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527 and 531 Selva Lakes Cir (vault) PERMIT WORKSHEET Certificate of occupancy� Job Address: Type Work: .�s d-11 LL-ke_,-s Cir 0 t1 f� Property Owner: Phone # Contractor: Phone # 17C Date Issued: Permit#: 2Lt. C,4 Building Inspections: Footing Slab rmf" Cy4-.>--774(e, Tie Beam 3Vx.S5r,6 3.3-04-1 Lintel Nailing Sheathing Framing Cover Up i Insulation -t& Final Building Tree Permit# YES NO Electrical Permit# Date / Copy to I C/,k4 '-4 J EA Temp, Pole Permit# Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric d ja-E7— Released to JEA Temp. Power Released to JEA I Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# I C,,4 -d-7S z-4 Final Inspections: Rough 3? -13. , Plumbing Permit# 7' — Topout Inspections: Rough Undersla Final Water Sewer E� Drainage Inspection: Pool Permit# Final Inspections: Steel Final Grounding Roofing Permit# I bLA- Z 7-THE Final Inspections: Nailing / Sheathing Fire Inspection: Date Paid* Failed Inspections: Date Paid: t W UA t CF z < 0 D C-1, 6 0 0 LLJ LL1 m < Li LL- z g r Ln or rl� < w �:) z F5 HN C-4 CN dL 0 <Z,- i LL- m t2 a- 131F Lf-I uj �2; 11 0 Ln D P-= Eq� :D L ,Y/r ;I- Y" C)C) z > D 0 cr rK > -i LLJ V) 0 x D 2 LLJ co o Lo CY) 0 X :D 3�16 V X-YM w z LLI CL LLJ 9.gL 0 LLI LL. o- Lij V) r < z < CD z C) m LL1 00 (n L'i > < C-4 0 Lli C.) --,, z U) z o 0 z LLI ck� < ::D U� LLJ _j F- LLJ LO = 0 z LL- L) Ln 0 LLJ 0 0 LL C r Ln 0 U) 0 o C) LLJ LO Z LLJ Ln V) LLI LILJ (n z -j LLJ C) C) < Lli C) af L'i m Ljj z LL- wi 0 171 zi _0 LC) V) z ONLr) 'L Li < L0 _j < < V) C) > 5.1 V) LL- 0 m LLj a_ ry ';7 Li ry U-) :D a- u Ci 0 Li LLJ C3 ry V) 0 � < ��'o IL 0 1 1 C� 0 >. CZ Z z CL ; mo— L) D d(o Lr) z < (D Z- 0 "00,9 L.90 -33NIJ 100,'A v < 00 C) C'4 0- 0 0 LL; CD z Lc) L Z 9 Ul) > 00 ),>ANOSVN �,�Jois Omi -j :Nc LAJ 'a) LI) C) m ,00,9L90 N LiJ cn < cn Lij n < CN Lr) 0) (3) < D > 0 0 10 0 C14 LLI 0 1- CP M Lf) < :D ;L LLI 0 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 Small Additions,Renovations&Building Systems Compliance Wth Method C of Chapter6 of the Florida Energy Efficiency Code may he demonstrated bythe use of Form 60OC-01 for additions of 600 sqaara real oir!ess,site-installed components of manufactured homes.and renovations to single and multi residences.Aftema 60CS-01 or 60OA-01. Vve-mpthods are providedfoi Rddilonsbyuseof rm PROJECT NAME: BUILDER: AND ADDRESS: pi \-A k"r-0 C%W- WITTING CLIMATE Ft- 0 F F I C E C_ ZONE: 1 2 3 KF5:71 1 ICTI &� OWNER- L�Si -V 6,", PERMIT NO.:=::1:]:= JURISDICTION=NO,: A to the components of the addition,not to the existng building. .n equipment is installed specifically to serve the addition or is being installed in conjunctionwith the addition construction. Components Space heating,cooling,and watei heating equipment efficiency levels must be met only whe 1,6C-2 and 6C-3 apply only SMALL ADDFIONSTO EXISTING RESIDENCES(600 Square feet of less of conditioned area).Prescriptive requirements in Tables 6C ZJEEE�U separating unconditoned spaces from conditioned spaces must meet the prescribed minimum insulation levels.RENOVATIONS(Residential buildings undergoing renovations costing more than 30%ofthe assessed value blithe building).Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MAN UFAC TURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No.of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. f t. C7 ei b. Tint, film or solar screen 6b. sq. ft. .......0 sk sq. ft. -sq. ft. 7. Percentage of glass to floor area 7. % ot 8. Floor type and insulation: a. Slab-on-grade (13-value) 8a. R= I i n. ft. b. Wood, raised (13-value) 8b. R= sq. ft. C. Wood, common (R-value) 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) ga-2 R= b. Adjacent: sq. f t. 1. Masonry (Insulation R-value) 9b-1 R sq. ft. 2. Wood frame (insulation R-value) 9b-2 R= sq. f t. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic(Insulation R-value) 1 Oa. R= sq. ft. b. Single assembly(Insulation R-value) 1 Ob. R= sq. ft. 11. Cooling system* 4D (Types:central, room unit, package terminal A.C., gas,existing, none) 11. Type: Lc;fr AJ SEER/EEP: 10 12. Heating system*: (Types:heat purip,elec.strip,natural gas,L.P.gas, 12. Type 'A gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE. 13. Air Distribution System*: -,6-, a. Backflow damper or single package systems* (Yes/No) I 3a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Type: (Types:elec.,natural gas,other,existing,none) EF: Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with the Florida Energy Code.. with the Florida Ene Cd B^e construction is completed this building will be PREPARED ay;(��r "ATE;1 inspected for compliragnyoeoinlio�jrda ce with S ion 553,f6i KS. 1 hereby certify that this b CO Ph cewith eFloridaE -dode OWNER AGENT: nergy BUILDING OFF DATE: DATE: RIGHT-J BUILDING ANALYSIS REPORT Entire House Energy Design Systems Job: 1113/04 1065 Oak Vale Rd,Jacksonville.Fl 32259 Phone 904-287-5339 F,,Yc 904-287-1258 Email:enerqjdesign9xomcqst.net Project Information For: Rigby Addition 527 Selva Lakes Circle, Atlantic Beach, FI Design Information Htg CIg Infiltration Outside db(OF) 39 92 Method Simplified Inside db(OF) 7 24 72 Construction quality Average Design TID(OF) 33 20 Fireplaces 0 Daily range - L Inside humidity (%) 50 Moisture difference (gr/lb) 65 Heating Walls Component Btuh/ft2 Btu h %of loa�d] -Infiftraban r Walls 2.6 967 13.6 Windows 23.9 1962 27.6 Doors 15.2 307 4.3 Ceilings 1.2 336 4.7 Floors 26.7 1318 18.6 Infiltration 18.3 1870 26.3 Doors Rows Ducts 338 4.8 Total 1 7097 100.0 --Component Btuhtff-' Btuh %of load Walls 2.2 808 12A Windows 35.0 2866 42.8 Doors 12.7 256 3.8 Ceilings 1.7 489 7.3 Floors 0.0 0 0.0 Infiltration 4.6 472 7�O Ducts 609 9.1 Internal gains 1200 17.9 Total 6701 1 Cooling at 78 %SHR= 0.7 ton Cooling air flow 416 cfm1ton Cooling at 70 %SHR = 0,8 ton Cooling at 400 cfm/ton = 0.7 ton Overall U-Value= 0.183 Btuh/ft2-,F WARNING: window to floor area ratio= 30.3%- more than 25%. vVr-10I-jtS4'0pft Riqht-SLlitePesidenfiall"50.66RSP29784 2004-Jan-14 09 35 42 ,41111 CADOUIrnents and Semngs�customeN*Documents'�NnghtsoffiRigby AddilLion,1682-A Penman Rd rsr Page 1 RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems Job: 1/13/04 1065 Oak Vale R0,Jar ksorwille,F1 32'259Phonp..�04-287 51139 Fax ,-)()4-'37-1258 EmaO�energyrle�ign@romcast lie' Prq ject Information For: Rigby Addition 527 Selva Lakes Circle, Atlantic Beach, Fl Notes: Des' n Information Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 "IF Outside db 92 0 F Inside db 72 '�F Inside db 72 OF Design TD 33 OF Design TD 20 OF Daily range L Relative humidity 50 % Moisture difference 65 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 7097 Btu h Structure 6701 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 7097 Btuh Use mfg. data n Rate/swing multiplier 0.97 Infiltration Total sens. equip. load 6500 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 920 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 942 Btuh Area (ft2) 271 271 Total latent equip. load 1862 Btuh Volume (W) 2571 2571 Air changes/hour 1.20 0.50 Total equipment load 8362 Btuh Equiv. AVF(cfm) 52 21 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Eff iciency 0.0 EER Heating input Sensible cooling 0 Btu h Heating output 0 Btuh @ 47'F Latent cooling 0 Btu h Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 290 cfm Actual cooling fan 290 cfm Heating air flow factor 0,041 cf rn/Btu h Cooling air flow factor 0.043 cfm/Btuh Space thermostat Load sensible heat ratio 78 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. -Jan-14 DUT56 VVrj4_ghtSC:),ft Pight-SLiitr-Rr--sideMiaIT"1.066RSR29784 2004 C Uncurnents and SeMngs\custornaWy DocumenL�;\�Aii�gli'tc;cjftPigb%j Addinon,1682-A Penman Pd rsr Page I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Al Application Number . . . . . 05-00029558 Date 1/19/05 Property Address . . . . . . 527 SELVA LAKES CIR Tenant nbr, name . . . . . . GROUND METER CAN Application description . . . EItECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ RIGBY, CECILIA KNIGHT ELECTRIC LLC 527 SELVA LAKES CIRCLE 908 11TH AVE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 247-9884 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- -- -------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: Owner: Ee—cl 1'� Telephone Contractor: Telephone#: Contractor Address: Fax#: In consideration of peffnit given for doing the work as described in the above statement we hereby agree to pesforin said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordirtance and standards of good practice listed theretw Building: X Residence C) Temp. u New done on this building U New U Commer6al U Signs U Increase Or site,list the building 19 Old Lj Addition Sq.Ft. Lj Repair Parmt number: u Re-wire u Trailer Service: If ott=cmstrwtion is being Building Type-. Conductor Sizei AWS: COPPER M ALU NUNUM Switch or RACE VOLT Breaker AMPS W VOLT WAY Existing Service RACE Size AWS 06'b PH W VOLT WAY Feeders: NO� SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0,30 AW'S 31A00AMPS Switches Incandescent Fluorescent & M.V. Fixed Appliances 0.100 Aws OVER B E L L TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning CONW.MOTOR OTHER MOTORS ANIPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS I UNDER600V OVER6WV Transformers �40, KVA NO, KVA No.Neon—Transf E& Sign Miscellaneous QFbt4r-< Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029479 Date 1/06/05 Property Address . . . . . . 527 SELVA LAKES CIR Tenant nbr, name . . . . . . 12 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ RIGBY, CELIA PLUMBING EXPRESS 527 SELVA LAKES CIRCLE 450 C SOUTH PICKETT STREET ATLANTIC BEACH FL 32233 ALEXANDRIA VA 22302 (904) 249-8057 (703) 887-9849 ------------ ---------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . - Permit Fee . . . . 119 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 00 . 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 EITI-IER 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. BUI ING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: !S�zq SaVA Lors 011du Owner:— ed"p, Telephone#: q1X+ 7314� bo!!S7 V Ti_VVAI�,(k� Contractor: Telephone#: '70� E)t?7 IMT Contractor Address:A��oc VA- I Fax#: 7 c-i 1+61 0 5 4 9 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, El New list the building permit number: La" Re-Pipe Number of Fixtures: 7- Bath Tubs Showers Closets Shower Pans I Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine 4 Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: Z, X$7.00 + $35.00 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904) 247-5845- hftp:itwww.ci.atiantic-beach.fl.us Revised 1/04 CITY OF BwcA-4&1 da office of . . icial R ':Q T OR INW , ION P Date 2, Permit No. Time .M. Received )Y", Locality Job Address owner's Contractor Name —————————————— PLUMBING MECHANICAL CONCRE E ELECTRICAL Air Cond. & BUILDING D Rough Wiring D Rough Heating Framing 0 Footing 0 Temp Pole 11 Top Out Fire Place Re Rooting 0 Slab C Final [] Sewer Pre Fab Insulation 0 Lintel READY FOR INSPECTION A.M. P.M. CONCRE Foo'ng S ab L nte E ELECTRICAL R u h Wiring 0 ol Tem P P e Fine READY FOR INSPECTIOh W Thurs. Friday Mon. Tues. Wed. �5 A.M. Inspection Made =PM.Final Inspection 0 Inspector Certificate of occupancy 11 Date ------------- Ce CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 04-00027745 Date 2/20/04 Property Address . . . . . . 531 SELVA LAKES CIR Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3385 Owner Contractor - ----------- --- --- ------- -- ----- ------ --- PETTY, ROSEMARY JOHN GILMORE ':,,, OOF.ING, INC . 531 SELVA LAKES CIRCLE 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 ----------------------------- - ------- -- ------ - --------------------- --------- Permit ROOF PERMIT Additional desc . - Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3385 Fee summary Charged Paid Credited Due ------------- - -- - - -- - - ----- - -- - --- - - - ---- - -- --- ---- - --- - - Permit Fee Total 75 . 00 75 . 00 . 00 . 00 . Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 -ro; BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i% BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT .CALCULATION SHEET Address 'EL,44, C D a t e Heated Sauare Footage @ $ per sq ft = $ Garage/Shed !,;�i@ $44C per sq ft = $ Caroort/Porch @ $Vwp per sq ft = $ Deck $_per sq f t = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ 3 Total Valuation ist ;L3 ss- $ Remaining Value $ ,57 per thousand or portion thereof TOTAL BUILDING FEE $ 5, 0 1/2 Filing Fee $ Fireplaces @ $15 ;00 $ BUILDING PERMIT FEE $ 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 $ 92Z ADDITIONAL PERMITS OR FEES : nechanilcal_; Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 04-27745 Property Address: 531 SELVA LAKES CIRCLE Applicant: JOHN GILMORE ROOFING INC Project: RE-ROOF 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: L4- Date: 20 fc)q S!dstems 247-5845 Feb 02 04 10: 05a Information r r. D -H ClTvOF Ati ,-4NT!�, -,FAC CITY OF ATLANTIC BEACH FEB 19 2004 ROOFING PERMIT APPLICATION Date: Job Address: C\ VA Lavo 7-T owner of ProPeM: y C It Address: A F5 0 U�6- 63 1.5,&UiAt16l74-&ne: —?--(I Contractor: Tc�h n (rnn re Rocki ack 1:h r- State License Number: CCC .I�7 te 7 9 Contractor's Ad&ess: SAhi 16-se Mud J� Ict(o 3-at""witle EL 37,7-t Telephone: Fax: Soopeofwork-. an 2.-12 DeckSlope: j�_Crreater than 2-12 Less th Valuation of ,ork�ye --3-3 F�T,0 0 ----- Product Name(Example:Timberline):— Manufacturer(Example:GAF): —4-7 ASTM Designation(s): 0. -1-3 Required Inspections- an Sheo d Final Nng Date: 9.7-/,!9,4 Signature of Owner: ? or. Dat' Nte: Signature of Contractor: 7 AS TO OWNER: Sworn to and subscribed before me this C-RI, day of state of Florida,County of Duval Notary's Signat=4� THOMAS ELLIS,JR. E] Personally known My COMMISSION#CC 911074 Produced identification EXPIRES:Februar:y15,2004 'cu Type of identification produced F-L Bonded Thru Notary Public Underwriters AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval TNot& I Signature: Personally known OFACWAL NOTARY sEAL Zroduced identification 0 EUZABETH A WLsON Ty comMISS, pe of identification produced 'A CC963102 OF F%- MY COMMISSION EXPIRES 800 Seminole Road Atlantic Beach,Florida 32233-5445 --_�ntTP 200�, Page I Telephone: ("4)247-5800 Fax: (904)247-5845 -bttp:li'wwwci.atiantic-beach-0-as Rovised 2r-1/03 Feb 02 04 10: 05a Information S�jstems 247-5045 p. 2 MIN. RETUPN ]BOOk 116,42 Page 416 PHONE # NOTICE OF COMMENCEMENT State of Tax Folio No, County of To Whom It May Concern: The undersigned herebyinforms you that improvements will be made to Certain real property, and in accordance with Section 713 of th.-Floricia Statutes,the following information is stated in this NOTICE OF CONUYfENCEiMENT. Legal description of propery being improved: 5_[- 6 -A A?C_'�) /W 3 Address of propercy being improved: 53 I SEIVVt icA.V-e C_!('C_1f_ Gen era) description of improvements: Re -R��ii Owner: J-) _P c,-T-T Address: —DA 4 s A Fio L) Owner's interest in site of the improvcment:_Re_vj elf h r e— Fee Simple Titleholder(if other ttian owner): Name: Address: Contractor7 rg Rek-)VInA Address:� JbSe ftmdAL 1q(P T&cj(_ttstvUi((f1 F:L 3 2-?-'1 Phor e No-. q6 cl-fto IN44 Fax No: ?2'Q -&w f6 I Surcty(if acy): Address: Amount of Bond S Plione No: Fax'40: Name and address of any?ersonmaking a loan for Lh:constm-ction of the improvements. Name: Address: Phone No: Fax No: Name of prr5on within the State of Florida,other thar.him sel� designated by owner upon whom noticz:5 or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2Xb),Florida Starues. (Fiji in at Owner's option). Name: Address: Phone No: Fax No: ExpLration date cf Notice of Commencement(the exp�rution date is one(1)y-.ar from the dFte of recording anless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Ow A- Signed: ttxz_�*!� Date:,,.-) Before me this_QA- dWy of in 6d co6n�y �of Duval, Stgte ofFlor a� has personally appeared Notary Public at Large,'State of Florida,CCLnry of Duval. ocp:20040.=5475 Nly commission expires: 00, 1164 ?ersonally Known: or Pa e: 416 Produced Identification- 'D Filed & Recorded 02/19/2004 10:26:13 AM JIM FULLER CLERK CIRCUIT COURT THOMAS ELLIS,JR. DUVAL COUNTY MY COMMLSMN#CC 91,101-4 RECORD1N6 5.00 EXPIRE&FeLruary 15,2004 TRUST FUND 1.00 Bonded Thru Notary Pubhc Underwriters E� COPY FEE 1.00 E CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027543 Date 2/11/04 Property Address . . . . . . 527 SELVA LAKES CIR Tenant nbr, name . . . . . . ADD 121X 20 , DINNING ROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor -- ---- --------------- --- ------------------------ RIGBY, DOUGLAS D. E & R ENTERPRISES OF NORTH FL 527 SELVA LAKES CIRCLE 1168 SEBAGO AVE. S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 270-2185 ------------------ --------- ------ ----------- -------- - ---- -------- ----------- Permit . . . . . . ELECTRICAL PERMIT Additional desc WIRE ROOM ADDITION Sub Contractor KNIGHT ELECTRIC LLC . 00 Permit Fee . . . . 70 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---- --- - -- ----- -- -- - - - - - --- -- - Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 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 OWNERL -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 SUBIECT To REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUIL ING OFFI�CIAL '\k J, - CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION 1-7-27 Date: Froperq Address. '52 7 Seim 116:L,_ryle— , Owner: Telepbone 0: Anomp- I t#; 277-670 Contractor: mmml J�V,(Ar 6caric UC Telephou ContracterAddrtss: CPW44 190S Fait M: 21 L_ 13 In corisidetuion of permit giv= for doing the work as deudbed in the aWve agament. we hereby a@=to pa-form said work in accordairicc with the nwwJwd p1gins iind specificadom which am a part licreof and in scowdance with the City of Atlantic Beach ocdinarice mud sumdards of good pramue lizicd therein. Building: Djuiging Type-, U Trailer Service- If 01her consw4clieft is El New b-'Residence U Temp. U Now being dane an this building Ow sitc,list Lhe budding Commercial 0 Signs P-1101 a Re-wire -iV Addition Sq.Ft- Repair 011 Conductor size. ANWS' COPPER- ALUMV4UM Switch or Breaker AMPS PH W VOLT WAY Existing Service Iz Z C Size AMPS -200 — PH W 3 V 0 L T FW'AACY 2 Feedersi No. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles -CONCEALED OPEN Switches jacandescent - Fluorescent & M.V. Fixed 0.190 2M BELL Appliances TRANSFER. Air U.PJLATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS BEAT Motors 0-1 HT. VOL TAGE PH I NO. OVER I H.P.- P Transformers NO. KVA NO- KVA No.Neon-Trnsf Es, Sign Miscisilancous $00 Seminole Road-Atlantic Beach,Florida 32233-5445 Pbeise:(904)147-SM- frax; (IN)247-5645- hjWyvww.dAthudk4*2tJL&W CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 04-00027543 Date 2/20/04 Property Address . . . . . . 527 SELVA LAKES CIR Tenant nbr, name . . . . . . ADD 121X 201 DINNING ROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor ------------------------ ------------------------ RIGBY, DOUGLAS D. E & R ENTERPRISES OF NORTH FL 527 SELVA LAKES CIRCLE 1168 SEBAGO AVE. S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 270-2185 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 1 FIXTURE Sub Contractor CHRISTY FIRST COAST PLUMBING Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 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 OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION /Vill" Date: —I C1-104 Property Address:— Catc- Owner: nh�-A Telephone #: Contractor: CH'Uffy F=COAST PUI*NNG,INC-Telephone P. Q Box 50446 Contractor Address: JGJNO� AsOck FL 32250 Fax#: AL�j In consideration of permit given for doing the work-as desctibed 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 KP�Lcmucq- Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other 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 1,% A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 7 7 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027746 Date 2/20/04 Property Address . . . . . . 527 SELVA LAKES CIR Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3750 Owner Contractor ------ ------ - -- ---- ----- --- - ----------------- - - - RIGBY, DOUGLAS D. JOHN GILMORE ROOFING, INC . 527 SELVA LAKES CIRCLE 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 -------------- -- - ---- --- -- --- - --- -- - -- - - - - -- - - - --- --- -------- --- - - - - - -- ----- Permit ROOF PERMIT Additional desc . - Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3750 Fee summary Charged Paid Credite� Due --------------- -- ---------- - ------- -- - - ----- -- - -------- Permit Fee Total 75 . 00 75 . 00 . 00 Plan Check Total . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 0: � . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE Mt9ST BE CLEARED PLY WITH T S, NCLIENLAW AN UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMWLY WITH T UED i PROVED PLANS RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED P tF LAW. WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLIC BMI)ING OFFICIAL CITY OF ATLANTIC BEACH PERMITCALCULATION SHEET Address- 5iF%-va L 4-k, D a t e Heated Sauare Footage A per sq -ft = $ a C Garage/Shed $ er sq ft = $ Carport/Porch $_per sq ft = $ Deck $ per sq ft = $ Patio $ iper sq ft = 8 TOTAL VALUATION : $ 37-SX, Total Valuation ist $ 10clo . Remaining Value $ _4 per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee Fireplaces @ $15 ;00 BUILDING PERMIT FEE 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 : KecharLcal_; ..Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey 0 ther CALCULATIONS and/or NOTES : Cc: CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 04-27746 Property Address: 5Z7 SELVA LAKES CIRCLE Applicant: JOHN GILMORE ROOFING INC Project: RE-ROOF This permit application has been: ED"_�Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Feb 02 04 10: 05a Information Stistems 247-5845 RE C E I W-K D CITY iOF ATLANTIC BEACH BUILDING &ZON,�G CITY OF ATLANTIC BEACH FEB 19 2004 ROOFING PERMIT APPLICATION BY: L DaW.— - 04 Job Address: Owner of Pro perty: Do u(!� 0 1 a-cl Address: 15-2--7 C L V K1 "/-I C S- Telephone: 2-e-E W-�;'-Z Contractor: UblR%I C— State License Number: CCCOSI(679 Contractor's Address: IRCO 51CV-SOM)i 11 CL 3 7-27-1 Telephoneltu- 1NL.1?tq4 Fax: X%b-(,0'z61 Sc.opeo`Work: &--Rr.)CCt(IQ Deck Slo-oc: Greater dw 2:12 Z 2- Less than 2:12 6 4 Valuation of work: -,V 3 Product Name(Example:Timberline): t�> /z Manufacturer(Example:GAF): ASTM Designation(s): Required Inspections: S ng an Signature of Owner: Date: 2 Signature of Contractor: AS TO OWNER: Sworr.to and subs:ed before me this day of 206L�/ State of Florida,County of Duval Notary's Signature: )D 135378 My COMMISS10N#L Personally known .--j! EXPIRES-November 19,20N ewded Thru NOMY Public Underwtfte(s Produced identification ,PF Ty.pe of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: Scott P Davey Personally known 'm %q My Cornmisum DD23541M Produced :Identification to OV Ty e of identification produced L- 0 L V J Expires Juty 29,2007 �p 800 Seminole Road Atlantic Beach,Florida 32233-5445 P2ge I Telephone: (904)247-5800 Fax: (904)247-5845 -bttp-./,'www.ci.atlantic-b,?ach-fl-us Revind 2r-1103 Feb 02 04 10: 05a Information Sdstems 247-5045 p. 2 5 MIN. RETURN PHONE <LO BOOk 11642 Page 417 NOTICE OF COMMENCEMENT State of Tax folio No. County of To Whom It May Concem: 7he undersiped hereby informs you that improvements will be made to certain real properq, and iv accor6ance with Scaion 7113 of thc FloriLa Stiruies,the following information is stated in this NOTICE OF CONQvfENCEIMENT. Legal description of property being �nproyed: -3-1 -7 ZA L el Address of propery being improved:52-7 Circle, A lanfic Meach CC General description ofirnprovernentS: Nfl-F Owner: 00or. IZICIPLI Address: -) L P_L_yr-�I, 1/1 C- .S ;-�,T-/ vw-1 F I C =25�Clij Owner's interest in site of the improvcment: Residenc ic -ee Simple Tideholider(if other than owner): Name: Address: Con traCEOr7,T VI al!m6re Ras"no Mae- TO-L C-V_s a noj i(k e F Address: I I I I 1-1 Q 9 VtM 3b5e SXW _J�- PhorieNo: H611- R1t6-__j0&1W Fax No: 926- (altO Surav(if any): Address: Arnount of Bond S Phone No: Fax No: Name and address of any?erson rn a3king a loan for thz coristr"UMiGn of the improvements. Name: Address: Phone No: Fax No: Name of person within the Statz of Florida,other thaz himscI4 designated by owner upon whom notict:s or other documents may be served: Name: Address: Phone Zslo: Fax No: In addition to himself,owner designate3 the following person to receive a copy of the Lienor's I Notice as provided ir, Section 713.06(2Xb), Flcrida SzaTues. (Fiji]in at Owner's option). Name: k1dress: Phone No: Fix No: Expiration date of Notice of Commencement(the expirution date is one(1)year:kra the date of r=ording unless a different date is specified): TIES SPACE FOR R-ECORJDER'S USE ONLY Signed: —Date2zWov Bef e e this 'day of in the Coun-y of 1, Stat-e of Florida,has personjally appeared DOC# 2004055476 Notary Public at Large,State o X ..BINDER BOOP: 11642 My commission expires: Do I Kiv rnhonwN 9 DO 135378 Page: 417 ?ersonally Known: r 19, =2 FXPIRES:November 19,2006or ed filed & Recorded Produced Identification: Bonded Tbr_�A_ota—ry FuTFU77-71ren, 02/19/2004 10:26:13 AM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $ 5.00 TRUST FUND $ - 1.00 COPY FEE $ 1.00 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 04-00027543 Date 1/26/04 Property Address . . . . . . 527 SELVA LAKES CIR DINNING ROOM Tenant nbr, name . . . . . . ADD 121X 201 Application description . - - RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor -- - ---- - --------- -- ---- - - ---------------- --- ---- RIGBY, DOUGLAS D . E & R ENTERPRISES OF NORTH FL 527 SELVA LAKES CIRCLE 1168 SEBAGO AVE . S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 270-2185 -------- ---- ---- - -- -- ----- - - ----- --- - - - - --- --- - ----- - - -- - - - - ---- - - --- -- ----- Permit . . . . . . BUILDING PERMIT Additional desc . - Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date . . . . Valuation . . . . 30000 Fee summary Charged Paid Credited Due --------- --- -- --- ---- -- ---- -- - - - ---- - -- ---- - --- -- - - - - - - -- Permit Fee Total 180 . 00 180 . 00 . 00 . 00 Plan Check Total 90 . 00 90 . 00 . 00 . 00 Grand Total 270 . 00 270 . 00 . 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 TIES PERMIT AND SU13JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH F o�r L Hiqqins BUILDING / ZONING DEPARTMENT .,S oerr) 800 Seminole Road Atlandc Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application 9 Property Address: <-�Cjyc' 0- 1, r Applicant: rig Project: This permit application has been: 2-��Approved Reviewed and the following items need attention: Please re-submit our application when these items have been completed. 7 ly— 0 Reviewed By: Date: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date:- y— Address 27 -5 14 00/ 7-1,0 Heated Square Footage @ $ per sqft= $ Garage Shed @ $ per sq ft= $ Carport Porch cc,D. $ per sq ft = $ Deck @ $ per sq il = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 30 , 600 Total Valuation ist $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + 1/2 Filing Fee $ FLOOD ZORE: ) Fireplaces@ $35.00 $ IMPERVIOUS SURFACE: 7 BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 R E C E I V E D CITY OF ATLANTIC BEACH BLJILDING &ZONNG CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION JAN 2 0 2004 (ALTERATIONS/ADDITIONS) Job Address: VZ7 T&-l-VA L-AI14CS C/A Owner of Property: DOU 6U A IZ148Y Address: .52-7 SELV4 L-AV—e-S C=t 0-- Telephone: 2-0(9 100 S77 Legal Description: Block NumberU 141T 2- Lot Number: 55' Zoning District: Contractor: E74R tFAT�QN-ASk,=07S ()F N.FL. State License Number: 031CL5041sa JJ( .68 S0S#k^^0 Contractor's Address: Telephone: cL04 - -1-70-2A 9.5 Fax: CW+- 0"110- 2-k CuB Describe proposed use and work to be done: A ND 1710 V4 X 4�L Present use of land or building(s): Y#4&> Valuation of proposed construction: What are the dimensions of the added space: 12— feet x 2%0 feet Will the added area be heated and cooled? y a s New electrical or increase in service? �Juw =vexieL New plumbing fixtures? N 0* New fireplace? New heating/air conditioning? ISS Is approval of Homeowner's Association or other private entity required? JES If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? ,;P�*O. Applicant certifies that no change in site grade or fill material will be used on this project. F1 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. �KNO. Applicant certifies that no trees will be removed for this project. ES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. 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. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 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 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all inform rovi e 'th ect. Signature of owner: Date: I hereby certify that I ha (�r �dempg_4 tM a6plication 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 inf,-rrration being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: 41A�! (!:�, lda4ek Date: /-/37: Address and contact information of person to receive all correspondence regarding this application (please print). Name: _D60 C-4 0, tZ 1, Mailing Address: k;1_V At C-- Telephone: 24,q- &S*7 Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of Itz-—6 2a State of Florida,County of Duval Notary's Signatur :K ERINED.FffZMEYER ATH MY COMMISSION#DD205955 Personally k EXPIRES:April 28,2007 Bon A Produced identification d Bonded T*nru Notary Public Underwriters Type of identification produced ZO IC4 �51-1.1444Z.0 --E_ _ AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signatur KITH ERINE D.FITZMEYER m COMMISSION#DD 205955 y EXPIRES:April 28,2007 Personally known Produced identification 9 Bonded Thru Notary Public Underwriters Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 Selva Lakes Homeowners Association, Inc. P.O. Box 331365 Atlantic Beach, FL 32233 V CITY OF ATLANTIC ONG � Z()' December 20, 2003 jAN 2 0 2004 Douglas and Celia Rigby 527 Selva Lakes Circle Atlantic Beach, FL 32233 Dear Mr. and Mrs. Rigby, The drawings you submitted for a new room addition and remodeling to your home at the above address have been approved. The following board members have reviewed and approved the plans as submitted: Gabe Farra, Elaine McEntee, Sandy Buchanan, Anita Abdullah, Janet Allen and Sonny Hinchee. Sincerely, Xle&�-� M(16'aa-' Elaine McEntee Architectural Review Committee (904) 241-3506 AA1K ItLTURN Book 11588 Page 1252 Doc# 20040019084 Book: 11588 Flqe: 1252 NOTICE OF COMMENCEMENT Filed & Recorded 01/20/2004 10:15:09 AM State of R-o 11:�A Tax Folio No. JIM FULLER CtERK CIRCUIT COURT County of ou VA L-- DUVAL COUNTY RECORDING $ 5.00 To Whom It May Concern: TRUST FUND $ 1.00 The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following inforTnation is stated in this NOTICE OF COMMENCEMENT. Legal description of property bein 9 im roved: L-O'T S5 S GLV A L-AKIWS Q VAVT jF1,A-T JaCOM t.,L Aj-a (ft. L11 OA -C �� S Address of property being impri VA I-AVUES A-ILANmc- F.L041LOA- -9-2,-2-3,A General desc iption of improvements: A VnQ 1-j- X 7-0 10 IV aw aatpi ;;V�-- A 21e. Owner: 0 00VC-4 AT(_t4r4-rLC- aW. .43 Address: 52-7 -T W-LVA L Owner�s interest in site of the improvernem: b Drn 0 04 Fee Simple Titleholder(if other than owner): Name: Address: Contractor: \Ai ONJ f-4- cG C- 1 0 1 Address: AV%: Phone No: -7—n 0 - Fax 0- 2-cct5 Surety(if any): Address: Amount of Bond Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): 01 TIES SPACE FOR RECORDER'S USE ONLY SignedAz"/�/ Date:, Before me this ' day of in the County of Duv , State of F J�ri a,has personally ap#eared Notary PublicA Large, Vate bf Florida,County of Duval. My commission expires: Personally Known: n F1 or Produced Identificati n: 6()M�l I N#DD 205955 28,2007 EXFIRES:April: I>.L L Cc: CITY OF ATLANTIC BEACH rd BUILDING / ZONING DEPARTMENT L.-Hl—in� Do 800 Seminole Road �e Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application 9 C,'-1 Property Address: -Se-Me ak e-s if Applicant: Project: x ':n2 0" This permit application has been: Approved Reviewed and the following items need attention: Please re-submit y p, lication when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 322-33 -5826 INSPECTION PHONE LINE 247 'Date 2/12/04 Application Number . . . . . 04-00027543 g Property Address . . . . . . 527 SELVA LAKES CIR Tenant nbr, name . . . . . . ADD 121X 20 , DINNING ROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor - ------ -- - - - ----- ---- --- ------------- - - --- - --- -- RIGBY, DOUGLAS D . E & R ENTERPRISES OF NORTH FL 527 SELVA LAKES CIRCLE 1168 SEBAGO AVE . S . ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 270-2185 ------- - - - - - ----- -- - - -- ---- - -- - ---- - --- - - --- ----- -- - - - ---- - - - ------- -------- Permit . . . . . . MECHANICAL PERMIT Additional desc AIR COND. Sub Contractor EAST COAST HEAT & AIR INC . . 00 Permit Fee . . . . 67 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Credited Due Fee summary Charged Paid 1�1 . - - 7 ----------------- -- --- ----- - -------- -------- -------- 0 Permit Fee Total 67 . 00 67 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 67 . 00 67 . 00 . 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 T14E PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WFU ARE PART OF THIS PE T ANVUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVI�IONS�OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: 3E-(,)ZPr Owner: 91 Telephone Telephone#: Contractor: PAT CAST hk�� Contractor Address: —W 7—A k�\o w Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. If other construction is being done on this buildmig Type of Heating Fuel: or site,list the building permit number: 0 Electric U Gas: —LP —Natural —Central Utility cA - ,,?--7 13 Oil 0 Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLEF NATURE OF WORK Q Heat Space _Recessed —Central —Floor Residential E3 Air Cor�d—itioning: —Room %,n-Central El Duct System: Material Thickness Commercial C3 Refrigeration Maximum capacity__�_�00cfhl El New Building Lj Cooling Tower:Capacity apm Q Existing Building C3 Fire Sprinklers:Number of Heads C3 Elevator: Manlift Escalator—(Number) U Replacement of Existing System El Gasoline Fum—is _(Number) New Installation 0 Tanks (Number) (No system previously installed) (Number) C3 LPG Containers Ll Unfired Pressure Vessel Extension or Add-on to Existing System L3 Boilers mDap I " Ir ro /,j ew • Gas Piping AyzV-A 4 S.r, To^ AvAer.5+" 0 Other-Specify, • Other-Speci LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency Ama- 5 IWO .5 HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nommal.Capacity Type Liquid Serial Approving How Man &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800* Fax: (904)247-5845- http://www.ei.atiantic-beach.fl.us cl-r-Y OF ,4tlaot� . ojilce ol 811,11ding sjprrc-Tjo% STFwmit No. ,I'll,............''I'll''I'll'',........... ............. No. A.M. P.M., Dole Tin" — 3 C" cohtr 0 C,.,d too p Vieetigo C3 ELEC sough 0 1:1re piece oviner cotAcFtrr-,TE Pougb\Nlrl -Top out preFeb i4arne ,,p pote A.M. BUILDI14G f:ooting F:�nal P.M. parnihg C3 Stab 114spec-rjoN rrldaY ple Foollfwa 0 1.19181 ftepc)-y FOR -Thurs. \Ned. Tues. ,,,_-,�on C3 Made Certil icale 01 oorupanc oa18 Insp"tor VV-fk rNA. Ole. 0 0,�4 No$ Of -4 ?05 lbt \\A\5 S, �01 to selj .�,ct �M To 'vs 10 too '�Ov2tl co, ,XAG. 0� vo, i-,�o �ss V 01 ,ko IDe eale 00 v soe N te CO VL St 4tVe't XA 0. 0 0% ev x .0101 &0& 110 vv�l tv's ce I I vX0,11,11, 0 to SV 'N 1XISO, I. W lby%c, xe ?Nlr-co"l A - %% ,,,v ov 4t% OV4 fOVk Of",, 0 C, 14 CITY OF -ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATIONb 527-531 Selva Lakes Circle PLUMBING CONTRACTOR F. W. FAIR PLUMBI14G COMPANY \j LICENSE NUMBERS MP145 State RF0037503 OWNER R. G-3 . M . Pmperties BUILDING CONTRACTOR R. G . M . Properties TYPE OF BUILDING Ddplex 2 SINKS 3 SHOWERS 8 LAVATORY 2 WATER HEATERS 2 BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 6 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 29 TOTAL FIXTURE COUNT X6?3. 50 + $10. 00 DATE 1 / 28 / 87 TOTAL AMOUNT $111 .50 �NSTALLATION OF I-PLU1,13ING AND FIXTURES MUST BE IN ACCORDANCE WITH T , HE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. IL DEPARTMENT OF BUILDING 8308 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date—January 27, 19 37 49995n TL Valuation$ 129.579.50 Fee$ 499.50 699'.51INTE 9592 1 A, I /2S/13" This permit not valid until above fee has been paid to City Treasurer,and is 8308 OOtACC subject to revocation for violation of applicable provisions of law. 9562 A 1 /28/8*0 This is to certify that D'=-T'l I, 111C. 1112 Third Street Neptune Beach has permission to build Tcxori1jcaiqe as per- zJ_=p, Classification P%eSidMtiA1 —Zone FFM Owned by F04 Properties Lot 55-56 —Block Ulit 11 s/D 'Selva Lakes x 527-531 SMVA 1JUM CIRCLE House No. According to approved plans which are part of this permit �L_1� i NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 4— 00 0 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- tra !�;tor_.or,bwner !2ng Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF 4&,,Jf10 Of f leg of Building Of 11481 REQUEST FOR INSPECTION permit No. Date A District No M Time Received Locality job Address Contractor owner's MEC14ANICAL Name ELECTRICAL PLUMBING CONCRETE Bough eq:5- Air.Cand.& 0 BUILDING o Footing 0 Rough Wiring 0 Top Out 0 Heating 0 Framing 0 Tamp pole 0 Fire place Re Roofing Slab 0 Final C3 wv� -q, -�"- Pro Fab Untel A.M. READY FOR INSPECTION Friday------- P.M. Mon. Tues. Wed. Thurs. InspediOn Me" Final inspection 0 inspector Certiticate of occupancy Date PLUMBING PER1111' ELECTRIC PERMIT BUILDING PERMIT WORKSIiEET TERPORARY ELECT. 41 C3 9 er sq ft $_j- cated Square Footage \5 @ s ___y arage/Shed @ $ per sq f t arport @ $ per sq ft orches @ $ Der sq ft eck @ $ per sq ft $ atio @ $ ____per sq ft $ TOTAL VALUATION $ :)tal Valuation Data is t $ zo of �'e 7, S:—d —1.7"?A �-mainder Valuation @ $ ;�.C-)C)per thousand or portion thereof TOTAL BUILDING FEE $ 1116 , + k FILING FEE s FIREPLACE @15 . 00 s45700 TOTAL BUILDING PERMIT $ - - -------- ----------------------------------------------------------- -------- XMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ECT. TEMPORARY $ ELECTRICAL PEF141T $ kTER METER SIZE ACCOUNT NUMBER :WER 111PACT FEE $ iTER CONNECTION $ (@10 . 00 p.er fixture unit) 'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ . 60 TOTAL SE14ER IMPACT FEES s /0,3,5- - oc TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ �7 B 13 9 5— 3� PLUNEING_WORKSHEET SINKS SHOWERS DISHWASHERS .L CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE 'UNIT'BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM 'GROUP CONSISTING OF LAVATORY (I UNIT) WATER CLOSETP LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (!I UNIT) URINAL, WALL LIP FLOOR DRAIN . Cl UNIT) (4 UNITS) WASHING MACHINE RES. URINALP PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED (.4UNITS) (8 UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ .$-10.'*00. EACH,� PLUMBING PERMIT BUILDING PERMIT WORKSIiEET ELECTRIC PERMIT TE�IPORARY ELECT. cated Square Footage 5-cl i� @ s �g 6Z ___per sq f t - $ 00 arage/Shed 1/ / 0 @ s /00()O__p e r s q f t - 174 arport @ $ ---Per sq f t - orcbes @ $ --Per sq ft - $ eck @ $ er sq ft - $ atio @ $ er sq ft = $ TOTAL VALUATION $ 0 15-0 $ 15:_0 3tal '�aluation Data ist v eo ?mainder Valuation @ $ .00per tbousand or portion tbereof $ S�2 TOTAL BUILDING FEE + k FILING FEE s FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ c-,2) & /. 76� - ---------------------------------------------------------------------------- ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ,ECT. TEMPORARY $ ELECTRICAL PERMIT $ TER METER SIZE ACCOUNT NUMBER WER IMPACT FEE $ TER CONNECTION $ (@10 . 00 p.er fixture unit) PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ TOTAL SEVIER IMPACT FEES $ la( -3 L5-1 TOTAL WATER CONNECTION CHARGE $ co MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: s DI ) !5-qz ell PLUMBING F W qHEET SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR*DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE 'UNIT'BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, /0Z BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORYP AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITI URINAL, WALL LIP (4 UNITS) FLOOR DRAIN Cl UNIT) 3 WASHING MACHINE RES. URINALp PEDESTALp SYPHON (3 UNITS) JET BLOWOUT (.8 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) DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) -3- KITCHEN SINK/WASTE GRINDER (3 UNITS) 0.04) TOTAL FIXTURE UNITS @ $10.,00 EACff- CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT 3 Ao Owner4/�7! :T"ddress ---zi pL� 1.��,--�_phone-2�L- Architect-� Add r e a s f 7-1 7, z zip&,.L, Contractor-ef, A d d r e a e _XL_phonee_ L Contractor's License number-----------------expiration------------ Lot Block or Section------- Subdivision---------------Zoning-------- Street-------------between--------------and ................side----------- Type Construction No. Units----------No. Fireplaces----------- - --- ------- Purpose of Building---------------------------Est. Valuation $------ ------- Utility Method - Water------------- Sewer------------ Dimensions - Building--------------Lot-------------Size Footings----------- Sz. Piers----------- Sz- Sills.............Greatest Span Sills--------------- Sz. Ceiling Joists-- ------Distance on Centers.........Greatest Span------- Sz. Floor Joiet)a. _ Distance on Centers---------Greatest Span------- Sz. Rafters ---------Distance on Centers---------Greatest Span------- Method of Heating-----------Solid or Filled Ground-----------Roof---------- Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the wor - as described in the above statement, we hereby agree to perfoi,... jaid work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulatiov of Atlantic Beach. The contractor agrees at its expense to p ide the necessary access to the properties being developed ver dedicated City rights-of-vay and to clear, clean, grade, and drain said right-of-way to City specifications. '74 Signature Owner Signature Cont actor page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date..............Applicant 's Signature.......................... ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation Survey Filed with Building Department ........... ----------------------------------- Bui�ding Department Representative page 3 --3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT �iZ -7---,-Address Architect Address z i P.:�j �f7 Contractor Address Contractor's License number.................expiration............ Lot- ,5 6--Block or Section---------Subdivision...............Zoning........ Street between -----------and side----------- Type Construction No. Unite No. Fireplaces ----------- Purpose of Building...........................Est. Valuation $.............. Utility Method - Water----- ------- Sewer------------ Dimensions - Building--------------Lot-------------Size Footings........... Sz. Piers Sz. Sills-------------Greatest Span Sills--------------- Sz. Ceiling Joists---------Distance on Centers---------Greatest Span Sz. Floor Joist's Distance on Centers---------Greatest Span Sz. Rafters Distance on Centers---------Greatest Span Method of Heating-----------Solid or Filled Ground---7-------Roof---------- Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the w as described in the above statement, we hereby agree to perf iaid work in accordance with the attached plans and specific6 F which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner Date Signature Con ractor V/-- Date page 2 /er t FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : ------------ ------------------------------- Flood Zone: ----------------------- Required Lowest Floor Elevation:-------- ------ If building is located vithin a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date..............Applicant 's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ---------------- Survey Filed vith Building Department ----------- ----------------------------------- Bui�ding Department Representative page 3 DEPARTMENT OF BUILDING PERMIT NO. 8309 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date— 1/27/87 19— Valuation$ Fee$ 5 2,QD- 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. L This is to certify that EM NSTATE 571 on-OCA has permission to badd AC 57 1 SM9 Zone Classification RESDVNTIAL__� Owned by RGI FROMMIES Block S/D Lot- 52.9 31 SLIVA Li CLZaL House No. According to approved plans which are part of this permit NOTICE—ALL CONCPETE FOPMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POUPLING. PEP,MIT VOID SIX MONTHS AFTEP, DATE OF ISSUE mo Building material, rubbish and debris z work must not be placed from this in public space, and must be cleared and--,hauled away by either con- a or owner. ui ing Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER BUILDING AND ZONING NSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all Items in sections 111, and IV. '5F - '4F LOCATION StreetAddress: GAK —'�> OF Intersecting Streets: Between And BUILDING Sub-division_ 11. IDENTIF ICATION — To be completed by all applicants In consideration of pe iven for doing the work as described in the abcve statement we hereby agree to perform said work in accordance rmit 9 City of Jacksonville ordinances and standards with the attacFLed plans and specifications which are a part hereof and in accordance with the of good practice listed therein. Name of Mechanical Cont'actors ccaw Master [n ft,&a7 7,-:�5(c,:> Contractor (Print) TE, Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer Ill. GENERAL INkRWA(ON A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON XElectric THIS BUILDING OR SITE? YF,e, 0 Gas LP 0 Natural Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMIT 0 Other Specify IV. MICHANIICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) K Residential or El Commercial XHeal 0 Space El Recessed X Control 0 Floor X New Building Air Conditioning: [3 Room X Control 1( F-1 Existing Building Duct System: Material Docx&^u Thickn - El Replacement of existing system Maximum capacity —c.f.m. X New installation(No system previously installed) El Extension or add-on to existing system 0 Refrigeration F-1 Other — Specify [3 Cooling towor: Capacity 9-p-rn- E3 Fire sprinklers: Number of heads El Ellovator 0 Monlift 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY (3 Gasoline pumps —(number) (Roeslived) E] Tanks 1number) Remarks 0 LPG containe, (number) [3 Unfired pressure v*ssei Permit Approved b Do 0 Boilers 0 other — Specify Permit Fe- LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT VAMA&Ity A roving Number Units Description Model Number Manufacturer C-Inim Cm—r ZQ;&6_7 56&07�, -z_ k-') HEATING - FURNACES, BOILERS, FIREPLACES Capselity ApproVing Number Units Description Model Number manufacturer (NM) 29!, OgXL CA�'\I CJW 'Z�.Sj TANKS Serial Approving Now Many Nominial C&PWAty Type Ltquid Name of and Dimensions Contained Manufacturer No. Agency L/ CITY OF ATLANTIC BEACH, FLORIDA Approwed by APPLICATION FOR ELECTRICAL PERMIT 19 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, HEREBY AGREE TO PERFORM SAID WORK OF WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY ATLANTIC BEACH ORDINANCES. -------- :M:�A�STEELEC RICIAN IGNATURE IRNEYMAN ELECTRICAL FIR-M'. ADDRESS: -RFD-------BOX NAME --Z7S BETWEEN:- r BLDG.SIZE comm. i PUBLIC INDUS. NEW OLDI REW. RES.( ) APTA ) ADDITION ( ) TRAILER ( TEMPA SIGNS SQ. FT. FEE SERVICE: NEW( INCREASE ( REPAIR ( '�'.�-'o ALUMJ ODNDUCTOR SIZE AMPS COPPER PH W VOLT RACEWAY SWITCH OR IREAKER AMPS EXIST.SERV.S�IZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL SWITCHES 0.30 AMPS. INCANDESCENT FLUORESCENT&M.V. FIXED O.JOO AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CEIL HEAT: KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS 0-1 OVER AGE PHS MOTORS HP VOLTAGE PHS No. I H.P. VOLT E' A TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. _KVA NO.- KVA NO.NEON TRANSF. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ D o TOTAL FEES C-/ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT 19 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-� IMPORTANT NOTICE: BED IN THE FOLLOWING, WE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRI D SPECIFICATIONS, HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AN DES AND CITY OF WHICH ARE A PART HEREOF, AND IN ACCORDANCE I WITH THE ELECTRICAL REGULATIONS, CO ATLANTIC BEACH ORDINANCES. 0 c -------- ER ELEC R�ICIAN SIGNA 11 1111 F,E ELECTRICAL FIRM: MAS C' NAME ADDRESS: RFD—BOX— BETWEEN:-2izt�/q- -�A-- �V7 -s), - BLDG.SIZE COMM. I PUBLIC I INDUS. NEW"-- OLD I REW. RESA ) APTA ) ADDITION ( I TRAILER TEMP. I I SIGNS I SO. FT. FEE SERVICE: NEW I I INCREASE ( REPAIR ( CONDUCTO AMPS 0 COPPER ALUMJ SWIT :H OR BREAKER 's AMPS PH W 2 '/; VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 0.30 AMPS. 31.100 AMPS.- SWITCHES INCANDESCENT FLUORESCENT&M.V- AMPS. OVER BELL TRANSF. APPLIANCES H.P. RATING AIR H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER PHS MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE C) -91—SC E- =AN TRA4SFORMERS: UNDER 600 OVER 600 V. NO. KVA NO._ KVA CH FLASHER NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWIT EACH SIGN FORWARDED $ TOTAL FEES (trrtiftratr orrupaurm CITY OF 00(40& back DrVartment Lif -4juilbing Infivrdim This Certificate issued pursuant to the requirements of Section log 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. idntial Bldg.Permit No. Use clWification .'u"Ar i Ntlalltic Beach .. I-Taille Fire District Group--Type CAnstnjctlon---� RGM P I 0'r,ett i e 5,T n C Address——459 Selva Lakes CiTcl(' 0,ner of Building 5 s _.,Clva Lake Selv;a Lakes—Gtr&Lf�— Building Address- By: Nc)vember JC) Ar B;Tld..g Officl-I POST IN x CONSPICUOUS PL.ACK BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: November 19, 1987 Building Contractor: Reybani, Inc. Building Permit Number: 8308 Address: 531 Selva Lakes Circle Legal Description: Lot 56 Unit II Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Dunl ex Lowest Floor Elevation: 13.61 14.421 ---------- required as built n/a Sales Tax Certificate: ------- --------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief 11/19/87 za-zr 11/19/87 /'0 Public Works ------ 11/19/87 -------- Planning Director --------------- -- Building Inspector --- 11/19/87 CITY OF 1&49ft Te4d- V\ Office of Building Official REQUEST FOR INSPECTION lei Permi Date t No. Time A.M Received —PM District No. -4, "A—&,q Job Address Locality ell, owner's 1,�16 /-P e Name Contractor BUILDING CONCRETE ELECTRICAL IOLUMBING MECHANICAL Framing E-j Footing Rough Wiring Rough Air.Cond.& Re Roofing El Slab Temp Pole Top Out 0 Heating Lintel Final Sewer El Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues Wed. Friday—RM 1-4� Inspection Made 07 — IPM. Inspector Final Inspection:L--- Certificate of Occupancy Date CITY OF Office of Buildf Ing Official Date FIEQUEST Fon "rime INS Received AV. PLtCrION P . Permit No. ner's Job Address 'strict No. 0" Nam' e SUILDING 9 Contractor Lo lity Frarnin CONCRC7,—�� Re Rooting Foot- Slab ng El ��LEIIICAL Lintel ED Ough Wiring 0-- P MBI G ED Temp Pole Rough Mon. Final 7op ou 0 MECHANICAL Tuft READY FOR Sewer t C7 Air Cond. Inspection INS 0 Heating 7Made PEC-rION Fire Place Inspector Thurs. Pre Fab L.A.M-�> A.M. P.M.' Q PM. Final Inspection:�: Certificate of occupancy Date AF 44241 MAPSHOWING SURVEY OF T,OT 56 , SFTXA T,AKFS UNIT TWO, A-, RF.cnRDF.D TN PT�AT ROOK 43 , PAGES 11 , 1 :1A AND 11R, OF THE CURRENT P(JRT,TC RRcnRD.c; OF DUVAT, COUNTY, FT,ORTDA. /0- V(,g 72�:e '(5/ "-7>4,3/7al 4:::67/"�:o /V T5-A A -57 7 NJ 2-0 z C1 7- 51—OR Y' OA 0 y N IL7RAA46 -4.0 7- C4 ITS' U. 07' Gc? z5 1405'eP < A -51 0-A e—0' 7'y Z165 /,4./ >/ 7; I HEREBY CERTIFY TO: THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH--6 FLORIDA E. ST H. A. DURDEN ADMIN RATION COD ;ISTIL. 0 & ASSOCIATESINC. FLORIDA R94 URVKYOR P40. -7 7 LAND SIGNED 19 S SURVEYOR! S N R E OR P P.t 0 ost Oft".Box 50670 11 1 0 So. Th 103 Soulh Third Street SCALE: Jacksonville Beach,Rod" 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF 1*&a&c Fead - 9&v�& 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 November 6, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5535�1115 Stocks Street. Permit issued to Abrahams Electric Company. Permit #5275----531 Selva Lakes Circle. Permit issued to Adkins Electric Company. Permit #5516----435 Inland Way. Permit issued to Bivins Electric Company. Permit #5426--7-528 Pelican Key. Permit issued to Adkins Electric Company. Permit #5339---�861 Ocean Boulevard. Permit issued to Bi-ins Electric Company. Permit #5738----1575-2 Main Street. Permit issued to Kenneth Loos Electric Company. in erely,,, IRe el Angers r C C u unity Devel p ent Director cc: file RA/te CITY OF larvartmPtit of Ijuilbing stied pursuant to the requirements of Section log of the Southern Standard This Certificate is liance with the Building Code certifying that at the time of issuance this structure was in comP various ordinances regulating building construction or use- For the follozvin�"* 8308 NVW Residential —Bldg.Permit No.. um clwification Frapie Fire District— AtlaTI-tic Beach Group--Type construction� 439 Selva Lakes Circle RGM properties Address—-- owner of Building I -- Selva 527 Selya LaKes Locllity Building Address By: Rene' Anvrer-s Date: ch 1.988 AF 44241 MAP SHOWING SURVEY OF LOT 55 , SELVA LAKES UNIT TWO , AS RE(A)RDLI) IN PLAT BOOK 143 , PA(jl--'S I AND I I B OF THE CURREN,r PUBLIC RECORDS OF DUVAL COUNTY , 1,1,01i IDA 0 70 z" Y —I A "1'0 e J� C2 74' a 'tj .6-12 r A 77,CA� 27:>A 77-,VA "2:5 Oro 10LX 77 Z>1AIS 16 AMCA 4�_ AI(A,';!;' eC�11-_x5y7> '4 'e16 I'g' I'PS 12'M077 -0001e. I HEREBY CERTIFY TO: fil THAT TH_ �S SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER ;j I HH--6 FLORIDA H. A, DURDEN ADMINI TRATION CODE. 4, & ASSOCIATESINC. 7::; $$Yang 1. umveyopt 1409rl 7-7 LAND SIGNED Z 7, - 19 Jf 7 SURVEYORS post office Box 50670 41103 South Third Str" SCALE: - jsckswm*g aeoch,Fiorift 322W THIS SURVEY NOT VALID UNLESS THIS PRINT 19 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. 415 CITY OF B Olticq of Building Officillil REQUEST FOR INSPECTION permit No- D We ate No. ma__ P. TizivR ecl R Job Address Contractor .�AaN I CA�L owner's ------ PLUMBING MECH Name ELECTRICAtLe,,-' Air.Cond.& CONCRETE Roughwiring Rough Heating BUILDING Footing 0 0 Top Out Fire Piece Framing 0 Temp Pole 0 pre Fab Re Roofing Slab Final A.M. unte READY FOR INSPECTION Friday P.M. ThurS vVed. Tues. W. inspection Made .-Final inspection 0 certiticate of Occupancy inspector— Date BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: March 11, 1988 Building Contractor: Reyhani, Inc. Building Permit Number: 8308 Address: 527 Selva Lakes Circle Legal Description: Lot 55 Unit II Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Dupl ex Lowest Floor Elevation: 13.61 ---- ---------- ---------- required as built n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief 3/11/88 --- --- ---- Public Works 3/11/88 Planning Directo ----- r 3/11/88 3/9/88 Building Inspector --------------- CITY OF A 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE 1904)249-2395 March 10, 1988 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactoryt Permit #5567----631 Selva Lakes Circle Permit #5568----635 Selva Lakes Circle Permit #5685----448 Osprey Key Permit #5561----435 Selva Lakes Circle /Permit #5274----527 Selva Lakes Circle Permit #5427----551 Selva Lakes Circle Permits issued to Adkins Electric Company. Spit)rely, Rene Mgers Community Development Dir ctor RA/tb cc: file ADDRESS --2 CONTRACTOR ----------------------------------------- OWNER ---------------------------------------- BUILDING MECHANICAL-------- PLUMBING------- ELECTRICAL TEMP POLE--------- misc----------- ELECTRICIAN--------------------------- DATE FAILED DATE PASSED TEMP POLE JEA ----------- ----------- FOOTING ----------- ----------- ROUGH PLUMBING ----------- SLAB ----------- FRAMING ----------- MECHANICAL/FIREPLACE ----------- TOP OUT PLUMBING ----------- ----------- ROUGH ELECTRIC ----------- ----------- FINAL ELECTRIC ------------ FINAL BUILDING ----------- ELEVATION SUBMITTED ----------- ----------- CERTIFICATE OF OCCUPANCY ----------- DATE ORDERED DATE ISSUED ----------- 001112 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT THFORMATION LOCATION INFORMATION - -- Permit Number - 1112 Addresst 531 SELVA LAKES CIRCLE Permit Typo: BUILDING ATLANTIC BEACH, FLORIDA Class of Work: ADDITION LEGAL DESCRIPTION -- --- --- Constr. Type- ALUMINUM Lot % 56 Rlock � Sectiont T , Proposed Usei SCREEN ENCLOSURE Plat Book; Page: 0 Dwellings: 0 Code: 0 Subdivisioni SELVA LAKES Estimated Value: $0. 00 OWNER INFORMATION Improv. Cost: $1900. 00 Namei TOM HARREN Total Fees: 115. 0(.-) Address: 531 SELVA LAKES CIRCLE Anvount Palds $15. 00 ATLANTIC BEACH, FLORIDA 3223-,- 7/28/89 Phone% I Wc.-Yrk Desc� ROO" OVER PARTIALL.Y CONCRETE[) AREA, CONTRACTOR(S) APPLICATION FEES PERMIT $15. 00 WATER IMPACT FEE $0. 00 SEWER IMPACT FEE $0. Ori WATER METER $0. RA V 0 N GAS--H, $0. RADON GAS 5% $0. 0 WATER TAP SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 ENGINEERING e5o. 00 OTHER $0. 00 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.59 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: X Address Heated Square Footage @ $ ___per sq ft = $ Garage/Shed @ $ er sq ft = $ Carport/Porch @ $ per sq ft = Deck @ $ per sq ft = $ Patio $ er sq ft = $ TOTAL VALUATION: TotAt Valuation lst-$ Remainder Valuation '$--. per thousand or --------------------------------portion thereof Total Building Fee ------- ----I ADDITIONAL PM1ITS and/or FEES REQUIRED + k Filing Fee Fireplaces @ 15.00 $ Mechanical BUILDING!PEIMT FEE Plunbing Electric/No%, -------------------------------------------------- Electric/Temp BUILDING PERMIT' Septic Tank WATER NMR CHARGE Well SEWER IMPACr FEE Rqhnning Pool WATER IMPACT FEE Sign MISCELLANEOUS Water Connection Sewer Connection Water Meter Elevation CertificaLe GRAND TOM DUE ----------------------------------------------------------------------------------------------- CALCULATIONS and/or NOFES RAMCO FORM 400 %A.t91131 LAWS 6113 NoAlatirr of 9PREPARA IN DUPLICAT91 To fullum i.t MZIU W=rm' The undersigned hereby informs all concerned that Improvements will be made to certain real property. and in accordance with section 71113 of the Florida Statutes. the following Information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property (Include Street Address, It available) ............................................. .......VXT ................................ .................................................. ................................................................ .................................................................................................................... General description of improvements .... 6y -gerw................................. ........................:.............................................. ............................................ ...........I.........................................................;............................................. Owns,..7�...... ......................................................................... Address ......:!�-4.(YA...oe 0M..................................................... Owner's Interest In site of the Improvement..... ............................................................ Fee Simple Title holder (it other then owner) Name ............................................................... ........................................... Address .......................................... ............................................................... Contractor.... A;0A ...................................................... Address ................................................. Surety(it any) ........ ............................................................................................ Address ........................................................................Amount of bond S ............... Any person making a loan for the construction of the Improvemenits: Name ............................................................................................................ Address ...............................................................................................4.......... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ........................................................................................................ Address .......................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h). Florida Statutes. (Fill In at Owner's option). Name ............................................................................................................ Address ...................................*...................................................................... THIS SPACE FOR RECORDER1 USE ONLY I Y'.-C.. ......--Yer, ............. Owner Swom to and subscribed before maAhle.................. ..... .........d f ..........19 ................. C-02 At -Z41 M&? SHOWING SURVEY OF T.OT 56, !-,FTXA U KEr, ON T.T TWO, A r, RECORDED TN PT.AT ROOK 4 3, PAC,ES I I , I I A AND llyl, OF THE CURRENT PORMC RECORDS OF DOVAI. COUNTY, PI,ORTDA. A0' W14 7r-e t�t4/A/e--< 01v/Z>.X% -7al 4 coo "144AI W7001C) /V .4- 7- 07 w) cp. _,rob QQ y r �7 7.8' U. %,0A1PI4e1 ;0.70 Jf I. 40 <lo j%,lle-c-��VA"74' 41AI e d3y' -Y 4165 IAI O� 7D '54IR(115 K lZo4077 -000lC- 0A1 ,*,eo IIA A-C.' eW770,410 I HEREBY CERTIFY TOs THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO BECTION 472.027 FLORIDA STATUTES AND CHAPTER al HH--6 FLORIDA *H. A. DURDEN 'ADMIN STRATION CODE j .-a'p INC. 76"— '�:4 S j FLOR10A P901.1 & ASSOCIATES --Vr- LAND 0. SURVEYOR@ SIGNED-- c,—ag 19 P P..'0" .8., ool Ofl"Box W670 1 103 South Thi(d StrW SCALE,-- locksorm"Be&ch.FW4&32250 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. ............. APPROVED CITY OF ATLANTIC BUILDING OFFICE I` -- 1089 JUL 2 M F"'-U 0 r.q X 2" OPEN BACK I"X 2 OPG N 5A(zK Al Y &0&'3---75 A 2--,,Z S \VT- 2.60-#/L F WA'L I g� -74* PV:&P- 'S P:' lot* Pam -C.. r. Zoos" S'fr- -&Cio PT.-(z s'fr. 42 z —7" 0 & 2. z 19 4! - 1 42 - z21 42' 10 Z! TI-. These drawings are intended as a minimum guideline to normal,proper installation n PT f) WARNING. Particular application or local codes may require review by a professional engineer. DATE: AS ASSOCIATION OF FLORIDA 10/84 THE ALUMINUM SECTION: P.O. BOX 232 Extrusion Charts CLEARWATER, FLORIDA 33517 PAGE: Not to be reproduced in whole or in part without written permission ALL RIGHTS RESERVED: from THE ALUMINUM ASSOCIATION OF FLORIDA,INC. 21, X 2" Patio Beam ----------------- 2")e z" PA-r I C) E>5AH A \VT' -c=>,49 4-�W/s,;=� z -c:>-2-13511/4- Sx - �4 gzcx:)'� 5C'94EEr--N WAI—L- 1-54:1WO WAL-1- C>W C> 9�00 P !3PA'=1 W611 7-*v Plt-=�L 0 0 PF-P- -S,-F� -0 1 to e -4-1 E31 1-61 42- 15�1 6P -7 421 7 2 11 WARNING: These drawings are intended as a minimum guideline to normal,proper installation 20 1986 Particular application or local codes may require review by a professional engineeoCT DATE: AS THE ALUMINUM ASSOCIATION OF FLORIDA 10/84 SECTION: P.O. BOX 232 or Extrusion Charts CLEARWATER, FLORIDA 33517 PAGE: 2 F L 0 VA, Not to be reproduced in whole or in part without written permission ALL RIGHTS RESERVED: from THE ALUMINUM ASSOCIATION OF FLORIDA,INC. 2" X 3" PATIO BEAM Y, 3 11 pA-n o 5EA H A \\/T- .7 8# I = --74-1 S y S7 C�C) L-1 C) F-0 0 14!-79' -7 L 6, 1z 4-T 4� -9 -7 10 9 19 1 4-16 0 19 -7 1- 1111 15 0 19 1- 111 7 L 4! These drawings are intended as a minimum guideline to normal,proper installation.OCT 2 0 1986 WARNING: Part'icular application or local codes may require review by a professional engineer. DATE: A S THE ALUMINUM ASSOCIATION OF FLORIDA SECTION:10/84 P.O. BOX 232 Extrusion Charts CLEARWATER, FLORIDA 33517 PAGE: Not to be reproduced in whole or in part without written permission ALL RIGHTS RESERVED: from THE ALUMINUM ASSOCIATION OF FLORIDA,INC. 2" X 7" SELF MATING BEAM 2!')<-7" SELF--MAXINC6 56AH ALL-cy (,0(1,57�P 7 0 A \vr = 2 , 14- 1: = 17, 139 "14 Is X = SF*,&,Clt4G + -5F='AN —rA�,� \VA�LL —5c)LAO \VA.%—t— Z'54& Pc5R— S.1F. Pao— +1 z Z' ell Z9'-I" is 1 —7 kf z I'S 14 1 -7 ji 9 1 Z-7 0 12�1 1 14-1 Fhese drawings are intended as a minimum guideline to normal,proper installation. WARNING: Particular application or local codes may require review by a professional engineer.00T 2 0 190 DATE; AS 10/84 1-��Ot�Aker"' THE ALUMINUM ASSOCIATION OF FLORIDA SECTION: (f.q P.O. BOX 232 Extrusion Charts CLEARWATER, FLORIDA 33517 PAGE: 7 ALL RIGHTS RESERVED: Not to be reproduced in whole or in part without written permission from THE ALI IMINUNI ASSOCIATION OF FLORIDA,INC. J- Screen Room (With Aluminum Rooj) HEADEP- r,-F�EqF-S 12. ------ PEJL. A4-"tA zoxz." wAL-1- "�,)A" HE#,DftR- 14r-Ax:E;JL m4oimr-D w/-r- 2-4'0�ra. 7, 1: -2*18 L21" I -Uz C-H A I 1Z R-AJ L� 7-1 C."T) z a', 211� z-" P05T x 7- e,. w5MH PLATI� 'IV/ +r-li[ax �"Z` --CAJ-=w W,AwCiA00-S Z L4'0-C--t- c4AjV- P-AiL- CxDNMF-C::n0N AL-It- (PEEZ <:�Hiw IVTTV-� _j, jgj-EZNA.L_ ILJIC.�4XNN137-_�_ "UvCH,4b*NNF—L- .4. EXT-eawAL- hee drawings are intended as a inininlUrn guideline to nornial.proper installation. WARNING: 11"ario ular;ipplit ation or 1--al(-o(je,maY require re\iew bv a professional engineei.00T 2 0 1986 DATE: AS THE ALUMINUM ASSOCIATION OF FLORIDA SECTION:10/84 P.O. BOX 232 ;w Screen CLEARWATER, FLORIDA 33517 PAGE: FLO I 1 1 ALL RIGHTS RESERVED: Not to be reproduced in wholvor in part wthout%%ritten permission froniTHE ALCMINUM ASSOCIA VION OF FIAMMA,INU, POOL ENCLOSURE (7:vpical) -TC)P v I�-:\V isajpPullr C-,4-WHW '!L-A I&Ci WC, Pueijwl 7 W 4- UJ S�Z -rA rlL-r-- IS-I FAe---a 0:�P-NEP- CAF->1 fr=� t-1 I�j Li C-Ooa ss-=ION ZeA:)a --7L- 0 LL) f ')L Z'OPEN 12A�g U-1 'I'hese drawings are intended as a Mininitun gUideline to normal,proper installat o WARNING: 2 0 W, DATE: AS THE ALUMINUM ASSOCIATION OF FLORIDA 10/84 P.O. BOX 232 SECTION: Screen CLEARWATER, FLORIDA 33517 PAGE: AI,L RIGHTS RESERVED: Not to be reproduced in whole or in part without written permission froniTYIE A1,17MINUNI ASSOCIATION OF FLORMA.INC. POOL ENCLOSURE (Post to Beam 7:vpicals) I it XZcDF-EN PA4-14- FA,,5-MNGD TO Foisrr W 2 - *�I C) 'x 1"4'1, ---,".-.- 2 )(f' -T�Ci Fk�6r \>,/2 v i'-�" r _v_ S-r r=�4 a C> tz.) 2' x?_ 4C S.H.S. W/;* I ax I�,z"s,H:5, G_'L4. I I)(Z" F=A.SM;-�N P-D-rQ ESEAJ-i W/z-il-10 -,d'/t -srl.-S' ZY,Zo Fk;�MNFID Ti�i EEN-A V12 410 x ANp -To z-,,xe 4 2 c- 4.2. C_ y W,2 I C 1 -5 1 1,-A oy_ 14 M A,I f_j H A�'I N +1 4- GLIS-1>1ET 012- H + + + + lx_� C'OWN. W6.r- + +]"V,,. 4— �t i5�. H-S. + I T 4 MOTH S1 pe:r> WOTCH 136AM Tb Nc5TC-" Pot"sT TO F-0-ST RE�q� ee4m A. 1%'2' FA-S-T5_NG_j::> 70 PcosT W/2-0 1 Q Y�0-i s.ri.-5. 4$1 AZ" rA,5TC-1-�D To Z'�( Z I OX i'lz! e>-HIS- a - -*1QKIV I AL" OR,, kSMt-4EC>7c� PCIST \,4)2 Z"K Z"IFA5�SP -TC, e6krl W/2 o Y,I-'" T=AsTtw�b-Tci 211,421, I -roe+e0m ecAtA W/sk 'ST r r(-It k \v/ -S-rrTC_" -T(-),(> WTT—" c>r- euvkrl SEA I'l + 4 4 + + + + cuT EF-AN -rc) Rz- I++ CeIVIE: FkDS_r+0'6 NOTC-44 BtzAH 'Tc'� IFF 4 SEL:'_71 ON pot5r I".AA,Y, m I W -Y<T Ll C44ANNF-L i=V- H SECrIOW r4'9MNf:0 -Tti Fc6r-.4- m�"w &4. \Y/4- Wo.IQ -� H 64-MUsp MAOC-H Sim* -ro P0.67. WARNING: 'I'hese drawings are intended as a minimum guideline to normal,proper installatioIXT 2 0 1986 Partivular application or local codes nia.v re(JUire review bY a professional engineer. SA DATE: THE ALUMINUM ASSOCIATION OF FLORIDA 10/84 P.O. BOX 232 SECTION: Screen CLEARWATER, FLORIDA 33517 PAGE: 5 ALL RIGHTS RESERVED: Not to be reproduced in whole or in part without written permission rrornTHE ALUMINUM ASSOCIATION OF FLORIDA,INC. SCREEN ROOF BEAM - SPAN TABLE S-1 mpy)HUM CLZ�A� Sp#-Ws MP-- SCAF�S�p px�,�?I eeAms Qr, VQ-10U-S !S-RACt 4�' z 4. S.H. ft>� 2- I .Z 1-; Z",1,4"Sj'. E�G 4H 2 S:-S" -7-Z'-q -Z I'-q 9 e A zq�-c� 21 ,k6;"S�K BEAM 22"l - 4" 2'0� 2- 4- Z" -7 H BEA 1`1 -a,5,- 3 Isl z -7 EiE�V-A 49- Z' 44'-,::;, e z4!-3" 21!-6' 21 IC 21 7_09 Y$27"T- 14'-1 1 0 1 d, Z G'- 7- Z4�- S' it ti it I- -It 10 4 00F \)V I N L.7�A ED CD1::- r�, H.F1�4' L-IVP-L-04C� 7 1-4 'I'hese drawings are intended as a minimum guideline to normal,proper installation. OCT 2 0 1%6 WARNING: Particular application or local codes may require review by a professional engineer. DATE: AS ®r!o THE ALUMINUM ASSOCIATION OF FLORIDA 10/84 -eel N:�� SECTION: P.O. BOX 232 Screen CLEARWATER, FLORIDA 33517 PAGE: 6 10 Not to be reproduced in whole or in part Without written permission ALL RIGHTS RESERVED: fromTHE ALUMINUM ASSOCIATION OF FLORIDA.INC. 14 0 T I C E T 0 C 0 N T R A C T 0 R S SCHEDULE . Ur INSPECTIONS Ilecluests for inspections will be accepted from StOO All until 4 :00 I'll. All inspections will be made the following day between. 8:00 All and 4sOO PH. SCHEDULE OF INSPECTIONSi 1. FooLing 2. Hough Plumbing 3. Slab 4. Frnmirig, Hough Eieol:rioal, Heolianical, 'I'ap -Dut. Plumbing, 5. Final 1nepection G. Certificate of Occupancy Other inigpecLions may be required in cqrtain situations. Building card nus'r be posted or no inspection will be made. Pour no concrete or cover-up any work until building card in SIMIED by the inspector. You will be required to uncover any work that has not been inspected. It, case of failed inspection, 010. 00 re-inspection fee must be paid prior to calling for re-inspectiong ' BUILDING DEPARTHENT CITY OF ATLANTIC ' BEAC11 249-2395 APPROVED CITY OF ATLANTIC BEACII LIUILDING OFFICE JUL 27 JJdJ Building and Zoning .d(T 716 OCEAN BOUrVARD Block # Section #-------- 11.0.IJOX 25 Lot I-------- -------- ATLANTIC HACH,FLO111DA 32233 TUE1111ONE(9U41249-2395 subdivinion: ------ DESCRIPTION OF WORK 11ame SLre -L ,!- cs'e or Addresgs--- If in a FLOOD HAZARD complete page 3. Brief Flood Zones--------------Brea Descriptions__ Class of Works (New/Ramodel/Addition)_Addr Z011111G 111FORHATION Type of Constructions A 1 ------ Zoning Proposed Estimated VGlue 0--- ---------- Districts---------U-("'--------------------- Materials:-------------------------- Exceptions or Varinnces Granted: ------------------------- Solid or Filled ------------------------------------------- Grounds-------------Roof: OWNER 111FORHATIOU tiathod of 11—tingi------------------ I)A Phonel-�Y?-03/ ProperLy Owneri_--T�-, ze-w- -------------- ---7 Hailing 57 31 -LitE Address---------:��tvg --- --------------------- zip: ------- CONTRACTOR INFORHATION Contractor: ------------------- Phonel-Q6"?--11/7 Mailing A d d r e s s -6 dy- -------7 ------ zip:--------------- Expiration License flumber* -.YLQZS--------------- Dates-------------- ------C&C-D In consideration. of permit given for doing the work as described the above statemento we hereby agree to perform said work in and specifications which are the attached plans accordance with all rules a /< rdance with nd regulations a part hereofr and in aCCO IJ of the City of Atlantic Beacho 7 109 Date__ Owner Signature --- ---- ----- --------------- Date------------ Contractor Signature---------------------------- FLOODPLAIN DEVELOPMEMT IMFORMATION !J0 )..d. Pg Type Development ,' -to. Exis ting Building Alterations, A- Flood Zone "J.J.!":.� 1: 1. Required Floor Elevation Actual (as built)Lowest Floor ElevatI,on.. If located. within a flood hazard zone.:(zone *A) ' a survey.1 mus t be made after the slab has been poured,-. certifying' that; the "lowes t floor _el_eva_L:iot1`Ts equal to or above base.. '.flood' eleva-L71—on e_9Eab_Y1_s1i_e_d-1o_r-' that zone.' Ho Final InspecLion will be made 'and No Certificate''of Vecupancy will be �ssued until the survey . tson"ftle!witlit'.tlid.; Buildikig Departlllent.� COHMENTS Applicant acknowle i dgement : understand that' the'..'iss uance 'of this permit is contitigent upon the 'above"information'being'-correct and Lhat the plans and supporting data have ':'bee'ti or' stiall be *provided as required. I agree to coMply with 'all applicable 'provisions of Ordinance Ho . 25-7-11 and all other laws or ordinances effecting the proposed developemn.t. . Date Applicantiq Signature 'A, 0 ---------------------------------- --------- --------------------------- Department Use Survey filed with the Bui. lditig Department on Certified Lowest Floor Ele'vation Required Lowest Floor Elevatioti Building Department Representa,Uye j CITY OF ATLANTIC BEACH FA DEPARTMENT OF BUILDING 8W SEMINOLE ROAD—ATLANTIC BEACH,FIL 32233—TEL: 247-5826—FAX: 247-5877 L45bA_T* tNW0R0J4TION____ PERWA1014060-k—TION DRIVE 224-1-9 Address: 527 ermit Number: ATLANTIC BEACH Permit Type: REMODELING Range: Book: Township: Class of Work- NEW Lot(s): Block: Section: Proposed Use: CONDOMINIUMS Subdivision: Square Feet: Parcel Number: Est. Value: J�l Improv. Cost: 750-00 7/3012001 Name: ELIA RISBY KES DRIVE Date Issued: 25�00 Address: 527 SELVA LA Total Fees: 25.00 ATLANTIC BEACH, FL 32233 Amount Paid: Phone: (904)249-8057 Date Paid: 7/30/2001- )esc: EWGARA DOOR I - , N 61Vork I esc: .00 C OV COMPANY OF JAX'- 4� M4 -W 20 VONI 4 'lox —----------------- 22 'T pbw L bk$T.24, 466ftPRIOP,TO iNSPtCTION NOTI ED 4N PULIC SPACE, AND Wb*MtYST BUILDING MATEFRIA1, RUBBI TOR OR EITHER:90NTRAC MUST BE CLEARED ND 1�A REjUV IN THE tJEN L �N. "FAILURE TO H1 Co.. P PERTY OWNER PAX04 9OLDING IMN NTSr RO ND SU RM BJECT TO REVOCATION j - 50 ISSUED ACCORDING To AP D P S W FOR VIOLATION OF APPLICABI E P sA F 7 !nn ate: I Receipt: 0878467 LANTIC CH BUILDI G DEPT. D ram A CITY OF ATL;L\TT7C BEAC11 P EIR,M Y T PLICATION REWDEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner (s) TO PLI Address: Lot 4- Block or Unit SubdivJ sion: Contractor: OVERHEAD DOOR C6MPAN`Y' OF JACKSONVILLE 591881676 OCCUPATIONAL TYPE 1 State License 268-1627 Address: 6884 PHILIPS PKWY DR. N. Phone No. JACKSONVILLE FL Zip Code 32256 C-4tv State Describe work to be done: 42 15'J- Present use off buildinga-: Valuation of proposed Construction: Proposed use: 7S th; s an add-it-icn? If ves, wh_at are the dimensions of the added space: —fLt. X ft. Will the added area be heated and cco_! e,_-;-,_ Ne!14 eieczrical (or i-crease) ? New piu.-,Izing fixtures? New fireplace? New Heat/AC? SUaifjT 77-= (Com-mERCZAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITEF PLAN, SUR,1Ey' EN=Gy CODE yoR.,qS' NOTIC- OF ccmy.�WCZN=, AND CW=ICONTRACTOR AF-cIDAVIT, IF OWZ= IS CONTRACTOR- 0 Signature CWN'E"R: LaA-d-t�- [)a-,e: Signature C0N,TP_A.0 Date:�2 Sworn to an(� s-c-bscribed before me this clay OL F-,0R1DT- AT LARGE P BLIC STATE OF AS. Janvs C Waa **My COMM&wc)n CC804432 S.v E"'pir'"JonuarY24 2o., Jul 25 01 10:49a Overhead Door 9042667204 P. 1 C.TTy OF p NTTTC BEACH TLa*L - A PL-TCATION RM140DEL, ADDITIONS, OR ALTERATIONS MOVING,DEKOLITIONS L- - I /J� L- Owner,s) 'r J& hone: Lot Bloc', or Unit Subdiv-is-;O-.. Contractor: OVERHEAD DOOR C6MPA1+Y.I OF JACKSONVILLE ------- OCCUPATIONAL TYPE I State License 5918BI676 N. Phone NO. 2.68-1627 ;t.ddress.__6884 PHILIPS pKWY DR. 32256 FL Code JACKSONVILLE State C-,Z:y ---r -i�� DescrilDe work to done: bu4id'ng: present use 1,2R) Valuation of ?r000se--; proposed use: If Ves, what are the dimensions 0� the added t.h-4s an addit-ion`— ft.- - area be heated and x wil-1 the added (or fixtures?_ New fireolace?—New Reat/A�C?_ Ne"-f plumbim TIAL) COWLETE; SETS OE- PLANS, INCLUDING sM%!1T THREE CCCNI?'=CZAL) TWO (P-rSID N C-_ or COMEMCMENT, AND S1= PLAN, SURVEY, EVERGY CODE FOPUHS, MOTI 0jfWER1C0L-qTRACT0R AFFILiAVIT, ,XF OWNER is CONTRACTOR. 1 11 d Date: S4-cnaturc OWNEA-.1 I. ��a -- I Date; IP Signature CON i TPAC sL:bscribed before me this-4R3L.-day OZ I.T LARCE p U r.1.T. A e'"'% James C V,4WU *V*Aiy CGI CCW"32 EAPr"J4nu&rV 24 2W3 ;If 1L �2 9 01 55�i� Rj tA 0 0 qq ;4 -T C C:) -n YO C")rn C-) TF TO 'U z d a *0 10 ga I nr J-d *DEL893*06 J00a pwa4ja^o CITY OF ,4� Te",41-9&Tid4 Office ol Building Official CjtPOUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No. j3b Address L ocality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Rough Wiring Rough Air.Cond.& —1 Re Roofing Slab Temp Pole Top Out Heating Lintel Final Sewer Fire Place --1 Pre Fab READY FOR INSPECTION A.M. Mon. Tues d. Pyv\ Thurs. Friday—RM A.M. inspection Made Inspector Final Inspection Certificate of Occupancy Date