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Permit 523 - 527 Pelican Key (vault) Trrtt*f of CITY OF ow"i& &DA Erpartinput Of 'MItilbing 31tapprtion 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, �T-,-,- ,"� -�i,�o-,1-r,i;-I ��-1 6 � Use Classification �t I-" -_Bldg.Permit No. Group_.Typ,Construction 1 1.-; "", , T)'11 -Fire District Z, I c 7", Owner of Building C '10 _t: Building Address Locality By: building Offici.l Date. POOT IN A CONS,CUOUS p"Ca BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: October 6, 1987 Building Contractor: Reyhani,Inc. Building Permit Number: 8562 Address: 523 Pelican Key Legal Description: Lot 97 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 Dupl ex Lowest Floor Elevation: 14.81 14,751 --- --- ---------- required as built n/a Sales Tax Certificate: ----�at-e--su-bm-lt-t-e-d------ BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY Fire Chief iy� V Y -Z.�z---------- 7--f------ - - - ----- Public Works 10�L�L7 Planning Director 10/6/87 ---- 77'6//� Building Inspector --------------- CITY OF 1*&a&? Fe4d 57&u,�(4 716 OCEAN BOULEVARD P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 September 17, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit #5421---,523 Pelican Key Permit #5422---�527 Pelican Key Permits issued to Adkins Electric Company. S, c rely,/\ Rene' Angers Community Develo rTmint Director cc: file RA/te Ttrutiratr CITY OF oa&.& k4d. :Irvartrarttt of -Guilbing d This Certificate isstied pursuant to the requirements of Section log of the Southern Standar f issuance this structure was in compliance with the Building Code certifying that at the time 0 For the following- various Ordinances regulating building construction or use. T-I Bldg,permit No. 7 U.classification .Type(:onstruciion Fire District Group— Address— owner of Building ------ Locality Building Address By: oil Date: �'�tiuildin&Official 1.8'r IN A Co"PICUOUS PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: October 6, 1987 Building Contractor: REyhani, ' Inc. Building Permit Number: 8562 Address: 527 Pelican Key Legal Description: Lot 98 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 DuDlex Lowest Floor Elevation.: 14.81 14.751 required as built n/a Sales Tax Certificate: daie—subm-Itted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief 10/6/87 - 1 * / Public Works 10/6/87 Planning Director 10/6/87 ---- --- ------ Building Inspector AF 44241 MAP SHOWING SURVEY OF LOT 97, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 171A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 7- 1)13 N4 0c). f d5.ocr R464lC-4A1 y 'cry ow -fey e?,- // 4ff*"vj>'4'cv AOW Ary At 7N/t .a.. 7WdC A4 AVIAA A 4 ~49 /40,/74(le YA 7,f a Alf X,,Vo WAI TWO.:$ 7zn -s'1KDK1 -1VX MA01A 4,pgg 7-<* '01 7/c.A",<Z It 770 Al S. MAP SHOWING SURVEY OF LOT 97, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 11 , 11A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. r 9 GZZZ.0�- 6 dL elk. 0 10 /r -711 INK 0) 'e A5y "r-'y -fe3 A 0 A10 Aold.D4VO Alels;r'oe/c rloAo, Arv, lolvXAr' 0 ~0,0Wery 414f:% IAI 40-"*JD0 WW,14-y /0 7-WIC ACZA 4Al AtIAIIAAA4 ey -4^ele- 10,1963 "g:-"vve4 Alo. 'Z0077 M 64 X eA 7/0 Alf WV ell 8> 7D 'VAr74A1Ad- VAerlC,4L J:)'A 7-&-*4.4. CITY OF 4&aa& office of Building Official REQUEST FOR INSPECTION Date A.M. Permit No. Time L:j P. District No. Received P��--�Loca lity Job Address Owner's Contractor Name PLU ING MECHANICAL BUILDING CONCRETE ELECTRICAL 11 RoughWiring El Rough El Air.Cond.& Framing 13 Footing 0 Temp Pole 0 Top Out 0 Heating 0 he Roofing 0 Slab Fire Place Lintel 0 Final Pre Fab READY FOR INSPECTION A.M. 61,01- Wed. Thurs. Friday—P.M. Mon. , - 6 , f 17 inspection Made 16-1 ;-L F Inspector ��Inal Inspection OLI/ Certiticate of Occupancy Date pIDA DEPARTMENT OF REVENUE JPANCY FLOR ON FOR CERTIFICATE OF OCCI APPLIcAT on Humber D'&-ICO ifica V. 7187 that the property described below' Contract Iden ", C)6,, I hereby certify (11 9 .:� 1111 1��UL,�� 11.­�,�* ification bridge. etc.) __z4__j actor, `S Cert'. ription of Property buildingo road contr . rtment Of Desc e, commercia. Issued by Depa ions, (Examplet hous professional Regulat If, tpplicable pertY ja Im rove 2" - 0 "�� istration ,kdd ess Of p 1'6 r d zip Sales Tax Reg State d 'Use Tax with thE for Paying Sales an city ted and that we are registered 1 %0- ,lly comple is substantiE tment of Revenue. Florida Depar or/General Manager Name of Prime Contract %J (9-4) 4i- Mdress city, states zip as ct Materii Total Contra 0 --�. 3 _Z -act-tabor 3 Total Contr Total Official Datt Date Signature of FLORIDA DEPARTMENT 0 F REVENUE IEICA,TF r"k-lCO APPLIaKTION FOR CERT OF OCCUPANCY ct dentifIcation Number 14. 7187 belOWI hereby certify that the property described Contra 00 s�ert`jf!ica�tiOn F Property road, bridge, etc ��F Description of jai buildin Con ractOr' rtment Of mples houset co=necc Issued by Depa eaulatiOnst (Ey.a Professional R ........ if* App licable 2, 74ro'p--�err-tY � "- / 0 — proved Prop 12 -2-�� - -C"- -i7itration Address Of IM :� . sales Tax Reg zip - tht State and Use Tax with for p.,ing Sales city at we are registered is substantially Completed and th M PROPERTIES1 INC. tment of Revenue* G Florida Depar V Iku Contractor/General 14anager Name of Prime DAN t4dress 247-0,224 City. state$ zip is $ Total Contract 14ateria J- -Total—C-ontract -Labor �0 - Total ure of y official Dat, Vna ure 0 y official —Daie gn ime 0 r !............. Manager tftlGeneral s ignature f prime Contrac oft-lu , FLORIDA DEPARTMENT OF REVENUE N:718 7 CERTIFICATION OF PAYMENT OF FLORIDA USE TAX I hereby affirm that I am aware of the provisions of Florida law which imposes a 5 percent tax on the use in Florida of goods and services purchased outside of Florida; that it is the obligation of the purchaser to remit the tax to the Florida Department of Revenue if it was not collected by the seller; and that I have remitted or will remit any applicable Florida use tax to the Department of Revenue in the month(s)of 19 TypeofLice se/l/ n 121 License Number 13J Type 4c of Busine. s-isctivi ties 2!1'zz: 14) IssuingAuth�QW11ty_. Date,of Issuance J6) Name Address City,State, Zip Sales Tax Number 0 1- Telephone Number -7— /4Sj n;�ature of Applicant ate �ignature 61 Government Official— Ar 44241 MAP SHOWING SURVEY OF LOT 97 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 11A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 7- (,I.e.jr /Oita) I b 67 115 rkm -%5,4 P4 �o 0 t�- 7.6 9. fo A ON %4 to.1 ad 0 f Pel.IC14^1 XE y /5 A 5L,"eVWy ,0 A10 00*1"X"At CACS r%d�,C r.,10Ae 41AAC AFVI -z.A7-. 0 At 7" ~0,0-worne 41—cs 'w .40qjo*j:b le-" W*oeoW /s -1-WC ARCA A,t/*41/A4A4- AZI40-A119 7V is g!:L Ar YA 7'/o WAI 7-61O.:s 1 ell 40 'e AlAr.14AIAt- voe r/c 4 L Ap 44241 MAP SHOWING SURVEY OF LOT 98 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11A �7�� �18", FLORIDA. AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, IV 7. le(r4.17) d &C 16 7W 0 uj w7i 14,0, 7.Z' 19 j f 1 ll�t 0.col 0 647"INA/ /gF A 5peoex dr AIV APC%rA-,eC r/0.4.- 41AA-- Arve 14.4 P lw,4s 4WbAXery .C .. W/# ,d H /0 7-Wx Ao&A Aol-!o,A11AAAt- A-ZAdP--A1a' ,eW V/sdri> A"Iz- /s,/7 ,�77 000-'e. wv rxevo .ev-d> of-tqw Ll 0 CITY OF ATLANTIC BEACH, FLORIDA Approv"by- I APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 191� 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. JOURNEYAAN MASTER ELECTRICIAN SIGNATURE ELECTRICAL FIRM: vouvGts ADDRESS: K(.AA ---RFD-BOX- NAME (o*vA A I BLDG.SIZE BETWEEN: - RES.(.-f APT. COMM.I PUBLIC INDUS. NEW(--f' OLD REW. ADDITION ( ) TRAILER ( TEMPA SIGNS ( ) -- SO.FT. SERVICE: NEW(4 INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS ALUM. SWITCH 211 13REAKER AMPS PH w �Dvou RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONnFALF0 OPEN TOTAL 0.30 MP8- 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED w-1ww AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMP ICEIL HEATI KW-HEAT _T_ 0.1 1 OVER U a . I Dual Ll 1-f CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: AS DESCRIBED IN THE FOLLOWING, WE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK 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. -s JQURNFVMAN ER ELECTRICIAN I NATURE-- ELECTRICAL FIRM: NAOME ADDRESS: K16�—RFD—BOX BLDQ-SIZE BETWEEN: RES.(4' APT. ( I comm.( PUBLIC I INDUS. ( NEW OLD( REW.I I ADDITION ( TRAILER TEMP.I I SIGNS ( SO. FT. FEE SERVICE: NEW(-f INCREASE( I REPAIR 00 CONDUCTOR SIZE c> AMPS COPPER ALUM.,,,,,J::::::t. ........S�Q )YD AMPS PH W D VOLT RACEWAY SINITCH OR BREA(ER -�� -i�� EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE EN 0 LIGHTING OUTLETS CONCEALED OPEN TOTAL E TOTAL RECEPTACLES CONCEALED OPI N 0.30 MPS. 31.1 SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED OVER ELL TRANSF. APPLIANCES AIR H.P.RATING H.P. RATING AM - LOots UCAT CONDITIONING COMP.MOTOR OTHER MOTORS RKW-HEAT OVER 7-04 1 1 u 0 %'fr%l t OUR ENT OF BUILDING 8564 DE1DEPARTM PERMIT NO_ - CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD lontoo T FTHIS PEPMIT MUST BE POSTED ON JOB j0q.npCXT ____ALkLU 19_ A 4/1 n/3 Date Fee$_j2t.Q9__ 4909 1 A WINE! Valuation logo above fee has been paid to City Treasurer,and is This Per"it not valid until ,object I. ,ocati for jolation of applicable provisions of la 14P14S This is to certify that F.W. Fair Plumbinit CO- has permission to bu Classification Zone—Em owned by S/DSq1va Lakes 4 MIT EN 0* 6 0 00 T T C� 4909 I A 4 1/3 t 56IJ 4;09 A Block_u_n—it Lot House According to approved plan, which are part of this permit LL CONCRETE FORMS NOTICE—A] MUST BE IN- AND FOOTINGS SPECTED BEFORE POURING. PERMIT VOID SIx MONTHS AFTER DATE OF ISSUE 4 70 Building material,rubbish and debris 0 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tracto ner. Building Official- CONTRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER AAk CITY OF -ATLANTIC BEACH APPLICATION FORPLUMBING PERMIT 249-2395 JOB LOCATION 527-523 PELIC"AN KE)� RA6T�O PLUMBING CONTRACTOR F- W- FAI)i PLUT"IBING �COMPANY S LICENSE NUMBERS YjPl 4 5r State RF0037503 OWNER RGM PROPERTIES BUILDING CONTRACTOR RGM PROPERTIES TYPE OF BUILDING DUPLEX 2 SINKS 2 —SHOWERS ---.LAVATORY 2 . 2 WATER HEATERS --- ,BATH TUBS 2 DISHWASHERS --- URINALS 6 2 DISPOSAMS --- CLOSETS 2 WASHING MACHINE, ---�FLOOR DRAINS —OTHER 28 TOTAL FIXTURE COUNT X6 ,,3. 50 + �.lo. 00 le DjPlTE4 10 / 87 TOTAL A7, OU?l- $108 .00 1'_ST*-I_,l'--TI0N OF PLUl-iBING AND FIXTURES MUST BE IN ACCORDANC' E WITH .L-, -.�_ RECENT EDITION OF THE SOUTHERN STANDARD PLUM3ING CODE . 1,SRMI-r t4o' OV: SUILDING FV,A,R.TMV _t4 TIC SEA.CV4.FLoftIVA cl,"01;A.TLAS PF r-TO VIIIIIII'D .ftmll EPOSIED ON JOB IVAIS PERMIT MUST B Date -82.00 Fee$ valuation been ,aid to city. of law- il above fee .ions ot Valid-t of applicable p" , T11lis effnit U for vwlatlo, ,to TCVol 11;1111 1 ,00I ocean St t ,rwjs is to certify t1lat-11,11, 15�� e bas p Inission to b one 91 classification ie ock Owned by .. .... 97 9 L CONCROE t of this Vermit -BE IN- Ijouse NO. which -ate par NOrjCE—AL NGS MU"' G. &ng to aVIPI'vea'Plas kND FOOTI OVOUP"N Acco" SI)ECTED BEFO II[S " �r VOID SIX t ISSUE PEPL I V -Dkf F Ar-T ?, ' Oy' a debris ..I rubbish ala a rnater, t be place -Bulic 0 ling Inust 00 . wor be CIared froto s , find 1011stejther con- .0blic s9acq 1 by ,,a -hauled liway tr ct, 0, owtlier� Building Co jjkc-roft TWT I:Oft of IC t4u USF 0 LY pI_UtAqjt4G 4- All BUILDING AND ZONING�: INSPECT-ION DIVISION CITY Of ATLANTIC BEACH ATLANTIC 8"CH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT --cALL-IN�Num` IMPORTANT— Applicant to complete all items in sections 1, and IV. IV Street Address: LOCATION And OF intersecting Streets: Between WILDING Sub-clivision— 'Se 11. IDENTIFICATION —To be completed by all Applicants described in the abcye statement we hereby agree to perform said work in accordance in consideration of permit given for doing the work as in accordance with the City of Jacksonville ordinances and stan dards with the attachpd plans and specifications which are a part hereof and of good,practice listed therein, Contractors No** of Mechanical Master 4Q Contractor (Print) Name Property Owner Signature of $49"afm of 0 Architect or Engilnew Asithorised A99.1- 064BLAL IN T"M of h"fing fitel; IS OTHER CONSTRUCTION 99INS DONE ON rst TH IS BUILDING OR SITE 7 XE S Electric C3 Sol LP [3 Notural C3 CO"t"I Utility IF yES, GIVE NUMBER Of CONSTRUCTION PERMIT C3 00 011W SP$4fv Iv., @WWW TO K INVALLM NATURE OF WOF(k Residential or E] Commercial (pmvide cbmpleto lw of compiowts on bock of W's 16110) X Now Building 13. Spec* C3 Reamed coattei C3 FIW 0 Existing:BUII I ding Air ConditioninIll:1 13 Room Ce" 0 Replacement of existing system ovc� hvtom: meterw 'Duct-i'O"v> bid— New Installation(No system previously Installed) MoArntim cepocilty c.f.m. Extension or a,dd-on to existing 9 ystem 13 11114fri"100" 0 Other— Specify (3 Coal" #*WW. Capacity C3 Fire "HiOss": Number *f h"& 0 Elwater 0 monlift E3 EmIstor, THIS WACS OOR OFFICS US ONLY .0 68"lifte PUMPL— —(nurnber) (Ross' (avwbor) Ita"As (3 LM aen%, (number) 13 Unfind W"um YOM Peffni* Appro"d 13 logo" Pennit Fee 13 0"W $Psc*, Wiff AM I&QUIPMICNT AEK,CONVITION04G AND REPRIGERATIO14 EQUIMENT CSPWty APVMftg NuMber Unite DaWrIPtift Model NUmber WanufaebuVir (TOM) AVW P 3bMt-0- CITY oF. OffIc6 Of Building official Date 4447 REQUEST FOR INSPECTION Time--- Permit No. Received M- M. 7 District No. Job A dress Owner's Name Locality BUILDING Contractor Framing CONCRETE ELECTRICAL 0 Footing 0 UMBING Re Roofing 0 Slab 0 Rough Wiring 0 Rough MECHANICAL P �s lily DINn UMBINr. Lintel Ternp pole Air.Cond.& 0 0 0 Top out 0 Heating Fire Place Mon. Tues. READY FOR INSPE Pre Fab 0 Inspection Made 1�Wed. ZT7hur..,) Friday A.M. Aoik --------�P.M. Inspector P.M. Final Inspection 0 Certificate of Occupancy Date CITY oF. 4-c Offics Of Building Official Date REILIEST FOR INSPECTION Time ------ Received A.M. Permit No, District No. Owner's Job Addre a Name Locality BUILDING Contractor Framing 0 ONCRETE EL CTRICAL Re R0ofIn 0 Slab Rough Wiring [D PL A48ING Tamp Pole Rough MECHANICAL Lintel Top out Air.Cond.& 0 Heating Fire place Mon. 4on Tues. READY FOR INSPECTION Pre Fab 0 In ads Wed. Thurs. Friday A.M. Inspector Final Inspection 0 Certificate of occupancy Date ctry 0jr #44W4-c Offlca Of Building official Date REQU EST"OR INSPEC-rION R e .i,ed A. Permit No. -M Own Job Address District No. Namer's a BUILDiNo Locality Framing CONCRETE //1' Re Roofing 0 Footing 0 Slab ELECTRICAL Lintel El , , :��' PL A491NG 0 Temp Is 0. Rough MECHANMAL Final E�L Air co Mon. Top out Tues. R H * nd. F eating Inspection Made -R'NSPECTO# Fire Place Pre Pab Inspector rh� Friday A.M. A M. P.M, P.*M. Final Inspection 831-� Certiticate of occupancy Date f clry C)jr yq&4ft&. -Rea CA-O;k, Off1ce Of Building offici., Dat: REOUEST FOR INSPECT101V kz A.M. Permit No. P.M, Owner's ill bAddrel District No. Name Locality Framing t-,"" CONCRETE Contractor Fbl 0 Footing ELECTRICAL Stab 0 0 Rough Wiring LUA48ING Lintel 0 Temp Pole Rough MECHANICAL Ved Final TOP Out Air.Cond & 13 Heating 4� Tues. READY F0Fj IMSpeCTION Inspection Made Wed. Fire Place Thurs. Pre Fab A.M. Friday A M. Inspector Final Inspection Certiticate 0'00cuPany Date --1- 1'1,U,A L)I I i�) I I-JU-111 BUILDING PERMIT WORKSIiEET ELECTRIC PERMIT TERPORARY ELECT. v,ated Square Footage SD ___per sq ft - $ arage/Shed 0 (-'O__per s q f t - $ 6 0 3rport ---yer sq ft - $ :)rches @ $ per sq ft - $ L-ck -@ $ ____per sq ft - $ 3tio @ $ ---Per sq ft = $ TOTAL VALUATION 00 -*-p5 a-, - -- - �)tal Valuation Data lst / '7, 00 ,mainder Valuation @ $ C-�-60per tbousand or portion tbereof TOTAL BUILDING FEE + k FILING FEE $ 02S- FIREPLACE @15. 00 $ 670 TOTAL BUILDING PERMIT $ 7J- ----------------------------------------------------------------------------- -UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ �ECT. TEMPORARY $ ELECTRICAL PER141T $ TER METER SIZE- ACCOUNT NUMBER WER IMPACT FEE TER CONNECTION $ (@10. 00 p.er fixture unit) PROVED BY: TOTAL BUILDING PLAN FILING FEE $ TOTAL WATER METER CHARGE $ e 0 0 TOTAL SEWER IMPACT FEES $ TOTAL LATER CONNECTION CHARGE $ cMISCELLANEOUS CHARGES $ GRAND TOTAL DUE: 0 k PLUMBING W W SHEET SINKS SHOWERS CLOSETS BATH TUBS DISHWASHERS WASHING MACHINE FLOOR DRAINS LAVATORY WATER HEATERS DISPOSALS URINALS OTHER TOTAL FIXTURE COUNT (Z> 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 LAVATORYO AND BATH TUB OR SHOWER STALL (6 UNITS) SERVICE SINK TRAP STAND (3 UNITS) DRINKING FOUNTAIN (11 UNITJ URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (4 UNITS) URINALp PEDESTAL? SYPHON WASHING MACHINE RES. JET BLOWOUT (-8 UNITS) (3 UNITS) WATER CLOSETS, TAN WATER CLOSETS, VALVE OPERATED OUNITS) K-OPERATED (8 UNITS) BATHTUB (W/OR W/o OVERHEAD SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) BIDGET (.3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNI 0,0 TS $10-%00- EACH- PLUMBING PERMIT BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TERPORARY ELECT. a cated Square Footage er sq f t - J7 s 0 ,3- 7157, arage/Shed ---Per sq ft - arport @ per sq ft - orcbes @ --Per sq ft - eck e r s q ft - $ --------------- atio ra e r s q ft - $ TOTAL VALUATION $ �7 s :)tal �aluation Data lst j4�? mo �'e 7, ?mainder Valuation @ $ ,2-00per tbousand or portion tbereof TOTAL BUILDING FEE $ SO + -k FILING FEE s FIREPLACE @15 . 00 s XS700 TOTAL BUILDING PERMIT $_ cZ32, 1�y ------------------------------------------------------------------------------ ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ,ECT. TEMPORARY $ ELECTRICAL PERMIT $ �TER METER SIZE $ ACCOUNT NUMBER :WER IMPACT FEE $ tTER CONNECTION -(@10. 00 p.er fixture unit) 'PROVED BY: 1r7 TOTAL BUILDING/PLAN FILING FEE $ i V TOTAL WATER METER CHARGE $ 60 TOTAL SEWER IMPACT FEES ty-7L ()( $ A5 (,)OjTOTAL WATER CONNECTION CHARGE $ 60 . 0 MISCELLANEOUS CHARGES GRAND TOTAL DUE: B 13 9 5- OLD&,, PLUMBING WOAKSHEET SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS �� WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT ­ /V 4e ­7rO J�?. 00 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 $10.00 PER FIXTURE UNIT CONNECTED TO THE'CITY WATER SYSTEM, BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT) WATER CLOSETO LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN VI UNITI URINALt WALL LIP 0 UNITS) FLOOR DRAIN . Cl UNIT) ' WASHING MACHINE RES. URINALP PEDESTAL? SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED OUNITS) (8 UNITS) BATHTUB (W.1OR W/O OVERHEAD SHOWER STALL, DOMESTIC (2 UNITS) SHOWER) (2UNITS) BIDGET (.3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) 3- KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS' �40,0,5 -10.,00. EAC&� Nr OV: BUILDING CIV Of,X.TLANTIC SE'kc,14'FLORIDA BUILD L PERMIT-To ON JOB HIS PERMI,MUST BE POSTED 4 T 4 6 0 rU q 0 r It 4/6 6 Date 496-50 Inn Fee$ 129 062 So valuation city Irreasuret,aod il fee bas be-Pa"to .-or,of I... .......... not".Hd-ta of applicable T""' -i'p-nit Aoltion object to "ocation for noo 3,11111 !ii that -2233 This is to certify li!g��..' U�sz�' It 111-2 rh n to build has permissio classification New Usid Iva Lakes Tt Lt owned by 97 9 lock Lot f this permit pop-MS ljouse NO- ed plans which are part 0 OTICE—ALL CON BE IN- According to appr N )OTINGS MUST raing to appr AND FC BEFOP'E poUpING. SPECTED OID SlX MONT"S PEPNuT V AFTM DATE OF 'SSUE _13 bbish alid debris :0 oilding tuatetial,ru b. placed lot e 0 work Inust d z , t cet be cleave 4 -c spa and must Iev con. in pu hauled away by eith UP tr t or 0 vlq,. laing official U1 CONTRACTOR pERMIT DATE FOR OFFICE NUMBER USE ONLY ELE -rRIC L SEVV%R ,V,I 9 R Aelk ..I. CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT z _phonaL Owne —__Ad dress-/-�i fza ��zipj Architect JO,7. -7 7-Y.Z. Con t r act or-&-z-, _phonez Contractor's License number-----------------expiration------------ Lot- Q-1 Block or Section---------Subdivision---------------Zoning-------- Street-------------between..............and-----------------side----------- Type Construction--- 6------No. Units----------No. Fireplaces----------- Purpose of Building------------------ ------- -Est- Valuation $-------------- Utility Method - Water------------- Sewer------------ Dimensions - Building Lot----- Size Footings----------- ------- ----- Sz. Piers------------Sz. Sills-------------Gr;atest-9pan 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 p rt hereof, and in accordance with the building regulations of Atl:ntic 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-vay to City specifications. Signature Owner Date __4� 4�e bate Signature Cont Xactor LL,�,;:Zz ----------------- page 2 FLOODPLAIN DEVELOPMENT INFORMATION Typeof Development:-------------------------------------------- Flood Zone:------------------------ 0 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 in 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. COMMENTSt 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 lava or ordinances effecting the proposed development. Date..............Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- An Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ........... ----------------------------------- Bui;dlng Department Representative page 3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT p h o n e-2�. 7C: zipL Owne _kL, _phonegj:��Z:. Architect-;�4.� Addreoe-/_ f 2-1 Z ��zipj zip&a :IL _),_ _phonee?Y_Z__ Contractor --Address ----expiration------------ Contractor's License number------------- Lot Block or Section---------Subdivision---------------Zoning-------- - j..fL__ Street-------------between..............and-----------------side----------- No. Units----------No. Fireplaces----------- Type Construction----(2--------- 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 an Centers.........Greatest Span------- Sz. Floor Joist)a- ---------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-way and to clear, clean, grade, and drain said right-of-waY to City specifications. Signature OwnerZ-_-- Signature Cont actor page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : Flood Zone: Required Lowest Floor Elevation: If building in 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 in 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 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 ........... I ----------------------------------- Bui�dlng Department Representative page 3 P/,Yc�v 1 41 Framfr,,, Re Roofing Insulation CHANICAL Cond. & eating Mon. ire Place Tues. Pre Fab Inspectio ly A.M. Inspector Of Occupancy[.—I ate CITY OF ATLANTIC BEACH — DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 Fax: 247-5877 PLUMBING PERMIT :PEWMf S )RI10I 111C11''I ON: P e it N mber: rmit —Tazw/ NFOFWA: 77:7 C Permit Type: PLUME31NG Address:, P LICAN KEY C lasZ A LANTIC BEACH, FL 32233 lass of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Square Feet: Block: Section: Est. Value: Subdivision: SELVA LAKES Improv. Cost: P:arc.ef,Number: 1111ilIFORMA R M Date Issued: 5/13/1999 OR Total Fees: 25.00 Name: LEKRIEf 1, WALTER & MARY KAYE Address: 523 PELICAN KEY Amount Paid: 25.00 k C L Date Paid: 5/13/1999 ATLANTIC BEACH, FL 32233 3 Phone: in Work Desc: REPIPE 400 FEET (OOO)OOO-0000 MIDWAY SERVICES, INC. E 25.00 ------------------------------------- NNAL ...... NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO IN=SPEC=TION 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 NTH 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. L--�-ATLANTIC BEACIk BUILD D E—P . Date: 5/13/99 #1 !25.00 14 4WC—a T. CHECKS Receipt. 8855973 1-40000jediffoo C17Y OF ATLANTIC BEACH' No. 4205 FLORIDA Avril 6 1987 NAME ADDRESS 1117 'hird CITY Neptune Beach 32233 2600900 T1 46 1 A � 4/08/8; Water Impact pea S 40-343-3700 6 05 *OOCACC, Sewer Impact Pee #41-343-S200 46 1 $13b.OWGO/07 $2,070.00 $2,600.00 lots 97 & 98 Unit Il Selva Lakes S23,$27 Pelican Key When Signed, Dated and Num6ered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA % TREASURER ""j x, io 11�, A VI v 57 4, n! "i it lk 4 A P; 11 kx`;� % 46 ' A 4 4 05 *OOCAC 46 rl t.2 n7 n 'T, T', "ti� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT,INFORMATION LOCATION INFORMATION -Pe—rmit Number: 18637 Address: 527 PELICAN KEY Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet Subdivision: SELVA LINKSIDE Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/1211999 Name: SLODEN, SHANE Total Fees: 25.00 Address: 527 PELICAN KEY Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/12/1999 Phone: . (727)573-9500 —Work Desc: REPIPE CONTRACTOR(S) APPUCATION.FEE$ MIDWAY SERVICES, INC. PtRMIT 25.00 Inspections Required 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. S25.9014 t 0078421 ReceiP Date: 8''12/99 01 CHECKS —ZN4T��IC BEA�H UIL —DE F i T--. golga0@3221000 CITY OF ATLANTIC BEACH APPLICATION FOR PLU!MB127G PERMIT JOB LOCATION: OWNER OF PROPERTY: -6PAA)e, SL(?Qa-A.) TELEPHONE NO. PLUMBING CONTRACTOR W141-IAM b)ol-f: - ADIOAq CONTRACTOR' S ADDRESS : -)427 21trwAlle, 9012-wIll-al STATE LICENSE NUMBER: TELEPHONE�2.�D �?3,V " x ,-lv7 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 W)Ap,pkV qVp, p ,py e_ -IfkEPIPE 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 PRIOR TO COVERING UP (904) 247-5834 CITY OF 7;?7-6-73-li�6 41442a& Be"- Office of Buildin ;6N, REQUEST FOR ON D No. Time A.M. r Received P.M. 7 �-�J&Ad&ess Loc ity Owner's Name Contractor BUILDING CONCRETE ELECTRICAL C�PWM�� MECHANICAL Framing El Footing 0 Rough Wiring Ej Rough E Air Cond. & Re Roofing El Slab 1-1 Temp Pole El Top Out D Heating Insulation 1:1 Lintel El Final El Sewer El Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Thur Friday Inspection Made .'M.Fii I Inspectio Inspector Certificate of Occupancy Date L A AN 0 R 10't� NUMMM, OF =JOB ADORr=SS 512 7 (-a' e-f C DATE -;i;6ss Hx--Y- 'F— ,-- F ? I THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted ""cf-S AJ T/0 v X 7� �5j115�.00 R�EINS�PECT�FEE����� It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be Covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PL ING ment for an inspection. Field Inspectors ELEC' ire in the office from 8:00 a.m. to 5:00 'n. Monday through Friday. BLDG CITY OF N 0- 28619 ATLANTIC BEACH FLORIDA 19— NAME— ADDRESS CITY 7 37 $15.00 7A, Date: 9/09/99 81 eceiptt OWEU CHECKS , 1 23— When Signed. Dafed and Numbered. This Becomes an 0fWV@N&*# MAKE CHECKS PAYABLE TO Received Paymenf CITY OF ATLANTIC BEACH, FLORIDA TREASURER FROM :HOMEGUARD SERVIC-ES FAX NO. :904 242 9001 Api-. 19 2002 10:57AM P2 City of Atlantic Beach Building Permit APPIjorit to complete!lumbered gn.,4,riM-onty .Inn Arjelowo;- A5-d-3 I LO Slork; Tract: L/ Sea att.9ched sheet 2 Owner Wailing Adzirass): 3 Contractor'Mailing Address). Reqi�trofion A. IS-.6 :�- 4 Architect or Cesigner(Mailing Address). Registration JI: 5 Enigmeer(Mailing Adrire!3s): Rcoistration 6 Lerv&r(Mailing Address): 7 U&e Of Building: 8 C lass of wof k New Alivration Repair Move Remove 9 Describe Work: A It For OM oe Use Onfy 1 Valuation of Work S Ptpn CheckFaq Permit Fee 1 Specie;Condlizo-ts: Type cl Owtstruction Or=ancy Group Division Size of fiu0&V No-Of swries Kux Occ,Low "e Zone Use Zone Fite sotinkilers I Yes - No r".Of Vwe"mG fm shvret Parking Spades: tNme - cove(ed Uncovered -Ac.c*pted I Plans checked Approved Approva� Requirea Receved Not Kequired zoning Separate permits are required for elsoical.plumbing,heating. venalating or Wr coeiditioning. This pern*bextg�t null*4 Yoid I work or construction a ullhatized is not commenced vviihin 6 f4eakh Department months.or 4 construction work is suspended or abandoned for a period of 6 months at"time after work is COMMencad. Fire Dept. I hereby cedify that I h"reecl and examined this eoplication and know the tayne to be true and Correct. All provisions or law%of lNi,b and dldiWAOI�,� Lh;?,t)-06 6f-60h W-8 15,�66M0-d Fk.�-,k with whetimr spmDified herwict or rxA.the grzinting of a permit dxn noL Prasumc to give aulhor4r to Violate or cancel dM provision at any other state or local taw regutatiaf�consunction of the OtheT(Specity) performan,,e of construction. Signature of contractor or Autrionzed Agent Uste I t 51g;MM SvWiii�r(H TWOM-F guittler) vote ---- ---- ---- -------------- -- ----------------------------------------------------------------------------- FROM :H01,EGUARE, '-ZIER1,110ES FAX HO. :904 242 9001 Apr. 1':-� 2002 10:56RM P73 -M4.P SH047NG BOUNDARY SURV .Ey OF LOT— <26 BLOCK As sHowy ON MAp OF (--AN,K—.LF—'S (--,)1.-� I—r- --F—%"" 0 A S RECORDED IN PLA T BOOK PA GES I I OF PIE PUBLIC RECORDS OF OU VAL coulv r)', F1 ORIDA CER T7FIED FOR: jc_ L_k�=v oz"�=-r-r C8 0i .-r-45 V 0 .Ij Z' 0 P3 C of Atia ntic Beach 8-5, ;-'00'"nC%1nd Zoning Departmerd (Do This approval verMss compliance with applicable zoning, subdivision and other local land development regulations, but does not constitute approval for the Issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal MittIng requirements must be verified by sIgnfn the Of Adanticl 4ileach 8 to"M Building Pe .1=' � !�' Approved Or. Date- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX: 247-W77 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23948 Address:'- 523 PELICAN KEY Permit Type: FENCE ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: SquareFeet: Subdivision: SELVA LAKES Est. Value: Parcel Number: Improv. Cost: 1,431.75 OWNER INFORMATION Date Issued: 4/24)2002 Name: LERRIETT, WALTER & MARY KAYE Total Fees: 10.'00 Address: 523 PELICAN KEY Amount Paid: '10.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/24/2002 Phone:. (000)000-0000 Work Desc- NEW 6-FOOTWOOD,FENCEINOTE: FENCE GREATER THAN 4' MUST 16FROM PRO I-I CONTRACTOR(S) APPLICATION FEES ALLISONS FENCE MANUFACTURIN . 10.00 NOTIC BUILDING MATERi MUST BE C LEARE -ill-- Z_ "FAILURE TO CDja .5T THE PROPERTY OWNER, ISSUED ACCORDING TO APP SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABL opa: cmu TW: OC kaff: 1 Veto: 5/01/02 81 bbdpt no: 54W 14 f=75-14ILDIN A 1111111A A 523 PLICAN KEY CA Ca $10.0 TrN� 991 . Tr -V; �fkiff Till: 16:24:15 R V F. 0- E07 2 4 CITY OF ATLANTIC BEACH rt1,3[l APPLICATION FOR FENCE PERMIT Owners Phone Address- Lot 73 Block andlor Unit#_Subdivision Contractor if Different From Owner &Me, r7 Valuation of Fence $ _���, �Corner or Interior Lot Type of Construction k1jo 0 a Attach Survey Showing location and height of fence as well as n of street(s). R*-)C,- ly)-63 25q /4 1 QQ B, C, W Owners Signature "Ir". Contractors Signature ------ -------------- -------------------------------------------------------------------------------------- FP01,-1 :HO['E--i3U�lP.D -DEP1,1110EC FAX NO. :904 242 9001 Apr. 19 2002 10:58RI-1 P:3 MAW SHOWMG BOUNDARY SURVEY OF LOT BLOCK AS SHOWN ON MAP OF AS RECORDED IN PLAT 300K 4-5 PAGES OF 77�E PUBLJO RECORDS OF DUVAL couNry FLORIDA CER 77FIED FOR: L,-I z- j-A , i�- r,-�, lc�—A---/C�-:- " !�= <1-0 n;Lr S. CA c_-A /a , ------------- lu V1 rol PJ Of Aftft DOW '00 bad,ft" ,'n7* V-411n [INIFSS EMBOSSED M7H SEAL OF 7HC UNDrPSIGNED. BEARINGS BASED ON UNE AS SHOWN' RECEIVED IMP'R 2 4 CITY OF ATLANTI I C BEACH C!,j,j of Attantic 13each and Zon-ing APPLICATION FOR FENCE PERMIT 0 k�,4 L/(f Owners 7 Phone Address- 11-e k-�, Lot Block andlor Unit k_Subdivision Contractor if Different From Owner Fence, e Valuation of Fence $ -7 5-�Corner or Interior Lot Type of Construction Attach Survey Showing location and height of fence as well as no street(s). )0\L [ R�n C.,�- SG6 f 2-5 q ryv�\ -S . -S j+ Owners Signature— Contractors Signature CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026281 Date 6/11/03 Property Address . . . . . . 527 PELICAN KEY Tenant nbr, name . . . . . . AIR HANDLER ONLY Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ----------------------- STEERE FLORIDA WEATHER INC. 1117 BEACH BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236 (904) 249-1290 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 5S . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total S5 . 00 5S . 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: Job Address: Contractor: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and stan lards of good practice—1isted therein. 111. GENERAL INFORMATION A- TyFof beating tuel: B. W Electric IS OTHER CONSTRUCTION BEING DONE ON THIS (a Gas: _LP —Natural —Central Utility BUILDING OR SITE?__ El oil Ll Other–Specify_ IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. /ATU OF WORK MECHANICAL EQUIPMENT TO BE Residtial or Commercial INST�LLED U,,,�ew Building _vide complete list of components 0 ck of this form) Existing Building 0 .1 Floor W/Replacement of existing system A;if Space _Recessed 2C�entral — L .,L6-r ovd • Air Conditioning: Room Central 0 New Installation(No system previously installed) • Duct System: Material Thickness U Extension or add-on to existing system Maximum capacity-------------cfin L3 Other-Specify • Refrigeration • Cooling tower: Capacity in • Fire sprinklers: Number of heads_ THIS SPACE FOR OFFICE USE ONLY • Elevator: — Manlift—Escalator__(Number) (Received) • Gasoline pumps_(Number) • Tanks (Number) Remarl- • LPG containers (Number) • Unfired pressure vessel Permit Approved by Date_ E3 Boilers U Other-Speci Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) ARency BEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving a . (BT Agency 9—%1rWUAj&KRY Ul- ...-I TANKS Serial Approving How Many Nominal Capacity Type Liquid Nameof And Dimensions Contained Manufacturer No. Agency 800 Seminole Road e Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800 9 Fax:(904)247-5845* htty: cLadantic-beachft.us 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026847 Date 9/10/03 Property Address . . . . . . 327 PLAZA Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 240RACE311 Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- - ------------------- ------ ---- ---------- ---- OINEAL, 1302BY UNITED ELECTRIC CO. OF JAX 327 PLAZA 5716 ST.AUGUSTINE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731-4210 ------- -------- ---------------------------- --------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . - Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH� FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO ME CHIEF ELECTRICAL INSPECTOR. DATE: 20 0-3 IMPORTANT NOTICE: IN CONSIDERATION OF PERNUT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: 7�T�ER E CTRICIAN SIGNATURE: E11jr)--L tl OWNERS NAME: &bLt o ADDRESS.'�') K RFD BOX BLDG. SIZE yloo P BETWEEN: f- �-T-5TC0457_ RES.(j),-'APT.( COMM.( PUBLIC( INDUS.( NEW( OLD(llr�REW-( ADDITION(tl'TRAILER( ) TEMP.( ) SIGNS( SQ. FT. 9'L/019 SERVICE: -NEW( INCREASE(k< PAIR( CONDUCTOR SIZE V10 AMPS: -3-00 COPPE ALUM.()6 FEES SWITCH OR BREAKER 'Wo AMPS -/PH 'l W VOLT �Yl�'RACEWAY EXIST. SERV. SIZE /00 AMPS Pli 3 W VOLT �V ORACEWAy3 FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN 01 TOTAL RECEPTACLES CONCEALED IOPEN 3 TOTAL 0.30AMPS 3 1.100 AMPS SWITCHES INCANDESCENT CFL�QURES`CENT�M.V. FIXED7___ 0.100 AMPS. OVER APPLIANCES 3 BELL TRANSF. AIR H.P. RATING B.P.RATING I CEIL. KW-BEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER.600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. SIZE SWITCH I FLASHERS EACH SIGN Updated 5/20/2002 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 03-00026889 Date 9/17/03 Property Address . . . . . . 527 PELICAN KEY Tenant nbr, name . . . . . . REROOF CERT. CT20 Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2785 Owner Contractor - ------ --- -------------- -- ---------------------- STEERE, ANDREW ARLINGTON BEACHES ROOFING 527 PELICAN KEY 1441 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-8888 ----- - ----------- ----- --- ------------ -------- ---------------- --------------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2785 Fee summary Charged Paid Credited Due ------------ ----- ---------- ----- - ---- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 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 TFUS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICA13LE PROVISIONS OF LAW. BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH Hig ini> r BUILDING / ZONING DEPARTMENT t KSogerrir IS 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS I --q Permit Application # Property Address: CA4/'� )6 eAA— Applicant: Project: This permit application has been: Fv� Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH PER.MIT ..CALCULATION SHEET Address Date C� k�7, C)_3 Hea.ted Square Factage mer sq f t Garage/Sh.ed per sq ft $ er sq ft .= Deck @ per sq ft $ Patio mer s.q ft TOTAL VALUATION : _23 .,.Total Valuati,on ist. C) �Remalining Value $ per thousand or ..Portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee Firepi aces $15 .00 -.B.0 I LD ING PERM-IT FEE $ WATER. IMPACT FEE SEWER :IMPACT+�.FEE WATER' METERJTAP CAPITAL IMPROVEMENT. SEWER TAP -RADON , (HRS) . 005a. $ SECTION H PAVING HYDRAUL.1 C SHARES $ CROSS CONNECTION. SURCHARGE .0050 . OTHER GRAM TOTAL DUE vs ADDITIONAL PERMITS OR ..FEES : .,Mechanica I ELectcic/New_�:lectric/Temp_;Swimmirig?ooI SePtic T+ank wel 1. S2.gn Finish Floor Elevati-on Survey-'- .. .other CALCULATIONS amd/or NOTES : 09/16/2003 14:00 9047450000 ARL BCHS ROO.FING PAGE. 02 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Job A* J�.2 -7 AC Ll 0 OA kEj Owner ot F110"My, Addresz-. 0�2 7 '14fLd e 4--AJ—. k'C-Ll— Tdephotw. Convaciar: ARIjINGTON BEACHES R06FING —S"LiaafteNurnber: CCC1325530 Comalor'sAdd(ow, 14A1 rPSrgy jx2gACE - jACKSQNVTLLE0jL 32all Teiepham- 744-8888 Fax. 745-0000 NO&Skipv cireater dw 2-12 L,� Las thm 1.12 valustionorwork; S Product Natne(Egamplv;Timberline): Msnufactuver(ExAmple-OAF): -PEAzB j�—j-rx2Fn ASTM Designation(s), Required InaptWorm; Shutling anc Final S;Vutuft.orowner- Date: 6�/37- e-MC 3 SiSfttuM0fC0nU2Ct0r--/-�-Z'Ilyx A Date: IL'E�Lr AS TO OWNEA. Sworn to W wb%Gr;bed before sno 063 day of Smas of FlorkIL County of Duval epv"' KPOW"okh� sipawre. at. W CWWAuw DDI SWO Personally knuwn 16.2W8 PrWvved Wsafifigation ,I').() Expire&OMWf AS TO CONTRACTOX, Sworn to and subscribed before me this_ day or 6"e,e T 20LI State Of fWi4 COMW Of DWVlkl K0*W*Vftld� Womy 1 0 sionabs": Lo W cowdrAssim DD104000 Pqrsonsilly known 601ft ombeir 14 206 Ptod,cod idons;fictiav Type of i4salificefice peodoced 30 Sminek Read -Adantit Wick,Florida 32233-5445 Telelshow: ("41)247-5940 -Yxx.'("4)347-584S -%UVV1wvrw.cLa11*Wk-bnch.ft.v& irate 1 ROV444 24141 &77-1771 L 11 T­ ji'ma I A 1 -1 %I r V, 4 -a 1 77 'IT Am mmum w mp�� OLM ow mcm womm"Mm mm"m Iff mmwmffm���� I--I u. J mLT-.1"7'_=V MM MMMijM OWN lmmmll� 1111Mmmmmt� M NMI j7j M"MNKM lmmmmmj�m IMMOKNOW WK 67'�,A— or Po NK�:_-!9--7-,-,AL Rz mom Mul No Dan 5 MIN. RETURN PHONE#44-8888 B.-k 11361 page 1444 NOTICE OF COMMENCEMENT (PREPARE IN DUPUCATE) PERMIT Permit No. Tax Folio No. State of FLORIDA County of DUVAL To whom it may concern: The undersigned hereby Infor ms 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. "_4 Legal description of property being improved: a) (11-Mi 4111 Address of property being improved: General description of improvements: RE—ROOF PREP Owner f6�6_uJ (71_(�T;�F,��A)C BY: Address L�� _/ 'PE�_J r A A f �-,/F t 1J7-Z14A17-1/1 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) N/A Name MIA Address NIA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPE CTION PHONE LINE 247 Application Number . . . . . 04-00027696 Date 2/12/04 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . REPL HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- -- - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - -- -- - - - - - - LEUREITT, MARY RAY DONOVAN HEATING & AIR 523 PELICAN KEY 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-5914 (904) 241-3785 --- --- ------ ----- - --- - - -- ---- -- - -- ---- - - - - - -- - - - -- - - -- - - - ----- - - - - - - -- ------ Permit . . . . MECHANICAL PERMIT Additional desc . 00 Permit Fee . . . . 79 . 00 Plan Check ,-ee 0 Issue Date . . . . Valuation . . . . 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 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 WHICIIARE PART OF THIS PERKT AND.SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ( - BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 IF Application Number . . . . . 04-00029229 Date 1/07/05 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . 201X141 ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor ------------------------ ------------------------ LEVRETT, MARY KAYE E & R ENTERPRISES OF NORTH FL 523 PELICAN KEY 1168 SEBAGO AVE. S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5914 (904) 270-218S ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc 1 TON HP Sub Contractor EAST COAST HEAT & AIR INC. Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 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 WrFH 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. BUILDING OFFICIAL 01/06/2005 10:24 9042474660 EASTCOAST PAGE 02 C'ITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: -7 - 0 Pro;wrty Address: G-0, 3 P0,lca,*- Owner: ir -k xv Lt v ',(t Telepbone#: � 7 0-2 1 Telephone#: IiM,915-w w 9 1 2-5-'mpo C I Contractor Address: W.C16 Fax#-. T70 .- .a 118 V to consideration of pormit giva for do ng*e work as described in ibc above statement,we bemby som to perrorm.said work is accord&occ with the ansched plans and specificalim a which we a put hereof sod in socortiance with the City of Atlantic beach ordinances and standards of aid practice listed thercin. Type of K"dng Fuel: If other construction is being dam on Wo building or site,list the building permit number; a Electric C3 Cm. —LP .�NdurW —Central Utility -- DIA Oil 0�1 Other–Specifv, MECIFANICAL EQUIPMENT TO OE INSTALLED MATURE OF WORK AHeat _Space Rec-ssed —Centraj Floor Residential • Air Conditioning: Room —Central X • Duct System: Material Thickness Q Commercial • Refrigeration Maximum rapacity AM 0 New Buildint • Coofing Tower:Capacity_ _pm 0 Exiolng Building C) Fire Sprinklers;Number ol'Heads (3 Elevator: -- Manlift Escalator�_(Number) u Replacemew of Existing System (3 Gasoline Pumps —(Number) • Tanks _(Number) U Now Installation • LPG Containers —(Number) (No system previously installed) • Unfired Pressure Vessel 0 Extension or Ad&m to Usting System 13 boilers * Gas Piping C1 Other.Speci * Other–Specif�— LIST ALL EQUIPMENT AM CONDI"C"INC,RZMCZX 4TION l9QtWNj9NT&CONDENSOR'S Appming Nundw Units Descripi ion Model# Mbaufich" Too's Agency NFAMING-nWACL%XOU"9,FIREPLACES&AM HANDUR'S App-viog Number tAits ocleyip ion mu" Iftnueenver ST11'r. Ascacy 12-coo - TANX3 Norrunal Cxpm*f Type Liquid serial App—ift How Mam Diannsions Coftined No. Asm $ Senimak Read 9 Atlantic Go-eb,Fleridi 32233,q4S Phone: ("4)247-5800- Fax: (904)247-5849- ktip://www.cLstlavktie-be*cb.fl.us 01 1/06/2005 10:24 9042474660 EASTCOAST PAGE 01 Ec-st 6jA HEAT&AfR Fmi lFnmu TOM ftm 13-�Lf Dow pq" eel C3 Urgod 0 Fw R"low OPkImmemmowd 13M�Rm* OftmoNsojok UJ 5a 1 lorih 14th Avwvje - Jadmonville Beach,FWft 3M (904)247-0033 v (904)247-4660 tax SUft Cwiffled AIC Cordractor GACCOM www.eastooastWr.com CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029405 Date 12/17/04 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 322S Owner Contractor ---------------- -------- ------------------------ LEVRIETT, M. JOHN GILMORE ROOFING, INC. 523 PELICAN KEY 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 --------------------------------------------------- ------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3225 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. .0W4L k) r Aft 9 BUILDW67nCLIL ' Feb 02 04 10:05a Information S!dstems 247-5845 P. 1 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: Owner of Property Mali Address; !�a ellepj one: q Contmetor:3074a 911fore AwfiAj Vnc State License Number: t27rt0,5-'Z62Z9 Contractor's Ad&ess: 11111-1a r4A�t�A)�C- S101 W fl- 52,z 2-3 Telephone: �—o v- FTO - Few Fax: 4?F10--(a0001, Scope of Work. Dock Slope: Greater than 2:12 Less than 2:12 Valuation of I work: 06 Product Name(Exam le:T�rnberiine): Manufacturer(Example:GAF): ASTM Designation(s): 0 Required Inspections: Sheathing and Final Signature of Owner: Date: 1,2 - Signature of Contractor Date: 2 AS TO OWNER: Sworn to and subscribed before me this day of Mhejr, - 4 120 State of Florida,County of Duval Notary's Signature: KATHERINE D.FMEYER MY COMMISSION#DD 205955 9,,Personally known EXPIRES:April 28,2007 Produced identification Bonded Thru Notary Public Underwriters Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this dayofnI 20LL4. State of Florida,County of Duval ---- ---- Notary's Signatu N. KATHERINE D.FITZMEYER if WAI, My COMMISSION#DD 205955 Personally kn4own EXPIRES:April 28,2007 Produced identification Ty Bonded Tft Notary Pubk undwmon pe of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Page I Telephone: (904)247-5890 Fax: (9N)247-5845 -hftP://WWW-Ci.2tl2RtiC-be2Cb.fl.US Reviscd 2r-1103 Feb 02 04 10i05a Information S!dstems 247-5845 p. 2 NOTICE OF COMMENCEMENT State of a2ezd,4 Tax Folio N o. County of -j)/j lia-1 To Whom It May Concern: 71he undersigned herebYinifOrms You that improvements will be made to certain real property,,and in accordance with Section 713 of the Florida Statutes,the following inibrxnation is stated in this NOTICE.OF CohSENCE.1ml"NT. Le I description of property being improved- 3- )( Z44�L L",e--, I j-r,i, k ga !-Ibt C4 9 Address of prooer;v. being improved: -So-k j--7?e7,Tj—r + I'a d%--Wc INg. General description of improvements- &,&a-&J,Oc1ha Owner: ?FNq4QAA V—&ug L ",rt-4—o� Address: Kf : :11, -�,—-----1� .6d Owner's interest in site of the.improvtment:.' -4 Fee Simple Titleholder(if other than owner): Same: Addreu: Contractor. -1 60 -t�-n(,- Address:1,1441-911 Xa 7Z 'A(,d PhoaeNo:2Y6j(--- Fax No: (if any): Address: Amount of Bond—S Phone NT. Fax.No. Name and address of any person ma)dng a loan for the construction of the improyements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than him se14 designaled by owner upon whom notices or other documents may-j>e served: Nam e: Addrc3s: Phone No: Fax No: In addition to himsalt owner designates the Mlowing person to rioccive a copy of the Lienor's Notice as pFovided in Section 713.06(2Xb),Ficrida Statues. (Fill in at-Owner's option). Name: A.ddress: Phone No: Fix No: Expiration date of Notice of Commencement(the expiration date is one(1)rear tom,the date of recording unless a different date is specified): TIES SPACE FOR RECORDER'S USE ONLY O'"ER DR this in th -A�y of, e Coun�v fate d, r3c Doc#2-004385954,OR BK 12183 Page 1119, peared_ �lumber Pages� 1 Filed& RF,norded 12;14;2004 at 01:09 PM. Notary Public*E-Zfej�$ftte pfFtd��untyo-f—Duvaj. JIM FULLER CLERK CIRCUIT COUR7 OUVAL COUNTY My commission exj?ires: RECORDING S1 0 00 Personally Known: Produced Identificanion, MY 110MMIAWN �Em EXPIRES:Apdl 28,2OD7 Bwded Thni No"F�ft Under~ Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 r (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: 15'Z Q'L-1 CA" L<iu Applicant: —J 0 PC*,) (�--n �&n 0,3 Project: This permit application has been: Er Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L�+ Date: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET .,Date C)'C— Address 52-3 N7 Permit fee based on dollar evaluation as indicated on permit application. -Heated Square Footacle @ per sq ft Gara-e/Shed zz @ per sq ft= S Carport Porch S persqft= S Deck @ per sq ft Patio @ per sq ft TOTAL VALUATION: S -322S $35.00 15, S1000.00 S S35.00 Total Valuation S Lob S Remaining Value Per thousand or portion thereof. CONSTRUCTION TYPE: TOTAL BUILDINGFEE S 5 C) ZON'ING: + 1/2Filin-Fee 5 ;x FLOOD ZONE: Fireplaces @$35-00 S LNJEPERVIOUS SURFACE: BUILDING PERINUT FEE s -7S- WATER INIPACT FEE SEWER INIPACT FEE S WATER IVIXTEPUTAP S CAPITAL IMPROVEMENT S SEWER TAP S C ( ) RADON ERS .0050 S SECTION H PAVING CROSS CONNECTION ST ) SURCHARGE S CITY OF ATLANTIC BEACH kl 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029229 Date 12/13/04 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . 201X141 ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor ------- ------ --- -------- -- ---- -- ---------- ----- LEVRETT, MARY KAYE E L R ENTERPRISES OF NORTH FL 523 PELICAN KEY 1168 SEBAGO AVE . S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5914 (904) 270-2185 - - - - --- - - ----- -- ----- - ----- ----- ------------------- - --------------- --------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . KNIGHT ELECTRIC LLC Permit Fee . . . . 72 . 40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/13/05 Fee summary Charged Paid Credited Due --- ----- --------- ---- - - ---- ------ -- -- --- ------ - ------ ---- Permit Fee Total 72 . 40 72 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 72 . 40 72 . 40 . 00 . 00 PERWT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. oit CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Da _)F( Property Address: cS-DS ?,tA '� c ac� V\12!:� Owner: .. .. . Telephone Contractor: YD�6 Ve c-t r IC_ Telephone Contractor Address: Fax#: 9�;'-/ In consideration of permit given for doing the work as described m the above statement, we hereby agree to perform said work in accordance with the attached plans and speeffications which are a pan hereof and in accordance with the City of Atlantic Beach ordinance and standards of good p2EU�=lisled thUmn. Building: >K Residence 0 Temp. Lj New done on this building New U Commer i3i 0 Signs U Increase Or site,list the building Old o Additionc Sq.Ft. Q Repair Permit nuntbzr:- Q 0 Re-wire OLA 0 Trailer Service: If other constnwtion is being Building Type: Conductor Size: AMPS: COPPER ALU MDiTJM Switch or RACE Breaker AMPS PH W —WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0_30AWS 31.10OKhps Switches Incandescent Fluorescent & Mv. Fixed Appliances 0-100;��� OVFR B E L L TRANSFER. Air H.P.RATING H.P. RATING CEHJNG KW-HEAT Condittomng CONT.MOTOR OTHERMOTORS ANTS HEAT Motors 0-1 Kp� VOLTAGE PH NO. OVER I H.P. PHS V OVER600V Transformers - NO� KVA No.Neon Transf NO. KVA E& Sign�_ Miscellaneous 00ay--" Revised 1/04 5 MIK RETURN Book 12121 Page 595 PHONE 1@5 NOTICE OF COMMENCEMENT State of FL-CFZ'�I>A Tax Folio No. County of JUVA L- 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: -?LAT 'Bo0V-- j­+'s Per tk- %Nig Lo-r 15:C-LV A L-A t4-4----S Aj —Wo %. --A--im"Arctc- iaciA FL Address of property being improved: 5 e j�L%C-iA#4 General description of improvements: er Address: c--&C-L4 '32-2-2--3 P'1�-i XC sk Owner's inte�e­st in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: MQF­� �F ;Vt:7- Contractor: Address: - S7 A I L !�Ar-(-_V C- -4 F--,L-- 2-9 WES L -b R-"7 Phone NO:_ '90!�j � -2---)0 - -2.-( Fax No: 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: Ad&-s�:— 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 Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No:--,--- Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): ?t-,7-0 T1fl S SPACE FOR RECORDER'S USE ONLY 0 W,�N E R Datej signed,­711aq,,)�e,&�-�,I— -- C) Doc# 20NV46825 Before ni this - day of. in e ounty I B-- 1-1 1 of DuvV,Styt 0, ha red-' Pa e-. 595 Filed & Recorded 11/01/2004 10:00:08 AM Not c at La Duval. JIM FULLER My commission expires: CLERK CIRCUIT COURT Personally Known: or or DUVAL COUNTY $ 5.00 Produced Identificati MY COMMISSION#DO 205955]5 [ RECORDING EXPIRES-ApO128,2007 TRUST FUND S 1.00 B=W Thru Not-ary Pub6c Urdrwrbm REC ADDITIONAL $ 4.00 105.wi I Selva Lakes Homeowners Association,, Inc. P.O. Box 331365 Atlantic Beack FL 32233 October 26, 2004 Walt and Mary Kaye Levriett 523 Pelican Key Atlantic Beach, FL 32233 Dear Mr. and Mrs. Levriett, The drawings you submitted, for a new room addition and remodeling to your home at the above address, have been approved. The following board members have reviewed and approved the plans as submitted: Gabe Farra, Elaine McEntee, Celia Rigby, Anita Abdullah, and Sonny Hinchee. Sincerely, Elaine McEntee Architectural Review Committee CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029229 Date 11/16/04 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . 20 'X141 ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor --------- --------------- ----- ------ ----- -------- LEVRETT, MARY KAYE E &: R ENTERPRISES OF NORTH FL 523 PELICAN KEY 1168 SEBAGO AVE. S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5914 (904) 270-2185 --------------- ----------------------------------------- -------------------- Permit . . . . . . 13UILDING PERMIT Additional desc . - 201 X 141 ROOM ADDITION Permit Fee . . . . 230 . 00 Plan Check Fee 115 . 00 Issue Date . . . . Valuation . . . . 40000 Fee summary Charged Paid Credited I.Du-e'.__ ----------------- ---------- ---------- ---------- Permit Fee Total 230 . 00 2.30 . 00 . 00 ------- - 00 Plan Check Total 115 . 00 115 . 00 . 00 Grand Total 345 . 00 345 . 00 . 00 . 00 . 00 PERMrr IS APPROVED ONLY IN ACCORDANCE WrI7H ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINGZ BUILDWG OMCIAL .......... City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) C kP JOBADDRESS_ DATE -2:1-0+ (J) APPLICANT AA �-6r\/Rk--.-U'T ADDRESS Pi�:-LkcAr-� k4ey PHONE: 9 04 -2_4L, - 59 0 LOTNUMBER ZONINGDISTRICT LEGAL DESCRIPTION: BLOCK NUMBER 4CONTRACTOR EDW1q PUTMAC14 STATE LICENSE NUMBER Cf4S(-' t i�c_)4k 56 �T L=r\jb _S� PHONE C?OL4 - -2-'70- 2- ( 85 ADDRESS 2fPZ0 We: CITY A"ILWATIC &Ci4 STATE FL- ZIP -3-2-233 FAX 9 014 - X-)0 - Ck B Ul DESCRIBE PROPOSED USE ANDWORKTOBEDONE Abr.�t—nov,� -2- c:>' -x 14 PRESENT USE OF LAND OR BUILDING(S) '�&trAc-k-Z- FA-v-Akt_� VALUATION OF PROPOSED CONSTRUCTION 4o V_ Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? �Es New electrical or increase in service?� OD To LCYS%,T-iv,�6 New plumbing fixtures? NO New fireplace? A10 New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please sub it with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATEJUAL? 9NO. Applicant certifies that no change in site grade or fill material will be used on this project. F I YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow an steps and Provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to deterrriine if a pre-construction or post-construction topographical survey or grading plan is required. (If n6t required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNE DATE,_ 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND- CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF 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 PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE /t/ ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME j=_�h�k ,,A P oi—r i�Ac[4 MAILING ADDRESS W��ST L-3N (&A-C4 FC, PHONE —FAX 90q- ;L7)0'-D-( 93 E-MAEL SWORN AND SUBSCRIBED-BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: [J Personally known �R Produced identification Type of identification produced -47 1 5? 1-7 KATHERINE D.FMEYE L k My COMMISSIoN#DD 205955 EXPIRES:ApflI 28,2007 BmW lbru Notafy Pubk UndOrmftGts AS TO CONT Personally known Produced identification Type of identification produced 6/18/02 2628 West End St. Atlantic Beach, FL 32233 4 ;Cj- 'W"i 4� L February 4, 2005 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, FL 32233-5445 Attention Building Department, Please cancel the mechanical permit issued to East Coast Heating and Air at job ermt number 04-29229. There will be a different �-ny'-*andling this job and they will need a new mechanical ermit issued. If p -youneed any further information please call me at(904) 270-2185. Thank you for understanding. Rebecca Hoart President Cc:File . . . . . . . . . . . . . . . . . . . . . . . AV CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 C it Application Number . . . . . 04-00029229 Date 2/07/05 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . 201X141 ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor --------------- --------- ------------------------ LEVRETT, MARY KAYE E & R ENTERPRISES OF NORTH FL 523 PELICAN KEY 1168 SEBAGO AVE. S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5914 (904) 270-2185 ----- ----------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc REPLACE EXISTING HVAC Sub Contractor BEEHIVE HEATING AND AIR COND. Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODE& ?I*-. (� � 4 1 BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 2-/L41 o s Property Address: — 52�� PE111AN KE X Owner: LEvikETr Telephone Contractor REEHNE �AEwr%N5 +- Nik Telephone#: (,Lj(,,­43o9 Contractor Address: 1-72-c� b(913LF, CIN E Fax#: 6LAG-H-??2- In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building ;d Electric or site,list the building permit number: • Gas: —LP —Natural —Central Utility • Oil LA-2-,�2-Z-LA 0 _Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ;d Heat _Space _Recessed Central —Floor ;d Residential 0 Air Conditioning: _Room Central El Duct System: Material Thickness Q Commercial Maximum capacity pi I N cfm El Refrigeration El New Building Ll Cooling Tower:Capacity gpm El Existing Building U Fire Sprinklers:Number of Heads 13 Elevator: —— Manlift Escalator (Number) C3 Replacement of Existing System • Gasoline Pumps —(Number) • Tanks (Number) New Installation • LPG Containers (Number) (No system previously installed) • Unfired Pressure Vessel 0 Extension or Add-on to Existing System • Boilers • Gas Piping Q Other-Specify L3 Other—Specify LIST ALL EqUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSORIS Approving Number Units Description Model# Manufacturer Ton's Agency 1 60%ji) 1�C)0 P,'A Fosi-r-sQ 0 S' 01- HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency I Pt"V.) . A,4cio 9 �:.-j IT.S,-, 91poo k-)t.- TANKS Nominal Capacity Type Liquid Serial Approving How Manv &Dimensions Contained Manufacturer No. Agency 800 Seminole Road*Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029229 Date 2/04/05 Property Address . . . . . . 523 PELICAN KEY Tenant nbr, name . . . . . . 201X141 ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor --- - ---- -- - ---- --- --- --- ---- ----- --- ------------ LEVRETT, MARY KAYE E & R ENTERPRISES OF NORTH FL 523 PELICAN KEY 1168 SEBAGO AVE. S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5914 (904) 270-2185 ---------------- --- ----- ------ ---------------------------------------------- Permit MECHANICAL PERMIT Additional desc 1 TON HP Sub Contractor EAST COAST HEAT & AIR INC. Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . 1/07/05 Valuation . . . . 0 Expiration Date 7/13/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Feb 04 05 11 : 57a E R Enterprises 9042702198 p. 2 2628 West End St. Atlantic Beach,FL 32233 Itic. b", Nbrdi February 4,2005 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach,FL 32233-5445 Attention Building Department, P16ase cancel the mechanical permit issued to East Coast Heating and Air at job -523 Pelican Key, permit number 04-29229,There will be a different .p*o -ha ling this job and they will need anew mechanical permit issued. if nd 'Y-9 -AMy -2185. Thank you for med further information please call me at(904)270 iiiiderstanding. Rebecca Hoart President Cc: File . . . . . . . . . . . . . . . . . . . . . . Feb 04 05 11 : 56a E & R Enterprises 9042702198 P. 1 2628 West End St. Atlantic Beach, FL 32233 Phone (904) 270-2185 Fax (904) 270-2198 Tw- Building Deparunent Fax (904)247-5845 City of Atlantic Beach Date: 2/4/2005 ,,,F!(xn: Rebecca Hoart 523 Pelican Key POO": 2 including cover anical T Q. R'0100 Attention Building Departnent, Enclosed is the letter you requested.The original is in the mail today. Thank you. AL4�(4 A Rebecca Hoart . . . . . . . . . . . . MA-P SHOWBVG BOUNDARY SURVEY OF LOT c1b BLOCK AS SHOWN ON MAP OF AS RECORDED IN PLAT BOOK PAGES OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER PRED FOR: ---y E-� C-6-=v ', - c-r---, 75- 4-o oo 0 FILE COPY Ci 1 . 0 > 1 0 N) 4LE COPY io. 00 ' NOT VALID UNLESS EMBOSSED MTH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON LJNE AS SHOWN THE PROPERTY SHOW HEREON APPEARS TO LIE MTHIN FLOOD HAZARD ZONE AS SCALED FROM FLOOD INSURANCE RA TE MAP Ccx�l I FOR THE Cl TY OF --' -7-,�-- FL ORIDA, DA TED ,I-- 1-1 - ?P FILE COPY FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations&Building Systems ComplIancewlihMaIhnd C of Chapierg of the Flo�da Energy EfficlancyGoda maybe ripmoristrated hytho lisp.of Forin 6000-01 fnr 86dillons of 800squarefeat or less,site-Insitillpdomponants o1manufailturadhorraq,and ranovVons to single and murfifeirlivre8ldanops.Altemativa methods arm provide for addilinns by use of orm 6003-01 or 600A-01, PROJECT NAME. "VIr 12�i± -Ifr AND ADDRESS: PERMITTING CLMATE K Pl r P, OFFICE: ZONE: 1 2 f�3Y OWNER:h),,,,M,,,. cc, Lv,v ref+ PERMIT NO. JURISDICTION NO,: SMALL ADDITIONS TO EXISTING RESInFNfts(6no Squafre feet or less of condIfloned Area).Presoyllillve requirements in Tables AC I,6C-2 and BC-3 apply only to thecomponants ofthe addition,nottn the existing buildIng. Space feeling,cooling,ind water heatIng equipment Alfidenny levels must be mel only whar,8qNpm9rlI is Installed sper1lically to serve the Addition or is being installed in conjunction with the ad0inn corafruMlon. Components separating unconditioned spares from conditioned spares must meal thp.prescrilhod minimum insulation la.vDls,9ENOVATIONS(Residential bdidlings undergoing renovations costing more than 30%of the assessed value rifthe building).Presoriplive requirements In Tables K-1 and OC-2 apply only to the cornipDrionis and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only alte-insfalled components and features are covered by this form,BUILDING SYS TEMS Comply when comploic raw system is inqlAnd, Please Print CK 1. Renovation, Addition, New System or Manufactured Horne i 2. Single family detached or Multifamily attached 2. 1 If Multifamily—No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 6. Glass area and type, Sinqle Pane 0ouble Pane a. Clear glass 6a. sq. ft. Q!3 sq. ft. b, Tint, film or solar screen 6b. sq. ft. --sq,ft. 7. Percentage of glass to floor area 7, 62 % A 8, Floor type and Insulation: IL a. Slab-on.-grade (R-value) FILE Copy 8a. R= lin. ft. b. Wood, raised (R-value) 8b. R= sq. ft� c. Wood, common (R-value) 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq.ft. a. Concrete, common (R-value) 8e. R= sq. ft. 9. Wall type and Insulation- a. Exterior: 1. Masonry(Insulation R-value) 9a-'l R= sq. ft. 2- Wood frame (Insulation R-valup) 9a-2 R= An-0 sq. ft. b. Adjacent: 1. Masonry(insulation R-value) FILE Cop b-1 R= sq, ft. 2, Wood franne (InstuiRtion R-value) 9b-2 R= sq, ft.. c. Marriage Walls of Multiple Units" (Yes/No) 9C 10, Ceiling type and Insulation: a. Under attic (insulation R-value) 1 Oa. R= 0jalp- sq. ft. b. Single assernbly (Insuiation R­Vakie) I 9b. R= sq. ft. 11� Cooling system* (Types:central, room unit, package terminal A.C.,gas,existing, none.) 11. Type- SEER/EER� 12. Heating system*, (Types:heat pump,elec.strip,natural gas,I P.gas, 12. Type:c'�,��� gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE: 13. Air Distribution System*., a. Backflo"t damper or single package systerris* (Yes/No) 1 3a. b. Ducts on marriage vvalls adequately sealed" (Yes/No) 1 3b, 14. Hot water system, 1 4� Type: (Types:eler,,,natural gas,other,existing,none) EF: Pertains to manufActurP6 homes with site.instatlod components, I hereby certify that the plans anel speciticaijo d by tho calculation are in Revfewol'plans and specifications rovered by this calculation indicates compliance compliance with the Florida�_-nerqy Code, aJ�T_�o It)] ide Energy Code, Before construction is completed,this building PMPPARF0 BY: inspow.tod inr compliaror.,in etocordanne Yvith y With the Floi gtV_r� 8 Wit be, it this bui ding is in 00M ice with the Florida Energy Cocle. I hereby certify tll� RUILDING OFFICIAL: OWNER AGENT: nATr ..... .. DATE: RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems Job: 10128/04 1065 Oak Vale Rd,Jacksonville,F1 32259 Phone:904-287-5339 Fax:904-287-1258 Email:energydesign@comcast.net Project Information For: Mrs. Mary Kaye Levrett 523 Pelican Key, Atlantic Beach, F1 Notes: Design Information Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 OF Outside db 92 OF Inside db 72 OF Inside db 72 OF Design TD 33 OF Design TD 20 OF Daily range L Relative humidity 50 % Moisture difference 65 gr1lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 8022 Btuh Structure 9894 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 8022 Btuh Use mfg. data n Rate/swing multiplier 0.97 Infiltration Total sens. equip. load 9597 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 920 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 1072 Btuh Area(ft') 266 26 Total latent equip. load 1992 Btuh Volume(ft') 2926 2926 Air changes/hour 1.20 0.50 Total equipment load 11589 Btuh Equiv. AVF (cfm) 59 24 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47'F Latent cooling 0 Btuh Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 473 cfm Actual cooling fan 473 cfm Heating air flow factor 0.059 cfm/Btuh Cooling air flow factor 0.048 cfm/Btuh Space thermostat Load sensible heat ratio 83 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. VVrj�jhtSC)ft Rig ht-suite Residential T"5.0.66 RSR29784 2004-Oct-28 17:02:22 j0M CADocuments and SettingsXcustomer\My DocumentsWrightsoffil-evrett Additionssr Page 1 NH,/ City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION , FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE + 0 JOBADDRESS_ L" APPLICANT ADDRESS PHONE: 9o4 - -2-46 - 579 1 q LOT NUMBER ZONING DISTRICT LEGAL DESCRIPTION: BLOCK NUMBER 4CONTRACTOR EDWN ?Qt reACH STATE LICENSE NUMBER 150 ADDRESS 2L.120 Wa;T I:Fyvb PHONE qc4 - -2_*_20 - -2_ i8S_ CITY ATLAATI C- L2>r—�4 STATE zip -33 FAX 9 0 q - X-) cA b DESCRIBE PROPOSED USE AND WORK TO BE DONE A b1N PRESENT USE OF LAND OR BUILDING(S) F^-,AA VALUATION OF PROPOSED CONSTRUCTION 4c) V_ =5 If yes,what are the dimensions of the added space: feet by feet Is this an addition? YL Will the added area be heated and cooled? 'y Es New electrical or increase in service?� hN3 TO tN- 13�STt/Vz, New plumbing fixtures? 0 New fireplace? NO New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please sultpruit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATE AL? %PNWO. Applicant certifies that no change in site grade or fill material will be used on this project. 0 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit, PROCEDURE: (In order to expedite issuance of permits, please follow an steps and provide all information as appropriate) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you arc unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If n�t required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 CITY OF ATLANTIC BEACH Si PERMIT CALCULATION SHEET Date: Address 5-,2 -3 PC- C-tctf-") Al"E — /;�,pom AD-Pz7-10A) Heated Square Footage A" -@s- per sqft= $ ,2-(�� 6 &��- Garage Shed @ $ per sq ft= $ Carport Porch per sq ft = $ Deck @ $ per sq ft= $ 1i W—r Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation ist $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: V I TOTAL BUILDING FEE $ ZONING: d- S - 2- + Y2 Filing Fee $ FLOOD ZONE: K ( ) Fireplaces@ $35.00 $ IMPERVIOUS SURFACE�7_J:6� BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWERIMPACTFEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH D-F-ord BUILDING / ZONING DEPARTMENT rr S. oer Mt 800 Seminole Road 7 e Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 04 - 12IQ29- Property Address: 'y'fJ E N- Applicant. Project: 40 M I TYQ 4 This permit application has been: Be'�`Approved F--1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: 10 C: I CITY OF ATLANTIC BEACH rd ins BUILDING / ZONING DEPARTMENT oerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0 4- - �z 9 121�q R. Property Address: . 52 ; PEI-iCAN KEY E Of Applicant. Project: This per a.pplication has been: tApproved F-1 Reviewed and the following items need attention: Please re-submit yo appfication when these items have been completed. Reviewed By: Date: 72T PERMIT WORKSHEET Certificateof Occupancy[ Job Address: ; 2-S Yp-� Type Work: RA Property Owner: Phone # Contractor: VR F G LS Phone # 1-70 Permit#: LA - 1101 11acl Date Issued: 1� Building Inspections: Footing Slab Tie Beam Lintel Nailing Sheathing Framing Cover Up Insulation Final Building Tree Permit# YES NO Electrical Permit# Date/ Copy to 1 OZ4 - JEA Temp, Pole Permit# Date/ Copy to 1 JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# ALej VVI Inspections: Rough Final Plumbing Permit# Inspections: Rough Underslab Topoutl Water Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Finial Grounding Final Roofing Permit# IR4oco Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: 5 MIN. RETURN PHONE :#44-8888 Book 11361 Page 1444 NOTICE OF COMMENCEMENT (PREPARE IN OUPLICKM PERMIT Permit No. Tax Folio No. State of PLORTDA County of DUVAL 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: Address of property being improved: �.54 7 LJe I-)ki General description of improvements: RE-ROOF PREP Owner 4Lo BY: Address �-7 �k)C-� Lj r A-f AIF 14 A 7-1 I'D r Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) N/A Name - m.1 A Address NIA Contractor ARLINGTON BEACHES ROOFING,__INC. Address 1441 CE-SERY TERRACE JACKSONVILLE, FLORIDA 32211 Phone No. 744-8888 Fax No. 745-0000 Surety(if any) N/A Address__N/A — —Amount of bond$ N/A Phone No. NIA __ Fax No. N/A Name and address of any person making a loan for the construction of the impr9vements. Name - NZA Address- N/A Phone No. N/A Fax No. N/A Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name- N/A Address-_ N/A Phone No. N/A Fax No. N/A In addition to himself, owner designates the following person to receive a copy of the Lienors Nofice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name-- N/A Address--hL/-A Phone No. - N/A Fax No. N/A Expiration date of Notice of Commencement(the ex0iration date is one(1)year from the date of recording unless a different date is specified): N/A PREPARED 9/30/03, 8 :12 :07 INSPECTION TICKET PAGE 18 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/30/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 527 PELICAN KEY SUBDIV: TENANT, NBR: REROOF CERT. CT20 CONTRACTOR ARLINGTON BEACHES ROOFING PHONE (904) 744-8888 OWNER STEERE, ANDREW PHONE PARCEL 172027-5590- - APPL NUMBER: 03-00026889 ROOF ------------------------------------------------------------------------------------------------ PERMIT: ROOF 00 ROOF PERMIT REQUESTED INSP .)ESCRIPTION TYP/SQ COMPLETED RESULT 'ESULT M TS -------------------------------- -- ---- --- - -------------------------------------------------- 17 01 9/30/03 LJH S E ING TIME: 08: 00 '44-8888 ------------------------------ ..... ------ COMMENTS AND NOTES ------------ --A------------------- CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: qzllzl,:�,�,' Property Address: 5-2 3 PC-C/c4,v lZc-:Y Owner: -/V4&y LA�z 6---1112-617-r Telephone #: 2-4/e -�5-17 Contractor R-- Telephone #:— -Z91 - 3795— Contractor Address: --?13— plt4- /4ve- 7-,q Fax #: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building k Electric or site,list the building permit number: 0 Gas: —LP —NatLual —Central Utility (3 Oil A� El Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK U Heat Space Recessed V-Central —Floor Residential Ll Air Con�d—itioning: Room Central K, • Duct System: Material Thickness Ll Commercial • Refrigeration Maximum capacity cfin Q New Building • Cooling Tower:Capacity gpm Ll Existing Building • Fire Sprinklers: Number of Heads Ll Elevator: —- Manlift Escalator. (Number) Replacement of Existing System 0 Gasoline Pumps —(Number) C3 Tanks (Number) Q New Installation 13 LPG Containers (Number) (No system previously installed) 13 Unfired Pressure Vessel Q Extension or Add-on to Existing System • Boilers • Gas Piping 0 Other-Specify_ C3 Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency I if M-PL,/-Ap I-&Aid-3 6 ( vk0 HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model Manufacturer BT U's Agency A-ld r LAj C TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us 50 WHW6, A44P, P A OR C-K#�___ NOTICE OF E M I Kly� JOB ADDRESS DATE -,2 1 Z JS �:tA S THIS JOB HAS NOT EEN C�OMPLETED The following additions or corrections shall be made before the job will be accepted o- j7 12 +JS.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 BLDG p.m. Monday through Friday.