1810 Selva Grande Dr (vault) ADDRESS z
BUTT.�TNG PERMIT NUMBER
INSPECTIONS : FOOTING 9-.F7
UNDER SLAB PLUMBING
SLAB
FR.Z.MING
COVER-UP
INSULATION
FINAL BUILDING 7- 2 - 97
CERTIFICATE OF OCCUPANCY f7- ;2 - ,9 :,Z
ELECTRTCAL PERMIT # 1398S
7NSPECT-ONS ROUGH
FTNAT Z
MECHANICAL PERMIT # 1,3934
PTUMBTN,'Z PERMIT #
:3
7
NOTES : /�o
F7 SV9(
A_t,0 1 z o
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—Y--/ F-19 <Y3
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
FrTRIMAN GN
ELECTRICAL FliiM: MASTER ELECTRICIAN GN URE
ITz L,,q r, -.4� Box—
NAMEGIIV�_� r--j ADDRESS: 1(9
BLDG.SIZE BETWEEN:—
RES. APT. ( COMM- I PUBLIC INDUS. I I NEW ( -r—' OLD I REW.
ADDITION ) TRAILER ( TEMPA I SIGNS ( ) SQ. FT.
SERVICE: NEW INCREASE ( ) REPAIR FEE
CONDUCTOR SIZE AMPS' COPPER I ALUM.
SWITCH OR BREAKER AMPS PH W . 4:1 Z,�,VOLT V_JRACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN
0.30 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS, OVER ELL TRAN F.
APPLIANCES
AIR H.P. RATING H.P. RATING CEIL HEAT: KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS
OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
j.E N 0. KVA NO. KVA_
SWITCH� FLASHER
NO. NEON TRANSF. NO. V MA. MOTOR SIZE SWITCH
EACH SIGN
FORWARDED
$
TOT%L FEES
PSR-3844 17483
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
..rmit Number : 17483 .1ress * 1810 SELVA (3RANDE DRIVE
Permit Type : SWIMMING POOL (ONLY) ATLANTIC BEACH., FLORIDA 32233
—, ass of Work :NEW LEGAL DESCRIPTION -- ----------
Constr . Type :WOOD FRAME Block : Lot : Twp: 0
Proposed Use : Section: 0 ---ubd: O Rng : 0
Dwellings : I Subdivision :
Est , Value: 0 . 00
improv . Cost : n ,000 . 00
Total Fees : 30 .00
Amount Paid: -, 30 .00
Date Paid: 11/24/1998
P k n,e s- * cv�I T NG POO" (ONLY)
�,WNEF. INFORMATION APPLICATION FEES
-tme: CAR.Ir�ER/REMRX REALTV, "ERVIM 30 . 00
'1910 Of
d r R. NDE DRIVE
CY , LORIDA 322" '
.... ........
,one, ( ,
CONTjt],-�,f- qft3 I MATION
AQUAP90L qr-,,'-,qAC'K"SONVILLE',',,,INr-.
2251-M-0,"ROAD
J—XdiSONV I L FL 3221,
A c : CP Exp ,
,X013600
.pe:
NOTES:
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 MECHANICS' 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.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR POOL PERMIT
7Cb Addre s s E-1 V 6'7Z,4/VR�-
I -
L c Block Subdivision 11141 114CRLal)
0 e r R Tz
Address— ZaZn 45Et,12 CWA/pe�- &- t/ Fj-
con'tractorWij , A 4)ap,t-w �r u A 12
2, �Z OR54 It) P J4 X , F� 322TjELEPH0NE(q063,*,9
License 1,1umber C-Peo 13600
Valuatioll zq Gallons
, 0,00 g
SITE PLAN
front
M WED
RECE
4 1998
city of Atlantic Beach
Building and Zoning
rear
Signature 0�-.,ricr
Date a,1�1/
D a t e /
Sig-ature CciitractCr-Nj"---',
0
Bk: 9140
Pq: 1177
Doc# 98286255
NOTICE Or C0"KENdEWffjjjed & Recorded
L 11/24/98
(_r ' 12:05:40 P.11.
1114 HENRY W. COOK
CLERK CIRCUIT COURT
To 43om it may concern: DUYAL COUNTY, FL
NEC. $ 6.00
The undersigned herby inform you that improvements will be
mado to certain real property, and in accordance with section
713. 0 of the Florida Statutes, the. following information in stated
in ttis NOTICE OF COMHENCEHENT.
Leg 9L I I description of property (include street address)
9 0 SA cm
7
geng al description of impr OV ,,,t, (�itllfi_wuru
U
-Add colsB SACL)d (4ieAW,0,Jr
Owneca interest in site of the improvemsixt
Pee 3imple Title holder (if other ' then owner)
Ham
Address
Cont actor
Addrass be
Surety (if any)
Addir iiss
Any person making a loan for- the construction:of -the improvements :
Name
Address
Pera�n within the state of florida designated by owner upon whom
noti3ex or other documents ma be served:
Y ,
T_
Addr an
In a dition to himmelf,' owner designates the following person to
rece ve a copy of the Lienor'n Notice ax ,provided in Section 713.13
(1) h) . Florida Statuton . (Fill in at'.Owner's option) .
Ad roes
TH S*"OFACE FOR RECORDER'B USE ONLY
VOWNU//
sworn 0 and subscribed before
me this
WILLIAM C.ANDREWS
re COMMISSION#CC 448924
y
FXPIFIES APR 6,1 ON of
1: BONDED THRU
�4 pxs'�;ATLAN-11C EK)NDING 00.,INC.
Notary Public
MAP SH"WG BOUNDARY Su-RVEY OF
LOT— , L —BLOCK — AS SHOWN ON MAP OF
OF 0 OU 7Y, FLORI
AS RECORDED IN PLAT BOOK 23 PAGESY-a- THE PUBLJC RECORDS UVAL C N DA
CER77FIED FOR.
RECEIVED A,—j z–d-- 1:> --s v--' 100- 00
NOV 4
'P.
O:n
City of Atlantic ea�i
Building and Z ing
lj�
ic
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LJNE AS SHOW
WOT VALID UNLESS EMBOSSED W7H SEAL OF 7HE UNDERSIGNED. BEARINGS BASED ON
THE pRopERTY SHOW HEREON APPEARS rO LIE WTHIN FLOW HAZARD ZONE AS SCALED FROM FLOOD
INSURANCE RATE MAP T FLORIDA, DATED— AND
I F100? 7HE C17Y OFA---T-
OWNER RICK eke,0255le- PHONE Y 7- (o�,2 LOT cZ BLOCK
ADDRESS ITY
66094hl SUBDIV
e_r-
or
�:T
4
----------
MEMBER APPROI
IME un(
STATE additiom
!A
NATIONAL CERTIFICATION
OF JACKSONVILLE, INC. iNSTLTUTE #C PCO 13600
388-4674
S7
j-.1
-1 J
Fr
7Ae 6�00-_---t
—PB DATE
POOLLENGTH 31z
POOL WIDTH
POOL DEPTHS
POOLSQ. FCOTAGE
DECK AREA
DECK COLOR I
_5 0 _,,r7
DECK DRAIN
DECK PLANTERS
FILTER SYSTEM 1�072-- -54N',Q
PUMP SIZE
EYEBALLJETS
SKIMMERS
,2--
MAIN DRAINS
HYDROTHERAPYJETS -/7/
HEATER
law POOL CLEANER 0 /-5 "2
149 1
ELEC. HOOKUP �qo Q
TIMER V#1e
LIGHT
:A4-7 40 '::f
TILE /'a"/A I r7-7—e,e
SWIMOUT
BENCHES
HANDRAIL — ^10,1,5.
MAIN STEPS
DIVING BOARD
SLIDING BOARD ooq�,
CLEANING EQUIPT 42�tj,0/-,65�7--X- '�j 772f<2
SPA
I'— AIR 6"1:14"
SCREEN ENCLOSURE
TOTAL COST
ED for Layout, Dimensions& Equipment. OPTIONAL ITEMS
�rstancl that any changes may involve an
charge.
SCALE T' 1
4
r
Shallow End 3/8"Rods
NTS
%
Ilow
NTS
Marite 3!-G!'
-L"M
psi
Deep
N T-5
v
V.%
Cp ILA Wi
-M%qSR
f,VOAP
swimming Pool
Built for i Ck
..........
k�- 77.e,,,
A-1
JAI.
A CITY OF
4&4a&C Ig SaC11.-4q&V-4k
office of Building Official
REQUEST FOR INSPECTION
-97 Permit No. 1.3 9,5--2
Date 1 ,12-3
Time �4.� 116,
Received
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL MECHANICAL
Framing Footing Rough Wiring Air Cond. &
Re Roofing Slab Temp Pole Top Out 7 Heating
Insulation Lintel Final Sewer - Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Wed. Thurs. Friday
A.M.
Inspection Made --P.M.
--��inal Inspection
C c
ertificate of Occupancy L:7
0
It S& CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025408 Date 1/15/03
Property Address . . . . . . 1810 SELVA GRANDE DR
Tenant nbr, name . . . . . . REPLACE 2 GARAGE DOORS
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 950
Owner Contractor
------------------------ ------------------------
CARPER, RICKY L. OVERHEAD DOOR CO. OF JAX
1810 SELVA GRANDE DR. 6884 PHILIPS PARKWAY DR. N.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 268-1627
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 950
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
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
RE§NT IN THE PR91PERTYRWNERi!PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
5�
WVIC14,AREPARTP THISiPE T�, D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
PLUMBING WORKSHEET
.2- SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
Ll LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (1-2 UNIT) URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN (I UNIT) WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERATED (8 UNITS)
(4UNITS) NpPR0VED SHOWER STALL, DOMESTIC
17r -N. TIC BUCH
BATHTUB (W/OR W/O OVERHEQ,'� (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 -UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRIND
(3 UNITS)
TOTAL FIXTURE UNITS @ $10-.00- EACH
CITY OFATL4,NTIC BEACH
800 SEMINOLE ROAD
11 sl\ ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM: 852-5800
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application #_�ZDCJ O�3
Applicant: ccj
Address: 1���
Project:- -RC 01 0,U 2- QLALcx-Q c (1420Y5
vl�:our application is approved
o Your permit application has been reviewed and the following items need
attention:
C
Please re-submit your application when these items have been completed.
Reviewed b
Signed Date
Contractor Notified Date
APPROVED
CITY OF ATLAj0C BEACH
EUILDING OFFICE
JAN 1 2093
Cl�yot'Atlannc Bc:ich - SOOSeminolc Road - Atlantic Beach,
Phone: (904)247-5800 FAX(904)247-5345
PERMIT APPLICATION FOR REFLACENfFNZT OF NVITfDOWS,SKYLIGRTS AND G.AKkC;E
DOORS OF SLNGLE-FANILLY OR TWO-FAIMI-LY(DLrPLEX) CONSTRUCTION-
Date Z,�,r
Addrcss ,vhere,,vorki�,tobcpc,-formed
Applicant
Address Phone:
Lcgal Description- BlockNurnbcr Lot Number Zoning Disvict
Contractor—OVERHEAD DOng rri-r)p :FAX State License Numb-zr rjqjggj6Z6_ OCCUPATIONAL
TYPE 1
Addrcss 6884 PHILLIPS PKWY DR _ N Phone 268-1627
Ci,, JACKSONVILLE Stnte FL. ZIP 32256 Fax
Describ�_-Proposed Use and Work to bc Done
Pre,wnt Use of Land or Building(s)
Valuation of Proposed Constr-uction
Building Date:
Mean Roof Height_(fi) Building width Building Lcngth ft)
1019/2,V'(P
Winio4wtrxit'::h3� ft) Measurernerit from comcroftbuilding,to window -3
RECFIVFD
JAN 0 9 2003
5
BY
v
'Window Elcv.Frocn Cmde
7-
In addition to the Building Datu the following information is require4:
Manufacturc�Test Report
Inblullation Procedures
Window Description/Type
Garage Door Description/Type
Skylights Description/Typt:
Elevation View of Window Locations
HEKEBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS
CORRECT.
Date
Signacurc of Owner
I HEREBY CERTIFY THA I HAVE READ AND EXAMNFD TfUS APPLICATIONAND KNOW
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF TIIE LAWS AND ORDINANCE
GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH, WHETHER SPECIFIED
HER-EIN OR NOT. THE GRANTrNG OF A PER-MIT DOES NO`r PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEI.THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES,
REGULATIO'N'S, ORDINANCFS, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING
OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I
UNDERSTAND THAT THE ISSUANCE OF TWS PERMIT IS CONTINGENT UPON THE ABOVE
INFO kINIATION BE ING TRUE AND CORRECT AND T14AT THE PLANS ANI)SUPPORTING
DATA HAVE BEEN OR SHALL BE PROVIDED AS,.VQtnRED.
Signature ofContractorl::_�-�9-/� Date
Address und contact Information of Person to rcccive all correspondence regarding this application
(Please Print)
Name —e"
Mailing Addrc.s%
Phonc FAX S-mall
Sworn and Subscribed Before me this Day of
Statc of Florida. County of Duval
CAROL L GONYEA Notary's Signature
Notary Public,State of Florida
As to OAT-COM expires Nov.7,2005
P-Pe-isonal ly known
COMM.No.00 070797 0 Produced identification
Type or identification produced
As to Contractor `�M Personally )cnown
0 Producedidentification
Type of idervification produced
...........
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Jan 14 03 03: 54p Overhead Door 9042687204 p. 2
(C)
Overhead Door Corporation
Engineering Services TEST REPORT
1900 Crown Drive SERIES 391, 16' x 7'
Farmers Branch,Texas 75234 Design 25 psf, Test 37 psf
Telephone: (214)869-1666
Fax: (214)869-1671
Test Dates: October 4, 199e-
A P P iZ C V E D
Test N=ber: T-24-94 CITY Of-All-Ai-i;C 8E%CH
BUILDING O'l-FICE
Test Location: Overhead Door En-ineering Services
1900 Crown Drive. C, JAN 1 . , 2593
Farmers Branch, TX 75234
Performed By: Scott Boucher, P.E.
Overhead Door - Enaineerinc, Services
C, 0
Witnessed By: Daniel B. Wintitrs, P.E.
Registered in the State of Florida JOBSITE COPY
LeRoy Krupke, P.E.
Overhead Door - Engineering Services
0
Purpose: Test per the StandzTd Building Code,par-agraph 2505.4,to 1-1/2 times the
C, 0
design pressure. T(:st to be witnessed by a independent Registered Florida
0 C,
Engineer.
Description: Series 391, 16' x T with 1 HS3 centered on each section
Construction:
JOBSITE POPY
A Series 391, residential garage door, constructed in accordance with verhead Door
Corporatior�s product drawing 40-3813 Rev "-". The door consisted of four.(4) 16 foot
wide sections, which were 21 inches tall were stacked one on top of the other and joined
to-ether with one (1) "end" hinge at each end of the door as well as three (3) "center'
hinges, equally spaced across the span of the door. Rollers, with a dre diameter of 2
inches, a shaft diameter of 7116 of an inch, and a shaft len-th of 7-1/2 inches were
installed in each "end" hinge as well as the top and bottom fhxtures. The stem of the
rollers, located at each "end" hingc utilized "shaft support brackets" located approximately
1-1/2 in from the end of the roller shaft. One (1) HS3 strut, 1-7/8 inches wide x 3-1/2
inches tall and 0.055 inches thick, was attached to the center each section. The struts were
attached with self piercing screws every 12 inches on center with an alternating pattern.
The door tracks was secured to 2"A" wood jarnbs with "jamb" brackets located at 5", 20-
1/2", 36", and 54-1/2" as well as a,, 73" with a "joint" bracket. Each bracket was secured,
to the jamb, with one (1) 5/16" x 1-3/4" lag screw.
(=y-
Jan 14 03 03: 54p Overhead Door 9042687204 p. 3
-2-
TEST REPORT
SERIES 391, 16' x T
Design 25 psf, Test 37 psf
Procedure:
The door was installed as one vertical wall of a pressure chamber and tested in accordance
with ASTM E330. 'Me door wassubjected to static positive and negative pressure (inward
and outward acting respectively) ef 37 psf and was held at the test pressure for a miIiirrium
time period of ten (10) second&.
In addition to the formal 50% overload test, the door was tested to failure at a positive 43
psf.
Observations:
-37 psf
Location Maximum Deflection Permanent Set
Top 1.05" 0.0"
Center 2.7" 0.2"
Bottom 1.4" 0.0"
+37 psf
Location Ma)(Lmum Deflection Permanent Set
TOP 4.3" 0.91,
Center 5.011 0.9"
Bottom 4.7" 0.81,
Test to failure: +43 psf
Conclusions:
After the application of the positive and negative 37 psf test pressure, the door was iT�spected and
was found to be fully functional and had suffered only minor superficial damage.
Respectfully submitted, Concur,
97
4LA5-I.W- j
Vc 0 WO-1/2:w� Daniel B..-Winters
Overhead Door Corporation Re-istered in Lie State of Florida
Jan 14 03 03: 54p Overhead Door 9042687204 p. 4
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Jan 14 03 03: 54p Overhead Door 3042GB7204 P. 5
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
_461DDA
Application Number . . . . . 04-00028167 Date 4/29/04
Property Address . . . . . . 1810 SELVA GRANDE DR
Tenant nbr, name . . . . . . RE-ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
Owner Contractor
--------------- --------- ------------------------
CARPER, RICKY & JOAN CROWE, CHARLES LEE
1810 SELVA GRANDE DR. P .O. BOX 37484
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236
(904) 613-0444 (904) 777-1007
-------------------- --------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4000
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
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 DAPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
,I -, ( - 1-k
BU11LDfNG OFFICLAL
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date 44,&fi�c-(
Address J 'S (c) -S 4E W4-
FL-T Permit fee based on dollar evaluation as indicated on permit application.
Heated Square Footage $ persqft= $
Garage/ Shed $ per sq ft= $
Carport/Porch $ per sq ft= $
Deck $ per sq ft= $
Patio $ per sq ft= $
TOTAL VALUATION: $
$ $35.00 ist $1000.00 $ $35.00
Total Valuation
$ $
Remaining Value Per thousand or
portion thereof:
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + V2Filing Fee $
FLOOD ZONE: Fireplaces * $35.00 S
IMPERVIOUS SURFACE: L)
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT S
SEWER TAP $
C ( )RADON HRS.0050 $
SECTION H PAVING $
CROSS CONNECTION $
ST ( ) SURCHARGE $
OTHER $
013
GRAND TOTAL DUE $
Cc:
CITY OF ATLANTIC BEACH rD-Flu�
J ([:HR�in
BUILDING / ZONING DEPARTMENT S. Doerr
800 Seminole Road
R E C E i V E D
Atlantic Beach,Florida 32233 CITY OF ATLANTIC BEACH
(904)247-5800 BUILDING & ZONING
P (904)247-5845 Fax
APR 2 8 2004
PLAN REVIEW COMMENTS
BY:
Permit Application # p4- z Is i (,�-7
Property Address: 0 CE�;eL—Q(A
Applicant: Le--lE
Project: 'F�6- P"")
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:
Rpr 27 04 12: 38p Cittj of Rtlantio Beach Bu 904-247-5845 P. 1
91
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: D C�_&�C,_ Ck_XajjP__
Owner of Property:
��I= \
Address: if) S I elephone: _�x C2-) `,A 'ALI CO-"
State License Number: cz-<_/3-,2X;?07
Contractor's Address: /,33C-37 4
37-) -FF'I' _-a =3
Telephone: Col-
Fax-
Scop�e,_of Work:
i 771
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work:4 00 0
me)-. Q, Ore
?roduct Name',Example�Tirnberli
Manufacturer(Lxarnple:GAY): P_r4
ASTNI Designation(s):
Required Inspections: Sheathing and Final
_.
Signature of Owner: Date:
Sianature of Contract ate:
AS TO OWNER:
-N Cd
Sworn to and subscribed before nie this____K 0__dayof_ �A
Stsaii fFI gra.Counirvof Duval
E.Mblook Noiary'sSignaturu: :=��Ldn Lei
MY C01"ftsiDn D0939228
op r./ Expfts August @8,2007 [!�/Personally known
Ej Produced identification
Type of identification produce�
ASTO CONTRAC I'OR: t
Sworn to and subscrilyed before me this /-A r1% day of 7A ia —20
State of Florida,County of Duval Notary's SigrAture:
*e__6,e B&IMS a.
j MYC&MOMM00100 EWPersonally known
or VU Expim August ft 9W 0 Produced identification
'Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904)247-5845 -http:11w ww.ci.a flan fic-beack.lLus
Page I RcOved 2,11M
R E C E I V E D
CITY OF ATLANTIC SEACH
I '!r _� � 7 N G
APR 2 8 2004
LBY:
NOTICE OF COMMENCEMENT
5 MIN. RETUR'N
To whom it may concern:
PHO N E # L 3 Book 11774 Page 2331
The undersigned hereby informs you that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEM,ENT. I
Description of property C r)
General description of improvements —7 -C-337� QZY�0-7!-2-�ff
Owners _ � -0 .\ 1,-\
Address
L
Owner's interest in site of the improvement-
Fee Simple Title holder (if other than owner
Name
Address r,C v,,L,
ontractor X,t-
Address
urety (if any)
Address
Amount of bond $
Name and address of any person making a loan for the construction of the improvements:
Name
Address
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
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.[Fillin at Owner's option]
Name
Address
THIS SPACE FOR RECORDER'S USE ONLY
474
ye/ner
Owner
Doe 2004136834 Sworn to and subscribed before methis
Boot: 11774 day of 2o6-,4
Page: 233JL
Filed & Recorded
04/28/2004 11:46:29 AM
JIM FULLER
CLERK CIRCUIT COURT
DUVAL COUNTY Notary Public
RECORDING $ 5.00
TRUST FUND S 1.00
- 0 COIN=
IV E*MAugWft2W
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026801 Date 9/04/03
Property Address . . . . . . 1810 SELVA GRANDE DR
Tenant nbr, name . . . . . . REPL EXISTING A/C
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CARTER FLORIDA HOME AIR CONDT & APPL
2329 BRIDGEWATER COURT
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003
------------------ ------------------------ ---- ------------------------------
Permit MECHANICAL PERMIT
Additional desc A
Permit Fee . . . . 51 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------- ------ ---------- ------- --- ---------- ----------
Permit Fee Total 51 . 00 51 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 51 . 00 51 . 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 T14E PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date:
Owner of Property: tCA.W-\,e
Job Address: \%\c3
Contractor:
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good practice listed therein.
III. GENERAL INFORMATION
A. Type of heating fuel: B.
0, Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
LI Gas: —LP —Natural —central Utility BUILDING OR SITE?
Q Oil
El Other–Specify_ IF YES,GIVE NUMBER OF CONSTRUCTION
PERNU
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
INSTALLED Residential or Commercial
New Building
(Provide complete list of components on back of this form) Existing Building
C1 Heat _Space —Recessed —Central --Floor Replacement of existing system
Air Conditi Ring: Room e'Centrab Q New Installation(No system previously installed)
C1 Duct.System: Material Thc ess Q Extension or add-on to existing system
LI Refrigeration Maximum capacity —Cfm El Other-Specify
Q Cooling tower. Capacity _____gpin
U Fire sprinklers: Number of heads
C3 Elevator: Manlift—Escalator_(N—ber) THIS SPACE FOR OFFICE USE ONLY
(Received)
L3 Gasoline pumps _(Number)
LI Tanks _(Number)
L3 LPG containers umber) Remarks
Q Unfired pressure vessel
L3 Boilers Permit Approved by Date
Q Other–Specify— Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
(Tons) Agency
BEATING–FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
(BTU) Agency
TANKS
How Many Nominal Capacity Type Liquid Nameof Serial Approving
And Dimensions Contained Manufacturer No. Agency
800 Seminole Road a Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800*Fax:(904)247-5845 e http://www.cLatlantic-beach.fi.as 1/14/03
CITY OF
1211342CA-
Office of Building Official
REQUEST FOR INSPECTION
Date -7
Time Permit No. 256
Received A.M.
PM,
dress
Owner's j cality
Name Contractor
BUILDING CONCRETE ELECTRICAL
Framing P MBING
R.Roofing E7- Slab Rough Wiring Ej MECHANICAL
Insulation C Lintel E Temp Pole Rough Air Cond,&
L; Final Top out Heating
C1 Sewer Fire Place
Mon. READY ZQR!R;�INSPECTION Pre Fab
Tues. Wed. Thurs. Friday A.M,
Inspection Made A.M. ---
Inspector PM.
Final Inspection E]
Certificate Of Occupancy E-j,
Date
CITY OF
S,,,.4-J&,,A 13
Office Of Building Official
REQUEST FOR INSPECTION
Date
Time---���,�,
Received Permit No.
z
JOD Add
Owner's y
BUILDING ractor
Ing ONCRETE --- ELECTRICAL
Re Roofing Footing 0 PLU BING
1: Slab -1 MECHANICAL
Insulation E, Lintel TemP Pole
0 Finall Top out
D Sewer Heating
READY FOR INSPECT-ION Fire Place
Mon. Tues. Wed. Thurs, Pre Fab
F. ay
.M
inspection Made -,q A.M.
lnspector7:� R M Final Inspection 0
Certificate Of Occupancy 01
Date
CITY OF
seacA
Office Of Building Official
Date REQUEST FOR INSPECTION
Received Permit No.
Job ddr s
Owner's Loca
BUILDI Contractor
Fra m, ONCRETE ELECTRICAL
R e Footing PLU ING
Ins ing C Slab Rough Wiring 0 Rough MECHANICAL
ation C Li 0 TemP Pole Air Cond. &
0 Final Top out
4 Sewer Heating
READY F Fire Place
1 on. Tues I PECTIO Pre Fab
Inspection Made Friday
Inspector C�;A.M.
;M.
Final Inspection
Certificate Of Occupancy
Date
Now&
CITY OF
Office Of Building official
REQUEST FOR INSPECTION
Date
Time
Received 0 - A M Permit No.
PM:
Job ddress
Owner,
Name s Locality ------
N
BUILDING Contractoa 01
CONCRETE ELECTRICAL
Framing E� Footing PLUMBING
Re Rooting E: Slab Rough Wiring MECHANIC,
insulation 0 Lintel L- TeMP Pole Rough ir
Final TOP out 0 Heating
Sewer E Fire Place
Mon. Tues. READY FO INSPECTION 6n4S P Fab
�V7JVed. I�Wsy�(-Ixw
Thurs. /,0 .-Origev A.M.
InsPection Made A.M. PM
1'180ector— --PM.
Final InsPection 7,
Certificate Of Occupancy
Date
-Nit
CITY OF
Beac,4-
Office of Building Official
REQUEST FOR INSPECTION
Date —9
'17
Time ;L� Permit No. /-S S-6
Received A.
Job Address
Owner's Local'
N?rap
Contractor
BUILDI 67
Framin CONCRETE ELECTRICAL PLUMBIhG
Footing MECHANICAL
e oo ing Lj Rough Wiring Rough Air Cond. &
Slab C Temp Pole Too Out
Insulation Lintel Final Heating
Sewer El Fire Place r-
READY FOR INSPECTION Pre Fab
Mon. Tues, C)
(ED Thurs. Friday_pM
Inspection Made A.M.
--RM.
insperto,
Final Inspection 7
Certificate Of Occupancy L-
Date
Cl'FY OF ATI_kNTIC I"EACH
Ar?LICAIJON FOR 'VA] ER CUT-INS. . . .
it T AT
WKIER CUk-IN
A15Pl_JCA'lJON IS PEREBY MIADE FOR-,-,--( ___- ll/, �___
JHE FOLLOWING AD-DRESS FOR _U!,I TS.
CUT-IN CHARGE OF
SIREET NO.
SUBDI VI S I ON
LOT BLOCK——
,�CCOIUNT '-t7,!BER
3
-R
KATLING ADDIr"ESS
DATE
'-IE'l ER 'NO. ----DATE 1,".'STAI-LED--
CITY OF BlEACH
APPTJC4TJONl' FOR SH7v.-E�R CCY';NarlICNS
ACCC)UNT NO- Q30C)(J-)
EAqE Z�-19- �- '�
I-C --4TJON �J()
L
IDf in. BiOCY, No. SUBDIVISIoli,"-T,�.
TY?E OF BUILDTL�z
7�17 Lit-
I Aft 1 771
ClT_Y OF ATL-kNTIC BEACH
APPLICATION FOR 1,.'ATER CUT-INS. . . .
APPLICATION IS HEREBY XADE FOR j WATER CU7-IN AT
THE FOLLOWING ADDRESS FOR _1:,N I TS.
CUT-IN CHARGE OF
STREET NO. 4r
LOT BLOCK ------SUBDIVISION �//017t
ACCOUNT NU`,llBER
2,3 4?
MASTER PLLMBER
MAILING ADDRESS
DATE
METER NO. -DATE INSTALLED
CITY OF Arl-W-UNFIC BF-4CH
APPLdC-4TION MR SEvj-72 CCY�NBCTIONS
ACUDWr NO. �B(DOq-)
EATE
If X--ATIO].
ilcir NO. Eg-OCK NO. SUBDIVISION--SCAM
CF.N=-
-PE OF BUILIDDIX"
P-4TE
-UQSPE=1 BY
/,:::A f z-c
CITY OF
4&4#dw Be44cA-
ILA&
Office of Building Official
REQUEST FOR INSPECTION
Date 7"1 Permit No.
Time
Received District No.
/ 0 exn,-
r�s—s Locality
wric'r's W Y19t Contracto
am( r
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 RoughWiring 0 Rough El Air.Cond.& 0
Re Roofing 0 Slab El Temp Pole 0. Top Out C:1 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday—P.M.
A.M.
Inspection Maoe P.M.
Inspector— Final Inspection
Certificate of Occupancy
Date
CITY OF
Fead - 57&v�r4a
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
December 28, 1-983
Pre-Service Section
3rd Floor
Jacksonville Electric Authority
233 West Duval Street
Jacksonville, FL 32202
Dear Sirs :
The following final inspections have been made and are satisfactory:
Permit #3732 - 346 Fifth -9treet, Atlantic Beach
Permit issued to Bill Thompson Electric Company .
ermit #3768 - 1810 Selva Grande Drive , Atlantic Beach
",'�rl
Permit issued to Ferris Electric Company.
Permit #4872 - 261 Beach Avenue , Atlantic Beach
Permit issued to Bi:vins Electric Company.
Sincerely,
AAk-CN
J hn M. Widdows
ilding Tnspect* Supervisor
JMW/ra
CITY OF ATLANTI C BEACH
INSPECTIONS
BUILDING PERMIT NO. ELECTRICAL PERMIT NO.:4Z.��
PLUMBING PERMIT
CCHICAL PERMIT NO. 3q
N]
AN
HA
JOB ADDRESS__/,�
CONTRACTOR
OWNER
insaeated
called in approve isaproved reinspected JEA
FOUNDATION
FOOTING
SLAB
t
PLUIMBING (R)
TOP OUT
c!
�rt,',IP POLE
ELECTRICAL (R) e-)
ELECTRICAL (F)
FRAMING
PLUMBING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
FTNAL INSPECTION
-CITY OF,
4&
,,&
office of Building Off Wei
REQUEST FOR INSPECT104
permit No.
A.M. District No.
Date. <F)
Time pm.
Received I " LocalitY
JOD Auu- ------
owner's Contractor MECHANICAL
Name 7EL.ECTRICAL PLUMBING
Rough 0 Air.cond.& 0
CONCRETE gh Heating
BUILDING Footing Roughwiring Top Out 0 0
Framing 0 Temp Pole El Fire Piece
Re Roofing Slab Pre Fab
Untei READY FOR INSPECTION M.
.M.
Tues. Wed. Thurs. A.M.
Mon. ;,�Z?n P.M.
inspection Made Final inspection 0,
inspector certificate of Occupancy
Date
CITY OF
tq&4r,a& Bwc4-0;&U'J- a
office of Bulldl.ng Official
REOUEST FOR INSPECTION
Date �3 Permit No.
District No.
Time
Received
Locality
j Ad s
owner's —Contractor
Name CONCRETE ELECTRICAL PL IMBIN MECHANICAL
R� Air.Cond.& 0
u.:
g
BUILDING RoughWiring 0 Ru out Heating
Framing 0 Footing 0 0 Top C3
0 slab E) Temp Pole Fire Place 0
Re Roofing Lintel Pre Fab
REAPY FOR INSPECTION A.M.
Mon. Tues. W Thurs. A.M. Friday----�P.M.
P.M.
Inspection,Made::::: Final Inspection El
inspector Certificate of occupancy
Date
'CITYOF
4&44dw
Office of Building Official
REQUEST FOR INSPECTION
Datel—/62143- Permit No.
Time A.M. District No.
Received
:7�, ,
'Job�Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing 13 RoughWiring Rough Air.Cond.& El
Re Roofing El Slab El Temp Pole Top Out -,7 Heating
Fire Place El
Lintel 0 Pre Fab
READY FOR INSPECTION A.M.
Tues. Wed Thurs. Friday—P�M-
- —�j A.M.
Inspection Made P.M.
Inspector Final Inspection 11
Certificate of Occupancy
Date
CITY OF
4&a#dx Be=4-gV&iU
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time
Received 'a n District No.
Jo6Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing I Footing Ll Rough Wiring D Rough F_- Air.Cond.& C
Re Roofing E Slab P", Temp Pole E, Top Out E Heating
Lintel D Fire Place El
Pre Fab
READY FOR INSPECTION A.M
Mon. Tues kVed. Thurs. (�F`riday,,
AM
Inspection Made P,M.
Inspector Final Inspection Ej
Certificate of Occupancy
Date
CITY OF
4&4odw Beac4-lk
Office of Building Official
REQUEST FOR INSPECTIO.�r�
Dat Permit No
Time A.M.
ReceivW ZI P. District No.
0 iner's Job Addreds' Locality
N me 2� P�� Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING IVIECHANICA�L/,
Framing �i,' Footing 0 RoughWiring � Rough Air.Cond.&
Re Roofing 0 Slab El Temp Pole 0. Top Out Heating
Lintel 11 Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday-P.M.
A.M.
Inspection Made 9- �U -P.M.
Inspector LI) Final Inspection 0
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATIO
NINFOR N ,.--
it Number: 18814 Ad ress: 1810 SELVA GRANDE DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: I -OWNER INFORKA-TION.
Date Issued: 9108/1999 N a ime: RICK QA-RPER
Total Fees: 25.00 Address: 1810 SELVA GRANDE DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 9/08/1999 Phone: (904)241-8489
Work Desc: REPLACE AIR HANDLER
OCEAN STATE HEAT&AIR PERMIT 25.00
�-Jas
paqt_ions R
ROUGH MECHANICAL FINAL
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.06 14
Date: 9/09/99 01 Receipt: 0085304
413A BUIl 131§66-EPT. CHECKS 14396
00100003221000
tJUILUINkv A14U
CITY OF ATLANTIC BEACH
AILAIITIC NKACli. rt-onlr)A IRIS*
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to colnplate all Iforns in sections 1, 11, 111, and IV.
sireel Addrow. AnJ
LOCATION
ff- Werlact;"I
RUILDING Su6-4;';%;6A- - d by all applicants .
it. IDENTIFICATION -- To be complete 6 l'o,eby a'J'a* 10 rerjo,_
I I * a 0.4 11, ackjonAls ordin&mCel and
the �Ork 06 des"T"d d*AC -;Ih ll�* City of J
In co,%;d.,s';0m Of Pm'm;$ q"" top Join" a rp,l hateal and In
�;fls It,* avlhcl�pd Plant and %Pa0;Csl;Ont wh;C11 a
0( -J�cd P'8Cl;C4 Uslod tlsre;n.
*1 IJ40C ;6";C41 Matter
(I't all
Nelms
SI I'll lure 61
AmIlav4sd Aismi
INFORMATIO
A. Type of It."09,1vel: 14 OTHER CONSTRUCTION
THIS lUILOING OR SITE I
ential Utility If yE6. GIVE HUMvER OF CONSTRUCTION
Got L? Nst-ir4l 0 C PERMIT
03
C] to it INSTALL11110 NATURE Of WOnK
IV. wW>tAk4W-AL IQUWMBHT 0- nesidenlIal or UJ cownercial
"ek of this leff"I E) New building
Heal C1 sp-ste 0 rfkw Fxlgtlng Building
A;e: 13 Reef" 4-24�- 1111;Placernent at existing system
DvCI. syst*-M: C] Now InstaII611011 040 gysjqM pt9vtously Installed)
mattlentar" capacity----------- C) Extension or sdd-on to existing sySIOM
other — 6p9CIIY
L] Pre tpAnItleov
C] (6w fo-r 0 0 liaolt 0MC-1111 US4 ONLY
C] Ga"1440 I .
TsAt--(nvrnb4rI Komori$
LPG
U*f*"4 formli Approy*J 4— 0111
Cl 1104
El otla� — SPOCOV
L18-r ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUtlr)AFNT C*Weelty A ptrvyIng
tfumb*r Unitffl 1>00ciriptio" X"al Number Uxtivi(acturor (Too*) Iff~T
ITEATING - FURNACES, BOILERS, VIRULACIS
If umber units 1)"CrIptlift WOM Number X&WA*Aetww ^SWAY
CA P120"L, �)-b OLZ V L.---
TANKS
y9ow Many Ncwbrtetl Ciaresfty -7)rro tAquid 1fw" at Argovtng
I
and Dbnon"Me Oontained No. gancy
—----------
Cl-TY OF
MLI,� ,e a a C'.4
otlice ol Building Off'c'al :3 9F&
REQUEST FOR iNSPEC-f'ON 3 9--S-'
oat, Permit No.
Time
peceived
job Address contractor �A—L
's "tractor PLUMBtW&
owner PLUMB
ELECTRICAL
Plough He C3
NCRFT�� T10
CONCRETE out Fir
TOP Out Fir
�BUILDING
�A7C—c pole
1-� Footing Temi) sewer Pr
1,raming Slab Final
Re pic)0fing Lintel R INSPECTION
insulation READY FO Thufs. Friday
Tues 6—W.-Dd
Mon. ct,..n
Insq,
InsPectiOr'mad6
DEPARTMENT OF BUILDING 5671
PERMIT NO.--.=—
cjTY OF ATLANTIC BEACH,FLORIDA 46.00
PERMIT TO BUILD 460NU
THIS PERMIT MUST BE POSTED ON JOB 12/26i
December 28-, 19 S3 4 uu� i 900c;
Date���7
46. 00 401�
$ IfECHANICAL Fee$------—
Valuation
and is
This per-it not valid until above fee has been paid to City Treasurer
Subject to revocation for violation of applicable provisions of law.
OCEANSTATE HEATING
This is to certify that NEPTUN I BEACH
1476 ATLANTIC BLVD.
has permission to INSTALL HEAT & AC
P ID -------
Classification SIN LE FAIITILY one
owned by G & S/DoJ1,V�A1
2 Block
Lot- T)RT1rF
House No. h'cb are part of this permit
According to approved plans w NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING,
PERMIT VOID SIx MONTHS
'n AFTER DATE OF ISSUE
x
0 Building material,rubbish and debris
z )rkmust not be placed
from this wc
in public space, and must be cleared
U auled away by either con-
P- "".owner.
/Iract
Building Official.
CONTRACTOR
PERMIT DATE
FOR OFFICE
USE 0 LY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
ISPECTION DIVISION f7
BUILDING AND 1"U"�,11NES IN.
CITY OF ATLANTIC BEACH, FLORIDA
APKICATION 11:0111 MECHANICAL PERMIT
RAN-AT.A.MT---!,pplicant frA cornpl*to all iterns in sod;c'n% 1. 11, M, 6-VJ IV.
�6V St. st-
LOCATION plorth. S*uth' Fist.West,' S"01)
OF
Lot Ijo__ glocls Svks-d;v4v;on
SUILDiNG r
(State porj;o�m of IkY4 if Ikt53 04A fW3 l`2L�#'�tuch 6.141 d'�#Script;an per 4*.64 in dvpl'cutt if
11. Wi"Z 0; MIEC41ANICAL WOW --- Ail epplicants cornp-4ofs Pt-rf% A - D
L OWNFAIMIF
A. USS OF WILDING
RESIDENTIAL
1. pub,;c (F*4ml, State or 6"1 S*vufpn%,xf)
fspm;�-' 11. 0 UtVity
2. 0 Two or rr-cre CLftli�' 12. 0 fib-*rf.
EAt" nurnb'or of eoo4.nt----,- ct�af fx4.-0;cnal C- KATURE Os' WOXK
1. 0 TrAtAsi3Af. mofol. 17. X New &A'!;Ag
r�ornlnq - 13. EJ St-ore,
Enter njm64r of ur,;h--- 01�*r 0 Ex4ting NU;R1
4. [] Other rosiderf;:l 14. OTHEP-StIESIFY 0 tq44C."monf cf ot;tf;f�y tylt"
20.X N&w it.itall fkm (40.tfsfem F"v;cW-JY
NON-RESIDENTIAl. 2 1. L73 bf-j-*;4" or sM-on to "01'el: rrtam-
S. El knnjs4miont. ticr*-;f;onJ
6. 0 Ou'rch, oAv 'f-!;0if-v1
7. 0 Indwstrial
0 G&rage, torvice slaiior,
E- WY-Z OF IVILD14%
0 Holp;fel. it's
10. 0 Offl-ce, 6ank,
4 0 Wc-d fisimo
0. MECHANICAL EQUIlst-41W TO 1: INSTIOL'.0 38. L-3 ljf'�*h'y -�P.d wr-*d
(F?rev;d6 Cornplotg list 4;A L*-.k Qf 64 fQr--") 39. [3 ro*;.-.fcF-.v-d concrete
23.X, Furnace: 0- Spa�c 0 FlUK-Amd X Con.431 0 1:10(w 40. 0 Structur4l Ste-WI
't 4. K Air Condifloning: t'-j 'U�- )<Central 41. 0 Other
2S. )R�Duct System: M&foriol-b��- Thk'insit- I
2;�. 0 WrIgerA.6or. 7-0 N
I-HIS SPACE FOR OFFICS US& ONLY
cl S.-O 1pr�r%klar-v Nor,.%6,,r of h*adL----
2y. 0 Ele,,stor C1 (3 E-sca!sti (number)
31. 0 Romeris
3 2. 01 LJIG
0 unfir*d pro%suro�--Ujl
34. 0 go;lers Permit F*@--
0 00w
Ul. GENEXAL INFORMATION
A. Typt of�-*&timq fuel: B. IS OTHEP. COMET F,'JCTIOM BEINC DOME ON
47. Ut'ctric THIS 6UP-01Hr, OR S11E?
X,
4". 0 G&I-0 LIP 0 Natvral 0 C*0ral Uti,;iy IF YET, GIVE NUMBER OF CON.'TRUCTION
1% 0 Oil PERMIT
is. 0 OAr1 - sp*.Ci;,
IY. IDUMHCATION -- To be crxrp4ctcd tyy zJ applj-.,�n4i
!n coms;e9ration cf ->cr�n:t 6r eo*--tg 14a (,v 1. '-'!j "t-.Q'q -t.fairont we haraby a,,n" to pt.for-rp, sa;dwork ',A rc"ahc
wiA the &H&Ch*d Pf&h.�, Z114 v%'C�h 4PV el, p6r� :Wrof 41FC 71 ,itN ths C;ty of Jacls.:'n.v:16 or-dip,.iicj:; &"* stsr-d&;�z
of ;sod pracf;ca 0oor%�".
"'t-s ct me<�smi'Al f'&tw'u cf
."'4'it
(P4nt)
C�rJrvctci
N,I -3 of
0�-*r (Print)
S ;,--twra of C�w"' V'-t,,ry of
cr A;.mor;:vd Agomt c-e
PSR-3844
14029
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION ------- LOCATION INFORMATION ------ -
Numh�er . 140,29 "-ddress : 1810 SELVA GRANDE DRIVE
Per I mit Tvpe�:MECHANICAL ATLANTIC BEACH , FLORIDA 32233
'lass of Work:ALTERATION -------- LEGAL DESCRIPTION ----------
Block: Lot : Twp:
Constr . Type:WOOD FRAME r
Proposed Use: SINGLE FAMILY Section- 0 Subd: Rna,
Dwellinas : 0 Subdivision:
Est . Value : 0 . 00
improv . Cost ! n_00
Total Fees : 25.00
Amount Paid: 25. 00
p;4 n"7 C;CQ
r P T N
------- - 1-1wNER INFORMATION -------- APPLICATION FEES ----------
lame : RIC"K CIARPEF PERMIT 25 . 00
lkddr : L?,10 SELVA i3RANDE DRIVE
ATLANTIC' BEACH . FLORIDA 322---
--'hone, ( 904 ) 241-8489
CONTRACTCR INFORMATION
Name, AE! INTERNATIONAL CORF
7�ddr , 719 T-_RLINGWOOD AVENUE
JACKSONVILLE . FL 32211
001-? Exp :
NOTES:
NOTICE —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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 14
D,j+ S/ *71'47 @1 ReGgi Pt
CHECKS 739
88188003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By: $25.00 14
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATI 0 N FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT -- Applicant to complete all Items in sections III, and IV.
Street Address:
LOCATION
OF Intersecting Streets: Between And
BUILDING Sub-cli�is;on
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attac[led plans and specifications which are a part hereof and in accordance with the City of Jackson�ille ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
n t
Master
Contractor Pri f)
Name of
Property Owner
Signatvre of Owner Signature of
or Authorized Agent 1411� Architect or Engineer
Ill. GGENERAL INFORMATION
A, Type of heating fuel; B. IS OTHER CONSTRUCTION BEING DONE ON
0 E4,ctric THIS BUILDING OR SITE?
Gas—C1 LP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
0 Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this fo"nj K Residential or 11 Commercial
0 Heat 0 Space C1 Rocoss*d 0 Control 0 Flocw X New Building
C1 Air Conditioning: [3 R oo m C1 Control Existing Building
• Duct System: lvllator�al Th;ckn*tL— Replacement of existing system
Maximum capacity c.f.m. New installation(No system previously installed)
El Extension or add-on to existing system
• Refrigeration El Other — Specify
Cooling tcrwor: Capacity 9-p-M.
C] F�ro sprinklers: Number of head-
0 Elevator [3 Monliff 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY
Cj Gasoline pumps-- (number) (Koco�_d)
[I Tanks (number) Romaris
0 LPG contaimo (number)
Unfir*d pressure vossoi
CITY OF
4&aa4-c Bmcls-99&uJ4
Office of Building Official 2/
REQUEST FOR INSPECTIO
Date Permit No. 1760 (�
Time A.M.
Rek!eived P.M.
-- — /�,/ &Aa-4c—eee
Job Add L cality
Owner's
Name Contractor
BUILDING CO CRETE PL MBING MECHANICAL
�:3(20L]E
I�Eu I
Framing El Footing 'n Rough D Air Cond. &
Re Roofing E1 Slab 11 Temp Pole 0 Top Out El Heating
Insulation El Lintel El Final E Sewer El Fire Place Ej
Pre Fab
READY FOR INSPECTION (Z)
Mon. Tu e s.. Wed. Thurs. Friday
A.M.
Inspection M P.M.
Final Ins ection El
Inspe r Certifica of Occupancy E
Date
PSR-3844 17606
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
-mit Number, 176()C,
-tress , 1810 SELVA GRANDE DRIVE
Type: ELECTRICAL ATLANTIC BEACH , FLORIDA 32233
,iss of Work : POOL LEGAL DESCRIPTION
-,nstr . Type :WOOD FRAME Block : Lot : Twrj , 0
:-oposed Use ,SINGLE FAMILY Section : 0 Subd - Rng- 0
Dwellings : Subdivision:
Est . Value: 0- 00
-nprov , Cost : C �00
Total Fees : 35 , 00
Amount Paid: 35 �00
Date Pat* 19 9 9
F-
--k- resc-wl NG POOL
R,
IN
0. APPLICATION FEES
ON
I ON
E 16 3 5 . 00
Ij t
..dr - 141-t si"N 'a, DE' DRIVE
w"J"'O"
.-)ne : vA,
111ONTRA VOR,- 1 N'rOp-.MAT I ON
-rie -SIERV I CF T T1,1
BURTOIV`�'S 1�4
P. 0� BOX 24Q 2 8
-J Ar-K S--0-IN V I'
FL -121 41
c , EF0007175
Exp,
NOTES:
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 MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $35.00 14
Date. 1/05/99 01 9-2-2-4-421
CHECKS i072
ATLANTIC BEACH BUILDING DEPARTMENT 08100003221000
By:
CITY OF
4&akz BeacA-&7&U-c&
Office of Building Official
REQUEST FOR INSPECTION 7V I
Permit No.
Date
Time A.M.
Received
P.M.
Lo lity
Job ss I'ty
Owner I s
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 11 Footing El Rough Wiring E Rough E Air Cond. &
Re Roofing El Slab El Temp Pole E] Top Out E Heating
Insulation F-1 Lintel E Final Ej Sewer E Fire Place El
Pre Fab
READY FOR INSPECTION
Tues. Wed. Thurs. Friday
A.M.
Inspection Made RM.Final Inspection El
Insp or Certificate of Occupancy E
-5- -le Date
CITY OF ATLANTIC BLACHI FLORIDA
Aporov*d by APPLICATION FOR ELECTRICAL PERMIT
r
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
MAST R ELEC�TRCIAN SIGNAT7URE
ELECTRICAL FIRM:
RFD—BOX
NAME �j��._ADDRESS- 110"Z
BLDG.SIZE BETWEEN:
RES. APT. ( comm. PUBLIC INDUSA NEW OLD REW.
ADDITION I I TRAILER TEMP. SIGNS SQ. FT.
FEE
SERVICE: NEW INCREASE ( I REPAIR (
CONDUCTOR SIZE — AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH W LT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE SIZE _
LIGHTING OUTLETS CONCEALED OPEN ----TOTAL
RECEPTACLES CONCEALED OPEN lTnTAL
0.30 AMPS 31.JOO AMPS
SWITCHES
INCANDESCENT
FLUORESCENT &M.V.
FIXED 0.100 AMPS, OVER BELL TRANSF.
APPLIANCES 9 ____
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHS No. 1 H.P. VOLTAGE P"s
MISCELLANEOUS
........
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
VA. MA. MOTOR SIZE SWITCH FLASHER
�O.NEON TRANSF. NO.
EACH SIGN
FORWARDED
TOTAL FEES
PSR-3844 17530
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
NFCI��IATO`14
PERMIT INFORMATION LOCATION I
. rmit Number: 17530 ldress * 1810 SELVA GRANDE DRIVE
Permit Type : PLUMBING ATLANTIC BEACH ; FLORIDA 32233
Class of Work:ALTERATION ---------- LEGAL DESCRIPTION ----------
Constr . Type:WOOD FRAME Block : Lot : Twp : 0
Proposed Use : SINGLE FAMILY Section: 0 Subd: Rnq * 0
Dwellings : 0 Subdivision:
Est . Value: 0 .00
Improv . Cost : 0 .00
Total Fees : 25 .00,
Amount Paid: 1415 , 00
Date Pald: 12/10/1998
Work Desc - REI ' PE
`WNER INFCRMATION APPLICATION FEES
Name: RIC'F 7ARPFR 25 . 00
ddr : 1010 SELVA GRANDE DRIVE
ATLANTIC FEA.,'11 . ?'FLORIL)A 327,11
(90 4 )2-41-8 48 9
Cori Ir -r?)P 114FORMATION
ame: FLORTDA PLUMBTNG WORKS , INC
ddr-:1- 1867 CARAVAN TRAIL #108
T 7
JACKS CN�j LE , FLORIDA 3221.6
-,�ic: 0-FC0569,15 Exp ,
vpe: 4
NOTES:
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 MECHANICS' 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.
ATLANTIC BEACH BUILDIN E RTMENT
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:__
OWNER OF PROPERTY: Aq
- CONTRACTOR:
PLUMBING .
CONTRACTOR'S ADDRESS: -72
STATE LICENSE NUMBER: TELEPHONE: Z27--�ar
HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED
SINKS
-SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE .= $25.00
SIGNATURE OF OWNER:-
SIGNATURE OF CONTRACTL LjCA--�- (�7.
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP (904) 247-5834.
PSR-3844 11210
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ---- -------- LOCATION INFORMATION ------
Permit Number : 11210 Address : 1810 SELVA GRANDE DRIVE
Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 3221- "
-lass of Work* ALTERATION ------ LEGAL DESCRIPTION ---------
Constr - Type : WOOD FRAME Lot : Block : Section:
Proposed Use: SINGLE FAMILY Township: RNG, 0
Dwellings : 1 Code : 0 Subdivision:
Estimated Value : S3900 . 00
Improv . Cost : 150 .00
Total $22 . 50
$22 . 50
)RMATION APPLICATION FEES -----
' REALTY PERMIT �22 . 50
GRANDE DRIVE, WAT-gk-� IMPACT FEE ow SO .00
kCH FLORIDX-, Sj FEE
A
AP
RADON GAS-H .R . S . $0 .00
------ - F,A C jNFORMATk0N RADON CAB 5%
Name �'�ARL
TON 'BEACHESA00F
Ad SEWER TAP
0 3221i CROSS CONNECTION $0 .00
J A C' *ILLE , FL
Type : (I SEC H IMPACT FEE 00
C
CONST , SURCH%ARGE $0 , 0
NOTES:
NOTICE—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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. firlocaym (Mooffiffi $22,5014
Date: 12/21195 01 Rept: 002:11358
CHFCKS 14459
ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000
By:
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) :
�
Address: Phone:
Lot # Block or Unit # subdivision:
Contractor: ARLINGTON BEACHES ROOFING, INC.
Address : 1441 CESERY TERRACE
City, State and Zip JACKSONVILLE, FL. 32211 Phone 744-8888
State License # RC0023962
Describe work to be performed: RE-ROOF: '31�p 6'�.L "�"-O(
Valuation of Proposed Construction: 39n,--), 0c
Materials to be used:
Signature of owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
TREE REMOVAL
SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE TliE MEETI?iG:
1. '�ELVA -FIE-Rky) ASSOC/A77,0&) Ae/(-) -'�ELOA 6RifA),f'.',E
PM"Owneft Mme Ad*m
TwWvne
�ELV4 6pA,,JDt_
Location 01 Tree Removal/ �Akw*bn
SEC770H B (ro to oompIeted by Wpgmft wim"pqx"y is zoned mswerwK kvt
an oxb*V dwaft and whkh b not prour*owwoocLo"
I VWW d=M am Pfflpowd 10#*00"4mcilled sle?
2.What Is jh,@ pnposg of#W"pMpMd dMoo
3.Specify Irm pmposed for rmTxwd a$joll":
TREE COLWT SPECES,. SIZE(DBH x H CONDITION
M 7 +t P--
,y,eXe F
A
4.VVIII#we Uwe be mkx*ed on ft MW W~
5.If no%will raphownwd bws be planted?
REACACEAA&,, 1,,j L Z- 13 C- RC-,t> A0
e:, P-7/2
Z rv-) kA r.>
6.Specify proposed replaoernent bim as"m:
TREE COUNT SPECIES SIZE 108H x HEIGHT)
7.Attach sfte plan.
(SKIP SFCTIIDN CAND GOMPLETE Sf---CTIG1`4 D)
SECTION B - (All other Applicants)
1 . Property Zoning:
2 . Submit the following:
SITE PLAN/TREE SURVEY indicating:
a) Site topography, existing and proposed grades
b) Existing and proposed structures
c) Location of all trees w/ DBH of six inches or more
d) Tree species and sizes
e) Trees to be removed should be clearly marked
f ) Trees to be relocated should be clearly marked
g ) Location of any proposed replacement trees
h ) Identify trees of special or unique characteristic
i ) Identify trees within 10 feet of construction areas
j ) Show location and type of tree protective barriers
k ) Location of utilities, accesses and easements".
1 ) Location of vehicle travel corridors
m) Location of commercial sprinkler/irrigation systems
n) Landscape maintenance plan (commercial only )
o) Staging areas for equipment and material storage
SECTION C
I agree to comply with the rules and practices established
in Chapter 23, Article II of the Code of Ordinances of
Atlantic Beach.
0 0
wners Signature Date
C I TY--VS E__0N LY
Applicant has complied with all provisions of Chapter 23 and
requirements of the Tree Conservation Board .
Tree Conservation Board Designee Date
NOTE : "Tree Protection for Builders and Developers" is
available at City Hall or from the Division of Forestry ,
8719 West Beaver Street, Jacksonville, FL . 32220. ( 781 - 1.434 )
DEPARTMENT OF BUILDING PERMIT NO.- 9515
CITY OF ATLANTIC BEACH.FLORIDA
DE
PART
M EN
I. T AN
IT
PERMIT TO BUILD 00rA
ISP M U
P317 /2�/
THIS PERMIT MUST BE POSTED ON JOB A 2/25/q
000
D te 19 88
ate
no fee
Fee$
FValuation$
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.
This is to certify that PaTq L. Timberlake
has permission t(XD6v'W r
Classification Residential Zone
Pam L. Timberlake
Owned by Block S/D
Lot—
House No'— 1830 Selva Grande Drive
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
_n AFTER DATE OF ISSUE
00 Building material, rubbish and debris
z work must not be placed
from this
in public space, and must be cleared
up and hauled away by either con-
r /r or owner..
Official.
CONTRACTOR
FOR OFFICE PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
APPLICATION FOR TREE REMOVAL PERMIT
DATE_ 9 �
Applicant
NAME- 0,CkLq k F
ADDRESSIqJC). (21aAf,)6F IPiv]E -
Owner
NAKE_
ADDRESS
Location of tree if different from owner's address :
Reason for Removal : 96CK VA9b WAS MILVEA? aEKr,� 0-1-EdEE, OLn-
Hywrh us) jq&,�r oni)Lt'�, Ltkf- MN
L
F-oP- bo(Sj!� -Tb Q-L)t,�)
Rear Lot Line
indicate
F4
possition of -W q-.1
tre� on 0 0
lot �-A
Q) 13
la ') 5
APIPROV
C1 CANJ)rcj�&jAning
quNtpo OFFICE[
Front Lot Line
5,
Building O'Eiicial
PSR-3844 13985
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -------- LOCATION INFORMATION
Permit Number : 13985 Address : 1810 SELVA GRANDE DRIVE
Permit Type: ELECTRICAL ATLANTIC BEACH , FLORIDA 32237,
Class ot Work:ALTERATION --------- LEGAL DESCRIPTION -------
Constr. Type:WOOD FRAME Block : Lot * Twp:
Proposed Use* Section: 0 Subd: Q Rn,�T
Dwellings : 1 Subdivision*
Est . Value ! 9 . 00
Improv. Cost : 0 .00
Total Fees ! 25 . 00
Amount Paid: 25 , 00
r! APnTTTnN
-UNEF INFORMATION -------- APPLICATION FEES -------- -
Name � CARPER/REMAX REALTY PERMIT 25 -00
A�-�dr - !?ir., %--IELI!A GRANDE DRIVE
ATLANTIC LERCH . FLORIDA
Phone- 904 - 744-?888
-- ---- Cr'tNTRACTCR WORMATTI
Name , ALL SERUTCE 1. LECTR I C
Addr : P.O . B-x 1�- -
JAr'KSC�NVILLE , FL 32245-6694
Li - - Exp *
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE I NSPECTED 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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.55
5A
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND EgI511 V08 Cf11 N FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. 5
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACK FLORIDA
APPLICATION FOR ELECTRICAL 91f
TO THE CHIEF ELECTRICAL INSPECTOR. DATE:
IMPORTANT NOTICE:
p
G THE WORK AS DESCRIBED IN THE FOLLOWING. VA-
IN CONSIDERATION OF PERMIT GIVEN FOR DOIN HE ATTACHED 1-11-ANS AND SPECIFICATION'-).
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH T TRICAL REGULATIONS, CODLS Al"D CITY 01:
NHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELEC
ATLANTIC BEACH ORDINANCES.
0
MAST� FRI
ELEC'TRICAL FIRM: EE—ELECTRICIAN SIGNAT R
-D
DRESS:
N AM E AD
D E TW E E N:
B LOG.SIZE
R ES. COMM. ( PU["LIC I-N�DUS- NEW OLD NEW.
ADDITION TRAILER TEMP. SIGNS FT.
FEE
SERVICE: NEW INCREASEf REPAIR I
CONDUCTOR SIZE A M PS COPPER_(
PH w VOLT RACEWAY
SWITCH OR BREAKER AMPS ......
RACEWAY
'2�o AMPS
EXIST.SERV.SIZE PH ]� W 240 VOLT
FEEDIERS. NO. SIZE NO. SIZE NO. S I Z-E
Co
OPE
LIGHTING OUTLETS CONCEALED �4N N -TOTAL--
0
OP
P EN
CONCEALED OPEN TOTAL-
RECEPTACLES
A IMI P S..
00
0.20 AMr*,
SWITCHES
INCANDESCENT ------- -
F LUORESCENT&M.V.
— 0.100 AN". OV"
--iTIXED
F' N . L—
APPLIANCES I
A�IR HY.RATING H.P. RATING EAT:
�:q� 0
CON:DITIONING qltjmr.--- OTHER MOTORS AMPS CEIL HEAT: I(W-HEAT
OVER
MOTORS H.P. VOLTAGE plis NO. VOLTAGE-..
MISCELLANEOUS t'jk(ft tL"o.— Awrr'�. --r,
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
�jO. NEON TRANSF. NO. VA. J7. MOTOR SIZE FLASHEF
EACH SIGN SWITCH
FORWARDED
FO�AL
T
PSR-3844 13957
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION - --- LOCATION INFORMATION
Permit Number* 13957 Address : 1810 SELVA GRANDE DRIVE
Permit Type : PLUMETNG ATLANTIC BEACH . FLORIDA
�lass oi Work :ADDITION ------ --- LEGAL DESCRIPTION ----- - -
Constr . Tvpe:WOQD FRAME Block : Lot : TwT:
Provosed TJse: SINGLE FAMILY Section: Subd: Rna,
Dwellinas : 0 Subdivision :
Est . Value : 0 . 00
Improv. Cost : 0 .00
Total Fees : 29 .00
Amount Paid: 29.00
Date Paid: 5/ 13 1997
I N7
2W NER INFORMA,rioN ------ - -------- APPLICATION FEES
-*K CARPER 12 9.
PERMIT
SE' ',,A 'RANIDE DRIVE
7TLANTI � EEA,,--H , FLORIDA
,')41241-1-:1439
�-41,NTRIT.�--'TOR INFORMATI"-
N a7 G-
-,v�- , B & �3 FLUMEIN
--4,i 13997 BEACH ELVE
I
JACKS".INVILLE . FL 32224
F,--02)21 5 9 3 Expl
NOTES:
NOTICE —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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJPqT,T-p0EVQ0*TION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date:
ATLANTIC BEACH BUILDING DEPARTMENT
By:
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3
Small Additions and Renovations Department of Community Affairs
Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less,site-installed components
of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-93 or 60OA-93.
PROJECT NAME: LA-roer BUILDER: uc�_I m C'(J_'Or-) C�-'
AND ADDRESS: 0 e I Iva PERMITTING CLIMATE
f6ec_ 61 C-c 3 7_77 _DFFICEArL--1 Af-17f?��7 /� ZONE: i El 2 D 3[D-
OWNER: ray PERMIT NO. JURISDICTION NO.: 1 -4 4 A � O:E
I -
SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the
components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed
specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).
Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site-
installed components and features are covered by this form. Please Print CK
1. Renovation, Addition or Manufactured Home 1
2. Single family detached or Multifamily attached 2.
3. If Multifamily-No. of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 4. 4-
5. Predominant eave overhang (ft.) 5.
6. Porch overhang length (ft.) 6.
7. Glass area and type: Single Pane Double P e
a. Clear glass 7a. sq. ft. sq. ft.
b. Tint, film or solar screen 7b. sq. ft. -sq. ft.
8. Percentage of glass to floor area 8.
9. Floor type and insulation:
a. Slab on grade (R-value) 9a. R= sq. ft.
b. Wood, raised (R-value) 9b. R= Cl sq. ft.
c. Wood, common (R-value) 9C* R= sq. ft.
d. Concrete, raised (R-value) 9d. R= sq. ft.
e. Concrete, common (R-value) 9e. R= sq. ft.
10. Wall type and insulation:
a. Exterior:
1. Masonry (insulation R-value) 10a-1 R=- -sq. ft.
2. Wood frame (Insulation R-value) 1 Oa-2 R= sq. ft.
b. Adjacent:
1. Masonry (Insulation R-value) 10b-1 R=- -sq. ft.
2. Wood frame (Insulation R-value) 1 Ob-2 R=- -sq. ft.
c. Marriage Walls of Multiple Units* (Yes/No) 1 Oc
11. Ceiling type and insulation: ql�'� sq. ft.
a. Under attic (insulation R-value) 1 la. R=
b. Single assembly (insulation R-value) 11 b. R= sq. ft.
12. Cooling system*
(Types:central, room unit, package terminal A.C., none) 12. Type:
SEER/EER:
13. Heating system*: 13. Type:
(Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC, none) HSPF/COP/AFUE:
14. Air Distribution System*:
a. Backflow damper or single package systems* (Yes/No) 14a.
b. Ducts on marriage walls adequately sealed* (Yes/No) 14b.
15. Hot water system: 15. Type:
(Types:elec.,natural gas, other,none) EF:
Pertains to manufactured homes with site installed components.
I hereby certify that the, lans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance
,e with the Flo a�epyGpde. Before construction is completed,this building will be
complianc with the Florida Energy Code.
inspected for compliance in accordance with Secti 3�?8,F.S.
V1 0
PREPARED BY: f DATE:
bbildifl mpliance w
I hereby ith the Florida Energy C9de- BUILDING OFFICIAL:
certify that trA __-�__9'7 DATE:
OWNER Ac- M DATE:--5-1? -
Climate Zones 1 2 3
TABLE 6C-1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sq.Ft.and Less),RENOVAT1ONS TO EXISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES.
MINIMUM INSULATION MINIMUM INSTALLED
COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY
Concrete R-7 Central A/C-Split SEER = 10.0 SEER =
R-11
J) Frame,2'x 4' -Single Pkg. SEER = 9.7 SEER =
_J 0
_J Frame,2'x 6' R-19 0 Room unit or PTAC EER = 8.5* EER =
Common, Frame R-11 U
Common, Masonry R-3 - I Electric Resistance ANY
Cn 0 Heat pump-Split HSPF = 6.8 HSPF =
0 Under Attic R-30 z
z Single Pkg. HSPF = 6.6 HSPF =
Zi Single Assembly;enclosed R-19 <
LU
Single Assembly;Opened R-10 :lZ Room unit or PTHP COP = 2.7* HSPF/ =
L) ,Frame R-11
Common COP
Cn Slab-on-gracle No Minimum Gas,natural or propane AFUE = .78 AFUE =
cr Raised Wood R-19
0 Fuel Oil AFUE = .78 AFUE =
0 Raised Concrete R-7
J
LL Common, Frame R-11 Cr tric Resistance EF = .88 EF =
l__ LU Elec
= < EF =
C:) F- Gas; Natural or L.P. EF = .54
Q In unconditioned space R-6
in conditioned space No minimum Fuel Oil EF = .54 EF =
See Table 6-3,6-7
TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY
Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient. Maximum% z) Installed%
GLASS TYPE,OVERHANG,AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UP TO 30% UP TO 40% UP TO 50%
Single Double Single Double Single Double Single Double
OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC
1'- 1.0 O'_.90 2'-1.0 1'-.90 3'- 1.0 2'-.90 4'-1.0 3'-.90
0'-.86 1'-.86 0'-.70 2'-.86 1'-.70 3%.86 2'-.70
0'-65 1'-.65 O'_ .50 2'-.65 1'-.50
0'-.45 l'-.45 0'-.40
0'-.35 -
Shading coefficients(SC) may be obtained from the manufacturer. Single clear SC= 1.0,double clear SC .90,and single tint SC .86.
TABLE 6C-3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints&Cracks 606.1 To be caulked,gasketed,weather-stripped or otherwise sealed.
Interior Joints&Cracks 606.1 penings in interior surfaces of ceilings and exterior walls must be sealed.
SAe&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed.
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls&raised wood floors.
Fireplaces 606.1 1 Fireplaces must have flue dampers,glass doors and outside combustion air intakes.
ExhaustFans 606.1 �Exhaust fans vented to unconditioned space shall have dampers,except for combustion
devices with integral exhaust ductwork.
Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air,
Heating except for direct vent appliances.
1
Water Heaters 612.1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided. External or built-in heat trap required.
Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a
Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems, (including heat recovery units)and the first
8'of piping from the water heater(or until piping enters an insulated wall or slab).
Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation&Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.--
HVAC Controls eparate readily accessible manual or automatic thermostat for each system.
GENERAL DIRECTIONS:
1. On Table 6C-1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment being installed.All R-values and efficiencies installed must meet or exceed the minimum values
listed. Components and equipment neither being added nor renovated may be left blank.
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows,sliding glass doors and glass door panels. Double the area of ail non-
vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area.
Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the pejent. Find the largest glass percentage under which your calculated percentage fails on Table 6C-2. Prescriptives
are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficidInt(SC). For a given glass type and overhang,the minimum shading coeffic;ent allowed is specified. Actual glass
windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 6C-2. All new glass in the addition
must meet the requirement for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge
of the overhang.
3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest
edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either Single-pane tinted,double-pane clear or double-pane tinted.
4. Complete the information requested on the top half of page 1.
5. Read"Minimum Requirements for Small Additions and Renovations",Table 6C-3,and check all applicable items.
6. Read,sign and date the"Owner/Agenf certification statement on page 1.
-2-
PSR-3844
13561
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION
�,-Liv,it Number : 13561 Address : 1810 SELVA GRANDE DRIVE
Permit Tvre:REMODELING ATLANTIC BEACH . FLORIDA 322'-11-
."iass of Work:ADDITION ------ - - - LEGAL DESCRIPTION -------
Constr - T.vTe:W0OD FRAME Block : Lot : TWT�
Pi�9PeSe,4 l4ee i S 1� G b 6 F hM f bi S ec t i 011. a :5ubd
Dw,:-11 i nas Subdivil .-ilrl- -
improv cost , 0 .00
Totai Fees : 460 . 00
Anto lin t P a i d 460 . 00
Paid , .-.,., .- �J/ 1997
Nork L---sc: 21NE STORY ADDITION -VZF.
i--)WNER INFORMATION -------- APPLIC"ATION FEES
Name: RIC"K C.-'IRPEF. PERMIT 460 00
Addr : 1810 SELVA ,RANDE DRIVE
ATLANTI� BEAi'H . FLORIDA
Phone :14)41241-8481--�
CONTRACT�:,F !NFCRMt'%Tl,,'-"%N
NOTES: 241 ATLANTIC BLVD.
ATLANTIC BRACH . FLORIDA 32233
Lic: CRC044823 Exp :
Tyr)e *. -,
NOTICE —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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
PA,ei
CHECKS
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANT IC BEACH PERMIT CALCULATION SHEET
Address 6- 0, A-00
Date
Heated Sauare Footage @ $ Der sa ft =
Garage/Shed @ $_per s q = S
Carport/Porch $_per sq ft = $.
Deck @ $ per sq ft = $
Patio 00 @ $_per sq ft = 8
CV
TOTAL VALUATION : 3 F
3S .000
Total ' Valuation 1 s t 466 0
-7 7 0010c�w zc�, /,p 5',00
RemaiZing Value s 05 Der thousand
Tr* p'ortion thereof
TOTAL BUILDING FEE $ �Lo(b.,bo
+ 111 Filing Fee $ o,
L/ z-
0) Fireplaces @ $15 . 00 $ —0
BUILDING PERMIT FEE $ .300.(00
WATER IMPACT FEE $ /66,00
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT 8
SEWER TAP 0
RADON (HRS) . 0050 8
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION
) SURCHARGE . 0050
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : Mechanical_; Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank—; Well Sign Finish Floor Elevation
Survey ; Other_
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
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 TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE -SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) (1
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
1 LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
00- i3itn- FAUCETS (2)
KtTCHEN-3TN*- (2) 2— DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
B', IDET- URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
.—URINAL. PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) ±URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS e $20.00 EACH $ 0, 0 0
JOB INFORMATION
L i i 1 71 r-1 L-L- ri � L- Li 1-7 1 r-L 14U . ,L4 ( DOU-D J U. i I L 9 Z) I- 14U . VQ.�-
n�r
1xCCr/VrD
MAR 12 1997
City Of Atlantic Beach
131jilding and Zoning
(�ITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) Lx—r
Address : '�ej vo- 6-iaoote-
Phone:— 0
Lot Block or Unit #
subdivision:
Contractor: LUC
State License
Address
Phone No :
Describe work to be done-
4�00 SiV v?-- jLf�CL
Present use of building:_ 5F
Valuation of Proposed Construction: 000
Proposed use: ue S�- Zoom
Is this an addition?—�,ks— it yes , what are the dimensions of
the added space;--- '15 t . x ?7, 1
ft . Will the added area
be heated and cooled?-�J�5 New electrical (--Gr increase)?
I
New plumbing fixtures?_�� New fireplace?-�L�- New Heat/AC?
7-
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING 61TE PLAN, SURVEY ,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date :
0
Signature CONTRACTOR: Lx,(ILL Date#
P, NA\� ovvll'�
License Supplied;
Liability insurance :
worker ' s Compensation Insurance;
03-31-97 09:19 AM P02
pZC0AI)M USE ONLY
Book 8570 Pgl ll� 52
0 NOTICE OF k: 8570
9: 1252
COMMENCEMENT gc# 97056507
lled A Recorded
MQUIRED IN Wftr-ATF) o3/18/97
Book
RF'
70
5 70
-5,2
6
L17 5 7
k- a -
0 0
d-d
C#6 a Re.. L
03/18/,)7
10:21:47 A.M.
i- JO I
ENRY W. COOK
made LERK CIRCUIT COURT
a I N T Y F L
Th,LdWWqned h8reby IrdWm WI concerned Met lMPr0vQrTWt6 w1l t�0 UVAL 5 COUNTY, FL
k O'D W 0,
C
to gartW rQW property.WW In acoord�With section 713-13 of the Rodd8 St&UAW EC. , 00Nj LEA
25P Pik:A W VEVO
qt,,bed I�,.Q2).00 fdjowft Infomallon is stailed.
Lgo Descxiption of ProWY Lt� -Z
QarwW DqscrfptIon of Improvements:
OWW Ram(P�. 12ACV— -La4
11, 11
Addrur . 0 a- (�vap
OwrW$Intgrest In Property. nyd?"-
Fog Sirnply Tido tiolder(V othqr than O'Wr-04
Name(printed):
Addrw:
contractol (Pru
AW01irm
�wy) LmoL"Of bond
sAmery(d any)
Addro$S'
person or Lendgr rnW&V a loan for cormmctlon of ImprovenwrU-.
Nwne Wnted)
Addre":
Ey 13EFORE RECORDING THS NOTICE OF COMMENCEMENT.
WARNING: OWNER CONSULT LENDER OR ATTORN
pwsm within the SM19 at Flwida deskP019d by QWn8r Upon vdiorn notice or othw d0cumntS may be served:
Nam.
Addrm:
in&WWW to hirrOW,Owrw dulgral0s the followkV person t6 rec@ivo a copy of the Lienor's Notice Pr0vId0d In
I-SaCt$on 713.06(2)(B), FIO�St"Os In a'Owner's option)
Narne Wrded):
Addrm:
omm Slood
L
in CocM Nwnjd
I wn a Noukry pubtlo of sme of Ftof"and MY C*rnrrUslon
TJJF-FOREGOING INSTRUMENT was adcogMedged before rne on
Is knownto who has
"d who dWA�d na ake an aalll
Vmkjcod
ANNE CLEAff
NOWY Publ,c, State of Florida
MY Comm. Wiles Dec. 26. 2000 NOWY Public-GWAb-
2�.-
Nowy Rjoblic.NWAMW PMW
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION :—
OWNER OF PROPERTY : U-0 44Z p 0�-:R
PLUMBING CONTRACTOR jsc�6
CONTRACTOR' S ADDRESS : 19 9 9 F-4 c 14 Lvo
STATE LICENSE NUMBER : 11;L TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
I SI'NKS —SHOWERS
LAVATORY ' WATER HEATERS
BATH TUBS DISHWASHERS
DISPOSALS
URINALS
WASHING MACHINE
CLOSETS
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES : x $3 . 50 $15 - 00
MINIMUM PERMIT FEE $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP ( 904) 247-5834
PSR-3844 13986
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATIUN
Permit Number : 13986 Address : 1810 SELVA GRANDE DRIVE
Permit Ty,pe:MECHANICAL ATLANTIC BEACH . FLORIDA 3223 -
"lass of Work:ALTERATION -------- LEGAL DESCRIPTION ---------
-onstr. Tvve :WOOD FRAME Block: Lot : Twp:
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna:
Dwellinas : (11 Subdivision:
Est . Value: 0 �00
improv . Cost : 0 .00
Total Fees : 25 . 00
Amount Paid- 25 .00
ra 4 4i 4-11 1 -0 9:7
QUT-L9*S
----- ---- INFORMATION - -- -------- APPLICATION FEES ------ -
Name ' RICK CARPER PERMIT 125 . 00
:�AA�r : 1810 SELVA GRANDE DRIVE
ATLANTIC" BEACH , FLORIDA 3223?
'?Q 4 � 2 411 ? 4 8 9
CONTRACTCR INFORMATION -
Name: HUXHAM HEATIN(3 & AIR
Addr , 1078 NINTH STREET SOUTH
JACKSONVILLE BEACH . FL 322,�),-;
RA0024-'�',2 Exp *
NOTES:
NOTICE —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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
$25.00 14
VIOLATION OF APPLICABLE PROVISIONS OF LAW. KMLL92 21 g,,rpipt! 056384
CHECKS 1322
ATLANTIC BEACH BUILDING DEPARTMENT
1-114
71 49;
By:
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 1, 11, 111, and IV.
Street Address: /
LOCATION L
OF Intersecting Streets: Between And
BUILDING
Sub-div;sion
11. IDENTIFICATION — To be completed by all applicants
in consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attacl�ed plans and specifications which are a part hereof and in accordance with the C;ty of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) /k-,>- M aster F'4coo
Name of
Prop-or-ty Owner
Signature of Own:r Signature of
or Authorized Ag nt < Architect or Engineer
Ill. GENERAL IINFOIkMATION
A, Type of heating fuel: B. is OTHER CONSTRUCTION 13EING DONE ON
'M Bectric THIS BUILDING OR SITE 7
• Gas—C3 LP 0 Natural Z Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
• Oil PERMIT
• Other — Specify
I V. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of cornponents on back of this form) Residential or [] Commercial
0 Heat Spec* [I Rocessed 0 Central 0 Roof New Building
Air Conditioning: C) Room 0 Control El Existing Building
Duct, System: Mat*6&1 nicknou— Replacement of existing system
Maximum capacity c.f.m. New installation(No system previously installed)
Refrigeration Extension or add-on to existing system
Other — Specify
• Cooling tower: Capacity 9-P.M. 9
• Fire sprinklers: Number of heads
C] Elevator 0 Manlift 0 Escalator (number) THIS SPACE FOR OFFICE USE ONLY
• Gasoline pumps (number) (Rsi-i-d)
• Tanks (riumber) Remarks
0 LPG contains (number)
ID Unfirsid pressure vessoi
13 toile" Permit Approved by Date.—
[] Otfsor — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Ca. arity
(WnS) Aproving
Number UnitA Description Model Number Manufacturer A9=cy
BEATING - FUR14ACES, BOILERS, FIREPLACES
Capacity ApprVvft
Number Units Description Model Number Manufacturer (Erru) Ag*ncy
TANKS
How Many Nominal CaparAlty Type IAquid Name of Se r4i Approving
and Dimensions Contained Manufacturer No. Agency
PSR-3844 13491
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION --
Permit Number : 13491 Address : 1810 SELVA GRANDE DRIVE
Permit Type:WELL ATLANTIC BEACH � FLORIDA 3223-2
��lass of Work:NEW -------- LEGAL DESCRIPTION ----------
Constr . Type:WOOD FRAME Block: Lot : Twp:
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rnq:
Dwellinqs : 0 Subdivision:
Est . Value: 0 � 00
Improv . Cost : 0 - 00
Total Fees7 10 . 00
Amount Paid : 10 . 00
FGR PURPeSE&
�4NER INFORMATION APPLI('1ATION FEES -- ----- -
Name, RICK CARPER PERMIT 10 . 00
181,. SELVA GRANDE DRIVE
RTLANTIC BEACH , FLORIDA
r hr-�ne 4 , 42 4 1-i3 4 919
-,NTF,,T-.(-TOR INFCRMATI,
L . N . WILLIAME
2�-161- P � O � BrX 567
ATLANTI,- BEAC"il
Exy.
NOTES:
NOTICE —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
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
$10.00 14
VIOLATION OF APPLICABLE PROVISIONS OF LAW. ReLleip tv ZAAVIP'�l
CASH
ATLANTIC BEACH BUILDING DEPARTMENT ggib@03221000
By:
FIT, $10.no
A-PPLICATIM MR VELL PMffT
CITY OF ATL4MC WACH
PROPERIY (MER
__Pay
Address C
Zip--?t, z-3 _3
APPLICANI', IF GTHm THAN OWNE:R
Na-ne:
Day Phone L��
Address,,Z-
ZiP2 3�
JOB
Address or Location:
Legal Description:
Is well to be used for drinking purposes?_4')
Any person, individual, corporation or other entity receiving a perult as
provided in Section 22-40 of the Atlantic Beach Code, and who plans to use
water froin the pernrLtted well for drinking purposes, mist first obtain a
bacteriological test report from the State of Florida Health DeparUnent,
furnishing a certified copy thereof to the building departuient of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
agree to ccrmly with regulations stated herein:
gna ture
Date
&Mows
Trdift'ratr of Orrupaury
CITY OF
oftps& &4ds - Rai&
UrVartmPut of Viaithittg AttivrMan
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating buildin construction or use. For the followin
Use Classification Residential Bldg.Permit No. 5669
Group-_Type Construction- r am., Di,t,ic, AtlantiC. Beach
Owner of BuildingG&M Constructionldd.... 447 Atlantic-Blvd.
1816-—Selva Gr�an—de -S-Alva Tierra
Building Address Locahty
John M. Widdows B "'
Building Official Date; ce 1983
PMT IN A CONSPICUOUS PLACE
DEPARTMENT OF BUILDING PERMIT NO.- 5669
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 19—
Valuation$ 70,2 S I-50 Fee$ 282.75
This permit not valid until above fee has b�n paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that— Q & M CON TRUCTION
has permission to build 911�4GLE PAKTTY 110111E AS PER PLAYS PUs/i T1.
VUe*1QLN I U
1 A
Classification SINGLE FAIIILY —Zone PUD
Owned by G & M ;4 9UQGA i
Lot �j Block rrPT*_VJA4/ 3
House No. 1810 SELITA GRANDE DRIVE 101711711
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
4 10 0 Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr�o qwner.
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
___��ATER
I OT:
CAT.:
1*I.ECI N I CAL:
BUILDING M_E�11T 1:f- :"'SHEET
I*-.AJED SOUARE FOOTAGE: fro @ $ per -�q. ft. =
per sq . ft. =
CAP�AGE (1'RJVATE/S1!HD) :
C-t F,?OR T: $ per sq. ft. =
PORCHES: per sq. ft. =
DECK: per sq. ft. =
PATIO: $ i),�:r s q. ft. =
TOTAL VALUATION:
PERMIT FEES
'?0 C-)
fO_T�f�\'IALPATION DATA I S t
C)C3 -try
C7,�)per thousand
RE'�AINDER VALUATION @ $ 0
or portion thereof
TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
PLUS THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . ... . . . . $
4-r epk 0.0--
TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
---------------------------------------------------------------------------------- ------------------
PLI:.',jBING PERMIT FEE: P'ERIN11T FEE:
ELECIRICAL RESIDENTIAL: $ ELECIRI CAL TE'TCRARY:
00
METER SIZE: FEE: $
WATER I !�'y
SEIVER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $
WATER CONN ECTI ON CF_-�RGE: FIXTURE b'NITS @ $10.00 PER LNIT:
ACCOIJNT NO. :
APPROVED BY: APPRoVED TOTAL BUILD!-G/PLAN F1L1NG FEES: $_0?
CITY OF ATt.;,NTIC BEACH
BUILDING OFFICE TOTAL WAI ER 'IETER CH-ARGE: $
TOTAL WATER CO'..'%ECTION CKARGE: $_
TOTAL SEWER CO`Z'ECTION' CHARGE:
GK-'-ND TOTAL DUE: s / 7/2
Date......
Fsrmft c) ............
TY OF ATLANTIC BEACH
7vv Valuation ...........................
FLORIDA Iffouse
....................................
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made In compliance and conformity witli the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Buildinx Permit Is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
Ing intermediate or final inspections It is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
............................................
Owner....r7-.1-nea ...... ...... -----------Address-Y
XL�
Architect........ ..... ........ .......................................... .............Telephone
Contractor Builder-L... .........
........... A ddr es a....... eleph*Ae N06-�?Az. &.2.
Lot No...........�2................................Block No................................Sub Division.... 4r,,�A'----------------------------------TOGIM--------------
...6-1z'4.............Streat.........................Side Between.....................................................and................. .........
Valuation . ...........For what purpose will building be used_ ........Type of construction.....
-�/;x`_�4-MilnenBionm of Lot--- ....Size of Footings.....
Dimensions of Building_--
Size of Piers....................................Size of Sills................................Greatest Sill Span In fL...........................1,Ype Roof.'rkL4...........
How will Building be Heated?---- .........................Win Building be an Solid or FlUed Ground?....J-:!..Z_-./*A
Size of Ceiling Joists.......1. .......................... Distance on Centers............ .................... Greatest SpsxL...
re........
Size of Floor Joists...... . ...................... Distance on Cente ... ................................. Greatest Spa&...Z:!t...................
I ailel Spam.......Z
Size of Rafters........... ....................... Distaiwe on Centers.......... ............................., Greatest ..6 ....
This rectangle in to represent the lot.
Locate the building or buildings in the
ht position. Give distance in feet from
.7 lot-Una* and existing buildings.
APPROVEa REAR LOT LINE
Two copies of plans and specifications shall IS CITY Oc A-f[;A',JT1C BEACH
be subnodtted with application. A' .4 EUILDING GFFiCE
Inspections required.
1. When steel is In place and ready to pow footing. 53
2. When steel is in place and ready to pour columns and/or
3. When steel is in place and ready to pour beam. �.'e
4. When framing Is completed.
5. When rough plumbing Is completed,and ready to cover u
6. When septic tank drain field or sewer is laid but befo it is covered.
7. Electrical Inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections an made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statemmA, we hereby agr" to perform said
work in accordance with the attached plans and specifications, which an a part hereof, and in aceordance,with the building
regulations of the City of-AtiantieAftch.
I
Signature of Builder.... ---------
Signatureof Owner........................................................................... Address.................................................................................................