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Permit 524 - 528 Pelican Key (vault) Ty OF ATLANTIC BEACH CI 800 SENQNOLE ROAD h_. ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Date 11/30/05 05-00031716KEY Application Number 528 PELICAN Property Address SPRINKLER SYSTEM Tenant nbr, name PLUMBING ONLY Application description TO BE UPDATED Property Zoning 0 Application Valuation - contractor ---- ---------- Owner --------------- HU IHAN TERRITORY ' -------- p .(). BOX 331268 FL 32233 AT TIC BEACH (904) 285-8505 ----------------- ----- ------------------ .- PLUMBING PERMIT . 00 Permit - plan Check Fee 0 Additional desc . 00 Valuation Permit Fee 11/30/05 Issue Date 5/30/06 --------------------------- Expiration Date_------------------------ --- Special Notes and Comments CUSTOMER PERMIT ISSUED AT NO CHAR HAS CREDIT II 'I$50��CUSTOMERT OF SHAS THIS PERMITS $55 . 00 REMAINING. Credited Due Charged Paid -- ------- ----------------- ---- 00 --- Fee summary _-____. 00 -_----- -- -_---- ---- .00 .00 Permit Fee Total 00 . 00 .00 Plan Check Total 00 p0 00 . 00 .00 Grand Total i i i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATIJNTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i i BUILD IAS. i . . � � � \ \ \ » \ � ^ \ � . / { � \ \� . . � { � \ � \ \ \. \ � { ~ � . \ � \ \ � » . \ � . \ . . � . [ � . � \ � \�: : � . [ . . � � \ � ~ . . /� � . . . [ . � � � � � � . � � . [ � . � � < � � � . . . � ( . . . . �\ � » < < » . . { � . . � . t � . � : . . \. ( � � � . � � 2 \ m\ { � . . � : \ . � � . � . � � � � . � ; � . � � . � . . . . » [ � � � \ § : \ \ � . [ � � � � \ � \ . [ � � � \ »\ \ ƒ . � \ � . . � \ \ \ \\\ . . � / � . . � � � . \ � � . ( � � � � � � � \ . \ \ { ` . � � \ � > /. \ { � � . � . � . y : . . . d . [ . . . � � � :� � © / � . � [ . . . . � , . � � � %. ^ � (. < \ � ^ � � � � � � ° . r � { < \ . � � � . � � \ � �\ . � � ( . . . . � © . \ \ � [ � ° � � � � � � � CITY OF ATLANTIC BEACH z 800 SEMINOLE ROAD } ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 03-00026211 Date 6/02/03 Application Number 528 PELICAN KEY Property Address • • • ' HVAC Tenant nbr, name • • ' ' . MECHANICAL ONLY Application description • . ' TO BE UPDATED Property Zoning . • • • • • • 0 Application valuation . . . . Owner Contractor -------------- ------------------------ OCEAN STATE HEAT & AIR ---------- STARRETT, MRS 1476 ATLANTIC BLVD. 528 PELICAN KEY ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ----- ---------- Permit . . MECHANICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 87 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited Due _ _ ---------- ----- . -- - - . 00 Permit Fee Total 87 . 00 87 . 00 00 . 00 Plan Check Total • 00 . 00 Grand Total 87 . 00 87 . 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 ING IMPROVEMENTS" WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION TISSUED ON FOR VIO A ONOFAPDCAB E PROVIS ON OF LOAW. PLANS BUILDING OFFICIAL aWj MA) IS CITY OF ATLANTIC BEACH s� � v" MECHANICAL PERMIT APPLICATION Date: (� Owner of Property: m na. Lh�Y"C..l �. Job Address: E)Z% , � a Contractor: Occo n � C, 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. III. GENERAL INFORMATION A T pe of heating fuel: B. Electric IS OTHER CONSTRUCTION tUG DONE ON THIS Gas: _LP _Natural _Central Utility BUILDING OR SITE? �tJJ O ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BENATURE OF WORK INSTALLED Residential or Commercial ❑ New Building (Provide complete list of componegts on back of this form) Existing Building Heat _Space _Recessed �Q Cen _Floor Replacement of existing system Air Conditioning: Room Central New Installation(No system previously installed) Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfrn C3Other-Specify ❑ Refrigeration ❑ Cooling tower: Capacity Rpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) ❑ Gasoline pumps (Number) (Received) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving on 1A (BTU) Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845+ http://www.cLatiantic-beach.fl.us 1/14/03 CITY OF ATLANTIC BEACH iz 800 SEMINOLE ROAD 32233 ATLANTIC BEACH,FLORIDA47 5826 J •'` INSPECTION PHONE LINE � s k a; 03-00027331 Date 12/02/03 i Application Number 24 PELICAN KEY Property Address WATER HEATER Tenant nbr, name PLUMBING ONLY Application description TO BE UPDATED Property Zoning . 0 Application valuation Contractor - Owner - - - -- - - - --- -- - - ----- - - ---- -- - --- - ----- - ALL PLUMBING DIAZ, CHRIS 4837 ATTLEBORO STREET FL 32205 524 PELICAN KEY FL 32233 JACKSONVILLE ATLANTIC BEACH (904) 381-0185 -- ----------------- i (904) 247-7649 ---------- ------- --- - ----- --- - - - -----Permit . . PLUMBING PERMIT . 00 Additional desc 42 . 00 Plan Check Fee 0 Permit Fee Valuation Issue Date Due Charged Paid Credited -------- Fee summary ---------- ---------- . 00 . 00 - ---------- 42 . 00 42 . 00 . 00 . 00 Permit Fee Total . 00 • 00 . 00 , 00 Plan Check Total 42 . 00 42 . 00 Grand Total ONTLy WITH THE CONSTRUCTION LIEN D LAMS DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED iATERIAL,RUBBISH AND ISSUED ACCORDING TO APPROVED JLED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO fHE P OF THIS P ROpFWNER PA G TWICE FOR BUILDING IMPROVEMENTS" P ART SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 ter.cTlR A T `? CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: • c�lQ a Job Address: i t(e c ch Owner of Property: lir \S 1(a Telephone: aL �— -A0LA '1 Plumbing Contractor: - V-Q\\1 \ p UC��i C)r, Contractor's Address: ��CCSye��- JQy;— Telephone: 1 01`55 Fax: State License Number: r�— How many of the following fixtures (re-piped or new): S inks _Showers ___.___Water Lavatory l./ Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-Pipe (List fixtures being re-piped) _ Total Fixtures: 1 x $7.00 + $35.00 = L •LSO (Minimum Permit Fee: 535.00) 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 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 http://www.cLatlantic-beach.fl-us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J} INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number . . . . . 08-00000229 Date 2/15/08 Property Address . . . . . . 524 PELICAN KEY Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . 0 --------------------------------------------------------------------------- Application desc 1 CU & 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DIAZ TROPIC HEATING & AIR 524 PELICAN KEY Q/A:MARKS, CHARLES J. ATLANTIC BEACH FL 32233 750 MAYPORT RD. ATLANTIC BEACH FL 32233 (904) 241-1788 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 79. 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 8/13/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. L PHONE 744-8888 -ARLINGTON-BEACHES ROOFING, INC. Put Your Roof in Our Hands. WE CARET: 1441 CESERY TERRACE JACKSONVILLE,FLORIDA 32211 APRIL 20, 2004 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ATT: BUILDING DEPARTMENT THIS LETTER IS TO VERIFY AND CONFIRM THAT ALL: ROTTEN WOOD RELATING TO;ROOF- AT >528 PELICAN KEY, PERMIT 004-00028032 WAS REPLACED AND PROPERLY DRIED IN. INSPECTION WAS GALLED IN, APRIL 14, 2004 FOR THE SHEATHING AND DRY-IN, ROOF W.AS COMPLETED BY THE TIMEE INSPECTOR INSPECTED'. SHOULD YOU HAVE ANY 'FURTHER QUESTIONS PLEASE CALL (904) 744-8888. REGA DS, CITY OF ATLAjV-nC(3EA BUtlafN CH G OFflCE Ylt4BERLY H. GODWIN APR 23 OWNER zoa 8y: t., is r J`$xZ CITY OF ATLANTIC BEACH --� J 800 SEMINOLE ROAD �. ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 roll IVt Application Number . . . . . 04-00028032 Date 4/06/04 Property Address . . . . . . 528 PELICAN KEY Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4750 Owner Contractor - ------------------------ ----------------------- STARRETT, FRANCIS ARLINGTON BEACHES ROOFING 528 PELICAN KEY 1441 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-8888 ---------------------------------------------------------------------------- S Permit . . . . . . ROOF PERMIT J Additional desc . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 4750 Fee summary Charged Paid Credited ----Due--- ----- ------------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 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 d CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j . ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 'y 0lilt Application Number . . . . . 04-00028032 Date 4/06/04 Property Address . . . . . . 528 PELICAN KEY Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 4750 Owner Contractor - ----------- ------------ ------------------------ STARRETT, FRANCIS ARLINGTON BEACHES ROOFING 528 PELICAN KEY 1441 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-8888 ------------------------------------------------------------- --------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4750 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- -- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 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 b� PERMIT CALCULATION SHEET Date Address 2 F C. Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ J.��aa. $35.00 ist $1000.00 $ $35.00 Total Valuation $ 34-x. -` $ `` $ -9 Remaining Value Per thousand or portion thereof: . . CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 5 S . ZONING: + V2 Filing Fee $ _ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: S-3 BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE $ Cc: CITY OF ATLANTIC BEACH a5 BUILDING / ZONING DEPARTMENT S. Doerr r 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C�)Lt - 2:8032- Property :803ZProperty Address: ! z P,t �— Applicant: 1`k(r L Project: 7Rl< -(2bQ1z This permit application has been: ❑ Approved Reviewed and the following items need attention: 09 Please re-submit your application when these items have been completed. Reviewed By:JAV Date: G� (, 6'G I 04/02/2004 14:07 9047450000 ARL BCHS ROOFING PAGE 02 PI 0 CIT F ATLANTIC BEACH R00.FI PERM[TAPPL.ICATION ' . 1 Job Address; d CAAJ ke Aweer of Properey: T Adams: _ E U A Telephonr. Contractor: ARLINGTON BEACH ROOFING Sate Li,;~Nwnbor: CCC1 325530 Conuwor's/ *k0t: 32211 Telephone: 744-8888 Fait; 745-0000 Scope of Work; - lr D"A Ship`;; Gcmw 2:12 / Less than 2:12 Vak tion of work: Product Nom.(Exurnple:Timberline): !Manufacturer(Pau rnpk:GAF)- ASTM DeAiSnation(s'): Required traspcsliotta. Stwu lin l:i Signature of Oworr: Date: ,, Sig:s;ury c;`::L€e•::tsar. / ',, Dan: 2— HCl- [J Y' AS TO OWNER. Fr Sworn to w4 raker1e4 bMM the this � day*( 200 $tate of Ftor*c County of Duval tVestsry'�3idaa SNt kabou now.. r+orte�e•sklr knower/ Pro"ad iid.otiGcatio 6Z43 t 2 C AS TO CONTRACTOR: ewer-'.o:.ae!subscribed before atie U►i:tday of Sten of Florida.Couety of Duval 112 //? 7�r g�t ally kno,70 1-1TV tww"MR 1T 200. '` W `i3 a of eAt i aliiti?�i► Type of i4enutrpti0p produced "A FT!ni"4*" Adantk>saach.Ftwida 32=-S"5 ..::e#:^".: :>.'�}_tom •'"3A: ('3i4w j 3�i.v343 °iitY�:i;rr wrr.ii.eiiswiic•i►sscth.ii.w FASB l Ar+nal21:aA3 •. r FINN 71 •' , • ,; '•'�"�eFi=..Z_�'"^'"'�i"'1FrTi'n�r. iF'►.�t�11���i������ ��■�� � sasa�■■ra ss■�e©�a :���t���-,�+�-'- ��■�Maio��o■������ ,.Mlr��MMMMLTP�A= fi��rico ago�arr�rr�wo■� Illy firma::LJ11-Jam'-Lt :W=�Mrw mwmO MAN ""Mm mm � �� a■■�r iso��o����� ;. , MV77 ��■�+ro���■■ tea •.,� ���rr�cair`moo�.r,�N� ,�:.�n�:� �■a�rr[s�Sao�a�� kry_,-y ] 5 MIN. RETURN Book 11730 page 1660 PHONE# 744-8888„ NOTICE OF COMMENCEMENT tatEPwtEWWKMTP PERMIT # Permit No. Tax Folio No. State of FLORTDA Countyof 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. _�7�) r Legal description of property being improved: �cx J Address of property being improved: General description of improvements: RE-ROOF PREP Owner �AJC -7-14 PM-6,77- BY:: Address E A Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) N/A . Name N f A Address_—_N/A Contractor ARLINGTON BEACHES ROOFING, INC. Address 1441 CESERY TERRACE JACKSONVILLE FLORIDA 32211 Phone No. 744-8888 Fax No. 745-0000 Surety(if any)_N/A Address_N/A Amount of bond i N/A . Phone No._N,/A Fax No. N/A Name and address of any person making a loan for the construction of the improvements. Name N/A 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 Limo's Notice as provided in- Section 713.06(2)(b),Florida Statutes.(FRI in at Owner's option). Name N/A Address N/A _ Phone No. N/A Fax No. N/A Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): ThIS SPACE FOR RECORDER-S USE ONLY Signed: Date: �2,0 Before me this day of in the p �i i Duval.State of a,ha rsonally appeared Boots2 1017p.32156 /� Pale: 1660 Filed 3 Recorded TIMR/OUM 11:50:25 AM Notary, is at Large.State of ,�,8 t� 0uva1 LLER CLERK CIRCUIT 13111tT My rwmmissan expires: *ii[*w :gmiyp WAY i 5.0 Personally KnownEvw- nM°r 2m a TRi15T FUND ; 1.00 Produced Identification �a�a�J '2./,a2•23•S)�V '�� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 05-00030581 Date 6/17/05 Property Address . . . . . . 524 PELICAN KEY Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3060 Owner Contractor ------------------------ ------------------------ DIAZ, CHRIS HANSON ROOFING INC 524 PELICAN KEY f 2714 CORTEZ RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-6328 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3060 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 APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address S.2 Date &O G(C, Heated Square Footage @$ _per sq ft= $ J Garage/Shed @ $ per sq ft= $ Carport/Porch $ ,per sq ft= $ Deck @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ 3�6fl 3s' $ .35 Total Valuation 1 $ , ®p a 0GO $ t6� Remaining Value $aper thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ S O ZONING: + 1/2 Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ SCS WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ CITY OF ATLANTIC BEACH Cc: s BUILDING /ZONING DEPARTMENT a 800 Seminole Road L.Higginsoerr Atlantic Beach,Florida 32233 QFlit (904)247-5800 (904)247-5845 Fax www.coab.us (`i r.y l) . PLAN REVIEW COMMENTS JUN 00 Permit Application # cl Property Address: Z SLI IJ r Applicant: -,Ac'►•� 1.� Qcs�� Project: f This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: L t 6 l 6 Date Contractor Notified: kid r.� JUN CITY OF ATLANTIC BEACH r J 1, '• _Ze ROOFING PERMIT APPLICATION J v N Date: Job Address: Owner of Property: (' r,'S 01 k Z Address: 1Lc Telephone: &Y Contractor: ,, .rte. State License Number: 057k)_S Contractor's Address: 071K (_or k z (ISS Telephone: G4 I L032� Fax: Gil.l (4 S 2 9 Scope of Work: VLCOO� Deck Slope: y'12- Greater than 2:12 Less than 2:12 Valuation of work: pk_ec� Product Name(Example: Timberline): r lr.ss c zaf S-? Manufacturer(Example: GAF): J(n1t,) "- ASTM Designation(s):p3A (102- Required Inspections: Sheathing and Final- Si inal Signature of Owner: L(0Date: J sSignature of Contractor: Date: I, ` q"U AS TO OWNER: Sworn to and subscribed before me this day of 20Q�. State of Florida,County of Duval Keith Bruns PRYP4� Notary's Signature: - �a S . =:Commission#DD181139 Expires:Jan 30,2007 Personally known Bonded 1"hru ❑ Produced identification Atltuetla Banding Co,,Ina Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ��-�r-'� . ,20 State of Florida,County of Duval Notary's Signature: Keith Bruns YP`B4� Commission#DD181139 rsonally known ac Expires:Jan 30,2007 ❑ Produced identification Bonded Thru Type of identification produced Atlantic Bonding Co.,Inc. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fLus Page 1 Revised 2/21/03 Page 1 of 1 �ti��M CU�F�s I IIIIII IIIII'IIII VIII III�i VIII IIII IIII '• Print Date: 6/16/2005 3:28:12 PM Transaction#: 685518 COW" Receipt#: 647476 Cashier Date: 6/16/2005 Jim Fuller 3:27:09 PM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer Information Transaction Information Payment Summary DateReceived: 06/16/2005 Source Code: BEACH Q HANSON ROOFING INC Q Code: BEACH 2714 CORTEZ RD Return Code: Over the Total Fees $10.00 JACKSONVILLE, FL 32246 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: 1 Payments � $10.00 IRM CASH 1 Recorded Items ANBKPG: 12556/328 CFN:2005222246 Date:6/16/2005 /C)NOTICE 3:27:00 PM COMMENCEMENT From: DAL CHRIS To: COMMENCEMENT INDEXING 2 $0.00 RECORDING 1 $10.00 0 Search Items 0 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 6/16/2005 • r NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom It may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. D Legal description of property being improved: 3-Z-44 ! ej,"t 5 n/ Inc��" V Address of property being improved: t ,� Al j-l4n General description of improvements: Owner r ri'- i.2 Address << ui U 14 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor ✓ r -'^r G Address Phone No. Fax No. Surety(if any) 1 Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes,(Fill in at Owner's option). Name Address Phone No--------------------------------Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: te: 0 r' Before me this y of � in the County of Duval,State of Florida,has personally appeared Doc#2005222246,OR BK 12556 Page 328, Number Pages. 1 Notary Public at Large,State of Florida,County of Duval Filed&Recorded 06/16/2005 at 03:27 PM. My commission expires:� JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10,00 Personally Known or Produced Identification V -ei., B rMIS gpRY PVA i� Commission#DD181139 Expires:Jan 30,2007 i''7k .•••P Bonded ��� ° Atlantic Bondingng Co.,CInc. `SS CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ! ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000856 Date 6/23/08 Property Address . . . . . . 528 PELICAN KEY Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3900 ------------------------------------------------------------- Application desc REROOF FL 5444 . 7 --------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STARRETT R.L. HAINES CONSTRUCTION, INC. 528 PELICAN KEY 130 UNIVERSITY PARK DR. ATLANTIC BEACH FL 32233 SUITE 125 WINTER PARK FL 32792 (407) 384-1908 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3900 Expiration Date . . 12/20/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Filed&Recorded 06/23/2008 at 12:06 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL This instrument Prepared by: COUNTY Name: Jon Baldwin RECORDING$10.00 Address: 2235 Mercator Dr. --___-V----_---_-----_-----------`--- ------ Orlando,FL 32807 Permit No. Tax Folio No: NOTICE OF COMMENCEMENT STATE OF Florida COUNTY OF Duval THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of property, and street address if available) 528 Pelican Key Atlantic Bch.,Fl,32233 Legal Description# 172027-5564 Selva Lakes Unit 2 Lot 84 2. General description of improvement: Residential Re-roof 3. Owner information a.Name and address: Frances Starrett 528 Pelican Key Atlantic Bch. Fl,32233 b. Interest in property: c.Name and address of fee simple titleholder(if other than owner): 4. Contractor: a.Name and address: R L Haines Roofing,LLC 2235 Mercator Dr. Orlando,FL 32807 b. Phone number: 407-384-1908 c. Fax number(optional, if service by fax is acceptable): 407-384-1909 5. Surety a. Name and address: b. Amount of bond$ c: Phone number: d. Fax number(optional, if service by fax is acceptable): 6. Lender a.Name and address: b. Phone number: c. Fax number(optional, if service by fax is acceptable): 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in section 713.13(1)(a)7.,Florida Statutes: a.Name arid address: b. Phone number: c. Fax number(optional, if service by fax is acceptable): 8. In addition to himself, Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b). Florida Statutes: a.Name and address: b. Phone number: c. Fax number(optional, if service by fax is acceptable): 9. Expiration date of notice of commencement(the expiration date is 1 year from the date of rPrordina unless a different date is:snecified) lle� a CITY OF ATLANTIC BEACH 08- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US x � BUILDING PERMIT APPLICATION DuvAL COUNTY SIS Q /0C l G4rl -t �ev ❑NEW BUILDING [03DEMOLITION RESIDENTIAL f. LOT BLOCK_SUB DIVISION la v0.t ddr--t� ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL "''�•••° M0 ALTERATION ❑ACCESSORY BLDG. •. �^L rl. �vLY`� ❑REPAIR ❑POOL/SPA [3 YES N/A –ILt701 ( Ir► { j l ❑MOVE ❑OTHER ❑NO 9.NAME: 15.COM ANY yyAME:• / 23.COMPANY NAME: A( �N Ln Ct 16.NAME: 24.LICENSEE NAME: ,Srr-aw't2 -- 21 k CA o� (�a,l 4 r1 10.ADDRESS: 17.STATE OF f FLORIDA LICENSE NO.: 25,STATE OF FLORIDA LICENSE NO.: � CCL Of 7 6j ,-( Il<<'r" r lti'l 18.ADDRESS: 26.ADDRESS: dfd int gZG. (�� Z2s3 2Z3 f M C,&CeVA- 0& �2Ga,a4, 11.OFFICE PHONE: 12.FAX NO.: 1`9...O FICrE P ONE: 2,30.i/X N2: /4�� 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: ( 29.CELL PHONE: 14.EMAIL ADDRESS: 22,EAIL ADDRESS: 30.EMAIL ADDRESS: &/,4 wlarJ GUM- , 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36,ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. k WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �i v� Signed"�`�'�a Signe Date: n N 20 in th count of Before me this l 7 day of-, im�.� 2oob in the county of Before me thi 3 day of --T y Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared aherrl — D , Oochra V L. li .4-4 s herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. / /��� true and accurate. Notary Public at Large,State of —County,County of int Y'4& Notary Public at Large,State of F'L County of ❑Personally Known personally Known 1(Produced Identif tion-_. ❑Produced Identification- Notary Signature: Notary Signature: TIMOTHY A.DYRD Notary Public state of Florida Commissior1p OD300520 Y P��.r MY comm,expires Mar. 15,2012 ,MLI LION#D Z .:? ! coAB Fo .•»� MY COMMISSION#DD 571012 a= EXPIRES:August 18,2010 Af,h, Bonded Thru Notary Public Underwriters CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT Pl ('tMII1T tNFORiIAATfif N: 1.00A'CION<INFOI2MATiON Permit Number: 18214 Address: 524 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 LAKES Est. Value: Parcel Number: .Improv. Cost: = C11AiItIER<INF ORNIA�'tQN Date issued: 5/13/1999 Name: LERRIETT, WALTER & MARY KAYE Total Fees: 25.00 Address: 523 PELICAN KEY Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/13/1999 Phone: 000 000-0000 Work Desc: REPIPE 400 FEET TRA+ .To S .. MIDWAY SERVICES, INC. APPL[CATION FEES PERMIT 25.00 kitFINAL Ions iLirad. 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. PAID MAY 1 3 1999 CRY of Atlantic Bch. AN BEAC BUILD DEPT. LJtiV - 11 - JU V1 :4JAL, IUII CITY OF ATLANTIC APPLICATICK SM PLUMBING pZWl aT JOB LOCATION: 3 OWNER OF PROPERTY: &Kr TELEPHONE No.�y( PLUMBING CONTRACTOR �. Q M? < 7nC CONTRACTOR'S ADDRESS: '��J- f r FL 3374,% STATE LICENSE NUMBER: $ / TELEPHONE:�7�7� S?3--qi6�0 HOW MANY OF THE FOLLOWING FIX S INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER Jr• TGa RE P I PE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE(f:$ 5.00 SIGNATURE OF OWNER 1 SIGNATURE OF CONTRACTOR: s i . &ori -------------------------------l_/------------ __-__--------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN ST ARD PLUMBING CODE. CALL A DAY .AHEAD TO SCHEDULE INSPECTIONS - 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLI WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 12-11-1998 12.10PM 904 247 5805 P.02 [I Ti Plumbing •Electrical•Air Conditioning• Gas •Appliances "Above & Beyond" 07 11 Div Corporate Office:4677 118th Ave.N. Clearwater, FL 33762 CFCA 25591 ER0013532 CACO 057583 May 11, 1999 City of Atlantic Beach Permit Department 800 Seminole Road Atlantic Beach, FL 32233 RE: Levriett's Residence 523 Pelican Key Dear Sir: Enclosed is an application for the repipe/plumbing of the above-referenced address. Please process the application as soon as possible and return the permit and placard to me in the enclosed, stamped, self-addressed envelope. Also enclosed is our firm's check, number 02533, for$25.00 to cover your fee. Thank you for your assistance. In kind regards, 4La Phylffs Styrzo Permitting Department Enclosures: Permit application Firm check Stamped, self-addressed envelope St.Petersburg 898-1200 - Seminole 391-1177 Clearwater 573-9500 • Tampa 961-2800 - Nationwide 1-800-MIDWAY-5 Brandon 685-8000 - Pinellas Park 544-4100 Tarpon 937-5700 - Gulf Beaches 393-6545 - Fax 727-556-0117 ;�a•ss�a'' �s.A py. i+�. r 0 3 CITY OF ATLANTIC f3EACH en wr.ir.n�#ytaa€4r, � . .YL�.�a1+dy.n,,iE.�# !✓��A.Ad a At 0!f. rl XPOp."TO.*y &f� 335 Address: 7; i:' LICK`AM I it T,�l'P*Of 4 -6 rk i, �"JfxmiION;.. A'I'1sA1�1°�C: � LOR ID tIrl G C Lot: t1 $efti 03i $ 4Caic L1ffirINI 'A3IIsG`" Tawn� i>pz RNCF: (} S,tif"ted VIu+sD',QLI 65 $2v>r >p�av. 1 . ` CWq. �4 ta'I $2 6.00 f 21195 kk JOS APS L C"3''T 4 ' � � . ��D A ? Y RAT 1+ AC t . Flftw 3AC3. :IE lot$0+ .01A,P " �` A Air" � ..,. RAWN 'O # Y ?.Dt ' RADON CAS �` $t?.;t�E} rn+� IR I * ' CAPITAL Ala .e0101 � . „ . , JAC ILLS f. PL 322.17 CR#� f [ t $0 00 C `Li 2 Tyo : t SPS "pt COFNSfi.s �ti " QB' •thy �s rc�'� �i NOTICE—ALIS.CONCRETE FORMS AND FO_=INCI MUST BE INSPECTI~I 13> f�Ql`tl :PE►t l iNta PERMIT VOID SIX MONTHS AFTER[TATE;OF"ISSUE WILDING MATERIAL, RUBBISH"ANC DEBRIS FROM THIS WORK MUST NOT Be PLACED IN O*LIC SPACE,AND MUST BE CLEARED(7P AND HAULED`AWAY`I3Y EITHER CONTRACTOR OA OWNER # ► La��t `TC? ' . ` 11U' TH TME MECHANIC' �.���" ��' � .RE UL IN " ' "TWItE THE at ISSUED ACCORDING TO APPS D FLANS WI TCH ARE�e FART OF THIS RIwRM—IT AND t11~3.IIr�:T��t I��VfJCATION I4tpR LATI OF APPL IG130tISIt�tS OIC SAW ` *LANTI BEACH BUILDINfl eEPARTMENT i pq&�`C CITY of Office #�- � of g wlding Official Time'-- 3 a _�, REQUEST i Date FOR /N3PE Received CT/Q�/ Job A ©- PM. Permit No. owner res' Name BUDDING Framing CpNC Locality Re Roofiin ❑ RETE t Contractor Insulation g 0 Footing E 13, slab r I LEC7-RICAL Lintel 1-7 Bough Wfrin Mon. ] Fi mp Pole g G nal - MECFI rcp out ANICAL. Tues. Sewer n Air Co InsPection Made READY FOR INSPECTIpN ❑ lieatingd. & n fnsAector ,� fed. Pre Plac _� re Fab e O Thurs. A.M Friday PM. �t Final InsAect, Certificate of Date cO _",.y T 8054, DEPARTMENT OF 81JILDINQ CITY OF ATLANTIB#ACHE ..;�. _ PERMIT INFOAMA' ION ------ -------,, LOCATI�ON` -INFORMATION � t Nuu ►esl:: 805+I< ,I�ddYeeSS4 $ PELICAN KEYp@�# .< Ty pe• PLUMBING ATLANTIC REACH, FLORIDA 32233 Cl ..0 f Work: A� TEAXTION ----_... --- LEGAL 1�EaI��t PTICIN ..�.w.��..,�._.._ Con& T, T�pt� Wt7OA: FRAME Lot : Block. Section,: Fr is e:d tJset SING' LE FAMILY Township; RPtC3; (� Dw l.<l ra 2 Oodea. O Subdivision. E ti ated vAlue: S0.00 MOD OD A oui Ex PAN „.».�..,.. TION A$PII A"t'I+3N' 'LES N PERMIT $18. 50 i cldA P KEY ,., * fiA I PA FEE ' $O.iI4 E Ii, `LOR II? +� as , WATER METER/TAP. $0 .06 RADON CAStH.R.S: Ett,C!0 C TR ` R " 1 t? iTI. -_�-_ RADON CAB 5% $0.00 � � �: R m.? ►D� 3 , ,,�m aINC ,, _ -CA `IMPROVE.' - .$0 -06 �id�lr�ffi�: 4866: ELLL ST UNIT- `20 SEVER TAP $0 00 SKS LE FL 322#x$ IiDRr~lUL`TC BEARS t3t3 ? j L c: Type, 4 CROSS CONNECTION ' O • a .. CONST. `SURCHARGE ,IVI~3T'E�u: r t N0TICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE'POURING PERMIT VOID SIX MONTHS AFTER DATE"OF;ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST'BE � r �CI.EARED UP AND HAULED AWAY'BY EITHER CONTRACTOR OR OWNER 1 PA RI TD Ct MPLY WITH THE MkCHANICS' LIEN LAW CAN RESULT IN E 'THE PRCiPERTY OWNER PAYIN'G TWICE FOR I3UIL.C3INQ IMPROVEMENTS. IBSUS ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FO vl,�, IIOL l 3►N OF�APPL'ICABLe PROVISIONS OF LAW. . I } TIC,BEACH BUILDING DEPARTMENT wr.ttEtt°. IIELEII a". litt;" 1/W94 ,10 It wiptt 00+4452'1 Tt>#al PaleIIP8.5tI h CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 5-..7& e"'�-- OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: " TELEPHONE NUMBER: STATE LICENSE NO: ` L TYPE OF BUILDING: TYPE OF WORK: .— HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS- LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3.50 + $15.00 = $ ---------------------------------------------------------------- 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 ADDRESS CONTRACTOR__ ` - -CLUK�-------------------------------- OWNER____ -- ----- rte`------------------------- BUILDING... ------------------------BUILDING___ MECHANICAL--__-__. PLUMBING ELECTRICAL____-_- TEMP POLE......... MISC ELECTRICIAN DATE FAILED DATE PASSED TEMP POLE JEA FOOTING ----------- ----------- ROUGH PLUMBING ----------- -- -------- SLAB FRAMING MECHANICAL/FIREPLACE 2 7 TOP OUT PLUMBING �'� ----------- --------- - ROUGH ELECTRIC FINAL ELECTRIC FINAL BUILDINGl� - CIN) ELEVATION SUBMITTED CERTIFICATE OF OCCUPANCY DATE ORDERED DATE ISSUED CITY OF vx� 4&49&.0 Ve4d- Office of Building Official Q REQUEST FOR INSPECTION Date Time Perm No. Received A.M. .tri t No. Job Address Owner's ality Name tracto � BUILDING CONCRETE Con Framing ❑ EL CTRICAL PLUMBING Footing Rou h Wing ❑ Rough MECHANICAL L, ri Re Roofing Slab ❑ Tem PoleAir Cond.& ❑ Lintel ❑ Fina Top Out F1 Air Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. A pA Inspection Made ridg y P.M. ) A.M. Inspector P.M. Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date 11-f Time Permit No. A.M. Received P.M. District No. Job Address Owner's ,f cality , Name Contractor BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. A.M. u Friday P.M. Inspection Made ` Inspector / ------ Final Inspection C Certificate of Occupancy Date e� CITY OF Becciti Office of Building Official REQUEST FOR INSPECTION Date 2� Time Permit No. C�f�O Received A.M. P.M. District o. Jqb4oclress Owner's " L ity Name Contractor BUILDING 61 CONCRETE ELECTRICAL PLUMBING Framing ❑ Footing ❑ MECHANICAL Re Roofing ❑ Slab Rough Wiring ❑ Rough ❑ Air.Cord.& ❑ ❑ Temp Pole ❑ Top Out ❑ Heating Lintel El Fire Place ❑ READY FOR INSPN Pre Fab Mon. Tues. Wed. a M 1 Mhur . sFriday__�_p Inspection Made -aL - A.M. P.M. Inspector eFinal spectionate of Occupant Date `j DEPARTMENT OF BUILDING p c j CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO, 8 5 l 69 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/6/$7 19 1',1900CKT Valuation$ Fee$ 82.00 fla69 01117AC 062 1 A 7/27/8 This permit not valid until above fee has been paid to City Treasurer,and is 1 subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State Heat/Air " has permission to h Install heat/air l ClassificaticK New Residential Zone Owned by RGH Properties, Inc. Lot 83 & 84 Block Unit II S/D Selva Lakes House No. S24 €t 528 Pelican Key j According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --� � 0 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 con- tract or owner. Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER i7. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1' �Z9I— LOCATION Street Address: OF Intersecting Streets: Between And BUILDING L_VP Sub-division II. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attachLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractors Contractor (Print) Master ._ 7 Name of Property Owner n/\ Signature of Owner Signature of or Authorised Agent " Architect or Engineer 111. GENERAL IN r ieiltilAiiION A, Type of heating fuel: B. ` f IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? Q Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q on PERMIT [� Other— Specify IV. MWINANICAL EQUIPMENT TO NE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) � Residential or El Commercial Heat ❑ Space E3 Recessed K Control O Floor X New Building Air Conditioning: ❑ Room Central ❑ Existing Building Duct System: MatorialDIga�� Thickness. (❑� Replacement of existing system Maximum capacity 2.Z0© c.f.m. J4 New installation(No system previously Installed) Q Rafrigantion •❑` Extension or add-on to existing system El Other — Specify ❑ Cooling tower: Capacity g.p.m. Q Fin sprinklers: Number of head Q Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY 0 . Gasoline pumps (number) (Roost d) (3 Tanks_. (number) Remarks Q LPG confaineK (number) Q Unfired pnuure vessel Q Toilers Permit Approved by Date Q 011ier — Specify Permit Fea LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ) ApproVing Number Units Description Yodel Number Manufacturer ( ) 0113 f. it o l` Z tr CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: 5.200 Owner: Telephone#• Q � • Telephone#: 02 $ - Contractor: P 57 Contractor Address: f(7 7 Qllt! —� 66V-v-9L Fax#: Contractor Signature���'—'(`l��. In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904) 247-5845. http:/lwww.ci.atiantic-beach.fl.us Revised 1/04 BUILDING PERMIT N0._– 570 --- DEPARTMENT OF FLORIDA CITY OF AT I•P'NTIC BOCK'S UI►-D PERMIT T i STED ON JOB Vit?ennc1,T TNi5 PERMIT MUST BE PO , I 1 4/6 •f; C" � Date �$ I t�ll'�1 V auation$ aid to City Tteasuret,ai'd's til above fa has been P rovis. of law- Th. not valid of applicable P Q145 This pe tion for violationPiT subject to revoca cabin Pl This is to certify that has P ermission to zone,,-- A1ew Residentiaes Inc SID gelva Lhkes I Classification R pTo eTt1 Owned by _Block Lfii I 8384 Lot 524 r��g Pel a-- Ke S ermit CRE ORM 14ouse No• hick are part of this p ALL CON' ST BE IN- to app lans w NOTICE— TINGS I' According roved P BEFORE AND FOO POURING. SPECTER 1T V01D SIX MONTHS PERM DATE OF ISSUE I AFTER d debris material,rubbish an laced O Building workm this must not be cleared nopab cspace,led away by t e tber con- up and.hau tractor r owner.. �� uildin6Official. B CONTRACTOR PERMIT DATE -� FOR OFFICE NUMBER i USE ONLY PLUMBING EI.ECTRICAL SEWER NNATER CITY OF -ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 524-528 PELICAN KEY ' v PLUMBING CONTRACTOR F. W. FAIR PLU1,:BING COMPANY LICENSE NUMBERS MP145 State RF0037503 OTWNER RGM PROPERTIES BUILDING CONTRACTOR RGM PROPERTIES TYPE OF BUILDING DUPLEX 2 SINKS 2 SHOWERS 8- LAVATORY 2 WATER HEATERS 2 : BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 6 CLOSETS 2 WASHING MACHINE FLOOR DRAINS ' OTHER 28 TOTAL FIXTURE COUNT X$3. 50 + $10 . 00 DATE 4 / 10 / 87 TOTAL A. OU:;T $108 .00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH T-HE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . JOB #4432 L� CITY OF ATLANTIC BEACH, FLORIDA Approwa by APPLICATION FOR ELECTRICAL PERMIT i TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 4-10 19_$Z IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS HE ATTACHEDDESCRIBED IN THE FOLLOWING,NS AND SPECIFICATIONS, HERWITH EBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Adkins Electric, Inc. ELECTRICAL FIRM: MAS ER ELEC ICIAN SIGNATURE NAME RGM Properties ADDRESS: 524 Pelican Key RFD BOX BLDG.SIZE BETWEEN: RES.( )) APT.1 ) comm.( ) PUBLIC ( 1 INDUS.( 1 NEW(x) OLD( 1 REW.( 1 ADDITION ( ) TRAILER ( 1 TEMP.1 1 SIGNS ( ) SO.FT. SERVICE: NEW 1X1 INCREASE ( 1 REPAIR ( 1 FEE e� D AMPS / -"� COPPER l 1 ALUM. ��� CONDUCTOR SIZE SWITCH OR BREAKER / �d.'! AMPS PH W cn. VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER iunrnwc H.P_ 1 VOLTAGE I PHS NO. 1 H.P. VOLTAGE PHS JOB #4429 J CITY OF ATLANTIC BEACH, FLORIDA App.o ed by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 4-1 n 19 87 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WOHE ATTACHED PLANS AND SPECRK AS DESCRIBED IN THE. T FOLLOWING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Adkins Electric, Inc. ELECTRICAL FIRM: MASTER ELGNATURE JOURNEYMAW NAME RGM Properties _ADDRESS: 528 Pelican Key RFD BOX BLDG.SIZE BETWEEN: RES.(X) APT. ( ! comm.( i PUBLIC l 1 INDUS. l 1 NEW(K ) OLD( ! REW.( 1 ADDITION ( ) TRAILER ( ! TEMP.( ! SIGNS ( ) SO. FT. SERVICE: NEW(X) INCREASE ( 1 REPAIR ( 1 FEE EE p a CONDUCTOR SIZE -G AMPS 1 SryO COPPER ALUM. SWITCH OR BREAKER L� AMPS PH 3W aZ ?VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0JAMPS* 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.10OVER APPLIANCES TBELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O-1 OVER 1 iunTnu4t 14_P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS CITY OF ATLANTIS BEACH No. 4204 ; FLORIDA April 6 NAME-- Revabull- Inc- ADDRESS- 2600900 TL CITY Namti ne Reach %2211 260001 OCKTO 7 4204 .QQCACG 4597 IV 4/08/87 Mater Impact Pee 140-343-3700 $530.00 IOQQi Sewer Imoact Pee 041-343-5200 $2,,070.00 $2,600.00 Lots 83 4 84 Selva Lakes . r 524 $ 528 Pelican T-ey a I When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TRWURER 1A fCfJ• r �^4 �, ff - M I ' t� .! � � y tU 5k r! z• �� !p��a '� it f�„ i t r�'lt'"� }� ;y r' ° x• y Y d � �.>4,t .i;� � -r r k$aha p,y�: f,b •1 t� ! � Ta.a `C = f,; 4 � r�+,{��•�, J �r .. r � 1.• ?,�°..� o,^ � t .. 'I r a+>< �•r Y&�� t ,1.. .1 � �k�. rt N S �. ic* t`!7y fir is ti r, � t � ty A -' ��t+���,k, i + 1Jcµti i i ^ y �, �.• 1f /�y} # r! '�: G;a *�`} ,.. C._cFy G p t F ' fi, h}„ �` l � � cam, ��� t* ,Y ,�� d all ref� FY�s'K#�t k +�.- �• 7� S. y' rt n .''•�4�'af� r � � !t � r���"� f�, Y f� r p .� n:�� ��s1`�`� � �" t� 'v � t - {� f yt; �� '. ?7iJ{r p f f odAµ•{ 'h 'l ;•r x S w x 4 + i ti Z. �- s�� 1 i i w y F1 j �. v S{?, f r r f•iry ' ''' ' r e r -.,t�r y 1s .,; a �# S+ t sav g•T 5 y £•'A�i f t f r r .�.r • b. '1 •. i x. } r s "5.y, � 1^p•g f,�.ye N}'t JS �S ��1+ �. J,; � t,. ,��A",Ve � Y� �, y V i=s" y�x 1 ;� t 4 .�.�� rOy Z�¢�, }fr}�: a� f } �.. b• �I r t 0 i ► ;�y {f rf: r yl n r fry. ,� y s r in :• - X s wr! )trnr➢ ✓{ b a 1 r , i :'u ��yl. f' y � '4��.� ��x .yi S -..'a � 1 ` 'yi{�A ir{�di f ,fir ft.: i� r• f k,�i ,�4 4�yt�} ` 1 ��.rs�f•(�; 1,r �{��,+,j:II ! .•f yL 77 VVi! k' 1 j� S V t �y 1 t {�� 4•, ' :v ..4 tt . . i if .i .9d7.., f ry�1 _ V ,4II7 �*.�1 3rS r,.l. *,�`,�i.�r"�).'; :L''� � ;r^ p .§�• V•3�Sai�:�. - � DEPARTMENT OF BUILDING { CITY OF ATLANTIC BEACH,FLORIDA8 5 PERMIT TO BUILD PERMIT ,O.m, $ THIS PERMIT MUST BE POSTED ON JOB 496.511 T Date 4,/6/87 19 459 1496+50CKT I Valuation$_22$ 062 Q a MICA Fees 496.50 �56� s �fl� 4595 ! 4/0,911 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. ' r I This is to certify that , inc, RRoa34-591 j 1112 Third Street N.B. 32233 has permission to build lea i I Classification New Residential Owned by RGM P Zone PUD n Lot 83 $ 84 Block U�iit IT House No. 524 -- —S/D5e1VS Lakes 528 P li Ke According to approved plans which are part of this permit NOTICE—ALL I CONCRETE AND FOOTINGS MUST BE FORMS BEFORE POURING. I j PERMIT VOID SIX MONTHS ' -----_♦ AFTER DATE OF ISSUE �"� z Building material, rubbish and debris 1 from this work must not be placed in public space, and must be cleared up ao hauled away by either con- tra or owner.. IFOR Building Official. OFFICE PERMIT USEONLY NUMBER DATE I CONTRACTOR PLUMBING ELECTRICAL 1 SEWER WATER ,.11MI11r CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT fit---zipZ z ,;_s_phona4 y�- L= Owner --==-- -1- -T-- _ Architects c � Addressf �T��%� Y____1-��J� hone y5-y' 9 Contractor ed__Address'1y� ._,�E .M�F`___ziP3:i_Phonee7�1_y_� Contractor's License number expiration____________ Lot__9 3--Block or Section Subdivision---------------Zoning________ Street between and-----------------side___________ Type Construction L No. Units----------No. Fireplaces___________ Purpose of Building--------------------------- 9______________ Utility Method - Water Sever____________ Dimensions - Building______________Lot------ _------ Size Footings___________ Sz. Piers Sz. Sills-------------Greatest Span Sills_______________ ----------- Sz. Ceiling Joists-- ___Distance on Centers--------- Greatest Span_______ Sz. Floor Joist's. _________Distance on Centers--------- Greatest Span_______ Sz. Rafters Distance on Centers---------Greatest Span_______ Method of Heating-----------Solid or Filled Ground...........Roof__________ Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner Date Signature Cont actor Date ... __ ----- page ___-page 2 f w FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:-------------------------------------------- Flood Zone:----------------------- t Required Lowest Floor Elevations--------------- If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all 'other laws or ordinances effecting the proposed development. Date--------------Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ................. As Built Lowest Floor Elevation ................. Survey Filed with Building Department ----------- ----------------------------------- Bui]ding Department Representative page 3 BUILDING PERMIT WORKSHEET ELECTRIC PERMIT 0 /1� �0 TETiPORARY ELECT. �► --a ted Square Footage �sS7"-�-- @ $ ' er sq f t a $��j�, �'a 9 co 11 irage/Shed 40 7 @ $ IU OU per sq ft - GU irport @ $ per sq ft - $ )rches @ $ per sq ft - $ !ck @ $ per sq ft - $ ' I do @ $ per sq ft - $ TOTAL VALUATION $ • r -tal Valuation Data 1st $X52/ Z !Z 00 L/)c2 mainder Valuation @ $ o;. OO per thousand or portion thereof �Q TOTAL BUILDING FEE + k FILING FEE $ cls- FIREPLACE @15. 00 $ 00 TOTAL BUILDING PERMIT $ ---------------------------------------------------------------------------- TMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ '.CT. TEMPORARY $ ELECTRICAL PERMIT $ "ER METER SIZE $ ACCOUNT NUMBER 'ER IMPACT FEE $ - ER CONNECTION $ (@10. 00 per fixture unit) ROVED BY: ����� � TOTAL BUILDING/PLAN FILING FEE $ � 1 `l TOTAL WATER METER CHARGE $ �f',�, 00 r TOTAL SEWER IMPACT FEES $ �Q�,j 00 TOTAL MATER CONNECTION CHARGE $ , UoJ MISCELLANEOUS CHARGES $ • r GRAND TOTAL DUE: $ lp �. 73 C� i k005 PLUMBING WWSHEET SINKS 2 SHOWERS DISHWASHERS 3 CLOSETS BATH TUBS FLOOR DRAINS ' WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT �� �SV '' �� •`� 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, IS BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITZ URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (.4 UNITS) T WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE- OPERATED i� WATER CLOSETS, TANK-OPERATED (8 UNITS) OUNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/0 OVERHEAD -TT (2 UNITS) SHOWER) (2UNITS) BIDGET ( LAUNDRY TRAY 3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) 13 KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10...00. EACH- / @ 00 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Lc- 0 w n e r4/, ��C' z 7,1 J 1�_Address_�?c :Z _✓ t---zip��z , __Phone y?-=�i Architect -,—_-Address �T����.a'_� � zip , - __phonee2y`L_ _ .- //i v Contractor��yN�1r_/Lr, AddresslL/C,C Contractor's License number.................expiration------------ Lot_,2 ---Block or Section---------Subdivision...............Zoning________ Street-------------between--------------and-----------------side----------- Type Construction__________No. Units----------No. Fireplaces___________ Purpose of Building- -------------------------- 9______________ Utility Method - Water_____________ Sewer____________ Dimensions - Building______________Lot------------- Size Footings___________ Sz. Piers----------- Sz- Sills-------______Greatest Span Sills_______________ Sz. Ceiling Joists_ Distance on Centers_________Greatest Span_______ Sz. Floor Joist's. _________Distance on Centers---------Greatest Span_______ Sz. Rafters _________Distance on Centers---------Greatest Span_______ Method of Heating-----------Solid or Filled Ground..._-------Roof.......... Flood Zone__-----If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner _ � G__ �,� ' .,_3„�___Date ,�' --- _ ------ Signature Co tractor _1��, ;,.,y���_�C'l�,✓f/�2=_Date___(_ page 2 FLOODPLAIN DEVELOPMENT INFORMATION Typeof Development:-------------------------------------------- Flood Zones_________________ Required Lowest Floor Elevation:_______________ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date--------------Applicant's Signature__________________________ ---------------------------------------------------- Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation Survey Filed with Building Department ___________ ----------------------------------- Bui�ding Department Representative page 3 _---____-- - NLU11•113iIJG PLKMIT # ELECTRIC PERMIT BUILDING PERMIT WORKSHEET TEMPORARY ELECT. Icated Square Footage �� g�� @ $ c3U � per sq ft a $ 13 7L417, S D , arage/Shed @ $ /J°p mer sq ft - $ 00 arport @ $ per sq ft - $ orches @ $ per sq ft - $ eck @ $ per sq ft = $ ' atio @ $ per sq ft - $ TOTAL VALUATION $ ' otal Valuation Data 1st $ � �e emainder Valuation @ $ a.(,)(3per thousand or portion thereof TOTAL BUILDING FEE + k FILING FEE $ 9Zs FIREPLACE @15.00 $ TOTAL BUILDING PERMIT $ o7c3 �, lJ ------------------------------------------------------------------------------ .UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ',ECT. TEMPORARY $ ELECTRICAL PERMIT $ 'ITER METER SIZE $ ACCOUNT NUMBER :WER IMPACT FEE $ ITER CONNECTION $ (@10. 00 per fixture unit) 'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ 9-D 00 TOTAL SE14ER IMPACT FEES $ /0,3�. 00 TOTAL WATER CONNECTION CHARGE $ 60 . 00 MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: 1395- BLDG-, PLUMBING WOtRKSHEET SINKS SHOWERS DISHWASHERS -T� CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS- THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, f o BATHROOM GROUP CONSISTING OF -2-- LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (.6 UNITS) (3 UNITS) DRINKING FOUNTAIN (I UNIT) �^ URINAL, WALL LIP _T FLOOR DRAIN Cl UNIT) (.4 UNITS) WASHING MACHINE RES. --.-�. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED � (4UNITS) ($ UNITS) BATHTUB (W/OR W/0 OVERHEAD SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY(2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00. EACH ` �(o /�•DD �UQ,yO AF 44241 MAP SHOWING SURVEY OF LOT 84, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , 11A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. KE'y SET�"lR� 83'l •oo•E �t.e&lo4AW C�o��B� � 3•■5'J•E•AEaSCME�/T BY AXA T �;• DRi�/E• � r � 4 . E � d j.p G � V0 F 2 srY. W sWm 0 1 cl-4-(ft (15 DI h1 N N r.n • .9 o 0 p � N Fo/nIo FIE.(M.tMFNT ,eEA �,vcE �►•iatitrw�ENr �D Soso 03 .0( BE�P/rUGs B Y PB. 43,FCS' //-//B • 7w"5 /s A Bouva4�✓ S 6✓ y AQEA 5,5cr /7 ' Alp oolt-/>1,vc .PE57-.t�c rio•v Li.VE Pt-ArlEo M 7NIS PieoACerY uC5 -'Al Fe.000 roNs ,G.. VIN.-C- •r is 7-NE ,{.tG( vF �PE�frEGEF,P �>C 7- 2� ��B7 7d AtIA/44-tA4. fZ000/NC BY fz.oa ,R'E✓/SEa A"W14. /0,/765 Cotit�✓Nil✓ s'fi/oK� f%it�i'1G �'UQI'�Y O�(rt/EG No. 2-097 000�C. m E4 E),''l Tio A/f Si✓o WA1 Ts/us Ci/. QF .e CITY OF ,&a& vim"7 Office of Building Official REQUEST FOR INSPECTION (IO Permit No. Date a O A.M. Dist i o• TimeP IVI Received /I� / �,!'� �i ality Joh Address �L �n�'� Contractor ���EANI�CALOwner's p UMBING Name ELECTRICAL Air. . CONCRETE Rough ❑ BUILDING ❑ Rough Wiring ❑ Heating ❑ Footing Temp Pole ❑ Top Out ❑ Fire Place ❑ Framing Blab ❑ 0 Sewer Re Roofing ❑ ❑ Final Pre Fab Lintel A.M. READY FOR INSPECTION PM Wed. Thurs. Friday-------- o 1nn Tues. n, r Y i p.M Inspection Made Final Inspection0 011, Inspector Certificate of Occupancy Date � �e CITY OF S V�- � � Building Office of Bu 9 Official REQUEST FOR INSPECTION �cj Permit No. Date /� �! � — A.M. District No. Time, P.M. Received ) -�;. ,% Locality Job Address t Owner's Contractor Name P.UMBING MECHANICAL CONCRETE LECTRICAL Rough ❑ Air.Cond.& ❑ BUILDING ❑ 4`�Ro �'n - Top Out ❑ Heating ❑ Footing Pole ❑ ❑ Framing. Blab ❑ Temp Sewer ❑ Fire Place Re Roofing ❑ ❑ Final 'V Pre Fab Lintel A M READY FOR INSPECTION iday I T.. P.M. Thurs. Mon. Tues. WedF. A. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF / Office of Building Official ✓ REQUEST FOR INSPECTION / V Permit No. (� Date A.M. District No. Time ij.M. Received r - ��iC�G�% " (� Locality Job�d ess ./ , l/► _Contractor MECHANICAL Owner's �L M f P MBING Name ELECTRICAL Air.Cond.& BUILDING CONCRETE Rough Wiring ❑� Rough ❑ Heating � Footing ❑ Top Out Fire piece O 1 Framing Slab Pre Fab Re Roofing ❑ Final ❑ Temp Pole ❑ Lintel „^ A.M. READY FOR INSP P•M• ur . Friday------� Wed. e Tues. t"� Mon. M inspection Made Final Inspection❑ Certiticate of Occupancy inspector Date CITY OF iQ&A Office of Building Officlal REQUEST FOR INSPECTION Jr- permit No. Date A M. District No. P.M. Time ) Received 1 locality Jo �r�1 contractor MECHANICAL Owner's BING Name ELECTRICAL PL ❑ Air.Cond.& � CONCRETE jl Rough Heating BUILDING -'o Rough Wiring ❑ Top Out ❑ Fire Place 0 ❑ Temp Pole ❑ Framing Slab ❑ Pre Fab Lintel P M, Re Roofing ❑ ❑ Final A.M. READY FOR INSPECTION Friday Thurs. �. Wed. A T s. Mon. 21 inspection Made -- P i I, Final inspection❑ Certiticate of Occupancy Inspector Date CITY OP 4&4^1110 Q Office of Building Official REQUEST FOR INSPECTION �� Q permit No. Q Date A.M. District No. Time -- P.M. Received J f,/L/ C I� Logilklity Job Address Contractor MECHANICAL owner's PLUMBING Name ELECTRICAL Air.Cond.& Rough Heating CONCRETE BUILDING o Rough Wiring 0 ToOut Fire Pince 0 Framing 0 Footing 0 Temp POle Pre Fabp Blab Re Roofing 0 i Intel 0 A.M. READY FOR INSPECTION Friday P.M. Thur Wed. Tues. Mon. s inspection Made Final inspection O ` Certificate of occupancy Inspector Date AF 44241 MAP SHOWING SURVEY OF LOT 83 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , lA AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. �EL�CQ/-.I /lEY �o•R/w (ct'lg a46 Na 46) 0-r 0 1I Q 0 N 14,11 TF' N N N 7 9 w ° 0 M/Rod CN /0 4 Z 40'loy a.at �r -�s 3.s15.E (�fi AREA A10 A oy .tr. M T?(K �cw ^rA!pry L/CS /�/ iieeo ye NL G•• WV"dis r-E AREA of A41WIAAAG f 'P.-NC Vf1&eD .KIPS ,;ZJ4LG/l/o.' ^elL /a,/7C 3 Cb-v1�vNirV Q.Qq/EL /Zoo 77 c� C CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 -- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 November 6, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5535 -.1115 Stocks Street. Permit issued to Abrahams Electric Company. Permit #5275----531 Selva Lakes Circle. Permit issued to Adkins Electric Company. Permit #5516----435 Inland Way. Permit issued to Bivins Electric Company. Permit #5426--,-528 Pelican Key. Permit issued to Adkins Electric Company. Permit #5339----861 Ocean Boulevard. Permit issued to Bi-ins Electric Company. Permit #5738 ---1575-2 Main Street. Permit issued to Kenneth Loos Electric Company. l erely,�Angersnity Devel p ent Director cc: file RA/t e OF Q�tpLt d go&6 tri „�lt'►� standar 1 p9 °fi the SOuthernc�with the Ari Sect+On mylta+t ents °f as i+t co e require+n structure+v ued pursuant toe a of issuance this POI the follow This Gerttftcate 'srti ging that at the ttmco+tstruct+o+L°r use pe[mitN°.� Code ce f building e1dB Building s legulatt 6 n vaiious ordtuanc e F,te D;St[jet �� lassd[c►tion constn'�ionAdd[ess use 1pcality _/ GWV 8Y O�°e[of 8°11di°B pate'• gu;ldinB Odtess CIOW '_/guildinB p� BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: November 19,1987 Building Contractor: Reyhani,Inc. Building Permit Number: 8568 Address: 528 Pelican Key Legal Description: Lot 84 Unit II Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as __--Duplex Lowest Floor Elevation: 15.2' 15.461 --- ------ ---------- req uired as built n/a Sales Tax Certificate: date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief _- 11/19/87- --_1// �/ �� Public Works 11/19/87 --------------- ---1 `� -- -- ` " Planning Director -- 11L19/87_ /--/ / Building Inspector 11/19/87 CITY OF > �i�curtic Ve4d - *;1&uW4 716 OCEAN BOULEVARD ~--""- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 February 22, 1988 Third Floor Pre-Service SEction Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inpsection has been made and is satisfactory: Permit #5425--...--524 Pelican Key Permit issued to Adkins Electric Company. "S'ncer�ly, Ren Angers Community Developmen Director RA/tb cc: file AF 44241 MAP SHOWING SURVEY OF LOT 84 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43, PAGES 11 , 11A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ISI PEG/C,4�/ KE SET�"iRa�/ Foi.N/�f ► /� OO• EtKTRAC �PiSEiq J�°3'r'j'✓•E.A•EASEME,'-'T 8Y PL'.A T aJ W �a Q 2� dD If N 0 v3 o� W 0 �1 n 0 N ` FAt/NO P1E'RM/HENT REFE',�NCE' MtWGw/EF/r ."3 /o46) 3 �O F g' 1�•p `--- 'S• . T.v�s /s ,4 Q+c.rvaq•e� s-c E✓E✓ y QaE� SEGT�or� f1 e ®y �G�4w^14V P`sT.t/c T/oN 41AA-- �,IPLA�ED LJ A 71!/s ooftopE.CTf/ G/Cs /iv FLpesa ZeNL G" WNle-H /s ryE A RCA of .tie"✓/SEO 4O•!/L /�,/7a3 C'oM�c/Nil✓ 0�/EL A-10. ?e+ol7 000--C. Y E14fY.4 71,aA/t r r.ww/ rel.�s.ice/ i7 o aro CITY OF oftft tIC &ads,- Erpartmrnt of Vuitding 3M'Wtinn This Certificate issued 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. Bldg.Permit No. Use Classification Group Type Construction Fire District Owner of Building — Address-- . Locality Building Address By: —-- —"'--- lding Official Date: Bw _. POST IN A CONSPICUOUS M-ACK BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA !, ,' CERTIFICATE OF OCCUPANCY !.I WORK SHEET I ' L I•I t 1•.� Date Re uesteds Building Contractors Building Permit Numbers Address: Legal Description : . C Improvements to the above described property have been completed in accordance with the terms of the permit ,and in certified to be t ready for occupancy as �- - + t h I Lowest Floor Elevations _________ required as built /a _ Sales Tax Certificates ✓'t/' __ • '�� �"• ', , -- -da-e^submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY,•THE. FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: ` BYs Fire Chief ---- � Public Works - `� � Planning Director Building Inspector ------------ 7-- '3' t