Permit Deck 527 Selva Lakes Cir 2012 CITY OF ATLANTIC 13EACH
800 SEMINOLE ROAD
,jrj ATLANTIC BEACH, FL 32233
IMPECTION PHONE LINE 247-5814
11�111111,247 511,
A Anpi 4 -2
pp"catiOn Number
Property Address 12-00000829�
Application type description 527 SELVA LAKES Date 7/06/12
Property Zonin, DECK/PATIo CIR
-----Application valuation To BE UPDATED
--------------------- - - - -
------ 4730
Application desc ----------------
------ADD 20 X 15 WOOD - --------------------------
----- ON GRADE DECK
--- ------------IN-REAR YARD
Owner
RIGBy------------------- Contractor
, DOUGLAS D.
527 SELVA LAKES ---
ATLANTIC BEACH CIRCLE JONSSON CONSTRUCTION
FL 322334361 333 SAN PABLO RD N
Structure Information JACKSONVILLE FL 32225
---------------- 000 00 0 20 X .16 (904) 591-05-99
Permit --------------------- DECK
ELECTRICAL PERMIT---------------------------------
Additional desc* .
Sub Contractor KNIGHT ELECTRIC LLC
Permit Fee . * *
Issue Date 57- 40 Plan Check Fee
Expiration Date 1/02/13 Valuation . 00
------------------------------ 0
2010 FLORIDA
Special Notes and Comments
--------------------BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
Other Fees - -------- ----- ------------------------------------------
STATE ELEC DCA SURCHARGE 2 . 00
------------------------------ STATE ELEC DBPA SURCHARGE 2 . 00
---- -------- ---
Fee summary Charged Paid------Credited-------Due ---------
------- ---------- ---------- ---------- ----------
57. 40 57. 40 . 00 . 00
permit Fee Total . 00 . 00 . 00
. 00 . 00
. 00
Total 4 . 00
. 00
4 . 00 . 00
Che C 61 .40
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000829 Date 7/06/12
Property Address . . . . . . 527 SELVA LAKES CIR
Application type description DECK/PATIO
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4730
----------------------------------------------------------------------------
Application desc
ADD 20 X 15 WOOD ON GRADE DECK IN REAR YARD
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RIGBY, DOUGLAS D. JONSSON CONSTRUCTION
527 SELVA LAKES CIRCLE 333 SAN PABLO RD N
ATLANTIC BEACH FL 322334361 JACKSONVILLE FL 32225
(904) 591-0599
--- Structure Information 000 000 20 X 16 DECK
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . -
Sub Contractor . . KNIGHT ELECTRIC LLC
Permit Fee . . . . 57 .40 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/02/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57 .40 57 . 40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 61 . 40 61 .40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PtRmn APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904 247-5826 'Fax(904) 247-5845 -7? -
/L
PERMIT#
OB ADDRESS: �52 7 5?In- Wes ctals
FA INFORMATION REQUMED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK S
�EW SERVICE 0 Overhead Underground Uoderground up Pole
oRiesidential(Main)Service s of Meters
EO-100 amps E1101-150amps C1 151-200amps
D Commercial (Main)Service
00-100 amps 0101-150amps 11 151-200amps 0 amps C CT Servim amps
Conductor Type_ Size
OMulti-Family(Main)SerAce
Ll 0-100 ampg 0101-150amps L 151-200amps of Unit Meters
0 Temporary Pole D arnps
;ERVICE UPGRADE Fl—amps F3 CT Service amps
iEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[3 100 arrips D 150amps 0200amps 0 amps OCT Service—aniPs
%DDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outlets/Switches: =-30amps 31-100amps 10 1-200amps
Appliances: 0-30amps —31-100amps —10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures: ;2
DTHER ELECTRICAL VROJECTS
[.]Swimming Pool [] Sign El Smoke Detectors_Qty 0Transformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK
REPAIRS/MISCELLANEOUS
0 Replace Bumt/Daniaged Meter Can 11 Safety Inspection 0 Panel Change COH to UG
[]Other:
Parroit becomes void if work does not commence within a six month period or work is suspended or abandoned for six montlis. I hereby catify that I have
read this applioation and know the same to be true and correct, All provisions of laws and ordinariots governing this work will be comoked with whether
specified or not 'J'he permit does not give authority to violate the provisions of any other state or local law regulation construction or t4e perfortnance of
constmction.
Property Owners Name Phone Number
Electrical Company_ rmmit- Et e(Tot, U, C Office Phone Fax
AE )� zip ??270
20f &A ;jL 5' City_TAf, ki. State —
Co.Address: STe#,'C- �/W,LA State Certification/Registration-4 1-2
License Holder(Print):
Notarized Signature of License Holder
s me s Of 20
EXPI Fe ruary
F,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000829 Date 7/05/12
Property Address . . . . . . 527 SELVA LAKES CIR
Application type description DECK/PATIO
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4730
----------------------------------------------------------------------------
Application desc
ADD 20 X 15 WOOD ON GRADE DECK IN REAR YARD
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RIGBY, DOUGLAS D. JONSSON CONSTRUCTION
527 SELVA LAKES CIRCLE 333 SAN PABLO RD N
ATLANTIC BEACH FL 322334361 JACKSONVILLE FL 32225
(904) 591-0599
--- Structure Information 000 000 20 X 16 DECK
----------------------------------------------------------------------------
Permit ' * * * ' ' ACCESSORY STRUCTURE NEW RES
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4730
Expiration Date . . 1/01/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
JobAddress: . j1`2/_*' Permit Number:
Legal Description _!�J/ Parcel # 1,;,Zx�z,--,-570- (,,
Valuation of Work$___22",2 PooArea 0 q. t. 3q.ri
roposed Work heated/cooled non-heated/cooled—
Class of Work(circle one): New Addition ('A- lt'er io Repair Move Demolition I
'Al
Use of existing/proposed structure(�) (�ircle one): Commerci�l C.gesidential
If an existing structure,is a fire sprinkler system installed?(Circ e one): N
For multiple proaucts use PI-oduct approval form FILE C
Florida Product Approval #
Describe in detail the type of work to be performed: 7* ;7 177
Property Owner Information:
Name: &;1/11 a52�5- Address:- -52 2
city__ 115VI -, State�-Zip-2 ZZ 3,) Phone
E-Mai I or Fax#(Optional)
Contractqr Information:
Company Name:
Address: 31�� / " J, —Qualifyin Agent:—,& e—
Office Phone city State.. —4Z Zip zz
- ration Job Site/ er Y�5� # z
State Certification/Regis :52, ?'T�I _Fax
Architect Name& Phone KEVI
Engineer's Name& Phone CITY CON4PI,
Fee Simple Title Holder Name and d ress -,PE R
Bonding Company Name and Address REQU NTS D CONT)ITj
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the wor DAMI . has commenced prior to the
issuance of a permit and that all work will be performed to meet the stan�ards of all laws regu ating.cons ruc ton I n. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work i's s ended or abandonedfor aWeriod ofsixj6)months at any time after
work is commenced. I understand that separate permits must be securedfor E1ec1ricau;P1V"rk, Plumbing, Sikns, ells, Pools, rnaces, Boilers, Heate,,
Tanks and Air Conditioners,etc. k
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and6rdinances governing this
type p�work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or local aw regulating construction or the performance of construction.
Signature of Owner/_,�_
Signature of Contractor
Print Name 4 /—Ur V4
...................................................................... Print Name
............................... &
..........................................
Sworr4qs4d subscribe me Swo 4nd subscribed b r e e.............. .......................................................
this " Day of %or&- 20 this ay of
20/2-
92
am. P,
Pu
149 --. ------___E
Notary Pu N RMALI A&
21TI K0 M
BonWThmNo"Pub0c dt Y COMMISSION#EE 057349
EXPIRES:May 21,2015 R ised0l.26.10
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City of Atlantic Beach
Building Department APPLICATION NUMBER
8W Seminole Road (To be assigned by the Building 7Department.)
nfic Beach, Florida 32233-5445
/Z
Phone(9W)247-5826 Fax(904)247-5845
r. E-mail: building-dept@coab.us
CifY WWake: hffp.-/AwAv.Coab.ua EDate routed:
APPLICATION REVIEW AN-D TRACKING FORM
Property Address: -7 nt review re ulred Yes 0
Applicant
Planning&Zoning
Tree Administrator
�; 1IF77
Project:
Public Wo�s
Public Utilities
Ez 016 Public Safety
Fire Services
Other Agency Review or Permit Required RevI or Recel t
Florida Dept. Of a it Verified Date i%�' 7
Florida DeDt_nf Transportation
St.Johns River Water Management District
Army Corps of Enginaare
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Reviewing Department APPLICATION STATUS
(Circle one.) First Review: 13�pproved. DDenied.
=BUILDI�-G�) Comments:
PLANNING&ZONING
TREE ADMIN. Reviewed by: -�PW Date._Z:��/ Z--
Second Review: E]Approved as revised. 01 D ed.
PUBLIC WORKS Comments:
Date-_Z_
PUBLIC UTILITIES
P LIC SAFETY
UB Reviewed by: t
Date:
FIRE SERVICES Third Review. ElApproved as revised. E]Denied. ----------
Comments:
Reviewed by: Date:
Reviited 07127110