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 � ? �]
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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
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i Ell
k�JMki'�d��l�li
IF JkVy PROBLEMS WITH COPIES PLEASE CAL OFFIC£ AT (�04 731-5580.
hl'
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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
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��..,or, �� •e3 1a� 35.00 j._.._.,�� G�'�yPNe�`�
10
e
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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✓
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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.
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aming Component
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N.Company Name
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irnen Room•Master Plans for Dwt:INnt Name
al County \
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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
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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(.
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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
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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