435 SElva Lakes Cir (vault) CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION: �� ����y9 ���S �1x
OWNER OF PROPERTY:
CONTRACTOR: ARLINGTON BEACHES ROOFING, INC.
CONTRACTOR'S ADDRESS: 1441 CESERY TERRACE
JACKSONVILLE, FLORIDA Zjp: 32211 / / p
STATE LICENSE NUMBERGf aDo?3 g�o oZ TELEPHONE:
DESCRIBE WORK TO BE PERFORMED: RE-ROOF: 's0-
VALUATION OF PROPOSED CONSTRUCTION 0 L�� 00
MATERIALS TO BE USED:
c � NCS
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THIS �� DAY OF , 197J
NO RY PUBL
Liability Insurance Supplied
Workers Compensation Insurance Supplied
Contractor License Information Supplied
Occupational License Information Supplied
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247-5826
ROOFING PERMIT
PERMIT INFORMATION' LOCATION INFORMATION
Permit Number: 18516 Address: 435 SELVA LAKES CIRCLE
Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: 1,850.00 Parcel Number: _
Improv. Cost: 1,850.00 OWNER INFORMATION
Date issued: 7/16/1999 Name: FAIR, CLAIRE
Total Fees: 25.00 Address: 435 SELVA LAKES ATLANTIC BEACH, FL CIRCLE2233
Amount Paid: 25 .00
Date Paid: 7/16/1999 Phone: (000)000-0000
Work Desc: REROOF
CONTRACTOR(S) _ APPLICATION FEES
ARLINGTON BEACHES ROOFING PERMIT 25.00
1
Inspections Required_
I
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAytNG TWICE FOR BUILDING IMPROVEMENTS" -
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
_ ` ` — — —
$25.0014
CITY OF ATLAN IC BEA Date: 7/19/53 81 Receipt: 8072b288
CHECKS
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERT INFORIVT-ION _ 1 _ LOCATION INFORMATION
Permit Number: 23308 Address: 435 SELVA LAKES CIRCLE f
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 I
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY j Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: 1,850.00 Parcel Number:
Improv. Cost: OWNR
------ ER . ORMAfitON
Date Issued: 1/11/2002 Name: FAIR, CLAIRE
Total Fees: 37.00 Address: 435 SELVA LAKES CIRCLE.
Amount Paid: 37.00 ,ar ATLANTIC BEACH, FL 32233
Date Paid: 1/11/2002 P n _ QO 000-0000
Work Desc: REPLACE HVAC
CONTRACTOR ---
OCEAN STATE HEAT &AIRS 37.00
AA
5-2
i
- { ��.� qtr _•�t� `Y Li ; _'� � 1 _ Y'
FINAL
-
`Ey, r r xv >;..ar x3r s .fes
NOTICE- I tC7 � A .1AST4 HOtI# 'I'Q PECTION
BUILDING MATERIAL RR .s�3RIS FFtC HEIST NO P i PUBLIC SPACE, AND
MUST BE CLEARED UP
7*4
"FAILURE TO COMPLY 1 $ ULT 1N THE
Y -
PROPERTY OWNER PAYING 1 $ S"
4_
ISSUED ACCORDING TO APPROVED PLANS - `' IS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
t ..
$37.00 N
ATLANTIC BEACH BUILDING DEPT. Date: 1111/02 01 Receipt: 0025547
ruFCKs
00100003221000 -
s --— -- ------------- -----. --- - - - - -- ----
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC aaACH,FLORIDA 72133
APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER
IMPORTANT—Applicant to complete all items in sections I, II, III, and IV.
I. 3C
LOCATION street Addralr: l SBL V A (JV K�S CL 2
OF Isbnecting Sfruts: Ilatweea e—LV A MAQlMA 1'!LV� And 17'A
BUILDING —
seir-dldslon
II. IDENTIFICATION —To be completed by all applicants.
In consideration of permit given for doing the work as described in the ebo•e deterrent we hereby agrees to perform old work in accordance
fh the atfacttd plans and specifications which are a part hereof and in eccordaece wish the City of Jackro-iile ordinances and standards
of good.pracfke listed therein.
lotMechanled Conhac}on
Cenhaafar(Print) \ Co fv
r �
Name of
Property O.ee'r
—�
of Aut to of Age Signdvre of
er Authorized Aqe Archifec} ar Enginur
III. GENEkal. INFORMA
A. Type of he fitdf S.
Ff•t}ric IS OTHER CONSTRUCTION BEING CONE ON
THIS BUILDING OR SITE 7
❑ Gas—[3. U ❑ Natvr•1 ❑ Control Utility
❑ oil IF YES, GIVE NUMBER OF CONSTRUC 100
PERMIT
❑ Other—Specify
IV. M11CHANICAL IQUIPMINT TO 11 INSTALLEO NATURE OF WORK
(Provide complete list of Components on bed of this foam) [� Residential or ❑ Commercial
Most ❑ Space ❑ Recessed a Control O
goer ❑ New Building
9 Nr Condrtleaieq: ❑ Room ❑j Central I� Existing Building
❑ Dud System: Material Thicy,st„ ygl Replacement of existing system
Maalmvm capacity cf.nt ❑ New Installation(No system preyloualy Installed) -
❑ R•Ligerotfon ❑ Extension or add-on to existing system
❑
Cooling to.•r. Capacity 9,p-m-
❑ Other—Specify
❑ Fin sprinNaret Number of hoods
❑ El•yeter ❑ Manlift ❑ Escalator Inumberl -
❑.Gaaodne pvm;se (nvmbe�) THIS SPACE POR OPf)Ci USA ONLY
I RaeeMd(
(]. Tank. (number) .
R.marka
❑ LPG confelaer. (number)
❑ Unfinil pr«nre wsesa
❑ !Miers Permif Approved by Dam
❑ Other—Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT ppaatcii pp
NumD•rUiltn Duoriptloa Mod•llNumber Manufacturer Grlboa)y Approving
HEATING - FURNACES, BOILERS, FIREPLACTS
Number Units; Caprdty ARptaytiair
D••arlptlon Ma"Number Manufacturer ( I)
I t n 1 QAAI
TANKS
Now Many NowbW Capacity TYI-Liquid Now at Serial Approrfn=
asst Dtmoodaa2 Contaln•d Manufacture No. y
5
C��e tfir f� of Orrupaury
CITY OF
aoft 4 KG s-
%partmpnt of Building Jnopprtion
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 Clwification
Nei., n P c i(If'nt l al —Bldg.Permit No. 88
16
Group-- `W
Type Construction TI E' Fire District.. Atlantic Beach
Owner of Building rOnertles Address__43Q Melva Lakes Circle
Building Address 43S Selva Selva Lakes
. ._. .. _ By ------ - - --- -1988 --
Building0(ficial Date: !arc,, 11, - -
POST IN A CONSPICUOUS P"C[
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested: March 11, 1988
Building Contractor: Reyhani,Inc.
Building Permit Number: 8816
Address : 435 Selva Lakes Circle
Legal Description : Lot 2 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
---_ DupI ex
Lowest Floor Elevation: Vz
---------- ---------- ----------
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: BY.
Fire Chief 3/11/88 -- /�_ lee
Public Works 3/11/88
Planning Director
-__3/11/88-
Building Inspector _____3/9/88_____
_ __ _--- - - -- PLU11•1ri1NG 11LwJIlu jI
�
BUILDING PERMIT 1,1ORKSNEET ELECTRIC PERMITTEMPORARY ELECT.
ca ted Square Footageer sq ft = $ j moo? 9, GO
3rage/Shed 40 rl @ $ �U �U per sq ft —
3rport @ $ per sq ft = $
arches @ $ per sq ft — $
2ck @ $ per sq ft = $ '
3tio @ $ per sq ft = $
TOTAL VALUATION $
r
)tal Valuation Data lst
z 00 co
,ma inder Valuation @ $ �i . (O0 per thousand
or portion thereof �O
TOTAL BUILDING FEE $ (Oo?«
+ k FILING FEE $
FIREPLACE @15 . 00 $ Oo
TOTAL BUILDING PERMIT $
- -------------------- ---------------------------------------------------------
UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ECT. TEMPORARY $ ELECTRICAL PERMIT $
TER METER SIZE $ ACCOUNT NUMBER
WER IMPACT FEE $
TER CONNECTION $ (@10. 00 per fixture unit)
PROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE $ �, 00
TOTAL SEWER IMPACT FEES $ �0�� �O
TOTAL WATER CONNECTION CHARGE $ gO, 00
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $
C- Ok b
PLUMBING WORKSHEET
SINKS 2 SHOWERS DISHWASHERS
3 CLOSETS BATH TUBS FLOOR DRAINS
' WASHING MACHINE WATER HEATERS DISPOSALS
Ll LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT /5_
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.
fg 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
_T FLOOR DRAIN Cl UNIT)
(4 UNITS)
- WASHING MACHINE RES.
�TT URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE OPERATED
�T WATER CLOSETS, TANK-OPERATED (8 UNITS)
OUNITS)
SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS) h
TOTAL FIXTURE UNITS @ $10..,00. EACH c/ °� A0,Dd — ��• 0o
CITY OF
AW ai4c Feat( -
716 OCEAN BOULEVARD
P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
\ TELEPHONE(904)249-2395
March 10, 1988
i
Third Floor
Pre-Service Section
Jacksonville Electric Authority Building
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are satisfactoryr
Permit #5567----631 Selva Lakes Circle
Permit #5568----635 Selva Lakes Circle
Permit #5685----448 Osprey Key
✓Permit #5561----435 Selva Lakes Circle
Permit #5274----527 Selva Lakes Circle
Permit #5427----551 Selva Lakes Circle
Permits issued to Adkins Electric Company.
Si rely,
Rene' j ngers
Community Development Dir ctor
RA/tb
cc: file
CITY OF -
A , Se4d-57&"4*
Office of Building Official dD 46
Date
REQUEST FOR INSPECTION
-�/�� �nn/
Time Permit No.
Received A.M.
PM. District No.
Job Address
Owner's Locality
Name
or
BUILDING CONCRETE ECTRICAL
Framing - Footing P MBING MECHANICAL
Re Roofing - Slab - inng 0 Rough - Air.Cond.&
Lintel - Temp Pole O Top Out
- Final �/ - Heating
Sewer Fire Place -_
READY FOR INSPECTION Pre Fab
Mon. Tues.
ed. �� Friday Thurs. A.M.
M
Inspection Made - _ A.M. P
Inspector /
Final Inspection— /
Certificate of Occupancy✓
Date
CITY OF
&4d-� �
Office of Building Official
�J �/�r
REQUEST FOR INSPECTION
Date Permit No. ✓J C F
Time A.M.
Received P M.
istrict No.
Job Address � Locality cality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing E Footing ❑ Rough Wiring Rough ❑ Air.Cond.& ❑
Re Roofing Slab ❑ Temp Pole = Top Out ❑ Heating
Lintel ❑ Final Sewer ❑ Fire Place -
��11 READY FOR INSPECTION Pre Fab
Mon. uesA.M.
Wed. Thurs. Friday PM,
A.M.
Inspection Made PM
Inspector Final Inspection /
Certificate of Occupancy
Date
27937 METRO GRAPHICS-JACKSONVILLE,FL
CITY OF
ATLANTIC BEACH No. 0708
FLORIDA
19
NAME RGM Properties
ADDRESS
CITY
20.U0 TL
'nn.rinCKTO
Re-Inspect Fee 2 @ $10.00 each #01-3699000 9116 M1110031001nn
700 .0.)CAUG
91 '6 1 3/00/00
435 Selva Lakes Circle P A I Q
448 Osprey Key MAR 0 8 1989
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
I
Tok VG7 Co
IS
7
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL. PERMIT ��-�► �J
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM EREOFANDDI IN WITH THEWORK IN ACCORDANCE ITH THE ELECTRICALACHED PLANS AND SPECIFICATIONS,
REGULATIONS,
WHICH ARE A PART HEREOF, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
JOURNEYMAN
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
Ljyj��J C.lr
NAME ADDRESS: �' LRFD BOX
6
BLDG.SIZE BETWEEN:
RES. ( :) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW(- ) .' OLD ( 1 REW. ( 1
ADDITION ( 1 TRAILER I 1 TEMP.1 1 SIGNS ( 1 SO. FT.
" FEE
SERVICE: NEW f- INCREASE 1 1 REPAIR ( ) �o
CONDUCTOR SIZE Z AMPS COPPER ( 1 ALUM. 1
rr
SWITCHORBREAKER /`SCJ AMPS PH WOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES _ CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT -
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER
EACH SIGN
FORWARDED
=S �� ,
TOTALFEES
X031
CITY Of* At- TAHTIC 13CACII "y
COMPLAINT HANAGEM[All' 1,A1
TAKEN ( date/time ) :
CC,MPLAINANT :
Last Name First Nemo NJ
AGGRESS :
CITY/STATE/ZIP:
TELEPHONE:
COMPLAINT:
LOCATION:
PROPERTY OWNERS PHONE:
PROPERTY OWNERS NAME:
DEPARTMENT FORWARDED TO:
COMPLAINT TAKEN BY: DATE/TIME:
'OFFICE USE ONLY
INVESTIGATED: (date/time)
ASSIGNED DEPT. /DIVISION: PRIORITY:
INVESTIGATOR:
CONDITIONS FOUND:
ACTION TAKEN:
CCMPLIANCE:
t.- T ES :
.i
RECEiU' E �
CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH
MAY 2006 FENCE PERMIT APPLICATION
it j i
Date: b� OG
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Job Address: L+ .3s^ f.Y A l�� �J Q . ` • �, I' 1—
Owner's Name: , �(� Fq I P
Address: " .5 s- 1,\PR LA 12 E t r G Phone:�a�, � "f � — G� � ( o
Legal Description: Block Number: Lot Number: Zoning District:
Fence Contract _ 1
Address: 1 �� T�Jb �� `5&Phone:
- r TT
Ci �� State: F L Zip: �, 'Fax:
Type of fence and mat1
enals to;�used:�i�� �j S t Z C' '� ��,,, ��T" C�
Valuation Of Fence: g ` OInterior Lot ❑ Corner Lot ❑Dumpster or storage tank enclosure
Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application.
Tree Protection: KNO. Applicant certifies that no trees will be removed for the installation of this fence.
❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS
REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which
meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
1. Attach copy of property survey showing location, height and all distances from property lines of the proposed
fence. (Fences shall not be placed within any utility or drainage easements without written permission from the
Utility and/or Public Works Departments. Fences shall not restrict any private easement.)
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: a I-v.( 1 % TR I R
Mailing Address: +.;s 15 JEwN L aml, rA-r 4 1a,1 R C:4_EZ�s�-�
Phone: 3k'j I J jo Fax: E-Mail:
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us
Page 1 Revised 3/04/04
I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All
provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a
permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws
in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this
permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as
required.
Signature of Owner:�o 64 Date:
AS TO OWNER:
Sworn to and subscribed before me this day of V(n—U ,20c.
State of Florida,County of Duval
Notary's Signa
,YwN K.CUMPIGHAM
Mwy pt#*-Sm of FbAIN ❑ Personally known ��
.tel► m Fab 21. Produced identificatio�3 t—,
N - •�NlfonM Atln Type of identification produced�WM 104 d-��Z�"1
Signature of Contractor: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 120
State of Florida,County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atiantic-beach-fl-us
Page 2 Revised 3J04/04
rS --�K21 '
CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
r�Os;l fir`
Application Number . . . . . 06-00033103 Date 6/05/06
Property Address . . . . . . 435 SELVA LAKES CIR
Tenant nbr, name REPLACE FENCE
Application description . . . FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1529
Owner Contractor
------------------------ ------------------------
FAIR OWNER
435 SELVA LAKES CIRCLE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
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.-
'SrL1r�J� CITY OF ATLANTIC BEACH Cc_
D. FordY
f BUILDING / ZONING DEPARTMENT L. Higgins
r) 800 Seminole Road . Doerr
v Atlantic each,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # � - 33 l0 3
Property Address: 7 sm/ 7� Q zi S (, �-
Applicant: -.4 ,I - D/.J N f
Project:
This permit application has been:
Ind Approved
Reviewed and the following items need attention:
0
Please re-submit your a lication when these items have been completed.
Rev y: /
Reviewed B v T Date:pito 2-
Date Contractor Notified:
SELVA LAKES HOMEOWNERS ASSOCIATION
REQUEST FOR ARCHITECTURAL APPROVAL
This request form is to be completed by the Homeowner and submitted to the(ARC)prior to the commencement of work.
DATE RECEIVED BY ARC: 2-
a THIS SECTION TO BE COMPLETED BY HOMEOWNER
Date: ✓
Name: f o��A t�oJ� O Lot# O 0 F a
f11�c�lR "
Address:t3 Je�1Ti�t L r� l- .� ��V L �c e s
Home Phone: Other Phone:
Contractor:
Describe the work to be done: (i.e.screen room,additio�fence garage door,siding,outdoor lights,exterior painting,
roof repairs/replacement,gutters,etc.)
C'.
back -� �an�
�20 V-<- LZ
Location: Attach a copy of your survey indicating the location of the work to be done.
Describe Location: S e� G—b i?\S<--2
Specifications: Attach a copy of the plans,drawing,picture,specifications(material,color,etc.) All exterior paint must meet SLA
specifications.
Estimated date of completion: b
NOTE: Owners are responsible for the conduct of the contractor. You are required to supervise the work being done. You are
personally responsible and liable for any damage done to common property or adjacent property. When required by the City of
Atlantic Beach,you are required to provide the ARC with a copy of the building permit.
57-
Homeowners Signature: �, j) i ,1$ Date:
Date Approved `� 2-3' d (Q Date Denied
7 l
ARC Signature(s):�X�
Comments or conditions: J
MAN SN +`JG DOUNDARY SURVE -'
LOT 2, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGE 55 AND 55A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
CLAIRE D. FAIR
FLAGSTAR BANK, FSB
RICHARD T. MOREHEAD, P,A.
STEWART TITLE GUARANTY COMPANY
ELEVENTH STREET
(60.0' RIGHT OF WAY) _
REGI V t-
N 83'42'00" E CITY 0; A
SWAMPEDND 2'PLS 16714E 1.0' 34.50 FOUND 1/z' IRON PIPE 'I' `.1�r ^ `
1.0 STAMPED -BURDEN LS 1048-
x0.0' X X
MAY 3 Q 2006
LOT 2BY
SCREEN PORCH 'CD
CF!
04 14 in
a6 g
R
O 4.5• cJ �I 8.5' t
r- E r
boa_
>
Z. cr� w
w
o
LOT 3 TWO STORYLOT 1 W
TOWNHOUSE
POSTED # 435
^u+'� e.e' Cf) o
2
c�
COVERED � LLJ
ENTRY
T?CENT
Q
6 I EL
X �
O O
O (n
00
� zo.1' Cit
� 14.4' y of Atlantic Beach
O ; P anning and Zoning Department
4
Z ti. This a roval verifies compliance with applicable
zoni g, subdivision and other local land
5' K S'AUTHORITY
EASE ELECTRIC ; •�. :1.•. . dP elopment regulations, but does not constitute
AUTHomTY EASEMENT )proval for the issuance of permits. Compliance
5 5 '
' 16.15' 1'.6 Florida Building Code and all other applicable
• FOUND 1/2- IRON PIPE FOUND 'La'r
_ • ~ STAMPED •RLS 4144' PANT OF Q8tate and Federal permitting requirements
FOUND 1/Y IRON PIPE must be verified by signature of the City of Atlantic
STAMPED 'RLS 41'1'4 S 7959 37 Beach Building Official prior to the is ante of a
34.57' Building permit.
Approved Br. Aa4 _
SELVA LAKES CIRCLE mum Zeoprre t`-Z5•re-
(60.0' RIGHT OF WAY)
Date:
NOTES: ACCEPTED BY:
LEGEND:
R - RADIUS —x_ = FENCE
L - LENGTH O CONCRETE
VOTES:
I. BEARINGS ARE BASED ON THE PLAT _ N 83'42'00",E REVISIONS
SOUTHERLY RIGHT OF WAY UNE OF ELEVENTH STREET.HEARING
OF _ ALONG TH
!. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZLROED
AE DATE DESCRIPTION
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989, COMMUNITY N20075, NFL/'SHO�OFt�THE
I. THIS SURVEY REFLECTS ALL EASEMENTS do RIGHTS OF WAY AS PER RECLAT k/ TITLE COMMITMENTIF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATIONN P ORMED BY THE UNDERSIGNED
THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB 1967 DATE OF FIELD SURVEY: 7-15-97 DISK # ZIP 3 SCALE: 1" = 20'
923 Peninsular Place, Suite 1 CERTIFICATE
Jacksonville, Florida 32204 I HEREBY CERTIFY THAT THIS SUk'IEY WAS MADE'HNDER MY RESPONSIBLE CHARGE
AND MEETS THE MINIMUM TECH.ViCAL STANDARDS A3 SET FORTH BY THE FLORIDA
(Phone) 904-354-1141 BOARD OF PROFT_SSIONAI SUR',EYORS AND MA ERS IN CHAPTER 611317-6, FLORIDA
(Fax) - 904-354-1255 ADMINISTRATIVE DOE,PURtl!ANT TO CT10N 4 X074 FLORIDA STATUTES
MIC AE' d: LLO
LICENSED BUSINESS k 6702 REGISTERED SURVEYOR AN M4A FR 1 4879 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
1
CITY OF
/*&atic Ve d -
716 OCEAN BOULEVARD
P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
December 6, 1985
RGI Properties
1112 Third Street
Neptune Beach, FL 32233
Dear Jackie,
It has been necessary to change the addresses at SKva bakes
in order to accormdate the cable and electric utilities.
Please make the following changes on your permits and/or reciepts
and post the new building cards on the job sites.
435 Selva Lakes Circle should be 439 Selva Lakes Circle
437 Selva Lakes Circle should be 443 Selva Lakes Circle
439 Selva Lakes Circle should be 447 Selva Lakes Circle
441 Selva Lakes Circle should be 451 Selva Lakes Circle
If you have any questions please call.
cerely,
' Angers
coI nn]nity Detvel Director
file