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494 and 498 Selva Lakes Cir (vault) A ` CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029478 Date 1/06/05 Property Address . . . . . . 494 SELVA LAKES CIR Tenant nbr, name . . . . . . 14 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ABDULLAH, ANITA PLUMBING EXPRESS 494 SELVA LAKES CIRCLE 450 C SOUTH PICKETT STREET ATLANTIC BEACH FL 32233 ALEXANDRIA VA 22302 (7 03) 887-9849 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 135 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 .00 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH y PLUMBING PERMIT APPLICATION Date: Ls Property Address: 4�� 5 e L 5 1,i Owner: t-{,a &-tg11 p 4 Telephone#: Contractor: _Pkj"l,� Wgzgn S Telephone#: 703 M7 q517 Contractor Address:_450 G S PIS STV\ x- V 1 Fax#: ?o3 1-61 03tq In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Ji- Re-Pipe Number of Fixtures: Z Bath Tubs Showers 3 Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Z' Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 o, Total Fixtures: (4 X$7.00 + $35.00= 33 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904) 247-5845- http:l/www.ci.atiantic-beach.fl.us Revised 1/04 01/06/2005 13:33-FAX 703 461 0349 Z002 I i I I .adArc Vood, Tax Collector Occupational License Orange County, Florida ,is Ilcense is in addition to and not in lieu of any other license required by law or mu enialal�sadded October rt to regulation of zoning,health and any other lawfu ithority.It Is valid from October 1 through RSeptember 30 of license year.Delinquent penalty * .1803-571092 ORIGIN *AL090/2005 1803 CERT PL MBING CONTRACTOR ;43 t}. 0V ;r*, 2 WORKERS TOTAL PAID 30 .00- � � -"" � PL gjlk EXPOESS TOTAL WOOD T UALIFIER TOTAL DUE .00 i ,�"•� r4.�` ,tiyr 1215;WEB LAft ST OVE VA 22508-3061 w � r 3418 BISHOP PARK DR #327 (MOBI . t err r10 WOOD MARK T QUALIFIER U - WINTER PARK t� oq, PAID: 30.00 99-306`31---8"09/2004 I This form becomes a receipt when validated by the Tax Collector, Application is hereby made to engage in the business, profession, or occupation hereinafter described for the period of, October 1, 2004 thru September 30,2005. (Ref: Florida Statute 205.032) OWNERS: WOOD MARK T QUALIFIER Code Nature of Business 1803 CERT PLUMBING CONTRACTOR 30.00 i Total 30.00 DETACH HERE AND RETURN WITH YOUR PAYMENT. it I 01/06/2005 19:32 FAX 700 461 0049 2001 PLU-fi-n- ING Pho> q%x C�nszru��ion, ln�. TO: FAX: COMPANY: PH-- FROM: Phone: 703-461 0350 DATE_ PAGES. including cover page I RE: CONFIDENTIALITY NOTICE Tile information contained in this facsimile transmi551on is intended for the use of the individual named above. If you have received this transmission in error, please note that you are hereby notified that any dissemination, distribution or copying of this tran5n115510tl is strictly prohibited by law. Please immediately noti'f'y the sender named above or Shannon Heflin at 703-461-0344 if you have received this transmission in error. ' I COMMENTS: i i I aso-C soLith Pickett street - Alexandria -- VA 22304 Phone: i03-461-03-so FAX: 703-461-0549 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMLT INFORMATIONmit - PerNumber: 19384 LOCATION INFORMAT[d - Address: 498 SELVA LAKES CIRCLE Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: T` 0 WNER"t1F0 R4 ATION: Date Issued: 12/27/1999Name: CARRAHER, REBECCA Total Fees: 37.50 Address: 498 SELVA LAKES CIRCLE Amount Paid: 37.50 ATLANTIC BEACH, FL 32233 Date Paid: 12/27/1999 _ Phone: (904)242-7027 Work Desc: INSTALL VINYL SIDING - NTRACTOR S COQIFEES , SCANAIR SIDING & SERVICES INC PERMIT 37.50 =Ins ections Re uired .. j I - I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER 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. l $37.5814 ATLA IC BEACH BU LDI DEPT. Date: 12/27/99 81 Receipt: 8822385 CASH s CITY OF ATLANTIC BEACH PE rT A7-PL a:!TION R�4"ICDEL, ADD2TIONS, OR A..LTERa TIONS MCVING, D=,-rCLI T%ONS Owner(s) : � L Job Address: /40SetyQ Lola S Gc"1eahone: Lot L�� Block or Unit R Subdivision: SodV a o-�,eS14 tt� Contractor: . e/qj ,4 II Address: f�c Y`; Ga�>i,� :" cr.e QTc: c__y��LviL 13no--c Sta—ze `La ``� A z__ 4A co __352^= yS2 O. ,� i Va_oat_o n .._ :-,::posed Ccns.._uct_�. Is this an add tion? if yes, what are the dimensions of the added space: =t. X ft. Ski'_'_ the added area be heated and ccc:ed? New e act=_ca_ ;or increase) New plumbing =-=,Ct-_=s? New f_--s-?ace? New Heat"=C? SVEMIT TER= ,cCMdKRCZAL) TWO (RESIDEN`TZAL) CCMPLET-' S'TS OF PANS, INCLUDING SIT, PLAN, SVRVEY, ENERGY CODE FORMS, NOTICE OF CO>,V��IT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. G Signature OWNER: y � � n �i� , ✓ Date: 2 ' L�� Signature CONTRACTOR Date: 21 o 7 AS TO OWNER: Sworn to and subscribed before me this day of 19_ NOTARY PUBLIC AS TO CONTRACTOR: Sworn to and subscribed before me this—A day of De Lt r— 192Y. E=� IFER J.SCOTT NOT PUBL ISSION#CC893554:December 8,2003otary Public Underwriters CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptgcoab.us Application Number . . . . . 07-00000564 Date 4/25/07 Property Address . . . . . . 498 SELVA LAKES CIR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TROPIC HEATING & AIR Q/A:MARKS, CHARLES J. 750 MAYPORT RD. ATLANTIC BEACH FL 32233 (904) 241-1788 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/22/07 ---------------------------------------------------------------------------- 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. 'zss„y, .• .r,�1s} ;�.+Df°t`F"*d s'a '3'� "� s�.3s..'�X.�t�.r,.t r, ''�r :rw# ea0`[¢•+..g� __ .a- lk . `� 4tC Date: 5 o 7 Property Address: `/ Owner: h't�, k C6 Telephone#: 6 55 - Contractor: 7--4' : I4-C,- -V-A Y- Telephone Contractor Address: S 0 N4K., �r-� { I���_ Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which arc a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: LP Natural Central Utility ❑ Oil — — — ❑ Other–Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK 3' Heat _Space _Recessed e Central _Floor ❑ Residential o' Air Conditioning: _Room V Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building Cl Cooling Tower:Capacity 9Pm ❑ Existing Building ❑ ' Fire Sprinklers:Number of Heads ❑ Elevator: _– Manlift Escalator (Number) 0 Replacement of Existing System Ll Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) Cl Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other–Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model p Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Descripption// Model It Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845 a http://www.ei.atiantic-beach.fl.us Revised 4704 PSR-3844 1511 r) DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFRMATION LOCATION INFORMATION Permit Number : 15116 494 SELVA LAKES CIRCLE Permit Type :PLUMBING ATLANTIC BEACH , FLORIDA 32233 ---- .:lass of Work:ALTERATION ----- LEGAL DESCRIPTION Constr . Type:WOOD-"FRAME Block : Lot : Twp . Proposed Use : SINGLE FAMILY Section; Subd: Rnq : Dwellinas : n Subdivision: SELVA LAKES Est , Value* 0 .00 Improv . Cost : 0 . 00 Total Fees : 25 . 00 Amount Paid: 25 .00 Date pa" ER HEATER OWNER !NFORMATION APPLICATION FEES ---- ----- lame, KNITA ABDULLAH PERMIT 25 . 00 Addy : 494 SELVA LAKES CIRCLE ATLANTIC BE CH FLORIDA 3412 .7,5 Phone: ' 904 ) 744-' - 155 ------ CCNTRACTC-'F- INFORMATION Name: DAVID GRAY PLUMBING INC. , Addr : P.O. BOX 11303, JACKSONVILLE , FLORIDA 32-239 1-1c : CFCO221586 Exp: NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT BY: ------6&:j= ( CITY HALL ATL BCH TEL No . 2475805 Apr 8 ,96 9 : 32 No .002 P .01 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION!: l OWNER OF PROPERTY:_l��clrT,4 1� LLLAr'� ! PLUMBING CONTRACTOR:' ✓r� 2AL D't �F�• C CONTRACTOR'S ADDRESS: 111:24 WHr7-1-Me AL_ CFC 022586 STATE LICENSE NUMBER: TELEPHONE: :436 HOW mAn OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HRAT$RS BATH TUBS _DISHWASHERS URINALS DISPOSALS CLOSETS --WASHING MACHINES FLOOR DRAINS SHOWER PANS y OTHER_ J'��Pmeic/� �`✓�• '. TOTAL FIXTURES: X 3.50 + $15.00 _ MINIMUM PERMIT FEE - $25.00 SIGNATURE OF 0:..':,E4: j SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 j SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECT)ON PRIOR TO COVERING UP - (904) 247-5834. j REC VED AUG 1 5 1W I PSR-3844 11388 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- -------- LOCATION INFORMATION ------ Permit Number: 11338 Address : 494 SELVA LAKES CIRCLE Permit Type: BUILDING ATLANTIC BEACH . FLORIDA 3223" Class of Werk: REPAIR ---------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : 28 Block: Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: SELVA LAKES Estimated Value : $1490 .00 improv . Cost : 50 .00 Total Fees : $25 ,00 Amount ;�? d $25 .00 1/25/96 7. SIDIni . 2.AINT , SHEE"i . .E1- ______.__ - _ OWNER INFORMATION --------- ---- APPLICATION FEES ----- Name,: FLT`_`jEETI1 DION PERMIT $25 .00 Add;e' 4.94 SELVA LAKES CIRftE WATER IMPACT FEE 50 . 00 X10*EACH , FLORT11A 11. 3? SEWER IMPACT FEE apq 4 $0 00 Phsf7 15 -WATER11ETER 'PAPr e RADON GAS-H:R. S . INFORMATION - - - RADON CAB 5% $0 .00 Name THOVAzk aILYAW CAPITAL IMPROVE. $0 .00 3;ddress : 5026-111-- PLYMOUTH~ STREET SEWED _TAP. .p�t JA CX0VILLE , FL 32236 CROSS CONNECTION $0 .00 vacen_ _e : CGCO2 Type : i SEC H IMPACT FEE $0 . 00 CONST.SURCHARGE .00 C -.TJML'77 /nTT Rr`R R (1( NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. oot)oonoot) 0000 00 s&j.00 14 Date: 1/215/95 01 Rcpt: 002`3 CASH ATLANTIC BEACH BUILDING DEPARTMENT 0010 00I0000�I0Q0 By: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : EQ Z.93,!�7-N 91 Ow Address : y9V 5C1-VA L4/f- C/rz Phone : ;ZYY D-S Lot # Block or Unit # Subdivision: L4h&S Contractor :_ 777bAI /-S L ygt,i State License # CC C p/ a9V ;t_ Address : Phone No : -7,S-3 -/oSS Describe work to be done: 2o77&7)) L00/3 5101 53 1?Fpctcp Afl(-T exT . 5de�-7-Rock 2ei9I/!S - Ptgi�' 7 i^�J Present use of building: /Zc 51OrtiCF Valuation of Proposed Construction: /V906 Proposed use: S,4-46- Is this an addition? /,t-, 0 If yes , what are the dimensions of the added space: A-A ft . X - ft . Will the added area be heated and cooled? ti- ,I New electrical (or increase)? New plumbing fixtures?_9� New fireplace? New Heat/AC? "' SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: S�� License Supplied: Liability Insurance: Worker' s Compensation Insurance: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING j 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 — _PERMIT INFORMATION �� LOCATION INFORMATION Permit Number:— 21757 Address: 494 SELVA LAKES CIRCLE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: SELVA LAKES Est. Value: Parcel Number: _ Improv. Cost: 3,000.00 ; OWNER-11NFORMATION Date Issued: 4/11/2001 Name: KNITA ABDULLAH Total Fees: 38.00 Address: 494 SELVA LAKES CIRCLE Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/11/2001 Phone: (904)744-7255 Work Desc: REPLACE DOORS/WINDOWS/REPAIR WOOD/PAtNT i CONTRACTORS K F &eRLICATION FEES_ KENDALE, INC. t -i PERMITS 38.00 ,',y" y ' 'k. .s FRAMING �, rx � , ayy:,--�.'.�; �- _.-� • ter. 1 ...v1 N,•� � �'y�` � .Aq � r ,P � '�5�,..xi�s. '�..r2.ate �h• � 2 .F'. ..TF NOTICE- INSPECTIONS BE REQUESTED AT LEAST 24 HOURS P R TO INSPECTION BUILDING MATERIAL, RUBBISH AND.DEBRIS FROM THIS WORK MUST NOT gWOLACED IN,PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULEDA . AY BY EITHER CONTRACTOR OR SWNER "FAILURE TO COMPLY 1AITH TFWC STRUCT tIWA- WtAN RESULT IN THE PROPERTY OWNER PAYING1M TCE � UILDi 1 s 0tNTS" -- -- -- -- ISSUED ACCORDING TO APPROVED PLANS'-VVHICI AR PkRT16F�Zh#S" ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS Aq rS n� 7 200; of Ag nGc &ch. $38.88 14 ATLANTIC BEACH BUILDING DEPT. CHECKS Date: 4!1?/01 sail Receipt: Hj�44638 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �� SC o (X FNo01-T- o 6�) Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch ,_@ $ per sq ft = $ Deck `�� @ $ per sq ft = $ Patio �S @ S per sq ft = S TOTAL VALUATION : S 3 � d � / S� $ Total Valuation 1st $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ S + 1/2 Filing Fee $ / S ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : cltgt-� Flo L/6-- -y-- 469_3 .pFR0\J gECH 1 E CEIVEDRreirQ • �pR 2 �Z�01 MAR 2!each Beach C) ��dCity of AtlantiZoning City ofBuildin R�iilding and 9 and Zoning 2101.4010 pN1a'11NM CITY OF ATLANTIC HEACH g HOV39 33� M d 3 013 PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) �'1 `� SfLVA LAtt,VS 6-rL Phone: 2c{-'l -3126 Address; ------------------------------------ . . -- ------------ --------- Lot #_ 7,----Block or Unit #• ac��L- �$ Subdivia:ion: S�Lvtl -L/�KES Contractor: o I 22- Describe work to be done: __ �® ---- -- __ - - - ---- ~-- -- - - Present use of building : 1� 5 L DE c Valuation of Pr2koed Construction:____L t?\. S__rt`__ ss� oEacE s _-- Proposed use:---—/ � Z1.. k -t � ---� I �k t - Is this an addition?-_-o O _-_ If yes, what are the dimensions of the added space:_ X _ �___ ft. Will the added area be heated and cooled?--K; , --- New electrical (or increase) ?_N->_ New plumbing fixtures?_N­ New fireplace? I­ -New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: - - -- �%'" DatE • 3 - ---- ----- - - -- --- -- -- Signature CONTRACTOR: _ Date:` --- �_•__ cl ajL, Florence M.Henne� r l.E / (/�/ ((ref / Q�-�/' ( ;�.•....�. MY COMMISSION#CC681276681176 IXPIRES September 16,2001 BONDED THRU TROY FAIN INSURANCE,INC ciG'"'v- TREPARED BY/RETURN '1'U: Kendale, Inc. Irl MAN CIA%.PAINTING CrYAANY 4501 Beverly Avenue Jacksonville, Florida 32210 'I Blook 9929 page 1159 5 MIN. l$tlulai $notice of �ommericemerit PHONE# 6 9-,,3 (P11[rApC IN bU PIICATR) To whom It may concern: The undersigned hereby Informs you that improvements will be made to certain real property, and In accordance with section 713.13 o1 the Florida Statutes, the following information Is stated In this NOTICE OF COMMENCEMENT. l - f Description of property �T ( Qtr 64 8- F_ L, 1 � �� 5 ------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------,-.------------- General description of improvements ---------------------------------------` ID \`--C 7 4 I,-t_ r -----------------------------------------------------•----'--1------------------------------------------------ Owner ------------A lv�22�------ Q vLl �1 Address ------------ -9-L---- - Lv tCL I r S G 1'L Owner's Interest in site of the improvement ____-__--_-.-___-(------_.,________________________________________. Fee Simple Title holder (I1 other than owner) _______.___.-__ -- ------ ----� <Ll �l� L______ Name ------------------------------------------------------- - -------- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031682 Date 11/29/05 Property Address . . . . . . 494 SELVA LAKES CIR Tenant nbr, name . . . . . . RE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation 4280 Owner Contractor ------------------------ ------------------------ ABDULLAH, ANITA BURGER ROOFING CO. 494 SELVA LAKES CIRCLE 134-1 ERNEST STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 355-2756 --------------------------7------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4280 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------=-- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P e. x rz BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �i L� q4-�- 5 �-✓Z Date Z3 ! oS Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ _per sq ft= $ Carport/Porch ® $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 15t $ (oo b Remaining Value per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ S S ZONING: _ + V2 Filing Fee $ 2S FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ 99 �-cJ GRAND TOTAL DUE: CITY OF ATLANTIC BEACH D. J D. Ford r s' BUILDING / ZONING DEPARTMENT L. Higgins } 800 Seminole Road r yr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # -2— Property Property Address: 9 £ V a- KE s Applicant: Z� a r £,e �a o /-71) L d Project: 60 This permit application has been: Approved Reviewed and the following items need attention: c� �l- Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: RECEIVED CITY OF ATLANTIC BEACH Bi_'I! r1P,Jr 2 7r) �Q(77 ;. - �•\ NOV 2 3 2005 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION 31 Date:November 18, 2005 Job Address:494 Selves Lakes Circle Owner of Property: Anita Abdullah Address:494 Selva Lakes Circle,Atlantic Beach,FL 32233 Telephone:247-3261 /858-7045 Contractor: Burger Roofing Co. State License Number: CCC032514 Contractor's Address: 134-1 Ernest Street,Jacksonville, FL 32204 Telephone: 355-2756 Lo�3 7 - 94!a z1 ) Fax: 358-0733 Scope of Work: Removing and replacing shingle roof. Deck Slope: 4.12 Greater than 2:12 X Less then 2:12 Valuation of work: $4,280.00 Product Name(Example:Timberline): Royal Sovereign Manufacturer(Example: GAF): GAF ASTM Designation(s): Z)IV t'Z Required Inspections: Sheathing and Final Signature of Owner: Date: Signature of Contractor: Date: — AS TO OWNER: Sworn to and subscribed before me this lO— day — J State of Florida,County of Duval Notary's Signatu �'.TGriGYI l fl * # MY COMMISSION N DD 400989 Personal! known EXPIRES:July 14,2M AY ',� "Woo Boma ThrU 8W"Novy 6W0S Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval -_ Notary's Signature: tPRY P( 0!969 R.tae '9 Personallykno * * MY COMMISSION a DD 4 EXPIRES:Juy 14,2009 ❑ Produced identification "'q OF B=WThrukWNda7�� Type of identification produced 800 Seminole Road,Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 httn://www.ei.ationtic-beach.n.us PA 9P. D-6-1 1/11 142 -PREPARED BY/RETURN TU: Kendale, Inc. WIMAN CIA%.PRINTING(.>AArV 4501 Beverly Avenue Jacksonville, Florida 32210 iBook 9929 Rage 1159 r MIN. ��,�,,,, (//� y 110tife Of C011101eliCeinfat 7 ) (►R[rAR[ IN DUPLICAT[) ' PHONE# �./ To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. L64 S_ Description of property ------ -------------------------- S .E Lv✓�- I �- cc E S -------------------------------------------- - ------------------------------------- -----------------------------------------------------•---------------------------------------------------- __ v �,^ ` ' )° ' - " 1, D 7 I�- General description of improvements ___-- �_---- - -----------------------------------------------------•------------------------------------------------------ ------� tj Owner -------- � Q � --------------------------------------- Address ----------- - ---- - Lv -- ►� } r S---G n-------------------------------------- Owner's interest in site of the improvement -__--__-_-..----------------------------------------------------- Fee Simple Title holder (if other than owner) ---------------J------------- ------.---.---J----- ---- <�1�_� L--------------------- Name -------------------Name ----------------------------------------------------•------- ---------------------------------------- Address ---------------------------------------------------------••----------------------------------------- Kendale, Inc. Contractor --------------------------------------------•---•---•--------------------------------------------- 4501 Beverly Avenue, Jacksonville, Fl. 32210 Address -----------•-----•-------------------------------------- ------- Surety (if any) ---------------------------------------------------------------------•---------- Address -----------------------------------------------------------------Amount of bond $--------------- Name and address of any person making a loan for the construction of the improvements. Name ------- -••------------------------------------------------ Address ------•----------•---------------------------------------- `--�� Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: _y A _A_ x----------------------------------------------- a �� sec Address ---�5 L- >---�--- --------------- ------=----------------- j------------- on to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2) [b], Florida Statutes. (Fill in at Owner's option). Name ----------------------------------------------------------------------------------------------------- Address - -------------------------------------------------- THIS eFAC[FOR R[CORDEn'e USE ONLY ! / ----------------------- Owner DOO Book: 43O 69991 Page: 1159 Sworn to and subscribed before me this -------------- Filed 6 Recorded 03/28/2001 02:52:10 PM JIM FULLER _�(v 'day of ---- «A L_ - _DD / CLERK C110IT COST WA CWKY �o FUKD 00i5d�---c�---.-U-- -G--D Public Notary LORI MARIELPREVATTMY COMMISSIOfi+�OFP•°1EXPiRES:Jt4MO-3-NOTARY FL Notary Servi AAi' /CITY OF 4& /3eaaA- Office of Building Official REQUEST FOR INSPECTION L —l �-y Date Z' T ©A car C r� Permit No, Time A.M. Received PM. X19 SCIV64 lakrXelc Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Final ❑ Sewer ❑ Fire Place ❑ ROG r-,,5 Ml eCc`F I2(rt< READY FOR INSPECTION Pre Fab Mon. Tues. I`ll Wed. Thurs. Friday PM, I A.M. Inspection Made PM Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date ?i Imo'-L`If CITY OF ATLANTIC BEACH Ssi 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027878 Date 3/12/04 Property Address . . . . . . 498 SELVA LAKES CIR Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 Owner Contractor -------------------- ---- ------------------------ CARRAHER, BECKY COPPEN ENTERPRISES 498 SELVA LAKES CIRCLE 562 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 338-9757 ------------------------ --------------------- ---- ------- -------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3500 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 �y T BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. '), ( , I.K-W_ BUILDING OFFICIAL < <3 •I 1 cc: CITY OF ATLANTIC BEACH a� S, BUILDING / ZONING DEPARTMENT s Doerr' ; f 800 Seminole Road r t) j Atlantic Beach,Florida 32233 (904)247-5800 rill>� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # '�{ Property Address: J-f9(? �SL/ vcc Lc,--ke--s 0—i'r Applicant: 06,2pen Erjenr tses Project: f( D This permit application has been: Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: LA- Date: _".51 lt 16-ef CITY OF ATLANTIC BEACH PERMIT ..CALCULATION SHEET Address- Date t-511 ddressDatet-51I ( tcq Heated Sauare Footage @ $ per sq .ft = $ Garage/Shed per sq ft = $ �. Carport/Porch @ $ Deck per sq ft = $ @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ Total Valuation 1st ek5-0a $ z Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ C� + 1/2 Filing Fee $ ( ) Fireplaces @ $15 :00. $ BUILDING PERMIT FEE $ gd WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ ,SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ (� GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : bechanical ; Plumbing- Electric/New Electric/Temp ; Swimmingpool Septic Tank Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : Jan 28 04 08: 07a Information Systems 247-5845 p• 1 C SOF ATLANTIC BEACH BUILDING &ZONING n CITY OF ATLANTIC BEACH 1 12004 ROOFING PERMIT APPLICATION 1Datc: - 3 Job Address: _ 243 Owner of Property: -y Address: Z- Telephone: 2 V2— — 7,62 Contractor: State License Number: (C C U S Contractor's Address: _ 2 G Telephone: C5 p J Fax: 2 Y 7— 3/)-Q Scope of Work: Deck Slope: l Z-- Greater than 2;12 Less than 2:12 Valuation of work: 3 5 o d Product Name(Example:Timberline): �7V"�-� Manufacturer(Example:GAF): ASTM Designation(s): --S( 6 Required Inspections: Sheathin and Final Signature of Owner: Date: 3 lv-le) Signature of Contract Date: 3-9—(f) AS TO OWNER: Sworn to and subscribed before me this day of _ 20� State of Florida,County of Duval Notary's Signature• L00 09 LZ U4otop �p 7 L.2 f' Personally known !rsoszaa ass!wwoo An El Produced identification sweNAA a!!nf A+"� Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signatur �.►* ^ lune vvi!Iiams personally known ` My Commission DD2ro341 a Produced identification aF� Expires October 21,2007 Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.ationtic-beach.fl.us Page 1 Revised 281/03 Book 11683 Fuge 803 NOTICE OF COMMENCEMENT Permit number Tax Folio number STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 498 Selva Lakes Cir.Atlantic Beach, FL 32233 2. General description of improvements: Roof 3. Owner information: a. Name and Address:Becky Carraher 498 Selva Lakes Cir.Atlantic Beach, FL 32233 b. Intrest in property: G�—k Doc# 200408176' c. Name and address of fee simple titleholder(other than owner): Aagoe: $0983 Filed 6 Recorded 4. Contractor's name and address: Coppen Enterprises03/11/2004 11:26:32 AM JIM FULLER 562 King St.Jacksonville CLERK CIRCUIT COURT a. Phone Number b. Fax Number DUVAL COUNTYRECORDING # 5.00 838-8331 TRUST FUND $ 1.00 5. Surety information: a. Name and address: b. Phone number: c. Fax number: b.Amount of bond: 6. Lender's name and address: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a),Florida Statues. Name and Address: a. Phone Number: b. Fax Number 8. In addition to himself/herself,owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes. 9. Expiration date of Notice of mencement(the expiration date is one(1)year fro the date of Recording unless a different date is specified) Signature of Owner: Sworn to and suotipribbefore me this0"day of""� 20__.C)Notary: V ? - nown personal ID shown: My commission expires: . Ju4e Wdeams " L •` My Commission DD260341 / OF F. Expires October 21,2007 CITY OF 4&4a4c Be=4-Qaw-da Office of Building Official a REQUEST FOR INSPECTION Date < Permit No. Time A.M. Received P strict No. Job Address locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole U. Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPEPThur A.M. Mon. Tues. W 011Friday P.M. Inspection Made 'O Inspector , Final lnspectiono Certiticate of Occupancy Date ' CITY OF aS 4&M14C Betel 4- Office of Building Official REQUEST FOR INSPECTION (y'y Date Permit No. Time A.M. Received P. Di ict No. Jo Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel 11 Final J`/ Fire Place ❑ Pre Fab READY FOR INSPE N A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made /O M. Inspector Final Inspection 0 . 0 . Certificate of Occupancy Date CITY OF 4&4A4'C Beads-0;&u-4a ql�'b`) Office of Building Official 0 REQUEST FOR INSPECTION Date /^ Permit No. Time A.M. Received P.M. Distr'ct No. Job Address Locality Owner's Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Roug ❑ Rough ID Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final Fire Piece ❑ Pre Fab READY FOR INSPECTION A.M. Mon. es. �� Wed. Thurs. Friday P.M. )q 5 Inspection Made -- ,P , Inspector Final Inspection❑ Certificate of Occupancy Date i DEPARTMENT OF BUILDING PERMIT NO. 8 4 4 9 II CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date M3/9I87 19 496950 T 4� 350 496.50CKT Valuation$ 128,062-SO Fee$ 3402 1 A 3/12/0 6449 .11acaC This permit not valid until above fee has been paid to City Treasurer,and is 3 ly h 2 ' P 3/0/81 subject to revocation for violation of applicable provisions of law. This is to certify that X eyyhani , Inc 1112 3rd Street 1q ttme Beach_, El has permission to build Townhouses Classification New Res i dent i a l Zone Owned by Lot 2S & 26 _Block I S/D Selva Lakes House No. 494 & 498 Selva Lakes Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS II -n AFTER DATE OF ISSUE �� o Building material, rubbish and debris Z from this work must not be placed in public pace, and must be cleared Up a auled away by either con- tra or owjper. C f ffii ilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER mew :►ukC,55 PLUMBING PERMIT 1 ' ELECTRIC PERMIT BUILDING PERMIT WORKSHEET TEMPORARY ELECT. ea ted Square Footage @ $ C3456-0 per sq f t s $��.3,_ arage/Shed �b0 @ $ � per sq ft $ p'�0(�. 00 arport @ $ per sq ft a $ orches @ $ per sq ft $ eck @ $ per sq ft a $ atio @ $ per sq ft $ TOTAL VALUATION $ Dtal Valuation Data 1st $ �0, C///00 0 0 ��7 s �� • - $ ,-mainder Valuation @ $ a.UOper thousand or portion thereof TOTAL BUILDING FEE $ �O , S-0 + k FILING FEE $ ods FIREPLACE @15 . 00 s_/,s—. 00 TOTAL BUILDING PERMIT $ - - --------------------------------------------------------------------- ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TEI•IPORARY $ ELECTRICAL PERMIT $ kTER METER SIZE $ ACCOUNT NUl`IBER :WER IMPACT FEE $ ►TER CONNECTION $ (@10 . 00 per fixture unit) 'PROVED BY• Ll141,�a TOTAL BUILDING/PLAN FILING FEE $ a3 '7 '. �Q " I'qO.OD TOTAL WATER METER CHARGE $ 60 Do b� TOTAL SEWER IMPACT FEES $ (� � _530.00 TOTAL WATER CONNECTION CHARGE $��Q MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ I 3 9 5— �Q F% 13- 13LDG7 PLUMBING WWSHEET SINKS �- SHOWERS DISHWASHERS �J CLOSETS �^ BATH TUBS FLOOR DRAINS WASHING MACHINE �T WATER HEATERS ^ DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT ' FIXTURE 'UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. I o BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSETP LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ('g UNIT) T URINAL$ WALL LIP FLOOR DRAIN . (.1 UNIT) (4 UNITS) URINALi PEDESTALS SYPHON WASHING MACHINE RES.(3 UNITS) JET BLOWOUT (B UNITS) �_ WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK OPERATED (8 UNITS) (.4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/0 OVERHEAD T'' (2 UNITS) SHOWER) (2UNITS) BIDGET ( LAUNDRY TRAY 3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) _.... TOTAL FIXTURE UNITS @ .$-10. '00. EACH` �� @'l�•aD ' ' �Go.t�e � M CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT ----ziPL 2..;. _phone4_y?--,y� �- Address T zip � __Phonee2y5- Architect_Z< < Y____1. 11-==-� `-'-��' 1 - - Contractor��yN���t. .e��__Address/c—, /C-2�,1 -&---__zip, _phonee?y/_y_� Contractor's License number _______expiration____________ Lot��___Block or Section Subdivision Zoning________ Street------------- e --------------and between _________________side___________ Type Construction No. Unite----------No. Fireplaces___________ Purpose of Building---------------------------Est. Valuation 8______________ Utility Method - Water Sewer____________ Dimensions - Building--------------Lot Lot______ __ --- ----------- ____Size Footings___________ _ Sz. Piers Sz. Sills Greatest Span Sills_______________ Sz. Ceiling Joists---------Distance on Centers--------- Greatest Span_______ Sz. Floor Joist's. ---------Distance on Centers---------Greatest Span _______ Sz. Rafters Distance on Centers_________Greatest Span ___---- Method of Heating Solid or Filled Ground _______Roof__________ Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner _ y x=;L.L-r, �_Date_�� ____ Signature Cont actor_ /¢Date page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : -------------------------------------------- Flood Zone• Required Lowest Floor Elevation:--------------- If building is located within a flood hazard zone (Zone A) , a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date--------------Applicant 's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ----------- ----------------------------------- Building Department Representative page 3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT zip z hon��y7- 1 ' Owner T1 Address_�t7c�i Z=��_✓ d�--- p---�=-p ------- Architects C Y ��� Address ���'_� 1 ziP � �_Phonee2y9_ /� Contractor�1N�,1c%Lr�1��__Addrese�/ �1y� zE �F`___ziP�13i_PhoneQ?y1_�1 Contractor's License number _______expiration____________ Lot x. Block or Section Subdivision ______Zoning________ Street-------------between--------------and-----------------side----------- Type Construction No. Units----------No. Fireplaces___________ Purpose of Building________--------- --------- Est. Valuation 9______________ - Utility Method - Water_____________ Sewer____________ Dimensions - Building______________Lot------------- Size Footings___________ Sz. Piers-----------_Sz. Sills_............Greatest Span Sills_______________ Sz. Ceiling Joists_________Distance on Centers.........Greatest Span_______ Sz. Floor Joists. _ Distance on Centers---------Greatest Span_______ Sz. Rafters Distance on Centers---------Greatest Span_______ Method of Heating-----------Solid or Filled Ground---_-------Roof__________ Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owne Signature Co ractor _ p �_�.��1�(( _Date ----- page ___-page 2 1 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :---------------------------------- Flood Zone: Required Lowest Floor Elevation:--------------- If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date--------------Applicant 's Signature-_------------___--____--- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department -------__-_ ----------------------------------- Building Department Representative page 3 YLUT�tS1NC: YL}�MIi' � BUILDING PERMITELECTRIC PERMIT — WORKSHEET TEMPORARY ELECT. nated Square Footage @ $ er sq ft = $��, arage/Shed 40 7 @ $ 00 per sq ft m $ GU arport @ $ per sq ft - $ arches @ $ per sq ft — $ 2ck @ $ per sq ft — $ 3tio @ $ per sq ft = $ TOTAL VALUATION $ 2 A�,Y U0 O $ )tal Valuation Data 1st $ /s 00 !mainder Valuation @ $ o�. 60 per thousand or portion thereof �Q TOTAL BUILDING FEE $ + k FILING FEE $ FIREPLACE @15 . 00 $ CO TOTAL BUILDING PERMIT $ o . 7J - ------------------------------------------------------------------ .UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TEMPORARY $ ELECTRICAL PERMIT $ TER METER SIZE $ ACCOUNT NUMBER WER IMPACT FEE $ TER CONNECTION $ (@10. 00 per fixture unit) PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ �8, TOTAL WATER METER CHARGE $ ,�. 00 TOTAL SE14ER IMPACT FEES 00 TOTAL WATER CONNECTION CHARGE $ UO MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $T(O PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS .3 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. JS 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 (11 UNIT) URINAL, WALL LIP (.4 UNITS) FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. TTT URINALt PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/0 OVERHEAD —T� (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER T (3 UNITS) TOTAL FIXTURE UNITS @ $10..,00. EACH o?/ "2740' 00 CITY OF >A&,,&, 13e=4_0;&OW Office of Building Official REQUEST FOR INSPECTION _ 7 Permit No. Date / A.M. District No. _ Time P.M. Received Job Address Owner's Contractor PLUMBING MECHANICAL ; Name ELECTRICAL Air.Cond.& C3 BUILDING CONCRETE Rough Wiring Rough Heating Framing Footing Temp Pole ❑ Top Out Fire Place Slab J Pre Fab Re Roofing Final Lintel A.M. READY FOR INSPECTION P.M. Thurs. Friday- } Tues. WedA.M. n. (j P.M. Inspection Made Final inspection C Inspector Certifirate of Occupancy Date MAP SHOWING SURVEY OF LOT 25 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SELVA L.AES CIRCLE 60 K 4913 r rRo�✓ �42'oo�E'. oo' Sly�«io4b) a 5'r5'✓E 4. �S EGSEME�,,vv T .j O_ 8 f3Y P��T �10 V \ fl ti l / J c� �0 0 0 Q A� 0 CFV/A.'EP pF < rs+r+/s /s Soco�+ v suevEv. � � / r ,vo Burl-ai�cS RESTT2/c-T/c�r U^2� B� ��F A 7W/-s 41,eoP6,e7Y Gies iti Fc ono aonr6 �\ G" µ/N le N is 7 A,<Gl of tit/✓/,trt 4 L ��000/N G a Y 10—"Pr' µ (PY ,�'E✓/S EO �(P�P/L. /B, /7 B 3 Comet��/✓in' Of1NEG it/o. /Zoo 77 000/C. as 45:4 CYA T/o Ns SNo w v 7;go5 r ell.Q) zg-fEe TD A/X no.vAc- Ge o oe�-� ✓e�Tic A� I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant to Section 472oz7 Florida Statutes. N. A. DURDEN & ASSOCIATES INC. wiaravcwro auwvcvow wo/67¢'u LAND SURVEYORS SIGNED Post Office Boz 50870 ^r 830 Beach Boulevard SCALE: Jacksonville Beach.Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. MAP SHOWING SURVEY OF LOT 26 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SLELVA LAKES CIRCLE 1/,B3'4z'oo,E. _:�S i- re-e-104,13> qN �05 I �c.Bg 0 ° 0- --- 1 �e 2-7 N 5 m p•5 »II F 7 I-\q_0 ° 0 o 29 V 5 r Q NN 3 NB7 _ o pc a \C1 T z 9 (Lyfs/o¢B) L o / v' °+ EUC�4 Or /V47-1: i\�Atil- MADE L/�� • -7-w/S /S A BduvD.qP✓ SfiP✓Ey \ w .Vo .d���r�/NG F'E S 7^,e/C T/o.t/ c i.VE a✓ r4 Ar. w Th/S PPoPEPTy G/CS "Al "C'_4con zoN6 C WN iG N /* T,y E A Ar e-A o F' a v ,rE✓iseo i(P.Pic. /d, /�6s Co�ntit v.✓/r✓ -t/o. /Loo 77 r ESC.L YA T/O Alsr 5""10 WN TNt�3 C//.�[> ,QFFfe " NA 770A./AL ,C>,A 771--4-t I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant H. A. BURDEN to Section 472oZ7^lorida Statutes. & ASSOCIATESINC, - IIEaIaTERED auevcroe Ndl/(�]f rlw. LAND _SURVEYORS %P/4IL -,L- -SURVEYORS Post Office Box 50670 630 Beach Boulevard SCALE: Jacksonville Beach,Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 4._4- 4 PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMIPANY tJ" LICENSE NUMBERS mP145 State RF0037503 OWNER RGM INC . BUILDING CONTRACTOR TYPE OF BUILDING DUPLEY 2 SHOWERS 2 SINKS 8 LAVATORY 2 WATER HEATERS 2 ` BATH TUBS 2 DISHWASHERS URINALS 2 X34 DISPOSALS 2 WASHING MACHINE 6 CLOSETS FLOOR DRAINS OTHER 28 TOTAL FIXTURE COUNT YY3. 50 + $10. 00 DA TE 3 X19 X87 T C T A L A l,0U?;T�$i n _nn INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . CITY OF i ATLANTIC BEACH No. 3831 FLORIDA 26t1[t.OD TL 260090000ID March gk03 I A 3(44"7 30:31 .00CACS NAME34U3 1A 3/12/07 j 10001 ADDRESS 1112 3rd Street CITY Neptune Beach t Mater Impact Fee 040-343-3700 $530.00 Sewer Impact Fee 041-343-S200 $2,070.00 $2,600.00 Lots 2S & 26 Selva Lakes { 494 $ 498 Selva Lakes Circle i I I When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER IR IN trip .� W.� eS{�Z�" i +r- { s ..r,iA fa ' 131 li 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 FORADOING THE CCORDANCE WITH ORK AS THE ATTACHED AND SPECIF CATIONSED IN THE FOLLOWING, , HEREBY AGREE TO PERFORM SAID WORK WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. to ELECTRICAL FIRM: MASTER ELEC``T''RICIAN SIGNATURE NAME,' O T i ADDRESS: �1 L� �{-��� I �' —RFD BOX - BETWEEN: BLDG.SIZE RES.( ) APT. ( 1 COMM. ( 1 PUBLIC l 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. FEE SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 000 CONDUCTOR SIZE o� U AMPS /S- 'C> COPPER ( 1 ALUM. ( ) W VOLT RACEWAY SWITCH OR AMPS BREAKER �^ PH AMPS EXIST.SERV.SIZE PH W VOLT RACEWAY ' FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS. 0.30 AMPS. SWITCHES INCANDESCENT — FLUORESCENT&M.V. FIXED 0'100 AMPS' OVER BELL TRANSF. APPLIANCES AIRH.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — FORWARDED Ha TOTAL FEES �5 CITY OF ATLANTIC BEACHI FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WITH HE ATTACHED PLANS AND SPECK AS DESCRIBED IN THE T CATGONSE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ' ELECTRICAL FIRM: MtSft�E�CTRIC�IANGNATURE NAME ADDRESS: LIQ G RFD BOX BLDG.SIZE BETWEEN: RES.( ) AFT. ( I COMM. ( I PUBLIC ( I INDUS. ( 1 NEW (" 1 OLD ( ) REW.( 1 ADDITION ( ) TRAILER ( I TEMP. ( I SIGNS ( I SO. FT. FEE SERVICE: NEW( 1 INCREASE ( I REPAIR ( 1 r bD CONDUCTOR SIZE oZ [7 AMPS 17 COPPER ( I ALUM. 1 1 SWITCH OR BREAKER AMPS PH ? W ?, TT%VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 31.100 AMPS. 0.30 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT CONDITIONING COMP.MOTOR 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF 4&optic BwaA-&;&u-44 Office of Building Official �REQUEST FOR INSPECTION Permit No. Date Time P. C District No. . Received_ •,IiLU//Go_ ' Job A res Lova y Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PL BING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ u h Air.Cond.& ❑ As Roofing ❑ Slab ❑ Temp Pole 0. Top Out ❑ Heating Fire Place ❑ Lintel ❑ Final ❑ Pre Fab READY FOR INSPECTION A.M. nyy�• Thurs. Friday-P.M. Mon. Tues. y _ �j Inspection Made f J Final inspection❑ Inspector Certiticateof Occupancy Date CITY OF 4&4a& Bewk-4V&U*4& Office of Building Official REQUEST FOR INSPECTION Per o. Date A.M. Time P D tr' t No Received Locality Job dress Owner's Contractor Name Te PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL Rough Roug ❑ Air.Cond.& ❑ Framing ❑ Footing RoughWiring ❑ ❑ Heating Top Out ❑ Slab /�`( Temp Pole ❑ Fire Place ❑ Re Roofing Lintel u Final ❑ Pre Fab READY FOR INSPECTION P.M. rs. Friday Tues. Wed. Mon. A. Inspection Made Final inspection❑ Inspector — Certificate of Occupancy Date DEPARTMENT OF BUILDING 8453 PERMIT NO. CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON!OB {0£�•n0 T {Cta.000KT Date 3/9187 19 4912 I A 4/10/a Fee$ 108.00 3453 000rA Valuation$ 4912 1 A 4/10/R This permit not valid until above fee has been paid to City Treasurer,and is 1 rOt7 subject to revocation for violation of applicable provisions of law. This is to certify that F.W. Fair Plumbing CO. I 145 I has permission to b>&td in NO est Zone I Classification Owned by RGM Pro erties Inc. T Block Lot_ j House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS Z AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �—► o Building material, rubbish and debris z from this work and not be be placed in public space, up and hauled away by either con- tract r on- tractor sooner- Building Official. I FOR OFFICE PERMIT DATE CONTRACTOR � USE ONLY NUMBER i 'I PLUMBING ELECTRICAL SEWER WATER �I 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 I, Il, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in 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) DCEd-113 Master Name of Property Ownerl- Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL IN ON A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON \Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV, MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Control O Boor New Building Air Conditioning: ❑ Room A Control I( ❑ Existing Building Duct System: MaterialDUC� '92 Thicknos•! ❑ Replacement of existing system Maximum capacity C>n —c.f.m. New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P.M. ❑ Fire sprinklers: Number of head--- 0 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Receiv ) ❑ Tanks (number) Remarks ❑ LPG contains (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ w1ors ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT y w roving Number Units Description Model Number Manufacturer (Tons) t C t, rte (.l' i� r fr HEATING - FURNACES, BOILERS, FIREPLACES Capsdty App: Number Units Description Model Number ManufactUrw (9m) WV0 ­qz-� 2Fi cw 4 C-- tr tc - TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Maautacturar No. Agency DEPARTMENT OF BUILDING PERMIT NO. 8 ` 52 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD �2.nc1 i THIS PERMIT MUST BE POSTED ON JOB 52��}OCKT Datezr4/87 19_ 5660 n 9/t12t9 52.00 11452 •t1QCAC Fee$ 5665 1 A 9/02/5 Valuation$ 101710 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of Ocean State He at/Air This is to certify that has permission to blXt I Zone PUD ` Classification N i Owned by T S/D „ [ Zkes — Block — y Lot 494 498 Selva Lakes Circ e House No. According to approved plans which are part of this Per NOTICE—ALL CONCRETE FORMS AND FO BEFORE POURING. IN- SPECTED` = I PERMIT VOID AFTER DATE OF HS OF ISSSUE Trubbish and debris O Building material, ��—� —♦ z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor 7?wner. i L1 I % Building Official. i I CONT OR I I FOR OFFICE PERMIT DATE USE O NUMBER NLY i i PLUMBING it ELECTRICAL SEWER I WATER BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : September 1, 1987 Building Contractor : <:5i�-) u �s�-c- Building Permit Number: Address : Legal Description: Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as ----------------------- Lowest Floor Elevation: /`�' '�) 4`3' ---------- ---------- ---------- required as built n/a Sales Tax Certificate: ---------------- ------ date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: ;Bj Fire Chief 9/1/87 Public Works 9/1/87 (�� C Gz Planning Director 9/1/87 / ��PO 1 --------------- ------ ----- --------- Building Inspector ___9/1/87 Trru#ira#r at (orruvaurg CITY OF own& Brvar#mrnt of nilding Jn��rrtimt This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use- For the following. New Residential Bldg.Permit No. 8449 UseClMifscation FrameFire District Atlantic Beach _— Group_----Type C--w-iion 1112 3rd Street N.B. ownerofBuilding RIM Prot)ert].eS_ Addreu_.— !04 Selva Lakes CirclAaity—.— Sal-VEL P— - Building Address B7 Daft: 1 September t 1�_ 97 Building offlel[l 10[T IN A CON*,,,000[ 'LAC[ BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : September 1, 1987 Building Contractor: Building Permit Number: Address : Legal Description : Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as ��� � ----------------------- Lowest Floor Elevation: - ---- ---------- --------- required as built n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: 4BYFire Chief _-9L1187-------- 1-- - Public Works --9-1-87-------- _ -�- --�--- � � ------- - 87Planning Director --- -- -- 1 --- --- Building Inspector ---9L1187_ v r rtifiratt of wrrupaurg CITY OF _T�_..J� Olga.& � T�,�. ' Brortinrnt of �nilding �n rrtinn This Certificate issued pursuant to the 1e4 uirements of Section 109 of the Southern Standard certifying that at the time of issuance this structure was in compliance with the Building Code ollowirtg• various ordinances regulating building construction or use. For the f 8449 Bldg.Permit No. New Residential Atlantic Beach _- UxClas,itiction NFrame Fire District. Street N•p' Type�O"�""`1O"-- 1112 3rd �`°°P�n pq Properties_,y_Addrea- gelva Lakes psrner of Building 498 og S e 1 v a Lakes C 1 ' -�-';, _• f...:f';= -�-%`'� Building Address_ —�—"' t ember Rene' Angers D'"` i —B�aaing '� ptT IN A coeglcYWt "'Act NT OF REVENUE A1,TCY FLORIDA DEPARTTIFICATE OF OCCUP y CATION FOR tificatiOn Number APPLI Iden V. 71D ° erty described below* Contract C that the property O cation # certify etc.) Ctor+ S Certlfs of I hereby bridge, Contra Department property ding+ road, Issued by ulations, Of Prop buil onal Reg Description ercial Professi le• house, cow► If Applicable (E%amP l Q - y — oVed Property y 3 Sales Ta Registratson of Improved Zip Use Tax with the Address State Sales and for paying %2- city and that we are registered R G M °��4PERj's$CIRCLE tially completed ue. � is substan of Revere Manager Department General Florida Contractor) Name of Prime Address state, ZIP city, j� terials $ Total Contract bor 7 Da Total Contract $ Off ficial Total D Signature of County �` ate Signature ^ Contractor eneral Manager of Prime l/ DR•tu FLORIDA DEPARTMENT OF REVENUE N.7/87 CERTIFICATION OF PAYMENT OF FLORIDA USE TAX hereby affirm that I am aware of the provisions of Florida law which imposes a 5 percent tax on the use in Florida of goods and services purchased outside of Florida; that it is the obligation of the purchaser to remit the tax to the Florida Department of Revenue if it was not collected by the seller; and that I have remitted or will remit any applicable Florida use tax to the Department of Revenue in the month(s)of , 19 i... (1) Type of License [2) License Number= � nn �c/S�� [3) Type of Businessl.ctivities [4) Issuing Autho ity [5) Date of Issuance -5-1 f� [6) Name Address City, State, Zip Sales Tax Number Z6 —e> J--. Telephone Number mac,! 7 — c� ZL �, �� / ';7 gnatureofApplicant Date Issuing Authority Signature of Government Official DR-1CO FLORIDA DEPARTMENT OF REVENUE N 7/87 APPLICATION FOR CERTIFICATE OF OCCUPANCY I hereby certify that the property described below: ;7,// Contract Identification Number Description of Property � (Example: house , commercial building, road, brie, e, etc. ) S —_T Contractor's Certification # 1 Issued by Department of Address of Im�iroved Property Professional Regulations, If Applicable " -- �c",/� �L-- Zi Sales Tax Reg�1�a i�_ - (1 �z C ty State P on I is substantially completed and that we are registered for paying Sales and Use Tax with the Florida Department of Revenue. R G M PRO ER1ILS, 1112- X39 SEL`JA LAKES CIRCLE - Name of Prime Contractor/General Manager 0 Address PMNJIG uV , city, State, Zip Total Contract Materials Total Contract Labor / 3 / 6o . Total i nature of Prime Contractors eneral Manager Date Signature of County Official Dat( DR-tu FLORIDA DEPARTMENT OF REVENUE W 7/87 CERTIFICATION OF PAYMENT OF FLORIDA USE TAX hereby affirm that I am aware of the provisions of Florida law which imposes a 5 percent tax on the use in Florida of goods and services purchased outside of Florida; that it is the obligation of the purchaser to remit the tax to the Florida Department of Revenue if it was not collected by the seller; and that I have remitted or will remit any applicable Florida use tax to the Department of Revenue in the month(s)of , 19 '�,• [1] Type of License (21 License Number ton -3 S4 A �1 [3] Type of Business ctivities (4] Issuing Autho ity L [5] Date of Issuance S—/-i- f ,7 (6J Name Address City,State, Zip 2w v � 3 Sales Tax Number 2 Co —o z Telephone Number— "0'-5? _zLL".4 Signature of Applicant Date Issuing Authority Signature of Government Official CITY OF 4&40& /3sa4C4-&7&U4& Office of Building Official REQUEST FOR INSPECTION �qg- Date /�--J U / Permit No. Time A.M. District No. Received Locality Job Address Owner's Contractor Name BUILDING CONCRETE ELECTRICAL IVU MECHANIC Rough Air.Cond.8 Cl Framing Footing Rough Wiring C J Heating Re Roofing ❑ Slab — Temp Pole C. Top Out Fire Place ❑ Lintel - Final C Pre Fab READY FOR INSPECTION A.M. Mon. es � Wed. Thurs. Friday-P.M. Inspection Made J Inspector Final inspection !.// / Certificate of Occupancy Date MAP SHOWING SURVEY OF LOT 26, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SEL 1/A I AKE'S CIRCLE ,0 :.:'.,DAPI✓E;;� t L r J S 2 h50��'��l T Z.c ` JK o Ne JK FQu.�o�f'�eo✓ �A z 9 vi 4koX_ EDC�C pr IvA v� ;VIA/Q-MADS LLIKC \ /^ + TNiS /S A B+�-K/�'4'e�' SdP✓EY. #��f�iP/SGS B� �r't T 8�� ¢� .r No _dvic./�inJG .PE's7-,eiC Tio.v citi/E M TN/S 0,e0PE,PTy GiCS 'Al Fc.o00 ZONE G µiv�c N �s r.✓C 1'ceA OF 5'h�'1,c/ �/t/�L Su•P✓E� ,t'EY/SES �cP�i� /e, /was Co�nM�.✓�T✓ Pin/EG iL./o. /Zoo 97 000�C. y 6�[.CYA YLo Ns 5,/10 W.V rNu3 C//.Q� PFf 7) 1/.l7'70A-IA1-. CGOr-�67—IC— ✓.SCTicAc EL/z,QBE 77/ _->/o N f UAA-1 I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant � H. A. DURDEN to Section 472.x27 Florida Statutes. & ASSOCIATES INC � ��'�'�=9h - aaoraTsa.o.uwviro+ NoVj07f F.w. LAN D SURVEYORS /J SIGNEDa_1-2� Poat Office Boz 50870 830 Beach Boulevard SCALE: C Jacksonville Beach,Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. MAP SHOWING SURVEY OF LOT 25, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SELVA LAKE'S CIRCLE 60 Riw /Ror✓ (,Q '42'00'E. oo' Sly w/o4.8) 4-1,51 C J N � I,OB a p Cw,4�-K• �� p N b � J 7 `k SID t �� ` F'P 4 . pia 6� � B•G' x •Q 0 0 91 j .83'42'00 1w. 3 .00 � e 4F FPP -EIXr� GF N/ATER O�-MAf�'Mq / v rev/s /S A socc--'Z QA ' • No Bui[-nM+fi RESTR/C77q�/ l../�� BY .:F� \ PL4r. A 7-N/'S P•?oP6Pry G/CS ..v Fcoon ronJ6 G.. L.a7r/iC µ/A7/,AA4- F��ppp/.V�a' aY moon .�t l�f V/SES -411'P/G. /B, /7B 3 ':no v✓il✓ �ftG'E SS�� SSft. P,r(n/EG it/o. /Zoo7-7 000/C. at e_4 e eA T/o.vs s'-/o w•v 7f/u3 1 L//.Q) P6f�P TD NA T7on/Ae- GG D D6 T� ✓E�'T/C�Q� o,a 7-t�'� • 70 ,4�v7?yo v y % �A.P6'A.PET 111411V---S' f D/Q/t/ESE Ti7ZE I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant N. A. DURDEH to Section 472027 Florida Statutes. & ASS 0 C I A T ES INC waonr[wao auwvarow No/(���r�w LAND SURVEYORS SIGNED APR/L �� 1O Post Office Box 50870 �^ 830 Beach Boulevard SCALE: Jacksonville Beach,Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. I CITY OF Fead - 9&ui(4 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 September 1, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit #5354---T494 Selva Lakes Circle Permit #5355----498 Selva Lakes Circle Permits issued to Adkins Electric Company. Sin rely, Rene' Angers Community Develop ent Director cc: file RA/te