511 and 515 Selva Lakes Cir (vault) CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000573 Date 4/30/08
Property Address . . . . . . 511 SELVA LAKES CIR
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------
Owner Contractor
------------------------ _ _ _
LUNDQUIST, RAY&PAT OCEAN STATE HEAT & AIR, INC.
511 SELVA LAKES CIRCLE 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
--------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee 00
Issue Date Valuation 0
Expiration Date . . 10/27/08
---
----------------------------
------------------
Fee summary Charged Paid Credited Due
------ ----------
---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
04/28/2008 16:22 FAX 9042498949 OCEAN-STATE-A/C i ATLANTIIC-�B,,EA11CH a 001/002
WW 12V7
CITY OF ATLANTIC BEACH
600 SEAAINOLE ROAD,ATLANTIC I)EACH,FI,=33 07- ,..TI. I
OFFICE;(8W)247.Snf 0 FAX NO.:(WW W i7,-5U6 1
6 UIU-VNa-0E7'r000AB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
Atlantic Beach. L 3223 OYES PERMIT#: 0 Q
49R ER
L 1y�� 5.ADpRE95 P DIFFERENT FROM JOB ADDRESS .. r ..
B.PHONE y
7 OF GOMVANI'• n �..�:• ,r,. ,.jr.�.�..+•. � _
/�J\ tl.AODRk
tl S7ATC wn
ip�LICEE .���0 10.CELL PHONE:
!VI p 11,fAlf Np,A 7�
12.EMAIL AOOHESE: t d.OFFICE (/^CJ
14.
Appbcatlon Is hereby made to obtain a penTit to do the work arx3 installations as indicated. I certify that aff work will be performed to meet the
standards of all laws regulating construction In this jurisdiction. This pw"t becomes null and void If work Ir not commenced within six(6)
months,or If construction or work is suspended or abandoned for a period or six(6)months at any time after work is owrtmenced.
::7�
CONTFOCTORS SI
WN
:c.11S:.CL'A88 „t11rOQ •:,�• �.: ':"•,V,` e '.,•.5.� '•,L6: B . .
O NEW INSTALLATION NEW -ErU5 FLQKJUA BUILDING CODE-
B'ItPLACEMENT OF EXISTING SYSTEM l9�XIS NG 0 COMMER IAL MECHANICAL
Q ALTERATION I ADDITION TO EXIST SYSTEM
11 REPAIR
❑OTHER
Iy M HANiCAL t?tatl�M M lt0'1dN TA
19.HEAT: O SPACE D RECESSED ENTRAL O FLOOR BURNERS:
20.AIR CONDITIONING: 4 ROOM ENTRAL
21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm
22,REFRIGERATION: MAX CAPACITY:-- 11171
23.COOLING TOWER: CAPACITY: gpm
24_FIRE SPRINKLER. NUMBER OF HEADS:
25.LIFT SYSTEM: ELEVATOR MANLIFT: ESCALATOR: AUTOLIFT:
26,COMMERCIAL HOOD NUMBER:
27.FIREPLACE: PREFA6RICATED: MASONRY:
28.IRRIGATION: ❑PUMP ❑WELL ❑ PIPING
29.GAS PIPING: #OF OUTLETS,. p GAS AHU: ❑GAS WATER HEATER.
30,OTHER-SPECIFY:
SOLAR HFATMG, BOILERS,VNFIFEO
PRESSURE WaSEL•HEAT EXCNANOeR
OR COIL M MXTS t:T�IC,. �vr�ALU FOR OTHER NEMS;
� I
I
APPROVING
OF UNITS OESCRIPTION MODEL IV MANUFACTURER TONS AGENCY
PEIr
5-FIR&Lk
OF IJNNS DrtSCRIPTION MODEL# MANUFACTURER BTU —AGENCY
NUMBER GALLONS OPKCIVING
AINEO MANUFACTURER SERVAL A `A[iEMCY
CCAS FOI+N fH.DrAc REVISED:W13,7M7
CITY OF ATLANTIC BEACH I
,1 L. I
+*+ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07-
r �! OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
MECHANICAL PERMIT APPLICATION
DUVAL COUNTY
1.JOB ADDRESS:l ;Z,1S'THIS,A SUB PERMIT;
3.DATE:
5 / ' i�0
A lan is Beach, FL 32233 DYES PERMIT#: 5
PROPERTY'gWNER:
4.N - n 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS:
t.PHONE
hrwwlc�' �;1 ��
0416149
%M CffANICAL CgNT."CTOR:
7 A E OF COMPANY:
r
_(7 B.ADDRESS.:
9.STATE L Ip(a LICE .�� `O 10.CELL PHONE:
/�/ 2 l/ 11.FAX
12.EMAIL ADDRESS: 13.OFFICE
ry- 0--a
-, ,4.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIG
15:CLASS OF WORK; 16.BUILDING, AS..CU
_.
❑NEW INSTALLATION "`
❑ NEW 6 FLORIDA BUILDING CODE-
2<EPLACEMENT OF EXISTING SYSTEM M<XIS NG ❑COMMER IAL MECHANICAL
❑ALTERATION/ADDITION TO EXIST SYSTEM
11 REPAIR
❑OTHER
MECHANICAL EQUIPMENT TO BE IN TALLED:
19. HEAT: ❑ SPACE 13-RECESSED ENTRAL ❑ FLOOR BURNERS:
20.AIR CONDITIONING: ❑ ROOM CENTRAL
21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm
22. REFRIGERATION: MAX CAPACITY: Cfm
23.COOLING TOWER: CAPACITY: gprn
24.FIRE SPRINKLER: NUMBER OF HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26. COMMERCIAL HOOD NUMBER:
27.FIREPLACE: PREFABRICATED: MASONRY:
28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING
29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER
OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS:
" 3t.COOLING -QUIPh11ENT:
AIRCOND1TIOtJUJG REFRIGERATION&QIJIPNIENT CONDENSORS ETC:
NUMBER
APPROVING
OF UNITS DESCRIPTION
MODEL# MANUFACTURER TONS AAGENCY
1 vV 3 GGL
32.HEATING'EQUIRMENT:
FURNACES BOILERS FIREP.LACES:AIR HANDLERS"ETC.
NUMB =
A I
OF UNITS DESCRIPTION MOD�L]# MANUFACTURER BTU AGENCY
zF3 76 -3 Gc L
m 33:TANK r
R IN f
NUMBER GALLONS PE LI UID .ACONTAINED SERIAL# AGENCY
COAB FORM BLDG04:REVISED:9/13/2007
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FI 32233 -Tel. (904) 247-5826
ROOFING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23416 Address: 511 SELVA LAKES CIRCLE
Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: Parcel Number:
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 2/04/2002 Name: LYNDQUIST, RAY
Total Fees: 35.00 Address: 511 SELVA LAKES CIRCLE
Amount Paid: 35.00 ATLANTIC BEACH, FL 32233
Date Paid: 2/04/2002 (000)000-0000
Work Desc: REROOF
CONTRACTORS CATION FEES
WHITE'S ROOFING COMPANY - 35.00
- s i-
`-�� � •yrs' 'L
`� .,:i id.7—'. - 'E -"�` ..T_.r+' y!E��2'�.•.9c.T-' .� �� fir'
v _
NOTICE- IN __ _. $E REQUESTED AT LEAST 24 HCURS:Pr�iOR TUISPECTION
BUILDING MATERIAL, R L AID.. ' l 'THIS CMUST PEFLAAC PUBLIC SPACE, AND
MUST BE CLEARED UP A �;' l �I�CNVTRACT N�
"FAILURE TO COMPLY WI SULT IN THE
PROPERTY OWNER PAYING 1_ S"
ISSUED ACCORDING TO APPROVED PLANS WHf THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW:
CITY OF ATLANTIC BEACH Date: 2/84/82 81 Receipt: 8031429
CHECKS - - jW_
X8883221888
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION:--!2-\ S,,\-
OWNER OF PROPERTY: r �U t
V
CONTRACTOR: L
CONTRACTOR'S ADDRESS:
ZIP: �a-�-J-
STATE LICENSE NUMBER: 0` ! TELEPHONE:
DESCRIBE WORK TO BE PERFORMED: N �.
�A \\ Otw
VALUATION OF PROPOSED CONSTRUCTION ,
MATERIALS TO BE USED: �^
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THIS _DAY OF
NOTARY PUBLIC
r
Liability Insurance Supplied =;✓t�:"i, ,; ROBERT M.WILLIS
MY COMMISSION 4 CC 743841
Pub
%a•, :a: EXPIRES:May 17,2002
•
Workers Compensation Insurance Supplied r;C " Bonded ThruNotaryYcUnderwrters
CFP •
Contractor License Information Supplied
Occupational License Information Supplied
f CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING 247_5826
ROOFING 800 Seminole Road -Atlantic
FNG PERMIT33 -Tel. (904) _
ATION LOCATION INFORMATION
PERMIT INFORM
_----
Permit Number: 2INF Address- 515 SELVA LAKES CIRCLE
ATLANTIC BEACH, FL 322B333ok:
Permit Type: RE-ROOF Township: Range:
Class of Work: ALTERATION Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision: SELVA LAKES
Square Feet: Parcel Number: -
Est. Value: 2,400.00 OWNER INFORMATION
Improv. Cost: Name: BURNS, TOM
Date Issued: 12/27/2001 Address: 515 SELVA LAKES CIRCLE
Total Fees: 38.00 ATLANTIC BEACH, FL 32233
Amount Paid: 38.00 _ 000 000-0000
Date Paid: 12/27/2001
Work Desc: REROOF ATI-0 FEES
CONTRACTORS - 38.00
i
WHITE'S ROOFING COMPANY _T =
jr
L
" s
4 _
rJ
SPEC TION
NOTICE- INS
� r yPUBLIC SPACE, AND
T.N F.PLAC
BUILDING MATERIAL, RU p{ TRACT
MUST BE CLEARED UP AN Ar
.. WIT SULT IN THE
FAILURE TO COMPLY ._ S^
PROPERTY OWNER PAYING _
G TO APPROVED PLANS WHICH A^ F'T-HIS PERMIT AND SUBJECT TO REVOCATION
ISSUED CORDING '
LE PROVISIONS OF LAW.
FOR VIOLATION OF APPLICAB
$38.0014
CITY OF ATLANTIC BEACH Date: 12/28/01 el ReceirMCKS
-
00100803221080 1443
R ` n"l
CITY OF ATLANTIC BEACH �L" � vI �.
City of tlantic
ROOFING PERMIT APPLICATION
u and
JOB LOCATION: U
CEI
VED
OWNER OF PROPERTY: 14 ?UUP
Cit
CONTRACTOR: 0A , (_ Y of quantic Beach
�. g
CONTRACTOR'S ADDRESS: v Buildin an Zoning
`,,G.X �-- 1 ZIP: 'S
STATE LICENSE NUMBER: Ot rl TELEPHONE:
DESCRIBE WORK TO BE PERFORMED:
VALUATION OF PROPOSED CONSTRUCTION W
MATERIALS TO BE USED:
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THI DAY OF�-X9Mtk 19AW(�- _
( r, lkk --
NOTARY PUBLIC
Liability Insurance Supplied 0`,P� Paula Drake Dean
• My commission DD016022
Workers Compensation Insurance Supplied "�� „�' Expires April 09 2005
Contractor License Information Supplied
Occupational License Information Supplied (\�� S S L
2
J
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
_
PER INFORMATION — — f�C7CAT(ON INFORMATION
Permit Number: 19087 �� Address: 511 SELVA LAKES CIRCLE
Permit Type: SIDING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SELVA LAKES
Est. Value: Parcel Number:
Improv. Cost: 3,500.00 — — — �—
OWNER`-INFORMATION
Date Issued: 11/04/1999 Name: LYNDQUIST, RAY
Total Fees: 30.00 Address: 511 SELVA LAKES CIRCLE
Amount Paid: 30.00 ATLANTIC BEACH, FL 32233
Date Paid: 11/04/1999 Phone: (000)000-0000
Work Desc: VINYL SIDING — - - -
CONTRACTOR'.S
- A PucATEUN=FEES. -
W. W. CRITES, INC. PERMIT 30.00
I
i
I
I
I
I
i
0ftPeetions
i
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$36.0014
Date: 11/08/99 61 Receipt: 0889378
A TIC BEACH B ILDING CHECKS 12069
80188883221008
REC-. EIVED
Noij 31999
CITY OF ATLANTIC BEACH City of Atlantic Beach
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALMRKX"sZoning
MOVING,DEMOLITIONS
Owner(s) ,� �� � .9 " ,--f+
Job
,--f -
Job Address: '13a Sc&-/4 ( Ckc'r CN. Phone: I V
Lot # Block or Unit # Subdivision:
Contractor: L4, '-.f - State License #
Address: //(?pj; A-Z Phone No:
CitY_�/Az,C S uNtii �l e State ,r-Y« Zip Code 2-
Describe
Describe work to be done:
Present use of building: c/ 411t`;��
Valuation. of Proposed Construction:
Proposed use: A
Is this an addition? If yes, what are the dimensions of the added
space: ft. X ft. Will the added area be heated and
cooled? New electrical (or increase) ?
New plumbing fixtures? New fireplace? New Heat/AC?
SUBMIT THREE (CO62=CIA.L) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CObOMVCEIENT, AND
OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: k Date: /O -z4
Signature CONTRACTOR: Date: 77
AS TO OWNER:
Sworn to and su.4",gibed bewf� e is -`24 day of 19V7
�•.. Ivl-a�ha$`�rit��
t;�, 1� MY COMMISSION#CC714063 ES
t r! April 18,2002
BONDED THRUTROY FAIN INSURANCf,14119 RY PUBLIC
AS TO CONTRACTOR:
Sworn to and subscribed before me this ` day of 19%�
...........•., Martha B.Crites NO RY PUBLIC
k MY COMMISSION#CC714065 EXPIRES
April 18,2001
'?a BONDED THRU TROY FAIN INSURANCE INC.
11AMco foRM .fel/
,��. UAWS 13) Book 9461 Rages' 1503
L
>
x1f
bP/MAR tM ou rLfCATcI
fu11,�m it nutg tonur>tt:
ements l to
in real
The undersigned hereby informs all concerned of that improw
Florida Statutes, the foltuwiny lnfotrmat an
property, and in accordance with section 713.13
is stated in this NOTICE OF COMMENCEMENT.
Description of property..................
_..._..._.... C .�c......_........ -c- l,............J..... ..,.._._... ........_......_ _...........
...................._...................._.... 3 Zs
........................................._...»_......_...
............. (
^a.l..._ ...... .t.. r.!- ......... ............................ ........... ...»......
General desuiption of improvements »......__...
Owner.. '
Address...........................�t..(............_...... -e 1�.� .......... :.�........._.. ..�1 »c:.:_l. ....
»..._ .....
Owners interest in :rte of the improvement.............. �v ..........................._....._...._.............._.... .._ ._... ..........».... .
fee Simple Title /holnder (if other than Owner)
Name................ 1..".................................................................. ..... ..................................... .... .... ... ......_.». . ... .. _......... ... ... _
Address........._..._.....................................................................................
�u _._.... sf �,r�e:.r................-St." .. .........................................._............................. ... ....................
Contractor................ 3Z LsX
Add►eis.............._...._.......
Surety (if any)- -ot/ -....................................................._..._....................._.................................................». ............. ............
»».._....»
Address................................». .........................................» ..................... ....»
.............._._............. ..Amount of band $.-....„........I...........
Name of person will:” the State of florida designated by owner upon whom nottaas or other dpgatwlsds may
be served,
Name.......A4 ....»........................_....»..........»...»..........................._...... _..............................».......... .....»»_._... .».. ... ...»..». .... .
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 .................................................................._.............._....... »......
�Mla flats ONLY �—
f ed 8 Recorded
s --"�.. s fir..:.... .
-�.. p,....:....:.�..:, ._�....._......... ....
• _�,�' - 11/08/99 6:11 PH Ownw
CLERK CIRCUIT COURT
DUVRL COUNTY
TRUST FUND S 1.40
RECORDING Sworn to ani 6ubsc & beforf nM
CF�I5.00
IEE s 1.00
Y = 1.00 e6w...........deyd. _...,...........
��........
DJ�lf
... . ...
�tWM••rt�'8.Crke .... ........._. ..
IION#CC71423 EXPIRES
April 1$2001
gQ4MD fHW TROY fMN lk%VRANM WC
MAP SHOWING SURVEY OF
LOT 22, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL CdJN`I'Y; FLORIDA,
/o' SE-[✓ER E<+SEME�IT B>' 0.2.✓. 528, Pia- Z8`j
.B3 4Z�E". 35•� � —
�«E.QENGd /"!A S o.vR Y C�c.i9'�1o4�
iNo-./UMf C o G L/Mn./5
I'I
rel '
o,
-S
.. Q (� lV P.4 T/o•.
m' V
0 4.2• 3.d �
N q
Q 1- t
V '7
�A� Wim'jW
%,
8 Q
XA-
72/.o
4.oQgs%l �.45Pi`�AL7" RoAO�
LAX-ES CIRCLE
•Tf•!/S /S .4 BOL/J0.4RlV Sl/RV--S! r t i ,
,NO Ou/LLYNG� ,¢F�TR/C771�iJ L:..:r'. BY
pLa T.
/PEG//EC LCEt� �jE�7�Mf3E e 29,/980
71I��/S// :=� �2��E
Llxio/ti�C, 77/E f{�EA
B y FL 000 MNP R�V/SED AP.Q/L/B,
/983, cOMMuNiTy PANEL �/o. /ZGc�75 000/ C.
NATio�.4L��E0�ET/C VE.4T�'AL 9�4RTUM TO .
70. 0,4tlE�jE •T/7L E �,4f)�i7•,QQ G"7 CD MP,4.V Y
I hereby certify that this survey meets the
minimum technical standards as set forth by
the Florida Board of Land Surveyors, pursuant
He A. DURDEH to Section 024,? Florida Statutes.
& ASSOCIATES INC ���, f �.
LAND wagi.Taaro aunvavo"a -P 7J raw.
SURVEYORS
Post OHlce Box 50870 SIGNED
830 Beach Boulevard -10 �
Jacksonville Beach,Florida 32250 SCALE:
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
MAP SHOWING SURVEY OF
LOT 21 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
/O• Y♦/GTER M,4/N EA$En-rE�/T BY OEEO jG+�.r /7(0/, �C�, /pyo
ZB j
N•83-42 atO E. 3 S.4:�' /.O•
�)�L /o4Ef 7^4�j'SY oiv,Q —� �l.$a'/oo�unr�vy
%'—
tv
? �9
46
N }'
N ti pP\QPO
q? 0 V W
0 h
'477AC-,' N U 0
C�.4RAGE Q �0
4 ' o
U UN
le—A3
1
SELVA LAKES C/RCL_E
�o •xis
• TH/S /S /� BdunLp�� Su.P
• NO BUiLGVNL-, 2ESr��/-/Ov �N� BY
TH/S SRO AAL/�Q�"� /�v GZGG'C� Y!�>•�/E
`F'L�O/ilG�s BYf fL L2�pRjy/�1 P F �vU�n-:a�
/983, COMMGNi .4E✓iSEO APR/[ /B,
E[EVv77o vs SHo�✓
�c 7>+US /3.`jQ>REfE4 Tv
NST/on/AL cSEaoE7- VE.e /ca[ ppr[in 1. ,eECf/�CK�/> S��T.E.t�IigE,P 29 /98�
7o S•/vW Fiiv4L yu.QVEY.
TO:0 4 vE�iE 7'/74 E J AfJ�i7iP I G7 COMP4 c/Y
I hereby certify that this survey meets the
minimum technical standards as set forth by
the Florida Board of Land Surveyors, pursuant
ir N. A. DURDEH to Section es%Z.�Florida Statutes.
& ASS00ATESINC
LAND octal-amitgo euavavo6rNo.Q /-7kA.
SURVEYORS
Post Orrice Box 50870 SIGNED 2> �� p
830 Beach Boulevard
Jacksonville Beach,Florida 32250 SCALE: t/
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
/G 3�3 /720-
fr
7
DEPARTMENT. OF BUILDING
i CIN OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD PERMIT No. l /.0
i THIS PERMIT MUST BE POSTED ON JOB
4539496.50CKT
Date May 15 77`' 09 1 5
n /1-9/9
Valuation$ 128,062.50 19 86 '013CA
I Fee$ 4 96.5 0 _ ry�
This permit not validu'J I
until above fee has been paiand is
d to City Treasurer,
subject to revocation for violation of applicable provisions of law.
This is to certify that Reyhani, Inc.
EEoo34591
i
has permission to build Ung1jou Tamil
rClassification Residential
Owned I by RGM Pro PUD Pe Y`t 1 e S Zone
Lot 21 & 22 J
House No. 511 51 - SelVa Block
Lakes —S/D Selva Lakes I
Accordin Cl rCl
g to approved plans which are
part of this permit
NOTICE—ALL CONCRETE FOR
I AND FOOTINGS MUST MS
IN-
SPECTED BEFORE POURING.��_♦ PERMIT VOID SIX MONTHS
�♦ AFTER DATE OF ISSUE
Z Building material r
from this ubbish and debris
work
I � in public spacemust not, and be Placed
must be cleared
up and hauled away
trac or or o y by either con-
vener.
FOR
� I
USE ON OFFICE PERMIT Building
8 official.
DATE
PLUMBING CONTRACTOR
IELECTRICAL
SEWER
WATER
i
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner- ) A 7 J�,Address St, zip 3�- 3 Phoned G-8U
Architect &Lc y Address 7� ` S7 (�, ziP `� v v�G Phone �c=G
Contractor _L-
- : zy33 Phone
Contractor's License Number. 4g e6,-?L,ja Expiration Date Copy on File
Lot Ytj-
2,;2._Block or Section # Subdivision ����, t ,� t Zoning
Street_ A i. L 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
SUBMIT: Two complete sets of plans, including a detailed site plan.
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required:
1. When steel is in place and ready to pour footings. MAY 1111986
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam. in
4. When framing, mechanical, plumbing, electrical, fireplace, is crn � 8Oe� g
to cover up.
5. Final inspection.
SETBACKS
NO INSPECTION WILL. BE MADE IF BUILDING CARD IS Wr POSTED ON JOB. ar Y �7 t Line�f
In case of rejection, reinspection MUST be called for after Ke
corrections are made.
In consideration of permit given for doing the
Cn
work as described in the above statement, we w H.w
hereby agree to perform said work in accordance
with the attached plans and specifications
which are a part hereof, and in accordance rT �J r
with the building regulations of Atlantic Beach. F. / ,=J
Signage Owner.
Signage Contvdctor
�/ kront Lot Lane
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 a ove 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 Applicant ' s Signature
-----------------------------------------------------------------------
Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required -Lowest Floor Elevation
Building Department Representative
Address J I I - S I S c_ cxkc—L C,,�-�
Heated Square Footage @ $ ---Per sq ft = $
Garage/Shed @ $ per sq ft = $
Carport/Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ ner sq ft = $
TOTAL VALUATION: $
Tota Va cation 1st $ $
Remainder Valuation , per thousand or $
portion thereof
--------------------------------------
ADDITIONAL PERMITS and/or FEES REQUIRED ----11
Total Building Fee $�
+ - Filing Fee $
Mechanical ; Fireplaces @ 15.00 $
Plumbing ; BUILDING PERMIT FEE
Electric/New '
Electric/Temp
Septic Tank BUILDING PERMIT $ y q „ !-nn
Well WATER METER CHARGE $ 0 . OC-)
Swiumting Pool SEWER IMPACT FEE $ 0, O O
Sign WATER IMPACT FEE $ 5�0, OU
Water Connection MISCELLANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $ Co C9 5 O
---------------------------------------------------------------------
CALCULATIONS and/or NOTES
1
CITY OF
716 OCEAN BOULEVARD
P.O.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
The Minimum Lowest Floor Elevation for
Lot as
is ILS;2,
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 �artment
Representative
PLUMBING PERMIT - - -
BUILDING PERMIT WORKSHEET
ELECTRIC PERMIT
TEMPORARY ELECT. ►
ca ted Square Footage er sq f t = $ ,j�f, �a? 9: GO
3rage/Shed 407 @ $ 16 0O per sq ft — $
3rport @ $ per sq ft = $
irches @ $ per sq ft — $
'ck @ $ per sq ft — $
Itio @ $ per sq ft = $
TOTAL VALUATION $ -
�o
>tal Valuation Data 1st
mainder Valuation @ $ c7-;. 60 per thousand
or portion thereof �Q
TOTAL BUILDING FEE $
+ k FILING FEE $
FIREPLACE @15 . 00 $ OQ
TOTAL BUILDING PERMIT $
------------------------------------------------------------------------------
UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ECT. TEMPORARY $ ELECTRICAL PERMIT $
TER METER SIZE $ ACCOUNT NUMBER
,TER IMPACT FEE $
ITER CONNECTION $ (@10. 00 per fixture unit)
�76
'ROVED BY: TOTAL BUILDING/PLAN FILING FEE
TOTAL WATER METER CHARGE $ �f00
TOTAL SEWER IMPACT FEES 0 O
TOTAL WATER CONNECTION CHARGE $ �(,, OQ
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $
/ 55 �- - F'
r �
PLUMBING WOJIKSHEET
SINKS ,Z SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE I WATER HEATERS DISPOSALS
LAVATORY URINALS TT
OTHER
TOTAL FIXTURE COUNT 45—OR JSv = Sar D
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,
Ig BATHROOM GROUP CONSISTING OF �T LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (11 UNIT) URINAL, WALL LIP
FLOOR DRAIN Cl UNIT) ' (.4 UNITS)
URINAL, PEDESTAL? SYPHON WASHING MACHINE RES.
JET BLOWOUT (B UNITS) (3 UNITS)
WATER CLOSETS, VALVE OPERATED
_TT WATER CLOSETS, TANK-OPERATED
(4UNITS) (8 UNITS)
BATHTUB _�� SHOWER STALL, DOMESTIC
(W/OR W/O OVERHEAD
SHOWER) (2UNITS) (2 UNITS)
BIDGET (3 UNITS) LAUNDRY TRAY
(2 UNITS)
DISHWASHER C2 UNITS)
KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS @ $10:,,00. EACH, �/ @ ��•O0 = o27O. OD
PLUMBING PERMIT
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
_ TEMPORARY ELECT.
ea ted Square Footage 3 5 @ $ �(�`5� per sq f t = $,5-,3 Z�7, So
arage/Shed 4zb0 @ $ /S60 per sq ft - $ , p2 UO. 00
arport @ $ per sq ft = $
orches @ $ per sq ft - $
eck @ $ pet sq ft = $
atio @ $ per sq ft = $
TOTAL VALUATION $- -
/c-IR 6
/c-IR6 . $ /c�,?(
:)tal Valuation Data 1st $ jw
,-mainder Valuation @ $ a.(-)()per thousand
or portion thereof
TOTAL BUILDING FEE
+ k FILING FEE
FIREPLACE @15 . 00 $ /S7 00
TOTAL BUILDING PERMIT $ c23 �7,
- - -- --------------------------------------------------------------------------
.UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
.ECT. TE2•IPORARY $ ELECTRICAL PERMIT $
ITER METER SIZE $ ACCOUNT NUMBER
:WER IMPACT FEE $
ITER CONNECTION $ (@10 . 00 per fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ C,>?
TOTAL WATER METER CHARGE $ ��d U
TOTAL SE14ER IMPACT FEES $
TOTAL WATER CONNECTION CHARGE $ �j0 , �O
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $
1395-
sQF,.
l
• . 1306v-,
PLUMBING WOQRKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS _ BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY T 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 CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
�T DRINKING FOUNTAIN (11 UNIT) URINAL, WALL LIP
FLOOR DRAIN Cl UNIT) (.4 UNITS)
WASHING MACHINE RES.
URINAL, PEDESTAL: SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERATED (8 UNITS)
OUNITS)
BATHTUB (SJ/OR W/0 OVERHEAD SHOWER STALL, DOMESTIC(2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
3 KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS' @ $10-,00. EACH, ` �(� @'/10.
i
DEPARTMENT OF BUILDING 7709
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 3
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB IDS,
tt0 r
Date 5/20 1986 4181 1 j�8�t1Q�T
Valuation$ Fee$ 108.00 7709 *00CA
4581 1A. 5/20/8
This permit not valid until above fee has been paid to City Treasurer, and is 4 1 QflU
subject to revocation for violation of applicable provisions of law.
This is to certify that F.W. Fair Plumbing MP145
has permission toi install T)lutnbin�
Classification residential Zone PUD 1
Owned by RGM Properties
Lot_ 21 $ 22 Block S/D Selva Lakes
House No. 512 u SIS Suva Lathes CiAte
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 --i! O 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 con-
tracto or owner.
Building Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH .
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 511-515 Selva Lakes Circle
PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY
LICENSE NUMBERS MP145 State RFoo37503
OWNER R G M
BUILDING CONTRACTOR R G M
TYPE OF BUILDING Duplex
2 SINKS "
2 SHOWERS
8 LAVATORY
2 WATER HEATERS
=BATH TUBS 2 DISHWASHERS
URINALS
2 DISPOSALS
6 CLOSETS
2 WASHING MACHINE
FLOOR DRAINS Ce'
OTHER
28 TOTAL FIXTURE COUNT X$3, 50 + $10. 00
DATE 5 / 20/ 86 TOTAL A IOUr?T $108 .00
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
DEPARTMENT OF BUILDING 7710
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.– / 1 V
PERMIT TO BUILD 84.rf.t T
THIS PERMIT MUST BE POSTED ON JOB 84#" T
5657 IA 6/i9/
I
Datei June 19 19 86 7710 'Atir-
5657 IA 6/19/8
Valuation$ Fee$ 84.00 dQfl
I
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 Ocean State Heat & Air MHAR0786
has permission to Install feat & air
Classification residential Zone PUD
Owned by_ RGM Propett its
Lot 21 €, 22 Block S/D Selva Lakes
House No. 311 & 515 Selva Lakes Circle
According to approved plans which are part of this permit
= NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
—� �---� O Building material, rubbish and debris
4 from this work must not be placed
C in public space, and must be cleared
up and hauled away by either con-
tract r or owner.
C` {
Building Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
I
BUILDING AND ZONING INSPECTION DIVISION h, U
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 Street Address: SSS .� .0 f o a?i
OF ,
Intersecting Streets: Between..���I��CJ� /�f� And �G
BUILDING �fL j_/#
Sub-divisionE�
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical 7 Contractors
Contractor (Prin}) E S73(72- ��� Master 533
Name of eft
Property Owner S
�z /Z
Signature of Owner !// Signature of I_ E t
or Authorized Agent � Architect or Engineer
1111. 6ENE"L IN RMATION
A, Type of heating fuel: B•
IS OTHER CONSTRUCTION BEING DONE ON
)3:�Eloctric THIS BUILDING OR SITE? ��fs
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OFPO STRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED ATURE OF WORK
(Provide complete list of components on back of this form) Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed Central O floor New Building
Air Conditioning: ❑ Room Central ElExisting Building
Duct System: Materia N Thickn.0 f ❑ Replacement of existing system
Maximum capacity 1006 c f.m ✓✓ New installation(No system previously installed)
❑ Refrigeration ❑ Extension or add-on to existing system
❑ Cooling tower: Capacity q.p.m. El Other — Specify
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Menlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Roceived)
❑ Tank (number) Remarks
13 LPG
containers (number)
❑ Unfired pressure vessel
13 biles
Permit Approved by Dam
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
capacity
Number Units Description Modal Number Manufacturer (TO=) A
HEATING - FURNACES, BOILERS, FIREPLACES
ApproT
Number Units Description Model Number Manufactaw (UM)y W
Gt>1�03D oo U
TANKS
How Many NaMOW Capacity Type Liquid Name of Serial ApPrO` g
and Dimensions Contained Manufacturer No. Agency
33` u
CITY OF ATLANTIC BEACH, FLORIDA
Approved b
PP Y APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 V
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.
It
ELECTRICAL FIRM: (� UO" MASTER ELECTRICIAN SIGNATURE
� ,,"
NAME V�� ,M \ ('OQ W S ADDRESS: �lI kly k LAiKtS WL RFD-BOX-
BLDG.
FDBOXBLDG.SIZE BETWEEN:
RES. ) APT. ( I COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW OLD ( 1 REW. ( ►
ADDITION ( ► TRAILER ( ► TEMP. ( ► SIGNS ( 1 SQ. FT.
SERVICE: NEW(74 INCREASE ( 1 REPAIR ( 1 FEE
vb
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ('` ►
SWITCH OR BREAKER AMPS 1 PH 5 W OLT 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. I KVA HNO. lKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED I to
$
TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL, PERMIT
I
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: C ` 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.
xze--e e 5�-
1 " ",;
ELECTRICAL
FIRM: MASTER ELECT ICIAN SIGNATUREJOURhM.
� S ADDRESS: �
5 u�RFD RFD-BOX� itlkl
BLDG.SIZE BETWEEN:
RES. APT. ( ► COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEWv') OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( ► TEMP. ( ) SIGNS ( ► SO. FT.
SERVICE: NEWX INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS COPPER ( ► ALUM. ( 1
SWITCH OR BREAKER �� AMPS 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 HNO. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED r �v
TOTAL FEES 1 ���
• H f
INSPECTION LOG
JOB ADDRESS cD- 515
CONTRACTOR
OWNER
BUILDING PERMIT -]�D $ ELECTRICAL PERMIT 99/6 - (19/7
PLUMBING PERMITc'/ TEMPORARY POLE PERMIT
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .F .A.
Temp Pole
Footing J/9.1 5)aa
Slab D
Framing ( `
Plumbing (R) h 5 axs 11 2 y
Electrical (R)
Mechanical
Fireplace
Top out 9 6
i
Other S 67-
Electrical
Electrical (F) Co o'Z `7
FINAL INSPECTION (� \
Certificate of Occupancy Issued sly
COMMENTS :
C
OITY.OF
4&4a is /3e=4-'9&W4
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time
Received 7 `' ( 1
District No.
/ C v'A
Job Address Locality
Owner's �}
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING ---7ECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough �/ Air.Cond.& ❑
Re Roofing ❑ Slab Temp Pole ❑ Top Out = Heating
Lintel Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues Wed. A.M.
Thurs. Friday P.M.
A.M
Inspection Made
Inspector — Final Inspection❑
Certificate of Occupancy
Date
.CITY OF
4&aa is Be=4-&7&u'4&
Office of Building Official
l//l�� REQUEST FOR INSPECTION yn�/
Date 5 Permit No. 7 -2(oo v
Ti me v A.M.
Recerved P.M. District No.
\0_�_ � 1 ri �a S11 + S[S SetoC, L .CI
Job Address Locality
Owner's M
Name Contractor 1
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ FootingRough Wiring ❑ Rough ❑ Air.Cond.& ❑
❑
Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
EADY FOR INSPECTION A.M.
�,--wtiol-
Wed. Thurs. �1►�� FridayP.M.
Made pi
Inspector Final Inspection❑
Certificate of Occupancy
Date
CITY OF
4&akc Becc It-
Office of Building Official
L,(, .c)cj��/� REQUEST FOR INSPECTION
4
Date ) Permit No.
Time C ' 1 A.M.
Received J —P.M. District No.
I + ►S S 1�� � k�S Cir l
Job Address Locality
M r
Owner's
Name �-�--�� Contractor
BUILDING ONCE RETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Foo mg Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab Temp Pole Ell Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
READY FOR INSP
Mon. Tues. Wed. Thurso Friday P.M.
Inspection Made p,M
Inspector Final Inspection❑
Certificate of Occupancy
Date
a1 'i'aa' CITY OF
4&4a4c &4444-
Office of Building Official
c p REQUEST FOR INSPECTION "� p
Date-,s 15 I at. 1 p Permit No. / D O
me
Received °L l p•M• ' District No.
Job Address
Locality
Owner's
Name Contractor. ,T\
BUILDING / CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing f9' Footing ❑ Rough Wiring Rough
Re Roof in ❑ 9 O Air. &
9 Slab ❑ Temp Pole 0. Top Out � Heatinging
Lintel ❑ Final ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. A.M.
_ Friday p.M.
Inspection Made 4
.M.
Inspector Final Inspection❑
Certificate of Occupancy
Date
CITY OF -
4&4a is Bea A-0!fanilii
Office of Building Official
/n/ 1731 yp//� REQUEST FOR INSPECTION �A!
Date z v —n `� Permit No.
Time A.M.
ReceivedP.M. District No. to
Job Address Locality
Owner's ,% 1/; �^y
Name Contractor / V ` ►�,.,
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Tap Out ❑ Heating
Lintel ❑ Final Fire Place ❑
Pre Fab
READY FOR INSPECTIONA.M.
Mon. Tues. Wed. Thurs. ridgy P.M.
A.M.
Inspection Made J P.M.
Inspector Final Inspection❑
Certificate of Occupancy
Date
�d CITY OF
4&. ,t. 9.-,,4-lNi ��/
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time �'—�O A.M'
Received p. District No.
�5ak,4-
Job Address Locality
Owner's J� . in
Name Contractor C
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole Top Out Heating
Lintel ❑ Finales Fire Place ❑
Pre Fab
READY FOR INSPE A.M.
Mon. Tues. W Thurs. GYQ Friday / P.M.
Inspection Maoe r iC>P
f f V
Inspector FinalinspectioX I
Certificate of Occupancy
Date A0 —.�2 — tl_
(frr ifiratr of (Orruptturij
CITY OF
ON4/664 -
Erparttunt of Nnilding At,ti.prrtion
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 Bldg.permit No. 7
-lani_ic 132 ch
Group Type Construction Fire District..—
Owner
istrict_Owner of Building _,r or}e r `'moi Address--
;'e lr,ra_LLake�� l.anli n17,<1 i,-i <:.e s
Building Address Locality
CC ir� --- —
—
Building Official Date. --
POST IN A CONSPICUOUS PLACS
Trr ifiratr of Orrupttury
CITY OF
oft tuo
Uppartmrnt of Building Jnaprrtion
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 B�^•(= Bld Permit No. 7 7 Mn
- Atlantic
Group Type Construction �'r ar�Pirc District.. A t 1 an t i c Beach__
1 es Address Neptune Beach
Owner of Building -
Building Address .515 S e lya Lakes Locality_.
Circle By:
neve g,r.�ers --- -
Building Official Date:
rur IN w CONGPicuou* 'uee
i
CITY OF
716 OCEAN BOULEVARD
P.O.BOX 25
�— ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
October 01, 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 #4917 - 515 Selva Lakes Circle
Permit issued to Adkins Electric Company.
Sincerely,
Rene' Angers`
Community Development Director
cc:building file ,
V
t
MAP SHOWING SURVEY OF
LOT 21 , SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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/D' SC'lniE.P E.ASEME.�/T �>' 0.4. V. S2B, ft-7. 289
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r TH/S /S A 6oU��+R`r SuRVEv
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/983, COMMUNiT>'�•.P�,•V4NEL Nro/. /?0075 000/ C.
I hereby certify that this survey meets the
minimum technical standards as set forth by
the Florida Board of Land Surveyors, pursuant
� N. A. DURDEN to Section 472.07 Florida Statutes.
& ASSOCIATES INC 2.�
waasrsaao suay.roirNo.Q/�Jitw.
LAND
SURVEYORS
Post Office Box 50870 SIGNED-
0
IGNED r
830 Beach Boulevard 1" :-20'_2O
Jacksonville Beach,Florida 32250 SCALE:
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
/G 343
MAP SHOWING SURVEY OF
LOT 22, SELVA LAKES, AS RECORDED IN PLAT BOOK 41 , PAGES 55 AND 55A OF THE;
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA,
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N,�o�joNd/L�Eo�ET/C VEQTiCAl 9GwR�M. ro
I hereby certify that this survey meets the
minimum technical standards as set forth by
the Florida Board of Land Surveyors, pursuant
� H. A. DURDEN to Section 472.07 Florida Statutes.
& ASSOCIATES INC YA J
11[01[►p1[D sunv[r P+10.4177 FLA.
LAND
SURVEYORS SIGNED—M4>/ / l9 C` �
Post ONlce Box 50870 t
830 Beach Boulevard z2O
Jacksonville Beach,Florida 32250 SCALE:
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
%3�3
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
rj ATLANTIC BEACH,FL 32233
`� Mw INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001183 Date 8/29/08
Property Address . . . . . . 515 SELVA LAKES CIR
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------------
Application desc
REPLACE CENTRAL HEAT AND AIR UNIT
-- -------------------------------------------------
Owner Contractor
------------
------------------------
BURNS, NOEL G. OCEAN STATE HEAT & AIR, INC.
515 SELVA LAKES CIRCLE 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE
BEACH
FL 32266
---------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . • Plan Check Fee . 00
Permit Fee . . . . 79 . 00
Issue Date . . . .
Valuation 0
Expiration Date . . 2/25/09
----------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ----------
---------- -
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Lj l -�o�
'y Wil. TV. �/-�q-1g-�� T !� � BEACH
ti\
CITY 1 <.J 1' ATL-,LNTIC
Lb,. WCH-A-TSICA-L PEP—MIT APPLICATION
Date: ?A
Property Address:
5 s_�4 '
Owner: &41� Telephone 4:.4-
contractor: ocean10
n-t Telephone 4: 5�P-sf�5 1
_C.ontrado.r.Add:ress: l -I�D l�4 f��l 1 ��►" ( _Ll Fax n:54Q- -i�L
kumsiderarion of permit given for doing the work as described in the above sraternem,we hereby agree to perform said wort:in accordancetached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
iee listed therein.
Heating uei: If other rnrrsrmr tionis being done on ttus builor site,list the building permit
❑ Gas: LP NaWral IZ—= al Utility
❑ OB
❑ Other-Specifv
-MICHANIC_41 EQUIPMENT TO BE INSTALLED NATURE OF WORK
V _Space _Recessed . _ al _Floor &I- i�al
Coad tonin? _Room _ effiral
❑ Duct System: Ivlaterial Thiclmess ❑ Commercial
Nl=- um capacity cffi
❑ T.iew B-LdI ing
❑ Reingeraaon
❑ CDohnQ Towel: Canachry °Pm ,' RBuiioing
❑ Fire Spriohlers:dumber of kneads
❑ Elevator. gaulift Escalator (Numbe ) R is ofE:dssdn-,System
❑ Gasoline PUMPS--
U Tanks (Number) ❑ Ivew Insralltmon
❑ LPG Containers (N�ber) (No system pts piously installed)
❑ Unfired Pressure Vessel -on E.:tensim or Add-on to Basting System
❑ Boilers
❑ Gas Piping -- --- er- pe J ---- ---—
❑ Other=Specify
LIST ALL E Q UI RTYIENT
:fit CONDITIONING,RE,FRIGERATION EQUII'NIT.TTT&CONDFNSOR'S Approving
Number Units Desorption Model'. Marmthcturer Ton's Agency
....
191ATING-FI]-RNA=, $OfLI M,FIREPLACES&AM HANDLER'S Approving
Number Units Description Model R Manufacturer BTU's Agency
w F_
T yIt5' NDrain:il_Capacity Type-Liquid erial - App_rvv-Ing
How ivianv &Dimensions Contained lvianufacturer No. Aeencv
300 Seminole.Mond • Atlantic Bencb- Florida 3.333-5445
Phr,n, (9(ldl 74'7-=,-R(10 . Fns: (904);47-5445 . httn-1/V,ww ri-atlnn#ie-beach.f1_us
08/28/2008 08:29 FAX 9042498949
OCEAN_STATE-A/C ATLANTIC-BEAUH ipjvvilvvi
Jj Lj 130
.A r
CITYOF ATL 4,NTIC BE ACB
MECB,, 1NIC AL PERMIT APPLICATION'
pate:
Property address: _
Owner: Telephone#• 6_63
4 cont-act
Telephone 4'c`�Q' ♦�
.Contractor Ac cess: I`t-I LP �„1 1 . �1�1 �.,�}Z---- Fax
In rutwimtbuo of permit mvco for dotag the wcrl:A"uwcribed m the move auucm=[L we h0l-"by Agree to perform laid work in accordance
with the==bed plans nad jpcdEcmigns which arca part hereof and in accordant with the Cine of rhtlamic Beach ordimnce^and amradmis of
Road pnrb=listed Tberair.
Type of Rha ms Fuel: If other cotimQvcdDn is being done on tbL-building
/= or site,list the budding permit number:
❑ Cr.�,: LF Nttttsal } Utaitj.
OOil
0 Other-SPecify PN�TURE OF WOF.b"
MECBAMC_AL EQT:JIPML'NT TO BE INSTALLED
9� Space Rtcr sedvCau��,al _Floor ��R idenda�
Condlticuing: _Room t.e'altral
0. Duct S_strm: NSaterial 1~iuckness p Cc�meraal
v
Mudmum capacity cim
❑ Ncw Btnl
❑ ReiriQerarion ���
❑ CooUn°Tower: CapacI;PID L2' E:E: eBw7mne
m'
❑ Fire Sprm}Jcrs:Number ofMeSGs
❑ �levaLOr: _— lyl�nitir Escalator fNumberl R�o111 em ofEaa6n.-System
❑ Gasoline FLtmps (ATtnnber)
L2 Tanks � (Number) ❑ New lnszalt=un
❑ LPG Coutaiuers
(Nuruber) CNo system Fsev auly itlstaticci
0 TJn&td Presshue V eutl ❑ S%L=xon or Add-on to E�dstiug Sy�-Iem
Q Boilers -
❑ Gas Piping cr. pc
0 Other-Specify
LM All EO-U P1YUNT
g
rovin
AM Com.DaJONING,ILLr MGERATION 7i�Wnwh=rl&C0NDMNS0A'S Ton's App -Y
Number Unim Dvchption Model w blast nbuer
R3o3 0 el Age s' GvL
ttoM _Nt&FIR�XL.�sC S S�AAL S1+NDLIM'S Approving
MATIN c;— Modal Modal: MauufacNrcr ET1Ja Agoacy
Ph�mber Units Do9cripnon
0
T+�pcLiquid Sarlal Appravme
2dC1Iu' l�omirwl Capue aY r Ivinmifactura No. Aaenc1
mmv Manv a I=Em ions onG]ineL
Boo Scminulu Rund • Ulunric Beut:h, Floridu 32"3-5415
Phnnr rmrl kA—;1M . Far fgnx, 1d-!_:;Aj - ;�^^' 4^^••L r