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502 and 506 Selva lakes Cir (vault) � * 1 [10 � � PSR-3844J�W �/ � � oate- 5/11/95 01 7201 " _____ A gjA$4CIA%PRIWiNGC'-*APANv notice of Commencement (►RR►AR[IN DY►LICATR) 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 COMMZNCZMZNT. Description of property --- ---- - - -------------------- -------------------------------------------------- -------------------------------------------------- -------------------------------- General description of improvements _ _ _-.------ ------ ------- Owner ----- - - -_-- _ II�=-------- ---- ---------------- --------- Address V�'-------- -------------- Owner's interest in site of the improvement ----------------------------------------------------------------- Fee Simple Title holder (ii other than owner) ---------- ----------------------------------------------------- ---------------- •------------------------------------------------ Name ------------------------------------ Address _ -------------------•-----------------•C-�----------------------------------- 6- \Yy1-�. -------------------------------------------- Contractor --------------------- ---------y-, t 1 v wddreaa $ =%� ��1Q -- - - --f` r-� ----------- --- --- '--'`�- ---------------------- Surety (ii 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: Name ----------------------------------------------------------------------------------------------------- Address -------------------------- ----------------------------------------------------------------------- In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [21 [b], Florida Statutes. (Fill in It Owner's option). Name ----------------------------------------------------------------------------------------------------- Address ------------------------------------------------------------------------------------------------- TMIe•PACS FOR R[COttD[R'a USK ONLY -- -- - -- ------ --- Sworn to and subscribed before me this ______________ - -=--- day of -------- - --------------------- 19_ ----------- I N j%ESp h F.i%R1AR' Notary Public, State of Florida yly comm. expires May 18, 1996 Comm. No, CC 202224. K'e . CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address___ V) L Sr ,LyA LAKF S C.0 2 , Heated Square Footage @ $ per sq ft = $ Garage/Shed -1@ $ per sq ft = $ Carport/Porch A $ per sq ft = $ __ L Deck J� @ $ per sq ft = $ Patio \, @ $ per sq ft = $ TOTAL VALUATION : S 0 O /j,0o $ Total Valuation 1st $ /O oo � v Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ Y— + 1/2 Filing Fee $ 2 ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $_ WATER IMPACT FEE $_ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ _ SEWER TAP S ( ) 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: i sem`d'€ LIFETIf'1E E4FLCI L,R' � " N 9047 15750 P. 0 • « ` fi s� mmm � ? �] 4i L a 41 Ah 3 # M —fav� "•Y*� ,.fit •'q :"'i ISO ' " i{ of 4 • !t } tom` Aj a y S N P ± .++ S P H�.Y r IIIb l41l h Illi � � � • f f f i Itlt�l I°I pII : w i i J N i IlUll 14C4 } bAM- LO IL4 �n 43NJo y J J Ah -�4 { a ti 4' 30 IAV - OHO K a �•8 ok sit / 41T 4 r LIFET Ir9t'' 'ENlilJF'ESr IHC 9047315750 F' . kit ,f T1211i I �'I�III LIFETIME ENf INC- MAY 3 995 "II'i i�l' 6629-3 PHILLIPS HIGHWAY JACKSONVILLE, FLORIDA 3225E �,II��IIh (9 0 4' 731-5560 widing and Zoning ��, FAX (904) 'i31-5750 Pl,li 19. Mi Ali I I IR SII COY:PANY t i✓ �gly''ll�l� ifAX 110MBER DATE s 1 dfl' t illlll iUKBER O WAGES INCLUDING COVER SHEET �+Fyll I FROM: , .�-- i• ilk„ All r +, slur n i Ell k�JMki'�d��l�li IF JkVy PROBLEMS WITH COPIES PLEASE CAL OFFIC£ AT (�04 731-5580. hl' Aolp r� L; y° i � i� li rig CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -- ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034437 Date 12/18/06 Property Address . . . . . . 506 SELVA LAKES CIR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 -------------------------------------------- Application desc ROOF -------------------------------------------- Owner Contractor ---------- ------------------------ GRUBB, MARK HIGH STANDARD ROOFING, INC. 506 SELVA LAKES CIRCLE 8010-1 LEM TURNER ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32208 (904) 766-1323 --------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 42 . 50 Plan Check Fee Issue Date . . . . Valuation . . . . 3500 Expiration Date 6/16/07 Fee summary Charged Paid Credited Due ---------- -------- -- Permit Fee Total 42 . 50 42 . 50 . 00 . 00 Plan Check Total . 00 . 00 . 00 .00 Grand Total 42 . 50 42 . 50 . 00 . 00 PERMT IS APPROVED ONLY IN'ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. RECEIVEC or +t CITY OF ATLANTIC BEACH DNC—e 701,1ING DEC 13 2006 CITY OF ATLANTIC BEACH -' ROOFING PERMIT APPLICATION BY: -- a__. , I Date: I A I � PLEASE SUBMIT(2 COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: d �ann- - owner of Property: C�J (may t�Lc Address: Telephone: Contractor: State License Number: 9 7 Contractor's ddreffsssls: va ,f Telephone: q b'4/ �D IP-- IFax: G^i y Scope of Work: Deck Slope: 1 Greater than 2:12 Less than 2:12 Valuation of work: d `-Q- Product Name(Example: Timberline): ,/ Manufacturer(Example: GAF): X0 V.#/&Ve✓�'v �"� e/f 14tl (lam` ASTM Designation(s): 1/03 3Y(e> Required Inspections: Sheathing and Final Signature of Owner: Date:Dater ��6 AS TO OWNER: Sworn to and subscribed before me this 4 day of 20--Y--' State of Florida,County of Duval Notary's Signature: Sheldon R.Garcia MY COMMISSION# DD481264 EXPIRES ❑ Personally known October 1 Z 2009 [t -Produced identification •fl BONDED THRUTROY FAIN INSURANCE,INC Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: 2 ,,// (� Sworn to and subscribed before me this /✓'t'n day of Dee Ue r '20 State of Florida,County of Duval G1 yV y� Notary's Signature: DONNALL B#0002—24 ❑ Personally known MY rcowaSS10N �oduced identification EXPIRES:March 30 !� D r I ver L I Ce✓►S 2 P„a. U ens Type of identification produced �' Bonded Thru Notary a 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fag: (904)247-5845 •http://www.cLatlantic-beach.fl.usRevised 2/21/03 Page 1 NO State of rLaA big Tax Folio No. County of 'buV A L 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: Address of property being improved: V General description of improvements: Owner: Address: -Ob J2(vc. Gvs A,' +�,fiZ���,► �L Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: n -- Contractor: 161h S*y-r1d&fA i — ►/ Address: - Telephone No.: G 110&2 – ( Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No:— Doc#2006428915,OR BK 13697 Page 2151, Name and address of any person making a loan for the construction of the i Number Pages:1Fled g Recorded 12113/2006 at 01:36 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 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: Telephone 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: Telephone No: Fax No: JIL >' Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: A nate: e,< <t GE; Before me this jj!M day of rN in the Cuo/uuntty of Duval,State Of Florida,has personally appeared - R She n R. cia Notary Public at Large,Stat�j of lorida County of Duval. . my ISS # DD481264 EXPIRES My commission expires: ., iy ber 12 2009 Personally Known: or •%�`oi ad` BONDED THRU TROY rARV INSURANCE,INC Produced Identification• I i APR 2 5 1995 Building and Zoning i CITY OF ATLANTIC BEACH I PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Address : rj02 v0.- I___ak -5 ClYPhone : Block or Unit t Subdivision: Lot ��_ ! Contractor : �--�1�k1►'Yl� �� ` Address : c6 U,2 Phone No: ��- � �gO 1 Describe work to be done: Present use of building: Valuation of Proposed Construction: 2 5 00 Proposed use : Is this an addition? If yes , what are the dimensions of the added space: l '�I) ft . X t5 L0 _f-t. Will the added area be heated and cooled? New electrical (or increase)?" New plumbing fixtures?� New fireplace? New Heat/AC? �C 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: J Date : l0N�pFF��E 6� MA, SHOWING SURVEY LOT 24, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SELVA LAKES CIRCLE N63'42'00'E � 's. q ' ro `T .� 0 �it I � 0 Ilti �o,�F4 N `�SIP�\k 8 8 sl �'Q,�^ o�� 7 d ��..,or, �� •e3 1a� 35.00 j._.._.,�� G�'�yPNe�`� 10 e 0A A BOLlNLi1RY fUA�Y. O B4�LP' h AGS fR`CTT�W U/�•16 BY vi�.r. zo�•F �Z'�EC/�E� _�uL� zBi/'�&'! 7D �N•1 �� �� � � 5'//O YC/ ///II/IL sfJiP✓E✓ r WNCF/ Co�✓N T✓ 00 7-e llao7J ooa��C. A/R/L /Bi9B'J. -ELr✓.e T/oN5 5'+'orv+� 7Xv5(/1f�JJ Rf��'e Tb ,�/4T/cWAL gEOOET/C VERT/Uc pdTUM. •��q,!/NES B� ��AT Booms ¢/ �ff6E 55 SSA. �: �cl/E,PL� Yt//L_DT,f DA.✓ESE r i7-e I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors,pursuant IrN. A. DU�DEN to Section 4/z�7 Florida Statutes. k& ASSOCIATES INC uura.o.u.v.vo.wo✓LJ4^ LAND SURVEYORS SIGNED Fou BNIc.B..60670 20� 630 Be Bout.—d SCALL: J.cluonvlll. Beach.Florid.32260 THIS SURVEY NOT VALID UNLESS THIS PRINT 15[MBOSSE )WITH THE SEAL OF THE ABOVE SIGNED. /6d X7-,4. 1 F aming Component WW%h 13anelopens. pverttano a Bearing Wall of: tr Wet!Components Roof Bunn Wall 1)Edge Beam. �- 2)posy: PATIO Wall Com onenu Non-0eann Walls: COf.iG a.LT G f) Q 1)Top Plata: `� _ 2)Posta: �xZ, o. . F ooT a4 Elements common common to all walla. � 1)SON Plata i)KichpNu Rill and/or Chair call: — 3) L o3 / (prr�n►yTA Foo P"11 n is 6�'1ST tfJ4 ao�SE � uoST5T0.tJC1J ,TRE (a � PQl0,rTER WJDL L 0 C 1 J cf tf 0 ` aooL �Sti�.dy v.Je tJ_. Z 0 � a - 4 � —'Lc t A►c.tc" � PVA l,1 VtE*j — SGR�E►.1 Rooµ - •i �Tt� ROOF j SLOP& ` 1Ke0E2 gGDM Stool �a....l tai'¢ Y 1J Qr2 1 C KtCJ<{�L►'tt �� 72 lr2 SIDE 'ELV-V1, OtJ M Mpec• feM IIMG�r FIdM�CN r�r ae .m auaaww e/F V Iri R�r.ee Aluminum Assoclatlon of Florida,Inc.-Norifteaet Florida ChapterCompany N.Company Name vx,�le F ` irnen Room•Master Plans for Dwt:INnt Name al County \ t �1� ohaet a 1, of Z pate 1 koST Sr4XLTJ2E wI !8 ■ �9. �t� �11 ii ■� �� � L ' T � �•� '�� � ¢ age { C, � g a' tae,e saacua a . a f eR 9g i S I e o >i,x �a� � �� �¢E$It ft ■ I E IIt I0 n a L ( f f R t a • A 9 t � F F iI ee 0 t L / of P •• v if. n1j r �3 �x 3 o T v { n.b n« .i a...•' �n f<�wn a.w-�iw,OOYrM M'1M i• .r w r LIIr .r.ow• r ra r� ♦,• ar •Ie,✓ +.v.•«nos.... a•,o,v -,v r r•s cn cw. n.r ,oa• •� .n. ✓•e ro .r .v ,.' IT Y..., aww*.a,•wmwn.re.rr,a me YOri r er OM•M.10,r t ur is rw- IF_r ,r ,,.• , .• ,r ?R...r,.+,rm.r.,.r...•,A aa+r rnwc.era j wmo✓r ! o.. .m r.r I w V j I T V r r it r r.r .0."S. .r r.r r r r�r .r .�,• ,v ,r -r i ..mar ,r.s• ,tr ,rr ,z r •,o.. swe x-s• a-r ,s. , ,r- , . , .r ,.,,• Ai I e..o.,.s+s .r ao ,v u +v ,r. , ,.. , ♦ w�oso•s�e .s• s7r , _ ,r. , 1 1 OSC T , ..�• .,• , ,• 33 ,r ad i7 iYM[. c_~1 1064 riHd.Cly ✓Iaw.�n.•�1u«:Ya«�errbr.r• ASA ftR-.r.M I Aluminum Aa"' m oclatlon o/Florida,Inc.•Northeast Florida Chapter Company Name .J . I �•{ r '< Screen Room.Matter Plans for Duval County client Har � n Sheet 0 2 a 2 Date. toe r I CITY OF 4&aa,&c 13e=4-&7&2u Office of Building Official REQUEST FOR INSPECTION Date " Permit No. Time A.M. Received P.M. District No. Cox CJ �j cc Z—CL 4ef f le 0 Job Address Locality ^ NNamer s Contractor.T^ y\�/)(r BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El RoughWiring E Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place El Pre Fab EADY FOR INSPECTION A.M. Mon. Tues. �Q�e ed; Thurs. Friday P.M. Inspection Made P. Inspector Final Inspection❑ Certificate of Occupancy Date CITY s'� Oss�.F Beaclt 7&_ •& Office of Building Official REQUEST FOR INSPECTION Date v Permit No. r Time A.M. Received, .4 J M. District No. �(lpb gddrese Locality Owner's '/—(�/L/�J� Name Contractor BUILDING CONCRETE ELECTRICAL LUMBING M CHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. o.n ,Ot Tues. Wed. Thurs. Friday P.M. Inspection Made ��>�- Inspector. _e z �. Final Inspection❑ Certificate of Occupancy Date CITY OF �ecl - 0 �l4&witc l � V Office of Building Official �"' I - (' p REQUEST FOR INSPECTION Date S O 7 Permit No. Time A.M. Received P District No. A ca m Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PL MBING MECHANICAL / Framing Y Footing ❑ Rough Wiring ❑L---1, Rough O Air.Cond.& CY Re Roofing ❑ Slab ❑ Temp Pole C Top Out (a/ Heating Lintel ❑ Final Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Frida Inspection MadeJ . Inspector Final Inspection❑ Cert ificateof Occupancy Date DEPARTMENT OF BUILDING 8465 CITY ')F ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 457.5n T 457.5oCKT Date March 12, 19�87 3554 1 A 3/27/n 8465 •ont.A Valuation$ 110, 804- 00 Fee$ 457.50 3954 1 A 3/27/8 This permit not valid until above fee has been paid to City Treasurer,and is lean subject to revocation for violation of applicable provisions of law. This is to certify that ReyhanJ Tne-1112 Third Street! NPntzm B .h_ has permission to build To boum- Classification New Residential Zone Owned by Rai Properties In c Lot 23 & 24 Block Unit I S/D Selva Lakes House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 10, 4 i O Building material, rubbish and debris ZI from this work must not be placed in public space, and must be cleared up an hauled away by either con- trac or ovyner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER ,. . PLUMBING PERMIT --� -- - - BUILDING PERMIT WORKSHEET ELECTRIC PERMIT SO TETiPORARY ELECT. �► gated Square Footage @ $ e sq ft s $ , /�o•S� 3rage/Shed A160 @ $ /sO° per sq ft $ irport @ $ per sq ft s $ )rches @ $ per sq ft $ !ck @ $ Per sq ft $ ►tio @ $ per sq ft = $ TOTAL VALUATION $ ° T/,// $ ,tal Valuation Data 1st 3 f/' c $ mainder Valuation @ $ o;,� .37) per thousand or portion thereof TOTAL BUILDING FEE + k FILING FEE $ �v (�•asi FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ �9, - ----------------------------------------------------------- ------------- JMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ CT. TEMPORARY $ ELECTRICAL PERMIT $ CER METER SIZE $ ACCOUNT NUMBER JER IMPACT FEE $ CER CONNECTION $ (@10. 00 per fixture unit) 'ROVED BY: -JQ15qTOTAL BUILDING/PLAN FILING FEE $ 2/ ( . �71" TOTAL WATER METER CHARGE $ F.5 U a TOTAL SEUTER IMPACT FEES $ Q 00 TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ 57P RAND TOTAL DUE: $ PLUMBING WWSHEET SINKS SHOWERS _ DISHWASHERS o� CLOSETS BATH TUBS FLOOR DRAINS ' WASHING MACHINE WATER HEATERS TL DISPOSALS 3 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 (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (�j UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. - URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED T (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) 2 DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) nn TOTAL FIXTURE UNITS @ $10..,00 EACH- `dD .# CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT ---zip ��, _s_phone- 117-0: Architect s <<Y ��� Address—Z_=f2_1,e.���7��7 zip s-ayJ__phone�y�_`�, Contractor Address-4/ -__zip, �3i,_phoneQ?y1_y_i Contractor's License number _______expiration____________ Lot r Block or Section Subdivision...............Zoning_______- Street------------- ------------ between __and.................side----------- Type Construction___ No. Units----------No. Fireplaces___________ Purpose of Building--------------------------- S______________ Utility Method - Water_____________ Sever____________ Dimensions - Building-------------- Lot------------ Size Footings___________ Sz. Piere-----------_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-vay to City specifications. Date Signature Owne/ac2tor �fY_, =u.� ---�(-----�-- 5 Signature Cont page 2 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner----------------------Address--------------------zip------phone------- Architect..................Address _______zip______phone ------------- ------- Contractor.................Address--------------------zip......phone ___ Contractor's License number __________expiration ------- ------------ LotBlock or Section---------Subdivision...............Zoning........ Street between and-----------------side___________ Type Construction..............No. Units..........No. Fireplaces Purpose of Building........................... $ .............. Utility Method - Water_____________ Sewer Dimensions - Building..............Lot.............Size Footings___________ Sz. PiersSz. 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 Owner __Date_________________ ---------------------------- Signature Contractor.........................Date_____-_----___--_ page 2 PLUMBING PERMIT BUILDING PERMIT WORKSIiEET ELECTRIC PERMIT ►, _ TEMPORARY ELECT. ca ted Square Footage 41,3 9,5 @ $ 3cP Z7 per sq f t - $ arage/Shed ' 400 @ $ �oo per sq ft - $ 0 arport @ $ per sq ft — $ orches @ $ per sq ft - $ eck @ $ per sq ft - $ atio @ $ per sq ft — $ TOTAL VALUATION $ 60 1Z :)tal Valuation Data 1st $ 5- �_mainder Valuation @ $ a.00per thousand or portion thereof TOTAL BUILDING FEE $ + k FILING FEE $ �S FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ 07� - - ------------------ ---------------------------------------------------------- .UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TEMPORARY $ ELECTRICAL PERMIT $ ITER METER SIZE $ ACCOUNT NUMBER :WER IMPACT FEE $ ITER CONNECTION $ (@10 . 00 per fixture unit) 'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ , TOTAL WATER METER CHARGE $ �,�00 TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTION CHARGE $ �Q , �Q MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ i 3 9 5— AI PLUMBING WORKSHEET J . SINKS SHOWERS DISHWASHERS CLOSETS �� BATH TUBS FLOOR DRAINS `; ol 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 $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. I o BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSETP LAVATORY, AND —T BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) �«T DRINKING FOUNTAIN (ij UNIT) � ' URINAL, WALL LIP (4 UNITS) FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. r., URINALi PEDESTAL? SYPHON —� (3 UNITS) JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK—OPERATED r-.-- ($ UNITS) (.4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) 3 KITCHEN SINK/WASTE GRINDER (3 UNITS) nn TOTAL FIXTURE UNITS @ .$10. 00. EACH` ol� @•/0•ab ' ' ���.d� R i e CITY OF ATLANTIC BEACH +` APPLICATION FOR BUILDING PERMIT i zZx s hone-2y Owner��� P---�=-P --- Address Architect-/ --- Contractor � c , Addrese�/�L'1ye�.�= Contractor-6 Lr .tom__- expiration Contractor's License number_________ -------- ------------ LZ--Block or Section_________Subdivision---------------Zoning-------- Lot_ Street between--------------and----------------- aide___________ ---------- Ho. Fireplaces No. Units ----------- Type Construction ---------- Purpose of Building--------------------------- $______________ Utility Method - Water ___ Sewer____________ Lot Size Footings___________ Dimensions - Building______________ ------------- --__ Sz. Sills __Greatest Span Sills___________ Sz. Piers ----------- Greatest Span_______ ------------ Sz. Ceiling Joiete_________Distance on Centers Distance on Centers_________Greatest Span_______ Sz. Floor Joist's Greatest Span_______ Sz. Rafters _________Distance on Centers_________ 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 and specifications, accordance with the attached plans ildingrwhich are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to elopedprovide over the necessary access to the andptoties cleareinclean, grade, and dedicated City rights-of-way drain said right-of-way to City specifications. Signature Owners Signature Cont actor� j,��_�f / 1 -3 ) 2 page 2 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT OwnerAddress____________________zip_--_-_phone ------------ ------- Architect------------------ -_-____zip______phone ------------------ ------------- ------- Contractor -----Address zip______phone_______ ------------ .................... Contractor 's License number expiration Lot.......Block or Section ____Subdivision---------------Zoning........ Street-------------between--------------andside ----------------- ----------- Type Construction.............. Units----------No. Fireplaces -------------- ------ ----------- Purpose of Building---------------------------Est. Valuation S -------------- Utility Method - Water Sewer ------------- ------------ Dimensions - Building--------------Lot-------------Size Footings___________ Sz. Piers............Sz. Sills-------------Greatest Span Sills --------------- z. 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 OwnerDate ------------------------------Signature Contractor Contractor Date ------------------------- ----------------- page 2 li 1 F i f•• '. nA I.v01 i ` q .. .z�r.... .. ..t.>xasi„,. ?. . 5. • 1.. hK. .,. k- l x _ .rx IMMSY3111 VC1121011 'H:)V38 31INV11V 10 AiD 4u8wA'?d paAlaoaa Ol 31W.Wd S)103HO DVW 4diaoa� laioi}jp up sawooa9 siyl Ipaja9wnN Pue Pa}e4 'Paub'S uayM aiazz� saxs7 UnlaS 90S $ `ZOS SaxeZ VAIGS I Jzun VZ � £Z S401 00.0£S`Z$ 1861 L7 00'OLO`Z$4NXy4Xxa [ `s! d OOZS-£b£-Ib# aag 4audwi iomas 00'09b$ OOL£-'£b£-Ob# aa3 laudtuj aal-uhl 1 I Li �g UAJOS 6£b SMOOV 3WVN L8 61 ZI uaaUN VGNOl3 S6H 'ON H :) V39 � I1Nt111�/ Jo ul� ��yD3 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. sok;�s 4A ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME k-VA PrbDW I S ADDRESS: S-o-L Srty1A L.iwi:.�, L2 RFD BOX BLDG.SIZE BETWEEN: RES. ( 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ) OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( -f INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AID AMPS VS L) COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER I AMPS PH 3 W a3DVOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY _ FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS N.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED 1 Do" L-l000 TOTAL FEES 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. ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME t��� 9r0 ' 1 � 4 S ADDRESS: S-DL S?C,VA I f�'�C S L�t�'__RFD. BOX BLDG.SIZE BETWEEN: RES. 1- ) APT. 1 ) COMM.1 1 PUBLIC ( 1 INDUS. ( 1 NEW 1-I' OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. 1 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE a AMPS COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER AMPS IfPH W ;2DVOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED (��O $ �poo TOTAL FEES MAP SHOWING SURVEY OF LOT 23, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF TETE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 04, SEL V,�1 LAKES CIRCLE o i Foc/NO! /Ro✓ o�RMowNl/ i k 2/1.08 n/o u11VE" h Di(' WA(. � •O �\ N S40�►�ti� G� �• ti �p �� Y�41 4.9 Q 8.9' 4.5N 3. - � 8 g 7-1 J Q 0 1.'. .83 42L70 V- o A''11196 rA 4,►,a- ml\pf- LAKE • TF//s 6 A 80L—Clil y SLA-v y, • /!O BU/rpi/.rG "P6STT2�TTov L/.vE BY TNIs PRo �/V L/ES /NFLP�� Zp v� a:" WNKH /s 771E 4,eEA of nN�M4L iPEC'/�ECE1� J Uc>' '5 Z ' 7n ?YFLoop MAP RE✓/SEO 4-'ele- /B/9B1, Shbi,c/ F/N'QL Sv GOMMuti//Tjr 4,AlE4. No. /ZOo77 000/ G. eLe✓AT/O SWOW/V Tl/US:(A¢ To rlf1T/o�/4G 4EoG�67�'C ✓ERT 1�-,4e aATUM. BE{C/N6 s .QY 1'-tAT /soo C �/ , PAGE 55 SSQ. Td 4"2>eEVV G/rt/ DA/VE5 E 7"l 7M-- I LEI hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant �Zk N. A. DU�DEH to Section 471027 Florida Statutes. & ASSOCIATESIN�. waoiarcwao suavaroa mo/47f— LAND o/47f LAND SURVEYORS SIGNED -PF�AG 10 6 Post Office Box 50870 830 Beach Boulevard Jacksonville Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. MAP SHOWING SURVEY OF LOT 24 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .SEL VA LAKES CIRCLE N 83"42'00'E 35. �c.g.tr/oaf Ivo V1 Off' �/qGe� 5 X5 _ S ,�( E/�SE vCEN7 � O o� 3a• Q� � N ', '.. �✓6QFo l 1'1 p h� QI,11Ak2 \i 0 N J E'i nJt t, 3 � Z n N 67110 3' f1 7(r S 8 o 0 of XA'v I .S3 .2 Gl7 3S G� M,zl Z-,z) �� • 7H/S /s A BOUNOgRY St1RV�Y. • /v0 8 U -70 /Lpiv C� RGsr L T/Gi.�l LJN6" BY TN/s t P ve ry WgA ,w ct�r�o zcv..E 5 u P✓E I! tt/E .4�EA cac' /1-w./M.a� Ax CoCuN TY PANEL NaM/Zao REo�E0 APR/4 •EL tV,1 T/an/5 5�/orvN Tf/U5(/A c'9/ 4Ef E P To AlArlon/AG GEODEJ/G VEKT/CAc- p�1T�/M. •6E,Q/P/i(/G S' B� �L.Q T Boo/r ¢/ �QGE SS T-1 7L 6- 1 1 hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant � . A. DU�DEH to Section a72o27 Floridatatutes. & ASSOCIATESINC >> 1�[OlaT&ago au a♦on Mo�,,'4j ILA. LAN D ZkH SURVEYORS SIGNED- ����'/L 1ra_,- 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. CITY OF -ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 502-506 SELVA LAKES CIR. PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY � tik LICENSE NUMBERS MP145 State RF0037503 OWNER RGM PR(1PF.RTTF BUILDING CONTRACTOR RGM PROPERTIES TYPE OF BUILDING DUPLEX 2 SINKS 1 SHOWERS _LAVATORY 2 WATER HEATERS _BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 5 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 25 TOTAL FIXTURE COUNT XY63, 50 + $10 . 00 � D"r. 1E 6_24-- / 87 mCTAL ADI0Ur'T $97 .50 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . 6- I DEPARTMENT OF BUILDING Q CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 8 4 67 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 97.597,50 T March 12 19 87 97.50CKT Valuation$ 4975 1A R/P_0/0 Fee$ 97.50 8467 .00CAC This permit not valid until above fee has been paid to City Treasurer,and is 4975 14 8/20/n subject to revocation for violation of applicable provisions of law. 10,10 This is to certify that F.W.Fair Plturbing Co, NfP145 has permission to 1XX install Plumbing Classification_ New Residential Zone PUD Owned by RN RGM Properties, Inc. Lot= 2 7 _f 1A Block Un i t T ---i�S/D S .l v I^k c House No. 502 & 506 Selva Lakes Circle i According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ----� AFTER DATE OF ISSUE M —� 0 Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tract or- Towner. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR P::LUMBING ELECTRICAL SEWER WATER i �23 - CITY OF 4&4a& BeacA-0;& J�� S �3 D Office of Building Official %(X REQUEST FOR INSPECTION/' S Permit Nov L, Date Time A.M. , t No. Received P.M. Job Address Locality Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing 11Rough Wiring ❑ Rough El Air.Heating ❑ Temp Pole ❑ Top Out L3Re Roofing ❑ Slab 17�/ Fire Place ❑ Lintel ❑ Final Pre Fab READY FOR INSP 10 A.M. Mon. Tues. Wed hurs. m Friday —P.M. A. Inspection Made Final Inspection C�/ Inspector Certif irate of Occupancy Date MAP SHOWING SURVEY OF LOT 23, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SEL VA LAKES CIRCLE 60' )54✓ � 8 g N o 0 r' .83 42� f , �lPPRt7?�,_ E�6E oP wATER� • TF//s 6 A 80L^Af-ARY SUR-EK, • iY� Bui�vwC PEST.p�lToni �/.vE BY Pi�4 r. • T1/�s va?o�XrY t..-iEs /�v �cov� ?ave '>:" WfirH /s �7+E SEA of n-vw�•v4� F,tG1��/.�45 ?Y FLooO �ANEc No.v120077 E000/C. GOMMu,�/Ty lL�✓Ario.Ji SNOrvN 7;z,1//.5:�/�Z9)REFER To NsJT/o.�/<7G GEoG�ET�C VERT/«GG �T�/M. 1 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 472o27Florida Statutes. & ASSOCIATES INC. Zk aa61aT[R Co aU RY[VOR P-1,6ry�. LAND SURVEYORS 4c R' SIGNED f/ Post Office Box 50870 830 Beach Boulevard Jacksonville Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. MAP SHOWING SURVEY OF LOT 24 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .,S-9-LVA LAKES CIRCLE -- — --0 171), O �i 0 Q V 0 12 � h a� I�nQ2 9 0 q.a V 3 m N 10 o 0 `_•T APV,Q � /'F t'✓1r�h' SET�2'/Rom r/ --------• �PT'lZ crK. E rJ CSG o F• 1�/A TE,� - y7y/S /3 A BOUNL1gR�' 3VRV�% .Q GT T)k+.C77C:1, e lJ�E- BY LAT. •� wr1�y s -r7/E .uA oc /Ywa�+.�. aY FL 000 MAO REV/SEO RPR/c /d,/9B3 COMMUNITY 000/ C. •ELCV.4T/oN5 sr-/orv�v T!/u5(i!(29>REE,�R Ta N4T/q�/AG GEOOET/C VERT/G4C L7aTUM. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant Ir N. A DURDEH to Section 47Z,927 Florida Statutes. & ASSOCIATES INC. wcarsrawm suwvarow rfo./,/.74FLA. ZkLAND SURVEYORS nn f�'J SIGNED �O - Post Office Box 50870 830 Beach Boulevard Jacksonville Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. i CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 September 10, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactoryi Permit #5364----502 Selva Lakes Circle Permit #5365----506 Selva Lakes Circle Permits issued to Adkins Electric Company. Permit 5496----302 Oceanwalk Drive South Permit issued to Allstate Electrical Contractors. Sincerely, Rene' Angers Community Develop en Director cc: file RA/te BUILDING AND ZONING INSPECTION DIVISION V 111 CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. . [� ,-z_ - L G�- LOCATION Street Address: � OF Intersecting Streets: Between ISe-13NA)01,C C� {Gam And BUILDING c�L_V'r4 tr 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. Nameof Mechanical - Contractors Contractor (Print) Master Name of Property Owner Signature of 0Lor Signature of or Authorized , Architect or Engineer III. GENERAINFC�RWiION AType of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON XElectric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV, MWHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) Residential or 0 Commercial Heat ❑ Space ❑ Recessed )� Control O Boor New Building Air Conditioning: ❑ Room Control ❑ Existing Building Duct System: Materia I�ti+C..ttif =-D El Replacement of existing system Thickness 1�bc� New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p-ns• ❑ Fire sprinklers: Number of head- [3 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Risce"'ed) ❑ Tanks_ (number) Remarks ❑ LPG container- (number) ❑ Unfired pressure vessel Permit Approved by Da+` ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Casty A rovin� Number Unite Description Model Number manufacturer (Tons) /J 1-7 -_�0'1 Z A(O CIL ([ Ic N HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approvft Number Units Description Model Number manufacturer (BTU) Ai'�7 W L, At [r TANKS How Many Nominal Capacity Type Liquid Name of Serial Ap r° ng and Db>nensioos Contained Manufacturer No. cY DEPARTMENT OF BUILDING PERMIT NO... 8466 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB I Date— March 17, 19 87 76.00 I Valuation$ Fee$ 76 eI30 T This permit not valid until above fee has been paid to City Treasurer,and is 7f.Qt3CKT ���� � � '�l�tL7'� subject to revocation for violation of applicable provisions of law. _E ! This is to certify that OCEANSTAT has permission to b Heat air Classification N_.- n..��.lontial Zone Owned by RUM Properties, Inc. i —Block�it I S/D Selva Lakes Lot 2T 9 '^ Circle i House No. F According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ZBuilding material, rubbish and debris ZI from this work must not be placed in public space, and must be cleared up and h led away by either con- I = tractor owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL i I SEWER WATER BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Reyhani, Inc Building Permit Number: 8465 Address: 502 Selva Lakes Circle Legal Description: Lot 24 Unit I Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Duplex Lowest Floor Elevation: 13_8--__ � '' L5/_ -------- ---------- required as built n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: Fire Chief9/10/87--------------- ---------- ---- - ---- -- Public Works ___9/10/87 Planning Director 9/10/87 Building Inspector _______________ xutiratr jif (orrupaurp CITY OF jar,1ttrtmpttt n# uildittg Jtttt Prtivtt This Certificate issued pursuant to the requirements of Section log of thecSouthern ut er eSt thah Building Code certifying that at the time of issuance this structure carious ordinances regulating building construction or use. For the following• New Reside-+ Bldg.Permit No. use elassificdion At i al i t i c Beach . l;1TCl.e Group--Type ion Fire District. Melva LakeS 1p-ro71ertLe_ ' Address-- Owner of Buil—, V a La?� �— ^1 va Lakes Ci'_L«=lity--_—.:-. Building Address- i By: Date:-----�— Building O Ic affi l �.T IN A CONn►IC oUG FL CL BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Reyhani,Inc. Building Permit Number: 8465 Address: 506 Selva Lakes Circle Legal Description: Lot 23 Unit I Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Duplex Lowest Floor Elevation: 13_8' Jyc�� --- ---------- ---------- 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: 9/10/87 Fire Chief --------------- ------- - ---- Public Works 9/10/87 _ Planning Director 9/10/87 Building Inspector _______________ (ter tftratr n wrruvaurg CITY OF J5rVttrfmrn# of utlding Jns�rrt��vn This Certificate issued pursuant to the requirements of Section u109re u f the Southern Standarthe nPlian e with Building Code certifying that at the time of issuance this struct various ordinances regulating building construction or use. For the following 9465 New `�"nt lal Bldg.permit No-------- use � use Classification rarlP At 1 ant i_c Beach _— Fire District_ Group--Typeconstruction� 439 Se1va Lakes Circle TIM F,. ert ie s TT1C. Address_ owner of Building Se1va Lakes 16 Selva Lakes CAT ;t Building Address_ l f , By. �„t 10,1987 Rene' Angers__ Date: -- -�Btsi►ains o ai.� POST IN A CONSPICUOUS P"CS CITY OF /n� •�- 4&,&, /3 &7&u Office of Building Official nn REQUEST FOR INSPECTION -- /Q�(��7 Permit No.�T Date �J // A.M. District No. Time P.M. 1/1 Received lJ Locality Address Owner's / h� contractor MECHANICAL Name ELECTRICAL LUMBING CONCRETE Rough Air.Cond.& ❑ BUILDING Footing ❑ Roughwiring E Top Out Heating Slab t ❑ Framing �- r; Temp Pole E: Fire Place Re Roofing G Final r-1 Pre Fab Lintel A.M. READY FOR INSPECTION P M. Thurs. Friday—�— Mon. Tu s. r W� .M. Inspection Made _ Final Inspection / Inspector C Certiticate of Occupancy [� Date -1C0 FLORIDA DEPARTMENT OF REVENUE DR i -lCO APPLICATION FOR CERTIFICATE OF OCCUPANCY I hereby certify that the property described below: Contract Identification Number Description of Property bridge, etc. ) / /ZG C� 3 C/ r � / (Example: house, commercial building, road, Contractor's Certification # Issued by Department of Professional Regulations, Address of Improved Property If Applicable City State Zip Sales Tax Registration # is substantially completed and that we are registered for paying Sales and Use Tax with the Florida Department of Revenue. R G `4? ; g�Otl.t`1E`S' 439 ;rLS CIRCLE Name of Prime Contractor/General Manager Address rTt �PlT� s• �-� t 3L �� city, State, Zips Total Contract Materials $ I 7 " Total Contract Labor / Gy Total $ � -2 D Signature of Prime Contracto )/General Manager Date Signatu e f Gotmty Official ate 1C0 FLORIDA DEPARTMENT OF REVENUE �R- N lCO APPLICATION FOR CERTIFICATE OF OCCUPANCY F(-1 6 1 I hereby certify that the property described below: Contract Identification Number Description of Propertybridge, etc. ) ✓n (Example: house, commercial building, road, Contractor's Certitication # S C� Issued by Department of LISA f�l� L � �� L C Professional Regulations, Address of Improved Property If Applicable �-- city State Zip Sales Tax Registration # is substantially completed and that we are registered for paying Sales and Use Tax with the Florida Department of Revenue. ,� /1) 7"- Name of Prime Contractor/General Manager L/ Address City, State, ZipT c �.2�f1�/� ��i 3J �-3.� Total Contract Materials $ Total Contract Labor Total t— -� Official Date Si4pature of Prime Contractor/General Manager Date Signature of y DR-1u FLORIDA DEPARTMENT OF REVENUE H.7re7 CERTIFICATION OF PAYMENT OF FLORIDA USE TAX I 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 �. [2] License Number[1[ Type of License �t� —(3] Typeof Busineso. s - (4] Issuing Auth ity [5] Date of Issuance [6] Name Address City,Slate, Zip 3 Sales Tax Number 26, Telephone Number Telep Signature of Applicant Date ssuin Authority Signature of overnment Official JR-lu FLORIDA DEPARTMENT OF REVENUE N.7re7 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 .. ' [1J Type of License. ,� `� /A� -�aSU [2J License Number f� nn ��L ��� [31 Type of Business Activities ' [4) Issuing Auth ity - [51 Date of Issuance S'1 z� ��;_ (6) Name Address -L,7,- `h City, State, Zip a� Sales Tax Number Z6, -o Telephone Number 7 - cP yZ Signature of Applicant bate Iss Auth*Grn!mfennt gnature of Official