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431 Selva Lakes Cir (vault) t RECEIVED S ' CITY OF ATLANTIC BEACH 3t — BUILDING & ZONING MAR 1 9 2003 .r 'yl�%• BY: City of Atlantic Beach• 800 Seminole Road •Atlantic Beac Florida-32233:!X45 Phone: (904)247-5800 •FAX(904)247-5805 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR ROOFING � \ JOB LOCATION S-e,\\J k L�- ,eS OWNER OF PROPERTY kr\r\ PHONE# CONTRACTOROk, °L 9 ( . C CONTRACTOR ADDRESS ZIP CONTRACTORS LICENSE NO. PHONE#_ �'���� SCOPE OF WORK c !� �•2 A5 lJ DECK SLOPE GREATER THA�N7l!2 :: 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK $ ` V PRODUCT NAME& TERIAL TO BE USED ASTM DESIGNATIONS) REQUIRED INSPECTIONS V SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP. POLICY SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO OCCUPATIONAL LICENSE SUPPLIED YES NO SIGNATURE OF OWNER r SIGNATURE OF CONTRACTOR ,(,� SWORN TO& SUBSCRIBED BEFORE ME THIS DAY OF � [A'C1�01 200- AS TO OWNER NOTARY PUBLIC !< „__ PaY PUe OFRCIAL NOTARY SEAL ELIZABETH A WILSON AS TO CONTRACTOR NOTARY PUBLIC ' _(/� COMMISSIO "BER 7 5F �;. MY COMMISSION EXPIRES SEPT 22,2004 5 I RAIN. RE+i3%N PHONE#�-��� RECEIVED CITY OF ATLANTIC BEACH E!-T-^'NG rs Z0N: �G NOTICE OF COMMENCEMENT MAR 1 9 2003 .� Permit No. Tax Folio No. B ok 10978 page 96 State of Florida h\r 1 O R,per County of ---- �,, Jock 20084669 ook: 109 8 The undersigned hereby informs all concerned that improvements will be made to certain real property and in Pae: 969 accordance with Section 713-13 of the Florida Statutes(revised 10-1-96),the following information is stated: Filed & Recorded 03/19/2003 11:54:59 AM JIM FULLER CLERK CIRCUIT COURT Owner's name(print) '� DUVAL COUNTY RECORDING $ 5.00 Address TRUST FUND i 1.00 Owner interest in property General description of improvement S ,nJ&S� Legal description of property Fee simple title holder(if other than owner): Name(print) Address I Contractor(print) Address Telephone �� �— S�`t �O Fax (_) Surety(if any)(print) Amount of Bond S Address Telephone(_� Fax Person or lender making a loan for construction of improvements: Name(print) Address Telephone L_) Fax L� Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Statutes: Name(print) Address Telephone( Fax In addition to himself,owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(b), Florida Statutes(fill in at owner's option): Name(print) Address Telephone(_ Fax — Owner's Si e c7 Date Signed Ak pn -rills Zv V� — 4 Owner's Nam6-(print)cJ In County NamedOf Staiq seal Post a copy of the recorded Notice at job site. o�P' bw�sotr State of Florida ` 49ER County of St.Johns This in nt was aclmowledge.�ie�fore? this �–� ✓ ` / 3' r�v' ';Notary is d of f't Yom'' 2944. Known Personally OR Identification ame of Notary,tyQed or printed) OCForm.doc Type of Identification Commission Number O L, Word/TFUForms/N Commission Expires REVISED 01/03.01 ~ '� , CITY OF ATLANTIC BEACH -J 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 03-00025715 Date 3/20/03 Application Number - - 431 SELVA LAKES CIR Property Address - GAF ROYAL SOVEREIGN Tenant nbr, name - ROOF Application description - - - TO BE UPDATED Property Zoning - • - • ' ' . 3700 Application valuation . . . Contractor Owner -- -------- GWHITE' S ROOFING CO. RIGSLEY, MARY ANN 181 PRINDLE DRIVE EAST 431 SELVA LAKES CIRCLE JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233 (904) 249-3087 (904) 220-5546 Permit • ROOF PERMIT Additional desc • plan Check Fee . 00 Permit Fee . . . . 75 . 00 3700 Issue Date . . . Valuation Fee summary Charged ed Paid Credited ____Due--- -- ---- ---------- ------- -- - -------------- ---- 75 . 00 75 . 00 . 00 - Permit Fee Total 00 00 00 Plan Check Total • 00 . 00 Grand Total 75 . 00 75 . 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 M WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OISSUED F APPLICABLE PROVISIONS ACCORDING OLOAW D PLANS BUILDING OFFICIAL `CITY OF ATLANTIC BEACH PERMIT - CALCULATION SHEET Address ^l 3 ( Cc/d Date 3 • �'•�� Heated Square Footage @ $ per sq ft -= $ Garage/Shed @ ( ` per .sq ft = $ pit 0AL Carport/Porch �@ per ss ft .= $ Deck O @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ 3;W 35— s .Total Valuation 1st $ /coo Remaining Value $�.�� per thousand or ,portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee ( ) Fireplaces . @, $15.00 $ . BUILDING PERMIT FEE $ 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 : 1 y �l jCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD C, g , :.,, ATLANTIC BEACH,FLORIDA 32233-5445 i TELEPHONE:(904)247-5800 t FAX:(904)247-5805 JSUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW MENTS Permit Application #_0 Applicant: V" S ��T ) ✓� Address: S A, S' Project: — rD Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date A1' /QCITY OF fY&odw e4cA-P;/ifYiffldi Office of Building Official REQUEST FOR INSPECTION Iy Date a C-0 3 Permit No. 0?5 ` S Time J NS A:M: Received Q )d 31 C r 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 Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ ;-�� Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date PSR-3844 17123 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION ermit Number : 17123 Address : 431 SELVA LAKES CIRCLE Permit Type:MECHANICA!, ATLANTIC BEACH , FLORIDA 32233 lass of Work :ALTERATION -------- LEGAL DESCRIPTION ----------- -1 onstr. Type :WOOD FRAME Block : Lot ; Twp: 0 Proposed Use : SINGLE FAMILY Section: 0 Subd: Rng, 0 Dwellings : 0 Subdivis-ion: SELVA LAKES Est . Value: 0 .00 -l'snprov .. Cost : 0 .00 Total Fees : 37 .00 Amount Pay d:��' f ,'�— 37 ,00 Date Pa998 - ..Ir Des-- :REPLACE CCY ER AND AIR HANDLER -RAW ION APPLICATION FEES ---------- ame: MARY ANN""0RIaSBY- -1 PERMIT 37 .00 ,Idr .- CIRCLE ATL ' LOPIDA 322-31 none fl Aft 0, C 0 N T,* AT I ON ame: DONO'V*,' HkJ- N4'i°AND AIR Hdr: 315 SIXTH 7E SOUTH --3AX BEACH '1_5 RIDA 32250 ' Z Lic: CAtZ039761 Exp: ype: N NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $37.00 14 Date; 1110/98 01 Receipt; 0084M CASH ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to Complete all liems in sections I, II, III, and IV. I. Street Address:_4 ad_ '_ �e�Vq' -Lake-S C-trcje, LOCATION - OF In}ertecling Streets: BUILDING Ii. IDENTIFICATION — To be completed by all applicants In consideration of perrnif gran for doing the work as described in It,e abcve slaterr,enl we hereby agree In perform said wort in accordanco with the affaclted plans and specifications which are a part hereof and in accordance with Il,e City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor IPrint) mvan HeaL AAN' Matter 0 7 Name of Property Owner 'Y((Mr •{,{�.'I. Signature of Owner I f Signature of or Avtl,orised Agent Architect or Engineer 111. GENE"L INFORMATION A. Type of heating fuel: �r+ IS OTHER CONSTRUCTION BEING GONE ON �J Electric TRIS BUILDING OR SITE 7 /❑ Gas —❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO IF INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) pQ Flesidenlial Or (-_I Commercial ❑ Heel ❑ Space ❑ Rocessed ❑ Central ❑ Floow IJ New Building Air Conditioning: ❑ Room )& Control Exisling Building ❑ Duct System: Material Thicknesu Replacement of existing system Maximum capacity c.f.m. Cl New Installation(No system previously Installed) ❑ Refrigeration U Extension or add-on to existing system U Other — Specify ❑ Cooling tower: Capacity y.p.m. ❑ Fire sprinklers: Number of heads ❑ Elovafor ❑ Menliff ❑ Escalafor (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Recelwd) ❑ Tanks (number) Remarks ❑ LPC containers (nvmbar) ❑ Unfired pressure verset ❑ tailorsPermit Approved by Date — ❑ Offier — Specify Permit Fee, LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ing Number Unita Description Model Number Manufacturer Capacity Ay (Tone) Agege vncyy C�ndeast-,r 33 `( KC 036 Cs�crteU Z S (.l. ItEATING . FURNACES, BOILERS, FIREPLACES e DCapacity Approvtns Number Uniteacription Model Number Manufacturer (BTU) A�ewy `v r`o v C, TANKS 11vw Many Norrinal Capacity Type Uquid Name of Serial Approving and Dimensions Contained Manufacturer No. gency PSR-3844 17257 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _._ PERMIT INFORMATION __-_ ___---- LOCATION IN>~ORMATION ,rmit Number: .17257 dress : 431 SELVA LAKES CIRCLE Permit Type :REMODELING ATLANTIC BEACH , FLORIDA 32233 lass of Work:ALTERATION - ------•-~ LEGAL DESCRIPTION --------- -- Constr . Type:WOOD FRAME Block: Lot : Twp: 0 Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: 0 Dwellings : 4 Subdivision: SF.LVA LAKES Est , Value: 0 .00 Improv . Cost : 1 , 100 . 00 Total Fees : 30 .00 Amount Paid: 30 .00 Date Work Uewc `REPNACE O',IRAGE DOUR PER PLANS - OWNER INFnR1yfA`I':tON ------- - - _ . -. .. _ _. _ APPLICATION FEES ---------- nine: N.t:F7 RNP; 41RIGSBY F.RMI'T 30 .00 ddr: 431 SELV:A LADES CIRCLE A 'L?:i?TTr BEh, H , FLORIDA 3211", Phone: (40r 11000•at�0�, , - -- CC,NI'RACTOR 114FOR.MATION - _ ame: MITCH BR�_, N CONSTRUCTION INC , ddr: 217 7TH AVENUE SOUTH A+ I{S�JNV T LL.E BEACH , FL 32250 `li CBC0056851 Exp: !✓e• : NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $30.0014 Date: lb7 CHECKS ATLANTIC BEACH BUILDING DEPARTMENT 90100003221000 By: CITY OF ATLANTIC BEACE RECEIVED PE=T APPLICATION RM10DEL, ADDITIONS, OR A ZEFERATIONS MOVING, DMTOLITIONS OCT 1 1998 City of Atlantic Beach b� Building and ening ddr=ss: q3/ S�lf/c, WeS L GIe '`'cue 3d 8-? Un—, t Su^di rIs-cn: SeU4 kakes Ccn:ractcr: ry) L+C_� .,tape License T C (3 C ���cgS 1 �ddress: �i� Ave- S6U4, _ rcr.e �Ic : -_ Tacksaryi lis 0Q.CLCJX Stage FlorrdC- �� � DeSCr_-e wcrk _c ce ccr.e: Re-(ft r- (`en lace Qc-r-4- i e- dad t' bec.tx &.1 1T`� like b e . �P�rGll a►+.. p S)_. : .2 i C rete": Se - :l__ _ C' R e S lele-"11e.I ,,ll - - �cse� ase: �iQs�d2o►��i / _S t.._S an aCd_-_. .- PJ 6 _ eS, ' c_ 3r? _.^.e r'_ leGS:�CS ._ =-:2 =C SC Wc_e adder area ce .-_=- a_ ......_ems' \few e-=-=----- (.._ _^cre=ase• New New :_rac_aCe? Jiew _eat; :.C' SU-2M_TT 27iR (CC1w.bE7ZC!.L) Z,,fC (RES::=!rMAL) =MPLZ= SETS CF P1-'u"7S, ZYC-.==G PLAN, SURV ', -VZRGY C--r-- FCRMS, NCT.7 OF C0b2,M7 `7T, AND CWNER/CONT-RACTCR AFTIZAV_TT, L OWNER IS CCN----ZACTCR. - acre CWr1ER Date �� JV " qO Sicnat:re CCNTRPC"CR: L /Z-�� Date � � �v ' V '7wcrn to and sutscr'-bei be-Fore me this day or NCTARY Pr (C 0. RW- AT LARGE *F'010- 1Y PVAnn Margadotuta < Notary Public,State ofForida < Commission No.CC546330 MY Commission Expires 04108/00 14 0r).3•NOTARY-Fla.NOW SSM-8'80ndini CO• < CITY OF ATLANTIC BEACH PERMIT CALCULATION SHE _ o Address yy J Date Heated Square Footage 11 @ $ per sq ft = Garage/Shed v @ $ per sq = lk Carport/Porch ` @ S per sq ft L,er� �(d $ per Sq ft = Patio v T C per sq ft = S - d p O TOTAL VALUATION : S r� Total Valuation 1st $ S -� Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ Za + I /2 Filing Fee $ 10 ( ) Fireplaces @ $15 . 00 S --d BUILDING PERMIT FEE S_ WATER IMPACT FEE $ � SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ _. SEWER TAP S _ t ) RADON (HRS) . 0050 S SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp : SwimminaPooI Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : o C A p TUL 71. � c ^ i0 x �J -- ---- N (e O fi en � •,�' J � �.7 �_ � 'tom v 'J3 i ..� m 5` m, A Off,rTl pR n n I r = W oCOs �e41 ° CD � X998 ,a r W c -- n N Y � i w.rrfifiratr of (�rru �tnr CITY OF 44m,64 aGQt ��d+l 19pparttunt of Vnilbing At"PP RIM This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification New Residential Bldg.Permit No. 8 816 ?Tame Atlantic Beach Group Type Construction Firc District. Owner of Building -- RGM Pronerties_ Address—439 Selva Lakes Circle ._ Building Address 431 Selva Lakes CiLO S ,e Selva Lakes By:—---- -— Rene' Angers January 19, 1988 Building Official Date: — POST IN A CONSPICUOUS PLACE w BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : January 19, 1988 Building Contractor: Reyhani,Inc. Building Permit Number: 8816 Address: 431 Selva Lakes Circle Legal Description: Lot 1 Unit I Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Dunlex Lowest Floor Elevation: 9.7' ---------- ---------- ---------- required as built n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: Fire Chief 1/19/88 --------------- --------------- Public Works 1/19/88 Ale --- Planning Director 1/19/88 Building Inspector / 8/88 - ----- - - ---- - -- - , Lu„c'11gv I LFU1il il BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT. ea ted Square Footage @ $ per sq ft = $� arage/Shed �b0 @ $ pao per sq ft - $ 00 arport @ $ per sq ft = $ orches @ $ per sq ft - $ eck @ $ per sq ft = $ ' atio @ $ per sq ft = $ TOTAL VALUATION $ ' �( .5�d �o�(o . s6 6z otal Valuation Data 1st $ /0, �D 7 Sri 151?A ?mainder Valuation @ $ a.00per thousand or portion thereof TOTAL BUILDING FEE $ z/ , `-0 + k FILING FEE $ as FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ - - -- ----------------------------------------- ---------------- ----------------- ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TE1-1PORARY $ ELECTRICAL PERMIT $ %TER METER SIZE $ ACCOUNT NUMBER :WER IMPACT FEE $ 'ITER CONNECTION $ (@10 . 00 per fixture unit) 'PROVED BY: �(�( S� TOTAL BUILDING/PLAN FILING FEE $ �U- DO TOTAL WATER METER CHARGE $ X070. 00 TOTAL SEWER IMPACT FEES $ 5W, CD TOTAL WATER CONNECTION CHARGE MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ 1 3 9 5— a PLUMBING WO,�tKSHEET SINKS SHOWERS DISHWASHERS CLOSETS _ BATH TUBS FLOOR DRAINS WASHING MACHINE �T WATER HEATERS DISPOSALS / LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, I 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 (31 UNIT) �^ URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (4 UNITS) WASHING MACHINE RES. URINALp PEDESTAL? SYPHON (3 UNITS) JET BLOWOUT (B UNITS) LIZI WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED -,-- (4UNITS) (g UNITS) BATHTUB (W/OR W/0 OVERHEAD (2 UNITS)SHOWER STALL, DOMESTIC SHOWER) (2UNITS) BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) 3 KITCHEN SINK/WASTE GRINDER (.3 UNITS) TOTAL FIXTURE UNITS @ $10..,00. EACH ` �G -��•aC ��D,C�D 26903 REORDER FROM QUALITY DUSI NESS FORMS I NG (904F 396 3652 CITY OF ATLANTIC BEACH No. 4761 FLORIDA June 24 1987 NAME Reyhani,Tnc ADDRESS 1112 Third Street #9 CITY Neptune Reach 32233 Water Impact Fee #40-343-3700 PAID $530.00 Sewer Impact Fee #41-343-5200 JUN 2 5 1981 $2,070.00 $2,600.00 Lots 1 $ 2 Selva Lakes 431-435 Selva Lakes Circle When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER T v CITY OF ATLANTIC BEACH > ' m ATLANTIC BEACH, FLORIDA 82293 O W TELEPHONE: 249.2395 r X "z a UTILITY BILL o o ' m -+ N> a DATE WATER TOTAL Z WATER SEWER GARBAGE OTHER METERS DUE m 1,00 �_ > n l"� .J :TT_ F -1 4 HIS RECEIPT L �� „I� _� ITi U� > ORDER. Ti KE REC IPT TO UE�LIC �'� �� �� Z7 ^ i C C Inn ,7 WORKS D: PT. TO CFIEDU E �'Y'QRF(. Z v y N o 1ZQ0 SAIN PIPER A�lE. __ � --' `TI --� � � m= � N VJCD f?t f A W ; rz RETAIN THIS STUB r✓7 _ SERVICE DISCONTINUED m C I �� > 40 I PAYABLE IN ADVANCE A NO REFUNDS IF NOT PAID WITHIN D p 90 DAYS OF DATE SHOWN D N m I DEPARTMENT OF BUILDING 8816 Q 1 C CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. Q Q j,y PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 496.50 T Date June 24 19 87 496.50CKT _ 128,062,50 Be I A 6/005/8 Valuation$ Fee$. 496.50 8816 •1,}OCAC This permit not valid until above fee has been paid to City Treasurer,and is I subject to revocation for violation of applicable provisions of law. This is to certify that Reyhani,Inc. RR0034591 1112 Third Street #9 Neptune Beach 32233 f has permission to build %W1 ex I Classification New Residential —Zone—PUD Owned by RGM Properties,Inc. Lot_ 1 E 2 Block Unit I S/D Selva Lakes House No. 431-435 Selva Lakes Circle According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 ---► 0 Building material, rubbish and debris � from this work must not be placed in public space, and must be cleared t up and hauled away by either con- ac rI)or owner. i 2.;) B Ging official. J FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING I ELECTRICAL SEWER WATER ,�. ,....o.. I CITY OF - 716 OCEAN BOULEVARD _ P.O.BOX 25 -`- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 January 5, 1988 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit #5560----431 Selva Lakes Circle Permit issued to Adkins Electric Company. Q rely, Angersnity De el pment Director RA/tb cc: file CITY OF done 01) A&� V�-9�� � ,, Office of Building Official v REQUEST FOR INSPECTION Date a� �g Permit No. Time A.M. Received P30. 0 District No. Job Address cality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL IkUMBING MECHANICAL Framing 7 Footing - Rough Wiring ❑ Rough Air.Cond.& Re Roofing Slab Temp Pole Top Out = Heating Lintel Final Sewer _ Fire Place READY FOR INSPECTION Pre Fab A.M. Tues Wed. ThursFriday P.M. Inspection Made _ P.M. Inspectoi C Final Inspection 3/ / Certificate of Occupancy LI Date CITY OF ,-&.4 otic Feat!-9 Office of Building Official x+, REQUEST FOR INSPECTION Date _ v Permit No. Time A.M. eceive P. 'District No. Job Ad,o r'ess Locality Owners Name Contractor BUILDING CONCRETE ELECTRICAL UMBING MECHANICAL Framing ❑ Footing E Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made al Inspection E Inspector Fin Certificate of Occupancy Date l CITY OF Office of Building Official REQUEST FOR INSPECTION Date / _ `� Permit No. j Time A.M. Received P.M. District No. Job Address Locality Owner's / Name Name Contractor-(;6:) BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues Wed. Thurs. Friday P.M. Inspection Made — s Inspector Final Inspection❑ Certificate of Occupancy Date 7,7 CITY OF ATLANTIC BEACH, FLORIDA � �� Approved by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2- IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SI�GNAT RE JOURNEYMAN NAME Ir ADDRESS: �3 J�/.fes 69 /L 0-*C-RFD BOX BLDG.SIZE BETWEEN: RES. 1 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW 1` i" OLD ( 1 REW. 1 1 ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SO. FT. SERVICE: NEW(k*' INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE Z C� AMPS /S'U COPPER ( 1 ALUM. ( 1 L16 SWITCH OR BREAKER J v AMPS PH W 'V�-LT 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 CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. tKVA NO. KVA NO.NEON TRANSF. NMA. MOTOR SIZESWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES �v i I r DEPARTMENT OF BUILDING 8817 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.. PERMIT TO BUILD 04.00 t i THIS PERMIT MUST BE POSTED ON JOB r 0nrxT Date June 24 Iq gg 9882 1 A 9/09/Q 8817 900CAC Valuation$ Fee$ 54.00 5002 1A 9/09/8 1801 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. lThis is to certify that Ocean State Heat/Air I j has permission to M: install heat/air I Classification New Residential Zone FUD I Owned by Rat Properties,lnc. Lot 1 � 2 Block Unit I S/D Selva Lakes House No. 431-435 Selva Lakes Circle According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS I AFTER DATE OF ISSUE 4--10 4 00 O Building material, rubbish and debris j Z from this work must not be placed in public space, and must be cleared t up and hauled away by either con- tractor or owner. I i II 1 1 Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING 1 ELECTRICAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, Il, III, and IV. `'C Street I. Stt Address:_ l 3 r .It- 5 5�1.�►� - 1���- LOCATION l D (� OF Intersecting Streets: Between r LAnd BUILDING SI-V A- a s. Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master >� Name of 1 I Property Owner Signature of Owns Signature of or Authorized Agent Architect or Engineer 1111. GENERALAN F 9SWAATION A' Type of heating fuel: E3• IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? �1,N !//❑0 Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed K Central O How New Building Air Conditioning: [3 Room � Central El Existing Building i h Duct System: Mehrial -t b Thickness�� El Replacement of existing system f(� New installation(No system previously installed) Maximum capacity c.f.m. [1�] Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p-rn. ❑ Fire sprinklers: Number of head- 13 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumper (number) (R"v+dI ❑ Tanks (number) Remarks ❑ LPG contains K (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Cisn"A)y A r�t ' . HEATING - FURNACES, BOILERS, FIREPLACES Capacity wDProTft Number Units Descriptions Model Number Manufacturer (BTU) TANKS Now Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency P- CITY OF Office of Building Official �)�\ REQUEST FOR INSPECTION /�(J Date_ / Permit No. Time A.M. Received _ M. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing C: Rough Wiring ❑ Rough ❑ Air.Cond.& Re Roofing ❑ Slab 7 Temp Pole ❑ Top Out M/ Heating Lintel _ Final ❑ Sewer ❑ Fire Place G READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. ' Friday A.M. A.M. Inspection Made PM Inspector Final Inspection Certificate of Occupancy Date CITY OF p� 4&4iifti(L' Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A Received strict No. e�� Job Address Locality Owner's Contractor Name y BUILDING CONCRETE ELECTRICAL UMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. ues. /,rte Wed. Thurs. Friday P.M. Inspection Made ` _ 3 © - t� Inspector I - Final Inspection El Certificate of Occupancy Date CITY OF 407- 4&4estic BeacA-&7,laW*4& Office of Building Official Date REQUEST FOR INSPECTION / Permit No. Time A.M. District No. ReceivedP.M. 1Y �t� 5- .J E 4- y►f Cfl2 Job Address hty_ I Owner's Contractor Name BUILDING CONCR T ELECTRICAL PLUMBING MECHANICAL Fo Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Framing ❑ Heating Re Roofing El Slab Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel Final Cl Pre Fab READY FOR INSPECTION A.M. Tues. Wed., Thurs. Friday P.M. Mon. Inspection Made Final Inspection❑ Inspector � � Certificate of Occupancy Date DEPARTMENT OF BUILDING 0818 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date =Tune 24 19 87 _ DS•D0 T 1!79.�1?CKT I Valuation$ Fee$ 109 no 4974 1 A 8/20/5 +`1S 10 enariC This permit not valid until above fee has been paid to City Treasurer,and is 4979 1 81201, subject to revocation for violation of applicable provisions of law. 1 tsn This is to certify that F.W. Fair Plumbing Co. HP 145 has permission to 13YAxX i n st a 1-1—PLUAbanng Classification New Residential Zone PUD Owned by RGM Properties Inc Lot_ 1 F= 2 Block Unit I S/D Selva Lakes House No. 431-435 Selva Lakes Circle According to approvedplans 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 —♦ O Building material, rubbish and debris -i from this work must not be placed in public space, and must be cleared = up and hauled away by either con- tractor or owner. i Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER iWSa CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 431-435 SELVA LAKES CIR. PLUMBING CONTRACTOR F. W. FAIR PLUMBI14G COMPANY LICENSE NUMBERS MP145 State RF0037503 OWNER RGD1 PROPERTIES BUILDING CONTRACTOR RGM PROPERTIES TYPE OF BUILDING DUPLEX 2 SINKS 2 SHOWERS 8-- LAVATORY 2 WATER HEATERS 2 BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 6 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 28 TOTAL FIXTURE COUNT X6p3. 50 + $10. 00 DATE TOTAL 15 87 TOTAL AOU!,T $108 .00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . CITY OF >��stCc �eac� - ��vtida � 800 SEMINOLE ROAD ---- - --- - - -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 April 4, 1998 AARP Insurance Company P. 0. Box 754 Southington, CT 06489 Re: 431 Selva Lakes Circle Dear Sir: The property known as 431 Selva Lakes Circle is considered by the Atlantic Beach Building Official to be in Flood Zone "X" according to the Flood Rate Insurance Rate Map as of April 7, 1989. Sincerely, C Don C. Ford Building Official DCF/pah CC' Mary Ann Grigsby nn CITY OF 0;'wr,J4 Office of Building Official REQUEST FOR INSPECTION 0 P Permit No. Date A.M. Time P.M. Received ocality Job Address '� �N� Owner's Contractor Name ELECTRICAL MECHANICA CONCR PLUMBING BUILDING Rough ❑ Air Cond. & Framing ❑ Footing ❑ Rough Wiring ❑ g Heating ❑ Slab ❑ Temp Pole ElTop Out Fire Place ❑ Re Roofing Final ❑ Sewer Insulation ❑ Lintel Pre Fab READY FOR INSPECTION Tues. Wed. Thurs. Friday P.M. Mon. A.M. �— P.M. Inspection Made Final InspectiKncy Inspector Certificate of ❑ Date MAP SHOWING SURVEY OF F1,OT , SENNA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAI, COUNTY, FLORIDA. ELEVENTH S TREE 60,A'1w N. 83092'00"E 39.50 -SSG s bio e> Fvvvlfo¢�--5 S �Gcadc. � lL P3. `/ CaL u�Lt/ Z N N zG. s D 8 l N ` o 7v 0 N V N o� v � „ CH 3—:3160 SO 48 wC=37.65 R. ZS oQ'o/737„ 3 ..,'.QW:..:. '::.6 CGS S. 79 CIRC` ,�►-, �� 3/�e8 SF1,VA LA KE Co P,P�T F"-e-c // F z 4E- Tb Lort/EST FGb� �-� 6p'R/W •� df Lcvt FST �GOOK Ez- -?. ON -rXE /5"�•� f�T�sS�/L / � E'E✓/(TAS t/S S.r/o�/c/ �'hvs ,;';'v'� �FE � .�'%4T/o�c%4� G'EcnE r-�C ✓E�P`T/C.qG D/47v'�'L .�,q,Pi.VGs e> f ABsT�Acr, Dv✓.QL FEL��iPftL. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant H. A. DURDEH to Section 4?Zoz 7 Florida Statutes. & ASSOCIATES INC. • otaraao suw.roa LAND SURVEYORS 7� �p 9 SIGNED post otllce Box 50870 830 Beech Boulevard SCALE: Jacksonville Beach,Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. / SSB