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503 and 507 Selva lakes Cir (vault) CITY OF ATLANTIC BEACH R 1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �, �l INSPECTION EMAIL REQUEST: Building-dept cr.coab.% Application Number . . . . . 07-00001327 Date 9/26/07 Property Address . . . . . . 507 SELVA LAKES CIR Application type description PLUMBING ONLY Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------ Application desc sprinkler system ------------------------------- ----------------------------------------- Owner Contractor - ------------------------ ----------------------- CLAYTON, BOB E. HULIHAN TERRITORY 507 SELVA LAKES CIRCLE P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc - - 00 Permit Fee . . . . 50 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/24/08 Fee summary - Charged Paid Credited Due ----------------- ---------- ---------- -- Permit Fee Total 50 . 00 50 .00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 pERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �S CITY OF ATLANTIC BEACH �r PLUMBING PERMIT APPLICATION Date: Property Address: cJ d e`vc3- `--o-k�-S �-�t irI-A Owner: Telephone#: Contractor: K+,_ t �1 Telephone#: 464 _cRbVRS OS Contractor Address: '1b,. VN ?,-A V ^P6 331 L p Fax 06% -0-00 Contractor Signature: <?4zbff:;! In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845• http://www.ci.atiantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must 'be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational. All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029331 Date 11/30/04 Property Address . . . . . . 503 SELVA LAKES CIR Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- -- --------------- ------------------------ HAFT, SHEILA SIMS HICKORY CREEK 503 SELVA LAKES CIRCLE 12615 IVYLENA ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 374-4259 (904) 221-0605 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --- -------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERWY IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING QQDES. r - BUILDING OFFICIAL »Y � " CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION - Date: O O SC Job Address: G� C!PC` C Owner of Pro erty: E i /i'9 }�A IL Telephone: p .Plumbing Contractor: sri7 Ac_bp !i Contractor's Address: hone: o��/SL��s Tele !-'OGD Fax: 90�o1�1f�07� ! , J State License Number: ,T- `� How many of the following fixtures (re-piped or newt': Sinks Showers 'Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers r ewer Other Disposals Urinals . Closets =ashing Machine Shower Pans Floor Drains Re-Pipe(List fixtures being re-piped) _ Total Fixtures: x $7.00 + .$35 = (Minimum Permit Fee:535.00) 0 T Signature of Cent-actor:- Installation ontractor:Installation of plumbing and fixtures be in accordance with the most recent edition of the Southern Standard Plumbing Code. Calla day ahead to.schedule inspections: (904)247-5826 i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 JAir Application Number . . . . . 04-00027588 Date 1/27/04 Property Address . . . . . . 503 SELVA LAKES CIR Tenant nbr, name . . . . . . REMOVE, REPLACE SIDING Application description . . . SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor MELVIN, SHEILA RADON PROFESSIONAL SERVICES 503 SELVA LAKES CIRCLE 336 14TH AVE . N. I ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH, FL JAX BEACH FL 32250 (904) 246-8970 ------------------------------------- -- ---- ---------------------- -- - ------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 1000 Fee summary Charged Paid Credited Due ----------------- ---- ------ -- ------ -- ----- - ---- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING FFICIAL r CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTMENTL Higgins —- 800 Seminole Road S. oen j. Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C""y - Property Address: SG t. l ✓Ct Ct k f' Ot rC Applicant: _ �('.,,t ?i p %,P.I a r, � Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: �, Date: RECEIVED CITY OF ATLANTIC BEACH BUILDING 8 ZONING r, s) CITY OF ATLANTIC BEACH JAN 2 6 2004 SIDING PERMIT APPLICATION Date: BY: Job Address: 503 Selva Lakes Circle Owner of Property: Sheila Melvin—Haft Address: 503 Selva Lakes Circle Telephone: (QnL,) 947 1911 Legal Description: Block Number41-055 16-2-Lot Number: 19 Zoning District: 6220-1492 Siding Contractor: RPS Construction, Inc mon �rcF� 5,cvuc ( ✓✓cc rs Contractor's Address: 336 14th Ave North Jacksonville Beach, FL 32250 Telephone:_(904) 246 8970 Fax: (904) 246-3846 Describe proposed use and work to be done: Remove dilapidated cedar channel siding and replace Present use of land or building(s): re7orother al home Valuation of proposed construc,o 0.00 Is approval of Homeowner's Ass 'ation riv tty required? yes If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Step 1. Attach detailed information on product to be used. Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc. I hereby certify that all information provided with this application is correct. Signature of Owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: (JJ / T,?A/1 o �A) 70 � 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Pagel Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Revised 1/17/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Stephen Haft or Sheila Melvin—Haft Mailing Address: 503 Selva Lakes Circle Atlantic Beach, FL 32233 Telephone: (904) 813 5655 Fax: (904) 246 3846 E-Mail: sfinelin@yahoo.com AS TO OWNER: Sworn to and subscribed before me this 23 day of January .20 04 State of Florida,County of Duval l JUDY H.O'LOUGHLtN Notary's Signature: MY COMMISSIi?N*CC 941196 JUDY H.O'LOUGHLIN sacPln,; ;,zoo4 ersonally known �j MY COMMISSION#CC 942395 ,.e°w.N0TAjW FkN $ ' u Produced identification ; aA &XPIRES:Jun5,2004 Type of identification produced0'1`QW A Ahnet4dQ,enc. AS TO CONTRACTOR: Sworn to and subscribed before me this 23 day of January 120 04 State of Florida,County of Duval I Notary's Signature: JEWIFERSCHLUETER onally known MY COMMISSION#DD 121301 produced identification EXPIRES:May 27,2006 ' `7 BaWedThruNotery�ICunde�er Tv of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 • Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/17/03 Selva Lakes gomeowne:, Assoeiatioll ` REQUEST FOR ARCI-UTECTURAL APPROVAL This request form is to be.completed by the Homeowner and submitted to the (ARC) Architectural Review Board prior to the commencement of any work. Please complete in its entirety Date received by ARCTHIS SECTION TO BE COMPLETED BY HOIYFOWNER Daze: r ZO)200 Lot# Nance: hula, F McJV;r) crft _� 3zz3 Address: 3 .�. l �k�s rcle_ I�nfic, Home Phone: -Bus: _ cell X � Contractor: —Jovq Da vC r C CO `7 a � Describe the work to be done: (i.e. Screen room,addition,fence,garage door,siding,etc.) RCV 16, e. 1 Dl i n fl r — L6S C Q - h `n 'n SiW1, S n 6yl n--tz SLS "L a AIA a� Location: Attach a copy of your survey indicating the location of work to be done. Describe Location: rc 01 pecifications: Attach a copy of the plans, drawing,Picture, specifications(materia], color, etc.)All exterior paint must meet SLA specifications. Estimated date of completion: 31 0 NOTE:Owners are responsible for the conduct of the contractor.You are required to supervise the work being done.You are responsible and liable for any damage done to common property or adjacent property.When required by The City of Atlantic Beach you are required to provide the ARC with a copy the building permit. THE COVENANTS AND RESTRICTIONS MUST BE STRICTLY ADHEARD TO. Owners Signature: Date: .1D J-1W � Do not write below this line Date Approved: a.i'Y_' Date Denied: //7 (ARC) Si Gt 'Ulu / Comments or conditions: v C 100 UUWJJOI1 s.re-i tT6L96Z606 XVJ 6680 600Z/ZZ/TO Parcel Information Page 1 of 1 PARCIA, INFORMATION Owner's Name: MELVIN , SHEILA F Real Estate Number: 172027 5040 Property Address: 503 SELVA LAKES CR Mailing Address:503 SELVA LAKES CR ATLANTIC BEACH , FL City: ATLANTIC BEACH Zip: Zip: 32233 32233-4359 Unit Number: PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY Sale Date: 10/24/1986 Legal Description: 41-055 16-2S-29E 17- 2S-29E SELVA LAKES - LOT 19 O/R BK 6220- Sale Price: $75,900.00 1492 Neighborhood: 941603 SELVA LAKES Section/Township/Range: 17-2S-29E No. Buildings: 1 Official Record Book and Page: Heated Area: 1090 06220-1492 Map Panel: 556A1 Exterior Wall: TILE/WD STUCCO VALUES AND TAXES FROM 2003 CERTIFIED TAX ROLL Land Value: $35,000.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $346.74 Improvements: $83,810.00 =1School Tax: $452.14 Market Value: $118,810.00 District Tax: $160.92 Assessed Value: $77,944.00 Other Tax: $26.50 Exempt Value: $25,000.00 =Fvoted Tax: $27.05 Taxable Value: $52,944.00 Sr. Exempt: $0.00 Sr. Taxable: $0.00 Total Tax: $1,013.35 http://apps2.coj.net/pao/printver.asp?ReNum=172027+5040 01/21/2004 , • ti (04 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025815 Date 4/08/03 Property Address . . . . . . 507 SELVA LAKES CIR Tenant nbr, name . . . . . . NEW ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4800 Owner Contractor - ------------------------ ----------------------- CLAYTON, BOB E. THE HAGERTY CO, INC. 507 SELVA LAKES CIRCLE 3749 QUINBY ISLAND CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-1099 --------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 83 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 4800 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. p � BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address S�� <</t� C AV_, S C Date h1 d Heated Square Footage $ per sq ft ..= $ Garage/Shed $ per .sq ft = $ Carport/Porch @ $ per sq ft _ $ Deck Q� @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ .Total Valuation 1st $ &C-0 3 eC $ �o Remaining Value $S . per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ,� ( ) Fireplaces $15 .00 $ . BUILDING PERMIT FEE $ 3 WATER IMPACT FEE $ _ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL .IMPROVEMENT. $ SEWER TAP $ ( ) RADON (HRS) .0050: $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ { ) SURCHARGE .0050 $ OTHER $ GRAND .TOTAL DUE $ �, ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH i t�.`Lt�1r 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 s FAX:(904)247-5805 SUNCOM:852-5800 J http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 03 - 25 81 Applicant: U c ` -_rN C " Address: 5�� �t✓t-V� � t 2C�-E Project: R E - ��F 0/your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by_4 • 4 ' 9 Signed Date Contractor Notified Date RECEIVED~� rill.'�''�` CITY OF ATLANTIC BEACH BUILDING & ZONING rJ CIT-V OFLAST, �� BEACH ROOFI G PC�[IT' APPLICATION BY: i Date: `� )- 03 Job Address: 0r let- ✓Di Owner of Property: Address: S�b -- �Y'L J'e rA ( -t (� Telephone: 2 7 3-10!& Contractor: {- f,.N-Z-�'`'l State License Number: 177 Contractor's Address: 0tJ16L IS CV Telephone: Z Z3 It Fax: )4TZ Z3 • (0 It!y Scope of Work: T7k ( -- -k V SM- IA (La Deck Slope: G -`(Z Greater than 2:12 Less than 2:12 Valuation of work: zlz5c z!i�1 00 APPROVE D Product Name(Example:Timberline): �t(�`�L„� CITY 0r A- A111- -- BUILDING OFFICE j Manufacturer(Example: GAF): ASTM Designation(s): APR Required Inspections: Sheathing and Final ^A�j By. Signature of Owner: Signature of Contract Date: Z - L(1Od AS TO OWNER: Sworn to and subscribed before is,, day of A ,20Q3. State of Florida,County of Duval Jennifer Wilson Notary's Signa e: t�vPt 4 -:` ':Commission#DD190177 Personally known P �,.� •=Ex ires:Mar 06,2007 ❑ Y Bonded Thru Produced identification Atlantic Bonding Co.,Inc. Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of�iD i, Y ,20 _• State of Florida,County of Duval Notary's Signatufe: "011", Jennifer VJi1sc, WY Commission ODD 1901% -® Personally known Expires:Mar 06,200 ❑ Produced identification Bonded Thai Type of identification produced Atlantic Bonding Co. 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 Name -------------------------------- ------------------------------------------------------------- Address ---------------------------- ------------------------------------------------------------- THIG•TACE FOR RECORDER'S URE ONLY " Jennifer Wilson .Gammission#DD 190177 I: Owner :a:Expires:Mar 06,2007 Bonded Thru ,t; oantic Bonding Co.,Inc. Doc# 0 244314868 2 Bank: 118122 Pa e: 52 -Sworn to and subscribed before me this 3-"""""'-"" t Filed & Recorded3 04/04/2003 02:04:39 PM JIM FILER -------- day oi�1 --------------------- �9---- CLERK CIRCUIT COURT DWk COUNTY RECORDING 1 5.00 --------------- TRUST FUND : 1.00 1 Notary Public I COPY FEE 3 1.00 rf� 1y1�`Jr, CITY OF ATLANTIC BEACH i f 800 SEMINOLE ROAD J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(lcoab.us Application Number . . . . . 07-00001327 Date 9/26/07 Property Address . . . . . . 507 SELVA LAKES CIR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------- ----- ------------------------------- Application desc sprinkler system -------------------------------------------- -------------------------------- Owner Contractor ------- ----------------- ----- ------------------- CLAYTON, BOB E. HULIHAN TERRITORY 507 SELVA LAKES CIRCLE P .O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 --------------------------------------------- - - ---- - ------------------------ Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/24/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 17275 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PEP-MIT INFORMATION ---- -- -- LOCATION INFORMATION - -- - - - .'ermit Number: 17275 F dress : 507 SELVA LAKES CIRCLE Permit Type:MECHANICAL ATLANTIC BEACH, FLORIDA-322? ' Class of Work:ALTERATION ----- LEOAL DESCRIPTION - Constr. Type :WOOD FRAME Block : Lot : Twp' �? Proposed Use ; SINGr LE FAMILY Section: 0 Subd: Rng: Dwellings : 0 Subdivision: SELVA LAKES Est , Value: 0 .00 improv . Cost : 0 .00 Total Fees : Amount Paid: , 25 .00 -ite Pai41.1 % 998 rk Des,,- • "Et '_;ACE C�)NVENSER _-- :,; ;ER INFRMATIQN ______ APPLICATION FEES me ' BOB -CLF-mYTC:N -Adr: 507 SELVA LAKES CIRCLE ATLANTIC PE-1H , FLORIDA 32233 hone; ;OL}0 X000 OOOr� CONTRA&OR INFORMATION - - ame: SNYDER' HEATING & '"AIR ,OND. CO ddr: P .O. BOY 16826 JACKSONVILLE, FLORIDA 3—. 4 . Lic: CAC014642 Exp: / Ype 3 NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHA RI BUILDING LIEN LAW CAN RESULMP OVEMENTS.T IN THE PROPERTY OWNER PAYING TWICE FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CASH ATLANT Q BEACH BUILDING DEPARTMENT By: ' BUILDING AND ZONING INSPECTION DIVISION CITY Of ATLANTIC BEACH i ATLANTIC 111aAC". FLORIDA •faaa APPLICATION FOR MECHANICAL PERMIT c�u•,N NUMBER IMPORTANT — Applicant to complete all items in sections I, 11, 111, and IV, t. $#root Aldred: �lw�[---s.---------1 �r� LOCATION L-q-c f O CSS Aad OF late•aectiaI �M1111: �at.fea �— -- WILINN6 fvb�ivh>aw - 11. IDENTIFICATION -- To be completed by ell applicants, 1. re-todeeatisa of /arloit §;Vvn lee delay the work as detcribad in the above ltatemenl ve Aareby agree 10 perform laid work in eccordanes ..M tko 6"OE44 pte1l sad spociNicaYwal which are a part hereof and in eccardence with the City of JacklonviUe ordinance/ end Nendrrdt ♦/ flood ►ract•ce Wed "'04. (� 1 Nw to w04k4aisel c T //�J� C111MNtac /Y / /cam GaMN1r► (!trial) v V\ f , d/ Y� $A111rrf i C— q ►•.me—ir � $i��ti I�Mr sisaatwra of «T ,e,b,ad Ayeat A►thllett of la[laee► lot. e4NO AL 00*NMAT10N A. I1"T �r ItOTNtt1 CONSTRUCTION SOLING DON[ON WCp;c TWO$ WILDING ON SITE f s''► C] "—O V O N0091 O C«lt"UNFhr IF r[/, QIVK NUta09N 0/ COt1aT11Vt:TI9N Q cm MpW1tT p 0**, — $P*4* V. 10 N *MAU* — NAT11 OR I d"es•�.1•it M t►rsI d tl►r. ur A461d6n 17 Commercial Ike«wd '� F f s0 11.« D 'Now mumm �.C..ML.k.S1 Q Asea Q'"G..fiw! �4N+0 Riplaosr 1 of existing itylism Ia.rM.,Me pS.eMy. R/x 0 New kNtiNatlon(No system prevtOuNy lnsteNedl. O Extension or add-on to sxlstkV system O e r•;eww. Q 00W— epwfy Q C•�e t�.+r. CatalAtr ••e•� 1' erc.Y.n: potl�N L—Ak.�r� p w..a., Q MesMM O w�.s.�.�.r�.__..ltllri.►1 *0 IIPA*@ 1011 O!!Ip um OMY Q G+tiM MI'Mr------;*IIrIiMt I�'NA�I Q V91116,+1$tout.*.sea he&a F9000111 Appe bp--- Foam UOT A" mQuindom AS CONOfT10 1111M AND 204IOtIUTON ROttVnEW Iw.r..vtlw. Demt.o>#Uso >I oddt m%v wr ,atr f'herri' A�"�r ) HEAT140 • FL"ACI& plilltJit FlRL�I.At?.f , lNtalwi►�t%to t nnapon up"Nt iwwr IEa t>i>tt/j XLS r.NauydrMRXvO~ A."Ad Thr et saw >WMlfitdwle yNo,`� 'K l,t PSR-3844 13464 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION - ----- LOCATION INFORMATION ---- Permit Number : 13464 ;address : 503 SELVA LAKES CIRCLE Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 32233 lass of Work :ALTERATION -------- LEGAL DESCRIPTION ----- Constr . Type:WOOD FRAME Block: Lot : Twp: Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: Dwellings : 0 Subdivision: SELVA LAKES Est . Value: 0 . 00 Improv . Cost : 0 .00 Total Fees : 33 .00 Amount Paid: 33 .00 -,WNER INFORMATION -- -- -- --_-- --- APPLICATION FEES Name MErV PERMIT � IN Addr 503 SELVA LAKES CIRCLE ATLANTIC BEACH , FLORIDA 32233 Phone : 9x,4)241-6722 ------ CONTRACTOR INFORMATI Name : ESTES HEAT AND AC , IN - . tadr : 3321 CESERY BLVD ATLANTIC BEA"-'H , FLORIDA 32233 Lir : CACO5r,641 Epp : 8/31/1°'6 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION 1FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 2192 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT r' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV, LOCATION Sheet Address: OF lat•rsectiag Streets: Between And WILDING Sib-diviuen II. IDENTIFICATION — To be completed by all applicants . i^ consideration of permit gi.en for doing the work as described in the above statement we hereby agree to plrform said work in accordance ..th the aHachpd plant and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good pract•co listed there.n. Meese el Llecbaaical contraden �^ Ge+rKter (hiM) blaster (�� _S6112, J Cl/u �/ IINa of/� r IsropMty Ow a*f $�V"*,r,s 44 Oweer Signature of W Aatiowisad Agaat Architect or Engineer III. GENERAL INFOU"T10N A. Type vi 16wt,4 IlWel: B. IS OTHER CONSTRUCTION •[INO DON[ON )41Ekectric THIS [UILDINO OR SITE? ❑ "—O L1 ❑ Netstrel ❑ CAM" Uh&ty IF YES, GIVE NUMBER 0f CONSTRUCTION ❑ Oi PERMIT ❑ comer — sp-�fy IV. b Cs1AMICAL SQUWktlNT TO K DWAUM NATURE OR WORK (h —elle Como"4•t of cewspeNwh ea ted of fAks ferrel � Residential or ❑ Commercial Meat ❑ Spon ❑ Recwedd CoatMl O floor ❑ New Building Air Coedrtiorsirsg: ❑ Room )e4 C. Existing Bullding ❑ Meftr:•L /`�'` TAk}•••• placement of existing system 0►cf Sy.t.rn: t,4sawwt•iw upa-ciM cf^ I] New Installation(No system previously Installed), O Extension or add-on to existing system ❑ ❑ Other — Specify ❑ Cooliwg seer. capacity tib ❑ Fw sprinklon: Nombr of bah ❑ Eiwater ❑ Meant ❑ Escdatw (ottarrr►e.) THIS SPACE KR OffK.R UR ONLY ❑ fiaeoioe paws;� (arsrssbw) (Rsarfaed I ❑ Teh (Iwmbr) Rernarb ❑ LPG nwt." ( ) ❑ UAW" psew•we www ❑ + ►.masa n.`. (] CMAer — Specify Permit fl.. UST ALL SQMPMENT AIR CONDMONING AND REFRIGERATION EQUILPMEW ApprwhW Numbet Usha D+faestptloa NO"NUU*W >fu UftGtW r y HEATING • FURNACES. SOILEM FIREPLACES Ntaabwt Vatu Danxlyt M ![Ofsl NtmAber 39aa1t (m'iJ) =y---------- TAX-XS sw►Yaay Via.: ta� Na"at Serial ][ass>maoto�ue No. //►►1� //CITY OF AA /,ss"- Office of Building Official REQUEST FOR INSPECTION l f 1 Date 1 �!`� Permit No. 7 c2 757 Time ' 3� A.M. Received P.M. 0 �1 ��. Job Address Locality ^� Owner's �e� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBINGMEC Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer t ❑ Fire Place Pre Fab ❑ READY FOR INSPECTION CQ/VN8-L� Mon. Tues. Wed. Thurs. 11 Friday RM. A.M. Inspection Made U (� PM' Final Inspection Inspector Certificate of Occupancy ❑ Date } i CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS p DEMOLITIONS Owner(s) :_ r� ___�L�C��N---- -- - ---_ _ _ _ -- --------- Address: - Lot #_Z�D _ Block or Unit # SubdiviL:ion:_ Contractor:__ (��T_Iv►� --f.NS_� S r��L. - ---�71_. ��c� _- Describe work to be done:_ e ��!_ +•_►C.C-c�Svf�-��____._ 4 EL E_IA—e -------------- --------------------------- Present ------------- ---------------------------Present use of building :__ =�_��•---------____-- -- _-_ ----._._._---____-- Valuation of Proposed Construction: ___ �Q �1 •____-_______..__.______________._ Proposed use:--- -�� l✓ft� ------------------ - - - -- - ----- --- ---- - Is this an addition?_CC �--- If yes, what are the dimensions of the added space:----- --J`-_ft. X J._S`--ft. Will the added area be heated and cooled?_ N d___ New electrical (or increase) ?-PD- New ncrease) ? PD- New plumbing fixtures?N© New fireplace?tJd_New Heat/AC?­6'J_0­­ 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:-- Ls�.aSL__ Signature CONTRACTOR: _ ___ Date:--_( _<aq�__ 5� P 111992 : Zn Building an-.9 -o Address — -- Heated Square Footage @ $ --Der sq ft = Garage/Shed @ $ per sq ft = $ Carport/Porch @ $_ per sq ft = $__ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $_! TOTAL VALUATION: $ Total Valuation lst $ Reminder Valuation per thousand or portion thereof --------------------------------------------, Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED ; + 2 Filing, Fee $ Fireplaces @ 15.00 $ :Mechanical - i BUILDING PEPu'�ffT FEE Plumbing $ _ Electric/New ' ------------------------------------------------- Electric/Tapp Septic Tank BUILDING PERMIT $ WATER '_IEZI:R CHARGE $ Well _ S�sinming Pool SEftiTER Il.PACT FEE $ WATER IMPACT FEE Sign $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES FLA 1167 LAWSRAMCO FORM 40e FS 713.13 1V f'Irr of T6,10mutruirruwnt OR[PARt IN OUPLICA7t1 Zt fuhm it U=U === The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of roe dZ6 ...4&-1 ............... ... ................................... ..� / . . ..» ..... .... ........».... ..». . ........(t�................. .. .......... .... ......... .................. ... .... ..... ..............�.. .... ....... U N General description of improvements........... &aeC./... .. .........».. ....... '................................... .............. .......... ..................................................................................................................................................»....................».......».»»................................I.......... Owner.. .,�!4��-Y...•.....��� .... .......................................................... .:........::.:.............................................................:.:.»............................. � • ......�1. . ... .......en.... ....... ... �°�r... ... Owner's interest in We of the improvement................................................................................................................................................... Fee Simple Title holder (if Other than owner) Name.......................................................................,.......................................................................................................................................................... Address................. ................................. .............................................»........... Contrador.. ..• . ..... .. ...... �.:... ...........»......»........»...»..............» Address........... 2P&. 401 ............ .... � Surety (if any)......».........»............................................................................................................................................................................................... Addrea.........»..».......»..........................................................................................................................Amount of band s................................ Name Of person within the State of Florida designated by owner upon whom notices or other d000wnts may be served: Name.......... .......»........».....».............»...........»........................................................................................................ »»..... ....».................................. Address.............................................................................................................................................................................................................................. In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name ». .......................................................................................................................»........................................................_.... ...................................... nJdfeStMle eFAG[ FOR R[CORO[R'e Ue[ ONLY........................... _....... ...... .... ............................ .....»....................................... . ........... Owner Sworn to and subscribed before me this.........4........................ . .............................19.. JEFFREY A.BRIAR WA :. W COMMISSION M CC 179043 DD'IFiES .. ......... r1. March 10 1996 eF' BONOf iRUTRCYFAINW`,��U�1 ."114C. NW41" l i tic aS Zl,-7� s�� AFFIDAVIT OF NO LIENS STATE OF FLORIDA COUNTY OF Duval BEFORE ME, the undersigned authority, on this day personally appeared: Pat Farinella and Rebecca L. Farinella , his wife who, upon being by me first duly sworn, deposes and says: The affiants are the owners of the following described real property: Lot 20, SELVA LAKES, according to plat thereof as recorded in Plat Book 41, pages 55 and 55A, of the current public records of Duval County, Florida . The affiants are in full and exclusive constructive or actual possession of the above described premises and have no knowledge of any claim or assertion of title to those premises, other than None . There have been no improvements or repairs made upon said property within the last three months which have not been paid . There are no delinquent taxes or outstanding assessments or pending assessments of any kind against the property for street paving, sewer, lighting or water services in respect w said property. There are no unpaid bills or claims for labor or services performed or material furnished or delivered to said property for alterations, repair work, or new construction on the foregoing property. The affiants are not involved in any court proceedings affecting the above described real property, or in any proceedings in which a money judgment might be entered against them, and that the affiants owe to the United States no money for overdue unpaid taxes. The affiants have not and will not execute any instrument or do any act whatsoever which would or might in any way affect the title to the foregoing property to the detriment of the purchasers or to the detriment of Great Western Bank which is now making a loan secured by a mortgage on said property. All of the statements and representations set forth above are made in order to induce Bob E. Clayton and Valerie N. Clayton , his wife to purchase or complete the purchase of the foregoing property, to induce the aforesaid lender, if any, to make a mortgage loan on said property, and to induce the title insurance company to issue title insurance in relation to said property. AFFIANTS KNOW THAT IF ANY OF THESE STATEMENTS AND RRPRFCFNTATTnNc a UP VAT Qv M"lw T 1 Z � s r r � r c z o N n o m k-A � r c Q. O � � J � -.c < N C v m o � z m r C` SEP 111992 r Building and Zoning f ILUyj I , i rol N �i 1 � N o / � 7 b P.RdtG7iD i In = in 10 J p vP p r p i pI N qA _ � InbD p I m m In b v0LA m I I ! „ oE? L G �� ► r ,L N O rn r Az 12 12 o ! ' Qw '`-=PbT10-oR GCK � A Orr j EX i5T1 Jt, I .- �GYAR N.►�i61 NP, z --- f1 L r L P m I C 7-T)j n LEFT 5lat•,• NDT PRESi►Jr IF 2�SIDIID R I O Tlup m A - - \ RaoF s�oPJ— m �' �c }q� N4( }( ` e r -N4 n -� ?I Z a C kp o opZ r b , I fA � � D I i I o U x G - "_ o 10 N i C. Irl P I� RL4Hr SIDE WALL PRiSENT IF 2 SIDGD L6r�r� � I i O � m OVERN6 -- uoyf ZLr;F7 E►1D aE�c�aIT In a G z i t r An Z � o 0 Z I a v i N ?� 2 a � o Easo us BHT (� o p n m Pm k-4 Ir ID— s L Z n x Tom" � � 3 DD [n } rN Z � 0 � c _ � cam^ z � Oa N • r Z < o Z s � r C— o • 1 GI F1 po FDEPARTMENT OF BUILDING ^ CITY OF ATLANTIC BEACH,FLORIDA PERMITNO. a97 PERMIT TO BUILD S PERMIT MUST BE POSTED ON JOB 457*50 T457.5i1CKT Date_ P.3ay 14 46 4309 1 A 5/19/019 7097 •00CA10,804.00 Fee$ 457.50 4309 1 A vi/I lIA i'►l?Q This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Reyhani, Inc. RR0034591 I 1 has permission to build Townhouses I Classification residential PUD Zone Owned by Ral Properties Lot_ 19 & 20 Block —_S/DSelva Lakes House No. 503 & 507 Selva Lakes Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE —♦ --� 0 Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared = up and hauled away by either con- tract or owner. i Building Official. I FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING i ELECTRICAL SEWER II WATER I i o-7 CL^--C(L- CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner � �� Address ///,; l yr,�o�fT ��� ? ziP 3yv3 Phone 2y6-�yYC Architec .c y y� Address i�''r�7 %�. /�rf3z Z1P ,C�Phone ty Contractor�,- /Iwlth ,iL� Address ZiP Li 3 Phone,.?4�/-y y:-v Contractor's License Nunber/12 pa 3 yf9i Expiration Date Copy on File Lot Block or Section # Subdivision Zoning Street Between and side Valuation $ Type of Construction Purpose of Building Number of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers Sz., Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 r SUBIUT: Two complete sets of plans, including a detailed site plan. �Florida Energy Efficiency Code Sheets �;5 s *4 Recent Survey Inspections Required: MPS 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. aid 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, isleted and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB T In case of rejection, reinspection MUST be called for after Rear Lot Line corrections are made. 50 ? t G In consideration of permit given for doing the U, work as described in the above statement, we hereby agree to perform said work in accordance r� with the attached plans and specifications, which are a part hereof, and in accordance rt rt with the building regulations of Atlantic Beach. Signature Owner SignatureCon ctor Z � ront une FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or above the base flood elevation esta is ed or that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date ApplicanC s Signature ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required -Lowest Floor Elevation Building Department Representative 1 CITY OF t ��uric Bead - 94u�d4 - 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 The Minimum Lowest FloorElevationfor Lot is A Survey indicating the "Lowest Floor Elevation" shall be submitted to the Building Department "Immediately" after the slab has been poured. No further inspections will be made until the survey is on file. No Final Inspection will be made and No Certificate of Occupancy will be issued unless the Minimum Elevation Requirement is met. Building epartment Representative ----- --- --- -- ----- -- 11LUI'jU1IJV 1 1_h1111 v BUILDING PERMIT WORKSHEET ELECTRIC PERMIT O TEMPORARY ELECT. ► ated Square Footage @ $ S e sq ft - $�, ���• irage/Shed '`Xb0 @ $ ! e°0 per sq ft - $ �o�UO aU irport @ $ per sq ft s $ )rches @ $ per sq ft - $ -ck @ $ per sq ft - $ ►tio @ $ per sq ft = $ TOTAL VALUATION $ eo ,tal Valuation Data 1st mainder Valuation @ $ -,2 .SDper thousand or portion thereof TOTAL BUILDING FEE $ + -1 FILING FEE $ FIREPLACE @15 . 00 $_��. �0 TOTAL BUILDING PERMIT $ �� - ----------------------------------------------------------- ------------------ JMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ CT. TEMPORARY $ ELECTRICAL PERMIT $ CER METER SIZE $ ACCOUNT NUMBER JER IMPACT FEE $ 'ER CONNECTION "$ (@10. 00 per fixture unit) 'ROVED BY: TOTAL BUILDING/PLAN FILING FEE $ 2Z TOTAL WATER METER CHARGE $ F,5—• UO TOTAL SEhTER IMPACT FEES $ /O 3,5-. 60 TOTAL WATER CONNECTION CHARGE $ oZ UO . y0 MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ r PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS o� CLOSETS BATH TUBS FLOOR DRAINS " I 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. BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND T BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITZ URINAL, WALL LIP �T FLOOR DRAIN (1 UNIT) (4 UNITS) WASHING MACHINE RES. -, -� URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, VALVE OPERATED ,- WATER CLOSETS, TANK-OPERATED (8 UNITS) OUNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) 2 DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER _. (3 UNITS) ID,OO 906.00 TOTAL FIXTURE UNITS@ .$10.,00 EACH `d� i DEPARTMENT OF BUILDING 7698 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO._. 97.50 r PERMIT TO BUILD 97e50C9r 1 THIS PERMIT MUST BE POSTED ON JOB 4682 1 A 5/20/P 7698 . DCA Date 520 19g� 4662 1A 5/20/8 i Valuation$ Fee$ 97.50 100Q This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that F.W. Fair Plumbing MP145 has permission to�i�i install plumbing Classification residential Zone PUD Owned by RGM Properties Lot 19 6 20 Block S/D Selva Lakes House No. 503 & 507 S&bva Lakes Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE .4 r lop O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- i tract r or owner. o La771 � �1 Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I I PLUMBING ELECTRICAL SEWER I WATER .wry CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 503-507 Selva Lakes Circle PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY LICENSE NUMBERS MP145 State RF0037503 OWNER R G M BUILDING CONTRACTOR R G M TYPE OF BUILDING Duplex Building Permit #7697 2 SINKS 1 SHOWERS 7 LAVATORY 2 WATER HEATERS 2 BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 5 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 25 TOTAL FIXTURE COUNT X$3. 50 + $10. 00 DATE516 X86 TOTAL AMOUNT $97 ,50 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . I 7699 _ ING pERMiT NO. pEPARTMENT OF BUILD 7n 00 T CIT' OF ATLANTIC Bo BUILD 78.*hY1 PERMIT T O t a A/19/18 THIS PERMIT MDST BE POSTED ON 106 86 565E �onCA . June 49 19_. 7699 i Date 5656 I nnD Fee$ 78.04 Valuation$ has been paid to City T,easutet,and is above fee rovisions of law. 4rt1�R�7S6 tmit not valid until of applicable p wl[1t� This pe oration fot violation t! Air subject to tev State Neat V This is to certify that ocean S install feat air has peTmission toI Zone residential Lakes Classification erties S/D Selva Owned by RGM pro Block- 19 F 24 LakeS Circle I LOt 503 F 547 Selva FORMS art of this permit ALL CONCRETE BE IN House No. tars which aie P 'TICE— roved p NO FOOTINGS MUS According to app D ORE POURING. AN MONTHS Z SPECTER T VOID SIX PERM DATE OF ISSUE AFTER debris j Trubbish be placed p Building material,kust not --► or z from this Wace, and must be cleared in public p by either con- up and hauled away trac or or owner. V v'�" Building Z g 0&ial. I, CONTRACTOR j t PERMIT DATE FOR OFFICE NUMBER USE ONLY IPLUMBING 1 ELECTRICAL SEWER WATER n '= rf BUILDING AND ZONING INSPECTION DIVISION 109 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' S03 - SO 7 S£�L/ �c o d LOCATION Street Address: OF Intersecting Streets: Between Sf ✓ .�zz And BUILDING Sub-division FS S£�v/¢ g14_� 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 attacl�ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical el Contrac+ors ContractorPrin Contractor (Print) s7,#- 7—,r T T£ /k- oAj Master Name of n Property Owner of Signature of Owner Signature or Authorised Ags Architect or En r III. 6EN L I RMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING./^ DONE ON * Electric THIS BUILDING OR SITE? yG 3 ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT _� r ❑ Other — Specify IV. MWHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed )k Central O Floor New Building Air Conditioning: ❑ Room )zIr Central ❑ Existing Building Duct System: Metria Thickness L ❑ Replacement of existing system Maximum capacity /Am,/ Rooc.f.m. XNew installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P.M. ❑ Fire sprinklers: Number of head= ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump• (number) (Reuiwd) ❑ Tanks (number) Remarks ❑ LPG contains, (number) ❑ Unfired pressure vessel 13 BoilersPermit Approved by Dai+ ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capaciy w roving Number Unita Description Model Number Manufacturer (Tons) cy eb Ll w / -?/ z 3u A3 W a 6 2222VE ZL HEATING - FURNACES, BOILERS, FIREPLACES Capacity Iy y Number Unita Description Model Number Manufacturer (BTU) d /Ao u W VO TANKS How Many Nomtaal Capacity Type Uquid Name at Serial Approving and Dimensions Contained Manufaatwer No. Agency 3 P;[ L-( CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT t G P DATE: ! — �� 19 " TO THE CHIEF ELECTRICAL INSPECTOR: � 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 ELECTRI ATURE (� (� I/ 4 f_ NAME `\ `'�J ' ADDRE,SS: -`y ' RFD BOX BLDG.SIZE BETWE RES. (� APT. ( ) comm. ( 1 PUBLIC 1 1 INDUS. ( 1 NEW( OLD ( 1 REW. ( ) r ADDITION ( 1 TRAILER ► TEMP. ( 1 SIGNS ( 1 SO. FT. Q( SERVICE: NEW ) INCREASE ( 1 REPAIR ( 1 FEE ` CONDUCTOR SIZE AMPSJ^�� COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH JW X�WOLT 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. a_ FIXED 0.100 AMPS. OVER APPLIANCES BELL ANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED U�� $ y S�D0 TOTAL FEES ` CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT y�l 30 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. AaDk\-�')s �,( L ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME P� L ADDRESS: I RFD BOX 4001,1 BLDG.SIZE BETWEE 1000, RES. ) APT. ( 1 COMM. ( ► PUBLIC 1 1 INDUS. 1 1 NEW( OLD ( ► REW. ( ► ADDITION ( ) TRAILER ( ) TEMP. ( ► SIGNS ( ) SO. FT. SERVICE: NEW�6 INCREASE ( ► REPAIR ( ) FEE CONDUCTOR SIZE AMPS I S_Q COPPER 1 1 ALUM. IV 7R ^DV SWITCH OR BREAKER AMPS 1 PH W =' "VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES _ CONCEALED OPEN TOTAL 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 H.P. 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 JSWITCH I FLASHER EACH SIGN FORWARDED , T1OD ys-oo TOTAL FEES MAP SHOWING SURVEY OF LOT 19, SELVA LAKES, AS REC-ORDER IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, i I � f J �IkV,d72F,R BL-XW /761 /O' JEWEFZ ELlSEME.�/T BT OR✓ 528, Ph. 2B9 83"42�E 35700 8 tv h p" e� h 3-6 45 qu Q 5, of F0 P� o o J ---- — 1 .2' 3 N ,� W 3 �y V) sou vo 3 iRcs/ (L.3 tl114. fJ sEri-/RA✓ ,S 83'4200 6N. 3Soo' rt.6... EL VA LAKES C/f�CLE •/�L JnT TX/E .>RCA G� Nt/N//tiI.4L +���•�`/�+, 8Y FL GY70 MAD RE✓/CEO A.�,q/L /B, /983. CCiMMun/rry PeNEL vb. /1G075 Cm/ C. •ELE✓i�T.t�.�/S �jE�i/OopWN r./us�//J 79)REFER 7a /`��T/D�/dL ET/C ✓EtT/CSL �aTUM I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant ir H. A. DU�DEH , to Section 472.07 Florida Statutes. & ASSOCIATES INC % � � >_-`j< LAND waanr.wco wwvarp wo.vV77 Kw. SURVEYORS Post Office Box 50870 SIGNED 830 Beach Boulevard / 20 Jacksonville Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. /�3¢3 MAP SHOWING SURVEY OF LOT 20, SELVA LAKES, AS RECQRDED IN PLAT BOOK 41 , PAGES 55 and 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. /O' WaTEQ /v�or�/ EnSEn�ENT B7' G EO /76/, 11a6 /O(o /o SE�+iEQ EvSEME.v� �� o, p i/ 52B/ Pte, ZB- 8 g � ry p` a r'0`' Q F1�00 01 �ti�1 7 _ T0p� �t�.l a �� ZA 3 06 j3 (} � p• 0 N � SET%•'/•40�/ (J 2 SENA s CIRCLE ' n'1S r5 A $Ot.v.r�gRY ,k/x2/E� Fx ^A0 pu/LDiNb' R�5T2C7T't�v UNC BY CTFf/S f�R�]o621Y L�E3 rN F.Lca�l0 ZQ�rC " IrJ/NC/F r5 77/E � Oc MrivititA` LZpODi.rG, B� FGo00 w/AP RwrSEO 4PR/C /B, /9B3 COMNfI�N/T)' /�4N�E_.L No. /Qp07s CL70/C. E<E✓.4T/c✓/t sa+ow,./ 77,rus,,//.�?9)RffE.e 7a n/4j/oN4L 4EOG�r�C VEf7Ti�-4G p„pTG/N/. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant ir H. A. DURDEN to Section 472.07 Florida Statutes. & ASSOCIATESINC LAND aaauT.xac auwvav0* o.,A,7J ILA. SURVEYORS RRJ�///_- Post Office Box 50870 SIGNED y 1O1 830 Beach Boulevard Jackaonville Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. MAP SHOWING SURVEY OF LOT 19 , SELVA LAKES, AS RECORDED IN PLAT BOOI< 41 , PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Al /O' WGTER MQ/NE45EMENT B�OEEO 6Uo /701 /D' 3ElVEFZ E�ISEME�/T �� OR✓ SZB, Ply. 069 — • 83�42OoE: 35.00� �� 91 W1 2 0 �r N a 89- p 0 vi � w J N D 8 a�j2.fl4) Fiuwo i^/R�w ..S'• 'l•V. 3Sa0' /G.03' SELVA LAKE'S CIRCLE •��T c1�LDiivc RE`ST�,Cr-�.a L/.+E BY FLG1�f c,, $y FLGi�O MSG RE✓/ O APR/L /B, /983. �a b. /00075 axe/ C. E[E✓/�Tt��/5 /Owe! r.✓us /jam 79) REFER Tt /SAT/O•�/AL C�EbpET/C ✓E/CT/CAG �,aTUM. -TO : UfJ�/ESC T/7'c {r 4N6':)77., AL-7 GY=M1%jAq 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 Section4-fG12Fiorida Statutes. & ASSOCIATES INC LAND •aolsriwao wave Mo.�77 �tw. SURVEYORS ( �J Post Off, Box 50870 SIGNED 830 Beach Boulevard / ZV Jacbonvllle 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 20, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 an55A OF THL CURRENT d PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. /O' vVGTEQ Md/�/ En SE/ fE�/l B7 GL�E� /7(0% P4 /per /o 'SEwEQ Ev SEME v� o.R ✓ 5?B, Pl ZB j FoU.vp�••/Roi./ � __ -MASai1Y i IV K A � v l a G .,fit• oP� c`n V 0 9/. F// I �� 3 V) Q vJ V N J �3 3 0 a7-rA cseko o c�,I.eac,E .c /2 40 Q M O J A'i \ Q, Sa.1�' 75LiRo./o�• 0.7 \ .V,Q '. \ V) F�/D 2../Ro�� •l X05/ 03' SEL VA s ciA>CZ-E • ru•s /s R Bp(�NG� .r`/ su��EY: ,2ECf/EcrEo ��ET/9 i 98� rL� FxAT. GuLDiivG R e'STQCTrQ'/ LJNE BY 7T-r/s �Z.00E¢ly L..iE3 .•/ Fx.ca�o zatic 'G' N/ifiC/¢ /S 7j/E gFL�jy OF Mi.vi/.aAL FZODDi.�C BY FLo00 .v/4p RE(/iSEO 4PR/G /B, /983, co y�JuviT>' �o✓EL vo. /200 75 [avo/C. ECE✓L)T/cv./S s�ow,r {i-X14'c'�JC 29>R�E.4 7a n/4jioN4L �EOGL��/c 0,4TUN� 'T+ ' Udt/ESS �/ ��y 1r55TKs1C% Cc�/t1F�ff�/% I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant N. A. DURDEH to Section47lo� Florida Statutes. & ASSOCIATES INC LAND waaurawro wwvavoa+io.g477 SURVEYORS Post office Box 50870 SIGNED 830 Beach Boulevard Jacksonville Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 November 25, 1986 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit #4910 - 507 Selva Lakes Circle Permit issued to Adkins Electric Company Sinc6r ly, Rene' Anger;� , Community Development Director cc:building file CITY OF IOffice of Building Official REQUEST FOR INSPECTION Date.. / /'" / Permit No.—!7j29 y^ 7 Time A.M. Received P.M. District No. ,�D7 SE� �� G-� �� C rte ► Job Address Owner's Locality Name r BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ ❑ Re Roofing Rough ❑ Air.Cond.& ❑ ❑ Slab ❑ Temp PoleTop Out ❑ Heating Lintel ❑ F-(N*6 Fire Place ❑ READY FOR INXECNPre Fab on Tues. Wed. Thurs. A.M. Friday p.M. Inspection Made A.M. Inspector FinallnspectionH `— Certificate of Occupancy Date �rifirttt� of (err n�rttnr,� CITY OF arpttrtmPut of Isitilbitto 32tlivprulm This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use classification Group Bldg.Permit No. --T Coni iOnFirc District.. I l ,� ' Owner of Building_ rn4 D r"T'P r��_ �� '�n� � r `U'-H7--- 1 -�--- n.1 �, --€S Address_._ Building Address "-1VL3 ,T - Locality--. �Irc e --- -Ang-ers By -- -- , . BaBaing official —. -------- Date:_ POST IN A CONSPICUOUS PLACE Record # 57 F I N ADDRESS SELVA LAKES CIRCLE 503, 507 CONTRACTOR REYHANI, INC. OWNER RGM PROPERTIES ELECTRICIAN ADKINS BUILDING PMT 7697 ELECTRIC PMT 4909 MECHANIC PMT 7699 PLUMBING PMT 7698 TEMP POLE FOOTING RGH PLUMBING AP 5/15/86 SLAB FRAMING AP 5/15/86 RGH ELECTRIC AP JEA 8/6/86 MECH/TOP OUT AP 5/15/86 FINAL ELECT see below FINAL CONST see below OCCUP CERTIF SEE BELOW COMMENTS FINAL ELECTRIC ON 503 10/20/86; CO ISSUED ON 503; 10/23/86 Continue, Stop, Modify, or Delete? C CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 Al - TELEPHONE(904)249-2396 October 21, 1986 Pre-Service Section Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5017 - 1600- Mayport Road Permit issued to Gayco Electric Company. Permit #4909 - 503 Selva Lakes Circle Permit issued to Adkins Electric Company. Sincerely, Rene' Angers Community Develo nt Director cc:building file a tow INSPECTION LOG JOB ADDRESS CONTRACTOR OWNER BUILDING PERMIT ELECTRICAL PERMIT 49017 PLUMBING PERMIT 7 9 TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .E.A. Temp Pole Footing Slab Framing q — �Y Plumbing (R) Electrical (R) Mechanical �S Fireplace Top out Other Electrical (F) 41, �o'� FINAL INSPECTION Certificate of Occupancy Issued COMMENTS J C (��rttftr�tte of CITY OF AN4ft c &a B.PW tmrnt of T9uilhing 4 prti This Certificate issued p ursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in cur various ordinances regulatin•building nplzance with the construction or use. For the following, Use Chssi6cation rl T' ` O11S Gro+p Bldg.Permit No. 7 n 7 ype Construction ' Y )^ — —�_Firc District_ - t Owner of Building _ r c. ''e r t 1 e s "- P 1 7 S e 1 va I-��Address__ e n �� _ -- Building Address ., L a, c — - MODifying # 57 Modified. FIh ADDRESS C SELVA LAKES CIRCLE 503, 507 CONTRACTOR CREYHANI, INC. OWNER [RGM PROPERTIES ] ELECTRICIAN [ADKINS ] BUILDING PMT176971 ELECTRIC PMTC49091 MECHANIC PMTC76991 PLUMBING PMTC76981 TEMP POLE C ] FOOTING C ] RGH PLUMBINGCAP 5/15/86 SLAB C ] FRAMING CAP 5/15/86 ] RGH ELECTRICCAP JEA 8/6/86 ] MECH/TOP OUTCAP 5/15/86 FINAL ELECT 1507/AP 11/24/861 FINAL CONST 1507/AP 11/24/861 OCCUP CERTIF1507/IS 11/24/861 COMMENTS [FINAL ELECTRIC ON 503 10/20/86; CO ISSUED ON 503; 10/23/86 ] Done. Find next one, or Quit this find? (F or Q) F / 67- CITY 00w-` Office of Building Official REQUEST FOR INSPECTION Date ^ Time �0 Permit No. eived 7 Received 0 -3 / District No. Jo Address L "��(� -, f Owner's (9! Locality Name J / i BUILDINGContractor Framing /CONCRETE ELECTRICAL e� Re Roofing ❑ Footing ❑Slab 9 Wiring Rough MECHANICAL ❑ Lintel ❑ Temp Pole ❑ Top Out Air.Cond.$ B— ❑ Heating Fire Place ❑ Mon. Tues. AD OR INSPECTION Pre Fab Thurs. q M Inspection Made Friday-_P M Inspector FinaIInspection❑ Certificate of Occupancy Date C/Ty OF Dare Office o/Building REQUEST FOR orricral ON rr,te INSPECTI ► =11d 9 503 � � Permit No. 7 t!o Job Ad dr 7 District No. Owners Name BUI LD1 NG Locality FramingM/ CONCRETE Contractor f26,IL Re Rooting 0 Footing ELECTRICgL Slab O Rough Wiring PLUMBING Lintel 0 ramp Pole Rough MECHANICAL Mon. Final ToP Out W/- Air.Cond Tu READY Heating Mane $ Inspection Wed. FOR INSPECTION Fire Place � - InapecInspectorThurs, Pre Fe Friday A.M. P.M. Final Inspection❑ Certificate of occupancy Date CITY of Office of Building official REQUEST F Date O r�G OR INSPECTION Time I Recewed ' Permit No. �0 3 4 S District No. Job Address Owner's � Name Locality BUILDING CONCRETE Contractor Framing ECTRICA Re Rooting — Footing p PLUMBING Slab ❑ Rough Wiring ❑ Rough MECHANIC Lintel Temp Pole gh ❑ AL ❑ Top Out Air.Heating g p /i(/if ❑ Heating Mon READY FOR IN Fire Place p Tues. ECTION Pre Fab Wed. Inspection Made O Q Thurs. Friday A.M. M. �—�_P.M. Inspector p C' o FinalInspection❑ Certificate of Occupancy Date