463-467 Selva Lakes Cir (vault) -.Ty
A I 'ft N HC 8 E I_-1 C I
uEPARTMENT OF BUILDING
6_008errilnole Road -Atlantic Sea& Pi .19911 - Tal: 247-r%80A - r:-:
5826 1 . 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCAMN INFORMATION
20612 Address: 463 SELVA LAKES CIRCLE
PermitType: PLUMBING ATLANTIC BEACH, FL 32233
C-11-a-S Sm W o r k: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
%j4u;jvF CCU Subdivision: SELVA LAKES
E . Value: Parcel Number:
Improv. Cost.� OWNER INFORMATION
Date Issued: 9/01/2000 Name: BONNER, GEORGE
Total Fees: 43.00 Address: 463 SELVA LAKES CIRCLE
Amount Paid: 43.00 ATLANTIC BEACH, FL 32233
Date Paid: 9/11/2000 Phone: (904)241-0392
Work Desc: REPIPE 8 FIXTURES
CONTRACTO APPLICATION FEES
S
A.S.A.P. PLUMBING CO. PERMIT 43.00
In ons,Required
FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT ep PLACCD IN' PHRI 11r%
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.
$43.0011
Date: 9/12/00 01 Receipt: 008716c
CHECKS 2100
rrir� op CH OU111 DING DEPT.
A I LAN e IC BEAC B LE; 00100003221000
Id.ul
CITY OF ATLANTIC BEAM
APPLICATION FOR PLUMBING P17441T
JOB LOCATION:
OWNER CF PROPERTY: TELEPHONE NO. ;7-�YI-03�,:z
PLUMBING CONTRAC'T'CR
CONTRACTOR' S ADDRESS:
J'W'7( �2
STATE LICENSE NUMBER:- TELEPHONE: -3-Y,-1-126411,
HOW MANY OF THE FOLLCYWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEW WATER
EW
-=REPIPE OTHER
TOTAL FIXTURES: x $3. 50 + $15. 00
MINIMUM PERMIT FEE - $25. 00
SIGNATURE OF OWNER:
SIGNAT'URE OF CONTRACTOR:
-----------------------------------------------------------------
INS'll'AlLATTON OF PLUMBING ;�ND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBI14G CODE.
CALL A DAY AHEAD To SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN-TO PUtLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904) 247-5834
CITY OF
4&aa&c BeacA-99ku-k
Office of Building Official
REOUEST FOR INSPE
Date -0 () Permit No. 06
Time A.M.
Received P.M.
463
,&i�
J Job Add 9 cality
Oo
Owner's
Name Contracto&_Ls4e
BUILDIkG CONCRETE ELECTRICAL PWMBING MECHANICAL
Framing 0 Footing 11 Rough Wiring F-1 ou Air Cond. & El
Re Roofing El Slab El Temp Pole 0 Top Out El Heating
Insulation El Lintel U, Final 11 Sewer El Fire Place 11
Pre Fab
READY FOR INSPECTION Lo
�!(..I�
�P�MBING
Mon. Tues. Wed. Friday
A.M.
Inspection Ma PM.
Inspector Final Inspection E
Certificate of Occupancy E
Date
CITY OF-
4&4n& BeacA ANOU&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Tlme� A.M.
Received P.M. District No.
-4& xy,/
,�cldress Locality
Owner's , (6K -?7)
Name -Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING ,� MECHANICAL
Framing 0 Footing 0 RoughWiring 0 Bough Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole U, Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION
M.
Mon. Tues. Wed. Thurs. r
Inspection Made P.M.
Inspector- Final Inspection 0
Certificate of Occupancy
Date
CITY OF
4&4"14C /2113Q�4
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Timev <Z-21D
Recei d P.M. District No.
-. 46-3 -V' 7 0 1'r c f e L C-)�-s (:5� v- / C)
Owner's Job Address Locality
Name Contractor Jkl"?
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing RoughWiring P"' Rough rll-� Air.Cond.&
Re Roofing El Slab Temp Pole D Top out El Heating
Lintel Fire Place
T�as READY FOR INSPECTION Pre Fab A.M.
Mon, Wed. Thurs. Friday
Inspection Made A
Inspector Final inspection El
Certificate of Occupancy
Date
CITY OF
4&6a4-cBWW0A-
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M. District No.
LoA— V0Q,La KQsS CT—Clk-
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing El Footing 0 RoughWiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPE ION A.M.
Mon. Tues. Thurs. Friday
Inspection Made P.M.
Inspector Final Inspection
Certificate of Occupancy
Date
of
CITY OF
Avaft& &aA -
1)pVt'rtMr"t "f "SItithi'T 31nowrtion
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 co pl c with th
various ordinances regulating building construction or use. For the followi?,,,?n ian e
b*
Usc Classification Bldg.Pe,m,t No -7_7
6'oup--—TYpe Construction FraMe - 2 _2___
OwnerofBuilding RGM --Fire District Atlantic Beacl,
P'r'OP"T-j-'�—V----Address
Building Address467-467 Selva 1.akz_s__Lo,.,,,y__ . 1Va-_Lakes____
Circle 1i —
By.xz_ Z—A
'B=39,In USO ffi c,0al
Date:
__T=Ar��Ic
�T IN A C0N8pICUoUq p"CE
9WR/
'Ulf'
INSPECTION LOG
JOB ADDRESS CA�
CONTRACTOR R
OWNER
BUILDING PERMIT
)_7 a ELECTRICAL PERMIT VZa5<,1
PLUMBING PERMIT- 7 ) _71/ TEMPORARY POLE PERMIT
MECHANICAL PERMIT -7,�7 3 MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .E.A.
Temp Pole
Footing
Slab
1%w Framin
P lumb ing (R)
Electrical (R) g-
Mechanical
Fireplace
Top out
Other
Electrical (F) eo
FINAL INSPECTION
Certificate of Occupancy Issued
C0121ENTS :
1%w
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
June 16, 1986
Pre-Service JEA
233 West Duval Street
Jacksonvillef FL 32202
The following final inspection has been made and is satisfactory:
Permit #4655 463 Selva Lakes Circle
Permit #4656 467 Selva Lakes Circle
Permit issued to Adkins Electric
Sincerely,
Hilary Thompson
Building Department
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.-LL7 3
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 04900 T
04,11OCKT
Date—March 7, 86 A 3/07/a
19 7273 900rAC
957�i �1
Valuation$ Fee$ 84.00 P, 3/07/8
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.
This is to certify that 0CFAMM' IUX & AIR
has permission to build INSTATJ. HEAT & AM
Classification— P%'�SIDENTIAL
—Zone
1U1 PRDPER=
Owned by
Lot Block sm—
House No. 463-467 SELVA 1AKES CIMI�
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
_n 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-
tractop
1,9W owner.
luilding cial.
FOR OFFICE !PER9MIT
USE ONLY NUMBER DATE CONTRACTOR C7--
PLUMIEBING
ELECTRICAL
SEWER
WATER
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, 11, 111, and IV.
Street Address: I>
LOCATION
OF Intersecting Streets: Between And
BUILDING Sub-divis;on
11. IDENTIFICATION — To be completed by all applicants
in consideration of permit given for doing the work as described ;n the abcve 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) 6Cj___)tA_) Master rY\H"kZ– �76-(,.
Name of
Property Owner
Signature Of Own:r, Signature of
or Authorized Ag n Architect or Engineer
III. GENERAL 1"ATION
A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON y
JE:
Kasictric THIS BUILDING OR SITE? _S
0 Gas—0 LP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION -7.17 z-
13 Oil PERMIT
0 Other — Specify
IV. MICHANCAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) Residential or El Commercial
Heat [I Space 0 Recessed )�'Central 0 Roor New Building
Air Conditioning: 0 Room X,Control El Existing Building
Duct, System: Material Thickn--__� E Replacement of existing system
Maximum capacity New installation(No system previously installed)
Extension or add-on to existing system
Refrigeration Other — Specify
Cooling tower: Capacity g.p-rn.
[3 Fire sprinklers: Number of h*ad---
0 Elevator r_1 Manlift 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY
[3 Gasoline pumps —(number) (L"ved)
0 Tanks 1number) Remarks
0 LPG contain* (number)
(3 Unfired pressure vessel Permit Approved by Date-
0 soilei 6
[3 O+hor — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A
Number Units Description Model Number Manufacturer (Tons)
1) a r__ i
&A>o Ulu oc_<' bW1)MSb&I0,,- 'TkAyX-5(Z–:_ :?::>
BEATING - FURNACES, BOILERS, FIREPLACES Capacity APPMVft
Number Units Description Model Number Manufacturer (STU) Asm"T,
-1 'N_?4W4S7 LXL__
TANKS
How Many Nanitnal Capacity 7)" TAquj Name of Serial Approving
and Dimensions Contained Manufacturer No. Agency
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 WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
7�4
ELECTRICAL FIRM: MAST& ELECTRICAN SIGNATURE JOURNEYMAN
-11 'bADDRESS: 41� 2) A LA'*6 GA
NAME RFD-BOX
BLDG.SIZE BETWEEN:
RES. APT. ( I COMM. ( PUBLIC INDUS. I NEW OLD REW.
ADDITION ) TRAILER TEMP. ( ) SIGNS I ) SO. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE 'L/ AMPS '2 00 COPPER ALUM. f -I' 00
SWITCH OR BREAKER Q DO AMPS PH '-�VOLT RACEWAY-
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. 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.]�OV-ff-
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL 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. KVA NO. �KVA
NO. NEON TRANSF. NO. VA. MA.--j � MOTOR SIZE SWI CH I FLASHER
EACH SIGN
FORWA,RDED 00
$
TOTAL FEES
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
_f, " 9 Phone
Owner A d dr e s st 3
Architect B 40 r Z-t 14 e� Addr e s s 1i --rt�IeJOaz. e-,1�1 —Phone
Contractor V ,G- '/,Address 4eZ 6,1 'hone
v v
License NumberF_i� 0a 3 -11.r? Expiration Date
Lot Block # Subdivision
�kej Z o n i n g
��e e t _AJe_j (f ,.,�,_B e twe en and side
Valuation $ Purpose of Building 2gf, ,.,�Type Const. �P _V_ft e__
Dimensions : Buildin 44-1 -r-4 J,*
_��ot Sz .Footings LL
9-f go
Sz. Piers Sz. Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers Greatest Span
Sz.Floor JoistgT-t-r-03TOolristance on Centers ?-Y It Greatest Span
Sz. Rafters X/- Distance on Centers_2
1 e4t _L.�_Greatest Span /6
Heating Aie 2,x"V ound -C Roof �',a e,U - 4
_,4- p(t�,o Solid-Filled Gr JP
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready 'to pour columns/lintel .
3. When steel is in place and ready to pour beam.
4. When framing , mechanical, rough plumbing and fire place
is completed and ready to cover up .
5. Rough electrical.
6. Final inspection.
In" case of rejection, reinspection MUST be called SETBACK&
for after corrections are made.
Tn consideration of per-mit given for doing Rear Lot 'Line/51'
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 01
in accordance with the building regulations (D
t4,,
of the City of Atlantic Beach. 0 Ao
�J
(D (D
41 %.
Signature OWNER -Z--- 4=_
Signature BUIL�ER
ront Lot fine
1-11 Tj/
ADDKESS-4�6�/v ZZ41-�, P
LIP,'11BING PFRMIT
BUILDING PERMIT WORKS]iEET ELECTRIC PERMIT
TEMPORARY ELECT.
Ileated Square Footage s er sq ft = $-
Garage/Shed @ $ /(:�190 _per sq ft = $
Carport $ --Per sq ft = $
Porches $ ___per sq ft = $
Deck @ $ ___per sq ft = $
Patio -@ $ --Per sq ft = $
TOTAL VALUATION -77 $
�7
-9_z j�2 ,_5?
I -
Total Valuation Data ist $
7,� , c39 $ 3
Remainder Valuation @ $ LT5per thousand
or portion thereof
TOTAL BUILDING FEE s
+ -1,, FILING FEE $
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
---------------------- -- - -------------- --------- ----------------------------------
PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ELECT. TEMPORARY $ E CTRICAL PER14IT $
WATER METER SIZE A C UNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $ (@1O . A p.er fixture unit)
APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER ME TER CHARGE s
TOTAL SEWER IMPACT FEES
s
TOTAL WATER CONNECTION CHARGE $
MISCELLANEOUS CHARGES $
TF
U-�
GRAND TOTAL DUE :
PLUMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE 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.
Z ";�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 (11 UNIT) URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN (1 UNIT)
WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANTK-OPERATED (8 UNITS)
(4UNITS)
SHOWER STALL, DO1,11ESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
�3- KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS $10.�00 EACH
ADDRE�S_,�_; MECIiANICAL PERMITJ�
PLUMBING PERMIT
ELECTRIC PERMIT
BUILDING PERMIT WORKSIiEET
TEMPORARY ELECT.
fleated Square Footage Zf Y4 @ s- --yer sq ft = $
Garage/Shed
_Z_@ $ _____per sq ft = $
Carport @ $ ___per sq ft = $
Porches @ $ ____per sq ft = $
Deck @ $ ____per sq ft = $
Patio @ $ ___per sq ft = $
TOTAL VALUATION $
�7 -w
00
16)-6 1�1 $
Total Valuation Data ist
�—
S3 $
Remainder Valuation @ $ per thousand
or portion thereof
TOTAL BUILDING FEE s
+ FILING FEE $
FIREPLACE @15 . 00 $
TOTAL BUILDING PE%'-IIT $ 7J
---- ------- ------------ ------------------- ------ ----------------------------------
PLUMBING PERMIT FEE$ MF-CHANICAL PERMIT FEE$
ELECT. TEMPORARY $ ELECTRICAL PERMIT $
14ATER METER SIZE $ ACCOUNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $ (@10 . 00 p.er fixture unit)
APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ 2j
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES
TOTAL WATER CONNECTION CHAR(
MISCELLANEOUS CHARGES 253 - 75 +
85 . 00
GRAND TOTAL DUE : 1 035 - W) k
270 - 00 +
1 643 - 75
PLUIMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER BEATERS 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.
BATHROOM GROUP CONSISTING OF LAVATORY (I 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)
SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNlTS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS) TOTAL FIXTURE UNlTS $10-100 EACH
DEPARTMENT OF BUILDING PERMIT NO7272
CITY OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 520*50CKT
�,4ovenber ifrq_�5 3958 1 A 12/10/
Date 7272 'Ncp�
520-50 3956 JA 121101
135,827.00 Fee$------— 011�
Valuation$_____
ity Treasurer,and is
This permit not valid until above fee has been paid to C"
subject to revocation for violation of applicable pro isions of law.
PROPERTIES
This is to certify that 1112 Third S—eet Neptune i�aafh
e as Pex 'n —
has permission to build —
PTJD
Classification Zone
owned by operties S/D Selva Lakes
Lot 3&06c�& 9 & 10 Block
1z'".67 = SELVA IMES CIRCM
House No- 0 rt of this permit
According to approved plans which are pa NOTICE—ALL CONCRET FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING-
PERMIT VOID SIX MONTHS
_n AFTER DATE OF ISSUE
M
110. 0 Building material, rubbish and debris
4— z from this work must not be placed
in public space' and must be cleared
,Lip and.-hauled away by either con-
tr owner.
ng Official.
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
D DEPARTMENT OF BUILDING KT
CITY OF ATLANTIC BEACK FLORIDA PERN-t NO. ME
70.74- OCAC
E PARTM EN
IT F TL T
T OF B
Ac'
U I
F
LDING
9K
T
A OOC
0 AC
Y"i B U
PERMIT TO BUILD 0301 2/07/8
THIS PERMIT MUST BE POSTED ON JOB
D t
2-6-86 19—
ate
111.50
Fee$_
Valuation$ Fee$
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that F.W. FAIR PUEEIF-NG
has permission to bm INSTA�L PLUIBING
Classification RESID&ULAL —Zone
Owned by XWW3EMff.X RWI PROPERTIES
Lot Block— S/D
House No. 463-4,67 SELVA IAKES CIRCEE
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
-n
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
z from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor ner.
B g Official.
CONTRACTOR
FOR OFFICE PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 463-467 selva Lakes Circle
F. W. FAIR PLUMBING OMPANY(,
PLUMBING CONTRACTOR
LICENSE NUMBERS mP145 State RF0037503
OWNER R G M
BUILDING CONTRACTOR R G M
TYPE OF BUILDING Duplex BP# 7272
2 SINKS 3 -SHOWERS
8 LAVATORY 2 WATER HEATERS
2 BATH TUBS 2 DISHWASHERS
,URINALS __2_DISPOSALS
6 CLOSETS 2 WASHING MACHINE
FLOOR DRAINS OTHER
29 TOTAL FIXTURE COUNT X$3- 50 + $10. 00
D_� *'_E 2 /04 /86 TOTAL AMOU."T $111 - 50
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
C & D
CITY OF ATLANTIC BEACH Cc:
jD. Fo
BUILDING / ZONING DEPARTMENT iV
g
.4g ins
800 Serninole Road 0
0
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address: 7 W
Applicant:
q6 6 67)
Project:
c�of'ff 11) oe e-
T7rmit application has been:
Approved
and the following items need attention:
�4 FJ
—Dv"'I"
Please re-submit your application when these items have been completed.
Reviewed By: L+4— Date: I(h
Date Contractor Notified:
R E C E i V E D 7
CITY OF ATLANTIC BE ACH
BUILDING &Zr" ' - CITY OF ATLANTIC BTAC�H
NOV 0 9 AUILDING PERMIT APPLICATION
(Aiteratioa5IE Additions)
BY: Date:
Job Address: S7&1-\A, 2-:s 3
Owner of Property: 4440 k kA LA Nk_->�AAJ
Address: �rly Telephone:
Legal Description: Block Number: Lot Number: Zoning District:56�LVA
Contractor: State License Number: C,(2 Q11Q)Vt R_
Contractor Address: 1!� (C� 71Z�P._�w (S�4 :3 LZ-I I
Telephone:. 11 L_� - a-7 Q�Q� Fax: Z*73-_!�Q1 XY_
Describe proposed use and work to bg dbne: 2�4 ��C- &4.� �1)kl�� D �J Gx,I C-1_( 4- S_Ull.�"
a_xt� ,� t �3:1 ��� 0-,- V-0- �Cz,.Zc--
Present use of land orbuilding(s):
Valuation of proposed construction:
��Kk.5%%kt—
What are the dimensions of the added space. Q feet x 2-&Z) feet
Will the added area be heated and cooled? New electrical or increase in service? �J 0
Add plumbing fixtures? 1'*'� ;!� Add fireplace? Add heating/air conditioning? AJ t-��
Is approval of Homeowner's Association or other private entity required? L��_5 If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
SNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
El YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. 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
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (if not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page 2 Revised 8/04
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible mannen
I. Current survey showing the property boundary with bearings and distances and the legal description. E E I V E
r� - - - D
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories-and-square fbota'ge.'Ide4
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural w NOV 0 9 20fil;
ater bodies. VV
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications. �17
I hereby certify that all information provided with this anplication is correct.
ASignature of owner: V Date: C)
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions�f any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance ofconstruction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the s and supporting data have been or shall be provided as required.
Signature of Contractor: "J . ZIA ate:
D
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: -CX7�-
pA--S
MailingAddress: Dk(f�
Telephone: 9'A,';� – I � K- Fax: 2--r3-30 S�S: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of 6 Qjc 12003—.
State of Florida,County of Duval
4el ft
FRA14K 0.LEMASTER Notary's Signature:
MyCommaSMIMM889
A UPIRES:Deewbe 19,20M Personally known
NrA@d ra&499 NO"SVVM
E Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of C�C— 20 C>5—
State of Florida,County of Duval Notary's Signature:
FWM
UNAM
Personally known
OPM DIMON It 2= Produced identification
ftwfteww",
Type of identification produced C)C
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us
Page 3 Revised 8/04
V-11 'Vi
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.. ........... ........ ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031603 Date 11/18/05
Property Address . . . . . . 463 SELVA LAKES CIR
Tenant nbr, name . . . . . . REPLACE PAN ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
LONDEN, ANNIKA SOUTHERN HOME EXTERIOR DESIGN
463 SELVA LAKES CIRCLE 819 TOWNSEND BLVD # 6
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 945-7315
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Pee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 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.
BUILDING OFFICIAL
MAP SHOWING BOUNDARY SURVEY OF
LOT 9, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
ANNIKA LANDEN
BANK OF AMERICA
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
11TH STREET N 83'42'00" E
(50.0' RIGHT OF WAY) 34.50' (PLAT)
N 8344!11" E
FOUND NAIL AND DISK
STAMPED 'DURDEN AS .34.4.6' (MEASURED) S FOUND NAIL AND DISK
TAMPED 'DURDEN & ASSOC'
x
MASONRY 0.6"
Off, COLUMNS LOT 9 0.1"
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EASEMENT
FOUND 1/2' WON PIPE
FOUND - AMPED 'DURDEN LB 10443'
STAMPED pipe
OURDEN L9 7048� R,360�00 L�34.55'
;,a-N 7,9
S 86^13111" W 34-401 .25, '37-48-
A, W
SELVA LAKES CIRCLE (CHORD)(MEASURED) 6,
(60.0' RIGHT OF WAY) ';,,
6 L, P0114T OF REVERSE CURVATURE
S 86'1239" W 34-5.3' CENTERLINE OF RIGHT Or WAY
LEGEND: FOUND MAIL AND DISK
R RADIUS —X— FENCE (CHORD)(PLAT) STAMPED .DURDEN & ASSOC*
L LENGTH CONCRETE
NOTES: S 06'18'00" E REVISIONS
I. BEARINGS ARE BASED ON Tt,.F- BEARING OF ALONG THE
EASTERLY BOUNDARY UNE OF SL18JECT PARCEL DATE DESCRIPTION
2, BY GRAPHIC PLOT711,10 ONLY THE CAPTIONED LANDS LIE wl"HiN FLOOD ZONE AS SHOM ON TIHE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 15. 1989, COMMUNM NUMBER 120075, PANEL _0001 D_
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PE14FORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CER.nFYING SURVEYOR.
JOB # 22923 DATE OF FIELD SURVEY: 12-19-03 DATE OF ISSUE: 12-30-03 SCALE: 1 20*
CERTIFICATE
SE-ENT
F D
2A" '/DUR�Rl
'PE
A,
4 7.
2522 Oak Street I HEREBY CERTIFY THAT 11,115 SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
Jacksonville, Florida 32204 AND MEETS THE mimmUM TECHNICAL STANDARDS AS SET FORTH By TtiE s-1-ORIDA
BOARD 66� AL SURVEYORS AND MAPPERS IN CHAPTCR 6IG17-6. FLORIDA
(Phone) 904-389-5989 ADMIN1911kZAM 'UR
71 SUANT TO SECTION 472.0'77- FLORIDA STAIVIES.
AeW(Fox) 904-389-6175
MI( AIELLO
REGISTERED SURVEYOR At46'MAPPER # 4879 STATE OF FLORIDA
LICENSED BUSINESS # 6702 ON SURVEYS 0 SUBWASIONS
LAND SURVEYS 0 CONSTRUCTI
MAP SHOWING BOUNDARY SURVEY OF
LOT 9, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
ANNIKA LANDEN
BANK OF AMERICA
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
11TH STREET N 83'42'00" E
(50.0' RIGHT OF WAY)
34.50' (PLAT)
N 8344'11" E
FOUND NAJL AND 015K 34.46' (MEASURED) FOUND.NAJL AND DISK
STAMPED 'DURDEN AS STAMPED OURDEN & ASSOC'
X
MASONRY
CouUMNS 0.1-
LOT 9
X
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LIJ w
V)
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LOT 10 C%4 C-4
TWO STORY
FRAME
POSTED # 463 LLJ
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7.3' 0
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to 04 ENTR
0.4' C)
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-y�
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5' x 5' JEA-
FOUND 1/2- [RON PIPE
N
/2' IMPED *DURDEN LB 104$-
FOUND
STAMPED I 'RoN pipe
DURDEN Le 104.8- R-360-00 L-34.55'
N
IV 7,9
,,N_79-,
S 86^13'11" W 34.40- .2,5- 7*4,6 w
N �, (W&4S,,
SELVA LAKES CIRCLE (CHORD)(MEASURED) 9*U6 ft))
'27-w
(60.0' RIGHT OF WAY) 31 POINT OF REVERSE CURVATURE
LEGEND: S 56'12'39" IN 34.5 D CENTERUNE OF R14��-IT OF WAY
X FENCE (CHORD)(PLAT) FOUND_NAIL AND DISK
R RADIUS STAMPED DURDEN & ASSOC*
L LENGTH CONCRETE
NOTES: PLAT S 06,18,00" E ALONG THE REVISIONS
1. BEARINGS ARE BASED ON THE BEARING OF
EASTERLY BOUNDARY LINE OF SU8Jr-CT PARCEL- DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPMONED LANDS LIE WITHIN FLOOD ZONE AE AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 15. 1989, COMMUNITY NUMBER 120075, PANEL -0001 D
3, THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR nTLF COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TiTLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 22923 1 DATE OF FIELD SURVEY: 12-19-03 DATE OF ISSUE: 12-30-03 1 SCALE: 1" = 20'
CER-11FICATE
2522 Oak Street I HEREBY CERTIFY THAT TmIs SURVEY WA5 ),-.ADE UNDER MY RESPONSIBLE CHARW
jacksonvil1r, Florida 32204 AND MEETS MUM TECHNICAL STANDARDS As SET FORTH By THE FLORIDA
A
(Phone) 904-389-5989 ADM
paw(Fox) 904-389-6175
1111 11 W 9 1111 REGISTERED SURVEYOR A�6 MAPPER # 4879 STATE OF FLORIDA
LICENSED BUSINESS # 6702
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIMSIONS
NOTICE OF COMMENCEMENT
State of
Tax Folio No.
County of 3A\jk=&=�
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance
with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description of property being improved: IAT-c� S� L U A k 0!-IS
Address of property being improved: S4�_�U,4, F;���S -3 0
General description of improvements:-
Owner: YA-i-jkj\KA
Address:—�A 6-3 75�---AVX QMCJ<---� CA 6— All C-,> Cij� L-e�.3
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Address:
Contractor:
Address: 't,IiC4, Z.
Phone No: \-(?-
00A Surety(if any): 3 -Z-7 Q)iz —FaxNo:— 2-773`05-T
Address: Amount of Bond$
Phone No: Fax No:
Name and address of any person making a loan for the construction of the i—mprovements.
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 Statues. (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):
TFUS SPACE FOR RECORDER'S USE ONLY OWNER of
WIN"
Signed:/C� ,S�� Date:
Before me this dayof the County
of Duval,§t4teofflorida, has�person 11 a. ea
Doc#2005398568,OR BK 12849 Page 1327,
Number Pages: I Notary Public at Large, State of Florida,County of Du)7al.'
Filed&Recorded 10/28/2005 at 10:50 AM, My commission expires:
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY PersonallyKn or
RECORDING$10.00 Produced Iden 03 63 905 T)
Ft
CITY OF ATLANTIC BEACH
TREE REMOVAL APPLICATION
All applications must be submitted with seven (7) copies and received by 5-00 p.m. on the Friday
ten (10) days prior to the scheduled meeting in order to be placed on the agenda.
t-tb 0 9
INCOMPLETE APPLICATIONS OR INACCURATELY
MARKED SITES WILL NOT BE PROCESSED.
40� Z��v
APPLICANT NAME ADDR�§S ' TELEPHONE
2. �eWz�,
ADDRESS OR LEGAL DESCRIPTION OFTREE REMOVAL SITE
(IF LEGAL DESCRIPTION, LIST CLOSEST CROSS STREET)
3. REASON FOR PROPOSED TREE REMOVAL:'/
'000000".��
4. HAS THIS SITE BEEN TO THE TREE BOARD BEFOCE? YES NO T SURff__
5. SITE PLANITREE SURVEY indicating:
a. Existing and proposed structures.
b. Location of utilites and easements as applicable.
c. Location, species and size of all trees with Diameter at Breast Height (D.B.H.) of six inches or more.
d. Location, species and size of all trees to be removed should be clearly marked with an "X".
e. Location, species and size of all trees to be perserved on-site for mitigation must be
marked with brackets "[]".
f. Location, species and size of any proposed new replacement trees marked with a circle "0".
g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted.
6. ON-SITE REQUIREMENTS:
a. Barricading at tree drip line of all trees to be preserved.
b. Address/legal description must be posted in a conspicuous manner on site.
c. The property corners must be marked by stakes or paint indicating the lot.
d. All trees identified for removal MUST by marked on-site by RED/ORANGE flagging, paint
ortape.
e. All trees to be preserved on-site for mitigation MUST be marked with BLUE/GREEN
flagging, paint or tape.
800 Seminole Road, Atlantic Beach, Florida 32233
Telephone (904) 247-5800 Fax (904) 247-.5845 1 Of 4
8. L-IS-'I-TREES PROPOSED FOR REMOVAL:
DIAMETER(-) OF TREES
SPECIES INTERIOR ZONE** EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY
06 19
(OTO
go (9
9. LIST TREES PROPOSED FOR MITIGATION:
DIAMETER(*) OF TREES
SPECIES INTERIOR ZONE** EXTERIOR ZONE** APPLICANT'S COMMENTS OFFICE USE ONLY
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION,
AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF ATLANTIC BEACH.
( i (-,11�LL,L ;I- o�j
Appl[Cant's Signature Date
D, , C I C"r-U -, 4-1
Owner's Signature Date
Tree Conservation(!�ard Chair Date—
*Diameter at Breast Height(D.B.H.),is measured at,4.5 feet abo,�e grade.To accurately determine diameter, measure the trunk circumference and diode
by 3.14. Diameter of multi-trunked trees is determined by adding'together the diameter of each trunk as measured immediately above the forks.
—Interior Zone: outside the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page).
**Exterior Zone: within the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram,on 1)revious page). 4 of 4
7
ra
�pg A---
TA�
tA
Minutes of Tree Conservation Board
February 25,2004
Page 2
icial Ford stated that the only tree in this application
W�100 OP!�� Wing Off
s a 8.5"bay which was located approximately 18.5 feet from the property line.
ng mitigation wa
He stated that the application indicated that the bay was diseased but at this time of year, it was hard
to determine if it was diseased because it had no leaves on it.
A motion was made by Board Member Permenter, seconded by Board Member Carroll, and
unanimously carried to direct the Building Official to issue a permit for the removal of an 8.5"
bay to be mitigated with 4.25" of hardwood to be planted on site or paid into the Tree Fund at
$117 per inch.
3. 332 Seventh Street: Building Official Ford identified two trees to be removed that required
mitigation, a 15"palm and a 12"palm. He stated that the application indicated that an 18" palm may
be removed if they were not able to save the root structure. Building Official Ford informed the
board that since the tree was located in the interior zone, if it were removed, it would not require
mitigation. He stated that the applicant identified a 15" palm in the interior zone to use towards
mitigation.
A motion was made by Board Member Carroll, seconded by Board Member Permenter, and
unanimously carried to direct the Building Official to issue a permit for the removal of a 15"
palm and a 12" palm in the exterior zone to be mitigated with a 15" palm on site in the interior
zone.
5. Old Business
A. Tree Removal Application Form: Deferred to the next meeting.
B. Draft Ordinance Regarding Protected Corridor: Building Official advised that the ordinance went
in front of the Commission last Monday night and they approved it to come to the next meeting as an
ordinance form for a first reading. He suggested that the board members attend the next Commission
meeting.
6. Reports and Announcements
Lot I together with the north 15 feet of Lot 2, Block 174 (Carnation and West Plaza): Building
Official Ford stated that he issued the permit on this property because the last meeting was canceled due
to a lack of a quorum. He stated that the Ordinance required that the Building Department issue a permit
within 15 days of application.
19'h Street Lot: Building Official Ford informed the board that Coppenbarger Homes was required to
spend $4,500 for trees on the lot. He provided a copy of a bill from Landscape Management and
Irrigation for$4,550. He stated that Landscape Management and Irrigation planted four 4" live oaks, two
4" laurel oaks and four 4" River Birch trees.
7. Ad*ournment
There being no other business or discussion,the meeting was adjourned at 8:20 p.m.
4-1"Ukulml 04W40�--
V
Maureen Shaughnessy, Chair
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-00027789 Date 2/27/04
Property Address . . . . . . 463 SELVA LAKES CIR
Application description . . . TREE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------ --- --------- - -----------------------
LANDEN, ANNIKA OWNER
463 SELVA LAKES CIRCLE
ATLANTIC BEACH FL 32233
(904) 249-3238
-------------- ----------- -- ------------ ------- ---- --------------------------
Permit . . . . . . TREE PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 2/27/04 Valuation . . . . 0
Expiration Date .. . 8/25/04
----------- -- ---- ---- I ------------------------------------------------------
Special Notes and Comments
REMOVE AN 8 . 511 BAY TO BE MITIGATED WITH
4 . 2511 OF HARDWOOD TO BE PLANTED ON SITE
OR PAID INTO THE TREE FUND AT $117 PER
INCH.
Fee summary Charged Paid Credited Due
------ ------ -- - -- - ---- ----- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 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
WHIC7 PART OF THIS PERI�PT AND�SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
MIAMI-DADt COUNTY,FLORIDA
MIAMMAJ33EI METRO-DADE FLAGLER BUILDING
ME A"'ill
B�ILDING CI)DE COMPLIANCE OFIFICE(BCCO) kA I , W(FLAGLER STREET,SUITE 1603
PRODUCT CONTROL DIVISION �iUlt DiNG 001C '� MIAMI,FLORIDA 33130-1563
�305)375-2901 FAX(305)375,2908
NOTICE OF ACCEPTANCE (NOA) MAR 2 an
jeld-Wen,lisr-
317525 Mglway 97 N. L*
Chiloquin,0R 97624
SCOPE:
Th�s NOA is being issued under the applicable rules and regulations goveMing the list of ronstruction materials.
Thia docuineiLtation subufitted has been reviewed by Miarni-Dade County Product Control Division and accepted
by!the Board of Rules and App�cals (BORA)to be used in MiaTni Dade County and other areas where allowed by
tilt Authorit Hayiig Jurisdiction(A14J)_
This NOA siall not be valid after the expiration date stated below. The MiaTr�-D2L<ie County Product Control
Div'ision (In Miarni Dade County) and/or the AHT (in areas other than Miami Dade County) rcscrve the right to
have this prcduct or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufactwer.will incur the expense of such testing and the AHJ may immediatrly
revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to tevoke thi�; acceptance,if it is determined by Nfiarni-Dade County Product Control Division that this product cT
material fails to meet the requirements of the applicable building code-
This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane
Zone of the I lorida.Building Code-
DESCRIPT[ON: Series"Jeld-Wen*11 8,0',W/E oniswing Glazed Insulated Steel Door w/wo Sidefites
A�PROVA:l�DOCUKENT:Drawing No- S-2109,titled"Wood Edge Glazcd Door W/&W/out Sidelites T_Tp to .
8'4 x 8'0 Ou,swing-, sheets I through 8 of 8,prepared by R.W Building Consultants,Inc., dated 12/18/01 with
reva,sion on 11/1 V02,bearing the Nliami-Dade County Product Control Revision stamp with the Notice of
Acceptance r umber and expiration date by the Miami-Dade County Product Control Division.
MISSILE IV2ACT]RATING:None
LABELINC,:Each unit shall be2z a permanent label with the manufacturer's name or logo, city,state and
following stagment- "Mianii-Dade County Product Control Approvc-d", unless otherwisr.notcd herein.
RXNIEWAL of this NOA shall be considered after a renewal application has bem filed and there has been no
cha c in the applicable building code negatively afTectirig the performance of this product.
ng
TERMINA','ION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,uv:, and/or manufactuTe of the product or process. Misuse of this NOA as an endorsement of any
ptoduct,for 5 ales, advertising or any other purposes shall automatically terminate this NOA.Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA,
AJ)VERTISEIMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by
the expira6on date may be displayed in advertising literature., If any portion of the NOA is displayed, then it shall
be done in it-; entirety.
INSFECTI(IN: A copy of this entire NOA shail be provi'dcd to the aser by the manufactureT or its distributors
and shall be�vailable for inspectior,at the job site at the-request of the Building Official.
This NOA revises NOA#02-0108.06 and, consists of this page I as well as approval document mentioned above.
I 'Eisen, P-E,
The submitte i documentation was rev*ewed by Jaime
NOA No 02-1224-05
Expiration D21e; July 18,2007
Approvm Date: January 30,200-1
Page I
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x i No OAT UNIT COMPONENTS I
R E IVED
CITY OF NTIC BEACH
BUILDI &ZONING
MAR 2 5 2004
H
CITY OF ATLANTIC BEA��
PERMIT APPLICATION FOR REPLACEMENT OF WIND O'V��
�, SKYLIGHTS AND
GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (bt�ft __C
-ONSTRUCIMN
Date:*40L_
Job Address: (-4(sl 2Lk">--
Owner's Name:- �j�)_111 A C2- LOCICA6 Phone: S
Address: LA�L)�
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: 0 U) State License Number: 4957Wg
Address: ld_q �C 147Z4V77C_ 6L�jlb Phone: L-L69-1 0
1 - ax: 70V
city:,JAC"j U) at" State: FU Zip: 3224�6 F
Describe proposed use and work to be done:
Present use of land or building(s):
Valuation of proposed construction:
Is approval of Homeowner's Association or other private entity required?—If yes, please submit with this
application.
Building Data:
Mean Roof Height (ft) Building Width (ft) Building Length (ft)
Roof Slope *Window Elevation from Grade (ft) Window Height
Window Width (ft) Measurem�nt from corner of building to window
5
h
4
S
Q
800 Seminole Road Atlantic Beach,Florida 32233-5445
Page 1 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/27/03
Procedure: In order to expedite issuance of permits provide all information as appropriate Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the following information is requirkd:
1. Manufacturer's Test Report
2. Installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Elevation View of Window Locations
I hereby certify that al
Signature of Owner: ate:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the been or shall be provided as required.
Signature of Co actor: Date. 3- Zq
Address and ontact in rmation of person to receive all correspondence regarding this application (please print).
Name: Lowe � -�> I �-fA Ft, 3 2-Z ZJ'
Mailing Address: D-q (PC k--LA*J-P L --V b
Telephone: 10(� 4�jo-470 I Fax: q(3(J -0&-4-70L E-Mail:
�(o I o
AS TO OWNER:
Sworn to and subscribed before me this day of VY10-ILt 20
State of Florida,County o .. ........ T.A.MOOR
W CoMMISSION#00 191004
EXPIRE$: Ap"&R S nature: _
u Nollity Public UndoXif to
Sond4d Thr
T Ht El Pe.sonally known
1'fl 197604 Evro,
roduced identification 3
35
?rwriters Type of identification produced L-6
r'—iC underwriters
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval Notary's Signature:
KAREN E.HEATON XPersonally known
MY COMMISSION#DD 232109 Produced identification
October 20,2007
EXPIRES
"J
NONIFY Public Undorwriters
Svxlecl Thru Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/27/03
LOWEES
COMP
8529 South Park Cr.
Suite 430
Orlando,Florida 32819
Bus.407/370-2872
Fax.407/352-6309
Limited Power of Attorney
Date: 2-4-0�(
To: Building Department
From: Rebeca Alicia Banuelos-Bemard
I hereby name and appoint John VAiite, of Lowe's Home Centers,Inc.to be my lawful
attorney in fact to act for me and apply to IqWI-7& 16 for a A-'
permit for work to be performed at a location described as:
3 6F7Z V4 72,-9-V 7?c /9 c—'4aev
,4A)A�l/< 4 (Address of Jobj
(Owner of Property)
And to sign my name and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely,
rRebec)aAlicia nuelos-Bernard
Regional Installed Sales Manager
Primary State Qualifier CRC 057468
Sworn to and subscribed before this? day of Wv� 2003.
No.public
My commission expires
P4
Rebecca Velez
MYCOMMISSION# DD176963 EXPIRES
lanuary 1Z 2007
BONDED THRU TROY FAIN INSURANCE,INC
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
r
Application Number . . . . . 04-00027977 Date 4/01/04
Property Address . . . . . . 463 SELVA LAKES CIR
Tenant nbr, name . . . . . . INSTALL PATIO DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning. . . . . . . . TO BE UPDATED
Application valuation . . . . 1366
Owner Contractor
-- ----------------------
-------- ------- ---------
LONDEN, ANNIKA LOWE ' S
463 SELVA LAKES CIRCLE 12945 ATLANTIC 13LVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 486-4701
------------------------------------------ ----------------------------------
Permit BUILDING PERMIT
Additional desc . -
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 1366
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 . 00 40 . 00 . 00 . 00
Plan Check Total 20 . 00 20 . 00 . 00 . 00
Grand Total 60 . 00 60 . 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 PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUIL )ING )FFIC Al
Cc:
ulp CITY OF ATLANTIC BEACH Higgins
S
01�
BUILDING / ZONING DEPARTMENT S. 0
800 Seminole Road
Atlantic Beach,Florida 32233
0
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # C"I - �)2 fI'l -7-7
Property Address: —AI(p :�> Sp/,/tL �L-k e-.r, (!,'r
Applicant: Lm..4 I&-&
Project: t i po
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
F ATLANTIC BEACH
CITY 0
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-00028934 Date 8/27/04
Property Address . . . . . . 463 SELVA LAKES CIR STEM
Tenant nbr, name . . . . . . SPRINKLER SY
Application description . - - PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------
BRUMBERG, BETTY HULIHAN TERRITORY
463 SELVA LAKES CIRCLE P .O. BOX 331268 FL 32233
ATLANTIC BEACH FL 32233 ATLANTIC BEACH
(904) 285-8505
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc 50 . 00 Plan Check Fee . 00
Permit Fee . . . . valuation . . . . 0
Issue Date . . . .
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 00 . 00 . 00
PERmrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
TO
Date:
Property Address: 14-U 111
Owner- Telephone If: a U-1- a
contractor: Telephone#: a�t5-FUC)b
Contractor Address: Fox#:
In consideration of peim-iii given for doing the work as described in the above statement,we hereby agree to��sw�d work in
accordance with the atta&.ed plans and specifications which are a part hereof and in accordance with the City of Allardic Beach
ordinance and standards of good practice fisted therein.
Installation of plumbing and fixnm must be in accordance with the most rc=d edition of the Southern Standwd Plumbing
Code.
Plumbing Type: If other construefion is being done on this building or site,
E3 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
Fees
Permit issuing Fee: $35-00
Total Fixtures: X $7.00 + $35.00
866 Seminole ad -Atl2ritiC 803C Florida 32 33-W5
Phone: (904) 247-5800. Fax: (904) 247-5945 . http:iiwww.ci.atiantic-beach.fl.us
'��; -'�0 �-1 �
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
) � I � 19
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
D"b
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME ADDRESS: 0 S6A L-A<t-So UL RFD. BOX
BLDG.SIZE BETWEEN:
RES.(z) APT. ( comm. ( PUBLIC INDUS. NEW(1-foo, OLD REW.
ADDITION ( ) TRAILER TEMPA SIGNS I I SQ. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS 19 COPPER f I ALUM.
SWITCH OR BREAKER aQQ MPS PH 3 W ,VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN I TOTAL
RECEPTACLES CONCEALED OPEN ITOTAL
31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. -VER
APPLIANCES =BELL TRANSF.
AIR H.P. RATING H.P. RATING leW-Wr-AT
CONDITIONING COMP.MOTOR OTHER MOTO-RS I AMPS ICEIL HEAT:l
N
0-3 0 AMPS
T
IO=NCEALED
CONCEALED m=ps
4
T&M- 00 PS L 7TR A=NS F.:
AM -VER
4G 0
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS.
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
MA. I T-CH FLASHER
NO. NEON TRANSF. NO. VA. MOTO E sw
EACH SIGN
FORWAPPED 00
s /0
TOTAL FEES
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001307 Date 9/17/09
Property Address . . . . . . 467 SELVA LAKES CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4100
----------------------------------------------------------------------------
Application desc
reroof 1744 . 6
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FERRELL SHORE ROOFING COMPANY
467 SELVA LAKES CIRCLE 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-8842
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4100
Expiration Date . . 3/16/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
IqOTICB OF COMMNCEMENT
(PREPARE IN DUPLICATE)
Tax Folio No.
Perrnit No. county of
State of i
To whom it may concern' will be made to cettaln real property,and in
The undersigned hereby Worms YOU that lmProvemonts ation is stated In this NOTICE OF
accordance with Seeflon 713 of the Florida Statutes,the following triforin
COMMENCEMENT. being improved: 115
Legal description Of Property
..........................
---------- ........................................................... -3-2)-33
Address of property be"iMPr0ve&---jy-
General description of Improvements:
Owner
Address
Owners interest in S1110 Of the Improvement
Fee Simple Tillehoider(if otIW than OWnar)
Name
Address 411 0
Contractor
acto
r r
Address
Phone No-
Surety Of any) Amount of bond
Address Fax No.
phone No.
Name and address Of any person maldrig a loan for the construebw of theimprovements-
Name
Address Fax No.
Phone No. a,other#W himself.designated by owner upon whom notices or other
Name of person within the State of RoM
documents my be served:
Name
Address FWC NO.
Phone No.
In addition to t-dinsetf owner designates the follmAng person to receive a copy of the Uenor's NOBW as provided in
Section 713-06(2)(b),Florida Statutes.(Fill in at owner's optim).
Name
Address Fax No.
Phone No. (the expiration date is one(1)year from the date of recording unless a
EVwatbn date of Notice Of Commencement
dftrent date is sPedffied):
Ly
USE
S'
OE Mt
in the
day of uppea-d
h�*S -�Wpe�w�r—�"ein by
I C9000L 1 \
itiatam mW declemfiOm Weil
aie tm and accufaft
Doc#20092223549,OR BK 15 W7 Page 124i,
Number Pages� 1
Recorded 09�17:2009 at 0&21 AM, tAr^stift GouW
JIM FULLER CLERK CIRCUIT COURT DUVAL Nomy
my 00*sbn
COUNTY pw9malyKnown -3.,— -1------------- ............ ...........
RECORDING$10-00 Pmd&uxced ADAMS44ARRUP
ComnO D004OW23
ExOres 10r-1412W9
!WNBoodod th,.(800)432-4254:
';--da Not"Assn.Inc
-.........................
L
09-
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: 116 7 s'z_/,zj4 Za k-6 (�,,d hilAall- zAU C-1 D-2- 3
Owner of Property: ac)� F-C yy(_
Address: 1334 Oe act s 4 13 r LA/ Telephone: 16- a'Wo
RoofContractor: _,�Lyf, Ao,)r"-( State License Number: C00 do 5: 9
Contractor's Address:- _54L,f 7jj)!� zlr44_4
Telephone: —Fax: 12 Llt:i�z&v 3 Email:
Scope of Work: 4/�7, ep, -:TAeh A(o Sk,Ac t(( Roofing material
elc-
FL Product Approval# '�0 4F, —Valuation of Work: $
Required Inspections: Sheathing/In Progress-Dry In Final
if re-roof- Assessed Value of Structure:Z-�$300,000/ >$300,000; Roof-to-wall improvements required?
(Applies to single family structures only)
""WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PA YING 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
COMMENCEMEN
Signature of Owner: Date:
AS TO OWNER:
Sworn to and subscribed before me this I day of'�-Q-r-v�X -------- 20 09
State of 11 CountV of Duval
...a........................
ORI M.ADAMS~RUP Notary's Signatur
known
ON% CoffmW DDMW23 Persona
ExpW"1=401=9
z Produced identification
"�7,,- Bonded Owu(800)432-4254:
Flor',!a Notay
.......1: -,"' S .1 : Type of identification produced
I.......................
AS TO CONTRACTOR:
Sworn to and subscribed before me this -j day of 20 09
State of Florida,County of Duval
Notary's Signature y-
_5�Personal y known
Produced identification
Type of identification produced
............................
MARJORI M_ADAMS-HARRUP
C""OD04M23 800 Seminole Road-Atlantic Beach,Florida 32233-5445
4. Expkes 1WO/2009
Telephone: (904)247-5800-Fax:(904)247-5845
BMW thru(800)432-4254:
'nc
..... F:\roof permit applicaton.docx 7/28/09
THE CITY OF ATLANTIC BEACH
BUILDING INSPECTION DEPARTMENT
ROOFING INSPECTION AFFIDAVIT
Re: Permit#
1, , licensed as a Contractor*/Engineer/Architect,or Building Inspector*
(print name) (print type)
License#:
On or about did personally inspect the roof-to-wafl connections as required
by Rule 913-3.0475 at
(Job Site Address)
Based upon that examination I have determined: (circle one)
The roof-to wall connections were installed according to the Hurricane Mitigation Retrofit manual
(Based on 553.844 F.S. )
I made the necessary corrections to comply with the Hurricane Mitigation Retrofit Manual.
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20_
By
Notary Public,Stat of Florida
(Print,type or stamp name)
commission No.:
Personally Known or
Produced identification
Type of identification produced
*General, Building, or Residential Contractor or any individual certified under 468 F.S.to make such an inspection. This form must
be on file at the Building Department prior to calling for a Hurricane Clip inspection,
F:\roof permit applicaton.dou 7/28/09
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AND 0 16* D.C. BET.
3" MIN. EMBEDMENT
INTO EXISTING STRUCTURE TO
/Orlando, FL 8
BE EVALUATED SEPARATELY
SILICONE SEALANT OVER OF 2
UNIT WIDTH -UNIT WIDTH ALL FASTENERS THAT 2
PENETRATES SILL.
signature Date
PROPOSED SUNROOM ADDTION
FOR MR. & MRS. LARYS
467 SELVA CIRCIE
ATLANTIC BEACH, FLORIDA 322-33
UNIT IS TO BE A FOUR SEASONS SYSTEM, 4
MODULAR SUNROOM MODEL SWM-13DH x 5
36r BAYS AND NO GABLE ENDS
NOTES:
1) WALL GLASS CODE 73, R-4.0
ROOF GLASS CODE 77, R-4.2
2) FILLER PANELS TO BE 3- INSULATED
3) GLAZING BARS TO BE 51-85
4) ALLOWABLE ROOF LIVE LOAD 20 P.S.F.
SCALE: 5/16" 1'-o"
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— — — — — — — — — — — — — — — — — — —
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RID'GGE CLIP
CLIP ANGLE
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DETAIL "G" NO GABLE END
SEE DRAWING 4-01 (SHEETS 3 & 4) FOR O.C. DIMENSION— D.C. DIM
3/4' —UNIT LENGTH (NO GABLE)
APPROVED
CITY OF ATUM11C BEAC14
APPROVED BUILDING OFFICE
CITY Ot RILAIMC BEACH
PLANNING & ZONING 01,'('F U'L
'AU G 0 12 01 UL
5 w-c—l-S I MIS Nlc-� of
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DW1 BY: RPL
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L.awl c-,e Fische
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No. 3 7 01
I I I rx i Ise - JOB#:
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033485 Date 7/14/06
Property Address . . . . . . 467 SELVA LAKES CIR
Tenant nbr, name . . . . . . INSTALL 1 CU & 1 AHU
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
FERRELL OCEAN STATE HEAT & AIR
467 SELVA LAKES CIRCLE 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jul 13 06 M33a Ocean State A/C 904-249-8949 P. 1
st, &Z
" 'FLANTIC BEACH
CITY Oft-A
T APPLICATION
7 IYLECHANIC�U, Pf R.M.I.
Date:
Owner: Telephone Ak
Contractor: ocmo �7L Teiephoae Ir.
Couiractor Addresi; ry;,. M:
in.;immdemuo it orpermic-.!iy%:n nin dome lie wo(k as itt tc!kbQVP, XIM-31e;1C. WC 11Wl'tbV 17SCL ro perform mid-N,Kk in accomancc
with the alnuhud planand .j(jj rigic f.ity (�-ach ardituinus and Atandar&-j.-.t
/;Act�m';0f,%U4 Uk
Type qf Heating Fuei: CC ocher comsruction is being'donr-)n this building,
or site,Ut tho building pv=dt uvmber:
Q Gas: —Li" —Nawc-.11 Vf!-�IltrA Utility
13 Oil
U Othcv-S
(CHANICAL EQUIPIWENTTO BE, bN'STALLED i NATURL OF WOR&
e'{�.mj-t Spae LZecessed w""'it--litral Floor
L
%-'Air Conditioning: --..RQorn I
Ttickut:ss Q Cmmercial
-j Duct System: --Matmial
f;-Ipflfiry
L
Niv-v Buik�nz
R_.fj4
C-)ol Ing Tovvcv. Capacikly
Z E:�ibdm-Buiidina
Firt -\ium!.i-t7
00,
L, P[m.1tor- Nh.qlift Escalator (Nurrizx-.) W
i.Nkirxibe.-)
LFG Contau'iers (Numbe�) (Nm syixem pmviously inszailcd)
Q Uridredfrmur.--Vt-ssel 0 Duension ur Add-uu tu EdAing 3'rst=n
1:1 Bo i iers
Q G3-1 ?ipin; 0 0(her-Spc(,-;fy
Z) Other-Specify.
LIST ALL EQUIPMENT
f- C'ONDENL50ft-i AppvnvlDK
�(,lcrtKx U%lits (Vititiv.1.,� .1vatIUANC-.11rct, `%9tMW!
C?O�Md
fi[A I It44; - Appmvini;
f 277
Nurnticr ijults; Des';.-iPtiml Mudo:iF A vl,.r
34,10
...........................
L1.11,1141 Aolirn'll'Ing
A.r,;ll1Cll:j.ills X.
Road - .-vlande 11%nich. Fk)riiia 3"'21-5-54..'4
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATIO-N,
�0
Date: 71 13-JA
Property Address: -7v7 �QAZr,
a/ Telephone 4:
Owner, XVL�51-�
Con tractor: C)CJEO_n Telephone 4:
SILCMe- L�[C F Q[C.-
Contractor Address: 14-7(D Cfti-L r�l C,(�Iyrl rE) Fax 9:
in consideration of permir�dven for doing'he work as described Lin the above statement. we hereby agree to perform said work in accordance
-with the attached pians and specifications which are a part hereof and in accordance-with the City of Atlantic Beach ordinances and standards of
of
good practice tisted therein.
Type of Heating Fuel: If other construction is being done on this building
3.9
M-*'OO'Electric or site,list the building permit number:
C2 Gas: LP Natural W<rrtral U�t�'Iity
Q Oil
Q Other—Specifv
�NJIECHANICAL EQUIPMENT TO BE LNSTALLED NATURE OF WORK
er"Heat Space Recessed 6000'-C trat _Floor YO'Residential
S-"Air Conditioninz: —Room Ventral
--I Q Commercial
Duct System: Material Thickness
zi Refrigeration Miadmum capacity cfm Q New Building
:I Cooling Tower: Capacity pm
�D F—dsting Building
Fire SprinM-ers:Number of Heads
Elevator: '21viantift Escalator (Number) Repiac=errt of E.dsting System
Gasotin'e PUMps -(,Number-')
'New Installation
aigks (Number) Q
P Number) (No system previously installed)
-ontainers (T
Unfired Pressure Vessel Q F—mension or idd-on to Emsting System
Boilers
--Gt -S-
• Gas Piping CF Tier- pe
• Other—Specify
LIST ALL EQUIPMENT
.uR CoNDETIONia,,fG.RE JiTiGERATION EQUIP-N=&CONDEINSOR'S Approving
Number Units Description Modei 9 ,Ma fa Ton7 s Agency
elk- A#44334A 2�� 3
FfEATIN(-,—FURNA.Cj,:S,30[LERS.FME?LACES&AIRILVNDLER'S Approving
Number Units Description Modet Manu,crurer BTU's Agency
#+/'*A- )ry 03 r 34,P9
rAifKs Nominai Cavacity Type Liquid 3eriat Approving
How Many &Dimensions Contained -,Manutacturer
300 Seminole Road - mlantic Beach. Florida 32233-5445
Flione: (904) 247-5,300 - Fax. (1904) 247-3345 - littp:,,�/i-i,,vw.ci.atiantic-beacil-fl-us
Lop->
VN
OMS.CONSERVATORIES PAHO ROO
SUNRO MS
GLASS&SCREEN ENCLOSURES-SKYLIGHTS
Outdoor LiVing..Indoors
FOUR SEASONS SOLAR PRODUCTS CORP. 5005 Veterans 'jh::T'::11 ::1 1 1.151 OR, New York 11741
Tel(631)563-4000 Fax(631)218-9076
1-800-FOUR-SEASONS (1-800-368-7732)
Internet http://www.four-seasons-sunrooms.com
E-Mail info@four-seasons-sunrooms.com
ENGINEERING CALCULATIONS
STANDARD SYSTEM 4 MODULAR SUNROOM
MODEL SWM-13DH
WITH 5LB5 ROOF RAFTERS
WITH 5 - 36 " BAYS
FOR THE LARYS RESIDENCE
LOCATED IN ATLANTIC BEACH, FLORIDA
DATE: June 15, 2001
THE ABOVE INDICATED PROJECT HAS BEEN EXAMINED FOR
20 psf ROOF LOAD
120 mph WIND LOAD
AS PER 1997 STANDARD BUILDING CODE
AND EITHER MEETS OR EXCEEDS THESE LOADINGS
NOTE� THIS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO,
BUT NOT INCLUDING, THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW
CONSTRUCTION. THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW
CONSTRUCTION MUST BE ANALYZED ACCORDING TO CONDITIONS SPECIFIC TO EACH JOB
BY OTHERS.
FL
Lawrence Fischer, PE
FL License No. 35700
2502 Twilight Drive
Orlando, 2825
Signature Date
JUL 10 '01 12:08 212 P03
OT 10
il I
APPROVED
C,;t 01 AILANTIC BEACH
PIANNING K ZONING OFFICE
cr
ILLJ
< W AUG 0 12001
< LAJ b.4' J7
<
-1�2 4 4
5
U) aQ (D
c) C3 Two SIORY to
04 FRAME
LOT 11 P051ED # 467 cj
LOT 9
"S
0 0
-0 o o tn
-00 — 1 ;1 v- 0
0 to C14 �D
z 0 0
z V)
,l 4'
Q,
00
06'12'39- w J4,5N —1
(CHORO)(N.AT)
UVRDE,V 5 86'09'07- w 34.51*
4048- Q.360 00 (CilORO)(MEA%RfO)
N -24', 34 66- F6�l-4pIr2-7jWaN—plpr'— ---I FOUND 112' 'RON NII�
88 31- 4 34.870 STAAAPtO 'Du4l)CN 1048- STAUPCO _DVRDEN 104a"
(CHORD)(Mi W
N 88.15.59. EASURIED) SELVA LAKES CIRCLE
(CVlORD W (600' RIGHT Of WAY)
�BTFS - AGI;FFIED Dy
14 = RADIUS —X-, FENCE
L = L(MG114 CONCRETC
NOTLS: J REVISIONS
I. BEARINGS ARE BASCO ON IMF BEARINC OF --N 061B DO"-W... ALONG THE
WESTERLY J3QUNOARY I-I E OF SUBJE�fPARCEL DATE DESCRIPI)ON
2 BY GRAPKiC PL tlING -ANDS L;f WITHIN FLOOD /ONE AL- AS SHOWN ON Tm
Ly THE CAPTIONED I --
NATIONAL FLOOD, INSURANCt MAP DAT�D APRIt. 17. Iglig. COMMUNITY NUmaFR 17.0075.
AY AS PfR RECORDED PLAT &/OR TITt.0 COMMITMENT
3 T141S SURVEY REIFLECTS ALL EA5CmENTS & RIGHTS OF W
IF SUppl.1to UrqL[l AS sf.t,N PERFORMED BY THE UNDERSIGNM
.�S OT41-RWISE SlATED. 140 OT"CR 111L.F. V[RWICA%)N M
4 lj4jl� SURVEY NOI VALID YOlIH04JT THE EMBOSSEC) SEAL Or I"[ cr"TiFYiNr, SURVEYOR.
— - -,(IE: SCALE, 1 20'
jo [)ATEL OF FIELD SURVEY 01-19-01 WE OF IS"
CERTIFICATE p OLE CHANCE
2522 On$- Strcot I MfRf-fty CCRUCY THAT T",E, !;Uh%fY WAS MADE VNOEff NY RLS O"Sj
(REVISION',
20
L",. OLE
F1064. 32204 AND M�EYS IN( MINIMUM TfCt-iM SIANDA%91; -!; 10 re)RlH By THk FLORION
BOARD or PROFErSIOMAL SURVEYORS AND UA;-PI:RS IN CHAPTER 161G17.s, r,clHIDA
(Ph..ft) 904-389-S989 AD DOE. PvRSLlA%- ' I - I N 072 FLORIDA SfATUTES.
(Fo-) 904-389-6175
MICHA�o�JAlc,-LD
REGISIERED 5URVEYOR AND MAPPCR # 4879 SIATE Of- f7LORIDA
LICENSE(> OUSINESS 6702
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDINASIONS
DEPARTMENT OF PUBLIC WORKS
Building and Zoning Inspection Division 0
0 01QkSn§N1Vfi'V
HOMEOWNER ENCLOSURE AFFIDAVIT
The purpose of this document is to make you aware of a-ny limitations in the enclosure that is
being permitted.
J:yE�_A: An enclosure with glass windows, insulated walls, with or without heat/air conditioning
is considered an addition by the code. This type enclosure has certain structural requirements,
kequires footings a-nd has certain electrical requirements.
Type B: A screen enclosure or an enclosure with vinyl windows, is not considered an addition,
and has different structural and electrical requirements.
I
if you a-re installing a Type B enclosure, it may be difficult to later retrofit to Type A.
I have read the above, and am aware I am installing a Type
(homeowner)
A g B_ (check one) enclosure.
Signatur -4-
I meown (Date)
2q/01
(Notary)
DEBRAWIRTE
My Commission E'xpiffeS: NOTARY PUBLIC-FLORIDA
My Co�"GSSION#CC 755496
009fAM
AREA CODE 904 1 630-1100 1220 E BAY STREET / JACKSONVILLE, [ LORIDA 32202-3401
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION NORTH 1 2(IAI\
FORM 60OC-97 Residential Limited Applications Prescriptive Method C X-V
I Small Additions,Renovations&Building Systems Department of Community Affairs I
Compliance with Method C of Chapter 6 of the Flonda Energy Efficiency Code may be demonstrated by the use of Form 60OC-97 for additions of 600 square feet or less,site-installed ccmponents
of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6006-97 or 60OA-97
I r-->r,:;W C,C- BUIL A
PROJECT NAME: I-A% Ve, DER: Qilf
AND ADDRESS: PERMITTING CLIMATE
OFFICE: ZONE: 1 2 []3
OWNER: PERMIT NO.[]::J��� JURISDICTION NO.: t 19-!G I KiN
SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area), Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to t7e
components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment ts installed
specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).
Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site-
installed components and features are covered by this form,BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK
1. Renovation, Addition, New System or Manufactured Home 1. Asc>r->
2. Single family detached or Multifamily attached 2.
3. If Multifamily-No. of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 4.
5. Predominant eave overhang (ft.) 5. rz
6. Glass area and type: Single Pane Double Pane
a. Clear glass 6a. sq. ft. sq. ft.
b. Tint, film or solar screen 6b. sq. ft. sq. ft.
7. Percentage of glass to floor area 7. %
8. Floor type and insulation: SP
a. Slab-on-grade (R-value) 8a. R= Jim. f6
b. Wood, raised (R-value) 8b. R= sq. ft.
c. Wood, common (R-value) 8c. R= sq. ft.
d. Concrete, raised (R-value) 8d. R= sq. ft.
e. Concrete, common (R-value) 8e. R= sq. ft.
9. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value) 9a-1 R= sq. ft.
2. Wood frame (insulation R-value) 9a-2 R= sq. ft.
b. Adjacent:
1. Masonry (insulation R-value) 9b-1 R= sq. ft.
2. Wood frame (Insulation R-value) 9b-2 R= 6-0 sq. ft.
c. Marriage Walls of Multiple Units* (Yes/No) 9c
10.-Ceiling type and insulation:
a. Under attic (insulation R-value) 1 Oa. R= 0 '250 sq. ft.
b. Single assembly (Insulation R-value) 1 Ob. R= sq. ft.
11. Cooling system*
(Types: central, room unit, package terminal A.C., gas,existing, none) 11. Type: vt4l'r
SEER/EER:
12. Heating systerri (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: 12,0004 ufj
gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE:
13. Air Distribution System*:
a. Backflow damper or single package systems* (Yes/No) 13a. Wo
b. Ducts on marriage walls adequately sealed* (Yes/No) 13b.
14. Hot water system: 14. Type:
(Types:elec.,natural gas,other,existing,none) EF:
Pertains to manufactured homes with site installed components.
I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance
compliance with the Florida Energy Code. with the Florida Energy Cod efore construction iiiis c�pletedthi.s building will be
'struc"
.9 8, S
PREPARI DATE: 1--t'Z- inspect ad for compliance in cc dancewithpcti
0 C, L.
By _J BUILDING OFFICIAL:
'b
I here y cenif�that I is iding is in compliance with the Florida Energy Code.
V OWNER AGENT: DATE: DATE:
Revised 1998
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2(�)
1 Small Additions,Renovations&Building Systems Department of Community Affairs
Compliance with Melhoc C of Chapter 6 of the Flonda Energ,;E�ic�er','Ccce rnay be demonstrated by the use of Form 600C.97 for additions of 600 sQ,.-are feet criess,si!e-ins:a�igi�=�znn-:s
of manufactured homes,and renovations to s;n(,Ie and muillitamiiv Aiiemative methods are provided for additions by use of Form 60OB-_,Q,,-/cr'60XA-�11
PROJECT NAME: (Z ti-- B U I L D E R:
AND ADDRESS: 174(0/7
PERMITTING CLIMATE
OFFICE: IZONE: 1 El 2 1:1 3
OWNER: PERMIT NO. 77711 JURISDICTION NO.:it 121(0 111
SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of condiiioned area). Prescriptive requirements in Tables 6C-1.6C-2 and 6C-3 a.--,iy only to the
components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed
specifically to serve the addition or is being installed in conjunction with the addition construction. Components Separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building),
Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site-
instailled components and leatures are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK
1. Renovation, Addition, New System or Manufactured Home 1.
2. Single family detached or Multifamily attached 2.
3. If Multifamily-No. of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 4. r2o
S. Predominant eave overhang (ft.) 5. lez
6. Glass area and type: Single Pane Double Pane
a. Clear glass 6a. sq. ft. sq. ft.
b. Tint, film or solar screen 6b. sq. ft. sq. ft.
7. Percentage of glass to floor area 7. %
8. Floor type and insulation: 15F
a. Slab-on-grade (R-value) 8a. R= _4F,.-44-
b. Wood, raised (R-value) 8b. R= sq. ft.
c. Wood, common (R-value) 8c. R= sq. ft.
d. Concrete, raised (R-value) 8d. R= sq. ft.
e. Concrete, common (R-value) 8e. R= sq. ft.
9. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value) 9a-1 R= sq. ft.
2. Wood frame (Insulation R-value) 9a-2 R= sq. ft.
b. Adjacent:
1. Masonry (Insulation R-value) 9b-1 R= sq. ft.
2. Wood frame (Insulation R-value) 9b-2 R= 11,6_0 sq. ft.
c. Marriage Walls of Multiple Units* (Yes/No) 9C
1O..Ceiling type and insulation:
a. Under attic (Insulation R-value) 10a. R= sq. ft.
b. Single assembly (Insulation R-value) 10b. R= sq. ft.
11. Cooling systerri
(Types: central, room unit. package terminal A.C., gas, existing, none) 11. Type: &V'VP1 VII
SEER/EER:
12. Heating systeil (Types:heal pump,elec.strip,natural gas,L.P.gas, 12. Type: raw a 0A L14 I-C
gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE:
13. Air Distribution Systerril
a. Backflow damper or single package systems* (Yes/No) 13a. li,[a
b. Ducts on marriage walls adequately sealed* (Yes/No) 13b.
14. Hot water system: 14. Type:
(Types:elec.,natural gas,other, existing,none) EF:
Pertains to manufactured homes with site installed components.
I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indic.ates compliance
compliance with the Florida Energy Code. with the Florida Energy Code.p4re construction is complWed,this building will be
inspected for compliance in a corcPAnce with S 5 . 18,FV
DATE: 0 1 1,
PREPAREI AAL-
I hereby(�By
,erlif�that this building is in compliance with the Florida Energy Code. BUILDING OFFIC
DATE f DATE:
OWNER AGENT:
Revised 1998
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
17IN
FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2Q)
Small Additions,Renovations&Building Systems Department of Community Affairs
Compliance with Method C of Chapter 6 of the Flonda Energy Effic:ency CoCernay be demonstrated by the use of Form 60OC-97 for additions of 600 square f2ei or Icss,site-insiaJed c,-,-.pcnen:s
of manufactured homes,and renovations to single and mullifamiN residences Allemative methods are provided for additions by use of Form 6008-97 or 60,10-A-97
PROJECT NAME: V_)� r_-5 1 r.7>e t-i c-r=-:. BUILDER:
AND ADDRESS: PERMITTING CLIMATE
OFFICE: ZONE: 1 2
OWNER: PERMIT NO.1 I I I JURISDICTION NO.: C 0
SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1.6C-2 and 6C-3 acply only to the
components of the addition,not to the existing building. Space heating,Cooling.and water heating equipment efficiency levels must be met only when equipment is irsialled
specifically to serve the addition or is being installed in conjunction with the addition construction, Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).
Prescriptive requirements in Tables 6C-I and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.only site-
installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK
1. Renovation, Addition, New System or Manufactured Home 1.
2. Single family detached or Multifamily attached 2.
3. If Multifamily-No. of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 4.
5. Predominant eave overhang (ft.) 5.
6. Glass area and type: Single Pane Double Pane
a. Clear glass 6a. sq. ft. sq. ft.
b. Tint, film or solar screen 6b. - A 0- sq. ft. sq. ft.
7. Percentage of glass to floor area 7. %
8. Floor type and insulation: -s F-
a. Slab-on-grade (R-value) 8a. R=
b. Wood, raised (R-value) 8b. R= sq. ft.
c. Wood, common (R-value) 8c. R= sq. ft.
d. Concrete, raised (R-value) 8d. R= sq. ft.
e. Concrete, common (R-value) 8e. R= sq. ft.
9. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value) 9a-1 R= sq. ft.
2. Wood frame (insulation R-value) 9a-2 R= sq. ft.
b. Adjacent:
1. Masonry (insulation R-value) 9b-1 R= sq. ft.
2. Wood frame (Insulation R-value) 9b-2 R= 6-0 sq. ft.
c. Marriage Walls of Multiple Units* (Yes/No) 9C
10.-Ceiling type and insulation:
a. Under attic (Insulation R-value) 1 Oa. R= Z2 2 sq. ft.
b. Single assembly (Insulation R-value) 1 Ob. R= sq. ft.
11. Cooling system*
(Types: central, room unit, package terminal A.C., gas, existing, none) 11. Type: V?41,r
SEIER/EER:
12. Heating systern*: (Types:heat pump,elec.strip.natural gas,L.P.gas, 12. Type: rL.0 PA tJ4 1--r
gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE:
13. Air Distribution Systerril
a. Backflow damper or single package systems* (Yes/No) 13a. wr a
b. Ducts on marriage walls adequately sealed* (Yes/No) 13b.
14. Hot water system: 14. Type:
(Types:elec.,natural gas,other.existing,none) EF:
Pertains to manufactured homes with site installed components.
I hereby certify that the plans and specilicaiions covered by the calculation are in Review of plans and specifications covered by thisoalculation indicates compliance
compliance with the Florida Energy Code. with the Florida Energy Code r,1lore construction is 5� leted this building will be
n��
or
cc an
%1z inspected for compliance i ce with tion .908, S
PREPARED.BY: OAT
I hereby certify that this Fuildtng is in compliance with the Florida Energy Code. BUILDING OFFICIAL'
c DATE. DATE: !0
Revised 1998
AUG-02-01 12� 31[3 FROM:rIRST COAST RAINGUARD INC ID;9047327263 PACE 2/2
A.A63
sook 106W
Docill a001172332
5 MIN. N Book: 10068
NQIICE OF CO AMENCEMENT P '1063
PHONE 0. F&M & RecoTded
07/16/2001. 10:55-10 AN
JIM MUM.
aM CIRWIT COURT
STATE OF F IDA KM% MWY--'1--
COUNTY OFLIMI�L- TRUST FUIM S 1.00
The VNDERSIGNED hereby gives WiCe that improvements will be made to certain real property,and in accordance with
Chapter 713.Florida Statutes.the following information is provided in(his Notice of COMmenCement
/-// - I
I Legal oescriptioln of pcopeny(and address it 3v3il3t)le)
2 General descriotion of imp(ovements:
3 Ownef information:
a- Name and address:
0. Interes(in propecly: -7:_ fee simple or other
C, Name and addressolf fee simple title holder(if.other than owner):
4. ContraCtor(name and address): rjrsj CQant Rainquard Inc. 5141.5 SunbAi2m Rd jacks6riville. EL a?25
5 Surety:
Name and address-, none,
b. Amount of bond' S
6 Lender or person making a loan for the construction o(the imp,mvements(name and address)�
7 Persons within the State o(FloriCla deSignated by Owner upon whom Notices or other documents may be smed as
provided by Section 713.13(1)(a)7.Florida Statutes(name and address)�
in addition to himself.Owner designates the following person to receive a Copy of the lienor's notice as provided in
Section 713.31(i)(b)Florida Statutes. (Fill in at Owne('s option).:
F
Xpiration date of Notice of Commencement(the expira(iian da( 1 r I the e of reco(Oing uAlOSS a different
date is specified)
Wrier
Sworn to ancl sut)SC(10ed bef0fe mc (t)[5-L2%-day Of
DEIVRA WWM
NMARY pUBLJC-FLORIDA
MyCoMmMONOOC755496 NOlary PVbl-C
�':F*�f
NROOMS CONSERVATORIE S- PATto Rooms
LASS&SCREEN ENCLOSURES SKYLIGHTS
lutdoor LiVing.. Indoors
OUR SEASONS SOLAR PRODUCTS CORP. 5005 Veterans Memorial Highway, Holbrook, New York 11741
Tel(631)563-4000 -Fax(631)218-9076
1-800-FOUR-SEASONS (1-800-368-7732)
Internet http://www four-seasons-suncooms.com
E-Mail info@four-seasons-sunrooms.com
ENGINEERING CALCULATIONS
STANDARD SYSTEM 4 MODULAR SUNROOM
MODEL SWM-13DH
WITH 5LB5 ROOF RAFTERS
WITH 5 - 36 " BAYS
FOR THE LARYS RESIDENCE
LOCATED IN ATLANTIC BEACH, FLORIDA
DATE: June 15, 2001
THE ABOVE INDICATED PROJECT HAS BEEN EXAMINED FOR
20 psf ROOF LOAD
120 mph WIND LOAD
AS PER 1997 STANDARD BUILDING CODE
AND EITHER MEETS OR EXCEEDS THESE LOADINGS
NOTE� THIS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO,
BUT NOT INCLUDING, THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW
CONSTRUCTION. THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW
CONSTRUCTION MUST BE ANALYZED ACCORDING TO CONDITIONS SPECIFIC TO EACH JOB
BY OTHERS.
Lawrence Fischer, PE
FL License No. 35700
2502 Twilight Drive
Orlando, Fl_,�2825
signature Date
IQ
LOW->
71
CITY OF ATLANTIC BEACH
F BUILDING
DEPARTMENT 0
-TEL: 247-5826-FAX: 247-5877
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233
c4fiitw T
PERMIT 11 ----------
+ —A dd—y�e—s i: 4 6 EL A KESCIRCLE
umber: 22437 ATLANTIC BEACH, FL 32233
Permit Type: ROOM ADDITION Township: Range: Book:
Class of Work: ADDITION Lot(s):10 Block: Section:
Proposed Use: SINGLE FAMILY Subdivision: SELVA LAKES
Square Feet: Parcel Number:
T_
0
w
n
s hip
Lot(s).1 0 AT
Subdivision
NT
S
C
R
B
LA I BEACH FL 3'
ange.
lock.
ELVA LAKES
a I N4mbe
e
r. —0 mjktio�
0 NER INF RMATI
rc W LA S JR
a
Est. V lue: 6W—NER INI ON---
Y
R& T P- LAR
Improv. Cost: 18,000-00 0 ER
Name: R BERT P. RYS JR.
Date issued: 8/01/2001 r ss. SELVA LAKES CIF
Address- 467 SELVA LAKES CIRCLE
Total Fees: 150.00 T IC C L
ATLANTIC BEACH, FL 32233
Amount Paid: 150.00 fcj �q 0
Phone: (9nO4)249-4323
Date Paid: 8/0112001 t
_W6_r_k_D_escS UWR_0(:�MADD I TI U N 'PLIC
EE
TTOR
WS-L 150-00
3 ERMjT_
_�—FIR—ST—C�0—AST RAINGUARD, INC.
j;_4
n
12;�Ak
NA
AIN
W�4
Rg
low.
t
�TbINS CTION
24 HQU_ RS
floNs.,tOUST BE REQUESTWW-T-16-MV
NOTICE -------
N ED,j"PPBLIC SPA
'*D DEBRISIROM'THIS-Wokk-MU CE, AND
FBUILDING MATERIAL, RUBBISH
MUST BE CLEARED LW AND HAU D,AWAY BY EITt4ER CONTRACTOR OR 0
AN ta:T IN THE
ST4W- RES
CTION LIEN
"FAILURE TO COM -all
PROPERTY OWNER P
S W$IC R OFT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPRO
FOR VIOLATION OF APPLICABLE PR
Date: 8/02/@l 01 Receipt- 0077558
T NTIC BEACH UILDING DEPT. ___ _3719-"
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address q�
Date
Heated Square Footage $_per sq f t = $
Garage/Shed $_per sq ft = $
Carport/Porch @ $_per sq f t = $
Deck @ $_per sq ft = $
= $
Patio $_per sq ft
TOTAL VALUATION : s Ar, et 6
s
To't 1/ Valuation lst $ 0 a a s
�,7- 6 0 0 -S— -
Remairfing Value $ atper thousand
7portion thereof
TOTAL BUILDING FEE $ /00
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $ / J-0, 00
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 $—(2)
GRAND TOTAL DUE $ 15- 7)' (90
ADDITIONAL PERMITS OR FEES : Mechanical_; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank_; Well Sign Finish Floor Elevation
Survey ; other_
CALCULATIONS and/or NOTES :
RECEIVED
J11,111, 13 6ul
City of Atlantic Beach
CITY OF ATLANTIC BEACH
Building and Zoning
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
IN ITIONS
Owner(s)
Job Address: Yh7 ;�;?" ffA2hone: 4:��19_
Lot # IL9 Block or unit # Subdivision:- sai'la
Contractor: State License
Address: 12d -Phone No: 7Jz;L-7P43
city State Zip Code 47,0�
Describe work to be done: Ae"71 ..
Present use of building: ��(M
valuation of Proposed Construction:
Proposed use:
Is this an addition? If yes, what are the dimensions of -the added
space: ft. X
JE S' _ft. Will the added area be heated and
cooled?-t4Y-_"' New electrical (or increase) ?
0 A D C
New plumbing fixtures? A 0 New fireplace? New Heat/A
SUBMIT THREE (CObOIERCIAL) TWO (RESILENTIA-L) C014PLETS SETS OF PLANS' ZAVCLUDING
SITE PLAN, SURVEy, ENERGy Co.-E FORKS, NOTICE OF COM�ENCEJqENT, AND
OWNER/CON77LICTCR AF71nAVIT IF OhMER IS CON CTOR.
Signature Mjmr Date:
Signature CONTRACTb Date: -1 - It- c,
AS TO OWNER: J_ DEBRA WHrM
WMARY PUBUC-FLORM&
t-- nn �,��',.d. ay oMC0q4*"N#CC735" 2000.
6jj���ibed before me this
NdtARY PUBLIC
up
before me this 0\ day of 2000.
N 3T
NOtARY PUBLIC
DEBRA WHrrE
NOURY KJBUC-FLORMA
UYC0bSffSSI0N#CC755W
Wu=.0&29=
AUG-02-01 12: 35 FROM;FIRST COAST RAINGUARD INC ID:3047327263
Spok 1,00"paVe .1063-
5 MIN, Doc# ?-OOIL172332
W.: 10068 .
PHONE# NOTIcE QF COMMENCEMENT Pal-Q.. 1063
Filed & ReWrded
07,16/mL to-.55:10 0
JIM FULLER
STATE OF F DA aDA 'CIRCUIT OMT
COUNTY OF q101IL— TRUST FW S 1.00,
The UNDERSIGNED hereby gives notice that improvements will be made to ce"n real property.and in accordance with
Chapter 71 a. FWida Statutes.the Vlowing inifonnation is provided in this Notice of Commencement
I Legal description of property(and address if available). &h4 ("6�
We,Ir
2 Genecal descriolion of imp(ovemen(s:
9
3. Owner information:
a. Name and address:
b. Interest in property: simple or other
C. Name and address of fee simple titleholder(if_other than owner);
4 Contractor(name and address): Pir�[Coagf RaingQurd 5151.5 Swnbgs2m Rd JaCkAQnVj11e&_V_2�Z
5. Surety:
a. Name and address: none.
b Amount of Dond: S
6 Lender or person making a loan for the mnstruction of the improvements(name and address)
7 Persons within the State of Florida designated by Owner upon whom Notices or other documents May I)e served 3S ,
provided by Section 713.13(i)(a)7.Flodda Statutes'(name,and address)�
8 In addition to himself,Owner designates the following person to receive a copy of the fienor's notice as provtdeO in
Section 713.31(i)(b)Florida Statutes. (Fill in at Owner's option):
9 Expiration date of Notice of Commencement (the expiration dat f lhe,*dre of(ecord,rig unies�a afKe;ent
date is specified).
1he_exp,,ation cat
qwne(
d
Sworn to and suDscribed Defote me Mis dayof �juflw
- 7
DEBRA WHM
wrARY PUBLIC-FLORWA
Ky ODMNMICN 9 CC 755" No-va(y PU01-C
Qf!-
CVV'( of
13001 0".Icla%
ot
c
Date _a ec"
T,me Wed co'd.
ecekl$e
'leaklng
f-,,e p��,ce
30b pddless vk�00'9'90"ok p,e'FaX3
S,,Ner
ovi,ev's POW
lemP
tAame ",a\ e C�TJOIA
'Ovk%tAsp J\"ys.
fam'%n(3 umto P'o
�ke\AOOAI(\g \Ned.
of\ f \ns9ectjon C�j�3
flo O,C,39al\
-,ate 0
L-t 0
t
mof\. Date
ec�jon
v\,Pec�jon Made CA)
-tot
,,s9eckOv
cl-Ty Of
OttiC-1al
j4r SeOrA
. , Ot Building
Otilce-T V:OFI It4specW)t4 L-
RE permit
A.M. --,Ip 3 Z
Date P.M.
te�
Time. 6(7- Locality
kece%ved ---=:
F 4 (:�
30b Addre s contr,,IO( tArctiANICAL
PLUM81%G C3 N%r C'ond.&
C, vAeabng
0,,ner's BOUP Fire place
�so-g -�!Img C, -TOP Out 0 pre Fab
L:
D; sewer
1 cOt4cRf-,Ir 0 TOMP Pole A.M.
SUILDI Fooling 0 Final PM.
rfaminlg Slab 0 ,4sprrcTjOt4 FridaY
Se Sooting 0 Lintel FtEEADY FO Thurs.
's
Insulation
,W4qed
Tues.
�ln,pect'Olnlccup.ncy
I PKI, ancy
1-10 CCU
Inspection Aade I)ate
Inspector
0,Fi,,e '&,eq
Of,& L-4
lY4-Qj4'sr tli/cv,7
ell POP
ow, JOb
A4.
tv, er
e
ali/I 0 Prn,,/Vo.
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Of
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FIL 32233 - Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
INFORMATION LO FORMATION
Permit Number: 2284-7 TION IN .
Address: 67 SELVA LAKES d_R_C_LE __
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): 10 Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: Parcel Number:
Improv. Cost:
---.OWNER INFORMATION
Date Issued: 10/15/2001 Name: ROBERT P. LARYS JR.
Total Fees: 25.00 Address: 467 SELVA LAKES CIRCLE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/15/2001 V*0 V,,-ww�
!!- (904)249-4323
±77,
Work Desc:VVIRE—FOR SUNRO
CONTRACTORS
-ION
;�ILJCA�T E
_50 UO N_1A L TRIC, INC.
J:I
25.00
4.
Al
zz
#
R—OUGH ELECT I
n�
Maw,
;dE
NOTICE INS�;ECTIONS _T BE R ' P.T7
EQUESTED AT LEAST 24 HOURS;. RIOR T
SPECTION
BUILDING MATERIAL, RUBBISH Nl>;QC-BRIS FROM THIS WORK-MUST NOTfig"PLACED POUBLIC SPACE, AND
MUST BE CLEARED UP*D-HAULED ITHER CONTRACTOR DROWNER
4,
"FAILURE TO COMPLY
Rroell LT IN THE
PROPERTY OWNER PAYIN
ISSUED ACCORDING TO APPROVED PLA AR-rp AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS
Receipt: W782
ATLANTIC BEACH BUILDING DEPT. Datet 10/15/61 91 1543
CHECKS
Aug- 18-97 09 : 52A /7 C; P . 01
16 -- f'5'
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
Approv*d by
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:--10 60
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: MASTEA ELECTRICIAN SIGNATURE IQURNEYMAN
NAME ADDRESS: v cl cl
RFD_BOX_
EILDG.SIZE 15Z 0-
RES. t�) APT. COMM, ( PUBLIC INDUS. I NEW ( OLE) REW.
ADDITION TRAILER TEMP. ( SIGNS I I SQ. FT.
SERVICE: NEW ( INCREASE ( REPAIR I FEE
CONDUCTOR SIZE AMPS COPPER ALUM,
SWITCH OR BREAKER AMPS PH —W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE 0.
INO. st: SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES (o CONCEALED OPEN TOTAL
0.30 AMPS. 1-100 A I�PS
SWITCHES
INCANDESCENT
FLUORESCENT&M. V.__
FIXED 0.100 AMr!.j_t io �FR:
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING I
COVIDIT!ONING CC,oftvi P.M 0 T 0 R OTHER MOTORS AMPS CEIL HEAT: KW,HEAT—
OVER
MOTORS H.P. VO�TAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS