The URL can be used to link to this page

454 Selva Lakes Cir (vault) CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address*�4 , 4-31-�' SELVA� LAKES CIRCLE Lot # Block # Subdivision Owner RGM PROPERTIES, INC. Address_ 439 SELVA LAKES CIRCLE Contractor (John C. Scott, III ) SURFSIOE POOLS Address— 321 BEACH BOULEVARD; JACKSONVILLE BEACH License Number RP0030299 Valuation $ 34,000.00 Gallons 33 ,570 SITE PLAN front See survey attached (D (D . rear Date Signature Owner Signature Contractor—Q 3-10-87 CITY OF -7 4&40& 9q&U*Z& 0 office of Building official REOUEST FOR INSPECTION 9162 Date o.. Permit No. Time A.M. District No. Received P.M. ()t, o ddress' Ilty owner's Name- I MECHANICAL BUILDING CONCRETE ELECTRICAL PL SING Framing 0 Footing 0 Rou 0 Air.Cond.& C1 0 Temp Pole Top Out 0 Heating Re Roofing 0 Slab Fire Place Cl Lintel 0 Final Pre Fab READY FOR INSPECTION A.M. 7-'"' P.M. Mon. T s. w7ed Thurs. A.M Friday inspection,Made Final Ins !on inspector Certiticateof Occupancy Date CITY OF 4&aa4c BeaeA-&7&uda Office of Building Official REQUEST FOR INSPECTION Date Permit No. T e A.M. v P.M. Districl,,Po. Recei ed Adaress Locality Owner's, Name —J�AIA Contractor BU6ING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 0 Footing Ej Rough Wj ri ng Rough Air.Cond.& El Re Roofing 0 Slab Temp Pole E Top Out Heating -va— Lintel El Final El Fire Place El L - 0 Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday—P.M. Inspection Maae Z& A�—f�, .me, I nspector I Z Final Inspection El Certificate of Occupancy Date ro 0,AJ 7-if CITY OF office of Building official REQUEST FOR INSPECTION �z Permit No Date A.M. District No. Time P.M. Received o L Z71— Locality Owner's Job Address Contractor P )—� Name CONCRETE ELECTRICA PLUMBING MECHANICAL BUILDING ing Rough Air Cond.& Framing Footing 0 Temp Pole Top Out Heating Re Roofing Slab 0 Sewer Fire Place Lintel 0 Final Pre Fab READY FOR INSPECTION A.M. ,��d. 6 Thurs Friday P.M. Mon. Tues L — e--A-�? Inspection Made Final Inspection Inspector Certificate of occupancy Date C(4zL(- CITY OF ATLANTIC BEACH, FLORIDA Approv*d by I APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: 'iAASTiR ELECTRICIAN SIGNA RE JOURNEYMAN NAME —ADDRESS:4-24 5&k1la- RFD, BOX— BLDG.SIZE BETWEEN: // RES.I I AFT. comm. PUBLIC INDUS. NEW ( OLD ( I REW. ADDITION tk'� TRAILER TEMP.( ) SIGNS ( I — SQ. FT. SERVICE: NEW( INCREASE ( ) REPAIR ( FEE CONDUCTOR SIZE AMPS COPPER ALUMA .) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZ-E IND. SIZE SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 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 OVER MOTORS H.P. I VOLTAGE PHS No. 1 H.P. VOLTAGE PHS_ '5 S Lw"i -91-S'CELCANEOUS LL TRANSFORMERS: UNDER 600 V. OVER 600 V. N=O. KVA NO. lKVA VA MA MOTOR SIZE SWITCH FLASHER NO.NEON TRANSF. EACH SIGN FORWARDED tTOTA:L:F:EE:Sj C�-o CITY OF ^W4a&? Fe4d - 57&v�& 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 April 22, -1987 Third Floor Pre-Service Section Jacksonville Electric Authority-Ruilding 233 West Duval Street Jacksonville Fl. 32202 The Following final inspection has been made and is satisfactory: Permit # 5270-454 Selva Lakes Circle Permit issued to Adkins Electric Company Sincere y, Rene' Ange s Community volpment Director cc: building file CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD rj ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Ills) Application Number . . . . . 04-00028015 Date 3/31/04 Property Address . . . . . . 454 SELVA LAKES CIR IRRG Tenant nbr, name . . . . . . INSTALL 2 2FLOW PREVENT. Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------------------- -- ----------- ------------- SELVA LAKES ASSOC. STEEG PLUMBING CO. , INC. P.O.BOX 1365 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ ----- ---------- ---- ---- -- ---------- ---------- Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 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 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: 44 11 Owner: _�el�1.4,_ Telephone Contractor: A� AL e� ;�7_ Telephone Contractor Address: _4Q1 A3 Fax In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice fisted therein. Instaflation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, Ll New list the building permit number: 0 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other 1'Tn:k91'P4 4") ,Pit�e ile A Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 8 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800- Fax: (904) 247-6846. http:ltwww.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH, FLORIDA Approv*d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYM N 15 -'RFD, -BOX- NAME WgOJANILt S ADDR ESS:A BLDG.SIZE BETWEEN: RES. ( I APT. ( I COMM.V")' PUBLIC INDUS. NEW ( I OLD ( REW. ADDITION ( TRAILER TEMPA I SIGNS SO. FT. SERVICE: NEW( INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUMA I SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 0 0) AMPS PH W ID VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30��MPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS TTRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CEIL HEAT: KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS 0-1 OVER MOTORS H.P. I VOLTAGE PHS -NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 0 C TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF.' NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED s D 0-0 TOTAL FEES - ADKINS ELECTRIC COMPANY - PURCHASE OR MATERIAL REQUEST JOB * NAM DATE SHIP TO REMARKS QUAN. SHIP D E S C R I P T 10 N P. 0. UNIT TOTAL FORM $A CITY OF 4&aa&a 13e=A-A;k1W*4& Office of Building Official REQUEST FOR INSPECTION Permit No. Date 7-y Time A.M. Dlqjnct.No. Received P.M. / /f i5�ity Job Address 0 --erLa 2?] Contractor Name 21i, MECHANICAL BUILDING CONCR6E ELECTRICAL P L SING Air.Cond.& 0 Framing 0 Footing 0 RoughWiring 0 Rough E) Re Roofing 0 Slab 0 Temp Pole 0. Top Out Heating Fire Piece 0 Lintel In Final 0 Pre Fab �� D-Y FORTNSPECTION A.M. W!Fd Thurs. ZFridday .�P.M. KAon. use. A.M. Inspection Made P.M. Inspector Final Inspection 0 Certificate of OCCuPanCY Date CITY OF 4&-,� Office of Building Official REOUEST FOR INSPECTION Permit No. Date A.M. District No. Time P.M. Received--- ------ CL&�& Locality job Address OWner'S Contractor Name PLUM ING MECHANICAL CONCRETE ELECTRICAL 7� Air.Cond.& 0 BUILDING Footing 0 RoughWiring El Top Out 0 Heating Framing Temp Pole Fire Piece Re Roofing 0 Stab 0 Pro Fab Lintel C1 A.M. READY FOR INSPECTION Friday----P.M. Mon. Tues. Wed. Thurs. �PM inspection made Final Inspection 0 inspector certificateof Occupancy Date CITY OF 4&a& 13e4=4-1&U-c& office of Building Official REOUEST FOR INSPECTION Permit No. Date A.M. District No. Time P.M. Received L169 S6k)a Locality Job Address owner:��A Contractor arne N ELECTRICAL PLUMBING MECHANICAL BUILDING CONCRETE Rough Air.Cond.& Framing No/ Footing 0 Roughwiring Oki,' Heating Re Roofing Cl Slab 0 Temp Pole 0 Top Out Fire Place Lintel 0 Final 11 1 Pre Fab READY FOR INSPECTION A.M. P.M. Mon. Tues. Wed. Thurs. inspection made Final inspection 11 inspector Certitir-ate of occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WIT THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. '&Jue - ELECTRICAL FIRM: MASTER ELECTRICIAli SIGNATURE' JOURNEYMAN NAMFC'(:"M' �VPLBIL.A' ADDRESS: +�4 �,EkM kKO �4. RFD—BOX— BLDG.SIZE BETWEEN:— RES. I I APT. ( I comm. PUBLIC INDUS. I NEW llx� OLD ( REW. ADDITION ( I TRAILER I TEMP. ( ) SIGNS ( I SQ. FT. 1590- SERVICE: NEW 06 INCREASE ( REPAIR I I FEE COPPER ALUM. V) CONDUCTOR SIZE �2SO MC t-tl AMP. SWITCH OR BREAKER 100 AMPS PH .3 w 2.10VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED PE-1 RECEPTACLES CONCEALED OPEN ITOTAL 0.30 AMPS. V11" 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CEIL HEAT: KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS 0-1 OVER MOTORS VOLTAGE PHS No. I H.P. VOLTAGE PHS V,j —r- so MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOT IkL FEES Address Der sq ft = Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ Carport/Porch @ $ per sq ft = $ - Deck @ $ er sq ft = $ p Patio @ per sq ft = $ TOTAL VALUATION: $ L4/ Total Valuation lst -luation $.-�.,3Dper thousand or Remainddr Va portion thereof -------------------------------------------- Total Building Fee $ PERMITS and/or FEES REqUIRED + k Filing Fee $ V911 Aj- ADDITIONAL Fireplaces @ 15.00 $ ]Mechanical BUILDING I PERMIT FEE Plumbing Electric/New ------------------------------------------------- Electric/Temp BLTILDING PERMIT $ Septic Tank WATER METER. CHARGE $ Well SEWER IMPACT FEE $ Swinming Pool WATER UvTACT FEE $ Sign lvaSCELIANEOUS $ Water Connection Sewer Connection Water 14eter Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES TWI 11iM T.Y. N11 N !1. 1 'M 0i. 74� Rk Hair and Lint Trap not included.See reverse side or Bulletin 4-14 for ordering information. (3 H.P.model when used with Trap and Basket) BRONZE OR CAST IRON (:/Cc ts F!I I M COMME11cuL SWIMMING POOL PUMPS Because of their compact design, Sta-Rite"C"and"CC" All electric components of"C"and"CC"Series motors which Series pumps can be installed where most other 3 and 5 H.R are subject to normal wear are easily accessible by removal pumps will not fit. Lightweight but rugged,these pumps are of motor end canopy. Entire motor can be removed for offered in"high head"and"medium head" models to provide servicing impeller and seal without disturbing plumbing. a complete range of performance characteristics. Design Series"C"pumps are all-bronze except for rugged Rugged motors with pre-lubricated and shielded ball steel base. Design Series"CC"pumps are cast iron. Rubber bearings are designed for continuous duty. Stainless steel sleeve cushions motor on base for quiet operation. Both pump shaft and mechanical seal provide extra quality. series pumps have a bronze,closed impeller with replaceable Overload protection is built in. bronze wear ring. ORDERING IWORMATION C SERIES ALL-BRONZE CC SERIES CA 3T IRON HIGH HEAD HIGH HEAD Catalog Nominal Motor Approx. Catalog Nominal Motor Approx. Number H.P. Voltage Ship.Wt. Number H.P. Voltage Phase Ship.Wt. ___&_C__HH 3 230V 1 80 3 230V 1 84 66 CHH3 3 230/460V 3 70 CCHH3 3 230/460V 3 80 CHJ3 5 230/460V 3 84 CCHJ3 5 230/460V 3 MEDIUM HEAD MEDIUM HEAD _T 8-0 16CMH 3 230V 84 23 0 CM 7 MH 3 230/ 66 230/460V 3 CCMH CMH3 3 1 1 NOTE: All models have 2-112"NPT Suction and 2 NPT Discharge ports. 200 Volt Models Available. STA�-RITE INDUSTRIES9 INC. WATER EQUIPMENT DIVISION 5 8 DELAVAN, WISCONSIN 53115 Chamblee, GA e Kaufman, TX * Ledgewood, NJ EFFECTIVE SUPERSEDES Orlando, FL 9 Los Angeles, CA 9 Union City, TN FEBRUARY 1980 TO THE DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES: The RGM -PROPERTIES INC . (insert title of body making application, i.e., municipality,corporation or individual owner) whose address is 439 SELVA LAKES CIRCLE ATLANTIC BEACH FL . 32233 (Street and Number ) (City) (Zip Code) authorized by law to act for the said RGM PROPERTIES INC . (Insert city, town, corporation or individual) and to expend its fund for a swimming pool, herewith submit for the consideration of The Department of Health and Rehabilitative Services, plans,specifications and other necessary data prepared by WILLIAM T . MATHIS 9 ASSOC . (Engineer or Firn) of 420 SOUTH 3rd STREET JACKSONVILLE BEACH FL . 32250 (Street and Number) �City or Town) (Zip Code) who is hereby authorizeci to represent the applicant in the engineering features including supervision of construction and appropriate certification as to compliance with the approveci plans and specifications of this proiect for the installation of NEW POOL (Clearly describe: new pool or alteration of existing pool) 5—il—VA LAKES CIRCLE to serve SELVA LAKES Located at �:- (Name of motel, club, hotel, city, etc.) 'Pool Address) in/near the city of ATLANTIC BEACH ;n the county of OUVAL �State of Florida, as required by the regulations of the Department of Health and Rehabilitative Services and herewith make application to The Department of Health and Rehabilitative Services for approval of this project, These plans and specifications and related documents will be approved and accepted by the applicant when thev have received the approval of The Department of Health and Rehabilitative Services, Upon!construction, these facilities will be owned by SELVA LAKES ASSOCIATION INC . and will be operated and maintained by SELVA LAKES ASSOCIATION INC , fOwner or other) whose address is 439 SELVA LAKES CIRCLE ATLANTIC BEACH FL . 32233 (Street and Number) (City or Town) lZip Code) This application is made under and in full accord with the provisions of Chapters 381,and 514, Florida Statutes, and Chapter 1OD-5,Swimming Pools and Bathing Places, Florida Administrative Code. The applicants agree that no changes in or deviation from the plans and specifications approved by The Department of Health and Rehabilitative Services will be made except with the consent and approval of The Department of Health and Rehabilitative Services. Further, the applicants and/or owners agree to provide the necessary funds for equipment and chemicals required for the continued proper operation, maintenance and repair of this public swimming pool. A"ached is a certified check or money order for required fee of $ 190 . 00 The design engineer certifies to the preparation of the engineering documents submitted herewith and agrees to furnish a certificate of construction and installation upon satisfactory completion of the project. Date JANUARY 20 1987 eel Signature: Engineer registered under Florida Statutes WILLIAM T . MATHIS #4157 Typed name and Florida registration number ure: Owner, Lessee or Manager KAZEM REYHANI , PRES ._ Typed Name and Title of above ENGINEER'S SEAL SWIMMING POOL INFORMATION Name of Pool SELVA LAKES POOL 1. Estimated cost of construction$ :3 4 1 0 0 0 0 0 2. Bathing load 24 3. Type of pool: Indoor Outdoor X X 4. Shape-Swimming pool FREEFORM Other pool A 28 ? –0 G :3 –0 8 N/A Nidth 8 ' x 30 ' Area 1175 sQ ft C 28 1 –0 Length =6 7 –0 D 3 –0 ' E 14 A Perimeter 152 In ft = 5 0 5. Volume in gailons--Swimming pool 33 1 570 Other pool 6. Number and height of diving boards or towers NONE Material from which pool walls and floor are constructed CONCRE-TE Sur-face finish MARCITE 8. Source of water: PUBLIC Approval No. Date Water Closets Urinals Lavatories T 9. Number of sanitary facilities: I I i .1 Mate i ::emale maximum distance 10. Location of sanitary facilities ADJACENT TO POOL from Pool (feet) 11. Number and location of showers 1 MIN . C 15 ' FF90M POOL–MAX 12. Number of hose connections Provided 1 M I N . (Vaccurn breakers are required) 13. Number of units served..-- 160 �Estimated population served 240 Number of stories 14. Describe method of pool water disposal WASTE LINE TO PERCULATION AREA AFTER ATMOSPHERIC BREAK IN LINE . Distance from pool 5 n 1/8 ' ' TRIM 15. (A) Recirculation pump(s) STAR I TE CCMH C ON I MPELLAR 120 GPM At 50 T.D.H. H.P. 3 Make and Model (Feet) NOTE: Attach pump manufacturer's curve(s) (8) Filter(s) VACUUM DE FALCON VAC T – 18 Area_GZ2/,_Sq. Ft. Type Make Model 16. Disinfection equipment: Make and Model STENNER 45M Gaseous Type PPD Hypochlori nation GPD Other Type —_ PPD 17. Other chemical feeders:Make and Model STENNER 45M Capacity 45 GPO Make and Model Capacity 18. Test Kit: Make and Model TAYLOR 2005 FREE CHLOR : TOTAL CHLOR : PH : TOTAL ALKALINITY : CALCUIM HARONESS: CYANURI Test Capabilities ACID 19. Remarks: 8169 DEPAIRTMENT OF BUILDING PERMIT NO_-- CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PEIZMIT MUST BE pOSTED ON JOB 5 Date 19- 103 . 50 75 1' 92 500-00 Fee$ 0 13 rrP,11 r,A Valuation 13169 been paid to City Treasu er,.and i 79 12 This permit not valid until above fee has subjet to revoation for violation of applicable provisions f a jEyHANI INC. This is to certify that— CABA1,11ft AS PEP, P� has permission to build RESIDENTIAL Zone PUD Classification---- ------- --------- R 3-- PROP F, , ES va Lakes S Owne da Blockl-,,it I_ SID Lely Lot It C� ; 454 SLLVA LAKES CIRCLE House No. According to approved Plans which are part of this permit FORMS NOTICE—ALL CONCRETE AND FOOTINGS MUST BE IN- SPECTEIni BEFORE POURING. PERMIT VOID SIX MONTHS "n AFTER DATE OF ISSUE T Building material, rubbish and debris 0 )rk must not be placed z from this wc by either con ce and must be cleared in public spa up and hquied away tra owner.. =Bulld�Offici�' CONTRACTOR FOR OFFICE PERMIT DATE us 0 LY NUMBER PLUMBING ELECTRICAL SEWER WATER liuLlress E-L-,t A (, C A db A- Heate,d Square Footage @ $ Der sq ft = $ per sq ft = 1arag,e/Shed Carport/Porch @ $ per sq ft Deck . @ $ Der sq ft = 9- Patio @ $ per sq ft = $ TOTAL VALUATION: $ 0 0 10 ��-7 Total Valuation Ist $ .49 n Remainder Valuation thousand or ------------------------------ portion thereof Total .Building Fee $ -------------- I ADDITIONAL PERMITS and/or FEES REQUIRED + I, Filing Fee $ -0 Fireplaces @ 15-00 $ Mechanical L/ BUILDING!PERMIT FEE $ S-0 Plu-rbing Electric/Neq ------------------------------------------------- Electric/TaT BUILDING PERMIT $ / 3 - 5-0 Septic Tank WATER =R. QMCE $ 40/ 9( 5 . CIO Well SEWER IMPACT FEE $ RdmTd-ng Pool WATER D,1PACT FEE $ &,�v Sign /too 1*4 MISCELLANEOUS $ Water Connection Sewer Connection Water Meter Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES UrILITIES WORK ORDER Owner/Contractor Street Address Lo t# Blockyt Subdivision I)rpe of Building * VLAM =R INSTALLATION Meter . Address Size Account , Meter ` (if multi-mfamily 11�ter Unber Reading Nurnber Date Installed: By: 'YES NO Locate Water Locate Sewer ' Make Water Tap Make SWer Tap y CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT S,�L,/P, L-AR-CS Owner -Address vi Du __:LL 7( - z i p a�� p h o n e A r c h i t e c A dd r e a s v- ------ S T -# 9 C o n t r a c t o r _.L.__zip.3]j-.jj_phone Contractor's License number_fjf,�...Q_Q_::�_qXL,7j....expiration_-(o L,��LL?-_7 .. Zoning Z X tot ""Block or Section Subdivision,&� S t r e e ----------- between and side -------------- ----------------- Type Construction--------------No. Units----------No. Fireplaces.......... Purpose of Building...........................Est. Valuation Utility Method - Water------------- Sewer------------ Dimensions - Building--------------Lot-------------Size Footings........... Sz. Piers Sz. Sills-------------Greatest Span Sills--------------- Sz. Ceiling Joists---------Distance on Centers---------Greatest Span Sz. Floor Joists Distance on Centers---------Greatest Span Sz. Rafters ---------Distance on Centers---------Greatest Span Method of Heating-----------Solid or Filled Ground---7-------Roof---------- Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 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 building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner ate - -----ILI D Signature Contractor e page 2 City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. -BATHROOM GROUP CONSISTING OF ()-SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) - -9-- -WATER CLOSET VALVE G) _WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) C) -BATHTUB/SHOWER (2) __C I) -URINAL WALL LIP (4) -SHOWER GROUP PER HEAD (3) 0 -FLOOR DRAIN ( 1 ) -SHOWER STALL DOMESTIC (2) C -LAUNDRY TRAY (2) __LLAVATORY ( 1 ) COMBINATION SINK AND TRAY (3) -WASHING MACHINE (3) __b _POT, SCULLERY SINK (4) --DISHWASHER (2) WASH SINK EACH SET OF --O-KITCHEN SINK (2) FAUCETS (2) 0--KITCHEN SINK WITH WASTE -DENTAL LAVATORY ( 1 ) GRINDER (3) ___C_DENTAL UNIT OR CUSPIDOR (1 ) __LBIDGET (3) 0-URINAL STALL, WASHOUT (4) __o_-FLUSHING RIM SINK (8) O-COMBINATION SINK AND TRAY WITH __L_URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) '' BLOWOUT (8) --O-DRINKING FOUNTAIN ' ( 1/2) __LLAVATORY, BARBER/BEAUTY 6 SHOP (2) ___6-LAVATORY, SURGEONS (2) -----SURGEONS SINK (3) __ V_URINAL STALL, WASHOUT.(4) Ll 0 TOTAL FIXTURE UNITS_ @ -$10. 00 EACH 'q 6_0 JOB INFORMATION L #�(A ci C -------- DEPARTMENT OF BUILDING PERMIT NO. 8200 1 CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 12/29/36 19- Valuation$ Fee$ ?1goo TU 38*f)(INT This permit not valid until above fee has been paid to City Treasurer,and is MO subject to revocation for violation of applicable provisions of law I S 2 QL____A2= This is to certify that F.W FAIR 1950 1 n/P9/8 has permission to bk I 3� Classification RESIDENTIAL -Zone Owned by R Block S/D Lot 454 SELVA LAKESCCIRCLE (CABANA) House No. 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 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and le ay b * her con. y eit tract Building Official. CONTRACTOR FOR OFF ICE PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF -ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 454 Selva. Lakes Circle v"') V) PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY I kA LICENSE NUMBERS MP145 State RF0037503 OTATNER R. G . M . Properties BUILDING CONTRACTOR R. G . M . Properties TYPE OF BUILDING Club House 1 SINKS SHOWERS 2 LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS 2 CLOSETS WASHING MACHINE 2 FLOOR DRAINS OTHER 8 TOTAL FIXTURE COUNT X$3- 50 + $10 . 00 D A TE 12/29 /86 TOTAL AMOUNT $38 .00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . UrILUIES WORK ORDER Owner/Contractor Street Address Lot# BlockYt Subdivision T�Te of Building VAM MER INSTALIMU; . Address Size Account . Meter Meter Reading (if tmlti--�family ME�ter' Nurber Date Installed: By: 1% : YES NO Locate Water Locate Sewer Make Water Tap jZ Ma�e STer Tap 16296 PSR-38-- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH !NFORMATION --- ---- LOCATION !NFORMATION ------ 1 454 SELVA LAKES CIRCLE ?ermit Number, 16296 �%ddress . ATLANTIC EEACH , FLORIDA 322233 Permit Type: POOLIREMARCITE - - ------- LEGAL DESCRIPTION -,lass of Work: REPAIR Block - Lot : Twrl ,-"onztr . TyPe :N/A Section: 0 Subd: Rn'a*. proposed Use:POOL/SPA Subdivision: SELVA LAKES Dwellings : "D Est Value: 0 . 00 improv . Cost : 9 . @00 , 00 Total Fees : 25 .00 Amount Paid: 25 -00- pa4d- 411` ( 1 cl n Q DUINER INFORMATION APPLICATION FEES Name ', SELVA LAKES ASSOCITION INC. PERMIT AA,ir , -115 , SELVA LAKES CIRCLE ATLANTIC BEACH , FLORIDA 322? �` rione: 904 � 641- 3941 ------- CONTRACTC-F INFORMATION Name: ATLAS FOOLS Addr : 10023 BEACH BOULEVARD jACKSONVILLE ; FL 321-46 Lic : RP0024792 Exp , NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-95 "FA'LU RE To THE PROPER CO TY 0 M W ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION EFOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BIJILDINP DAR ENT $25.0014 jftq31V.,7/98 01 Receipt: 9049635 logo 1254 By: P .01 Feb-02-98 09 : 24 CITY OF ATLANTIC REACH APPLICATION FOR POOL PEMIT icb Addrenn L)4 &,C, esz a, Lct # Mock #--------Sub,divi s ion- 0%,nier Address...... Z/!5v (9 A94X 331---y� &,qe4,oq-, Contractor 6 L-7S (2 ZI 3.3-136�5 Address a License T,1umber__---!Z&,,, Valuation $_ -,,�06 .ob ?L Gallons 66 1)66 SITE PLAN f roll t C rear Signature Olvniar e Date Signature Contractor -S Date— 2-S DEPARTMENT OF BUILDING 8456 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 144*75 TL I 4L,75CXTC Date 312187 19 3621 1 A 3/19/07 0456 900CACE Valuation$ 34,000.00 Fee$ 144.75 "621 - J I A 3/19/8; 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. I This is to certify that— Surfside Pool Const- RPOOS0299 321 Beach Rlyd- T.B. 3221;0 has permission to build swimmingggDool Classification Residential Zone Owned bv RGM Properties Lot— –Block T __S/D Oceanwn I k House No. 454 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 0 Building material, rubbish and debris z i from this work must not be placed I in public space, and must be cleared up and hauled away by either con- tracMor owner. Building Official. FOR OFFICE PERMIT DATE C�N/TRACTOR __�LSE ONLy NUMBER PLUMBING ELECTRICAL SEWER WATER