Permit 539 Pelican Key (vault)------------------------
dFamm"
ACH
CITY OF ATLANTIC BE
L T ION �J,
OfI
CAN KZY
a. 1539 pew
it N10 e1r- Add
A%ANTIC 'BZACH-
'M ZMENT PMMIT rLOR I D)L 3223
ermit V 631ttf- C
DjtCRIPTION % --- 1
�Cj�tss:,-pt
Block: Lot-4 TwV-#
Clo,4stt. TY 'WO1M, VM
So O� % gubd:0 �'
posod Use:
eside
subdivixio'n*.j*k ,
I I J'a
St., Value:'
i 04 200A0
IMP_
roVi Cost,".
V tal Pee$ ' 5,00
0
oun t PA
00
-2
rk IT SO- 10675 TO CONSTRUdT NIM
�D
10 --------- AtPOCATION rZIS'
f
WT
IiOMO T
"VLOR I DA 32 3
FORMAT I
�CLA$s I OMES
N
Y,
Y, 14
jk d)
C0425% 'Exp
L�v
Typ
ftU FOWS AND FOOTOM MM BE INSPgCM BEFORE, ,
"Ma Att CONC
PERMIT VOID SIX MONTHS,Af TER DATE 00, I&SUE
AND MUST SE%
qWU')1NG-MAtEFVAt,RU"ISH AND DESMS-F"THIS WORK MUST NOT Be PLACED IN PUBLIC'PACE :
LEAR LACTOR 0A OWNER
up Afokj�WALWAYBYE"ERCONTP
tj W, AM.L;AE V IN'
V-14 %I Su
-Hi THE K-'PHA
W *to %
*11�p'
MENTV
*ON&MCE FORTHE Q
T
NS IT AND SUW _CT TO REVOCATION
ED-PLA WHICH ARE PART'OF THIS P
XORDING
AA TO ApPR(N'
�OF
LAW.
hto
r
0
8L
D*G
OFBUILI
DE
44* :10 e%mW,444* BE
cl
0
'539 PZL
PERMIT INIPOAMA, TIOX ------
oxiDA, ':2
'CH,- PL 113
:Iclw , BY
POem orl
-TLUTIC:�BXA
"ION
itivat Too- ------ bs�oxlpt -
LS"
stcti on
c *43
Lot
T'
osed 0 se, :, OLVA ,LAKES
rop
Subd
0 '
'd "a ,
$702,0,0 -00,
'41 uell
CoVtlt"
$2742 ,18
tota,
W,42 . 21
A"
28,
Ogg
F
ICAT10#1 I
ION
APPL
p U� T
2
30
VA
MPAC
rORIDA
AP
7 A
0
RAI)Otf: OX
on
'pAbOj4:
r
RIS s
4-,
�:�'43
serros
6EC li��JMPJ
NoT
k4
7c�
CON'ST.:SURCHAROt,
41
7:
PSEFOO:POUR
mus
AL
LtONCRE-1
su
NOT BE-1 00sLlt spAcE,,AN
WOFJK 0A T
II8lH-Ai4DbE6AjSFROM THI ,
MATERIAL"AuSE
ACTOR",(,QlAlN R
ANO HAUL�D 6Y EITHER CONTR
UO
E614AN11
RE IH4
11 PE
11 PE
P YIN G
AY
FOAl
CT A
PLANSrWHICH ARE THIS P WO SUEWE
7m
Vt$!O'N$,OF LAW
�KA
-V A
C; Y4,
IE-A 00A
IN
12546 '
DP*JnW?a OF MKOM
Or?0 AT"NTIC BEACH
F
PERMIT,� INFORMATION- ------
LOCATION INrORMATION -------
Permit- Numb4r. 46 Address 539 PELICA0 ,1MY
Pe�jMj t T
ATLANTIC BZACR, ,PLORIDA 32233
'Of 'N o r k NEW ---------
LFWAL DESCRIPTION -----------
Coustr. Vypo:wobb' 'n-AmE Block: p. 0
Lot: Tw
0 , gu,bd:O
Dwell irigs.- Rngr 01
Subdivi
alu
Est. v
'�Rpkov cost:
0.00
To ��l
67.�50
50
TIME
I ON
APPLICATION FEVS ----------
�CLASI�c HOMES
PERMIT 67.50
y
All
VtORIDA cow
C
vie& Vearw
T 11 ------
Add
029,
"JACKSON PLA 32210
lx
IIC"X*--,ALL 09000"40FM APW
FOMN"MM BE IMPECTED SEFORE Pommo
DA
TE OF J! P �
PF-Amrr VOID SIX MONTHS AFTER
SU
IN PUBL,'
MAnRiAL, OLDEMS,FROM THis WORK MUST NOT,BE p IC SPACE,AND MUSTL
AND"�A' W
U �A R LACED BE
'0YE
A Y ITHe CONTRACTOR OR OWNER
'A%jj U
��.RE MECH
I WL �C
'ANICIS IN ,
7, ,7 t
Y*M THE 'Lit -eAN
f MPR",M,
Wd , , __M Or , :
ING MUL
TWICefORTHIE 801�
f$$U 0-ACCOMNG 701"I;p
F".LE0 PLANS WHICH ARE f%RT,OF THIS'PERMI N ' u C
SION
OF -TA DIS BJE T TO REVOCATION MA
�0* ,SO LAW.
APPQ�,Plobn' F
0�0;4co ii op 4 41,4 il�4
C.SEW H 9ULD EW
ee
oil'I'
0##444
12597
CITY CF ATLA MACH
LOcATIoN 'INFORMATION ---
`04r' 'it, Numb, 12$97 XZY
et Address�'
23,3-
e
�i t Type "CRAN I CAL' AT LANT.1 C BEACH, FLORIDA 'L32
of 14o' rk*.NZ LZOU.,:DESCRIPTION
''Utz Twv4 , 0
tr. FRAME
Section: 0
Proposed Uso! Subd 0' Rng 0
wel�linqs,: iv s n- I tkesI44
D Subd i io
sst . value-: �0.00
0 .00
limprov. Co'st
� A: Total Fe �47_00
47,.,00
APPLICATION FEW
I-ON
LAS1C 'ROME PERMIT , 4 7 .00,,
EY
Iot, &Uo4r,
rLORIDA
t, FORMAT
C - ------
Name, 194C,
r 50 ,a �O
'Isto -DA 32073
lot
'Up:
1ORM AND FOOTINGS MUST BE INSPECTED 0"Pouftm
'PERMIT VOID SIX MONTHS AFTER DATE OF ISSOt
BUILDMON XERIAL 'OU-M DES IS FROM THIS WORK MUST NOT BE PLACED NPUBLIC SPACE,AN
Ski AND R D MUST BE
RACTOR
'!�P`ANP H"Al, �V B�Y EITHER CONT
D OR OV,1NER
J
-MECHANIC"S U
'UWAS V'111'�t_'Iomlply'WITH THE ENLAVC SUL , N
'Y WICE:
zR_i PER Y PA T
PIP
VQ MPLANSiAHICH ARE Su(�SCT TO
OF THIS PERMIT
V"
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLA14TIC BEACH
ATLANTIC BEACH, ! LORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Street Address:—
OF Intersecting Streets: Between And
BUILDING Su6-divisian f
Ill. 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 allaclod 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 McGowan ' S Heatinor & Air— Contractors
Contractor (Print) Cond . Inc . Master CACO-18970
Name of M—4 8
Property Owner
Signature of Owner Signature of
or Authorized Agent fact or
_,Arc,h.i Engineer
111111. GENERAL INFORMATION
A, Type of heating fuel: \J
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE?
It Gas—0 LP 0 Natural 0 Central Utility
IF YES, GIVE NUMBER OF;ONS, TRUCT�lgo
0 Oil PERMIT
[3 O+h*r — Specify
IV. MWHANCAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Residential or EJ Commercial
Heat Space 0 Recessed Control 0 Floor New Building
(Provide complete list of compononh on back of this form)
Air Conditioning: 0 9 Pm p6c*ntrel El Existing Building
D ur El Replacement of existing system
� System: Material Th;ckna.9_L___ New Installation(No system previou;31y Installed)
Maximum capacity c.f.m. 11A
C3 Rofr;gorat;on 0 Extension or add-on to existing system
0 Cooling tower: Capacity 9-p-m. El Other — Specify
(3 Fire sprinklers: Number of head-
[3 Elevator 0 Monlift Escelefo (number) THIS SPACE 0OR OFFICE USE ONLy
[3 Gasolino pump% —(number)
0 Tanks (number) Remarks
0 Li's contal"ors (number)
0 Unfired pressure vessoi
0 Boilers Permit Approved Date
b other — specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
A
Number Units Description Xodel Number Manufacturer
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:--
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR DON HARRIS PLUMBING, (-.n
AND ADDRESS: P. 0. BOX -14668
larKS-nN11411 I .; i-r.L 1;
TELEPHONE NUMBER: (904) 772-0900 C F C - 0 19 19
STATE LICENSE NO: 0- -9
TYPE OF BUILDING:
TYPE OF WORK:
HOW MANY OF THE FOLLOWING FIXTURZ3 INSTALLED
—SINKS —SHOWERS
_LA ATORY WATER HEATERS
BATH TUBS
DISHWASHERS
___.-iURINALS DISPOSALS
_2_CLOSZT3 _L�WASHING MACHINE
—FLOOR DRAINS —SHOWER PANS
OTH
TOTAL FIXTURE COUNT: x $3.50 + $15.00
--------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT ZDITION'Or THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD To SCHEDULE INSPECTIONS (904) 247-5826
CITY OF ATLANTIC BEACH, FLORIDA
Approved bV APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 1�te
IMP013TANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN*ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES. —.0008471
Mom and Bryan Electric Co.
4231ME257
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
LJ'* q�
N AM C)I S 8 0- C,6,� b1b R E SS. 5 V, U RFD-BOX-
Crbde 5,',Ie 4 Sef'L)oSa-",s C,
BLDG.SIZE BETWEEN:
0
RES.+,,f APT.( COMM. ( PUBLIC ( I INDUS. ( NEW V4- OLD ( REW.
ADDITION ( TRAILER TEMP. SIGNS ( SO. FT.
SERVICE: NEWt4- INCREASE REPAIR ( FEE
CONDUCTOR SIZE�Y(/ 5-0 AMPS COPPER I ALUM.
9L01 0 VC
SWITCH ORXR:E�aKE )-S-0AMPS PH 3 W I ��kOLT RACEWAY_
EXIST.SERV.SIZE AMPS PH W1 VOLT RACEWAY
FEED.ERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS, 31-100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMP6. I OVER
APPLIANCES 1. 1 BELL TRANSF.
AIR H.P. RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHS NO. I H-P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER60OV.
AUG 14 195 14:12 CLRRSON 000 P02
MAP SHOWING BOUNDARY SURVEY OF
LOT 94 BLOCK — AS SHOWN ON MAP OF
SELVA LAKES . UNIT TWO . - I
COUNTY. FLORIDA.
AS RECORDED IN PLAT BOM 43 PAGES-11=11-Bor THE CURRENT PUBUC REr-ORDS OF DUVAL
FOR: SHAFFER.& SON$ ENMPRISES
BEARING iEmr.NCE-. IDEARING SHOV*I ON RIGHT-OF-WAY UNE HEREON IS THE SAME AS SHOYM ON THE AS PE MENTIONED PLAT.
UNPLATtED PORTION OF SECTION 17,
TOWNSHIP 2 SOUTH, RANGE 29 EAST
160
�9
Ar,-NOX SA^IX
3,j
Ui
rn
z cc
1996
Building and Zoning
A.b
'500 N B-44
20'3
.35 0
L - 18,00. ;0�
0� A\,tA"
T"
01\0
9 1)1) 01
01.5
PELICAN KEY
(60' R/W — CUL—DE—SAC)
'TRANSMITTAL DOCUMENT FOR JEA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
-33
JRRna)c=ft&x1: exxxxxxg'xkulm*)OmPtxmxwtxxtgkGxNx"nmbb'U- Please update
your records accordingly.
C Than�
�7/zzt
BUILDING C
CITY OF ATLANTIC BEACH
/vcb
CITY OF
--Office 01 Building Official
REQUEST FOR INSPECV1 N
Dat
Pe r m i t N o.
Time
Received
Job Ad res� cality
Owner'S 14�c,
Name C.Ontr
BUILDING CONCRETE PLUMBING MECHANICAL
Framir )oting
:Rb gghp W� Rough Air Cond. &
R b P Pole Top Out
Final Sewer Heating
Fire Place
READY FOR INSPECTION Pre Fab
i�oj Iz
Wed. Thurs. Friday
A.N1,
__PM.
Final Inspection
Certificate of Occupancy
Date
D ATE:&
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
T�E FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
S�7s
-----------------
------ --------------------------------------------------
---------------------------------------------------
-------- --------------------------------------------------
I
------- -------------------------------------------------
Enclosed are the blue copieg of the permits.
SINCER Y,
BU-1Lb' ING �.'--PECTION DIVISION
cc: FILE
[e$15.00-REINSPECT F A��S 7-e
It is unlawful for any Carpenter, Loniractor, bunaer, or oTner
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 of approve the installation.
After additions or corrections have been
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.
CITY OF
13 e=4, / -) 5-
Office of Building official
REOUEST FOR INSP T1 N
4
Pe it No.
Da
Time P.
Received
Locality
Owner's Job Address Contractor
G ICAL
Namp
oK CONCRETE (�E:LE�R N
L� W g Air Cond. &
CE q i rCn g Top Out
Framing I--- Footing Heating
R R t Sl��b Temp Pole Sewer Fire Place
Lintel Final Pre Fab
READY FOR INSPECTION
RM
Wed. QT hu�rs Friday
Mon Tues
A.M.
inspectior Made Final Inspection
Certificate ot occupancy i-�
CITY OF
/3,aC44-0;&U 4
office of Building official
REQUEST FOR INSPECTION
Permit No.
Date
P M
Time P.M.
Received 7Z
Locality
Job,Address �to,
'A
owner's 142,Lto
A
(- �4 MECHANICAL
Nam PLUMBING
Ul
ILDING CONCRETE Air Cond &
BUI DI
Footing L Rough Wiring
U'L'
ming Temp Pole F-, Top Out
Fire Place
Re Slab F- Final Sewer Pre Fab
t ti, 1,
'su to Lintel
ulation READY FOR INSPECTION
Mon. Wed. �F/ r Cday
P.M.
Inspection Made Final Inspection E
Inspector-- Certificate of occupancy
Date ----------------
CIPY OF
4&aa& Aeac,4-
Office of Building Official
REQUEST FOR INSPECTION
Date /0-/ -7-1�1(�
Permit No,
Time
Received RM.
Job Address
Locality
Owner's
Name /J /::i� �4
Contractor
BUILDING CONCRETE ELECTRICAL
Framing F11 MECHANICAL
Footing Rough Wiring I i Rough Air Cond. &
Re Roofing Slab j7 Temp Pole I� Top Out i Heating
Insulation Lintel I Final i- Sewer >��ire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues Wed. Thurs. --(Zp Mm>
A.M
T
Inspection Made -- —�4
Al PM.'
lnsr-ctor - -J- Final Inspection
Certificate of Occupancy t
Date
CITY OF
IM SEMINOLE ROAD
ATLANTIC REACH,FLADRIDA 32233-5445
TELEPHONE("4)247-5800
FAX(9014)247-SM
NOTICE
TO: Water Department
FROM: Building Department
DATE: 91- 96,
Please be advised that the final building inspection has been
completed on each of the following addresses and construction water
is no longer needed:
Permit Number Address
�5 9 Z-/
Sincerely,
Building Department
. . . . . . . . . . . .
. . . . . . . . . . .. .
. . . . . . . . . .. . . .
Termtrate of Orrupaurg
Tito of
Atfuntir ivrar4
Nforiba
Brijartment of Nuffbing .3115pertion
This Certificate issuedPursuant to the requirements ofSection 103.8 ofthe Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various o�rdinances regulating building construction or use. For the following.
Use classification single FamilY Attached Bldg. Permit No. 12445
Group w-frame TYPeconstructionSfa Fire Di I Atlantic Beach
,Owner of Building P—Ulte Homes S96 I PS g wa
Address ROW ill-9,
Locality Atla'itic Beach FL 32233
By: DON Q. FORT)
Date:
POST IN A CONSPICuOUS PLACE
11 1�te-
ol't'.4 Z-Ve
'01
00
A.4,
k CZ
110
Oct
Po",
'Cle
I ooq/�
V-0
'Cf.
ur,
"Ib
J'a
v3uildlng
OR ItAsp
NO
pj�
Date c)
Z
5eceived
30t.
-�co 0"' Fab
cot SINe(
mcl
,,e
-AL PJI
—n-
NAOO
�-dc
DEC 18 '96 -16:40, CLARSON
088 PO4
MAP SHO
LOT-24 WING BOUNDARY SURVEY OF
BLOCK --=- AS SHOWN ON MAP OF
AS RECORM IN PLAT BOOK 43 PAMS_U=jjg_OF
rHE CURRFENT PUBLIC RE (;OUN
FOR: SH EEL & SONS ENXMRIES CORDS OF DUVAL TY, FLORIDA.
I till,Ill,11111(11 311411 1111 I'll ''''III '1%1111� .......... . .........
1 7
WIV4-' AIM&AF 7h A-,,e 11111311 ED PLAT.
UNPLATTED POR71ON OF SECTION 17,
TOWNSHIP 2 SOUTH, RANGE 29 EAST
tool vor Wl
J1
APP'
- 40 'a.
4
tie X
40.
I os,
lA
7.
Ar&r fe0-0041
1:0 7.
t�p N981 17-
'jk 0-37-3
L 18.00.
wz 7�1 ,
PEUCAN KEY
(8& R/W CUL-DE-SAC)
u
WED 10:02 FAX 904 733 7733 NO FL CLASSIC ows
NOTICE OF COMME'NC.Ui A11C NT
Towhorr --7 <3C
It May concern: J3/
T�e Book 8405- P!g 2069
u"dersig-ned hereby in�orn,, yoL, that irrIProVer BI-;. 8405
be Made to (' -tain real
aCC:0,'Cance with �el -rients
Z pq:l 2069
.101IOWin2 Section 713.13 of PjQrr0jdPar'-', and jr,
nfOrmation is Stated i F Doc# 96160898
Statutes, 1.3. e
n this NOTICE the F' I d & Recorded
C 0-�'f'\'f E NC E NM X T. 0 F 08102196 A.IT[
1:L.16,4 1
HENRY W. COCK
D�-scr'PtiOTI Of Property: CLERK CIRCUIT CHRT
M.M)L COUNTY7 FL
REC. 1i 6.00
Lot 94 , Selva Lakes Unit Two.
the ?Jat thereof, RccordinR to
of the as recorded
current public in Plat �001- 4-3, pages 11 ,
1�ecords Of Duval COuT1 t Floridzi 11A and 1 ,1,b
GlIrleral description of ir
nprovernents:
------- aln le famil
dwel I i"
Owner
.........................................
'e's ......
Address
C)'Wztr's
iPtClest in site of irnD
izlteleSt in ite of t-he improvement
liMple Tide holder(if other than
N a.T.n e, Pulte JJ011e Corporation
Address aa
COPtractor Jacksonvi j 71!7�
Addtess
I omes
��Ure-L-� (if any) Su te 14 Jack-sonvil
j
-e' Ori
Amount of bon(,
�nd address
of any Person rnak-
ing a loan for the Constrtic
�""41
a:re tion of the improve
'rne
Add:ess F,t
0 Of person
f person Within the State Of Plorida, other
,"�'r�er uPorl wh0m notices or other docurnerlts may be served: than de�ignated
,amt -------
Adc�,ess
I
addition to hi
OWner de
Signates the follo�v,ng Person to 1'ec,
!be T-jenor'3 Nmoltp-ilcl;
jrl at 0"Vner's option). as Provided in ive
SectiOn 713,.6 [2] [bl, a I PY
ELM t-------- Florida Stattu;otes
Addrcss
TF,G'�z Florjl.da
I....................... ........................
Owncr
"going instrurnent Was swo
'4'.. -� � III , . I rn to anrl
.,RCPERTY DESCRIPTION CITY OF
'4
Lot 0-1-�---Block 0--------Section SEMINOLF:ROAD
....... ATI��.� "IC BEACH,FLORIDA 3223.1-54-4.5
EPHONE(904)247-5900
4�
jq%)
Subdivision:--- FAX (904)247-5805
Street flame J ng and Zoning
or Address: DESCRIPTION OF WORK
60
11XII If in-a-FL �AZARD
Plood Zone:--------------area com.Plete page 3. Brief
Description: Single Family Dwelling
------------------------
Class of Work:
ZONING INFORMATION (New/Remodel/Addition)-- New--------
Type ol
-7oning Proposed Construction: ----------
District:
-L-L-Use:-------- Estimated value 0- 00
—----------
ENceptions or --------- Materials:
Variances Granted:
Solid or
------------------------------------------ Filled
OWNER INFORMATION Ground:_.Filled......
Method 01 Hest1ng:__EjpQtjiQ
Property Owner:_ Shaffer & Sons 733-7300
Mailing -------------------------- Phone:--------------
Address
M.8j-.F1 U.
Jack�2r
Fl----------------------------- Zip:---32256
CONTRACTOR INFORMATION
Contractor:-- Shaffer & Sons 733-7300
Mailing Phone:..............
Addreen:
............................ Zip: 32256
License Number: CRC042504 expi�a--tlo-n----------
------------------------------ Datet 8-96
..............
I HEREBY CERTxry THAT I HAVE READ AND EXAMINED THIS APPLICATION AND X14OW THE SAME TO PC TRUE
AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK VILL ec
COMPLIED WITH, WHETHER SPECIFIED HrRrax OR NOT. THE GRANTING OF A PERMIT DOES NOT PPESVPIE* TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL. STATE OR LOCAL RUL!Ez.
REGULATIONS. onarMANCES. OR LAWS IN ANY MANNER, INCLUDING T"C GOVERNING OF C011STRUCTION OR Titr
PERFORMANCE
Of CONSTRUCTION or THE pROjECT. I UNDCRSTAND TfIAT THE ISSUANCE OF T111S PERMIT IS
CONTINGEttT UPON THC ASOVC ZXrORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTIWC.
DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Ovner Signature ....................
Date
Contractor S ur
CITY OF
RO?ERTY DESCRIPTION
OL
800 SEMINOLE R0.-U)
Lot *-��N---Blcck 0--------Section ATLANTIC BEACH,FLOR10.1%32233-5444
1996 TELEPHONE(904)247-5800
Subdivision:-,�:�Qj -------BuNng and Zoning . FAX(904)247-5805
,5treet lame DESCRIPTION OF WORK
or Address:
- ------------------
If in a FLOOD HAURD
11XIT
Plcod Zone:--------------area complete page 3. Brief Single Family Dwelling
Description:
Claus of Work:
(New/Remodel/Addition)__ New........
ZONING INFORMATION
Type of
Construction:--KQq.(LzUJqqJ4
_7oning Proposed
District: PUD tise-. S i n&1.� F am i 1.y
- ----- i d e n c e Estimated Value
E:xceptions or Materials; ne
Variances Granteid: --------- jj:L
-------------------------
Solid or
--------------—-------------- -rj -alajuglea
Root:
OWNER INFORMATION
Property Owner:_Ng_r Phone3 733-7300
Hailing --------------
Address
Jackson Zip:__ 32256
CONTRACTOR INFORMA
Contractor:-Itqr t Phone:- 733-7300
Mailing - ----------
Addrepas... SfIS I _pjLi_jj_1.p,
L
------------------------...... zip:_32256
License Number: CRC042504 Expiration 8-96
.............................. Datet
I HEItEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT. ALL PROVESICKS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK VILL ec
COMPLIED WITH. WHETHCR SPECIFIED HEREIN OR NOT. TUC GRANTING OF A PERMIT DOES NOT PRESUrE TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL. STATE OR LOCAL RULS5.
,r.r REGULATIONS� ORDINANCES. OR LAWS IN ANY MAMMER, INCLUDIPIG THE GOVEPHINO OF C014STRUCTION ng Tiff-
PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT TUC ISSUANCE 01 TfitS PLRIIST IS
CONTINGENT UPC$ THE ANOVE INFORMATION BEING TRUE AND CORRECT
AND THAT THE PLANS AND SUPPORTItw
DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Owner Signature
Date
Contractor Sign u Date
.... -------
Lilv. HHLL HTL BCH TEL No . 24-?5805 Apr 3 , 95 15 : 31 No . 010 P .02
r")OIDMAIN "VELOPhavT XNFOftffATXc)jj
Type of DeVVIOpment
IP400d -----------------------------*--------
R*Rvtrwd L.Owwwt Orloor
------------
Xf bUlAdIng Is 1cmeted "'thin 0 9A*Od hazard a*..,
Lb* "dw APTER -rR6 91LA2 HAS DICCU poURICO, owjrvoy,
Owrer mooR ItLr6varxcmt cortAgYAng the
elwwftticn w6tabIl"Od gar in wqu*I to or abov, the, t the
tbst none. boom 1100a
fgnmA Inspection *411 60 wsdO end no vwrt4gj,,t,,
w"' be' Immuod until the, murwer to an Sk,4; as
Department. w Occupancy
'ith thw bul4dina
Applicant
thio porml% X undfrotand the% the Awsuance
corrwdt and that the, p4mns MW m"
bw PrOvIded as jr4pq 000"nae'" uPft^ Uw ObOlOw Ingornst1cm
AN
Ulred. In* wato have kwmn or 'Who,,
pf"16104'a 09 OrdAnonc"O Mo.
ordinanc4a 28-7--* CROM"r with G'A OPP11cable
ogre* *
A$ angg "ljL
tho' PVOPO"d dovailempa..t. Other JLOVO or
Date------------- SAgftStur *
----------
----------------------- -------
Use
4ft*wq8wu&ArIwtd LLoowwowmatt pr.10or 910VOtAon
&&ovation -------- ------
SurvwY PlIod wgth SjuAlding
"Partow"t -----------
Peou 3
a I
IAII 6C-1 -PRISCRIPItYj REOVIREMENTS II SMALL ADLAII]IONS(He Sq F, a,,4,,Issf
��.. 11,111,11, 1 RC NOVA-Wm$10 EXIST IN n IV ILDfN14'S AND SrrF.INSTALII COMP
COMPONINT 1 1111 AIII 1111 11111 INSULATION ONENT$Of WA.NUfACrUJI MOJI
INSULATION INSTALLED EOU$PMENT MINfMUM INSTALLEO
Conciliate Block Q 7 EFFICIENCY EFFICIE
? ":4 Conlral A/C - Sj*;i
Fiji milp,� N 6 S::,s ;06 1
Common.Frame -Singse Pkg SEE44 9 7 SEER
Corrinitan. masonry of PTA- FER SS* ECR
Vnfti�iAllsc
54ngla.ASS,emb)y, EnCloSed- Rnislance ANY
Fiarno 0 i-o"I I-,,;III) sc.;! 8
Wela)pans
Uj ri S'n-dic pq H
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com"I ;7,n" it 67
it
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a
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89 EF
In con(*!"�,nod tn— Nalurai P
A E
EF
EF 54 EF
VE i4foLif;;
-;ME NIS F,,)R ';'.A 5S A PC,AS it, JIDNS ON1.Y
lo WO;allOw"I 1- -1".-1,3 t) -
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4
U P To 50%
87,
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'erg
NAter II
:ILarIV mari(p.cl
ttcuij br"tker(clactri(,)
Swimming
612 1 S,pa s J-
a OJIL-o rN,ws rrlk� tw",c,virsili=
UM b copi "�a- pool$ms!have a
�,V, must have -M
u
h
F howt, t2q.Ay 1
ftlLdo PSIG
H'vAC Ouct 610 All ducis. 80-
17mM and pler,u.n
insulation sealed.insulated ar�d'fisial;f'o
nsul. accu'darl"wl'n!nt, in attics
insul _td 1?4 must 011,
-M- f:i
HVAC Controls S.Paaafe readily acce SS - ------
tk)�4 autornalic rhotmostal jc)r pa��h syster,
AA(VIII TIONS,
rwit:409* to roAam b"40W 10 tam Mwoxiim arlit;sit eftI l&vels 0�If*. qJPT4n beIv P44W
W*d nof rerwow mQ.� p AK 0-ft W- ML.--4 M"z :Md Ift nw~0 1 to 14 S 10:1
ol"
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air I
-vov*in oxww WW"
WIVo 10=01y were ovtrr�&nq AV bft t*AIW MINCOW FO*NWMW On TdW$C-t.
V)VA nomS cK y pAIII Wl Ji6iAI A Mai�"`94 MW4Ck44A?)l lFOM to IAC"01 ft 911 JOS par dVW*M",,*&AMW*W
91 fw.*,t t,fxvin
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a[Ps II 1.11r1rallad ftf do�a Mae?ft CAWM*W be 6*w 10910-Wo Onled.dimble-JI dift V qlJoulift"Ji,VW Wobwvwl
,It DING SYSTE14.
A if:�,I"*at Appr
0"Mort an 06P 1
(ROvts*d November,2001) FLORIDA OUILDfNG CJI BUILDINC
-LU-—t—, P 06/07
01-4050.04
Page 4 of 4
Tat'Results: (C d)
-Z of Tag-Test Method
RILUlt
Forced Entry Resistance per ASTM F.58S-97
x: A
ide: io
Lo Ok Manipulation test No entry No entry
Te Al thru A5 No entry No entry
T tA7 No entry No entry
JLO Manipulation Test No entry No entry
a
4.3 W Resistance per AS E 547
and without screen)
6.75 psf No leakage No leakage
4.4.1 Load Deflection ASTM E 330-97 1
cators were located 0&"the stile)
held for 52 seconds)
5.0 psf(positive) 0.2518* 0.2011 max,
.2 psf(negative) 0.2811* 0,2011 Max.
Exceeds L/175 deflection,but meets all other test requirements.
44.2 Load Structural per ASTM B 330-97
cators;were located on the stile)
hold for 10seconds)
5 psf(positive) 0.031, 0.14"max.
:8 Psf(negative) 0.02" 0.14"max,
etail ed drAwm, repr entative siunples of the test specimM d a
an copy of this report will be
ed by A enod of four years. The above results were secured by using the
asigt ated test me they indicate compliance with the performance requiremertts of the
ova referenced on. This report does not oonstitlite ce,,Iffi- cation, of this product,
v rhicb may oxAdly be by the certificiftion prograrn administrator.
Tor A� TESTING,INC.
Mark& ess &Wdmu.-
Allea N.ReeVe
7 Xhn cian .Is,F.B.
Director-En"' caring Services
-.biw 62—
N AH
0 -403!0.04
1%-7k Iry 10
1010""10
.q'i 0i,
Selva Lakes Homeowners Association Inc.
REQUEST FOR ARCHlTECTURAL APPROVAL
This request form is to be completed by the Homeowner and submitted to the(ARC)
Architectural Review Board prior to the commencement of any work.
Please complete in its entirety
Date received by ARC L
THIS SECTION TO BE COMPLETED BY HOMEOWNER
Date: !0- 6% -0 1-27
Name: iC&ry jklnvLe v/'#. Lot#
Address: !a &Uezim Ke_!�
Home Phone: ?.61 - �i 1J -Bus: '1,,5q;5 12,62-
Contractor: DAViA
Describe the work to be done: (i.e. Screen room,addVition,fence,garage door,siding,etc.)
Re M 1 4EC4.VIA- a-v'rp-pa" ,A Mg 6oq &"XW LAW f1dV-Wr2A,
6ba edt' iviky 42 K"&Vvyl of wi"kidews, 0.4-4d
Location: Attach a copy of your survey indicating the location ofwork to be done.
Describe Location: $C-r?'W96V'G�V
Specifications: Attach a copy of the plans, drawing, picture, specifications (material,
color, etc.)All exterior paint must meet SLA specifications.
Estimated date of completion: Mml
NOTE:Owners are responsible for the conduct of the contractor.You are required to supervise the
.work being done.You are responsible and liable for any damage done to common property or
adjacent property.When required by The City of Atlantic Beach you are re rovide the
ARC with a copy the building permit
07�M_111 1
THE COVENA D ST RICTLY 0.
Owners Signature:
Date: d 13
Do not write below this line
3/11 )Ag -'r— I
Date Approved- Date Denied:
(ARC) Signi e:
Comments or conditions:
tll?"A 1."/1" A4
'-�U V
FLORIDA ENE.RGY EFFICIENCY CODE 1-08 BUILDING CONSTRUCTION
FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2
Small Additions,Renovations&Suilding Syslers
GonrWce i4th MehiodC OrChWer 6d he FbMa E'Wgy EffiOelry Code rriay bedemonsUaledbythe use of)"W'I 6OX-01 lor Jj(;!vyv"0 bw wjaFe feel ff k-s�.vie r-,slaWcomponntsolma,,iL4aciLqedhol,,es.arod
lortova!"u 10 S!N10 and oithifa.-,wily tesidemes AliemAzwa j-�wtivylt arp w—led or add(som by U e of Fun M-04�or&))A�O
PROJECT NAM Sare e P- I BUILDER:
AND ADDRESS P
ERMITTIN CLIMATE
OFFICE�
OWNER: ZONE: 1 2 3
C PEAMfT NO JURISDICIPON No,:
friicij
SMAU A:)Dll)ofiSTOEXISIINGqEOIDF,,qCES lf�l-x;css CfCr)Adjj1Qne�area) Prescrlplive�m'q:errens�rl Tat>� 6C 16!' 1 gpNOIIN Xlit�c)rniiorkrlsol he additm C
,w lo ifv cxjsljN Njk4jq
SPare heatr9 cnoling.and walef rvaing equVcn�-Ocwcy ii�vels rnust beenei wiy K:ppmori Ls nsialled spW6rjhy:o N'
erev 1v addibnt�y 6 bein,i vistaud ot-xrmior wp-the ad6w.conslnxbon �ents
Sepwaml;urco4boned vaces Irom s�14_-es msl'v�1 ne pfev.MW min"T'Urr!oJa Don ieye� RE NOVA I VONS I icsder'10i tluidl'�Qs-NIO(T)eq 101yvaD�s ciistr,g�*AYe du.ri 30*4 of he aqse5 dvailleofte
buldvig) Prmlpirye(equifements t,i xNas 6C I arid K-2 ap*oiA'v lo lie =Ponerits and onuipmm beiN,erova i MANLI--A C,T'UP HC0 S AN.�SUI ONGS C>�Y sfit-ristafipd comporienis arill lea tures
xe.rvefed tiy thd lurm EILP0NG SYSTEMS Com*Atle,� wiem isns:av,� CK
1, Renovation, Addition, New System or Manufactured Home
2. Single family detached or Multifamily attached 2.
3, If Multifal"nily--No. of units covered by this gubmission 3.
4. Conditioned floor arert �sq 11 4.
5. Predominant eave overhang (ft 1
6. Glass area and type: c;irigle Pane Double Pane
a. Clear glass 6a Sq ft sq ft.
b. Tint, film or solar screen 6b- sq ft
7. Percentage of glass to floor area 7. 0
8. Floor type and insulation:
a, Slab-on-qra di-.� (R-VAlUe) 8�i R=
b, Wood, raised (R vaj�)rj 81) R_- - So t
C. Wood, corrimor, (H-valL101 ic R
d Concrete, raisod,
I sq, ft
co"'Irinr (R V'iloce) sq ft
9. Wall type and ins�flatic)r:
I Masanty (I ga I s q fl.
2 R sq ft,
I Maso,)ry f!nsulation F:i_v.-jj(je)
9b-Ij R= q ft
2, Wood f',arl'-e (Insuiation R-valje) 9b-2 R- sq ft
c. Marriage Walls of Multip!p Unt's* (Yo__,'!No)
10. Ceiling type and insulation:
a, Under attic (Insulation R-value) 10a Rz u) sq. ft.
embly (insulation R-value)
b. Single ass I Ob. R=
I I. Cooling system*
(Types: centra;, room unit,package terminal A.C.,gas. existing,none) 11. Type:
SEER/EER:
12. Heating system*: jypes. heal pump,elec,strip, natural gas,L P.gas. 12. Type:
13. Air Distribution System*:
gas h.p-,room or PT/,C, existing none) HSPF/COP/AF E:
a. Backflow damper or single package Systems* (Yes/No) 13a
b. Ducts on marriage walls adequately sealed* (Yes/No) 13b
14. Hot water system: 14. Type.,
Crypes�elec.natural gas,other,eKtsling,none) EF.
Pertains to manufactured l"OrnIsS With$410 installed components.
I hereby cemit the ftLn.��ci ations covered by the calculaton ar-a in Review of plans and spKificabons covered by this calculattijOrt kiclicales compliance
compliance I the a e with the Florida Eneq�Code. Before consititiefion is cmVillitect this bjAft will be
PRIPARE0 BY: �ATE: 3 in specled tor compliarce in 6cc�) 0 With SS3.9".FOS.
UILCIlWG OFFICiAL; i
I hereby certity s nc it Florida Ener y
OWNER AGCNT�
'ArE,
FLOAIDA BUILDING COOL, BUILDING (Revised November,2MI) 13.201
Hpr rvo u i u u4