the state,the better business
bureau,and any other agency related to defective building contract work.
Sincerely,
Jeff Perrye
241-9820
241-9066 Fax
cc:Barry B Ansbacher,esq.
Don C.Ford,CBO
Kay Kennedy
V& 11S-Z13 CITY OF
4&4a& BewA-07&u'da
Office of Building Official
REQUEST FOR INSPECTION &-5
Date Permit No.
Time A.
Received
Ll
Jo ddress Locality
Owner's
IN
actor
DING ONCRETE ELECTRICAL PWMBING MECHANICAL
Framing -- Footing F1, u ring Rough P Air Cond. & F-1
Re Roofing 1-. Slab 11 Temp Pole L", Top Out F! Heating
Insulation F1 Lintel 7 Final F1 Sewer F1 Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday A.M.
PM.
Inspection Made
Insp tor—. Final Inspection
Certificate of Occupancy El
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
Boo Seminole Road-Atlantic Beach, FL 32233-Tel* 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
221t5b ON Address: 544 PELICAN KEY
Per�mlt Number: ATLANTIC BEACH, FL 32233
Permit Type: ELECTRICAL Township: Range: Book:
Class of Work: REPAIR Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision:
Square Feet: Parcel Number:
Est. Value:
Improv. Cost:
Date issued: 6/15/2001 Name: ETTY KENNEDY
Total Fees: 25.00 Address: 544 PELICAN KEY
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/15/2001 Phone: (00n000-0000
1--W6rk-Dejc--:--k�-E-PAIR-WATER DAF
I L :1, ! � Tt%l ES
im
CON T-
25.00
Tft�.C. _q
RIVER CITY ELECTRIUAL UUNTRACTOR, ,,PERMIT
4
4N�
WAfd"
'44
NOTICE IN$PECTIOI`4,)' BE REQUESTED AT LEAST 24 HOURS RkOR TO SPECTION
BUILDING MATERIAL,'�RUBBISH AN DEBRIS FROM THIS WORK MUS NOT B PLACED IN PUBLIC SPACE, AND
,P ro�
MUST BE CLEARED UP-AND HAULM,AWAY BY EITHER CONTRACI R OR NER
"FAILURE TO COMPLYWITH Tj41EC70Nfi14UCTION,I. N RE LT IN THE
,,,,!CTION
IjV
V
PROPERTY OWNER PAYING`0Wkqf'i OF�Puir
IT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPR0VE6'1PtAiitWl,41 0 Rift bFTWI§
'1W *T1
FOR VIOLATION OF APPLICABLE PROVISfbW3,QFaW.
$25.0014
ATI.,ANLTI-C-466AC�H BUILDING DEPT. Date: 6/15/81 81 Receipt: OK5446
CHECKS
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