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1841 Selva Grande Dr (vault) Sr�j` . `1 0 S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001012 Date 7/28/09 Property Address . . . . . . 1841 SELVA GRANDE DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7300 ------------------------------------------------------ Application desc 6FT FENCE ONLY ------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- Hills, Les OWNER 1841 SELVA GRANDE DR. ATLANTIC BEACH FL 32233 ---------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . Permit Fee 35 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/24/10 ------------------------------------------------ Special Notes and Comments NO LATTIC OR TRELLIS ALLOW ABOVE 6FT * IN CONFERRING WITH ZONING DEPT. , FENCE DESIGN WITH LATTICE IS NOT ALLOWED. * *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. Six (6) foot fence only. No lattice other fence material permitted above 6-foot fence height. Fence is approved with no trellis . ----------------------------------------------- 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. SELVA GRANDE DRIVE _ 50' RIGHT OF WAY (PAVED) a Contractor parkin Ion s eet DC7 � - -- _ O City of tiantic'B ch �'o G o o it Planning and ofsing De artment aH o, s� s a-. o bQ This approval verifies pli8nce• h apptcle > O �z zoning, subdivision a'd-Ether focal 10d o� o ® U) zo 0 development regulations, tdoconstitute z ®, o $ approval for the issuance o ermeS its. . mpiiance O with Florida Building Code an :ell bt1►et- plicable _ - v_ local, State and FedeVl perm ting.re�ui ments _ M 0; o must be verified by sign9ture of dr. of- lantic v A frt z Beach Building Officiat�grior to iwil�rf of a Building Permit. w Lnto �. U) ® Approved By: om u 2!jop nt- O Date: d — °D C w 0o rn N +� (!D r • SCREENED 22.4' .29 CONCRETE ' ..a ® ' - 36.1- ►a 4x4 o 6' fe ce TWO STORY BRICK ND WOOD FRAME � `' z .... r' o --�s>• 3 ga ESOENCE i a4 s o rn 2% • (.,J o Z N a oL11 OD t t 0 los• a 1d1• cokic � ' gat ~ 0 o gate o a • �� io N Ln _ oDMCRE?E P1►1sID _ � ` CD co L- U 4x4 p6ICSIM FUCE 41• ,,,,,�,t . 6' fence 0 ZZ Z M: 4x4 pQst 4x4 post % 6' fence 6' fence o �o OD Z 00 r ! 0 v o E"C: CONCRETE *64LX Z 4\ 6x6 post S w $-ferlec G I'F£•'v c f gat® e--:: Ln Ct 4' y1000 FENCE P 1110 Existing fence line v, 0 T 30 1. 0 T 31 L. 0 T 32 City of Atlantic Beach r APPLICATION NUMBER �4 r •J' � +�- l)!�J o be assi ned Buildin Department.) Building Department R 9 p ) ;f 800 Seminole Road �� Atlantic Beach, Florida 3223 Phone (904)247-5826 ' Fax - '� E-mail: building-dept@coab.us Date routed: Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( ` V / C��'1 Department review required Yes No Building Applicant: n� Planning &Zoning T ator Project: in It Public Works ilities Public Safety Fire Services Review fee $ Dept Signature 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: C y BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Public Works Plan Review Comments Initials Date: � I�5 �Oq � Project Name/Address: 19,LtJ ,Selva, kms, biz- Application Permit#: dq- I01;- ,'Cheek'Ba Application Tracking,Comments 'to Add Comment. Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan,including Right-of--Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) if on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ FRevocHableEncroachment nt Permit must be obtained. ❑ (if used)must discharge into vegetated area 10' minimum from ❑ feature (swale, structure or la oorete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P-Roll off container company must be on City approved list and cannot be placed ❑ on City right-of-way. - ; CITY OF ATLANTIC BEACH 09- : -. -- I .. i_• I" I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 _ k BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: - -- - 2.VALUATION OF WORK 13.SQ.FT.UNDER ROOF 18ql 4.LEGAL DESCRIPTION: 5_CLASS OF WORK 6.USE OF STRUCTURE ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7,DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A Fav�G s ❑MOVE ❑OTHER M❑NO PROPERTY OWN CONTRACTOR': ARCHITECT I ENGINEER:` 9.NAME: 15.COMPANY NAME 23.COMPANY NAME s(1Ns r-SAVG 0 G 16.NA E: 24.LICENSEE NAME 10.ADDRESS:/ ('s .�,/ 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:l7 y( J``VA 0126.ADDRESS: 18�A�QRj= Nfj� ✓ a nj 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: Z3 0.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.: 29.CELL PHONE 13.C'4 6 ONE Q 9 3 2S`fS O 21.CELL PHONE: w OO 14.EMAIL ADDRE S: r 22.EMAIL ADDRESS: -` 30.EMAIL ADDRESS: FEE SIMPLE TITLE OLDER: BONMG COMPANY: MORTGAGE LENDER: (F OTHER 71,0N OwlER1 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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 AGENT CONTRACTOR Power of Afforney or Agency LeGet Required! (Quarfier Only) Signed: Date: /f( Signed: Date: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Floricla,has personally eare I Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true by himself!herself and affirms that all statements and declarations are true and accurate. /L rue and accurate. Nota Public at Large,State of County of Notary Public at Large,State of County of]�� ry ❑Personally Known ❑Personally ❑Produced I pj?,-� - ❑Produced Identification- Notary ' net v a Gs Notary Signature: S _��. 0 • Y rmssion Feb 14,2010 ?E r� ommission 6 518533 Bonded By National Notary As;n. SLDG01 Permit Application Bldg:REVISED:12!15/2066 S 'LJ; City of Atlantic Beach APPLICATION NUMBER Building Department JUL 1 5 2009 (To be assigned by the Building Department.) . ' 800 Seminole Road �d/ Atlantic Beach, Florida 32233-5 Phone (904)247-5826 - Fax( E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ,�, �t`71�� t review required Yes No Applicant: QW/l�lL� Planning &Zon Tr inistrator Project: �17- z Public Wor Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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. ®Deni 1 1 r (Circle one.) Comments: F�1�CQ is i�p� ah `%SS\)e, . `'+�� \ ZTt t'rE11►5 BUILDING (S �� W� ,�J` �O�e PLANNING &ZONINGReviewed by.-.. .4 I Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 F7s r CITY OF ATLANTIC BEACH o9� �I ? 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I` r w'..; i ' � OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUI LD ING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.FT.UNDER ROOF 1%q1 73ov 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7,DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑NO PROPERTY OWN CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: L� J'vNs l�✓c I- c o 16.NA(y1E:_ c Cod d D c L L' 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NOf.:, 25.STATE OF FLORIDA LICENSE NO.: 18;ApQRF� 'vw' 6t`1 G�✓ ��/ 6.ADDRESS: 4}rt% scq, � 322-3,3 L ZZ L 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 0.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: qo 6�c/23 13.CELL6HONE: Q 13 wSq� 21.teLL PHONE: ltoO 14.EMADDR 29.CELLPHONE: �BIAIL S: L 22.EMAIL ADDRESS: 30,EMAIL ADDRESS: 1'e-5 i.'l/ 2 q*A, l _6W. FEE SIMPLE TITLE OLDER: BONDING COMPANY: MORTGAGE LENDER: OF OTHER THAN ONMER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TUCE 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 AGENT CONTRACTOR ("gent,Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: Date: ( Signed: Date: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Flori ,has personally eare I Duval,State of Florida,has personally appeared y herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. / true and accurate. Notary Public at Large,State of L,County of Notary Public at Large,State of ,County of ❑Personally ❑Personally Known El Produced I ifpp,- El Produced Identification- Notary ' na' ram r r a°'' L. G Notary Signature: 71 0 3N+ t y mmission Ex i s Feb 14,2010 f _ . rFOFF,�t.°` ommission D 518533 Bonded By National Notary Assn. BLDG01 Permit Application Bldg:REVISED:1211812008 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road XAtlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �� D 9 City web-site: httpi//www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / ,e, t review required Yes No Applicant: Q�/t��f— pPublic & Zon� inistratorProject: T I or Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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. w- D (Circle one.) Comments: BUILDING 7"w IL NG &ZONING Reviewed by: �" Date: 7'�`{ ^v MIN. Second Review: QJ41 Kroved as revised. [—]Denied. Na PUBLIC WORKS Comments: na �P+c��js > SED J PUBLIC UTILITIESof22 )",ifr"�,G.t a ti 1 z3,v PUBLIC SAFETY � Reviewed by: S / Date: �7 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 __ ys CITY OF ATLANTIC BEO _ 800 SEMINOLE ROAD,ATLANTIC BEA F 33 OFFICE:(904)247-5626•FAX NO.:(9 24 E C BUILDING-D EPT@C OAB.U S ` PPLICATION BUILDING PERMIT ADUVAL COUNTY 2.VALUATION OF WORK Q.FT.UNDER ROOF 1..JOB ADDRESS: 1 S q l s Z� 5.CLASS OF WORK USE OF STRUCTURE-'*4.LEGAL DESCRIPTION: ❑NEW BUILDING 11 DEMOLITION ❑RESIDENTIAL LOT BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL c:7.DESCRIPTION OF WORK ❑ALTERATION El ACCESSORY BLDG. 8.FIRE SPRINKLER:` ! ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑NO PROPERTY OWN - ONTRACTOR: ARCHITECT I ENGINEER:`" 15.COMPANY NAME: f 23.COMPANY NAME 9.NAME: X vYYs �C 4 G 0 Gc S (�` � 16.NA�IE:� 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.S OF FLORIDA LICENSE NO.: ,�i,� /g y/ 5-re✓v ✓ ^ 6.ADDRESS: IS Ab ,,74N 6 ��✓ a�� c. zZ L 11.OFFICE PHONE 12.FAX NO.: ,9.0�ICE P`H N` �� 0.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.: �0 29.CELL PHONE: 13.CELL 21.EL PHONE: ��6e Qp I 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 14.EMAIL ADDRE 5: �� -�l� e mak, • c«.. E SIN PLE TTLLE L.DER gGKMG CGWMY`. ppORTGAGE r GuDER: FE OF OTHER M"ONMIEW 31.NAME: 33.NAME: 35.NAME: 3 34.ADDRESS: 2.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 ElFlaws ctrical Work,Plumbing,Signs,WeHs,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. NER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and or to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR� RECORDED AND POSTEDVEMENTS TO YOUR ON HEPERTY. A NOTICEJOB SITE BEORE THE COMMENCEMENT MUST FIRST INSPECTION. IF YOU INTENDTO ECORDING YOUR NOTICE ULT OF C®WITH YOUR LENDER OR AN ATTORNEY BEFORECONTRACTOR pWNER or AGENT' (0uarfier only) Pourer of Atianey a Ager cy left Regoi-0 Signed: Date: C L d: Date: da of 2009 in the county of Before me this day of 2009 in the county of e me this Y Duval,State of Flori ,has personally earerJ l,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are f true and accurate. true and accurate. L Nota Public at Large,State of County of Notary Public at Large,State of ,County of ❑personally Known El Personally - ❑Produced I El Produced Ident�ication- i pJ),; "P L.G I Notary Signature: Notary S' na- y mmission Exy' s Feb 14,2010 omBy Nan D otaty 9 FILE COPY Bonded By National Alotay Assn, BLDGDI Pemit Appliicatton Bldg:REVISED:12/1'0/200 a L }J t W f+ Q 3 Q a c0 CLO rn 0) +' O O N 4J 4J E C N 1 O N O N = ` lj (0 E C cm O Qu)) :_. m c �c�> 3 a) Q a L =a ,-j ov C c � o � L V t cU n ca o E o ` o `a u CZ C7 U- ° cof- in s s.ar�r,�, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road2— �� Atlantic Beach, Florida 32233-5445 Q Phone(904)247-5826 • Fax(904)247-5845 n �� OR �� E-mail: building-dept@coab.us Date routed: / City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / Q7)Q tt review required Yes No Applicant: Q�/l/�� Planning &Zo Tr inistrator Project: f S Public Wo Public Utilities Public Safety Fire Services Dept Signature . Reui ee -- Other Agency Review or Permit Required Review or Receipt Date 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: APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. AID 56 �Ils (Circle one.) Comments: PPSJ (AJC j BUILDING PLAN G &ZONING Reviewed by: Date: 9-16-09 TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: 7-,d-7'-C'7 oa FIRE SERVICES Third Review: ❑Approved as revised. ❑ enied. Comments: Reviewed by: Date: Revised 05/14/09 S F+ r CITY OF ATLANTIC BEACH 09- lr 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 Fir - V} OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERIAMIT APPLI ATION DUVAL COUNTY 1.JOB ADQDR(E,�SS: - �/'�1- - n 2.VALUA ORK 3.SQ.FT.UNDER ROOF oIC 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE; ❑NEW BUILDING El DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION 11 ADDITION ❑CONVERTING USE El COMMERCIAL ❑ALTERATION ❑ACCESSORY BLDG. B.FIRES RINKLER: 7.DESCRIPTION OF WORK ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑No PROPERTY OWN CONTRACTOR: ARCHITECT! No 9.NAME: 15.COMPANY NAME 23.COMPANY NAME: Sll Ge.S 16.NA E:�� k4E:. S �L G o 24.LICENSEE NAME ) "�S£ �o�DJ:Lt- 10.ADDRESS: .�,/ S AA 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: SGI` VA `-' ✓ �� 6.ADDRESS: !f-T� �c 32233 J�x c zZ L 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PH NEE: 7-3 0.FAX NO.: 27.OFFICE PHONE 28.FAX NO.: 13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE: 1 aY 49 3 25`fs o Zoo 14.EMAIL ADDRE S: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: l 1 W� �vta l co••. FEE S@APL.E TITLE LAEiZZ BOHMG COMPANY: MORTGAGE LFJdI pFOTHER TWwoMREflf 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicaI laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r 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 I INANCI G, CONSULT WTI 1 YE)" LENDER OR AN ATTORNEY BEFORE RECORDIN YOMMM 0 T. OWNER or AGENT., T "Poer d wAnaaW a Rgemy LeQar Regoiredj C » Signed: Date: rf Sign d: 20D9 in the county of Befo me thi day 2009 in the county o ffE Before me this day of NIA ,;_ Duval,State of Flon has personally Bare Du I,State f r a n OR sare herin by himself/herself and affirms that all statements and declarations are heri by hi true and accurate. r true accurate. �j Nota Public at Large,State of County of Notary Public at Large,State of J L,County of rY ❑Personally ❑Personally Known ElProduced Identification- [I Produced I Us Notary Signature: Notary S' na- ° 0 itmm9ss�Gn F-�:y Feb 14,2010 REVIEWED R CODE COMPLIANCE D 51853;} CITY OF ATLANTIC REACH s�MM By N311-a'al PkIarl Assn, SEE PERMITS FOR ADDITIONAL BLGG01 PeenitApplication Bldg:REVISED:12!15/2005 REQUIREMENTS AND CONDITIONS. REVIEWED BY: DATE: 3-0 I� � � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000626 Date 6/10/09 Property Address . . . . . . 1841 SELVA GRANDE DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc BULK HEAD RETAINING WALL ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ROBINSON, PHIL OWNER 1841 SELVA GRANDE DR. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/07/09 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . DEV REVIEW-SINGLE & 2-FAM 50 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 50 . 00 50 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s! rte, CITY OF ATLANTIC BEACH 09� I I I I I S :i '' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 r OFFICE(904)247-5826•FAX NO.:(904)247-5845 • - BUILDING-DEPT@COAB.US �3=I� BUILDING PERMIT APPLICATION DUVAL COUNTY 2::VALUATION OF_WDRK �'1 J06ADDRESS. j...c..a.�!..,...8 ;: _-. /gy / SC/urY GRp�✓lo f Oa. S c� � EGAL DESCRIPTION s 3r :' 7 5s CLASS OF WORK` 6:USE OF STRUCTUOr-r ❑NEW BUILDING ❑DEMOLITIONS ❑RESIDENTIAL LOT_BLOCK-SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL DESCRIP "' El ALTERATION [I ACCESSORY BLDG. 8.FIRE SPRINKLER: T1QNQF WORK. ❑REPAIR ❑POOL/SPA El YES ❑N/A I rel 1- 71/'?f W H ❑MOVE ❑OTHER ❑NO 9.N ROPBRTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: AME: 15.COMPANY NAME: 23.COMPANY NAME 1 wtT1,•F C:L. I-AAA'O at"e I-�avr%u oc >~ acsoco , res L �T,l 16 NAME: 24.LICENSEE NAME: S c,4�A -krc"T C.UN"a9rx 10.ADDRESS: 17.STATE OF FLORIDA LICE 5 NO.: 25.STATE OF FLORIDA LICENSE NO.: y S�[va G is 4 N'PK /2, 6 18.ADDRESS: 126.ADDRESS: �'q U I e h/ L/AW 1 Q D l i4-rl.a'��rt c rSe ae U I j3j � G-L-etil-A A 't� 5v4cKza,�v�41 e P-L. 322dS �,,., f I r 11.OFFICE PHONE: 12.FAX NO.: 19. FIsC�O 6 3 S 20.FAX NO.: 2�817E PHONE: y 26.FAX NO.: 13.CELL PHONE: 21.CELL PHONE:_I 29.CELL PHONE 96w (.2 boa 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: rrr.a, �. Cam+ h e h y�w1C G2 IAW.c o� -y SIMPLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: a;.0 (IF 6THER THAN ONMER) 35.NAME 31.NAME: 33 NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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 YO NT LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC 4 OWNER or AGENT CONTRACTOR (If A t Power of Attorney or Agency Letter Required) - (Qualifier Only) ' A Z Signed; Data:__,�, ! Signed: Date: Before me this day of 2009 in the county of Before me this�_day of a 2009 it th�u c� Duval,Sta of Flori ,pas person II app ared D t of Florida,has Hall a geared �,i A LSA �' b C ?' O A herin by himself/herself and affirms that all statements and declarations are hedn by himself I herself and affirms that all'stafements and derl 'aas x in true and accurate. true and accurate. Nota Public at Large,State of _.County of Notary Public at Large,State of�,County of Notary � ElPersonally Known ❑Persy Known roduced Ident- f n- �- V 5�0duced Ident, n- �+ Notary Sig u ne Notary Signature: ne ry Pu lic-State o :2 r •' V EON leuol N 9 PaP a W d A bpi�o 3'' ""°" "" •' mmission Expires 14,2i ££9815 D4# IS WO - lY U a sandx uolsslwwo R - -;F,FF;.;;. ommission#DD 518533 OLOZ`bL 4 - D _�- ' e uO( o ale _N n fuBlON 3�a' ` �o B n ed By National Notary Assn. R. 1 x,15 1�c�„dg4,�y��3 xa . FILE �] BL'uGv i PenTiit' pliilu INdM�1�VfiD��I�IIFiJ V 11'...r��, 'S J 4 r 1 SELVA ' GRANDE -DRIVE Z 50- Kluft' OF WAY (PAVED) 0 > X CONTRACTOR PA NG 0 STREE o a 11 •• s' �— �� 0 s o • 2 Ln ROLL OFF O,IdTA ER c 0 ON DRIVE AY . ;:; �, (n cm Fi LA CAN to to ENO 2L4* co sm CONCRM TWO STORY BRICK - a iE o AND WOOD FRAME �a r RESIDENCE / 1841 o 03 �,1+� . 14-d• 29.9 � W r � Z - LTI " t� O co 11.0 r\ V w t1► � f� � W Co 4' MOOD 1°044 . C7 O Z a M t Q ul ti Z Z W M�y� O M ids/ r3D • copicitm NCFM EXISTING L NEW WALL AT CURRENT FENCE LINE r c u t mm fE110E = EROSION CONTROL(SILT FENCE) Ic - - - - -� N 00"24'53" W 100.00` 0T30 _ LOT 31 L0T32 r M Silt fence fabric Metal or wood post or stake Fabric anchorage trench backfill with Direction of .4 tamped natural soil runoff flow 77 . 64 !Natural ml •. • Silt Fence inspected weekly and after significant rainfall . Significant Changes to the FBCR 2007 Edition R404.5 ■ Retaining Walls 63 CHANGE TYPE. Addition R404.5 CHANGE SUMMARY. New section provides requirements for retain- ing walls. Retaining Walls 2007 CODE: R404.5 Retaining Walls Retaining walls that are not laterally supported at the top and that retain in excess of 24 inches 610mm of unbalanced fill shall be designed to ensure stability against overturning sliding, excessive foundation pressure and water uplift. Retaining walls shall be designed for a safety factor of 1.5 against lateral sliding and overturning CHANGE SIGNIFICANCE. There are now new criteria for the design of retaining walls provided in the 2007 code. Where the 2004 code had no specific provisions for retaining walls, and because retaining walls are a normal feature in many residential sites, specific criteria similar to the FBCB have been provided in the 2007 FBCR. This needed section is consistent with requirements found in the FBCB and designates when a wall becomes a retaining wall. Further, Ijl�l the proposed change provides specific criteria for which a retaining wall must be designed. Retaining walls are regular features of residen- tial construction and should be addressed in the FBCR. I IIII More i . than 24" I ' Design retaining wall with a factor of safety of 1.5 against sliding and overturning. � I I, f 4' f U 2x8 P.T WALL CAP Z CONTINUOUS U) Lu 2x6 P.T TIMBER TIE Q v CONTINUOUS Uvi !� iv1 4 4x6 P.T TIMBER PILING 0 y 4'O.C.TYP. in c. . J � � aZ � � (zq � f° FINISH GRADE Q o I I I I = � a = II II II II II II u u TIMBER RETAINING WALL ELEVATION SCALE:1/2"=1'-O" J J_ C6 co f 2' f 4' f g �oLL J Q 0Q> w\3€ LLvN U 4x6 P.T TIMBER DEADMAN w Z Cp W 4'O.C.TYP. �_ L 1/2"0 THREADED STAINLEES w w STEEL ROD WITH GALV.NUT& w WASHER,BOTH ENDS TYP. w S 1- 2x6 P.T TIMBER CONTINUOUS NAILED TO PILINGS TYP. 2x8 P.T WALL CAP CONTINUOUS 4x6 P.T TIMBER PILING 4'O.C.TYP. kINING WALL PLAN VIEW ^� \ D-2 R v? s Q z g , I 0.37' — U FOUND 1/2- IR I LL PIPE. NO READ ` 4.'..WOW TENCEI Q r 4b N Z I � L _ z 2 z 0 LL w 4 WOO FFENCE w H ,a E 152.8$' ND , 2- IRON W- PIP NO CAP p ( � 0.48' .:. I W i' IRON TO tRON) � I-+—50' EASEM&T _ f i 1 � ' o I N'O NON h UN C 17 C O U— aS y N N O 5 N) N O V D Co Fl H E r c w. o t vV"-� N -I 0 - Lm 3drn.•� oG z �ag ti E U = @ani c�iwoEro mz£ Np covy o > cofA C I J m _ nvEo.• (D LU $ �^ c n0 ~ eJ 1 c PIPF. aD � I 0.3CCCC7c' o�_'vaN�VaC c:..2 CQQrE N QO Uto w y 111U'D�1-/2�' 4 I U W wLL = o co> 0ON4RE > Q t x y 4!'.VjOOD r L fO (L i rs n .Q�.omNmw O Lu C > rNvn33sEmm o _ � ax L £r7 `0 ! y i' 1e V J_ z I k _ 8 O g 0 0 ,mow • I } Dg 4 3 i g L) W zia 4` WOOD FENCE FMJND t Z" IRON 911 43 E q 1 52.8 PIPE, NO CAP 0 � cn v tir �-� .48' 3.05' IRONI TO IRON) w I® 50' EASE; ,NT---—�-j I , i O O D-1 R a I ~ O I Z w T 0.3T ( •, U � FOUND 1/2' IR Q PIPE. NO READ co �j N 4...W000 I a � J � otS v � ;", 7' _ o c o Wei ;oa ' X0001 00 1 Y Z , - A00, f J g cr-So L0 i o LLw x t Q�Q o, 4' WOOD FENCE � i 0 J LL, N Y 3'14" tt t PIPE' 2'PIRON 3 Q 14 E 152.88 0.48' 5.05' .iRON TO IRON) Lu I-+----50' EASE; C�NT--—.a t- O I I I D-1 FINISH RADE - - ----- 2x8 P.T WALL CAP CONTINUOUS I 1/2"0 THREADED STAINLEES STEEL ROD WITH GALV.NUT& I� 6 WASHER,BOTH ENDS TYP. 2x6 P.T TIMBER CONTINUOUS "'- NAILED TO PILINGS TYP. �-ILII 4x6 P.T TIMBER PILING -) 4'O.C.TYP. 4 FILTER CLOTH TYP. �D ( COARSE GRAVEL TYP. FINISH GRADE �_l' -1 I' -- CONCRETE FOOTING TYP. COMPACTED SUBGRADE I I 10" TIMBER RETAINING WALL SECTION SCALE:1/2"= 1'-0" i I TIMBER RETj SCALE: 1/2'=1'-0" i L0T, 15 EASEMENT S 89059'14" W 163.56098007 FouNQ l" IRON PIPE. NO (S 69'34'35" W 134.24' IRON TO IRON READ 0.7 ' TRA! fORMERPAD :M ' YONCRt?E DRNE ¢¢ ate". .. :.'.. .. ..••:.. . . ,', Kufv o wu PLANTER r, _U W 8 0 ix mLA. srEP� = a o W `,elf i O esa.� CON 00 LLJSgt. - � 4 IX R 2X •y . 1 r.e' S.8' •• - y, 5.2 FOUND 1/2- IRON w r PIPE. k0 CAP N 89'59' D� (123.0 CHORD = S 06'35'00" W 99.50' L 0 T 17 ARC - 1100.16' RADIUS = 251.99' (CHORD - S 06'36' 17" 99.46' FIELD) I LOT i� i ESEMT S 89059'14" W 163.56' o.se°i° FOUND 1Y2' IRON (S 89'34'35" 1'd 134.24' IRON TO IRON)`. 4 PIPE, NO READ �s+ 0.7 El �TM4SFOR/1ER PAD ;a ....; :•.. • ' t. ) 51.4' CE u- PlAMER .� O Y- W 8.0 'G`3 a mix b Lo } STEP--- oOw 7 p O z . . S s. ~ W d' w (/!O O CONCRF c-WALK" v� , 00 � 5ul R 5.2 't •Q FOUND 1/2' IRON r' PIPE, NO CAP c a�' (I 2i ICHOR® _ S 06035'00" bad 99.501 L o T 17 1100.16' RAD!LIS - 25.5 1.99' (CHORD - S 06°36' 17° 99.46` FIELD) I t0T15 i EASEWEW S 89"59'14" W 163.56' OUNo 1�2; IRON (S 89'34'35" W 134.24' IRON TO IRON) PIPE. NO READ Ej TRANSFORMER PAD , CONCRETE DRiVB ,� Ld 51.4' aes' CC O PLANER , Y Lil 8.0 0 La CONC ALK'. y�C O 0 Ir S8 r, �+ z a cq y a a.1• R 17. ' S.8' 5.Z O FOVND 1/2' IRON PIPE, NO CAP N 89 CHORD = S 0635'00" W 99.50' L 0 T 17 ,SRO' = 1100.16' RADIUS W 261.99' (CHORD a S 06.36' 17" 99.46' FIELD) Y�� City of Atlantic Beach "1 AA APPLICATION NUMBER s : -- Building Department (To be assigned by the Building Department.) I 800 Seminole Road \ ,� } �� Atlantic Beach, Florida 32233-5445 Y Ur _ Phone(904)247-5826 • Fax(904)247-5845 ,fyv� E-mail: building-dept@coab.us Date routed: �D Q City web-site: http://www.coab.us APPLICATION RIE'VIEW AND TRACKING FOR Deartment review required Yes No Property Address: anning &Zo g ree Administrator Applicant: /4��y L�c � P Project: 0f nqe S_ ` 7 d Public Safety tTw� +� 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: APPLi TION STATUS Reviewing Department f=irst Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by. Date: TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Rsview: ❑Approved as revised. [—]Denied. cammen : lavieF.zed by: Le: Olt, - City of Atlantic Beach "1 �1h pp APPLICATION NUMBER Js r x� Building Department , �� [1D1 (To be assigned by the Building Department.) 800 Seminole Road y � Atlantic Beach, Florida 32233-5445 / 5P Phone(904)247-5826 Fax(904)247-5845 (O -mail: -dept@coab.'u/s LDate routed. � 0 City web-site: hfp://www.coab.us APPLICATION E I l AND TRACKING FORM Department review required Yes o Property Address: anning &Zo g "Tree—Administrator Applicant: Met# C e . Project: /�97� / f _ Public Safety Fire Services l Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers 9 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: J ate: TREE ADMIN. PUBLIC WORKS coed Review: [—]Approved as re iced. ❑Denied. Comments: 4 PUBLIC U I ILITIE PUBLIC SAFE C Rkdle Oro FIRE SERVIC Swed b to le Date: Revoe :y Third Revicevvf: oved as revised. []Denied. encs. Rsvievtled by: Date: - City of Atlantic Beach ,��1a A APPLICATION NUMBER Building Department �1L'D1 (To be assigned by the Building Department.) 800 Seminole Road r Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845��► �� O �,f�>%' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property a Address: / y �' �� HT;5nning &__Zog hlpttll / ZA' 0L6'6?tRt ree Administrator Applicant: L �;-), � dcJ��1 Ut. . . Project: &47ii— Public Safety cz � Fire Services Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation �4,/ a\ St.Johns River Water Management District Army Corps of Engineers ?009 Division of Hotels and Restaurants �\ Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. (Circle one.) Corv�nents: BUILDING ,,''��\\JJ �� '� `tel `� �► � ��1� �� T) i - -c PLANNING &ZONING / u�� L TREE ADMIN. Reviewed by: Date: PUBLIC WORKS Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES r PUBLIC SAFETY 4Q 0 FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. [—]Denied. Comments: _ at . Public Works Plan Review Comments Date: Initials: Project Name/Address: Application Permit#: Check Box Application Tracking Comments to Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P - Roll off container company must be on City approved list and cannot be placed on City right-of-way. Drainage easement must remain clear with sufficient width for City maintenance equipment. Wall cannot intrude into easement. CITY OF ATLANTIC BEACH 09- _Y 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE(904)247-5826•FAX NO.:(904)247-5845 1 _ BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 'I JOB ADDRESS: ;'-_ } - ,,..'!a! ....._�".,< +;:-._•,._ 2'AOV LUATION OF-WORK - 3;SD FT UNDER ROOF, wn..._. /8y/ SC/ula- GRm eine OR scud .3 5 CLASS"OF WORK`. 6.USE;OFSTRUCTURE °'a�"as a 4:LEGAL DESCRIPTIONhc�;., ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL DESCRIPTION OFWORKrF 8`. = ` El ALTERATION ❑ACCESSORY BLDG. 8:.FIRE SPRINKLER. El REPAIR ❑POOL/SPA ❑YES 11 N/A Irk 1*Af � `L 71 I'tf 1�� ❑MOVE ❑OTHER 1❑NO RO RTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME Ni// C: �gA,0osc. (IeQ 144t.Twoc c aso--iores 16 NAME: 24.LICENSEE NAME: S c. %a -e(t T I,cabe -v I- N a 10.ADDRESS: 17.STATE OF FLORIDA LICE 5 NO.: 25.STATE OF FLORIDA LICENSE NO.: /SL/1 G�CoNP� / 2 1 B.ADDRESS: 26.ADDRESS: I n Q O 14-T Lev-T l c rS e A Cis i i i c-3 11.OFFICE PHONE 12.FAX NO.: 19.OFFICE��P(HyON�yE 20.FAX NO.: 27. F CE PHONE: 28.FAX NO.: y V* 93S1 3 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 9b4 qret '300 1 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: rr.w, t• C6�+ he ht�u,V Q Cac1�.ru�+ FEE SIMPLE TIT HOLDER BONDING COMPANY:_ '7 ` ,: MORTGAGE LENDER: (IF OTHER THAN ONRdER) ..�.,,.i%. ''' :y:. 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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. OWNERor AGENT9c,r CONTRACTOR (If.A t Power of Attomey or Agency Letter Required) - (Quelfier Only) / 4 Signed, Date: Signed: (T�+-�� Date: �T / da of 2009 in theBefore me this�day of dr 2009 in the county of Before me this y Duval,Sta of Flon pas person II app ared D t of Florida hasp Hall a geared US �t j 1 3t)e� TCh �o�,e-( herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that allfstatements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of County of ❑Personally Known ❑Pers y Known roduced Identir ti n- L I��oduced Identir Notary Sig ur . Notary Signature: y e ON Ieuol eN Ae pap - ry Pu lic- State o a do'`i iO�lul f w �»•�My Commission Expires 14,2010 6E991 S 04# OISSIWW0 `c` + �a i I iqt J: OIOZ'til qa2 sandx3 uolssi(uwoD RW°• %F F 11"F Commission#DD 518533 P. Li 1 ) iS l9.d �+ Bonded By National Notary e uo o a e ai i n1B O a �Wl o, Assn. BL'uGOi Pe�i1i[' pfceuon oIG-:Rc iq^D'• 'q,�d ,� WV MHZI� T�jl& BP25OU01 CITY OF ATLANTIC BEACH 6/01/09 Application Tracking Step Selection by Revision 09: 22 : 57 Application number . . . . : 09 00000626 Address . . . . . . . . . . : 1841 SELVA GRANDE DR RE number . . . . . . . . . . 169542-5032- - Application type . . . . . : FENCE PERMIT NCR OLD ACCOUNT NUMBERS . . : AB23033 Tenant name, number . . . . . Type options, press Enter. 2=Change 4=Delete 5 View 6=Fast log 8=Action log maintenance 9=In/out maint Path ---- Key Dates --- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By _ BUILDING DEPT. A 01 Y 05/05/09 05/14/09 _ PLANNING & ZONING A 01 Y 05/13/09 05/14/09 05/13/09 AP SD _ PUBLIC UTILITIES A 01 Y 05/14/09 05/26/09 05/14/09 AP LS PUBLIC WORKS A 01 Y 05/15/09 05/26/09 05/15/09 FR LS Bottom F3=Exit FS=Land inquiry F6=Add F7=Revisions FB=Misc info inquiry F9=Corrections report F10=View 3 Fll=Sort by agency F24=More keys s sem, CITY OF ATLANTIC BEACH ------ 800 --800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D EPT@COAB.U S BUILDING PERMIT APPLICATION DUVAL COUNTY 1.J,JOB ADDRESS. 2.VALUATION OF WORK 3F50 FT;UNDER,RDOF„ Sc-'Iva, Oa spa -- PTIA+ .-F:_ - 57.CLASS OF WORK' B USEE: :OF STRUCTURES, 4 LEGAL DESCRION;,,�« ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL DESCRLP,T]ON OF WORK '+:, 13 ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER. ❑REPAIR ❑POOL/SPA ❑YES ❑N/A /J ❑MOVE ❑OTHER ❑NO PROPER OWNER: CONTRACTOR. ''ARCHITECT/ENGINEER: 9.^NAME: 15.COMPANY NAME: 23.COMPANY NAME ,[ ocr4F GL. L14A,10 AR'2 I4AtTwc I // � gcSoc�otC'S ,// 16 NAME: 24.LICENSEE NAME: 60 -t RT �c��A21tT I- N CL�Z W I 10.ADDRESS: 17.STATE OF FLORIDA LICE 5 NO.: 25.STATE OF FLORIDA LICENSE NO.: Git4NPc / Z 1 B.ADDRESS: 26.ADDRESS: /-VU j e I,j 2-AW131 Q O 14- LJ:VTIc rSee I GL-eN�p1Jl A r �� SwcKza1i �?oS 11.OFFICE PHONE: 12.FAX NO.: 19.0FFIC'EON6E3 S 20.FAX NO.: 27.Q�FlCE PHONE: 28.FAX NO.: % 13.CELL PHONE: 21.CELL PHONE:: 29.9.CVCELLL PHONE: 3 9644 62 300 ') 14.EMAIL ADDRESS*^ 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: CO'- h e h AwK Q %AcA C am FEE SIMPLE TITsm- IE HOLDER: BONDING COMPANY a Y ` � MORTGAGE LENDER ry , "__(IF o=rriF�ii`itwni owriEW 31.NAME 33.NAME: 35.NAME- 32. AME32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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'AGENT- CONTRACTOR (If A e,g Power of Attorney or Agency Letter Required) �� I.(Qualifier Only) Date:_ +tet=`_ Signed: ""''�` Date: y N D Signed: `� Before me this ,,,day of 7/� 2009 in the county of Before me this�_day of 66 2009 in the county of Duval,Sta of Flori ,pas person II app ared DyS ati of(.+rida,hasp nallt{a pe r . herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all to ements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State ofd_,County of ❑Personally Known ElPers y Known roduced Identif ti n- �- •oduced Identif n- ��LJ Notary Signature: Notary Sig ur,`isimmmilwil Mill ` 20, Ti. ON leuol N Ag pap c• . ry Pu lic-State o a Jd`�ia do,.e,; ,^ • My Commission Expires 14,2010 # olsslWWo . Commission#DD 518533 sajldx3uOISSIWWOD Ryy .; a�r a oil n fueloN ;%, ` C, "' Bonded By Nationl Notary Assn. T Is- d.- %an idBL'uG0i PE ��Vfi°lJ`l A City of Atlantic Beach "1 �' A APPLICATION NUMBER Building Department , �` �� [`91 (To be assigned by the Building Department.) �. "sv zS1 1 77 800 Seminole Road _ 0 z/_ Atlantic Beach, Florida 32233-5445 � U SF Phone(904)247-5826 • Fax(904)247-5845 (P E-mail: building-dept@coab.us Date routed: �D d City web-site: http://www.coab.us APPLICATION REEVIEW AND TRACKING FORM De artment review required Yes No Property Address: l L 'a' - anning &Zo g I� llmtll ree Administrator Applicant: L�C'�7�� PU J Project: U/�n�6- rt It T Nubiic Safety Fire Services Review or Receipt Date Cather Agency Review or Permit Required of Permit Verified B '�. Florida Dept.of Environmental Protection Florida Dept. of Transportation �t' St.Johns River Water Management District to Army Corps of Engineers \ �9 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: f]Approved. ❑Denied. (Circle one.) Comments: BUILDING Ap PLANNING &ZONING TREE ADMIN. Reviewed b Date: J� PUBWC WOfKS Second Review: ❑Approved as revised. ❑Denied. U Comments: iC It PUBLIC FIRE SERVICES Reviewed by: Date: Third Review: [-]Approved as revised. ❑Denied. a Rsv[&Fved by:_, Public Works Plan Review Comments Date: '� J f)9 Initials: Project Name/Address: J1Bq1 SELL GAAAJ6 "2 Application Permit#: Check Box Application Tracking Comments to Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P -Roll off container company must be on City approved list and cannot be placed ❑ on City right-of-way. ❑ City of Atlantic Beach f t� APPLICATION NUMBER Building Department / 1 Tt—. (To be assigned by the Building Department.) 800 Seminole Road Jut/ a y r Atlantic Beach, Florida 32233-5445 l() 1.4 Phone(904)247-5826 " Fax(904)24775845 E-mail: building-dept@coab.us ��,\ / Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: It f, nt review required Yes No Applicant: nnin Zonin Tre trator Project: ublic ry 1 4 Ic Utilitie P-075713-Safety, 1 � Fire Services R�v�ew fRE--R , Dept'Slghature : Other Agency Review or Permit Required Review or Receipt Date 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 Tobaccr, Other: Reviewing Department First Review (Circle one.) Comments: BUILDING PLANNING &ZONING Date: 3 TREE ADMIN. Second Review: [-]App. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Review Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: a Data: Revised 05114/09 * �f CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 _ INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000853 Date 6/18/09 Property Address . . . . . . 1841 SELVA GRANDE DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------- Application desc REPLACE CONCRETE DRIVEWAY W/ PAVERS ------------------------------------------------------------------ Owner Contractor ------------------------ ------------------------ ROBINSON, PHIL OWNER 1841 SELVA GRANDE DR. ATLANTIC BEACH FL 32233 -------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/15/09 ----------------------------------------------------------------------- Special Notes and Comments erosion & sediment control required (maintain dirt onsite) roll-off container, if used, must be from approved provider ---------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 6 r Fr■A ■ SEXdV*r Z U THOMAS A. SELVIG TREE DIAGNOSIS/PRESERVATION BOARD CERTIFIED ARBORIST r 3080 Cortez Road, Jacksonville, Florida 32246 • (904)646-0912 August 22, 2002 Don Ford Senior Building Official 7IBulldlng City of Atlantic Beach r`.'.� 2 6 "' ��800 Seminole Road lantl �eagAtlantic Beach, FL 32233 Clty of Atlantic 13a3Chand Z Ing Bulld[ng and Zoning Dear Mr. Ford: I examined the Water Oaks on the lot for Mr. Robinson in the Selva Development Project. The three (3) Water Oaks in question are so badly diseased and filled with Mistletoe that I view them as a hazard and strongly recommend their removal. I am at your service, Thomas A. Selvig, C.A. CC: Mr. Robinson 1841 Selva Grande Dr Atlantic Beach 32233 PREPARED 7/07/03, 16:04;20 INSPECTION TICKET CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS PAGE 15 DAT---------- - ---- ---------------------------------------- - ADDRESS 1841 SELVA GRANDE DR E 7 08/03 TENANT, NBR: SHOWER PANS SUBDIV: _ _ CONTRACTOR WILLIAMS BIG BOY PLUMBING INC PHONE (904) 241-1880 OWNER ROBINSON, PHIL PHONE PARCEL 169542-5032- - APPL NUMBER: 03-00026449 PLUMBING ONLY --------- PBFlIIT: PLBG 00 PLU!lBIAG PBRMIT----------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULT /COMMENTS --------------- ------- 45 01 7/08J03 LJH ---it Lj -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 SIT Application Number . . . . . 03-00026449 Date 7/07/03 Property Address . . . . . . 1841 SELVA GRANDE DR Tenant nbr, name . . . . . . SHOWER PANS Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ROBINSON, PHIL WILLIAMS BIG BOY PLUMBING INC 1841 SELVA GRANDE DR. 516 11TH AVENUE S ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-1880 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL r CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION - Date: -217 6 Job Address: V e lucl S ct to Q e Owner of Property: ! PC,) (S cGvs<:Y� Telephone: Plumbing Contractor: '�UA_ Contractor's Address: I Telephone: ` �.�� Fax: „ State License Number: o 0 Ce (e 70 r How many of the following fixtures (re.piped or new): Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs DishwashersSewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-Pipe (List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 = -(Minimum Permit Fee:$35.00) Signature of Contractor: Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to scheduleinspections: (904) 247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 /AAA\1AI1 Go AA T.___ /AAA\ %A.7 Go AG Lu_.11_..._.... -. L_--L A _ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tet. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 24490 Address: 1841 SELVA GRANDE DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233 I I Township: Range: Book: Class of Work: ALTERATION Lots : Block: Section: Square Feet: Proposed Use: SINGLE FAMILY Subdivision: SELVA TIERRA Est. Value: Parcel Number: 1-7 Improv: Cast: 4,400.00 OWNER INFORMATION Date Issued: 7/23/2002 Name: ROBINSON, PHIL Total Fees: 54.00 Address: 1841 SELVA GRANDE DRIVE Amount Paid: 54.00 . ATLANTIC BEACH, FL 32233 Date Paid: 7/23/2002 4 246-7263 Work Desc: REROOF _ 4L, F . CONTRACTORS _ x r' .TION FEES ROMANO ROOFING SERVIC '� � ��` F,. 54.00 _� o: Y V' �^ +MSF •l �y C �.l a M pr i 3 NOTICE- INSPECTION.,4 T BE RECUESTED AT LEAS" 24 HOURS P R TO ISI PECTION BUILDING MATERIAL, R06BISH AND DI BRIS FROM THIS WORK MUST NOT PED ) BLIC SPACE, AND , MUST BE CLEARED UP At4Q HAULED A\NAZ4 BY EITHER CONTRACTOR, � 4'�:- '```".,�, ..»: ,x• tea= >. 01t .. - "FAILURE TO COMPLY I Cf NST „IIqTIQN 4-111,141/ C1 LT IN THE - PROPERTY OWNER PAYING I 'I`.F D!9ICiii�l - - — - S PERMIT AND Sj ISSUED ACCORDING TO APPROVED PLANS SUBJECT TO REVOCATION { FOR VIOLATION OF APPLICABLE PROVISIONS OF LAVH. 4 D�IIn Type: oc Draw: 1 t 7/29/02 h I Z-pt so: 77244 14 POI ITS-NrILDING 1 551.iA CITY OF A4TT IC�C - I*" SELVI OAK Dtl` - - -- - (2 2907 l51.ii Tten irh: 7/29/$2 Tim: 15:36:33 P L _ City of Atlantic Beach • 800 Seminole Road • Atlantic Beach, FlckidhI21930cx Phone: (904) 247-5800 • FAX (904) 247-5805 • http://www/ci.atlAA� - &8fi b ' PERMIT APPLICATION FOR ROOFING Trym JOB LOCATION / � � U�i C �r OWNER OF PROPER ` /� °�/�,S' PHONE# -Z-Yvl -7 2-6 ,3 CONTRACTOR CONTRACTOR ADDRESS 3 C-) CONTRACTORS LICENSE NO. L� l a,S "13 PHONE# SCOPE OF WORK �-i v.> �'--r/- 6 G fv DECK SLOPE GREA7R THAN 2 : 12 LESS THAN 2 : 12 ��Z ACTUAL VALUATION OF WORK $ `z �' E U r MATERIAL TO BE USED -5,9 ArC ��`��ASTM DESIGNATION REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP. POLICY SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO OCCUPATIONAL LICENSE St D YES NO �"lGLORIA J.CAS ERLINE-McLA SIGNATURE OF OWNER S C 976739 0 9� l lol EXPIRES:December 8,2004 SIGNATURE OF CONTRACTOR 800.3-NOTARY FL Notary Sery ce&Bonding,Inc. SWORN TO&SUBSCRIBED BEFORE THIS DAY OF `'�7�' 200 AS TO OWNER NOTARY PUBLIC `"IP& GLORIAJ.CAS"ERLINE-McLAUG1{Citi o� MY COWMISSION#CC 976739 �Of F � EXPIRES:December 8,2004 1-800.3-NOTARY FL Notary Service&Bonding,Inc. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address V,'CA t ` C-C-Wt - C-ZeA-L� Vf?— Date 2.Date "i' 02- ZHeatHeated ed Square Footage $ per sq ft = $ Garage/Shed per sq ft = $ Carport/Porch@ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ A , [(� $� Ib, 1C Total Valu et 3 9 oo on 1st $ SO&a ec-) $ 2�b Remaining Value $6.flv per thousand or portion thereof TOTAL BUILDING FEE $ , + 1/2 Filing Fee $ -1 g ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ A- _ 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 $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 14 PHONE#-f 71-- NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE Permit No. Tax Folio No. N State of County of N ri To whom it may concern: 41 The undersigned hereby Informs you that Improvements will be made to certain real property, and In CLIM accordance with Section 713 of the Florida Statutes, the following Information is stated In this NOTICE OF COMMENCEMENT.CU Legal description of property being improved: D "l / ��w�i �� + Je Are- /3c4-7 C - 3Z123 a Address of property being improved: 0 1304 3 Zz33 0 General description of improvements: �/� Gti/ �ho.� •-��fc /�� 71 Owner /, 6 6/H rpm Address _- �'7 / (' Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) . Name Address Contractor `.•tic, �• o o� f,�c s�'l��j/"�� Address _ 3 0 -L—,P!S . Phone No. Z b— sbo - `! 57 Fax No. �p yp Surety(if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the imprpvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of.Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is specified): TNis SPACE FOR RECORDER'S USE ONLY OW ER Signed �l_Date: /7.20� Before me this y of osayd in the County of Duval, State of Florid , has personally appeared C q C _ r �oo 20 04173 Notary Publi at Large, State of Florida, County o uval ook: 1 C3 Pa e. 1258 My commission expires: Filed & Recorded 07/22/2002 03:12:04 PM Personally Know - o f CLERKUL CIRCUITCOURT Produced Identification *rN� GLORIA4,CASIERLINE.McIAUGHt v DUMC COUNTY My NIM TRUST FUND $ 1.00 �OF�tO EXPIRES:December 8.2004 COPY FEE $ 1.00 1-e0o- NOTARY FL n1t11v seM-&Rex1dm 1"-. CERTIFY $ 1.00 RECORDING $ 5.00 571 &/ V n1'� ��.- /CITY OF ri(��iif%4c Be4413A- Office of Building Official REQUEST FOR INSPECTIOf� Date �r, `[J� Permit No. ` Time q Received G p O Job Address Ity Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Fram' ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond.& ❑ Roofin ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab M. Mon. Tue ed. Thurs. Friday A.M. Inspection Made PM. Inspector Final Inspection ❑ Certificate of Occupancy❑ Date �, CITY OF 4&sC Beac,4-0;&U.41#42 Office of Building Official REQUEST FOR INSPECTIO Date 5—/,0 Z �� Time Permit No. Received A.M. P.M. Job Address Owner's Locality Name Contractor BUILDING CONCRETE ELECTRICAL Framing ❑ PLUMBING MECHANICAL Re Roofing LAY Slab ng ❑ Rough Wiring ❑ Rough ❑ Temp Pole ❑ To Out ❑ Air Cond.& ❑ Insulation ❑ Lintel p ❑ Heating ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. f Wed. Thurs. FridayA.M. (i Inspection Made A.M. —RM. Inspector P. Final Inspection Certificate of Occupancy G Date U.krr ifirttte of (�rru ttnr CITY OF AN"& &aA- %si& Brvartmpnt of +Nniihing +3mvprtiun 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. use clsssiliat;en Single Family 6374 Bldg,permit No. Gt°"p---T1PeCamtnKifooFT 2TIle Fire District.. Atl�nti Beach Owner of Building P'o b iRsnl� P T ,. .ZX .I Address—. 2lZ 1-lacrTolla .:l`.. Building Address Is 1 S a IIra ('r a T1 d - Cl' / 4,LC'Cj04%S BY:---- BuildingOfficial D., J UT2C, 26, PONT IN A CONGPICuoUS !LAGS CITY OF >*eao.4c Fead - 9&ud4 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 July 3, j 98 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 Dear Sirs, The following final inspection has been made and is satisfactor]: ( / Permit #3$11 - ] 84] Selva Grande Drive C� Permit issued to Ferris Electric Company The following courtesy inspections have been made and are satisfactory: ] 830 Sevilla Boulevard #300 through #312 ] 830 Sevilla Boulevard #200 through #212 Sincerely, J• hn M. Widdows Building Inspe tion Supervisor JMW:ra CITY OF Office of Building Official REQUEST FOR INSPECTION J Date Permit No. ((00 Time A M Received p,M, District No. Jo Address _ �� /►r Locality Owner's (/� 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 ❑ READY FOR INSPECT N Pre Fab Mon. Tues. A.M. urs. Friday_P.M. Inspection Made A.M. P.M. Inspector Final Ins / Inspection L� Certificate of Occupancy Date CITY OF 716 OCEAN BOULEVARD _ P.O.BOX 26 -- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 INSPECTION LOG BUILDING PERMIT# ELECTRICAL PERMIT# PLUMBING PERMIT# ME HANICAL PERMIT# JOB ADDRESS CONTRACTOR y4- OWNER Called In nspect JEA Approved Temp-Pole Slab l 4 Footing Foundation Framing Plumbing(R) Electrical(R) Mechanical ( Fire Place Top Out Electrical Final FINAL INSPECTION ta.? Comments : r [ �r [ e4' CITY OF iQ� Bec�,li-&7&U4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Ti me A Received P District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing E Footing Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing F: Slab ❑ Temp Pole ❑ Top Out n Heating Lintel C Fire Place El Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. j� Thurs. Friday P.M. _C_&T A.M. Inspection Made P.M. O Inspector Final inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received 'v P.M. District No. Job Address Locality lily Owner's Name Contra o 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. Wed. Thurs. Friday P.M. A.M. Inspection Made v P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF- f4&a14C BBC- t-0;&U-CPQ 4 Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time A.M. Received P.M. District No. Job Address Locality Owner's 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 (-C Pre Fab READY FOR INSPECTION A.M. Mon. C!F!: A. Wed. Thurs. Friday—P.M. �� _�� M. Inspection Made P.M. Inspector Final Inspection C1 Certificate of Occupancy Date CITY OF 4&4a4b BeccA-I&UC& Office of Building Official G REQUEST FOR INSPECTION (;! Date Permit No. Time A.M. Received P.M. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL /PLUMBING ECHANICAL Framing —D Footing C Rough Wiring_-I3 Rough Heating d He Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place Cl Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. C t Wed. Thurs. Friday—P.M. � //'O L A.M. -� Inspection Made ) P.M. Inspector [/ Final Inspection Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �l- �` 19dy 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. r 6--2- L c ELECTRICAL FIRM: MASTER EL IAN SIGNATV<E JOURNEYMAN NAMEC4 f _� ADDRESS:1t I L td �WA!2t0IlC-BOX BLDG.SIZE BETWEEN: RES. ( '1r APT. ( ► comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( -r- OLD ( 1 REW. ( ► ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS 1 ) SQ. FT. SERVICE: NEW C-< INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE 4 - L) AMPS -'a COPPER ( 1 ALUM. ( SWITCH OR BREAKER C•tl AMPS PH , W -UVOLT L.' 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 APPLIANCES =BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT -L- 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 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 6374 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB February 1 84 Date 19 Valuation$ 82,600. 70 Fee$ 303. 75 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 MILLER CONSTRUCTION C i 2274 Atlantic Blvd, Jacksonville, Florida has permission to build S(bn leFFar'iily Home as per plans Classification Residential ` r" 303975CKT Zone PUD6b22 I A 2/0118 Owned by Phillip & Jean Ronson Lot i6 lr Block SSD Selva T1�� House No, l R� �;aa„de Drive n /� According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- I SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ��♦ A AFTER DATE OF ISSUE �� Z Building material, rubbish and debris i from this work must not be placed in public space, and must be ared = up and hauled er necon- Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER I WATER FORM 902 CLIMATE ZONES 123 9 F WINTER OVERHANG FACTOR (WOF) 9 f SUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0. 74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1 .00 0.98 0. 99 0.77 0. 76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0. 79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0. 75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00. 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0. 70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0. 76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0. 77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0. 76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP 2.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 3.2-3.3 3.4 & UP HSM 0.45 0.42 0.38 1 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) "9H I COOLING SYSTEM MULTIPLIER (CSM) EER/ 6.8-6.9 7.0-7.4 7.5-7.9f .; 8.5-8.9 9.0-9.4 9.5-9.9 10.0-10.4 10.5-10.911.0-11.9 12.0-1p ELEC. SEER CSM 1.00 0.93 0.87 0.81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP GAS - CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER = COOLING MODE COP x 3.413= ARI RATED COOLING OUTPUT IN BTUH = TOTAL WATTS CONSUMED 91 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 ELECTRIC BACKUP 6.7 HRU (A/C) WATER HEATER GAS BACKUP 13.9 HRU (HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 1 0.5 0.6 0.7 0.8 0.9 1.0 t: - ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER oz Lu o GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 U d *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM _ 100 = OVERALL SOLAR FRACTION 4 TNE STATE FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION ° FORM 902 BOB GRAHAM SECTION 9: 9H POINTS METHOD CLIMATE ZONES GOVERNOR r,�// DEPARTMENT OF COMMUNITY AFFAIRS NORTH 123 PROJECT NAME i' 14-<-7e JURISDICTION AND ADDRESS ZIP ZONE BUILDER i ,,� G�� % PERMIT NO. OWNERJURISDICTION NO. STAT I S T I CS IF MULTI-FAMILY, NO. OF UNITS -7-1GLASS AREA AND TYPE El RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM QADDITION (SEPARATE CALCULATIONS REQUIRED a� SGL = SGL MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 12-121 DB L -FMDBL GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY / : R= =.0 R= m•❑ COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM a CENTRAL NONE a STRIP GAS NONE a RESISTANCE SOLAR EJ UNITARY F-1 OIL Q SOLAR F� HEAT RECOVERY HGAS EER-SEER = �❑ FX1 HEAT PUMP: COP = ❑,a DED. HEAT PUMP: COP OTHER: OTHER: MAX. E.P.I. ALLOWED (from 9A)' E= 7CALCULATED E.P.I.:.[::] CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* CERTIFIED BY: DATE FORM COMPLETION DATE D KBY: CHECKED(owner/agent) C (building official 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 1101- 1301- 1501- 1701- 1901- 2101- 2301- 1 FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 2300 ABOVE ' BASE E P 1 120 115 110 105 1 100 95 9 85 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PU P) -10.0 DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED COMPUTE MAX. E.P.I. ALLOWED ' _ _ 0 *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE �yy COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. (t :!.;.;;!,F.�:`: E��i._fi•\E I�/'I��R��LL � ��i�:s' �I��.v��...i�{F1.R ,�i'�" Tlf/��i�G'� ii 2: lIMM:,fi�4�l Y:�l�lM7'�'R7� :. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 903.6 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 MAP S i WING ,SURVEY OF AND 2 A LOT 16 , SELVA IiERRA , AS RECORDED IN PLAT BOOK 38 , PAGES 28 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA . nor for tof L� �t !/ 30 SD' E49EMENT <OR ORA/�V4L'E, CIT/L/T/E9� f SEWEP9 H �s J. 104 ZQ e• F>vJ lz"i.v 1 m, 141 h � p 0 m 9ET�1' � / �GT �!"• for /Jr O CO.vC. /7 Q FD u/vv o-r IOAI 3 m �!! n F//+/ F.C. S4EV. 9 S n a I 30.0' 'a� I ►. 01 o � Q --qw c q N . :VD. fes ' /. o N 3s' 9 1- ,0gz-,z ,, Pit's/.P Vit GRANDE D so ' /P/vv I HEREi3Y CERTIFY THAT THE PROPERTY SHOWN HEREON IS IN FLOOD ZONE "A " AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH, Fi_ORIDA . I HEREBY CERTIFY TO PHIL ROBINSON AND FLORIDA FEDERAL SAVINGS AND LOAN ASSOCIATION THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21 -HH AND THE FLORIDA LAND TITLE ASSOCIATION . EG�v,4 rio,v� P�_.5s% Gti fv S,L. DiJTUts> (u .6.V.D,) i J DOW W. SOATVMQNT, L. S. FLORIDA REG. LAND SURVEYOR IMt 3295 SCALE;. i = 3d 904111ftNT LAIC DAWYORS INC. DATE SIOIED: OR N K: PG.S. orc�.�/Be,c a, /J61 1301 'lIMAN ROAD, >lU1TE F S. i� // - JAidG90MVM.LE 9EACI1 FLEA 241-8330 SHEET . / OF / 5 ' DEPARTMENT OF BUILDING PERMIT NO.6 3 7 I CITY OF ATLANTIC BEA K FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB h I February 1, 19-- Date ,.wRr�T7�Tfz Fee$ 62 - 50 Valuation rm. not valid until above fee has been paid to City Treasurer,and is This pe ltcable provisions of law. Om�any subject to revocation for violatio Of ap l e d g e P 1 umb I n g This is to certify that has permission toxwk ' , '0/U Zone PUD 7300 �O0CAC RESIDENTIAL _1 Classification ROBI SO SID �,i'`��u Owned by Block� Lot ' 1841 Selva Grange i House No. art of this permit FORMS According to approved plans which are p NOTICE—ALL CONCRETE BE IN- AND FOOTINGS MUST SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I ubbish and debris pBuilding material, rbe place Z d from this work must not public space, and must be cleared in p p up and hauled away by either con- r r-,owner. _ fL,e l r Building Official. II CONTRACTOR PERMIT DATE FOR OFFICE NUMBER USE ONLY PLUMBING ELECTRICAL SEWER W ATER CITY OF ATLANTIC BEACH S� APPLICATION FOR PLL^lBING PERMIT OWNER'S NAME \ LOCATION L.ltj Pt Gr Gr �r—rt� \LAAO _ MASTER PLUMBER axcxXe -- �� —.-----__—_ — — STATE/COUNTY OCCUPATIONAL LICENSE NO._� 75 — CERTIFICATE NO. CONTRACTOR (Z. _. v, �E?_ ------ TYPE OF BUILDING "&,AL, .:� *Iz ------------ _SINKS _SHOWERS LAVATORY WATER HEATERS BATH TUBS V--DISHWASHERS © URINALS -DISPOSALS _CLOSETS _WASHING MACHINE _FLOOR DRAINS _OTHER k\OSe IZ OO.S TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. i tu - y N -� LOT Irk IN � 4'A 2tSIDeatGc 1Y^", tis `•f , _ - .-� Al - �0 fc L M AW r ,• ' lz Ica 0 lap hs>rMEtiIT ,,` a - ' �►o ° �eEy Li d s Iv 1,,, G A L V 0-5 CV-! n Irl G?,4J : pLA•'f f''jC?O rG ��.$ � 2 8L� . �Jt1vA L GDv�•J 1Y, F�v�Lt D,4 f2DM a Svave e rbY ooAjm w, Q�o�1"��QrbNr L. �j, Si��Ea OLC,r, � �� E S! ��1 G L ��'.- ��--� ILl � � � E �►� �< DCS !� 5�� CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT INS APPLICATION IS HEREBY !-1ADE FOR 7- _ WATER CUT-I.; AT THE FOLLOWING ADDRESS FOR / UNITS . CUT-IN CHARGE OF� STREET N0 . LOT �- BLOCK ACCOUNT NUMBER BUILDING DEPARTME DATE METER NO. DATE INSTALLED 1 i CITY OF ATLAN"TIC BEACH APPLICATION FOR SEVER CONNECTIONS ACCOUNT NO. .� 33 DATE - "� LOCATION �f / ,1 �J Cl/1 i LOT N0. ` BLOCK N0. SUBDIVISION 0WNER TYPE OF BUILDING CG ` BUILDING DEP Ti NT DATE INSPECTED BY 1PI' Rn, VEn GiTY CIF F•.I I'J"ITIC r ; PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS 3 CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE (� WATER HEATERS r DISPOSALS 3. LAVATORY URINALS OTHER TOTAL FIXTURE COUNT 3Sa FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ( UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) pctit Std �- SHOWER STALL, DOMESTIC B*P&MM (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) o�.. DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) y KITCHEN SINK/WASTE GRINDER (3 UNITS) nG� � TOTAL FIXTURE UNITS @ $10..,00. EACH U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FEDERAL MOUSING ADMINISTRATION FHA Form 2005 for accurate register of crrboo copiiii,form Form Approved VA Form 26-1852 m.y be..p.-,.d along •bwe fold. Sta le OMB No.63–R0055 Rev.2/74 completed sheers together in original order. Proposed Construction DESCRIPTION OF MATERIALS No. (To be taysed by FNA or VA) ❑ Under Construction Property address Lot 16 Selva Tierra City Atlantic Beach State Florida Mortgagor or Sponsor Philip Robinson and Jean Dziadul 212 Magnolia Street (Name) tAdk—) Contractor or Builder Miller Construction Company & John F. Meissner 2274 Atlantic Blvd. 32207 (Name) (Add—) INSTRUCTIONS 1. For additiorul information on how this form is to be submitted, unless required, then the minimae acceptable will be assumed. Wolk number of copies, etc., see the insWctions applicable to the El1A exceeding minimum requirements cannot be considered unless ctficall Application for Mortgpge Insursnce or VA Request for Determination of described. s� y Reasonable Value,ns the case may be. 4. Include no alternates, "ore al' 2. Descnbe all materials and equipment to be used,whether or rot (Consideration of a request for acceptance of substituttee�m�at,,iRlB ory . shown on the drawings, by marking an X in each appropriate check-box ; r rqu{mentis not thereby precluded.) and entering the information called for in each apace. If space is 5. Include signatures required at the end of this fora inadequate, enter "See mage." and describe under item 27 or on an 6._ The construction shall be completed in compliance with the related atLdted sheet. TTS USE OF PAINT CONTAIMNG MORE THAN FIVE drawings and specifications,as amended during process&, The speafics- TEYI}6 OF ONE PERCENT LEAD BY WEI(:21T IS PROHIBITED. tions include this Description of Materiels and applicable Minimm Pxo- 3. Work not specifically described or shown will not be considered petty Standards. 1. EXCAVATION- Bearing soil,type Sand 2. FOUNDATIONS: Footings: concrete mix Concrete Block ; strength psi 2,50011 Reinforcing)–SII Top 2-115 Rebar Foundation wall: material Reinforcing Interior foundation wall: material Party foundation wall Columna: material and aizea Pien: material and reinforcing Girders: rnater-Mil and sizes Sills: naterial Basement entrance areaway Window areaways Waterproofing Fooling drains Termite protection soil poisoning B—trientless apace:ground cover insulation foundation veno sp,w bund.L,ons 6" step from front porch to entry way level Additional information: Slab shall be at least 9.3' above sea level and at least 2' above crest of Road (Selva Grande)/back patio to include 8" footing and 2-115 Rods in exterior edge. 3. CHIMNEYS: Material brick finish Prefabricated(make and rice) Flue lining: material Heater flue size Fireplace flue size (as selected to Vents(ma/enal and ricr): gas or al heater water heater fit stove) Additional information: 4. FIREPLACES: Type: ❑solid fuel; ❑gas-burning; ❑circulator(make and rite) Ash dump and cleanout Fireplace: facingkningg ;hearth ;mantel Additional information: (Allow $1,500.0 ) for wood stove and flue/slate the backwall to door head/ S. EXTERIOR WALLS: allow 1" air space - backwall) Wood frame: wood Rrade,and specie 112 Hem Fir Carne br , Building paper or felt see add. info 1/8 Thermo 1 n woo ac oar blind �ric'c Sheathing 'PPTY" � �cjnns width ;[3 solid;❑sppaaced "o. c,;[-]diagonal; Siding horizontal cedar ; grade clear ;type bey laV,iu lx8 ST ;4""". 6-1/2.. listening hot dip gal Shingle grade—; type ; size ; exposure "; fastening nails Stucco ;thickness , Lath ; weight Ib. Masonry veneer brick ground f 1 Sill, brick roloc Lintels angle iron Base Bashing Masonry:❑ solid ❑ faced ❑stuccoed; total wall thickness facing thicknessfacing material Backup material ; thickness "; bonding Door sill. Window sills integral line Base flashing integral Interior surfaces: dam pp� fin6, coats of ; furring Additional information: LSI/ Felt bl paper at brick, rosin sized paper at wood siding Exterior painting: material wood stain number of coats 2 Gable wall construction: Q tame a; main walls;❑other construction 6. FLOOR FRAMING: jocu: wool,grade, and specie truss joist – gjhiii fl Web 112 SYP bridging metal ;anchor Concrete slab:❑basement floor; Q fine floor;aground supported;❑self-supporting; mix 2500 11 thickness 14 reinforcing 6x6 1110/10 ; insulation ; membrane 6 ^til tisqueen incl Fill under slab: material san< ; thickness + . Additional inforTrnation: garage & patio 7. SUBFLOORING:(Describe underflooring for special noon under item 21.) F.lateriAl: grade and species plywood ;size 3/4 ;type Laid:C3fint floor;® o second floor;E]attic 1500 sq. ft.;E] nC3diagoal; right angles. Additional information: 1211 plywood underlayment at 2nd floor E. FINISH FLOORING:(Wood only. Describe other finish flooring under item 21.) Loc Trot I FL__ Ganme Srrmss TM-N- W,m,, I BLDG P FINtsH First floor Second floor Attic floor AdditiDnal information: Bottom two treads of stairs - onk FHA Foam 2005 1 DESCRIPTION OF MATERIALS VA Form 26-1852 DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: wood, grade,and species #2 spruce size and 'pacing 2x6 @24" Other Additional information: 10. CEILING FRAMING: touts: wood, grade,and speeim Other Bridging Additional information: 11. ROOF FRAMING: Rafters: wood, grade, and species Roof trusses (see detail): grade and species til SYP Additional information: 12. ROOFING: yet Sheathing: wood,grade,and species Plywood 2 CX ; ©solid; ❑spaced_"oz. Roofing_ fiberglass shingles ;grade 235 ; ;type 3-Tab Underlay, 157' Felt weight or thickness ; size ; fastening Built-up roofing number of plies ; surfacing material Flashing: material painted aluminum bronze ;gage or weight .022 ; ❑gr stop*;O snow suet slo guards Additional information: 13. GUTTERS AND DOWNSPOUTS: Cutlers: material ; gage or weight ;size ; shape Downspouts: material gage or weight size shape ; number Downspouts connected to: ❑Storm sewer;❑ sanitary sewer;❑dry-well. ❑Splash blocks: material and size Additional information: 14. LATH AND PLASTER hth❑wall', ❑ceilings: material weight or thickness T� Plaster.CCgqaats_; fiMsh Dry-wall Q walls,C3 ceilings: material gYPsum thickness 2 finish Wal1S gm-0 c; l/cel n Joint treatment tape joint green board at baths as required ' 15. DECORATING:(Point, wallpaper,ek.) Ron— WA—Fimim MArutAL AND AnueA N Cir—No Fi."MA--ANd Am rsort Kitchen Wallpaper or paint Blown texture Bath Wallpaper or paint Blown texture Other Painted (2 coats vinyl latex) re Porches Exterior Finishes Soffit Rough Sawn Cedar plywood - stained Additional information: 16. INTERIOR DOORS AND TRIM: Doon: type Concord Bifold material Beech ickncu 1 3/8" Door trim: t as selected wood as selected— stained e ecte woo type material Base: type ; material size Finish: doors stained ; trim as se eT ete� by owner Other trim (ifem,fOpe and location) Additional information: 17. WINDOWS: \Yindows: type Single hung &SIWng & Fixed Acorn 3�Q9rial painted alum bronzush thickness Glass: grade double ❑sash weights;[3cbalanccs, type integral ; heed flashing integral Trim: t 5111 wood Or stain type • material Paint ; number coats or 2 Weatherstrin t integral ppi g: ype ; material Storm sash, number Screens: ❑ full; (3half; type number `111 ; screen cloth material Basement windows: type material screens, number ;Storm sash, number Special windows Additional information: 16. ENTRANCES AND EXTERIOR DETAIL: WP d 6 panel 3' 1 3/,l+ !.fain entrance door: malrrial wooP ; width ; thickness Frame: material thicknessOther entrance doors: material n french door . width thickness 1 37,4 Frame: material iaP thick l Head Hashing aluminum Weatherstripping: type vinyl in aluminum ;saddles vinyt in alum Screen door%: thickness 1 1/8; number 2 ; screen cloth material Storm doors: thickness_";number Combination storm and screen doors: thickness "; number ;screen cloth material Shutters: ❑ hinged; ❑ fixed. Railings Match siding ,Attic louver Exterior millwork: grade and species Paint Stain number coatsT Additional information:_3 sliding glass and alum doors with screens, double glazed Double glazing 19. CABINETS AND INTERIOR DETAIL: all lites ,t. Kitchen cabinets, wall units: material wood ;lineal feet of shelves 30 ; shelf width 11 y Base units: material wood ; C911f11er top laminated plastic ; edging laminated plastic Back and end splash laminated plastic Finish of cabinets factory number coats Medicine cabinet,: make model Other cabinets and built-in furniture as above Additional information: Allow $4,000.00 installed 20. STAIRS: Tas Ru Srawus nANUu1L Buw STA Material Thickne Material Thicknu Atatr cul Sire Material Sia Material S.- Basement Atain car et d plywo01 3/4" 2ptd ply 3/4" wood as selec. wood as selec. Attic Disappearing: make and model nuihber One in Attic on second floor as per plans Additional information: *lowest 2 treads and risers special curve oak a—n—T pine 2 21. SPECIAL FLOORS AND WAINSCOT: IlN an,F MAssatAL,QXA)A.gnRnta,SURE,GAGE,Etc. 11nraNND WALL BASK UnoaarLook MA reatAL MATERIAL MA ruut,c Kitrlsen_ sheet vinyl, allow 1/sf materials onlyvinyl Bah & La Tile, allow $3/sf materials only marble Entrant e tile. allow $4/sf materials only t' le A117—otter car et allow $14/sq yd materials only L«:Anoe MATTRIAL,..Lost BORDER,G►.SITU,GAGE,E,r., Ilucur Huowr HuowT to BtF,Fuc Oyu Tua (nom FLmosl Bath #2 61tile wainscot at tub allow $2/sf' mateorll}L fttl] ht 3 Stall ` hower 'file allow 2/sf• materials only fu 1 t file cl 11 curb a Tile o erhead in bath #2 and shower Bathroom accessories:❑ Receued; materia mother ;[]Anachrd; material ;number i Additional Information:Allow $100 for accessories 22. PLUMBING: 1a)eeL f -- NO PLUMBING IN SI.Ail Fixrusc Nuusu LncAnon MAR. 1-tilnn'AIIo.No S.11 CMAs Sink 1 kitchen Kohler selected 1.avawry _ 3 Lav & bat is Cult. marble s elected m water closet av & bats ohler Q- s elected B. wb 1 Bath #2 Kohler x_715-5____ as elected Shower over tubes 1 Bath #2 Stall shower A 1 Bath #1 - — -- Laundry trays .. bathtub 1 Bath #1 Cult, marble as elected outdoor—shower-T— garage -� Allow 25 0 For fixtur s — - A6 Curtain rod A❑ Door ® Shower pan: material Td Ir aver ['nrnpn¢i tion v7tnyj Water supply: ❑public;)(]community system;❑individual (private)system.* Sewage dispogl: ❑public; ®community system;❑individual (Iwivur)sysirnt.* *SAaa and dncribr individual rymm in wmplelr&last,n separate drau,mir and,pal/„ah..0.....dins to ngtaranenfr. House drain (inside):❑ can iron; ❑ tile;®other PVC (louse sewer (uuuide): ❑ rut iron; ❑tile;b other PVC Water Piping:❑ galvanized steel; M copper tubing;❑other — Sill cocks,Dumber - Domestic water healer: type ; make and model _;heating opacity _ gph. 100' rise. Storage tank: material ;opacity pl!mtn Gu service:❑ utility company; ❑liq. PER. gas;El other -___ — (;as ii in ------ I p g'❑ cooking; ❑house heaiu,g Footing drains connected to:❑ norm sewer; ❑sanitary sewer;❑dry well. Swop Iitunp; nuke and model _ capacity ;dirt barges Into ----- __ 23. KATINGt 2 CENTRAL AIR TO AIA/HEAT PUMPS ZONEI) M1IJIMUM EEH 8.6 COP 2.8 ❑ Hot water. ❑Stam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe aystnn. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model _ Radiant panel:❑ floor; ❑wall;❑ceiling. Panel coil: material ❑Circulator. ❑Return pump. Make and model ;opacity gl■ Boiler: make and model Output Blots.;net rating Bud, Additional information: Warm air: ❑ Gravity. ❑ Forced. 'Type of system Duct material: supply ; return _ Inudation —,thickness ❑ Outside air intake Furnace: make and model —_ Input- _ Biuh.;output Btuh Additional information: ❑Space healer; ❑floor furnace;[ wall hearer. Input _Stuh;output _Mull.; number units Make,model Additional information: Controls: make and types Additional information: _ Fuel:❑Coal;❑oil;❑gas;❑ liq. pet. gas;)U electric;❑other_ storage capacity Additional information; — flring eluilimem furnished separately: ❑Gu burner,conversion lyl,e. []Stoker: hoplxr feed [];bin feral❑ Oil turner. ❑ pressure atomising; ❑vaporizing Make and muclel Additional information: _ Elmiric heating a)stem: type_ Input_ walls; ri_ volar,output B,ul, Additional information: Ventilating equipment: attic fan,make and model ---- - - ;capacity 6n kitchen exhaust fan, make and model in appliances Other hearing, ventilating,or tooting equipment ___- ---- - 24. ELECTRIC WIRINGi -- ---- ----- - — .Service: ❑ overhead; Q underground. Panel: ❑ fuse Iwx, circuit Lmraker; i»akr___-,_ -_—__AM P's 200_No.c4cuirs_ - Wiring: ❑ conduit:ETarmored cable,B]nunmctallic cable; [J knob and tube;❑other Sliecial outlets: l�range;[$water heater;a other_Heat pump slid dr er 11 pootbal. I] Chimes, Push-button loations — Additional iufunnatir,tt: All interior wiring sha.11 be copper / alum service. 25. LIGHTING FIXTURES: Foul number of fixture Toad allowance fir liAtures. ,ylulAl imstalluioo, 19ld0,l1U _ `�untylrul Installation— Additional nualdationadditional information: _ J DESCRIPTION OF MATERI L DESCRIPTION OF MATERIALS 26. INSULATION: t"� T1Or' TMicanm M-nu L,Tera,Ano hi—on r r 1-T—ITIOn V.roa 8naarra Roof Ceibng lass fiber batts K',Il 6" lass fiber batts Floor HARDWARE:(moke, material, and finish.) $600 Allowance SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept- able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattles prohibited by law from becoming realty.) Range Hood, llishwastic.r, isposer - Dwane $1,206-.00 27. MISCELLANEOUS:(Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide addtionol information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) one PORCHES: 2x6 PT Pine open TERRACES: None GARAGES: Electric para e door opener with 2 controls. light and t, HP motor WALKS AND DRIVEWAYS: 800 SF - Allowance Drivrway: width ; base material ; thickness surfacing material thickness Front walk: width ; material ; thickness_". Service walk: width ; material -; thickness Steps: material ; treads '; risen . Check walls OTHER ONSITE IMPROVEMENTS: None (Spec fj all u(enor onnlr rmProor nun(.not dncnbrd r(srmhnr,including ilrrsrr such or unusual grading,drainage trrurlures,retaining stalls,finer,radre6s, and acrerider!t-,t-ex.) LANDSCAPING, PLANTING, AND FINISH GRADING: By Owner Topsoil " thick: ❑ from yard; ❑ side yards; ❑ rear yard to feet behind main building. Lawns(ended,rodded,or sprrggrd): ❑ front yard ;❑ side yards ; ❑ rear yard Planting: ❑as specified and shown on drawings; ❑as follows: Shade trees,deciduous.—caliper. Evergreen trees. to ', B& B. Low flowering frees, deciduous, ' to Evergreen shrubs. ' to B& B. High-growing shrubs, deciduous, to —Vines, 2-year Medium-growing shrubs,deciduous, to Low-growing shrubs,deciduous, to _ ID[WrViGT1om.—This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the later u known at the time of application. Date Signature Signature FHA Fume 2005 VA Form 26-1852 4 •U.S.GPO: 1974 544 478/1341 ron OFFICE USF ONLY Dabe ........ .......... 19 ...... Perinit #. . .. ..............Fee $ -�...... ...... CITY OF ATLANTIC BEACH valuation $........ - - --_-------..... ........... ..... FLORIDAHouse # _- - ------- --------------------------------------- I............ . ................ -------------------- ------ APPLICATION FOR BUILDING PERMIT ......................................................................... --------------- ............................................:... Application is hereby made for the upproval 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 the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic B,�-ach and all rules and regulations of the Building Department of the City of Atlantic Beach, sball be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Buildiniz 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. Date.------------------------�0--_-----_----_------------ ...... Owner....;� ...az� ,ul AA0C11,;0---!��Telepbone . .................... Address��1!57 AZI, one Architect....1"W19 ...44pq----- --------------------------Addres&-------------------------------------------------------Telepb ................. ------------- ....Y_ s3V_1�r7 A d d r e s s C.,RV/)__Telephone No----------- 7.- Contractor BuilZ-------------11------------..... --------- --------------------- Lot No............../10--------------------------Block No----------_------------- ----Sub Division__.Q__�119 ------ .............Zone................. ----------and--- --------------Street....10�....Side Between ------- sed... --------Type of constructioraA/"-4qW-'*"e ----------/.. 11 Valuation $...... ----------For what purpose will building be u ootings----AV x Dimensions of Buildin ..JT--_-----------Dimensions of Lot_2e�g ---------------Size of F --------------------------------- Size of Piers-----------------_--- Size of Sills-__2 IX ----------Greatest Sill Span in ft---------------------------Type Roof---_---------------- -- ---------- How will Building be be on Solid or Filled Ground?--- ............ H ........ -----------I................ ---------Will Building Ar/ ........ ;e- ........, Greatest Span------------------ Size of Ceiling Joists--- _!�istance on Centers--- ------!F ------------------- Al Distance on Centers-- ...............--------- Greatest Span.----_-------_ ----------------- Size of Floor Joists ------------------------------------- o�/ Oe_!� ----14............................. .. ............., Greatest Span---- S.ze of Rafters ---- ----------- A _ -- - ---- Distance on Centers This rectangle is to represent the lot. Contractors ' Lisence No. ee;6 eO Locate the building or buildings in the right position. Give distance in feet from Expiration Date- all lot-lines and existing building& �1, r" in REAR LOT LINE Off 4 p: Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z 2. When steel is in place and ready to pour columns arid/or&D 3. When g'teel is in place and ready to pour 1.�eam. By L 4. When framing is completed. 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. 7. Electrical inspection by City of JackSOL-.ille. 8. Final inspection. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. ONT OF LOT In consideration of permilt given for doing the work sa described in the above statement, we hereby Eg-ree to perform raid work in accordance yAth-pe attached plans and specifications, which are a par, I-lereof, and in accordance with the building rci;ulations of the C f ti- tea�ch. ------ ----- - .. ..... ... ................ S; ai ------ Address.. .g:�_zture of ----------- . ... ........... ..... ----------- - -------........ S4m�ture of 0 TT: I CAL liUIl.11l":G PEk:•11T l•:UF,};SNEET s� J( �7 pC 7 @ $ c per s q. f t. _ $/c)j HEATED SQUARE FOOTAGE: _ _ _ — (-�--- �J GARAGE (PRIVATE/SHED) : _—_-- @ $ per sq.—1_V_�_ — - ----— — @ $ -------- per s q. GIs c3Z 0 @ $ per sq. ft. _ PORCHES' ---�---- --- _-- @ $ — per sq. ft. _ $ --- - PATIO: per sq- ft. _ TOTAL VALUATION: VALUATION: $--- PERifIT FEES TOTAL VALUATION DATA 1st RE:•:AI':DER VALtATION per thousand or portion thereof r > � TOTAL BUILDING PEP-MIT FEE. . . . . . . . . . . . . . . . • • • - - • • • - PLUS 1� THE BUILDING PERMIT FOR PLAN FLING FEE. . . . . . . . . . . $ TOTAL FEE DUE. . . . . . . . . . . . . .61 • - - • . . . . . . . . • - • - - - . . . . . . $ _ --------------------------------------- PLL__BING PrRMIT FEE: $__ — I•ECHANICAL PERMIT FEE: $--- - - — ELECTRICAL _ _ -__ _ -- ELECTRICAL RESIDENTIAL: $_ ELECTRICAL TE'•,PORARY: $ __-- EATER _•IETER SIZE: FEE: $ _ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION CHARGE: FIXTURE UNITS @ $10.00 PER UNIT: $_ ACCOL;NT NO. : `PPROVED BY: TOTAL BUILDI`G/PLAN FILING FEES: _ A P.P R O V E LD TOTAL EATER :-1EIER CHPRGE: �V GF VP( ,NTiC BEP-110 rtJ'ILD%NG or-r-ICE~• TOTAL WATER CO_.NECTION CPARGE: $ i� TOTAL SEWER CO':'ECTION CHARGE: $ GRAND TOTAL DUE: / 7 '_- -- ENERGY DATA SHEET NAME • �/�. / �D b!-Sn/lf DATE_ JOB ADDRESS �� c�`'Gj;;9— F°I 1. TYPE INSULATION IN WALLS R .0& 2. TYPE INSULATION IN CEILINGS 3. TYPE INSULATION FOR WOOD FLOORS R 4. CONCRETE•. SLAB EDGE INSULATION R _ rr Y x 5. INSULATION AROUND DUTCS / IN CONDIT. SPACE 6. TYPE HEATING SYSTEit �� C/ 7�" COP ' 7. TYPE COOLING SYSTEM G /+�Y"+ EER 8. TYPE HOT WATER HEATER 9. TYPE GLASS IN WINDOWS ANDDp6RS': � DOUBLE GLAZED !/Lli TINTED SINGLE GLA7ED TINTED _ 10. TYPE EXTERIOR DOORS 11. FIREPLACE? W/INSIDE CnMBUSTInN ATR fi. gam, W/OUTSIDE COVBiISTION AIR - 12. WOODSTOVF.? 13. ARE THE DIMENSIONS nV ALL WINDOWS AND DOORS SHOWN? " If NOT this is required either on floor plan, elevations or In a schedule. • 2 /01014. SIZE OF ROOF OVERHANG? �1 15. ARE THE WASHER AND DRYER LOCATED ON FLOOR PLAN? 16. ANY CEILING FANS? IF IF SO, IDENTIFY ON FLOOR PLAN. 17. IS A MULTI-ZONE A/C SYSTEM TO BE USED? 18. IS THE BUILDING ORIENTED ON PLOT PLAN WITH COMPASS DIRECTION? IF NOT, DRAW IN ON PLOT PLAN. 15. IS THERE A WHOLE HOUSE FAN (attic-type fan with 1.5 CFH/SP)? 40644 I certify that the above is the correct data used to calculate the EPI on the energy form submitted, and be incorporated in the subiect iob. SIf ED ,f V` BUILDING AND ZONING INSPECTION DIVISi011 .. CITY OF l�r1.A,�TIC LEACH, FLORIDAFLo�:Inn APPLICATION FOR MECHANICAL PERMIT Ilr PORTA 4T-lyp-plioenf to �cornptafo all items in socf int (, II, III, end (V. (. OR S de of"/�f�d CT/f3Nd U/r L+r4.ra•n---- St. .nrl St. LCCATION (N.A. South, East. West) (Mdreu) (Intvr"ctiwq Srreeh) OF E.UILDiNG Lot No Mock No _ Sub di�s:on (Stale portion of 64 if " Nun fvg bt-Jltt.cfr 6-gal &script:on par d.od in duplicate if noc•wry) 11. TYPE OF VROPOSED IAA: r'LAICAL WORK - All cpplicents cornsptafe Parts A - D A. USZ OF WILDING 1 OWN ?Mir RESIDENTIAL 15. ►rivate (individvel, corporefiow, rv:.r+profit irtstitv4iors, e4c.) I. 0-.-0'. famiy I1. ❑ utility 1 (Fedsrsl, Sfsr•a bus po,�ewf) 2. ❑ Tarn or more family- 12. ❑ Sc". 6o*ery. Enter number of roams other e.ducotronal C. NATURE OF WORK 3. ❑ Transient, Wal, -o4•1. 17. Nr.r Gv d nq rooning nous• - 13. ❑ Store, n"-rco ni3o Enter number of unite Offer It. ❑ Existing Iivitdieq. 4. ❑ Other residential 14. ❑ OTHER-SPECIFY -_ 11. ❑ Rapucamenf of acisfiwg systens ?0. ®/Na-a-e installation 1No.systr n Fr.Yiarsy iw for d) NON-RESIDENTIAL 21. ❑ E:ttMsicn or add-on to existing systs+w. S. ❑ Amusement, recreational 22. ❑ 044cr-Specify b. ❑ Cburc)%. other religious 7. ❑ Industrial t. ❑ Garage, cervica station E TYPE Of IlUILDfNG 9. ❑ Hospital, rncfifut.onal 3&. ❑ Number of stori•t 10. ❑ Office, bank, prof.ssional --_ 37. LrJ 0r/cod fnrr>♦ D. MECHANICAL EQUIPMENT TO 9E INSTALLED 38, ❑ hsasonry end 'od (Provide complete list of components on beck of this forth) 39. ❑ Reinfor_ed concrete 23. That•: ❑ Space ❑ Aoceued intral O Flwr 40 r❑ Structural steel 24. Air Conditioning: ❑ Room Central �, /� 41. ❑ Ctf sr 25. ❑ Ducf System: Maferial� /3G��rsThicknsst: Macimum capacity 1�7C D c.fin. 2e. ❑ Refrigeration THIS 59ACE FOR OF=FICB USE dNIY 27. ❑ Cooling toner- Capacity 9•p-m• ( ) 22. ❑ Firs sprinklers- Number of Iw4ds 29. ❑ Elovefor ❑ Manliff ❑ 616tor (number) 30. ❑ GesoGn• pumps -(numbei) 31. ❑ Tank, (number) Rernaris 32. ❑ LPG contain•rL (nunbsr) 33. ❑ Unfir*d pmuurs vsuel Permi4 APpevved b7 a4. 34. ❑ Cpibrs Permit r-** - 35. ❑ Other - Spocify III. GENERAL INF.ORikkTION A. T of heed fuel: B. yf'e g IS OTHER CONSTRUCTION BEING DONE ON 4j Hxfric THIS BUILDING OR SITE? 43. ❑ Gas- 0 LP ❑ Nc'.rral ❑ Ct�trd Utility IF YES, GIVE NUwSMER OF CONS/TPUCTIOM 4-4. ❑ Oil PERMIT _--- 4S. ❑ Oth:r - Sp,.cify -- -- - ---- IV. IDENTIRCATION - To be cocnplatcd 6y all applicanis _ p+r-nit yi.•n for doi I t" ..ori as drecriMd in the sbo.e stioernent .e herrbin y agree to perform said rror4 in accordant• In considaraf on of rifts the atiacl+wd pDlans end spwcificatiows which are a pert hereof and is accordance ..ith the City of Jacksonville ordinances end sfo�d&41 of good practice "fed therein. _.. Nara of MKhan) �/ r^ arc%1�� S;qA4fu'q of Conlracbr (Pant) ,.(� /f/ P Contractor Agent N c e of --Q-�ar (Print) --- ZG I.ddrsu _ --- S'gratvn of Omeri__ S:gr+ture of or Autnoriied Agent - �CtiG�%"K --- Arch_leci cw Engineer ---- C.CPITP.AC'IORS BUILDING AND ZONING INSPECTION DIVISION CITY OF lirLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT-l gpl;oant to complate all items in soct;ons 1, II, III, and IV. (. On �ST Side of LL%4�.P iL - E�.tr.•��i� St. d,.jz's�-./�l/Q'""�St. LO'_ATION (Nora,.S-A. East, W-f) (Addr.u) (Int►nectieq Strevh) OF Lot No giock N o EUILD1NG (State portion of lot if Icu than full sot._ At+•d 69.1 description Per d.ed in duplicate if n.c*wry) - - It. TYPE OF PROPOSED MAEGANICAL WORK - /VI epplicents complete Parts A - D OWNERSHIP R. A USr OF tU1LDING P RESIDENTIAL 15. � private (individwl, corporef'wn, s.wrprofif institvfion, ek.) I. p One family 11. ❑ Utility 111 ❑ Public (Federal, State or local gowera.r.erst) 2. ❑ Two or mora family- 12. ❑ SC". Gorory. Enter number of roornt other edwcetionel C. NATURE OF WORK 3. ❑ Transient. hotel, mofel. 17. ;. Nrw Cv"ding morning house - 13. ❑ Ston. rnwtantile Enter numbor of unit% Otter I8. ❑ Eiisfing 6vitdi.9. 4. ❑ Other residential 14. ❑ OTHER-SPECIFY 19. ❑ Replaeament of etitfiwg system 20. Nro instarlaiion (Ne.sysfem R,wiorsly iwaiel'sd) NON-RESIDENTIAL 21. ❑ btrnsicn of add-on to *';sting sysfrm. S. ❑ Amus*-ant, recreational 22. ❑ Other-Specify 6. ❑ Citurch. other religious �- i 7, ❑ industrial 8. ❑ Garage. sar+ice station �(J E_ TYPE of I+ulLr+" 9. ❑ Hospital, insfitufional 36. ❑ Number of stor+ec 10. ❑ Office, bank, prfassonal 37. � Wood from* D. MECHANICAL EQUIPMENT TO 9E MWALL D 38. 1w Masonry and wood (provide complete list of componanh on back of this form) 39, ❑ Reinforced concrete 23. ] Furnace: ❑ Space ❑ Recessed ,0 Central O F�-.or 40, ❑ Structural stool 24. ($ Air Conditioning: ❑ Room Central / of 41. ❑ Other 2S. ❑ Duct System: Material Thick-est I.tasimum capacity c.f-m. 26. ❑ Rw efr.geratn ^ ' ') n THIS SPAC�,F'0i'0PFi&_i*s CQLY,. 27. ❑ Cooling tower: Capacity 9•p-m tliLsa•rsstd), 28. ❑ Fire sprinllem- Number of seeds - 29. ❑ Elortiew ❑ M&nliff ❑ Exalafo► (number) 30. ❑ Gtsorine 31. ❑ Tanks (nvmbor) Rverorks 32. ❑ LPG contain•-' (nur.+bar) 33. ❑ Unfired pmuum vvuel Panni} Appm,,." 6, Data_ 34. ❑ lSo3oft ��J _Sva�� ►.rmit F.e 35. ❑ Other - Specify fll. GENERAL INFORMATION A B. Typo of heaf'n9 C'011: IS OTHER CONSTRt1CTION BEING HE ON 42. r E?ectne THIS BUILDING OR SITE?---- 43. ❑ Gas-❑ LP ❑ Natwral ❑ Cs++fral Utility IF YES, GIVE hUMEER OF CONSTRUCTION 4{, ❑ Oil PERMIT 4S. ❑ OtF.at - Si,w, i y ------- - IV. IDENTIFICATION -- To bo comp-grad by all eppliyints In consideration of t 99' M for doieg 4-o .work as d...c^l ►d in the sbo" statement we Mreby agr*o to perform said wort[ in accorda.xe with the attachedpeons oft h th t w)%;ch are a part I%er*of and is accordance with City of Jaclsonwa .ille ordinces and Sfand.rdt of ;cod practice listed fharein. _-_--- - - I >iscti a�iul oncf of No-a cf Cf --- --- - - --- G-:.rrscbr (r^ret) onracfor Agent -6 of Addross al.re of C-nor S:gr.ef.re of A-, Architect or Engineer I --- MAP SHOWiWING SLARVEY OF FOLOF T lb , SELVA TiLRRA , AS RELORDED iN PLAT 60uK 38 , PAGES 28 AND 28A THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA . [Of lOf LD! SO' E49EMENr for ORA/NgcB� UT/L/T/lS f SE wo ti .5' DD 04 1513"E. ,=...v T h � M ti V dl /7.9' 20.0 S � 3� o" in ,3 Q 420A/C, /� Q F1)UA.1OAT/0A/ I? lk 3 m -9 n -7.8' I �. O /a5 h Ul 6o�•s8- ✓.l..l. N S.. /D� f NO �k �s.•� r 9100 ` N ti •S'EL VA GRAM" f so , R1 w I HER- 6Y CERTIFY THAT THE PROPERTY SHOWN HEREON IS IN FLOOD ZONE "A AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY Or ATLANTIC BEACH, F1.0-R10, . I HEREBY CERTIFY TO PHIL ROBINSON AND FLORIDA FEDERAL SAVINGS AND LOAN ASSOCIATION THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21 -HH AND THE FLORIDA LAND TITLE ASSOCIATION . FO[INOAT/O/V FE,QR�/�RY /S, /,84 EGL�V'4 Tio.u� Rsl=�v ON y.I. S.L. v/�Tv�i' J W. 90ATWRIGHT, L. S. FLORIDA REG. LAND SURVEYOR N& 3295 = 3"d s01AT N1'� LAW 81AWEYORS, INC. DATE SIONED: 1301 PBO N WAD, SUITE -0- otc�QBE a, /tea s S. i� ,wa19oMIM.LE KAiCH fIORIoIA 241-050 SHM / Of s DEPARTMENT OF BUILDING C 3 7 O O CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date RL-hril�u. 1, 19-8-L, 66"r!0 T Valuation$ MECHANICAL Fee$ 66. 00 66.00CKT 8138 I A 3/12/04 This permit not valid until above fee has been paid to City Treasurer,and is 6378 900CAL subject to revocation for violation of applicable provisions of law. 31 3t3 I Fr 3/12/8 This is to certify that SPRADLEY"S HEATING & COOLING has permission t610MAd INSTALL HEAT & AIR SYSTEM AS PER PLANS Classification RESIDENTIAL Zon�VD Owned by ROBINSON Lot 16 Block S/D Se l va IPJ P V House No. 1841 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 —i 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared = up and,-4auled away by either con- tr o o !#ner. i Building Official. FOR OFFICE PERMIT DATE Ll CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER