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1817 Selva Grande Dr (vault) ADDRESS 7 BUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB /� 9 FRAMING COVER-UP , c, INSULATION �' 9d FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # INSPECT IONES ROUGH -qj FINAL MECHANICAL PERMIT # PLUMBING PERMIT # 57 NOTES : 16 -77) w CITY OF ATLANTIC BEACH J ,t it 800 SEMINOLE ROAD +, t� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000627 Date 5/11/09 Property Address . . . . . . 1817 SELVA GRANDE DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ------------------------------------ Application desc PAVER PATIO/OUTDOOR FIREPLACE/DOOR WINDOW REPLCMNT ------------------------------------- Owner Contractor - ------------------------ ----------------------- BAGBY, CDR STEVEN M. OWNER 1817 SELVA GRANDE DR. ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------ -- ------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . 40 . 00 Permit Fee 80 . 00 Plan Check Fee . Issue Date . . . Valuation 10000 Expiration Date . . 11/07/09 ----------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off contaner company must be on City approved list and cannot be placed on City right-of-way. _____ _ ________ -- Fee summary Charged Paid Credited --- Due-- ---------- ---- -- . 00 Permit Fee Total 80 . 00 80 . 00 . 00 Plan Check Total � 40 . 00 40 . 00 . 00 . 00 Grand Total � 120 . 00 120 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �\F7/ / a`7r, / F� CITY OF ATLANTIC BEACH �9- /s 5:1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ^, OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 1�.. r BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION aUVAL COUNTY 2.VALUATION OF WDRK: 3.SO.FT.UNDER ROOF k4.LEGAL ADDP.ESS:SAO-m � {DESCRIPTION: 5.CLASS F WORK: 6.US F STRUCTUP,E: ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL BLOCKSUB DIVISIO ❑AD TION ❑CONVERTING USE ❑COMMERCIAL TION OF WOR LTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES /A L7 MOVE ❑OTHER ❑ v PROPVR OWNER: CONTRACTOR: ARCHITECT 1 ENGINEER: .CO P Y NA 23.COMPANY NAME: 15 9.NAME: ICCf 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: r IL 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE:_ 20,FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: a-A l 6 Sb'. 13.CELL PHONE: 21.CEL PHONE: 29.CELL PHONE: 4 22.EMAIL A DRESS: 30.EMAIL ADDRESS: 14.EMAILADDRrSS: ` FEE SIMPLE TITLE HOLDER: 80NDINa OMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 33.NAME: 35.NAME 31.NAME: I l 32.ADDRESS: 34.ADDRESS: '6.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all!aws regulating construction in this jurisdiction. This permit becomes null and void if work is not Commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTI®DRE��RECORDING YOURBTAIN NNO NOTICE 0 COMNSULT ITH IVIENOUR CEMENT. LENDER OR AN ATTORNEY BE co TRACTOR OWNER or AGENT (Qualifier only) (If Agent,Power of Attorney or Agency Letter Required) Date: -5 "- S �0 Date: 4/AA Signed: Signed: c !� 2009 in the county of Before me this J*1- day of mA 1 2009 in the county of Before me this day of /f✓� / I Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements a4d declarations are herrn by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. <' Notiry Public at Large,State of L d'iC ounty of�!" Notary Public at Large,State of�Oc. ,County of �IlPersonally Known L�Personally Known ❑Produced Identification- ❑Produced identification,- - f :r J C' Notary Signature: - Cr r Notary Signature: L I fir DE COMPT T,�N PATRICIA J.JACKSON t ! \s 14 Llhlr 1 'Yns W t TIC BEACH * *= MY COMMISSION;k 4, 011 r Larn: tluraar'`�� ,: :; EXPIRES:June 14,2011 6LDG01 Pennfl Applicatic dg:REVISED ADDITIONAL, ;; '. Bonded Thru Notary Pub Underwriters IREIvIENTS AND CONDITIONS. 1. REVIEWED By: -- DATE: BAGBY RESIDENCE 1817 SELVA GRANDE DR ATLANTIC BEACH, FL 32233 OCCUPANCY CLASS: SINGLE FAMILY INDEX 1 &2 PRODUCT APPROVAL INFORMATION 3 &4 FIREPLACE DRAWINGS 5 SURVEY 6 SITE PLAN 7 IMPERVIOUS SURFACE CALCULATIONS RICHARD ECHEVARRIA ELITE BUILDING CONTRACTORS INC. 599 ATLANTIC BLVD SUITE 5 ATLANTIC BEACH, FL 32233 PHONE 247-6551 FAX 247-6563 CELL 635-2113 EMAIL ELITEBUILDING@AOL.COM CBC1254650 ?jet 0 -s CD -+ rs ,V W J D1 Ch P W N r+ 41 ID (-A P W N -- h � O NJa N O m vi 00 y o � ,�� . S;_ ems' CDR d oCD O �a cra• �, ° lam') C GQ N N + 1 �. UIQ ® nCD O h R °R uRa oq (�D O Xt ¢ _ (D rS -t-aq {� COD AirL �] O w O O O Go w CIA r a CL �1 f o cr 0 CF' CD CD O ems+ O 0 CD n N O CCD bK f- o , R- UQ N t C1=7i P � �. CD 1v CD CDCD o Cr1 CD R x C CDCD0 CD k C] CD o C1 C n CD O o• cD O~i C�. CD UQ o r- Ua N -- CD . r� `0 `� `� O CD r* p + A� `� •.! CD CD c"r ear O O O O O O a 00 CD O CND CD,i E �r � CD CD O. Z G � �' � trr- OCD 0 G CD rnd 0 C] m h CD CD UR e4- 0a- C�D p � ® O O CD p CD cD `� O C �' rl R• c+ a CD O CD 0 Lit V O• .r _ r% CD 0 CD N O Ci vOi CCDD' Pt G R C r p ' C CCD O O C CDD V v r n O u r`r CD n CCD `Op c cr o M, r-L °sy O m con 0 CL CD CD Uq O' CCD Fns n CD yLA 0 rD Z b a 0 D 8 CL CD } °' a- � ° o CD ¢. `�\ O O p10 r. K. ^\ P, p \ CD IN CCD t Q- P O `d � C C► o " W tT CD �� K E A CCD CCD CD o � W o o, CD CCD CD G. cD � CCD CL CD Q, CCD a C3 +• 0 n, CD O o' z O t" ¢- c CD O O CD P� CD p CD Oy r J]' f '* 'a F. _ s 7 r,61 t � 1 � _,�.SLW.+{Sil:SUY.�+eTttt�+e;-. 'fttm:. "waexa3*,ap ,,;r' r.�.i.. "vLer,•„•--.c. ^.'"i" a � _ \ � §_ � 2) \ c a . & \ . \ ! �. ! � {. \ 1 i . ! ! ( � a • 9042472770; Oct-2-01 10:49AM; Page 212 it By: AHM; unuttuvr, 'juxvk:YUR - �pOl e— M&P MOWING BOUNDARY SURVEY OF L O T 2 0 $ E L V b T I E R R A dS recorded is Plat Book 38. Paves abd 28% of Ylocidathe current public records of Dve Nay 3; 1993 Scale: 1•'= 20' s.E6 E.JO oe.✓.T�s ca✓t�are I is"sr.P.Ii,✓S6E, d77air�;R.✓G y.E/./E.,P �i/t-Ewl�✓Y' � �•..''" �. � �.�.rte ��,• `•Z� ` � /_ { - � � - y y \ C 87.b ��. Y z -•. � '" _ �...r� .�.. '�5'�77'!�T'� /��.09`ice'�-�.�.• :.�j 2l [U[✓f at.wen H. smaley. Donna hova hereon lien is Zone X Car 6liiCg a Kortyuvv' Corv-Irirztt xm•rican The pcoysrty..: aa41ey, (out:elde tAe'S00 sear t`lood plain) as T3Lls Zasnraaee compaaT, Batson & Osborne. d•cCrmined from the Vloed Insurance Rate Hap, >Attori►eyls at Lau City oS Atlantic Setaeb, Ylorida, CommunitY 1 eerti£7 chat this 6urve7 meeca the Panel CFO. 120075-0001D dated 4/17/99, regoir•ment8 of the HinimuateTe2hnic61 w"'aa s rauaat to chapc r beeed anthe easterly right=•1va oraude prive •a Der Goron Nil•r, P.L.a. #4112 record Dl ee. L.H. #4603 Not Valid VnicOz Sealed 60^V�g ry fA •J �'' ` , ti I ` • 42 . •R \ 'moo �a ��.�' .� 1 . 1 .. ��rs IMPERVIOUS SURFACE CALCULATIONS BAGBY RESIDENCE 1817 SELVA GRANDE DR TOTAL SQUARE FOOTAGE OF PROPERTY 15,285.37 EXISTING IMPERVIOUS SURFACE HO iSE AND GARAGE 2700 S(;3 FEET EXISTING PAVERS 1200 SQ FEET DRIVEWAY AND SIDEWALKS 1416 SQ FEET TOTAL EXISTING IMPERVIOUS SURFACE 5,316 SQ FEET OR 34% NEW PROPOSED PAVERS 216 SQ FEET OR .01% TOTAL IMPERVIOUS SURFACE INCLUDING NEW PAVERS 5,532 SQ FEET OR 34.01% 1 APPLICATION NUMBER City of Atlantic Beach (To be assigned by the Building Department.) Building Department �_ O sf 800 Seminole Road r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904) 247-5845 O " E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us PIPLIC ` I EIIo W AND TRACKING FORM - -- PTree ment review required Ye No Property Address: Q. / g &Zoning 'strator Applicant: l/`� WorkUtilitiespro�eci<: /�I � ,� Safety�� ` �� rvices n K� Review or Receipt Date f[� ther Agency Review or Permit Req�eired of permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPATOON STATUS Y_ Reviewing Department First Review: Approved. Denied. (Circle one.) Comments: �LDI PLANNING &ZONING Date: S Reviewed by: 4�0j TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICESDate: Reviewed by: Th,rd Review': []Approved as revised. ❑Denied. Comments: Revi=_,VVed iv« Date: NOTICE OF COMMENCEMENT State of �u0 CA Tax Folio No. County of u To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF CONAIENCEM INT. Legal Description of property being improved: Gtityqdt b<- , Address of property being improved: General description of improvements: ff^^ !� Owner: Address: c5ely� G>s Ctn 7 (1 c- R-A ft C t7c t`l-. Owner's interest in site of the impr ement: 1Jc-nC� Fee Simple Titleholder(if other than owner): Name: ctor: Pe Address: �� C� t4 S l a a3 Telephone No.: `j 7` S Fax No: Z-G Surety(if any) Amount of Bond$ Address: Telephone No: Fax No:_ Doc#2009110939,OR BK 14870 Page 573, Number Pages:1 Name and address of any person making a loan for the construction of then Recorded 05/11/2009 at 01:57 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Name: COUNTY RECORDING$10.00 Address: Phone No: Fax No: Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Sectt n 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): ` THIS SPACE FOR = ' t 1 OWNER VMS �j �,?GELA V.SCARBOROUGH /" v Date: M �/ 411- Si ed: in the County of Duval,State > ( MY COMMISSION a DD650795 da of `� vcpgtEs:March I4.201I Before me this Y YVl Ia Irv' Fry.Discoar t Assoc.Co. Of Florida,has personally appeared tj, F1Notary Public at Large,State of Florid County of Duval. My commission expires: or Personally Known: Produced Identification: CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r� Application Number 09-00000906 Date 6/23/09 Property Address . . . . . . 1817 SELVA GRANDE DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------- Application desc water heater gas -------------------------------- Owner Contractor -------------- --------------------- ---------- BAGBY, CDR STEVEN M. AEI INTERNATIONAL CORP. 1817 SELVA GRANDE DR. 9378 ARLINGTON EXPWY #310 ATLANTIC BEACH FL 32233AC SONVIL9E71 FL 32225 _ - -----Permit---- MECHANICAL GAS PIPE PERMIT Additional desc Plan Check Fee . 00 Permit Fee . . . . 40 . 00 0 Issue Date Valuation Expiration Date . . 12/20/09 -------------------------------------------- Fee summary Charged Paid Credited ----Due--- . 00 _ ---------- --------- ---------- - . 00 Permit Fee Total 40 . 00 40 . 00 00 . 00 Plan Check Total • 00 . 00 Grand Total 40 . 00 40 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �_'� CITY OF ATLANTIC BEACH 09- S •�;'t 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 a' 1"- .'ail OFFICE:(904)247-5826•FAX NO.:(904)247-5845 St BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: J.DATE: �NO 60-23_Z"�� 9 kb n S ELV^, G"R,'PIM OG ❑YES PERMIT#: PROPERTY OWNER: 4.NAME 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE r 81y- �3�5 MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: 9.STATE OF FLORIDA LIC NSE NO. 10.CELL PHONE: 11.FAX NO.: 12.EMAILADDRESS: 13.OFFICE PHONE 14. -s Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after workis commenced. CONTRACTORS SIGNATURE: 15.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 18.CURRENT CODE: ❑ NEW INSTALLATION ❑NEW RESIDENTIAL ❑'06 FLORIDA BUILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM EXISTING ❑COMMERCIAL MECHANICAL ALTERATION/ADDITION TO EXIST SYSTEM OTHER+1_fJCI C&pe ❑REPAIR MIIPMENT TO BE INSTALLED: 19. HEAT: ❑ SPACEED ❑ CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOML 21. DUCT SYSTEM: MATERIATHICKNESS: MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPcfm 23.COOLING TOWER: CAPACITY gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29. GAS PIPING: #OF OUTLETS: ❑GAS AHU: GAS WATER HEATER: 30. OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. jVALUE FOR OTHER ITEMS. 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQUIPMENT: FURNACES BOILERS,FIREPLACES AIR HANDLERS ETC OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS: NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:12/18/2008 'f'S�..Lyr✓J' CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001708 Date 12/19/08 Property Address . . . . . . 1817 SELVA GRANDE DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc replace part of fnce/move and replace part of fnce ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BAGBY, CDR STEVEN M. ELITE BUILDING CONTRACTOR 1817 SELVA GRANDE DR. 55 FORESTAL CIR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/17/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ----------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t z fs CITY OF ATLANTIC BEACH ` "✓ - ;ti B00 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5326•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY JOBADDRESSk° „-._.;.. R. � 2zVALUATIQN_OF,VJQRK k �yf �,, 3�STI FT UNDERROOF� �T��s��" 2 r f r 4 .. u S��'<< C��naE 1L c � a� l�L� J"�4 LEGAL DESCRIFfJON�k a'"_ '' `>,4aiz..�.<.., �`•"'�. �r::..�t t"+F�,.�T 5+,CL'_ASS OFFN/QRFC��'m�;�,� ..`.r.�K+.i�t'..�[.yxt'G;L1SE OF, UCTI'1Fj�t��:,..� ❑NEW BUILDING ❑DEMOLITION SIDENTIAL LOT BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL yZ ESCRIPTION 6j yJQRK 13 ALTERATION El ACCESSORY BLDG. By_F(RES O NKLER-;�`5� � ++: `,, ❑REPAIR FI POOL/SPA I 171 Yr.,; Eze El MOVE �ER El No c—WiTz PROP WN R { .. ! . .� CONTRACTOR, ARCHITECTCENGINEER _ .` >. 1 , 9.NAME: 15.CQ�q, N L&i`(f11,Y CIJt/1['{Ge� S 23.COMPANY NAME: ( 5 `,� - C ��C/`` '�'I ,•, 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICE`NjE NO.: 25.STATE OF FLORIDA LICENSE NO-: C- 0; 1 26.ADDRESS: 18 / .ADDRESS: 1. �,\"\CJU\\��. G�v� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.: `�L-0-65�qk I Dto-GAG 13.CELL PHONE: 21.C rL,�HONF;. _4 t 29.CELL PHONE: 14.EMAIL ADDRESS: 22 EMAIL1fC,Z�J�DRES$` 30 EMAIL ADDRESS 7U wxn �✓4iFEE SIMPLE-TITLE-'HOLDER �y r $ `z ',BOND COMFANYa �e MORTGAGE LENDER �a5 +i€'-,:zf. - 31.NAME: 33.NAME 35.NAME l I / 32.ADDRESS: 34.ADDRESS: 35.ADDRESS: Appiication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.. OWNER"or`A'GENT F .r� rr� v y s TRACTORx� a a rr�t,: ::(IfAgent;PowerofA mey o�AgencyLettaiRequ2d)_ ,ask r a:rg4 ,< ,w,:;.. r a.-(QualifierOn�y) Z Signed: f Date — �`� Signed Date: 44 (d r Before me this day of �� 2002 the county of Beforenn this_VL- day 200'ein the nef A Q DC. uval,State of Florida.has personally appeare Duval,State of Florida,has personally appeared I �" W herin by himself/herself and affih 11 statements and declarations are herin by himself>herself and affirms that all statements and dec[aratic Is true and accurate. true and accurate. 1;County of Nota ublic at Large,State of County of (� y Notary Public at Large,State of .� tY O Personally Known L%1 Personally Known ❑Produced Identiricafion- ❑Produced Identification- u] Notary Signature: n J Notary Signature: CIOQ PATRICIA J.JACKSON W rANGELA V.SCARBORO _ .:- +�,�i+�Pyr:. V 3 b MY COMMISSION# 0795 . ;, MY COMMISSION#DD 666276 a F}CPIRES:March 1 2411 p?T EXPIRES:June 14,ndwo L E C O K2011 Thtit, COAG FORM BLDG01:REVIS 8 t FI.Notary Discount b80U-3-NOT a AHW9042472770; Oct-2-01 10:49AM; Page 2/2 _`�. vim+-�,♦ v V l'AA OVyTIGLTV YVLyrkTn&Jyb .7'UKVL`yUK - tool MAP SEPOWING WK NDARY SURVEY OF L O T 2 0 9 S L V A T I E R R A As recorded in Plat Book 38, Pages 29 and 29% or the current public records at DVVal County, Plorida. scale: 1"= 20' May 3, 1993 )k'`` vhJ "Fe Ykct � I- E�1IO e fin. yic,/.•r�•e ,cl...✓ /i/Y —�� - — vLJ.•r->PP ro✓cE -� A1C:<`� 44 06 "s �l�,ri 07 Gc JCCC' h po Jt / o\ y` \1 � Y, C i w �• W sol � ✓ � �,Q�`v / � �, V`. `pp 4 � °� � •. '•. .- - Vis` � ;� it � � tea• Z RS � � � / yb v r- I zj cin` ire The proyesty,•:ah0va havaon lisp is Lona Y certiiled to: Steven M. Oayiey. Donna N. (outside the .500 rear 02004 Platin) as oagley, Sears Kortvave Cory-- First American daterMinad Fran the Ylood ZAsurance "te Hap, Ti . a Znxnraaae coiapanr, Fatson G Osborne, City Ot Atlantic swab, rlorida, cdamunitr Attoraays: at LAW = the Panel Va. 110075-0001D dated 4/17/89. I Cortity that this survey awe e ragviramadts at tba Mini/num Technical 1 at: da s rsuant to Chapter 218lf-6, F 1 l.) Beariaya based w the easterly right of _. ray tins,of lelva orsn4ft Drive as Per Gordon s Hi1es, Y.L.H. f4112 rao Ord plat. L.H. 64607 not Valid Vni CDS Sealed s_Qj1j- . City of Atlantic Beach APPLICATION NUMBER JS r -� Building Department (To be assigned by the Building Department.) sit 800 Seminole Road p Atlantic Beach, Florida 32233-5445 0 p Phone (904) 247-5826 • Fax(904) 247-5845 !,;il>r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Pro ert Address: `J e_� ci. �(t.Ar� e. �R. Department review required Yes o P Y uilding in &Zonin pP A licant: Pubic o Public Utilities Pf0)ect: k_L'A W �DAn. Public Safety _r_rY-v e- -*- �),ov- Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: ZDI � PLANNING & ZONING PUBLIC WORKS Reviewed by: O Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us1/ City web-site: hftp://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: � � �j�` � a, �R-Av-SSL¢, ��. Department review required Yes No p � 11 uilding annin &Zonin Applicant: PUB is lmgzy ,Public,Utilities ProjecNPublic Safety ��J 'b" Q�a ��" G•� ` 'e'r`t Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: Z Jk PUBLIC WORKS PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 00— 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233!49 I V I I ~I rOFFICE:(904)247-5826 FAX NO.:(9D4)247-5845 BUILDING-DEPT@COAB.US piff*� BUILDING PERMIT APPLICATION DUVAL COUNT`( :i I1 AggADDRESS,SW x _ s.u�^l a wa. is &rx.. 2 VALUATIQN:OF WQRFC q,€.. it _... 3 5 Q FT UNDER ROOF. x xt+r�_. ,_. 15S I I S��e� C ctr�v�� ►�� al C'A-�%� •--a PT . .a,f :v+ SEDF• UCTUR 4,LEGALDESCRIPTIONr?.s. :aid .z:.ti. x �. ..., x ❑NEW BUILDING ❑DEMOLITION 011FESIDENTIAL LOT BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ATE° TICK 11ACCESSORY BLDG. 6_F1RE;SPRINKLER " 7.DESGRIPTIOII'OEWORI<Mi C, �^ .}r.... 11 REPAIR A } 1Y ❑,PO�OL/SPA ❑YES � r c-k��' c ' y�� CC �/ ` ❑MOVE -C23.IIHEPANY NAME: ❑NO V** _.....,..... PROP fY;OWNER, y,_> > a 4:CONTRACTOR-,_ .r.... y! 109-113 r; ARCHITECT/ENGINEER K......_ ' 9 NAME: 15. M ANY N E: b(,` f r u,\�C� �w��r cue .5 3 '�(A 24.LICENSEE NAME: ED�D 17.ST TE OF FLORIDA LICEN E NO.: 25.STATE OF FLORIDA LICENSE NO.: �,o' s 18.ADDRESS: 26.ADDRESS: 1+Vka dtL �iUb� C`C ea3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: ` `� ��a•7-GAG'' 13.CELL PHONE: 21.C L HONE, 29.CELL PHONE: EMAIL DRESg 30 EMAIL ADDRESS 14 EMAIL ADDRESS: 22 � �� (ki CLQ, EEE'SIMPLE;TITLE HOLDERt Q `xx 4 BONDS COMPANY�ra- t� �' sFMORTGAGE LENDER IIF O_ 7 31.NAME: 33.NAME - . . 35.NAME: 32.ADDRESS: tlJ34,ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating Construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: * * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO�UST BEVR RECORDED AND POSTMENTS TO YOUR OEDERTY. AON THEJOB TC SITEBEFORETHE COMMENCEMENT FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. SAY A OWNERor`AGENT ;. , rt7��rWr �" %�,*� TRA , D1t � 'w . �.. l a(Quallfie[OnIY) eg w:� t 4 U)� Nr (lfAgentpoweroF,A mey_orAgencyLa erRe wre Date: lei Nc Signed: b�C �✓ Date: L Signed 1� Before me this day of C_C 20 the county of Before me thisf�day of�'� 20061r,the county of Duval,State of Florida,has personally appeare6 Duval,State of Florida,has personally appeared __- � `f herin by himself/herself and aff h II statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. � true and accurate. No (�iJ V��5. Nota Public at Large,Statof 0_r County of ta ublic at targe,State of � �-- ,County of O/ Known Notary e _ Personally Known O1 Personally ❑Producedldenffca5on- ❑Produced Identification Notary Signature: l' n r Notary Signature: J.JACKSON TANGELA V.SCARBOROUGH ;;�!" MY COMMISSION#DDMYCOMMISSION#DD650795 * FyppES:June 14,2011 E}CPIRES:March 14,ZOl1 = Bonded rnN NotaryP bfcCOAB FORM BLDG01:REVIS�800.3-NOTARY FI.Notary Discount Assoc.Co1. . ,�,Aa S�a1,y f City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 L , Phone(904)247-5826 • Fax(904) 247-5845 E-mail: building-dept@coab.us _ = Date routed: City web-site: http://www.coab.us T APPLICATION REVIEW AND TRACKING FORM Property Address:�� j2 a_ �(L AXE , �► Department review required Yes No �. uilding -�9-, cT @ annin &Zonin Applicant: \ ; } `�� r�� I Pubic o ..0,..4r�.r s.a;.,..,ro syr, ..;1.... ,.. ... ....aaf...w;.vr a.r•'--ru.r.i.i..rPublic Utilities .. ... Project: Public Safety Ot- C��i" 'r``t Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUILDMG___ P NNING &ZONIN\G PUBLIC WORKS Reviewed by: Yoe_� Date. PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 08 a� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 R OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DWAL COUN i Y w_S`4 3"�rCr;F- - 5. ' SS,OF WORIC�S 6USE ❑NEI BUILDING ❑DEMOLITION ESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDI ION ❑CONVERTING USE ❑COMMERCIAL c El ACCESSORY BLDG. 'B`.FIRE SPRINKLER�:fj!-` I � RE$GRIY I IUrI O� MID 71;,ro�. -w d 1,:•-. ::..J+ .. ❑ALTS TION ❑RE IR ❑11 MOVE LYti POOLISPA (3 YES pis s n yxww f s^E.`, ;ARCHITECT/ENGINEER'"gk c•' ' 0 NO ROPERTY: _ R sir,, -v.h_"n._ .,.,h a;r s::A..:x:CONTRACTOR _er p r 9.NAME: 15.�� ANY f j 23.COMPANY NAME: S `i t J L i fC� C!�i L(i� LY LC>fITtCIC 316 ': 1.^ 24.LICENSEE NAME: 1 D.ADDRESS: J �� 17.STATE OF FLORIDA LICEN E NO.: 25.STATE OF FLORIDA LICENSE NO.: \cC �- , 26.ADDRESS: rL "33 18.5 ` \: via CA-�\Cv,4CL � (,( -).433 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.: C�� 13.CELL PHONE: 21.C L HONE;. 29.CELL PHONE: 22 MAIL DREES 30 EMAIL ADDRESS 14 EMAIL ADDRESS: 6lt��wl�� v a,FEE SFoPKI4--TI�TNo DE N X` �.s`1 BONDI COMPANYrtJ`+` a F '�, -,{dMORTGAGELENDER' ''1:.�,.y}, afo .. ??' .'� - - =.� ah✓,„i,s�.... S. 't�__ mow. 31.NAME: 33.NAME 35.NAME 32.ADDRESS: tlJ34.ADDRESS: 35.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction orwork isbsuspended secured for or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT *, ref xfi r'k OWN gxciia�tr fTMr ` �w s"'' TRACTOR s 'fin rty 1 4 nrr�s. «,., k Y .. , t +IQualifie�Only) .Power of A mey or Agency Letter Regrnred)g; a r _, Signed: ✓f Date: `— Signed: Date. Before me this day of I�CGL 2D02�the county of Before me this�—day of�'� �� 20C8in the county of Duval,State of Florida,has personally appeare Duval,State of Florida,has personally appeared Si-E11?_4 I i. LC1,"'.4" herin by himself/herself and affirr h Il statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. (� true and accurate. _ N�ot�ar�"p ublic at Large,State of — County of V✓` 1 Notary Public at Large,State of County of Er Personally Known 121 Personally Known ❑Produced ldentifica5Dn- ❑Produced Identification- Notary Signature: j"L' ( T n r Notary Signature: 3 AA ``; ';rYpp�IC1A J.JACKSON r w ANGELA V.SCARBOROUGH MY COMMISSION#DD 666276 MY COMMISSION#DD650795 .: - EXPIRES:June 14,2011 wW F�CPIRES:March 14,20 11 =• ac Barded Th.Notety NAC Underw dE"s COAB FORM BLDG01:REVIS- i 8 y 1.800.3-NOTARYFI.Notary Discount ASSOCAssce.Co. .nd Ra PSR-3M4 16065 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - -, PERMIT INFORMATION -------- LOCATION INFORMATION ermit Number11101�lress : 1817 SELVA (3RANDE DRIVE - ' 65 Permit type:REMODELINg ATLANTIC BEACH , FLORIDA lass of Work 'REMODEL ------ LEGAL DESCRIPTION -------- .. rnnctr _ Type :W00D FRAME Block- Lot : 20 Twp -, Proposed Use: SINGLE FAMILY Section* Subd - Dwel I ings : n Fubdivision ' SELVA TIERR12- Est . Value', Improv . Cost : Total Fees : 157 5 Amount Paid: PER PL , OWNER INFORMATION PERM11T APPLICATION FEES STEVE AND DONNA BAGEY '�, In 3r - -7 SELVA 'R'NDE DRIVE ATLANTIC' BEACH . FLORIDA 32 f, 90 4 , 2 41 -5 566 CONTP.ACTOR INFORMATION ------ ' N E F qame: PROPERT Y ;-DW .Addr Lic , Type ' 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. $157.50 14 FaVe_,_._ 6/10110 DI ReCeivu. .....7441 CHECKS ATLANTIC BEACH BUILDING DEPARTMENT 98199993201909 By: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET 1 N 0 f r?lf�CL0 r 1. OexirAddress1 Date Heated Sauare Footage < @ $ oy per sa ft = S J 3 Garage/Shed (G $ per sa ft = S Carport orcn FVsTJXfe 412 @ S f ,�?® per sq ft = S �y Deco @ S per sq ft. = $ Patio S per sq ft = S TOTAL VALUATION : S 3 2 Tota V l on 1st $ Q Remaining Value $1` . per thousand or portion thereof TOTAL BUILDING FEE + 1/ I Filing Fee -0 ( ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TAP S ) RADON ( HRS ) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES CROSS CONNECTION $ SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Eiectric/New Electric/Temp ; SwimmingPooi Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIVED CITY OF ATLANTIC BEACH FEB 2 7 1998 PERMIT APPLICATION REMODEL, ADDITIONS, OR A�-7ty A5tiONtic,S Beach MOVING,DEMOLITIONS Building and Zoning Owner(s) : �'�UL� 1 h W Address: Q Ua.- Phone: �' Me6 Lot # Zb Block or Unit # Subdivision: �Q�/�/� ) J , Contractor: 0wor L- State License # Address: Phone No: City G StQa�t�e� p Zip Code Describe work to be done: y�,,' , jq-SGA" ma _o., v 11 T� nn��, �L , W J u w G.�[s�c✓� 0. �k v.Ad''I L �U►, ham` a ��1�y►r �- Q cdJl[l, `� `Gl'✓a' O (/" 1Z' `+Y. Present use of building: k Valuation of Proposed Construction: +'175UOoo Proposed use: Fl a 2 0cjnv\ Is this an addition? no If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? A_ New electrical (or increase) ? l New plumbing fixtures? New fireplace? New Heat/AC? SUBMST THREE (COMERCIAL) TWO (RESIDENTIAL) COI'fPLETE SETS OF PIANS, INCLUDING Sr P r MTER Y Cn_DE FORMS, NOTICE OF COI.1ENCMdENT, AND OWNER/CONT.RAC AFFIDAVITft OHM S CONTRACTOR. Signature OWNER: Date: at jAr� q y Signature CONTRACTOR: Date: Sworn to and subscribed begi this ^ day of ;��MMI�SIp�,•G�`4 �:��RV6O�' ARY PUBL C STATE OF FLORID T LAR�V G\\ :� " ; {� Q; A F N� c, P� do Go ?-4 �•p bdc Undue;:•��OQ�` ooff o 8� FLA. 1967 LAWS IIIAMCO FORM 409 FS 7 13.13 Book 8857 P9 1874 The undersigned hereby informs all concerned 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 COMMENCEMENT. Cx z General descriptof improvements.......-�J�� 5_�� _� �� /�� t.j.. Ln Owner. ......& -53 .........Dr...........a;dA1tLj.... I. ,S ` Vond/ -TD OAZ�11 fee Simple Title holder (if other than owner) N& Nome of person withiin the Stale of Florida designated by owner upon whom nolkvs or other dooirnents may 6* served: Name ............ A«dreou---------------_.---------------.-------._---------.-.---.-.---------. In addition to himmm|f, owner designates the following person to receive mcopy of the L|wnor'm Notice aoprovided in Section 713.13 (1) (F), Florida (Fill ImmtOwner's mption). Name .................................................................................................................................................................................. Address -------------'---_------------------_^.—~-_-^---.—..~-..--..----.__- THIS wrACmFOR mmcwnojgvw USM 0,4L.W ' Bk 8857 Doc* 9803891-7 Owner Filed o Recorded O2/23/98 09:13:53 A.M. HENRY W. COOK -'Al mmjv CLERK CIRCUIT COURT DUVAL COUNTY, FL REC. $ 6.00 A.............dayo 134 U -T----- --`-' — ' - | /| ii-r,13 / Nola Public ( \ | ZITY OF r tr?ci.s c Oea It - �'&u�ea 300 SEIIINOLE ROAD ATLANTIC BEACH.FLORIDA:32233-5445 ------ - -- — _ TELEPHONE(904)247-5300 FALX t904)247-5805 SUNCODI 352-5300 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCLAL BUILDING AT A COST OF $25,C00.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM I C99 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1 ). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE: nwtiFR SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA."CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING [DEPARTMENT ;247- 5626) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER $I 1 S 11,�iya G1CA, lin �11-1t. 541d), ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS �1I� AY OMF \\ \\1N' /1/ / A, bFfoNO Y PUBNOTE: PHRASES UNDERLINED ABOVEMY COMMISS � . �� ARE EMPHASIZED BY THE BUILDING �� DEPARTMENT. •Gbiednde�\•��•\O�� //�•'/lllf f IIIIIN4\\ FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations d Building Systems Department of Community Affairs Compliance w 11 Method C of Chapter 6 of the Florida E:ergy E%r envy Coae may be dermonstrated by I~a use(.•'=orrr�.:oC•97 to axnc.ns o iG sa,V• 'eei +ess ve• nstaliec-Lr Denen!s )!-aru'a-u•ed^cies and renova!ivs to sii and multifamily residences. Alternative methods are provided for dowions by use of Form&A1f3.97 or 600A-97. PROJECT NAME: va f-i on _ BUILDER: Homey mer-_ AND ADDRESS: 1817 Selva Grande Dr. PERMITTING CLIMATE OFFICE: ZONE: 1 2 3 FXJ OWNER: Steve and Donna Bagby PERMIT NO. I I I JURISDICTION No.: T�7-' SMALL ADDITIONS TO EXISTING RESIDENCES:E00 Square feet or less of cond boned area) P•esciipt ve requirements in Tahles 6C !,bc4 and 6C-3 apply:my io t^e f'omponenls of the addition,not to lne existing building. Space pealing, -)ot.rg arc wa!er ren:ry vc.tpRlenl art clency e'vois tryst be net Orly when equipment is installed spe�,ihca W:D serve the additior or is berg installed in conjunction with the addrtron conslricrVn Compone_nls Separarng .rcorcitioned;paces from,:.,rdilic-ied Spaces rrusi meet the prescr eed rr ,mum i^svlat cn eve,F. RENOVATIONS iRestdential buddmgs undergoing renovations costing mr re than 30 A*he assesse,value :I Ire -a.. Presu pt-ve regwreni•n Ta,,fes 6C-' and 6C-,'acoy nr y•o'he components and eou Omen!ben,-encvauad or repaced MANUFACTURED HOMES AND BUI_DINGS Only s.0 inval10 components and features are covered by tries form SJ,LDING S'S'EMS Comply ,no- =l: tie,%ses!er s irib,ailea Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. -Addition— 2. Single family detached or Multifamily attached 2. Sin lg e family 3. If Multifamily-No. of units covered by this submission 3. -.- _ 4. Conditioned floor area (sq. ft.) 4. -A2-8 _ 5. Predominant eave overhang (ft.) 5. 1.33 _ 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. ft. 34.0_ sq. ft. b. Tint, film or solar screen 6b. sq. ft. _ sq. ft. 7. Percentage of glass to floor area 7. - 00 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= .0.0 84'V lin. ft. b. Wood, raised(R-value) 8b. R= �! sq. ft. -- c. Wood, common (R-value) 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq, ft. e. Concrete, common (R-value) 8e. R= _-_ sq. ft. 9. Wall type and insulation: a. Exterior: 1Masonry (Insulation R-value) 9a-1 R= sq. ft. 2. Woo! frame (Insulation R-value) 9a-2 R= 11 426 sq. ft. b. Adjacent 1. Masonry (Insulation R-value) 9b-1 R_ sq. ft. _ 2. Wood frame (Insulation R-value) 9b-2 R= sq, ft. _ c. Marriage Walls of Multiple Units' (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 10a. R= _3p 4742 sq. ft. b. Single assembly (Insulation R-value) 10b. R= sq. ft. 11. Cooling system' (Types central, room unit, package terminal A.C.• gas, existing, none) 11. Type: Central SEER/EER: 10 12. Heating system': ;Types heat pump,elec.strip,natural gas,L.P.gas, 12. Type: Heat n= -_�- gas h.p., oom or PTAC,existing,none) HSPF/COP/AFUE: 7 HSPF 13. Air Distribution System': a. Backalow damper or single package systems' (Yes/'No) 13a. b. Ducts on marriage walls adequately sealed' (Yes/No) 13b. 14. Hot water system: 14. Type: (Types elec., ratural gas,other,existing,none) - EF: • Pertains to marufactwed homes with site installed components. I he•ebv certify tnat the plans and speclhcahors ceverec Cy-e calc,;a! r' are r Aevwr^I plans and speclficativ s covered by this calculation indicates complance con^:a ice Nth Ih F br a nergy Code_ p�(�� nn !tie`!or oa=nergy Code E,elore r:rstruclf n is co npleted,this build ng willbe �.,P DATE: 1 rspe,t5d'�r._mplrar ce-r accordance with Section 553 908.F S. PREPARED By:_ --_ -------- I her9by centty t^ l th s/ci liciirg A n tc ,pl dice w�1h;he no a Energy Code..F BUILDING OFFICIAL: ---- OWNER AGENT: ---S/1 \1_ f� _. __-. DAfE', _. .- DATES --- ----.�. ----- ._- Climate Zones 1 2 3 TABLE 6C-1. PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sq,FL and Less),RENOVATIONS 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 J Frame,2'x 4' R-11 z Frame,2"x 6 R-19 Single Pkg. SEER = 9.7 SEER s Common, Frame R ?1 _ o Room unit or PTAC EER 8.5' EER Common,Masonry R-3 Under Attic R-30 Electric Resistance ANY - v Single Assembly; Enclosed Heat pump-Split HSPF = 6.8 HSPS _ z Frame R•19 z Single Pkg. HSPF _ 6.6 HSPF = Metal Pans R-13 a U Single Assembly;Open R-10 i Room unit or PTHP COP = 2J' HSPF/ Common,Frame R-11 a COP Slab-on-grade No Minimum ° Gas, natural or propane AFUE .78 AFUE _ (L CL - Fuel Oil AFUE = 78 AFUE = 0 Raised Wood R•19 _ O Raised Concrete R-7 LL Common.Frame R-11 Electiic Resistance EF .88 EF = -� In unconditioned space R-6 3 Gas; Natural or L.P. EF = .54 EF = n In conditioned space 1 No minimum Fuel Oil EF = .54 EF = TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY SAO'ab'e 6-3.6-7 Maximum percentage glass!o`lour area ahoweo,s selected by type,overharg length,ano shad.rg cce!8c:ent. Maximum°a= nstalled°o= GLASS TYPE.OVERHANG,AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 200.o 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 11% 1.0 0'-.90 2 1.0 1'-.90 2'-.90 3'•.90 0'•.86 1'-.86 0'-.70 NOT 1 0'- .65 ALLOWED .'0 NOT 2'- 70 O'-.50 ALLOWED 1"-.50 0'-.40 SHGC or SC may be obtained from the manufacturer. Single clear SC= 1.0,double Gear SC= .90,and single tint SC=.86. SHGC_.87=SC TABLE 6C-3 . MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS 'SECTION REQUIREMENTS _ CHECK Exterior Joints&Cracks 1 606.1 To be caulked,gasketed.weather-stripped or otherwise sealed. Exterior Windows&Doors 606.1 Max.0.3 cfm/sq.fi.window area;.5 cfm/sq.ft.door area. Sole&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Lighting 606.1 Type IC rated with no penetrations(two alternatives allowed). Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. - Exhaust Fans 606.t 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. Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker(electric) or cutoff as must beProvided. 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 I Insulation is required for hot water circulating systems(including heat recovery units). Shower Heads-� 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. HVAC Duct 610.1 JAIJ 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 insulatea to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets. HVAC Controls - LL 607.1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS. 1. On Table AC-1 ir1oare tire P-val,;e of the insulator beirg added to eac',component and the er.:ency levels of the equ.pmerl be,ng nstai,ed All R-values and efficiencies Irvalled must meet or exceed the mmmum values ,rs!ed. Q,npenents and egrrprem re ther being added not renovated may be left blank. 2. ADOMrNS ONLY Ceteim•re the pe centage M new glass to conditioned floor area h the addition as fofbws To!al the areas of all glass windows,sfiding glass doors and glass door panels. Double the a-ea of all ncn- veilr21 roo!glass and add a to"tie DrewoA Iota'. iNIhen glass in ex sting exterer wails is be-ng•emoved or enciosed by the addition,an amount equal to the Ictal area of this glass may be subtracted I.'om the total glass area Gide In-adwsted g+ass a,ea total by the condd;c,,ed floor area of the addition. Vu bOly by 100 to get the percent. Fird the largest glass percentage under w•h;ch your calculated Dercertage fads on Table 602. PrescriptinTs a,e giver,ry ".e type cl glass Single or Coubie Cane`3rd the overhang(OH)pared with a shading coefficient(SC). For a given g ass type and overhang,the mirlfrum shading Coe(fi6 ent allowed is speol;ed. Actual glass wmdcws and hos crevioisly•n!ne extenor walls of Ihe'tcuse and bemg reinvalted,n the 3dd,dor do not have to comply*,It!he overhang anc shad ng coefficient regUremems on Table 6C 2. All new Bass m the addTor must meef!re•egwrement ter one o'the op!ions:r,the glass percentage category you ind sated. The overhang(OH)d slance rs measured perpendinaady from the face of the glass to a Dox,directly under the outermost edge cf 1he overhang. 3. RENOVA TIO'4S ONLY. Faplaceneot glassneeds to meet the!dkw:rg fequi•ements. Any glass type and shad'rg coeflic:ert may be used for glass areas wf k;h are under at least a Iwo toot overhang and whose lowest edge aces no!exlend',rth=_•Ivan 8 feet from the overhang. Glass areas teing renovated that do not meet this crt*1 rust he edhe•smn le•pare tried.double-pane clear or da.ble-pane tinted 4 BUILDING Si STEUS.Cempty when new system is installed for sys!em installed. 5. Complete rhe nlc"aton requested or:he top hall of page I S Read-M n rrum Regarererts for Snal:Addfljons and Rerovahons',Table 6C-3,and check ail applicable nems 7 Read.;gr an,d3:e the'Owne-r Agent'cert'licaiton statement on one! -2- CITY OF ATLANTIC BEACH 11 ( J 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 R ti V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029936 Date 3/30/05 Property Address . . . . . . 1817 SELVA GRANDE DR Tenant nbr, name . . . . . . REPLACEMENT WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7222 Owner Contractor - -------------------- - --- -- - -------- ------------ BAGBY, CDR STEVEN M. AMERICAN WINDOW PRODUCTS 1817 SELVA GRANDE DR. 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731-2247 ---------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 7222 Fee summary Charged Paid Credited Due ----------------- -- ------ ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. is BUILDING OFFICIAL 1 CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT ` ss1 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 J131%�`1 (904)247-5800 (904)247-5845 Fax R E C E I v E 1) www.coab.us CITY OF ATLANTIC BEACH BUILDING & ZONING PLAN REVIEW COMMENTS MAR 2 2 2005 I i Permit Application # BY: Property Address: g 1 -7 ('' Applicant: t---YbC6°t*j Project: 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: I. Date: �24 bS Date Contractor Notified: Dor # 2005094850, OR BK 12363 Page 1957, 1 of 1 Filed & Recorded 03/22/2005 at +02:23 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. State of Florida 1 County of -D" J The'undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes, the following Information is provided in this NOTICE OF COMMENCEMENT. Le al description of ropej(include Street Add r ss,if available) VOLI& General description of Imp vements QC Owner �3ofevenh Address 18jq 5 V0- r2 Owners Interest in site of the Improvement Fee Simple Title holder(if other than owner} Name Address - PPD Contractor AMlIcAN V"MOw lNu Address_ FRODUMB633 Pe%% - 27 Surety (� Address Amount of bond$ Any person making a loan for the construction of the Improvements: Name Address Person withi6 the State of Florida designated`by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes. Name__ Address In addition to himself,owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified) Signature of Owner Printed Name of Owner Notary Rubber Stamp Seal 1 I have relied upon-the following,identificadon of the Affiant SI Sworn to and suyf ribed before me this Say ofMj*20 Q Lary Signature Q de,,�,// - FELDER MY COMMISSION#DD 239510 EXPIRES:December 7,2007 '•o }`q�,1�Y' 's:'.• ,` r -r ��TFOFFICQo Bonded'ThruBu*tNotarySemus a' . CITY OF ATLANTIC BEACH ! BIj"-D ING�7ON CITY OF ATLANTIC BEACH r WINDOWS, SK Lj jS2 RAGE DOORS,HURRICANE SHUTTERS Date: �l 06 Job Address: / ~ Owner: �� / Address: P �l Phone: 7 /—7 566 la Zoning obe : District: LDescriioock Number: MERICAN wiNDt)yl+ State License Number: C 1;26LZ "1 Contractor: Address: PRODUCTS,INC. Phone: —]22�L 2633 PONMRS*VE-.' � City: JACKSONVILLE,FL 32207 State: Zip: Fax: , O Describe proposed use and work to be done: ISi Present use of land or building(s): Valuation of proposed construction: f r7, CT Is approval of Homeowner's Association or other private entity required? �If yes,please submit with this application. Required Building Data: I Mean Roof Height �k (ft) Building Width (ft) Building Length (ft) Roof Slope '" Window Height ?x, e r (ft) Window Width r Window Elevation from Grade I (ft) Measurement from corner of building to window ` (ft) Number of windows being installed _ Mean Roof Height � I � 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page I Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load(psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. Signature of Owner: S , Date: )-2,1 O5 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions.of any federal,state or local rules,regulations,.ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and c ect and that the plans and supporting data have been or shall be provided asreuired. Signature of Contractor: (_�(/V� Date: `'3 2166 Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: _ Sworn to and subscribed before me this f day of C�� .� I ,20 State of Florida,County of Duval ,raY a�; P14111, Notary's No ''s Si�atre:BM FELDR 4-z--n= * * MY COMMISSION#DD 239510 EXPIRES:December 7,2007 personally known A", F�Oq\or Bonded Thru Budget Notary Services OF ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signature: '� �1 ✓ Fr-M FELDER * Bonded* MY COMMISSION#DD 239510 Personally known EXPIRES:December 7,2007 ❑ Produced identification 1�9rFOF F`0�`Q! BondedThm Budget Notary services Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/27/03 " � t CITY Or ATII..AHiv1C BEACH BUILDING OFFICE N � (7" MAR 2 3 2005 C By, ; t --.... Cg , r#jo � C O. f s rQj s No A ^' 31- T ro _ Florida Building Code Online Page 1 of2.,,,,, l ttairs a.' / • rSystem ## #... Detail r , r *1r qr ■ Overview Product Search Organization Product Search Application ■ s+�5r�i.-. ■ User: Public User -Not Associated with Organization- ■ Need Help? Application#: FL1658 Date Submitted: 10/05/2004 Product Manufacturer: Bell-View, Inc. Address/Phone/email: P.O. Box 208 150 Industrial Blvd. Wrightsville,GA 31096 (478)864-2227 Technical Representative: Bell-View,Inc. yam' Technical Representative Address/Phone/email: P.O.Box 208 Wrightsville,GA 31096 (478)864-2227 bvi@bellsouth.net Quality Assurance Representative: Bell-View, Inc. Quality Assurance Representative P.O. Box 208 Address/Phone/email: Wrigthsville,GA 31096 APPROVED (478)864-2227 CITY OF ATLANTIC 3EACH bvi@bellsouth.net BUILDING OFFICE Category: MAR 2 3 2005 Windows Subcategory: By: Horizontal Slider Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Section Standard Year Code: AAMANWWDA 1997 101/I.S.2- 97/ASTM F588- 97(FER) Certification Agency: American Architectural Manufacturers Association Quality Assurance Entity: Validation Entity: http://www.floridabuilding.org/pr/pr_detl.asp?IPT=1658&RV=O&fm=ROSrch 3/16/2005 Florida Building Code Online Page 2 of 2 Authorized Signature: Robert Bell bvi@bellsouth.net Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method 1 Option A Application Status: Approved Date Validated: 10/27/2004 Date Approved: 11/03/2004 Page: Page 1/I pp/Seq Product Model#or Model Limits of Use # Name Description 3" Frame Depth Not For use in HVHZ 1658.1 Blue Chip Single Hung Aluminum Single 105.0 psf- 105.0 psf Hung Window DCBCCO PA 201-94, PA 1658.2 PA20 Single Hung Large Missile 02-94, PA 203-94 (with Impact product no deviations) Qualifying: STM E283, E330, E331 2 1/2" Frame 1658.3 Series 500 Single Hung Depth Aluminum Not for use in HVHZ 60psf-60psf Indow 1658.4 Series 600 Vinyl Single Fully Welded Not For use in HVHZ Hun PVC Window +52.5 psf-52.5 psf Next J rifllq� Coavriaht and Disclaimer;02000 The State of Florida.All rights reserved. t�o�rti0 VERIFY► http://www.floridabuilding.org/pr/pr_detl.asp?IPT=1658&RV=O&fin=ROSrch 3/16/2005 0 CII•. NATIONAL CERTIFIED TESTING LABORATORIES 1464 GEMINI BOULEVARD•ORLANDO, FLORIDA 32837 PHONE(407)240-1356• FAX (407)240-8882 www.nctlinc.com STRUCTURAL PERFORMANCE TEST REPORT Report No: NCTL-210-2883-6 Test Date: 11127102 Report Date: 04/14/03 Expiration Date: 11/27/06 Client. Bell-View, Incorporated P.O. Box 208 Wrightsville, GA 31096 Test Specimen: Bell-View Incorporated Series "Blue Chip" Single Hung Aluminum Prime Window (H-R70 52x72). Test Specification: ANSI/AAMA/NWWDA 101/LS.2-97, "Voluntary Specifications for Aluminum, Vinyl (PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DESCRIPTION General: The test specimen was a one-over-one single hung aluminum prime window measuring. 47"wide by 6'0"high overall. The active sash measured 4'2"wide by 3'0-7/8"high. The active sash was removable via a single balance system with locking tilt shoes at each interior jamb track. Frame and sash members were not thermally broken. One (1) metal cam-type sweep lock was located at 13- 1/2"from each end of the active meeting rail. A sweep lock keeper was extruded onto the fixed meeting rail. One (1) metal slide bar limit/security lock was located at each end of the active meeting rail with the keepers punched into the jambs. One (1)plastic tilt latch was used at each end of the active meeting rail. An extruded aluminum sash stop was located at the top of each interior jamb track. One (1) metal pivot bar was located at each end of the active bottom rail. The fixed meeting rail was fastened to each jamb with two (2) (#8 x 3/4"pan head) screws. The frame and sash were of double screw (#8 x 3/4"pan head)coped corner construction. The frame was mounted to the test buck using fourteen (14) (#10 x 1-1/4"flat head)screws. Glazing: The active sash and fixed lite were.interior glazed using sealed insulating glass with an adhesive back-bedding and a snap-in extruded aluminum glazing bead. The overall insulating glass thickness was 112"consisting of two (2) lites of double strength annealed glass and one (1)air space created by a desiccant-filled aluminum spacer system. Weatherseals: One (1) strip of center fin weatherstrip (0.200, high) was located at each active sash stile. One (1)strip of center fin weatherstrip (0.250"high) was located at each active sash stile and the sill. One (1)strip of single leaf vinyl weatherstrip was located at the fixed and active meeting rails. One (1)strip of bulb-vinyl weatherstrip was located at the sill. Weeps: One (1) weep hole measuring 3/4"x 3/16"was located at each end of the center vertical sill leg. One (1) weep notch measuring 114"x leg height was located at each end of the exterior vertical sill screen retainer leg. PROFESSIONALS IN THE SCIENCE OF TESTING Bell-View Incorporated -2- NCTL-210-2883-6 Interior&Exterior Surface Finish: Mill finish aluminum. Sealant: The frame and active sash corners were sealed with a small joint sealant. Screen: An insect screen measuring 3'11-112"wide by 4'6-112"high was of mitered type corner construction with staked-in-place nylon corner keys. The screen employed fiberglass mesh cloth with a hollow vinyl spline, two (2)pull tabs and two (2)jam retainer springs. TEST RESULTS Par. No. Title of Test & Method Measured Allowed 2.2.1.6.1 Operating Force 36 lbf 30 lbf 2.1.2 Air Infiltration -ASTM E283 0.57 psf(15 mph) 0.03 cfm/fts ------- 1.57psf(25 mph) 0.08 cfm/fts 0.30 cfm/ftp 2.1.3 * Water Resistance -ASTM E547 5.O gph/fts WTP= 4.50 psf No Leakage No Leakage 2.1.4.2 ** Uniform Load Structural -ASTM E330 30.0 psf Exterior 0.020" 0.193" 30.0 psf Interior 0.060" 0.193" 2.2.1.6.2 Deglazing-ASTM E987 Active Sash Meeting Rail (70 lbf) 5.6 % (0.028") <100% Bottom Rail (70 lbf) 3.4 % (0.017') <100% Left Hand Stile (50 lbf) 2.6 % (0.013') <100% Right Hand Stile (50 lbf) 3.0 % (0.015') <100% 2.1.8 Forced Entry Resistance -ASTMF588 Grade 10 (See Appendix A for test results) Meets As Stated OPTIONAL PERFORMANCE 4.3 Water Resistance -ASTM E547&ASTM E331 5.0 gph/ft' WTP= 10.50 psf No Leakage No Leakage 4.4.2 ** Uniform Load Structural -ASTME330 105.0 psf Exterior 0.051" 0.193" 105.0 psf Interior 0.061" 0.193" * Tested with and without screen ** No glass breakage or permanent damage causing the unit to be inoperable Bell-View Incorporated -3- NCTL-210-2883-6 TEST COMPLETED 11/27/02 The tested specimen meets (or exceeds) the performance levels specified in Table 2.1 of ANSI/AAMA/ NWWDA 101/I.S.2-97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the H-R 70 52x72 product designation. Detailed drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four (4)years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn from this test. This report does not constitute certification of the product which may only be granted by a certification program validator. NATIONAL CERTIFIED TESTING LABORATORIES MICHAEL E. LANE Division Manager 4_ NCTL-210-2883-6 Bell-View Incorporated APPENDIX A Forced Entry Resistance Test Results Test Method: ASTM F588-97, "Standard Test Method for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact". TEST RESULTS Loads Duration Measured Allowed Paragraph No. 5 Minutes No Entry No Entry 10.1-Lock Manipulation 10.2.1.1-Test AI L1=200 lbf 1 Minute No Entry No Entry L1=200 lb 10.2.1.2-Test A2 f 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.3-Test A3 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf exterior 10.2.1.4-Test A4 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.5-Test A5 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf exterior 10.2.1.7-Test A7 L1=200 lbf 1 Minute No Entry No Entry L2--100 lbf interior L3= 35 lbf interior 10.2.1.8 Lock Manipulation 5 Minutes No Entry No Entry 10.2.4.2 Fixed Lite 5 Minutes No Entry No Entry Glazing/Panel Manipulation Mu 07 Ct' N rz LL Z � o m o � � J 15 C Cx LU i LL .�. ,p r O O Ad Florida Building Code Online Page 1 of 2 Product041111 11 110DU CT APPROVAL Overview Product Search Organization Product ■ Search Application ytrisRiu•._ ■ User: Public User -Not Associated with Organization- ■ Need Help . Application#: FL3848 Date Submitted: 12/21/2004 Product Manufacturer: Bell-View,Inc. Address/Phone/email: P.O. Box 208 150 Industrial Blvd. Wrightsville,GA 31096 (478)864-2227 Technical Representative: Bell-View,Inc. Technical Representative Address/Phone/email: P.O. Box 208 Wrightsville,GA 31096 (478)864-2227 bvi@bellsouth.net Quality Assurance Representative: Bell-View,Inc. Quality Assurance Representative P.O. Box 208 Address/Phone/email: Wrigthsville,GA 31096 (478)864-2227 bvi@bellsouth.net Category: Windows Subcategory: Horizontal Slider Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Section Standard Year Code: AAMA/NWWDA 1997 101.I.S.2-97? ASTM F588-97 (FER) AA DA 1997 101/l.S.2- I.S.2- 97/AAMA 1302.5 AAMA/NWWDA 1997 101/I.S.2-97? AAMA 103.5 AAMA/NWWDA 1997 101/I.S.2- http://www.floridabuilding.org/pr/pr_detl.asp?IPT=3848&RV=O&fm=ROSrch 3/16/2005 Florida Building Code Online Page 2 of 2 97/ASTM F Certification Agency: National Accreditation& Management Institute, Quality Assurance Entity: Validation Entity: Authorized Signature: Robert Bell bvi@bellsouth.net Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method I Option A Application Status: Approved Date Validated: 01/12/2005 Date Approved: 01/26/2005 Mi Page 1/I Page:. pp/Seq Product Model#or Model Limits of Use # Name Description 3" Frame Depth Aluminum Slider, Not for use in HVHZ 848.1 Blue Chip H S lite or 3 lite 67.5 psf-67.5 psf available Vinyl sash and Premium Veka Vinyl frames offer 3848.2 Seried 600 Horizontal major sales Not for use in HVHZ Slider advantages. 45.0 psf-45.0 psf Design option 3 lite sliders. A W05111M Copy aht and Disclaimer;02000 The State of Florida.All rights reserved. secumd http://www.floridabuilding.org/pr/pr_detl.asp?IPT=3848&RV=O&fin=ROSrch 3/16/2005 ® C NATIONAL CERTIFIED TESTING LABORATORIES C 1464 GEMINI BOULEVARD•ORLANDO, FLORIDA 32837 PHONE (407)240-1356• FAX (407) 240-8882 g linc.com gUILf�IN� yL�Mn �gwk�mf STRUCTURAL T REPORT .9 W)EC KEEP THIS PLAN ON JOB Report No: NCTL-210-2883-3 Test Date: 11127102 MAY 13 2003 Report Date: 12/31/02 Building&Z0 ng Ins)�Ctiun DIV J Expiration Date: 11127106 Client: Bell-View, Inc. �_�m r signature�� P.O. Box #208 Lirense Wrightsville, GA 31096 Test Specimen: Bell-View Incorporated Series "Blue Chip"Type XOX Horizontal Sliding Aluminum Prime Window (HS-C30 110x62)(HS C-45 110x62 with sill riser). Test Method: ANSI/AAMA/NWWDA 101/I.S.2-97, "Voluntary Specifications for Aluminum, Vinyl (PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DESCRIPTION General: The test specimen was a type XOX horizontal sliding aluminum prime window measuring 110"wide by 62"high overall. Both interior active sash measured 28-112"wide by 60" high. The fixed lite was glazed to the frame members providing a viewing area of 50-314"wide by 58"high. Frame and sash members were not thermally broken. One (1) metal cam-type sweep lock was located at 8-112"from each end of the interior active meeting stiles. The cam-type sweep lock keepers were extruded onto the fixed meeting stiles at lock positions. A metal roller/plastic housing was located at each and of both sash bottom rails. The frame was of double screw coped corner construction using (#8 x 3/4") PPH screws. The active sash were of double screw coped corner construction using (#8 x 3/4") PPH screws. The fixed meeting stiles were fastened to the head and sill at 28-112))from each jamb with two (2) (#8 x 3/4") PPH screws. Glazing: The active sash panels and fixed lite were interior glazed using 0.500"thick insulated annealed glass with a silicone back-bedding and a roll formed aluminum glazing bead. The insulated glass consisted of two (2) lites of 0.125"thick annealed glass separated by a swiggle trip spacer system providing a 0.250"airspace. Weatherseals: One (1) strip of bulb vinyl weatherstrip (0.350"high) was located at each jalnb. Two (2) strips of center fin polypile weatherstrip (0.250"high) was located at the top and bottom rails of both active sash. One (1) strip of center fin vinyl weatherstrip (0.170"high) was located at each fixed meeting stile. PROFESSIONALS IN THE SCIENCE OF TESTING Olt Bell View, Inc. -2- NCTL-210-2883-3 Weeps: One (1) weep hole measuring 1-1/2"x 5/32"was located at 5"from each end of the screen retainer sill track. One (1) weep hole measuring 114"x 5/32"was located at 6-1/2"from each end of the screen retainer sill track. One (1) weep hole measuring 1"x 5/32"and employing aplastic weep cover was located at each end of the sill face. Interior & Exterior Surface Finish: Mill finish aluminum. Sealant: The jamb/sill corners were sealed with a silicone sealant. Screen:An insect screen measuring 28"wide by 58-112"high was of mitiered type corner construction with nylon corner keys. The screen employed fiberglass mesh cloth with a solid vinyl spline, two (2)pull tabs and two (2)jamb retainer springs. GATEWAY PERFORMANCE TEST RESULTS NOTE. The following gateway performance and optional water resistance test results were obtained from NCTL report number 210-2883-2, test date 11127102. Par. No. Title of Test & Method Measured Allowed 2.2.2.5.1 Operating Force Right Active Panel Open 20 1b 25 lbf Close 18 lbf 25 lbf Left Active Panel 25 lb 19 lbf f Open Close 20 lbf 25 lbf 2.2.2.5.2 Deglazing - ASTM E987 Right Active Panel Top Rail (50 lbf) 4.0 % (0.020") <100% Bottom Rail (50 lbf) 3.6 % (0.018") <100% Left Hand Stile (70 lbf) 5.6 % (0.028') <100% Right Hand Stile (70 lbf) 5.0 % (0.025") <100% Left Active Panel o <100% Top Rail (50 lbf) 4.4 /° (0.022 ) Bottom Rail (50 lbf) 5.0 % (0.025") <100% Left Hand Stile (70 lbf) 5.8 % (0.029") <100% Right Hand Stile (70 lbf) 6.0 % (0.030") <100% 2.1.2 Air Infiltration - ASTM E283 1.57 psf(25 mph) 0.06 cfm/ft$ 0.3 cfm/ftz 2.1.3 * Water Resistance - ASTM E547 5.0 gph/ft2 WTP= 4.5 psf No Leakage No Leakage Bell View, Inc. -3- NCTL-210-2883-3 GATEWAY PERFORMANCE TEST RESULTS (Cont.) Par. No. Title of Test & Method Measured Allowed 2.1.4.2 ** Uniform Load Structural -ASTM E330 Permanent Set 45.0 psf Exterior 0.02" 0.237' 45.0 psf Interior 0.03" 0.237' 2.1.8 Forced Entry Resistance -ASTM F588 Level 10 Meets As Stated (See Appendix A for test results) OPTIONAL PERFORMANCE NOTE: The following optional uniform load structural test results were obtained from the specimen as described in this report. Par. No. Title of Test & Method Measured Allowed 4.3 * Water Resistance - ASTM E547 5.0gph/ft' WTP= 7.5 psf No Leakage No Leakage NOTE: Unit was tested with a 2.250"sill height to achieve WTP= 7.5 psf 4.4.4.2 ** Uniform Load Structural - ASTM E330 Permanent Set 67.5 psf Exterior 0.04" 0.237' 67.5 psf Interior 0.05" 0.237' * Tested with and without screen ** No glass breakage or permanent damage causing the unit to be inoperable TEST COMPLETED 11127102 The tested specimen meets (or exceeds) the performance levels specified in Table 2.1 of ANSIIAAMAI NWWDA 101/I.S.2-97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the HS-C30 110x62(HS - C45 110x62 with sill riser) product designation. Detailed drawings were available for laboratory records and compared to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four (4)years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn from this test. This report does not constitute certification of the product which may only be granted by a certification program validator. NATIONAL CERTIFIED TONG LABORATO IES DANIEL CONYERS Laboratory Manager 3 Bell View, Inc. 4- NCTL-210-2883-3 NOTE: The following forced entry test results were obtained from NCTL report number 210- 2883-2, test date 11127102. APPENDIX A Forced Entry Resistance Test Results Test Method: ASTM F588-97, "Standard Test Method for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact". TEST RESULTS Para,Qra,oh No. Loads Duration Measured Entry No w ay 9No .4 - Disassembly 10.1-Lock Manipulation 5 Minutes No Entry No Entry 10.2.1.1-Test Al L1=150 lbf 1 Minute No Entry No Entry 10.2.1.2-Test A2 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior 10.2.1.3-Test A3 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf exterior 10.2.1.4-Test A4 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior 10.2.1.5-Test A5 L1= 150 lbf 1 Minute No Entry No Entry L2= 75 lbf exterior 10.2.1.7-Test A7 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior L3= 25 lbf interior 10.2.1.8 Lock Manipulation 5 Minutes No Entry No Entry 10.2.4.1 Fixed Lite 5 Minutes No Entry No Entry Lock Manipulation 13 3 O On o ,r c (D o D (DD 3 70 w V C , H 6JUILDINt3 PLANS L"Rr® -I'` t c 7 �. 1`B Y li:W F-� 3 3. COM h- P_I�TCF T KEEL TN!SLP.f m ? Z MAY 1 2003 -R m oning InsN �l civ lax., Fi . r O Building& �j Examiner ignature 0 N 3 � m Q _ �+a Z m m m � � T m CIOa 1 M Z O ' I m �i+ 000, CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247-5877 PERMIT INFORMATION IACD TION INFORMATION - 181f 'j. LVA UNUM DRIVE Permit Number. 23863 Address: ATLANTICEBEACH,FFLORIDA 32233 Permit Type: STORAGE SHED 0 Range: 0 Book: Class of Work: SHED Township: Lo s :20 Block: Section:0 Proposed Use: SINGLE FAMILY Subdivision: SELVA TIERRA Square Feet: Parcel Number: Est. Value: OWNER-Id FORMATION Improv. Cost: 3,978.00 j Date Issued: 4/15/2002 Name: STEVEN AND DONNA BAGLEY Total Fees: 45.00 Address: 1817 SELVA GRANDE DRIVE Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/12/2002 Phone: 904)247-5566 Work Desc: 20 X 12 X 116 STORAGE BUILDING APPLICATION FEES _ CONTRACTOR(Sl 45.00 HEARTLAND INDUSTRIES SCO x.35 S`v` Ae .., 1�ta' 9G XF fu__" NOTICE .I T 24 � # TION ; .IC SPACE, AND BUILDING MATERIA MUST BE CLEARED "FAILURE TO COMP r WITH. T(~UCT19N f_# t gip► �� _ `1N THE PROPERTY OWNER P . . _ UILDING-t _-__-- ~ D SUBJECT TO REVOCATION ISSUED ACCORDING TO APPRO _FOR VIOLATION OF APPLICABLE P - -_---- } Oper: CHERYLE _ Type: OC Drawer: 1 Date: 4/16/82 91 . Receipt no: 58394 \\ c� 14 PERMITS-BUILDING 1 $45.88 ATLANTIC BEACH (LDING-DE Trans number: 865152 1817 SELVA CA CASH $45.88 Trans date: 4/16/82 Time: 12:81:48 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 2475826-FAX: 2475877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23863 Address: 1817 SELVA GRANDE DRIVE Permit Type: STORAGE SHED ATLANTIC BEACH, FLORIDA 32233 Class of Work: SHED Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):20 Block: Section:0 Square Feet: Subdivision: SELVA TIERRA Est. Value: Parcel Number. Improv. Cost: 3,978.00 OWNER INFORMATION Date Issued: 4/15/2002 Name: STEVEN AND DONNA BAGLEY Total Fees: 45.00 Address: 1817 SELVA GRANDE DRIVE Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/12/2002 Phone: (904)247-5566 Work Desc: 20 X 12 X 116 STORAGE BUILDING CONTRACTOR(S) - = - - - APPLICATION FEES HEARTLAND INDUSTRIES - - 45.00 w " :";". x.. mac.'-•3 --.'.- �.+ i= -- 1�"-„t —g NOTIC . TION 15 BUILDING MATERIA: +� _. _ IC SPACE, AND MUST BE CLEARED "= "FAILURE TO COMPN THE PROPERTY OWNER P r - 1 - - - J, ISSUED ACCORDING TO APPRO~ w YD SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR Oper: CHERYLE- Type:.00 Draper: 1 Date; 4/16/82 81 Receipt no: 5@394- 14 833414 PERMITS-BUILDING. 1 $45.68 ATLANTIC BEACH ILDING.DE . Trans number: 885152 1817 SELVA GRANDE CA CASR $45.00 Trans date: 4/16/62 Time: 12:61:48 CITY OF ATLANTIC BEACH PERMIT CALCULATI ON SHEET Address 1 �'l �t�cJ' (�/L�¢aDr ✓l 60ILD/e0�) Date Lr - 1S -02L Heated Square Footage �@ $ per sq ft = $ Garage/Shed �@ $ per sq ft = $ Carport/Porch �� @ $ per sq ft = $ Deck c @ $ per sq ft = $ Patio ^c� @ $ per sq ft = $ TOTAL VALUATION: $ 3 CI g �? I/s $ � S Total Val ation 1st $ oo Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ S WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 415,-00 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: Cal - C/�Ay(�v(�hr Pzw d<_ � � R EC EIVED n APR u 4 244? City of Atlantic Beach Building and Zoning 0)* 0. City of Atlantic Beach• 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904) 247-5800 • FAX (904)247-5805 • http://www/ei.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION DATE a APPLICANT ADDRESS V 6rAC f PHONE: o2y� ` 5` p' e ADDRESS WHERE WORK IS TO BE PERFORMED ! �. Jul Uc1i. ✓�t0�, 1,1 LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER oZ V ZONING DISTRICT , CONTRACTOR STATE LICENSE NUMBER e� f5�29C0?- ADDRESS PHONE �� o�ay3 CITY JW STATE ZIP Jam "! FAX �� I DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDING(S) d VALUATION OF PROPOSED CONSTRUCTION Is this an addition? kQ If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? '— New heating/air conditioning? �- Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 ti In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE ( ��(L�l. �L✓ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ` ADDRESS AND CONTACT INFORMATION OF PE ON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME S MAILING ADDRESS Ll PHONE �� a�"c_�_FAX �t+9 5 d(0 E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: Personally known Produced identification s Diane 7.Randall Type of identification produced \� IM MY COMMISSION# CC930160 EXPIRES April 20,2004 •'• BONDED THRU TROY FAIN NSURANCE,INC AS TO CONTRACTOR: Personally known ❑ Produced identification Type of identification produced 01/02/02 6203 Roosevelt Blvd Jacksonville,FL 32244 904/777-2243 904/777-5061 Fax Atlantic Beach Building Dept Plans Examiner 800 Seminole Rd Atlantic Beach FL 32233 RE: Heartland Industries Master Plan To Whom It May Concern: I am submitting these plans for review and would like to have them on file as a master plan.The plans include 3 models,Deluxe Estate,Statesman and the Tackroom. If you have any questions,please call 904-777-2243. ank you, r W� Diane Randall Permit Manager Heartland Industries 087 Jax FL HEARTLAND INDUSTRIES,INC. 6203 ROOSEVELT BLVD. JACKSONVILLE, FL 32244 Book 10402 Page 34 5 MIN.'kET}URN 3 (HONE# flotice of Commencement (PREPARE IN DUPLICATE) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. 0- a-0 I i t!vv a DLkVA t,- Description of property ----------------------------------------------------------------��------------ ------------------------------------------------------•------------------------------------------------------ ------------------------------------------ L�l QC General description of improvements --------- 2 ___�L _�"t_Yl_ -------------------------- Ownerva-A-----------------------------------------------------------��----- Address _l 0 l - 'S Iv a Gvom ,e` Owner's interest in site of the improvement --------------------------------------------------------------- Fee Simple Title holder (if other than owner) -------------------------------------------------------------- ame ------------------------ ---------------------------- ------------------------------------------------ Address --------------------.------ff------------------1--Y------,,-aa------•----1--/---------------------------------- ---------- - - = - Address ==1--------�_ ��`. ------------------ -----�--�------------ ---------------- Surety (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 maybe 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. (Fill in at Owner's option). Name --------------------------------------------------------------------------------------------------- Address ----------------------------------------------------------------------------------------- THI• SPACE FOR RECORDER'S USE ONLY locV,0 0�V 6133 00 O I Sworn to and subscribed before me this ______________ Rage: 34 Filed & Recorded C� - 03/19/2002 09:33:45 AM ------__ day of ___ JIM FULLER CLERK, CIRCUIT COURT rnA' �, DUVAL COUNTY �Wax -------- -------------- ------------- TRUST FUND $ 1.00 Notary Publi RECORDING $ 5.00 „ Diane 3.Pon 's. MY COMMISSION# CC930160 E AYO,AO U AMet u�c ri r .,i y-- •� ; '•�'w j H' .'';?%rf.J�ll�r � .. 1• 7 Q AiP �i Z �[' 1 � Bk Cit 1 1 C Bulldinth .. hps'T z�.9' w� I 6144L c;V W �y A 4J tv � � 01 pP +�%...,rte,• _ � °`; `x� £. ''"' � I Ri Ftp ,� i-• "w _. I ; `� �.. a _ t a �, :yap.. ✓ '� � 'may .....J.I � .!'� !. ' � � to ,5,• _�...,. 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NED SHAH,P.E. LYNN'S DRAFTING SERVICE m PHONE(863)680-2120 4216 THOMAS WOOD LN o CHECKED WINTER HAVEN,FL p APPROVED ELEVATIONS (863)-294-3302 SCALE: NTS DELUXE ESTATE F o b b o D N N N SEE FLOOR FRAMING DETAIL II 11 II II II II II II II �I I� II �I o m rn uu ° ° II II II II II II II II b Pt m a D D m II II II II II II II II II II II o # # �i a II ifil m - n Q'ST z'z m9 Hmmy �+nA �^� Om z. �Z 01 omtn m tib Impzp -�oOcmi� �£r �miS� oy0 m A(®AAn ONOO cz SOON jCmm N m �+ O = m c x 00 '� O�Om-� (Aa mmA Nym2 Zm.x m O -AiN~OSS ON pH �mmO�� xm� Ati =H O Hmp- -ym A �p �NnmmO 00 = 00 �0 jv 0ro OA T.i -Ni C � f y n m,8 z Z y r v O m oZ O HC�(�0 m z °f oo cn foo z�' � r N o ON P '0\1 w a w N O N v m z U A !J N 0 _ D y 2 fA D !A y ? ^ 8MM miiDD1 O�yo v V 0 Cr Ar mmmrn�x ITl OAmx c0-y-�C=T rtm-7N�r K3 �m3z m c~gym yppmmr ym�m3 m-Di mr'z3 a m aZFn Pm1o' mOTzm oz mO�z to A m0 A m o � zO Z ~ m o n rD T y c m rD- r z z O a D m c�nomo� �imOOm 9D pOOx r o mAn � A m A Z A mAD R 2Om Q7p0a o''mN mZ 1O MP2P m m m m z v m Omni g m m o m m m m 9 Z O r r c� r O d 0 o p A i -� Z y z A n O D A D V m m O N r p z m N fn �ZZy mM'gmmz oAAOp A� opo W D 0000 zrr��zyN W� D y �. c A0�� z zOzZO {m OD z O O0` A m0'o�p Ool 0A -� 1U x N y � A =m N m v N F-1 1� m n m T r rn > 1 O y O 1 Z z 0 m 3 D A CD CD m DRAWN GB31 DATE-10-23-01 HEARTLAND INDUSTRIES INC LYNN'S DRAFTING SERVICE CHEOKED NED SHAH,P.E. PHONE(863)680-2120 4216 THOMAS WOOD LN o APPROVED FLOORING FRAMING WINTER HAVEN,FL SCALE NTS DELUXE ESTATE (863)294.3302 m N o m �> O00 mA sZ —1 0cn ,op% NiNlmmv mmv D 000 X 1i Zz Z> ?A aDnO rF m 8 rDm�� c 0 m�zro �z ➢z y�rmrw en mD O D m• 8Q ��WS2S T O 'o znPmpmN m�rr�� m��pAp Z Cm0 m Dr- mM, ��mN mm,moX C m C ANO? 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O T i O v O > o A X -�a rn m =m30 r z� ! m< O -n 1I W A rn Ox N 0 O D c i -u m N O � O 'i �DDm O >1O 0 m z rn ➢� N m D o Xzl -iDOo 0 or A m u3- m m m p-:K N W N O 0 n 2 o u o = DRAW�Gl ATE 10-23-01 HEARTLAND INDUSTRIES INC LYNN'S DRAFTING SERVICE NED SHAH,P.E. 4216 THOMAS WOOD LN mCHECPHONE(863)680-2120 FOOTER DETAIL WINTER HAVEN,FL 04 APPR (863)294-3302 l SCALE NTS DELUXE ESTATE , ¥ e e e e ) STUDS,m ee` ( 24)) o ;;2!\§ 2®�`�° )/®) \ \ § (]�\§� \ / zk " 00/\�) \ z §)) INE Lu / //§ , \\/ �! �— ;f, 11100 fes| ) !!] e 7mm § ` 7\/ . . 5 \ co (($ 777 § \ § $\% �k \ § \ Q < § j (§ . . j( \j\ �/ m _, § \ \k\ m - v(/ 2 ® o ),2 G: r m Z \ \ # \ > m Z` )§ w, {/ m z ( §; m[ q ol 5§ r A 7 2\» i ;§ �. I{ §§ > (j ■� ` § ())% \ ` 0 pm c ® �)( 10 :2!§j ! � )> !- §§ )� k \ \\\ $/ � m ® } -�§§ e 2 )§) ; rn nE_Ge DATE 10-24-01 HEARTLAND INDUSTRIES,INC. LYNN DRAFTING ae+a : CHECKED (863)680-2120 p7ee= 42eTHOMAS WOOD a K) APPROVE; WALL DETAIL WINTER HAVEN,FL 7374-3 302 e,Ea% »w#ESTATE b O D c 0 0 = O 1 m m Nmm-1 mHE; v y m NN(�xa_ myzD m 9 m g a Y TYP RAFTERS 2124"O.C. s TYP a<9 m�c��oa rCDS i y y v o SEE SCHEDULE OELOW D r 2 100 IM 1 0 fro P a t i o N m D mDrp P- r 2. m (gz��N GTor Z mtiNOn ,� „ ZO D Nm 3C �_ m�m 1ai1 11 II II 11 11 1 11 11 O m Oo ®R m A Om m o n po II II II II II II II II N A O N i 1t II II II II If II II mm 11 11 11 11 11 11 II 11II A � II II II II II II �I II m It N , 11 11 11 11 11 11 11 D a I II II II II II II II II I 11 11 11 11 1I1I ❑ 11 11 ID 11 It 11 It II 11 11 11 II I II tl v fi X X N k -4 O m A p A m0 O N mp Enq O O N P N�1 N Z NO 1.6 O mDN, < ZI A01 m o cmNy x =0=.. mmm C m y N D Z D o"�' A I p N U)x V N 0 Z A N r r O A O O D U m m m m m-4 f D D O O --50 z OOm o gad m1.1* r r 3 o Z Z E D ulD� >co Z -r r m oy N O mi 1= Z -13 { Ny � r� 0 N � r N O m A p m O 4o A m 3 r0 m 0 N D m In > j 3 x O a T N D X 0 A A3 - x ON A r oN Z DO m9 D m OO 'LK ?? 41 A ?Z r ;u O ONN Oo a m m. x 00 w m D 9' D m mm C7 Rl �Z C<� e� Oz n PH +Ta y ar D A n C C -I Om r v ITI Z-I I C ,k rD gA� 21 D nig T7 o_my co Nzm D I y Om 9 Z T cn DRAWN GB3 DATE 10-24-01 HEARTLAND INDUSTRIES,INC. NED SHAH LYNN'S DRAFTING SERVICE x 4216 THOMAS WOOD LN m (863)680-2120 CHECKED WINTER HAVEN,FL -mi ROOF FRAMING Q ° APPROVED (863)294.3302 0 SCALE:NTS DELUXE ESTATE V i cn z z o O r M Zm (n 's z c00. TMo wv v->� c)v OXc � D �xx -x-HD pD arr- 7p�< �m .--I0C — rDmm m(nzDOz Z� D m o Z M ��DrnDi�nrr-�m ��oz zp m 'DOG� G) Omz m=0mm(n >m Do �mmw Z mm DCL)Z OmOD3x m(a� n� gm�ti mZDm cn oIn v �cc::;u, rr0 rD vx O D �O>O >�OD�r `C)z mm mbNp mTmD n �3N (rnizimm zzN �� Na < 0 Z O A��O Onp�D mG)= 0= yDmN m :D D C IT NDO <O�CD 2r �D m y� D X W = r SHEANWALL DESIGN NAIL SPACING (n Z 0 m 0 CO D r C rr 1 2 1 p0 t0 m -Dj �0N O-Ornx r0 (onW Om (nNNZ � 1=- 0, m r� f� Z � m SOz mc�o wc) m z9 X < n p Mwz omo�� me z G) X cn m O c (n C DxOC zT�'vm �O D Z m zi Ong mFzmo D� m O0 -0N O v m O MZ 010Q3 D� � X_ m 'U -u m-(O 0>0rnmzmxz D -iNT� r O0 ODO-1M p0 r) mmXfn a ,' (n O m v to m Fn 0 --1 f0il �D� c: c: O h m tln fn 0 Tl mmcnm A N a N o b 0z0Z O OcnZXc c)mnm —ir -<cn W' --- - r--------- c: N M Q. GI C-) O iG ( ( ; > U) cOOa -n ) I Z Z-< nN In m3(mnn N i� 1 O o� � fn M 0 9,� = W 1 1 1 O 0 00 Q n A W N --1 � D mOQ'O O i a m >m> O Z� i D DZ1:>m 0 �0 <m0pm 0-1 W ,i �mO0 Z i (� 1 i ° D >AT ? om N O��Dr�A czo0 �� mmDm m Irll D 6 RIDGE A 1 , nl OI r 2 In A N Ur z m c N r r r r_ T m N o z G)N r0- o ' 0 �� i ' 8881 O pK> Z n0 C to- >0r-C� n;xz ID v0 Zpmp cn 0 O Oz O D 5 , m ' 1^ 'D 0 r-> n r N r z RO7 m z �N C Z�z m :n m_ z-CI C n MOmo F , ' m ��z c m� z vxyngz (mn�r2 z G) m0OcA C N Dv�� Z O i ; i Goi mix 8888 m On o00� (A9Zm D m AO�D N -I MDOD 1 i ' i Z z3� o Dr p '-1800 aixm 'n>-I v m nz0 D 0 �G)> O nl i O i ' i O0 o0z 'i mo T npSmDmas .n-;; = < 0 0-111 r_ fn 1rmD �1 ( om'. om 0020-1 0z r, -1 O 1m G7 C<N< m ___-_L___1____ _____ _ _ m m ur D N < m r�A z 0-yG .yj_4 p r m z r m Z Z (fin co C O''DM O Q p,2r�11mm W 0m m DO'v m,Z'U pp mm 3 z 1mcOii Ov0 W u Dip .:., 3� N <N.'O NOm yD2C m D Dzm zMZ 0 -1 9 xz O M >b:* --z M p r ZfOD D-i D 328 N TN y f O z V-1 N pNx T O p r NNln TOO D AD N Dg r0 <rOD Z m <Rm D ( O A a zm< m om ° oamrc'im'' o�mC Z m 5Zy 01z n m< omz� Wp3c -� m Z�m -1-�W o m� �Om D (OA p m ?m0 N(mn 1fZnmrp 0 ."[D7 Y� lxcmcx x- o- v�zo z C)o O 3 x 1 mxL - z z Or m(narN�(n Nzy m mom zo DDr'.T Ary -�GZi G) 30� Zm m2L)�N mnm o M. < zOro Dr Dui m v -(NS zP1�mG)a TZr -I ry z T030 0M Fc m m mA0 Sza0oz(nrr c0� 0 Nm 0 0wM,o vazT m mDZ m030D(nA �O� z m m =T nnTm W ozV) mg -0in�io� m3 � m o m9 mm�o o m <A Z N DD 80-10 Z C O 0 u'Nz=00= 0W y i m { rm 5M )mz < tnT0 �. mu oDZZ1 mm 9 G) D yn 0Oz 3<Z W rL1S= r,M 0 0 rC1 =<2 -42-1 z TD �O m mx 0m�mm yo z O� mm1 MMMT o��y=o0 my N _0 z Z C 0 2< zm0 rn z 0pz O T N ' 1^ r _)0 m 1 m O 0 o N p _� DODy D a N O M M zM z R, DRAWN GB3 DATE 10-23-01 HEARTLAND INDUSTRIES INC, NED SHAH,P.E. LYNN'S DRAFTING SERVICE CHECKED PHONE(883)680-2120 4216 THOMAS WOOD LN o NOTES&DETAILS WINTER HAVEN,FL ° -4 APPROVED (863)2943302 SCALE NTS DELUXE ESTATE CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 r Y TELEPHONE:(904)247-5800 FAX:(904)247-5805 J = SUNCOM:852-5800 v http://ci.atlantic-beach.fl.us March 25, 2002 Steven M. Bagby 1817 Selva Grande Drive Atlantic Beach, Florida 32233 RE: Building Permit application for storage shed 1817 Selva Grande Drive: Dear Mr. Bagby: I have reviewed your application for a Building Permit to construct a storage shed on your property. Such construction must comply with the 20-foot rear yard setback and the 7 '/2-foot side yard setback that applies to your lot. The proposed placement of this shed does not appear to meet these required setbacks. Accordingly, the City cannot issue permits to construct the storage shed as proposed. You may pick up your application from the Building Clerk. If you wish to modify and re-submit your application, please clearly indicate required setbacks and the proposed location of the storage shed on the survey. Sincerely, Sonya Do rr, AICP Community Development Director A�L . PSR-y,4 ~ 16775 PSR-41,4 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - PERMIT INFORMATION — -- LOCATION INFORMATION • _ eri-ni.t Number : 16775 Address - 1817 SELVA GRANDE DRIVE VE { Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 32233 S I � lass tit Work:ROOF -------- LEGAL DESCRIPTION .-_-_---'-_ nstr . Type :WOOD FRAME dock : Loti20 Twp: oposed SUM-,: SINGLE FAMILY ection: 0 SuRng: Lise Dwellings Use : n ubdivision: SELVA TIERRA Est , Value : 0 .00 -.prev. ,dost : 0 . 00 Total Fees : 25, 00 ".mount. Paid' 25 . 00 Date Paid: 7113/199£ k: Desc -REMc)VAL AND REPLACEMENT 'F ^TTTNGLES OWNER INFORMATItN - APPLICATION FEE- OWNER rye : S-TEV AND DONNA BAGBY -1r : 1817 SEL'JA GRANDE DRIVE ATLANTIC. REACH . FLORIDA 3223' ��ne: ( G04129?--55�,h CONTRACTOR INFORMATION -- - - Name : INTRACOASTAL ROOFING CO . , INC . ddr : P . O FOX 10316 JRCKSONVILLE . FLORIDA 32247-081F> Li.c : RC0042109 Exp: �pe : 13 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 LEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS'ILDING (IMPROV MENTS.ILIEN LAW CAN RESULT N THE PROPERTY OWNER PAYING TWICE FOR B FV10;LATI0:N:00F :ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIO:1FOR APPLICABLE PROVISIONS OF LAW. $25.94 Receipt: CHECKS 12781 00102003221666 ATLANTIC BEACH BUILDIN� DE ARTMENT ti.ri-. f w CITY OF a7LANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: �J IVe- 6- /4,-vde 41,`J I OWNER OF PROPERTY: e_ ""'�� / �; �✓``I CONTRACTOR: Rcdati A De C,, CONTRACTOR'S ADDRESS: 1 �; B UK STATE LICENSE NUMBER: ��-L'��I �I D� TELEPHONE: DESCRIBE WORK TO BE PERFORMED: 61� c5ry a, �-�- VALUATION OF PROPOSED CONSTRUCTION :5-0 Q / MATERIALS TO BE USED: S ' C-�vry/ /p''�'"� "'� c k L 1<� nS SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR. SWORN TO AND SUBSCRIBED BEFORE ME THIS 131;1 DAY OF OTARY PUBLIC Liability Insurance Supplied ► y4 Edith Amy Mickey Wercers Compensation Insurance Supplied * *My commissionCC683050 ,mot. ' Expires July 13,2001 Contractor License Information Supplied Occupational License Information Supplied RECA. 9 , y A. 11.i l 1 .31998 City of Atlantic Beach Building and Zoning CITY OF Office of Building Official EQUEST FOR INSPECTION Date Z" cJ P Permit No. `�" � Time A.M. Received P.M. Job ddres L ality Owner's Name Contractor BUILDIN C NCR L RICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring Rough ❑ Air Cond. & ❑ Re Roofing E Slab El Temp Pole E Top Out L-- Heating Insulation Lintel C Final [- Sewer El Fire Fab lace READY FOR INSPECTION A M' Tues. / Wped. Thurs. . Friday A.M. Inspection Made P.M. c1 .� Final Inspection 1:1Insp Inspector /"v�� Certificate of Occupancy ❑ Date ry PSR H'1 16655 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _. PERMIT iNF'ORMATION INFtDRMATION ---- nit Number 16655 P V ess : 1817 SELVA GRANDE DRIVE armit. Type: ELECTRICAL ATLANTIC BEACH , FLORIDA 31-233 ss of Work :ALTERATION ________.. LEGAL DESCRIPTION ------------- nstr . Type :WOOD FRAME 'lock : Lot : 2O Twp: oposed Use : SINGLE FAMILY ection: 0 Subd: Rng: Dwellings : 0 1_jbdi vision : SELVA TIERR.A Est , Value : 0 .00 nrov , Cost ' 0 . 00 Total Fees 25 , 00 n ��nt Paid- 25 . 00 ,( FORn rENCLOSURE _---- . '_WNEP ?NFrRMAT I Od APPLICATION FEES e : STEVE AND DONNA BAGBY ,r : 1917 SELVA. ?RANDE DRIVE ATLAN'T'IC BEACH FLORIDA 32<: ne. : 9n..4 )247-556c, ----- CONTRACTOR TOR T NFORMAT I ON -- ,e* - A= BILL THOMPSON ELECTRIC CO Its(: r : P_ O . BOX 330150 ATLANTI- BEACH , FL 32233-0150 FR0000967 6 Exv: l t 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." z 14 t: gj6wlt ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND %l�E(GT18k&F4VOGt`Aa�ppN FOR 2583 VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS10-1 ®® ATLANTIC BEACH BUILDING DEPARTMENT 1 By: CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT. 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. BILL TAOMPSON ELECTRTCC6,TflC: P. O. BOX 3L 32 ATLANTIC BEACH, FL 322330150 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME BA6,6V ADDRESS: I U �3 1�� ra- AD-BOX_ BLDG.SIZE BETWEEN: RES. , APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OL REW. ( ) ADDITION ( 1 TRAILER ( ) TEMP. ( ) SIGNS l ) SQ. FT. SERVICE: NEW ( 1 INCREASE ( ► REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY z ' EXIST.SERV.SIZE AMPS PH W . �G(/OLT RACEWAY FEEDERS NO. SIZE =NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.JO AMPS. ]1.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0OVER MOTORS H.P.- I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANY fir" Y%vL .were- TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA N0. lKVA NO.NEON TRANSF. N0. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF 4&4a& //eaCA-0;&U4/4 Office of Building Official REQUEST FOR INSPECTION Date c� — G Permit No. / Time A.M. Received PM Job Ad ss Locality Owner's Name Contractor BUILDING ONCR E ELECTRICAL PLUMBING MECHANICAL Frame Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY O SPECTION A.M. Mon. Tues. Wed. Thurs. Friday D —7 A.M. Inspection ade P.M. ' Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date CITY OF 4tlwst&c BeacAZff'Office of Building `'/–'' REQUEST FOR INION Date v —/ Permit No. Time Ad .M. 4 P M Job Addr s L ty Owner's Name - Contractor BUILDING CO RETE ELECTRICAL PLUMBING MECHANICAL Framing Rough Wiring ❑ Rough r Air Cond. & ❑ Re Roofing Slab Temp Pole G Top Out Heating Insulation C Lintel ❑ Final C Sewer Fire Place ❑ Pre Fab READY FOR INSPECTION Friday �PM- Mon. Tues. Wed. Thurs. A.M. Inspection Mad / P.M. Inspector Final Inspection r Certificate of Occupancy ❑ i Date 3 A Cir' OF— ATLANTIC BEACH No. 1407 FLORIDA May 6 19 88 NAME Dawson Land Developer ADDRESS P.O.Box 707 CITY_ Atlantic Beach 32233 45.65 TL. Water Damage Repair #40-343-3700 P_ A►1 51_ S9 $4%45.65 3/0D ,13 MAY 13 lyes I t07 .nUcA,rr, 55 ,9 I A 5/1D3 3/ 1817 Selva Grande 13/81 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER USE THIS FORM FOR ESTIMATES ONLY REPAIRED OF WATER DMIAGED BY: DMISOY. •LAYD DL=PER LOCATION: 1817 SELVA GRANDE PO BOX 707 ATLA-N,.TIC BEACH, F.L. 32233 DESCRIPTION OTY. MATERIALS LABOR TOTAL 11-2 PVC COUPLING 1 52 11 PV P PE — 11-- COMPRESSION COUPLIr; 1 1 15 — 1%2 900 L PVC 1 1 05 Sub-Tofal 17 12 0 2 men rand di 1 4 f 1 hr $12.9 -. 30% O.H. 3 88 Total 16 82 MATERIALS -1ABOR--TOTAL TOTAL 65 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 1 Truck($10.00/hr) for hrl TOTAL COST $1 0 TOTAL SELLING PRICE LESS TOTAL COST GROSS PROFIT LESS OVCRIIEAO COST •. OF SELLING PRICE TOTAL NET PROFIT 2793 METRO GRAPHICS-JACKSONVILLE,FL CITY OF ATLANTIC BEACH No. 1407 FLORIDA May 6 19 88 NAME Dawson—bend—Developer ADDRESS P.O.Box 707 CITY Atlantic Beach 32233 Water Damage Repair #40-343-3700 $45.65 1817 Selva Grande When Signed, Doted and Numbered, This Becomes an Official Receipt Received Payment MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA TREASURER /f qs � S CITY OF 1*&oWe Feacl - 9&zeW4 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT (- DATE Applicant NAMET ADDRESS Owner NA1,4E L)Q V C ADDRESS Location of tree if different from owner' s address : mrlx� Reason for Removal: - L ,� �y, -him ?>C-1- � n �- Rear Lot Line indicate •H 'r4 possition of a �' a IVHtt tree on " ' ' - 8 (988 o - o lot a J a ,a a Building and Zoning J J Front Lot Line A ??AR OVS0 �C11 Clt BotLd��ca R 91°°g Building Official By DEPARTMENT OF BUILDING 9565 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ,00CA Date March 1 199169 1 3/09/9 !non Valuation$ Fee$ no fee 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 Timothy Mis has permission to ?�� remove 9 trees due to overcrr,tadinQ— Classification Residential Zone Owned by Lot Block S/D House No. 1817 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 AFTER DATE OF ISSUE ZBuilding material, rubbish and debris -4 from this work must not be placed in public space, and must be cleared up an hauled away by either con- Ior Or owner. _ ilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER I i WATER i i 1 CITY OF 4&al c Be elt-994vu4& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. Dlstri No. �/ 7� a4 Job Address Locality `� n Owner's Name Contractor BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole D Top Out ❑ Heating : Lintel El Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon QJ/' J Tues. Wed. Thurs. Friday P.M. Inspection Made r P.M. lnano&5-r7 Final Inspection❑ V v — Certificate of Occupancy Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. - 5488 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JANUARY 13 19 Valuation$ PLUMBING Fee$ 83.50 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 B & G P . IMIRTNG (:011P NY 13997 BEACH BOULEVARD, JACKSONVILLE, FLORIDA has permission to build INSTALL NEW PLUMBING AS PER PLANS SUBMITTED. Classification SINGLE FAMILY Zone PUD i Owned by TIM ELLTS/ NDRFSEN BUILDERS Lot 20 Block ----- S/D SELVA TIERRA I House No. 1817 SELVA GRANDE DRIVE According to approved plans which are part of this permit t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MOAI4 WS 1 „ AFTER DATE OF ISSI3T?al LK('' O Building material, rubbiisk ankl/"A6 i from this work must not be*XW*4C in public spaces and mpst belclgqrfA = up and hauled away by either 1SR; trscxe;.or owner. /` Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH, FLORIDA proved by APPLICATION FOR ELECTRICAL PERMIT �I��/�LJc.ati TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WO HE ATTACHEDDESCRIBED IN PLANS AND SPETHE CIFWING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDWITH THE ELECTRIC REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. M TE ELECTRIp,,AN SIGNATURE JOUBNLYMM ELECTRICAL FIR Z24/2�1� . u� DRESS: ` Ol 1-7 NAME t� �/ BOX BLDG.SIZE ltfo BETWEEN: RES.( ) APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT. FEE SERVICE: NEW(V INCREASE ( 1 REPAIR ( 1 ( CONDUCTOR SIZE L` , AMPS COPPER ( 1 ALUM. ef IC SWITCH ORBREAKER Z O AMPS PH 3 W VOLT EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL Lf CONCEALED OPEN TOTAL RECEPTACLES t 31.100 AMPS. 0-30 AMPS. SWITCHES INCANDESCENT - --- FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEtL HEAT: KW HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO.--- -- KVA — NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — FORWARDED ) TOTAL FEES - CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT /� /� l� < TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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. JOURNEYAM ELECTRICAL IRM: V MASTER ELECTRICIAN SIGNAQTURE NAME 00, ADDRESS: FD BOX BL G. IZE d BETWEEN: RES. ( 1 APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( 1 TRAILER ( 1 TEMP. 1 1 SIGNS ( 1 -SQ. FT. FEE SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE 6AMPS COPzz ��P.,��ER ( 1 ALUM. 1 SWITCH OR BREAKER 0 AMP PH W 2Z ✓w0LT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT ---- -- FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS J_ MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN - FORWARDED $ TOTAL FEES - ---6-�N _�K - --- --- --- --- - T _ 3Y f I CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT-INS. . . . APPLICATION IS HEREBY MADE FOR C)1-��_ I WATER CUT-IN AT THE FOLLOWING ADDRESS FOR _ __ ------ UNITS. CUT-IN CHARGE OF STREET NO. 'Clk 171 eNJ-o— V rGvl�.� i--�V�� LOT �p _BLOCK SUBDIVISION ��y'o,��-Y'►�C-- ACCOUNT NUMBER MASTER PLUMBER MAILING ADDRESS DATE 'LETER NO. DATE INSTALLED CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner T/1-k 7 % L-1 S Address 1 S S��✓� �2�� Phone Architect Address Phone Contractor )04,J /�.� 2eS��U Address /IF0i 3 Ca % �T Phone 6t_6 -k 7 3 Contractors License/Certification Numbers C 2 C D -0 c� la Expiration Date 1 Ss ? Property Addres s 1 7 e l-v 4 �i 2..4,��e Zoning ly A Lot _Blcok or Unit # Subdivision 5-e�-✓ 71/ ✓L 24 Valuation of Construction $ S(?U 0 Type of Construction Describe Work to be Performed (2�cu 6� dy�� ell S%i ✓u �� Materials to be Used J Present Use of Building Proposed Use of Building Flood Zone Dimensions of New Area: HEATED GARAGE OR STORAGE CARPORT OR PORCH 51,0 ) 2 0 LECK PATIO YES NO NUR Will there be an increase in number ,of units? Will there be a decrease in number of units? X Any additional plumbing fixtures? x Any new fireplaces? �-- SUBMIT TWO COMPLETE SETS OF PLANS INCLUDING SITE PIAN Signature OWNER Date Signature CONTRACTOR Date 4 I i j � I i r � w 1 I J14 p to � � 1 ' `�I , � . ..� f .� I � j .Y�.____..__.________--.____.._- .� t '�, Q - /r ' �• , ., , ...._. _.. ____ ..._..__........._.._.____._ _.._-.-.--.._._�_. ...._...___ _ � o; --- ._...___- _-.J.-_..__. . ..__. ._. :_........_.__.. ---.. ._ � � '��- .. � `��, �''�� \ �� \ ,\\ � � ., ` � L"ba_ \�` � �� .� A it J� • r SAWN z0/Pup SNOIZV7l qVD ---------------------------------------------------------------------------------------------- MG TV= GNVHD aqVo? ?Iza0 uo?qana13 $ za�ayl za�sM $ uo?�oauua0 zat�aS $ SfI03NVII0SD4 uo?poauu00 za:IaM �?S $ 333 L0�'dH I =VM $ 333 ,LI)Vdwi =S TOOd aFPlqr\S $ �2I -d=li 2 -vm TIOM Q s $ o?�daS J U DI3d ONIQ'IIfiq 'IZ dBZ/o?zqoaT3 ------------------------------------------------- � mON/0?zjoaT3 2u?�Td � $ 333 ZIInId3d JNIQ'IIIlff 00•ST 0 s@-Dvjdaz?3 � T�orueLloaY1 as ' S $ 3 2u?T.z3 +t ; amflbTa S333 zo/Pu-e SZ=(l TVUOIZIQQv $ aa3 2uzpTTng T-P:Io,L '-------------------------------------------- �oazau� UQ-E: zod zo pussnotp zadflD g$ UOT:IMTVA zJu?0119W $ CZ2 (l 6 - $ :IsT uOTIvnTsn IaJOZ $. 9) • �n C��S $ NOIJVrl'IVA 'MOs, $ _ qj bs za $ O?dad $ - :13 bs za $ e $ _ qj bs j9d uozod/:jzodzPD $ - Ij bs zad $ p� PIIS/@',DL- $ - ag bs zac'F $ a2v oo3 azenbS paqu@H ssazppv � •n 1i .rr �" ...i. - � fr. .. 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S+1{�J'��j 1~�t'�j�;' y •"'4�1{isi��t. tii`� *'S�*}��t(�:4 � � �F*ua.{� ?•'�t !�,F�}��`�1''t�-�'��F� i,�t R j' t ; y,�{{t l 'fr P fir, , x ', K! , 1 r• h i+ ' "�,(a 5. '�i +IES r,..+ �',t [ •i rt '..Zt�4 -iJ" + ..� � T,.' K� , 1S "a s� h y i/ �'. :1�' �kFP 't�y!E Il�rf,•'r[,/�' -if�,�iM �:, � •.t� �r 1 Y l: t.fa,'�i I .:fi•, ' t r.l , r DEPARTMENT OF BUILDING 7525 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 28.50 r m0:50CKT THIS PERMIT MUST BE POSTED ON JOB 9440 1 3/03/6 1ebha' 19 85 Date 7525 .00CAC9440 i 3/03/6 Valuation$ 5,000.00 Fee$ 28.50 1000 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 JOHN AND&SEtti 1993 Colina Court has permission to build Roof and screen. over existingdeck; in accordance with Coastal Construction Code Classification Residential Zone PUD Owned by Tim Ellis Lot 20 Block S/D Selva Qbwra House No. 1317 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 „ AFTER DATE OF ISSUE 4 01 4 10 O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up and hauled away by either con- tracto owner. l BuV Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING /� 7 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 7"t' f PERMIT TO BUILD 60'U0 T 6o.00CKT THIS PERMIT MUST BE POSTED ON JOB 7669 1 n 2/03/-, Date Feb7437 9000Ar 3' 19 ^r. 7669 1 A 2/09/.. Valuation$ 12,000-00 Fee$ 60- )fl 1 Orr; This permit not valid until above fee has been paid to City Treasurer,and is i subject to revocation for violation of applicable provisions of law. This is to certify that AAA A POOL OF JAMSONVILLE, 11, � I� has permission to buildaTDIAIT'JC, MCI) AL PLR PT ILE Classification RESIDEMAL Zone � Owned by i TM ATS -Ir! k7T T� Lot 20 Block S/DSLLVA TIE,RRA House No. 1817 SLLVA MWME, DRjVL 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— 0 Building material, rubbish and debris � from this work must not be placed in public space, and must be cleared = up and hauled away by either con- tracto r owner. B ' , g official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER t� CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address /9-/ 7 5E4 uA C eqyn - Lot # 90 Block # Subdivision-'-irz u,4 Owner el,? y ,L A /S Address 5�iPf4doa .d- Contractor &U411e900A__ _ ©� �A�/�Soa/ 11��E Address .22 Al 16,0 License Number Pe a /3G 0 0 Valuation $ (00 O Gallons SITE PLAN front N N a m � c� • r �g rear] Signature Owner Date Signature Contracto Date Addi ss Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ Der sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 00 /y UU Tota a uation 1st $ e2, 0 OD � U 0 90 .00 $ 3o Remainder Valuation per thousand or portionthereof Total Building Fee $ .440----------------------- ADDITIONAL PERMITS and/or FEES REQUIRED ; + z Filing Fee $ 02 y Fireplaces @ 15.00 $ Mechanical BT.,=IN(-, PEP,1AIT FEE &00 0 y Plumbing Electric/New ------------------------------------------------- Electric/Tenp BUILDING PF�RM CT $ &Q.y C) Septic Tank WATER METER CHARGE $ Well SEWER IMPACT FEE $ &,,rinring Pool WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection $ Sewer Connection $ Water Meter Elevation Certificate d 0 GRAND TOTAL DUE $ �� ----- ---------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES aw af �q � *^�- �!�t? 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Received I E Locality Job Address p� Owner's Contractor NameMECHANICAL BUILDING CONCRETE ELECTRICAL PLUMBING ❑ Air.Cond.& ❑ ❑ Rough wiring Rough Heating Framing ❑ Footing Top Out ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION P.M. Thurs. Friday Mon. Tues. Inspection Made Final Inspection,Q� Inspector Certificate of Occupancy Date 4 - �" BUILDING AND ZONING INSPECTION DIVISION z�col CITY OF ATLANTIC BEACH, FLORIDA c 1 _ ELECTRICAL PERMIT Qom- J F— �. r 20 00 Permit No. O Dat ` Fee $ W Date m uavL Location Q and a Between This is to certify that U.1 E T (Master Electrician) 0 (Electrical Contractor) p� a has permission to install Electrical Construction as described herein in u c provisions of the Electrical Code and regulations C accordance with the p W_ F of the City of Jacksonville, and subject to the information shown on the 3 V m application, drawings and specifications which are made a part of this , N permit. � �, o for Wa e of work:Typ �T1b3LJ.€`'�a:LA.' Ma:" q o m SERV ca'-m a N U WC C Feeders: O U Outlets: "' m Receptacles: t^ Switches: ►- incandescent: Fluorescent: Appliances: Air Conditioning: i lMotors: Transformers: 1 l Signs: Miscellaneous: , - r' IF NO WORK IS DONE UNDER ISSUED BY: THIS PERMIT DURING ANY SIX Electrical inspection ISSUED Supervisor MONTHS PERIOD, PERMIT ` BECOMES VOID. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: D TE: _'7—�3"6-19 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. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME ADDRESS: LZ/7 S cLCIA GeQ�n� BOX BLDG.SIZE/ BETWEEN: RES. ( 4/ APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW ( 1 OLD 1 L)-' REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE ;7 CC, AMPS / PH W ; c-VOLT 4-B�ACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT -- FLUORESCENT&M.V. —= FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS V TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. -- - KVA _ NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES LO=S: �v \'S.�.�Y / --------- - - MECHANICAL: Sy��- ---- -- -- - -- Irl 7 !'i , _ ELECTRI CAL (��,� _ %v�� BUILDING PERMIT WORKSHEET /7 —T .�1,5 /6 !,� per sq. ft. = $�0�7 Sd HEATED SQUARE FOOTAGE: @ $ L. _ GARAGE (PRIVATE/SHED) : @ $ _-_ �/ per sq. ft. _ $-- 7�.�3•S-Z CARPORT: @ $ per sq. ft. = $ PORCHES: @ $ per sq. ft. = $_ DECK: -�79 @ $ G.9- per sq. ft. = PATIO: @ $ _ per sq. ft. = TOTAL VALUATION: $--�f�-� PERMIT FEES TOTALALUATI(0N DATA lst $S'd DOU d0 ��• C2 $ 7O. 00 REMAINDPER VALUATION @ $,? .Do per thousand or portion thereof TOTALBUILDING PERMIT FEE. . . . . . . . . . . . . . . . . • . • • • _ • • . • •$ PLUS !�j THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $_ /O 3. 0� S� TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . - • . . "—V''- 7 - ----------------------------------------------- PLLMBING PERMIT FEE: $ MECHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ ELECTRICAL TEMPORARY: $ -- _ 3/� �6. WATER METER SIZE: FEE: $ OD-/ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: �p FEE $ P,46- WATER ,46-WATER CONNECTION CHARGE: FIXTURE UNITS @ $10.00 PER UNIT: $ ACCOUNT NO. : --) APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: $ D-9. TOTAL WATER METER CHARGE: $ �$-BEACH TOTAL WATER CONNECTION CHARGE: _ ICE TOTAL SEWER CONNECTION CHARGE: $ 6 d� _m__ GRAND TOTAL DUE: $ 6-0 7. 73 FOR OFFICE USE ONLY •` Date------------------------------------19 ------ Permit #........................Fee$------------------------ CITY OF ATLANTIC BEACH Valuation $------------------------------------------------------ FLORIDAHouse #----------------------------------------------------------- ------------------ ------------------•••---------•--•-....•-•--••-••••......•-•-••......---.. 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 with the Building Ordinance of ll ons of the Laws of the of theachlandoall�rulesla dPregulati nsaof theaBui ding1Depart Department of the City ofeAt Atlantic Beach,da, all shall City Be Ctytlantc Bach, Flrid , and shall be complied dwith, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building 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. 12- - /O Date---------------•-------------------------------- ----., 19- -------- ----------------------------------------------- --•---. Owner -- -Address------------ - Telephone No. t ti, ele hone �,,L 2 Address)ZZ�� t��!9t�P: rrlJs.�1Q_rYCT P Architect G ..........._ - r ` l'lyoy E�iirn �/� X---------Telephone Contractor Builder.......... ? . U...... � '2--G- ' cJ Address---- ------ -------- 27-(9 Lot No..... ............... Block No. Sub Division..-Se. _!/---------1-�e/� Zone Stn e_..Street _ ._._.Side Betwee .------•--------•------------------------------------and � . �2es o oe,uC� construction /UOQ UC?.D....____.For what purpose will building be used------------------------ --•----Type of -____.___.._...__.... Valuation $.._.._Dimensions of Building.�r.y- -Sy---.-� �/GG�-Dimensions of Lot... .U..X..l-�U:...................... .Size of Footings Size of Piers---.--- ----------------- - Size of Sills----------- Greatest Sill Span in ft--------- --------------Type Roof--- How will Building be Heated?__--f"IPR_1...._...!'!�-' --P ..----•-...--Will Building be on Solid or Filled Ground?--.--- --t- --•••-•------- �/L ft '✓ , Distance on Centers-. .......P PX 14?Se__., Greatest Span........de-4.------. Size of Ceiling Joists.. .............� Size of Floor Joists- Greatest Span...----------------------------------------- " �'-i./ Distance on Centers - J n/� /� "" E' (' Z ✓_-.-...-. Distance on Centers . . . .....!'Ni .....-.•.---, Greatest Span...._. Size of Rafters..-� ----�- --....%.------ �.. - This rectangle is to represent the lot. Locate the building or buildings in the ll lotht -lines andGive istance in ex sting buildings. from OITY CF AR.4NM BEACH REAR LOT LINE BlUaLD,lC G OFFICE Two copies of plans and specifications shall be submitted with application. Inspections required. ;61 1. When steel is in place and ready to pour footing. z Z 2. When steel is in place and ready to pour columns an a a 3. When steel is in place and ready to pour beam. �' r f' o 4. When framing is completed. 3 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. A 7. Electrical inspection by City of Jacksor.ville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 ttj<&ed plans and specifications, which are a part hereof, and in accordance with the building regulations of the Ci oBach. ?LZ2- Address... I Bio sQ. .. - Signature of Builder.... ------------•-- Address--_ --•-- ' Signatureof Owner.... ....--•--.._:..--•----------- Address-..----------------------------------------------------...----•-.............................................. ' —bATE ►;K 7'YI'E OF RUI I.l�]t:G Y,LP] PE RES I I►ENTI AL - - ------ - ------ --- -- ----- --- ADD]T]ON CO?IMERCIAL )CAI ION ,U11SBI NG FIRMA ADDRESS_ - ------- __-- -S7'ER PLUI--BERplease print TY/COUNTY OCCUPATIONAL LICENSE NO. _- -ATE CERTIFICATE NO. )ILDEP. OR CONTRACTOR ---------�----------------------------------------------------------- SINKS � LANATORY e� BATH TUBS URINALS FLOOR DRAINS CLOSETS _ -I_ SHOWERS 7 WATER HEATERS �_ DISI=v.ASHERS � _ DISPOSALS ]•;ASHING X-ACHINE OTnER TOTAL FIXTURE COUNT _ �A P.P R OV E D <STALLATION OF PI-C-I3ING AND FIXTURES TIUST IN ACCORD_'SCE W17H THE :•POST RECENT EDITION _ U C 13 3114E SOUTrER,N STf. DARD PLUMBING CODE. SIGNATURE OF ?;.. TER PLL:,iBER FIXTURE UNIT BRELKDOVN :)ALr,_ UNITS ARE ESTABLISHED AS THE MEAS1:P1_--_•fENT OF WATER DE'1�k?\'D FOR EACH WATER FIXTURE UNIT ;STALLED AND CON-NECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT '.N DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM:. SEC. 27-3 (c) EATLROO'_`1 GROUP CONSISTING OF BATHTUB (W/OR W/0 OVER _ -� SHOWER STALL, EATER CLOSET, 12,VATORY & BATH HEAD SHOWER) (2 U`N1TS) DC"ESTIC (2 UNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) r (3 UNITS) DENTAL LAVATORY � (I UNIT) KITCHEN SINE: i _ CONBINATION SINK & TRAY W/ (2 UNITS) FOOD DIS. (4 UNITS) DENTAL UNIT OR CUSPI- DOR (I UNIT) — KITCHEN SINE: W/ DRINKING FOUNTAIN (=� UNIT) WASTE GRINDER -- DISHWASHER (2 UNITS) FLOOR DRAINS (1 UNIT) oZ LAVATORY (1 UNIT) LAVATORY, LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR — SHOVERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY I STAND (3 UNITS) SINK (4 UN11TS) _ URINAL, PEDESTAL, SYPHON JET _ URINAL STALL, BLOWOUT (8 UNITS) — URINAL, WALL LIP WASHOUT (4 UNII_ URINAL TROUGH EACH 2' (4 UNITS) n WASHING MACHINE RES. O� WASH SINK EA SE, SECTION (2 UNITS) (3 UNITS) OF FAUCE-CS _ WATER CLOSETS, TA-T- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UAITS)i � OPERATED (8 UNITS) - DAI E Kw - tea- AU?>1 TJ ON. CO`:'•;E}tC7 AL 1: "'AI 10f�' --- - - --- - --- :::?;I::c FIRM �d-��ul/h�p�►�c _ -- -- ADDRESS '.SIER PLU"BER �•eAnQ_ C • �ouc�' -- _- - - -- _ _ please print i IN .J T•i/CC�litiT)' OCCU.p AT10hAL LI CE,.SE h0. TAI E CERTI FI CnTE N0. :1:1'DER OF. CONTF.ACTOR h -0yne --L--s--%J-'Is ---- ' LAVATORY --- );J?H JL:BS URINALS ------ -FLOOR DRAINS 3 CLOSETS _� SHOWERS _ � - 1•.A'TEP. EEAIEP,S - � UI SHWAS% ERS _Z- DI SPOSALS :'.SHING ''ACH7NE OTHER TOTAL FIXTURE COUNT _ N� ';STLLLATION OF PLt.•3ING AND FIXTURES MIST E I':: ACCORD._'CE WITH TEE MOST RECENT EDITION F 11-E, SCOL ST-';DnRD PLL?iBING CODE. SIGNATURE OF "".S 1 ER PLL-'•_ER FIXTURE UNIT I;R-r�:DO:'N VNi TS ARE ESTA-BLIS FD AS THE ?_sSi :-�I'T O- 1_:TER DE'" D FOP, E-ACI i:A=ER F1aT i:RE LTN1T ` ST'S L ED �':D CO'::ECTED TO THE C11Y IATTR S I S i EM. THE WATER SUPPLY CH-APGE IS 'riE,-BY r iXED AT Drl?'=-RS PER FIXTURE UNIT CC?,:ECTED TO T-r_E CITY L-ATER SYSTEM. SEC. 27-3 (c) 3 AT':ROM GROUP CONSISTING OF _ EAiriTUB (W/OR t:/0 OVER � - SHO-o"ER SIA?_L, -- j_—?TER CLOSET, LAVATORY b BATF;I� Nr- n_D SE U.+ER) (2 UNITS) 1) S T I C (2.. L TUB OR SEOI;ER STA-11,-11, (6 LTNITS)dg- BIDCZT (3 UNITS) _ L?L"!:DRY TEAT CO"?I'ZATIO:: SINE & TRAY (2 UNITS) _--- (3 UNITS) DENTALL LAVATORY (I UNIT) KITCHEN SINK CON'BINATION SINK & TRAY W/ (2 UNITS) ---- DENTAL UNIT OR Ci:SPI- FOOD DIS_ (4 UNITS) DOR (I UNIT) KITCHEN SINK I _- DRINKING FOUNTAIN (!� UNIT) � WASTE GRI`:ER DISH'S:ASHER (2 UNITS) FLOOR. DRAINS (I UN1T) - --- �- LAVATORY (I L?N-IT) a _ — LAVATORY, SA=.: LAVATORY SURGEONS (2 UNITS) B�Abl-Y PARLOR --- _ SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY _ URINAL, PEDESTAL, SYPHON JET STI-_::D (3 UNITS) 7wSTALL, ` BLO::OUT (8 UNITS) - _ URI?: URINAL AL, WALL LIP --- 1�RINAL (6 UN i URINAL TROUGH EACH 2' (4 UNITS) F� SECTION (2 UNITS) WASHING '•-ACHII:E RES_3 i..-.SH SIS'}: � (3 UNITS) OF FAUCETS ;'__TER CLOSETS, T_-Z'K- 1 ATER CL OSETS, V'ALXTE t 1:1. TS) 0:EFcnTED (4 t,':ITS) l OPEP',i�D (� ']TS) BR�^SrnJl� 3 1 CITY OF > t�°curit Fea-cl - 57Q0z:d4 716 OCEAN BOULEVARD P.0.BOX 25 - - - ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 May 25, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, FL 32202 Dear Sir: The following final inspections have been made and are satisfactory: Permit #3615 - 1817 Selva Grande Drive, Atlantic Beach Permit issued to Mercury Electric Co. Permit X13819 - 132 Belvedere Street, Atlantic Beach Permit issued to Action Electrical Contractors, Inc. Permit X13850 - 471 Saturiba Drive, Atlantic Beach Permit issued to Kenco Electric Co. Sincerely, John M. Widdows Building Inspection Supervisor JMW/ls CITY OF fYLLG` & /3e4elt- Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received P.M. Dis ict No. Job Address Locality Owner's Q� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. f Wed. Thurs. Friday P.M. V A.M. Inspection Made �i P.M. Inspector Final lnspection Certificate of upancy Date %:;.rrtifiratr of (Orrupttury CITY OF #W4ft C &"A- RO+ & DrVartmrn# of Nnilding .Jnti.prrfion This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: .--. �fl J��j Use Classification j Idg.Permit No. �+ 7 Group ype Construciion• / f Fire District. &cz—," Owner of Building _ Address B! .gAddress Building fficial Date. S 44 POST IN A CONSPICUOUS PLACE g F {