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519 and 523 Selva Lakes Cir (vault) If CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030946 Date 8/16/05 Property Address . . . . . . 523 SELVA LAKES CIR Tenant nbr, name . . . . . INSTALL GARAGE DOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 700 Owner Contractor ------------------------ ------------------------ LANIER, JOYCE ATLANTIC OVERHEAD DOOR CO 523 SELVA LAKES CIRCLE P O BOX 51557 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-9933 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 700 Fee summary Charged Paid Credited Due ----------------- - --------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CQUS. BUILDING OFFICIAL 's='''1%i� CITY OF ATLANTIC BEACH Cc. J r D. Ford T BUILDING / ZONING DEPARTMENT L Higgins s� 800 Seminole Road U Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Q 0 Property Address: —5-2 3 ���✓a- La 4 Applicant: 'Jo ye, Project: �X'3S74I. e 4191111G)k 2)60'- This pe it application has been: Approved Reviewed and the following items need attention: Al/ 5� Gu- S ?7 ? 4 a-- Please re-submit your application when these items have been completed. / Reviewed By: 11 Date: Date Contractor Notified: RECEIVED CI BNATLANTIC UIILDIGZO iG �S CITY OF ATLANTIC BEACH AW 1jDSKYLI HTS, GARAGE DOORS, HURRICANE SHUTTERS E Date: BY: � Job Address: Owner: p Address: Phone: A(0. S�d 9 Legal Description: Block Number: Lot Number: Zoning District: l l l Contractor: dapj e, &&KhEAd � nn ok lb State License Number: Address: - �• CJ lJr 5 Phone: 0141 -9u3 City: �( State: Zip: n aa2 Fax: Describe pro osed use and work to be do e: . 10a, 0 ao k Present use of land or building(s): Valuation of proposed construction: I Do Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Required Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (ft) Roof Slope Window Height (ft) Window Width (ft) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed Mean Roof Height I I I 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Revised 1/27/03 Page 1 CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: Jd3I p CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE • AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. :;Y',•' DONNA L.BUSSEY MY COMMISSION#DD 412624 EXPIRES:March 30,2009 BwM Thru Notary Put is Underwriters PROP O WNER/BUIL ER I I�'ti SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF AugUS' 2005 NOT Y PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. Florida Building Code Online Page 3 of 3 Regal, Celebrity, American 100, Residential Up to 40 psf, Up to 18 606.2 °XL","CS" Series Steel Door feet wide. Not to be used in HVHZ. Up to 16ft wide, up to 606.3 Regal,Cel ebrity,American 100,XL,CS Residential 28.5 PSF. Large Missle Series Steel Door Impact tested,Not to be used in HVHZ Residential Up to 40 PSF, Up to 18 606.4 Vantage, American "200" Series Steel Door feet wide. Not to be used lin HVHZ. V+�Wf1�uA Copyright and Disclaimer;02000 The State of Florida.All rights reserved. �MKgfMd Vf�IFY� APPR0VEi7 CITY OF ATLANTIC BEACh BUILDING OFFICE AUG 16 2005 By: --4- http://www.floridabuilding.org/pr/pr—detl.asp?IPT=4606&RV=O&fm=ROSrch 8/11/2005 SELVA LAKES HOMEOWNERS ASSOCIATION REQUEST FOR ARCHITECTURAL APPROVAL This request from is to be completed by the Homeowner and submitted to the(ARC)prior to the commencement of work. DATE RECEIVED BY ARC 6 THIS SECTION TO BE COMPLETED BY HOMEOWNER Date: Name: Lot# Address: A k `^L Home Phone: d� r 55� I Other Phone: Contractor: Describe the work to be done: (i.e. Screen room,addition,fence,garage door,siding,outdoor lights,etc.) T-1 ado n�p Location: Attach a copy of your survey indicating the location of the work to be done. Describe Location: Specifications: Attach a copy of the plans,drawing,picture,specifications(material,color,etc.) All exterior paint must meet SLA specifications. Estimated date of completion NOTE: Owners are responsible for the conduct of the contractor. You are required to supervise the work being done. You are personally responsible and liable for any damage done to common property or adjacent property. When required by The City of At nt' Beach,you a required to provide the ARC with a copy of the building permit. Homeowners Signature: Date: • 16• 0S XDate Denied Date Approved OJ ARC Signatur . Mid-America's Regal Series offers traditional raised panel Lf 9 ff� 1 design and beauty in the look of wood with the strength and durability of steel.Regal Series adds classic design and striking eye appeal to any home. • Colors:In addition to Heights 6'6",7'0",7'6",8'0" standard white,Regal is • 11 ,. r ©� also available in brown, ®© almond,and sandstone. 11 1 1 or can be painted to • match any color trim. • Insulation:Energy efficient polystyrene insulation covered with • Traditional raised panel wood grain a heavy white vinyl design. - -- backing to provide g ,�o � protection and an • Hot dipped galvanized pre-painted Waterton attractive finish. nominal 24 gauge steel. Q[] ❑0 MEI ❑ • Windows:Decorative Interior return rails hemmed the entire ❑❑ ❑❑ ❑H windows and snap-in length of section for added strength casmae . glazing inserts are and safety. 17-10 =110_0_1 iDE] available to complimem D0 x Commercial grade vinyl retainer for „id tural style.M 'DCQ your homes architec- extra strength with thick vinyl cdoweatherstrip runs the entire length ofthe bottom to conform with the floor OCIFIE11 and seal outthe elements. crnan % �— Rugged hot dipped galvanized tracks, brackets,wide body hinges,and full Sunset(also rnmes in eight pnrrAs) steel ball bearing rollers.Torsion or EIEJEJ extension springs deliver years of trouble-free performance and con- tinuous smooth opening and closings. Rrrst°" Mechanical security cylinder lock and EIE:IEJ key,or inside slide lock. caowrd Backed by a limited lifetime warranty against splitting,cracking,and rust - through. Torsion Hardware Support Pad f Opening Height 2 x 4"Filer' Header 331x"Minimum C)earOPenirig Side Room y, 8'Minimum Cerner Post � NIDA Mid-America Door ��,,� Founding Member Rug 11 0,13 09: 03d P. 3 gNg- it—01 R asp — sJ _ a� O•N y 3 � � '� n �� z � •p AJ .ItAr � COY ai �4 i SG 05 XN KSI q R Ti P n r • ^~ $get (� 9 3 V t l � V i . ripY K C P Y ' ` 4 v Sn _FR r� lrt • P 66 g ^s V L G 4 ? . v § § _ \ 2., q% qki 0 W86 0 0 w c' (* §§ \ § , U) \§|§ - _ \ |\ ) } } z , § \ ; j o \o ;|. . }. 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Application Number . . . . . 05-00030067 Date 4/11/05 Property Address . . . . . . 523 SELVA LAKES CIR Tenant nbr, name . . . . . . OWENS CORN D3462 Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4025 Owner Contractor ------------------------ ------- ----------------- LANIER, JOYCE FIRST COAST ROOFING, INC. 523 SELVA LAKES CIRCLE 5151 SUNBEAM RD, SUITE 23 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 246-5589 (904) 731-1884 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 4025 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .y BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: Ford \�s BUILDING / ZONING DEPARTMENT LD. Higgins r r� 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 ryJ,3l�'� (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application #1"'— 300 Property Address: Applicant: Project: This permit application has been: EU/Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: V�— Date: ��d5 Date Contractor Notified: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address J 2 3 La, S (fiZ . Date �6c tt75�- Heated Square Footage @$ per sq ft= $ Garage/Shed @$ per sq ft= $ Carport/Porch @$ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 40;-S' 3s. $ 36 Total Valuation $ 1 coo Remaining Value $ .per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 3- ZONING: + lh Filing Fee $ g FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: �a BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ I Mar 21 05 10: 49a CitR fffCTl&„1j3hA:�G ®each' Bu 904-247-5845 P. 1 CITY OF ATLANTIC BEACH BUILDING 3 ZONING APR 0 8 2005 CITY OF ATLANTIC BEACH )I R OFING PERMIT APPLICATION -,.P),:19 BY: _®.. 9 Date: S Job Address: C—=5 Owner of Property: D ti_Z-lJ L l Telephone: a-� to Address:_ �-� Y t�wN _ yvr �i 11'1.. Teo Pry State License Number: � Contractor: ��_�� � �- T-- Contractor's Address: L Ij � Telephone: 0 Fax: Scope of Work: [),o L)i7-_ &-L- Deck Slope: Greater than 2:12 J Less than 2:12 Valuation of work: E) Product Name(Example:Timberline): ^�' '��R l�g R Ir !fi f u/ Manufacturer(Example:GAF): ASTM Designation(s): Required Inspections: ing and Final Signature of Owner: Date: Signature of Contract �_ Date: ""/ C - y ' 7 AS TO OWNER: , Sworn to and subscribed before me this day of �• ► 20 V-�-' State of Florida,County of Duval p �Q Notary's Signature: ..,` F4. coy Herold My Conw asion DD031NSO ❑ Personally known +�, Produced identification ,f / iia Expaes May 03 2 Type of identification produced ✓ Jr(0 `^ v AS TO CONTRACTOR: of Sworn to and subscribed before me this Y State of Florida,County of Duval Notary's Signature:CWY Herm [Personally known El Produced identification My Comrtwaion D003156i6 '-� 41. Fires May 03,2008 Type of identification produced 800 Seminole Road -Atlantic Reach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 .http://www.cL2ti2ntic-beach.lLusp v,sea vzuo3 Page i State-Certified Service • Quality • Integrity lam ' Roofing Contractor CCC056797 TO: CITY OF ATLANTIC BEACH, FLORIDA, BUILDING DEPARTMENT FROM: ROBERT ROBERTS, FIRST COAST ROOFING, INC. DATE: 04/07/05 SUBJECT: POWER OF ATTORNEY 1, ROBERT ROBERTS, PRESIDENT AND OWNER OF ROBERT ROBERTS FIRST COAST ROOFING, INC. DO HEREBY GIVE POWER OF ATTORNEY TO PEDRO (PETE) NUNEZ TO PULL PERMITS IN ATLANTIC BEACH (DUVAL COUNTY), FLORIDA. MY FLORIDA STATE CERTIFIED ROOFING CONTRACTOR'S LICENSE IS #CCCO56797. os SIGNATURE DATE BEFORE ME THIS DAY OF A::e r IN THE COUNTY OF DUN L, STATE OF FLORIDA, HAS PERSONALLY APPEARED 2"�'-c.r k �S-y kl NOTARY PUBLIC AT LARGE, STATE OF FLORIDA, COUNTY OF DUVAL. MY COMMISSION EXPIRES: PERSONALLY KNOWN OR PRODUCED I ENTIFICATION f o.t c„ �i � �✓� /-�--era I� NOTARY'S SIGNATURE two Cary F1erold My Commission DD0315W p Expires May 03.2008 CADOCUMENTS AND SETTINGS\OWNER\MY DOCUMENTS\POWER OF ATTORNEY ATL BCH.DOC 5151 Sunbeam Rd. Suite #23 • Jacksonville, FL 32257 • 904/731-1884 (Ofc) • 904/731-1391 (Fax) 4&4a& //CITY OF 4&4a& "' '- Office of Building Official �j REQUEST FOR INSPECTION ` Date l / — ` Permit No. Time A.M. Received P.M. 2 Job Ad ess �ocality Owner's b Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION .M. Mon. Tues. Wed. Thurs. Friday �- 2 2 9 A.M. Inspection Made l Final Inspection Inspector ' n ancy E,C 1zor'lWi/, d n y1C !/ b, ea IX Q6W Date i'_ �� /ACITY OF �4f�4X& �i�-0;&>e4& Office of Building Official REQUEST FOR INSPECTION 2 Date 2� 03 Permit No. 03 r 0i3 Time Received c5Iq SSPI\10 l �_ es Ctr Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ / Footing ❑ Rough Wiring Rough ❑ Air Cond.& ❑ Re Roofing C�' Slab ❑ Temp Pole Top Out ❑ Heating Insulation , ❑ Lintel ❑ Final Sewer ❑ Fire Place ❑ Pre Fab CU*- trL� READY FOR INSPE ION A.M. Mon. Tues. Wed. Thurs. Friday P.M. J '/��'I) A.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date PREPARED 5/29/03, 8:06:27 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/29/03 --------------------------------------------- ADDRESS . : 519 SELVA LAKES CIR SUBDIV: TENANT, NBR: REPLACE ROOF PHONE (904) 220 5546 CONTRACTOR WHITE'S ROOFING CO, OWNER PUTNAM, GUY PHONE PARCEL 172027-5502- - i APDL NUMBER: 03-00026131 ROOF ----------------------------------------------- PERNIT: ROOF 00 ROOF PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------- 17 01 5/29/03 LJH ED SHEATHING TIME: 11:t1D WHITES ROOFING 220-5546 ----------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ;r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027466 Date 1/06/04 Property Address . . . . . . 519 SELVA LAKES CIR Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- PUTNAM, GUY OCEAN STATE HEAT & AIR 519 SELVA LAKES CIRCLE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------- ---------------- ----------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -------------- --- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 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 C�lll� ► s�t'��'�rlu r CITY OF ATLANTIC BEACH s' MECHANICAL PERMIT APPLICATION d J 3 / t.i! Date: (V Property Address: //�� Owner: Telephone #: 24q Contractor: C Telephone#:?4"[— E I Contractor Address: Fax#: Xq - 3qqq 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. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: * Electric L3 Gas: _LP Natural _Central Utility No ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed Central _Floor )Q Residential Air Conditioning: _Room ' Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity chn E3 Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTUs Agency 0 TANKS Nominal Capacity Type Liquid Serial Approving How Many &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 CITY OF ATLANTIC BEACH std J 800 SEMINOLE ROAD r) ATLANTIC BEACH,FL 32233 J =J ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000615 Date 5/02/08 Property Address . . . . . . 523 SELVA LAKES CIR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu lahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LANIER NICK' S SOLAR & AIR SYSTEMS 523 SELVA LAKES CIRCLE Q/A:NICK BACCA ATLANTIC BEACH FL 32233 4891 TIMIQUANA RD JACKSONVILLE FL 32210 (904) 398-6578 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/29/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 07- I I I I I }i 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.71S THIS A SUB PERMIT: 3.DATE 0 NO ❑YES PERMIT#: Atlantic Beach, FL 32233 PROPERTY OWNER: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE. 4.NAME:, R O c MECHANICAL CONTRACTOR: 7.NAM OF COMPANY: ,� 8.ADDRESS.: A7 9.STATE OF FL IDA LICENSE N 10.CELL P NE: 11.FAX NO.: CSa 12.EMAIL ADDREST 13.0 FILE ` 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after wor ' commenced. CONTRACTORS SIGNATURE:: 15.CLASS OF WORK: 16.BUILDING: 11.SERVICE: 18.CURRENT CODE:''` ❑ NEW INSTALLATION ❑ NEW ❑ RESIDENTIAL 0'06 FLORIDA BUILDING CODE- ❑REPLACEMENT OF EXISTING SYSTEM ❑ EXISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑OTHER ❑ REPAIR MECHANICAL EQUIPMENT TO BE INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED ENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ❑ CENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: qpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. IVALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING RE gIGERATIO 4 EQUIPMENT,CO RS.ETC. APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQUIPMENT: FURNACES BOILERS FIREPLACES.AIR HANDLERS ETC. APPR7VING NUMBEROpEL# MANUF TU ER BTU AGENCY OF UNITS DES RIPTI N ' 33.TANKS: Y LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAB FORM BLDG03:REVISED:8/13/2007 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026131 Date 5/28/03 Property Address . . . . . . 519 SELVA LAKES CIR Tenant nbr, name . . . . . . REPLACE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3800 Owner Contractor - ------------------------ ----------------------- PUTNAM, GUY WHITE ' S ROOFING CO. 519 SELVA LAKES CIRCLE 181 PRINDLE DRIVE EAST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 3800 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 n. 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 Y w RECE VE r �i�"liyl rCITY OF A'1 LANTIC MACH BUILDING &ZONING s� CITY OF ATLANTIC BEACH MAY 2 2 2003 ROOFING PERMIT APPLICATION BY: D te: Job Address: t v ` Owner of Property: v Address: �� o, 5 CS . Telephone: " Contractor: (, State License Number: �� OS 0�1 Contractor's Address: Telephone: Fax: r' Scope of Work: `2 Deck Slope: �Greater than 2:12 Less than 2:12 Valuation of work: Zi W C OF ATLANTIC BEACH Product Name(Example: Timberline): �� r Manufacturer(Example: GAF): ASTM Designation(s): Required Inspections: Sheathing and Final BYE Signature of Owner: 7T woDate: —03 C •� 1 Signature of Contractor: Date: �` d —0-3, AS TO OWNER: Sworn to and subscribed before me this day of /// � ,20t3 State of Florida,County of Duval Notary's Signature: �,N J R Grift sty commission DD05875s Personally known a Expires September 19,2005 ❑ Produced identification Type of identification produced AS TO CONTRACTOR: n� Sworn to and subscribed before me this ���✓ day of 20_0 State of Florida,County of Duval Notary's Signature: J R Grimn • "'fa My Commission DOM768 Ek1rersonally kn of IV Expires September 19,2005 ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2!21/03 • Back 11108 Page 356 MIN. RETURN ��g PHONE# � ��s5q ' Pae: 3566 Pa :�i4986 g NOTICE OF COMMENCEMENT Filed A Recorded JIM45/2Z/Z003 03:51:41 PM FIN.IER State of Tax Folio No.—CLFRK County of _ y vwUft T1' SUBURT RECMING TUT FUND f 5.00 To Whom It May Concern: f 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 information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: General description of improvements:- IN t k W Owner: Address: L J%. Owner's interest in site of the improvement: i%r OF ATLANTIC Fee Simple Titleholder(if other than owner): SUtt-DiNG OFF"-"-- Name: FF"-"`Name: Address: Contractor: S N L Address: +.. Phone No: Fax No: Surety(if any): Address: Amount of Bond S 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): THIS SPACE FOR RECORDER'S USE ONLY Signed.,Dxw I Before me this ay of /Ao V3 in the County of Duval, State of Florida,has personally appeared J R G Notary Public at Large, State of Florida,Cou%y of Duval. COR"" 0^ 8758 My commission expires: Septemt w 19,2006 Personally Known: or Produced Identification: a • V. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # S - Z(c I i Applicant: "fE" eo is C Address: e R— Project: `ZYour application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by 1 h� � Date Contractor Notified Date CITY OF ATLANTIC BEACH DBPART�IELENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERi♦IILT NFORIiAATfOI�t LOCATIQTif 1FORNiAT10N PPermitNumber: 19150 dress: 523 SELVA LAKECIRCLEATLANTIC BEACH, FLORIDA 32233mit Type: REMODELING Township: 0 Range: 0 Book: Class of Work: ALTERATION Lot(s): Block: Section:0 Proposed Use: SINGLE FAMILY Subdivision: SELVA LAKES Square Feet: Parcel Number: Est. Value: 1,000.00 11V'f4RM',ATION Improv. Cost: Name: KAREN DUNMIRE Date issued: 11/i ii125 00 Address: 523 SELVA LAKES CIRCLE Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: Phone: (904)731-5580 Date Paid: 11/1111999 Work Desc: TERMITE DAMAGE AT GARAGE DOOR JAMBS/STUCCO REPAIRS -pip ! ` 25.00 E©1�IT-A R S PERMIT ARMSTRONG CONSTRUCTION I etaR8 Ct1o113 � t NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOUR PRIOR TO INSPECTION 1 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST O OWNER PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER C _____ O COMPLY WITH THE CONSTRUCTION LIEN ,LAW CAN RESULT IN THE PROPERTY FAILURE T ---� OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS PERMIT AND SUBJECT TO REVOCATION ED P NSISSUED ACCORDING F APPLICAB EVED PLANS PROV S ONS OF WHIC�qWE PART OF THIS PE FOR VIOLATION• $25.0014 PT Date: 11/12/39 01 Receipt: 00103258 ATLANTIC BEACH B ILDIN CHECKS CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) Job Address:C7? SelUGZ '-�7`� -/' ��Phone: /7'T003 Lot # S� Block or Unit Subdivision: �P 5��� l0� State License 7Cr �����-�/ Contractor: :redress : ���o P, J C ?,lone No: C" , G �l`�vr (Q Gil StateZ� _cde -__ •,�cr'< __ oe ___.� /'�/'rltl� 07Gtmarr it ldi+n./�C l/l�D/'�/1`nlf�s - rese_- ase -rocospo 00 - - CCseC _se is this 3n 3dC_t' Cn? /' O I- ves, what are the dimensions of the added -r f- r7i1= the added area be heated and SDace' coo_e ? New electrical ;or _:.crease; ' New olumbinc -_xtures? New fireplace? New Heat,"_C? SUBMIT THRE" (COb11v1E'cZCIAL) TWO (CODE FORMS, CObfpLET NOTI SOF ZTSOCOM-MV SANT,:V RAND SITE PLAN, SURVEY, ENERGY OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.Date: Signature OWNER: �j Signature CONTRA OR: Date: A) AS TO OWNER: 1d= f A( e/L 191f Sworn to and ; LiPAgr� farUJor ma Rlatary Ftrhl=c,Sate of Florida 1�,Fao a w CCmnlissi; CC 546330 NOTA U C �+ A Y ortcnl�srtta Expiles 04/09,do AS TO CONTRAC��R+a • jj '. Sworn to and subscribed before me this 610 day of — NOTARY P IC Vis, !sA.i.Nt;itARY-Ma.NowyStniv.:i 3n• n11�' CITY OF ������. ,q&4at C Bwc-4-0;&U*us Office of Building Official REQUEST FOR INSPECTION Date 11 - 12--95 Permit No. Time A.M. Received P.M. t Y =S e� 3 Lo ality d dress Owner's Contractor Mkll-IANICAL� BUILDING CONCRETE ELECTRICAL PLUMBING ❑ Air Cond. ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Heating Re Roofing Slab ❑ Temp Pole ❑ Top Out g ❑ Final ❑ Sewer ❑ Fire Place ❑ Insulation ❑ Lintel Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday PM• A.M. P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ w�l Date �aA� �>���'� CITY OF 4&a& /3si=4- &U-4 14 Office of Building Official J�REQUEST FOR INSPECTION / qS Date ` , ^/ Per o. Time A.M. Received P.M. �S-?3 Job dr ss ity , Owner's Name Contractor CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Pre Fab Place El READY FOR INSPECTION CD Mon. Tues. Wed. Thurs. Friday P.M. g A.M. Inspection Mad / P. � Final Inspection Inspector tuccupat ncy ❑ Date PSR-3844 a DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - - - - -- -- LOCATION INFORMATION --- Permit Number: 13293 Address: 523 SELVA LAKES CIRCLE Permit Type: SCREEN ENCLOSURE ATLANTIC BEACH , FLORIDA 32233 "lass of Work:ALTERATION --------- LEGAL DESCRIPTION --------- Constr . Type:WOOD FRAME Block: Lot : Twp : Proposed Use : SINGLEkFAMILY Section: 0 Subd : Rna * Dwellinas : 0 t Subdivision: SELVA LAKES Est . Value: 0 .00 Improv . Cost : 4 5 , 184 .00 Total Fees : 60 .00 Amount Paid 50 . 00 c ------- - ')WNER INFORMATION --- - ----__- APPLICATION FEES --- Name : KAREN DUNMIRE PERMIT 60 , 00 Addr - 523 SELVA LAKES CIRCLE RTLANT17 BEACH , FLORIDA 32233 Phone ' . 904 "7�1-5580 - ----- CON`T'RA^TOR INFORMATION --- -- Name: LIFETIME ENCLOSURES , INC. Addr: L„c . Exp . i Type: NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $60.0014 Receipt; 00.22524 CHECKS 905� ATLANTIC BEACH BUILDING DEPARTMENT S8IE+8032211�t?>3 By: f AU of L)iwlk�lii p9 350 ��M�ar awyi�n, The ung" ►61ed A.r•Cy MAWW, you y" 1mw"Sm mli WW 4 on&" W MU 4 rsw pr(rycry. •nd an .ccora.nce vun Neuuu 71,1.w Qt ttw j' 4y �yy � toa 4►►wr �pipr4++Ygi► "a" as WA& NOT'lC�; Qr ll«i+IT. 15 �lnc 6swcv wc�+ww acs G+vr�� ilPi��t ilD i� IIl Wi Yi�yrav�t w -- -•.._w....-.. in Aw"w W OLIN r U" NWiw) N�.qM-�• _.. .r....-._. Nam ��((����sw.MYww-rw-`---ww--- �rMilii�Glaf ---------- -- ---- J --------------- ----—--------------- ---------------------------_-------- --------------• Ari�rw .•-.-------------------------.�.�,...�.....+.......-.-.---..........�A•R+�wt ai Ao40 i-------------- N4106 MW ah""►u 4111 Nccr,11 nurluY . Lu"lw UK QMUM A"al �I►c uu�laaoriwi+w• No" MYMr--A ------w----------- ... ...... ............--w �•r . w!W -------------------------M.. .M...M*M"W.�.►...... NA11K of PO" %V WWI " :A" ui kk9UAr, WW " lbu 4w+-'@' 67 "40 qw www WAM.0 al o►c,o clw"PIaw --, n1p bt iRivN. in ildauuus W OWW11, awnsr ayytru►ws WN taUollyAlt WWW W r"We a c►+Yy Mi yr�v,a+�t us s.�w►+• 7 •W Ell lt1j, rk.ru+. a�rwN.• (Yah w .► CmL4re py►Wu). ;t.4w ---------------------------- t!t`m ------------------------------ --. ...-- .....«.«---•---------•• TK►6 ava"P40 sWwWV's VM Ww6'w :;L r mcr � m -o� r Grr+� ncmz1-jr) .• .. • DTT -+ptQ YC r7��OrUd nmcL;oZ9.0 N LT O�+- O Z CI n O W FD O LA o-acpro-.jn NOW " n a O Y lil-.11v Tim 3 rc w< ter ►� DiWaty PrW+G ALTMEA ALBERT My COj^^rislon cC611541 o f r=Wins Nov.26,1 oDp ,,OF F0P\o CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address s� 3 L vp r4 cit►'S C �� �S'��C� C�cl 1�NccaSoRF Date - �° -17- Heated 17- Heated Sauare Footage @ S per sq ft = $ U Garage/Shed @ $ per sq ft = $ 1 Carport/Porch �L @ $ per sq ft = $ J � Deck +1� @ $ per sq ft = S Patio v a� @ $ per sq ft = S TOTAL VALUATION: / ELI /S,yy $ Tom uation 1st $ / d0y ��� $ .�So Remaining Value per thousand or portion thereof 5 TOTAL BUILDING FEE $ + 1/2 Filing Fee $ a ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP $ ( ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH ", `�'� �~ ` ' Zoning PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS ,�,, DEMOLITIONS owner(s) :La—re-n 'DU n m I (� Address : 57.3 SaAVo.- 1-alkeSC�r0f- Phone: '2—H-7 -4Q Lot # Block ` or Unit # Subdivision: ^ _ Contractor:or:.-3e7-4Y--W P)rlaC State License # CSC C�2�Sy-1 I Address : ,8w-! -3 I?` 1 111 H 3U Phone No: 731r55Vn Describe work to be done: olY-) wU —S L )L44 , Present use of building: Valuation of Proposed Construction: �J �gl-t c� Proposed use: ��rtl�1�.� Is this an addition? e -S If yes, what are the dimensions of the added space: U ft. X D_ft. Will the added area be heated and cooled? � ) New electrical (or increase)?X New plumbing fixtures?.LL New fireplace-?L(- New Heat/AC? �.- SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: / Date:/ Signature CONTRACTOR: Ur ve:j0 V"� Ak License Supplied: QQP��Xoe Liability Insurance: Worker's Compensation Insurance: Subject address: �Z3 �e��ra Lala Cycle To whom it may concern. I hereby certify that I will not be heating or cooling the enclosure to be built and have no plans to do so in the future. I also understand that if winds exceed 65 m.p.h. that I will remove vinyl windows. Sincerely, Print name My commission expires IL6'� a— Notary Public, State of Florida OS�pY u��i r c ALTHEA ALBERT My Commission CC511541 NW, Expires Nov.26,1999 Qe "7 OF 100 i 6 N f i a r � 0 N a i F 1 I J�10 N coy G�yP�i v r { 0� ✓ ��x SCREENED ENCLOSURES: SCREEN / VINYL AND SOLID COVER MAX. ROOF BEAM SPANS FOR SCREEN & VINYL ROOMS AND GLASS ROOMS W/ SOLID ROOFS 6063 T-6 ALLOY EXAMPLE: FOR 2"x 3"x 0.050"; BEAM SPAN BETWEEN UPRIGHTS USE LOAD WIDTH TO ENTER TABLE LOAD WIDTH = LW = 14'/2 + 2' O.H. = 9' ENTER TABLE ON LEFT @ 9'& READ SPAN UNDER APPROPRIATE LOAD; THUS FOR 100 MPH WIND LOAD/ L.L. @ 18#/SF SPAN = 6'-3" BEAM SIZE BEAM SPAN FOR VARIOUS LOAD CONDITIONS LOAD WIDTH 100 MPH/18#/SF* 110 MPH/22#/SF** 32#/SF 120 MPH 2"x 2"x0.044" EXTRUSION 5' 5'-11" 5'-4" 5'-1" 4'-5" 6' 5'-4" 4'-10" 4'-8" 4'-0" 7' 5'-0° 4'-6" 4'-4" 3'-9" 81 4'-8" 4'-2" 4'-0" 3'-6" 9' 4'-4" 3'-11" X-9" T-3" 10' 4'-2" T-9" 3'-7" 3'-1" 11' 3'-11" 3'-7" 3'-5" 2'-11" 2"x 2"x0.050" EXTRUSION 5' 6'-5" 5'-10" 5'-7" 4'-10" 6' 5'-10" 5'-4" 5'-1" 4'-4" 7' S'-5^ 4'-11" 4'-8" 4'-1" 81 5'-1" 4'-7" 4'-5" T-9- 91 4'-9" 4'-4" 4'-2" 3'-7- 10, 4'-6" 4'-1" T-11" 3'-5" 11' 4'-2" X-9" T-9" T-3" 2"x 3"x0.050" EXTRUSION 6 T-8" 6'-11" 6'-7" 5'-9" 7' T-1" 6'-5" 6'-2" 5'-4" 8' 6'4-&" 6'-0" 5'-9" 5'-0" 9'EXAMPLE 6'-3" 5'-8" 5'-5" 4'-8" 10' 5'-11" 5'-5" 5'-2" 4'-5" 11' 5'-8" 5'-2" 4'-11" 4'-3" 12' 5'-5" 4'-11" 4'-8" 4'-0" 2"x 2"x0.090"W/ 1"x 2"x0.044" EXTRUSION 7' 8'-3" T-2" 9'-7" 8'-8" 81 T-9" 6'-8" 8'-11" 8'-1" 9' 7'-4" 6'-4" 8'-5" T-7" 10' 6'-11" 6'-0" 8'-0" T-3" 11' 6'-7" 5'-8" T-7" 6'-11" 12' 6-4" 5'-6" 7'-4" 6'-7" 13' 6'-1" 5'-3" T-0" 6'-4" 2"x 3"x0.050"TILT BEAM W/ 1"x 2"x0.044"EXTRUSION 7' 9'-10" 8'-11" 8'-6" 7'-4" 81 9'-2" 8'-4" 8'-0" 6'-11" 9' 8'-8" T-10" T-6" 6'-6" 10' 8'-3" T-5" T-1" 6'-2" 11' T-10" T-1" 6'-9" 5'-11" 12' T-6" 6'-10" 6'-6" 5'-7" 13' T-3" 6'-6" 6'-3" 5'-5" LAWRENCE E. BENNETT, P.E. CIVIL ENGINEER&DEVELOPMENT CONSULTANT P.0.BOX 4368 SOUTH DAYTONA, FL 32121 PHONE 1 (904)767-4774 FAX N 1 (904)767-6556 • 2 O COPYRIGHT,1996 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION FROM LAWRENCE E.BENNETT, P.E. 31 SCREENED ENCLOSURES; SCREEN / VINYL AND SOLID COVER MAXIMUM HEIGHT OF UPRIGHTS FOR SCREEN AND GLASS ROOMS EXTRUSIONS AND SELF MATING BEAMS OF 6063 T-6 ALUMINUM ALLOY USING SCREEN PANEL WIDTH "W" (SEE TYPICAL GLASS ROOM DRAWING), SELECT UPRIGHT REQUIRED FROM THE MAX HEIGHT ALLOWED FOR EACH EXTRUSION WIDTH "W" 36" 42" 48" 54" 60" 66" 72" 78" EXTRUSION 2"x 2"x 0.044" 9'-2" 8'-6" 7'-11" 7'-6" 7'-1" 6'-9" 2"x 2"x 0.050" 10'-2" 9'-5" 8'-10" 8'-2" 7'-11" 7'-6" 7'-2" 6'-11" 2"x 2"x 0.093" 12'-10" 11'-11" 11'-1" 101-6" 9'-11" 9'-6" 9'-1" 8'-8" 3"x 2"x 0.050" 10'-8" 9'-11" 9'-3" 8'-9" 8'-3" 7'-11" 7'-6" 7'-3" 2"x 3"x 0.050" 12'-10" 11'-11" 11'-1" 101-6" 9'-11" 9'-6" 9'-1" 8'-8" 3"x 2"x 0.070" 13'-8" 12'-8" 11'-10" 11'-2" 10'-6" 10'-1" 9'-8" 9'-3" NOTES: GLASS ROOMS THE ADDITION OF AN ALUMINUM FRAME WINDOWS W/ GLASS PANES THAT ARE DESIGNED TO 110 MPH WIND LOAD REQUIREMENTS TO THE ABOVE UPRIGHT SIZES INCREASES THE STRENGTH SO THAT ADDITIONAL FRAMING IS NOT REQUIRED. LAWRENCE E. BENNETT9 P.E. CIVIL ENGQJEER& DEVELOPMENT CONSUITANT P.O.BOX 4368 SOUTH DAYTONA, FL 32121 PHONE 1 (904)767-4774 FAX 0 1 (904)767-6556 • 2 O COPYRIGHT,1996 NOT TO BE REPRODUCED IN WHOLE OR IN FART WITHOUT WRITTEN PERMISSION FROM LAWRENCE E.SENNETT. P.E. 33 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions and Renovations Department of Community Affairs Compi ance wit Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstratec by tre use of Form 600C 931or additions of 600.square feet or less site instal ed components of manufactured homes and renovations to single and multifamily residences Alternative methods are p,ovided for additions by use of Form 60OB-93 or 600A-93. PROJECT NAME: stn V BUILDER: I D S o rC ' AND ADDRESS: d V PERMITTING CLIMATE OFFICE: ZONE: 1 2 F13 OWNER: I PERMIT NO. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area) Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only tothe components of the addition,not to the existing building. Space heating.cooling.and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS only site- installed components and fean,res are covered by this form. I I Please Print CK 1. Renovation, Addition 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 4. sq. ft. 5. Predominant eave overhang (ft.) 5• 6. Porch overhang length (ft.) 6• 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area Q 8• 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R= lin. ft. b. Wood, raised (R-value) 9b. R= sq.ft. c. Wood, common (R-value) 9c. R= sq.ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-v' 9e. R= sq. ft. 10. Wall type and insulation a. Exterior: 1. Masonry (insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= sq. ft. b. Adjacent: 1. Masonry,(fnsulation R-value) 10b-1 R= sq. ft. 2. Wood/fr'ame (Insulation R-value) 10b-2 R= sq. ft. c. Marria Walls of Multiple Units' (Yes/No) 10c 11. Ceiling pe and insulation: a. U der attic (Insulation R-value) 11a. R= sq. ft. b. ingle assembly (Insulation R-value) 11b. R= sq. ft. 12. oling system* (Types:central, room unit,package terminal A.C., none) 12. Type: SEER/EER: 13. Heating system': 13. Type: (Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC,none) HSPF/COP/AFUE: 14. Air Distribution System': a. Backflow damper or single package systems' (Yes/No) 14a. b. Ducts on marriage walls adequately sealed' (Yes/No) 14b. 15. Hot water system: 15. Type: (Types:elec.,natural gas, other,none) EF: Pertains to manufactured homes with site Installed components. hereby certify that I lans and spejocations covered by the calculatio ar in Review of plans and specifications covered by this calculation indcales com;,:a-:e compliance with t I i Energ w1t the Florida Energy Code. Before construction is completed this build nc w''be inspected for compliance In accordance with Section 553.906.F.S PREPARED BY: DATE: 1 hereby certify t atuilding is in compli wit th lorida Energy BUILDING OFFICIAL: a OWNER AGENT: DATE DATE: -1 - i CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner (s) : Address: 519 SELVA LAKES CIRCLE Phone: 249-2404 Lot # Block or Unit # Subdivision: Contractor: OVERHEAD DOOR COMPA14Y OF JACKSONVILLE 591881676 OCCUPATIONAL State License # Address: 6884 PHILIPS PKWY DR. N. phone No: 268-1627 City JACKSONVILLE State FL Zip Code 32256 Describe work to be done: gEPT r^L' GARAGE DOOR Present use of building: Valuation of Proposed Construction: $7,90-54 Proposed use: Is this an addition? No If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CoMgENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: <:VSignature CONTRACTO � A �;/,, 4 Date: Sworn to and subscribed before me this day o 19 RECEIVED NOTARY PUBLIC STATE OF FLORIDA AT RGE Pd"AA=ft MY COMSSION 0 CCSMI O PM �`� August 27,20M JUN - 3 1998 F ,MFAINVOIRNMMC. City of Atlantic Beach Building and Zoning 0599 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFC%�RMATICJN PERMIT i r-19 SELVA LAKES CIRCLE . it Number: 16599 ATLANTIC BEACH . FLORIDA 32211-1 -ermit Type,*GARAGE DOOr ;.ss Of Work :ALTERATION LEGAL DESCRIPTION ----------- Block: Lot , Twp: -n!:tr . Type*WOOD FRAME Section: 0 Subd- Rnq, r. opased Use! SINGOLE FAMILY -'ubdivision : SELVA LAKES Dwellings : 0 Est - Value! --iprov , Cost : 790 . 5,1 Total Fees , 25 . 00 ".mount Paid-, 25 .00 nit- Paid- 6/031/ 1998 --`l.A,C'E GARAr,E DOOR )WNER INFORMATION APPLICATION FEES PERMIT PUTNAM Jr , 51S 53ELVA LAKES CIRCLE ATLANTIC BEACH , FLORIDA 3223-- )ne* 4904)249- ,404 CONTRACTOR 1NIFORMATION .7 JAX .je : OVERHEAD DOOR POMPANY OF 68134 PHILIPSPARKWAY DRIVE N - JA`'KSONVILLE , FLORIDA 32256 4 - r'011TIPRTIOVAL Exp : NOTES: NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW 1dhA%SULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROYEMENTS- 1 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUS*GtA*RkivdWikTION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC, By: CITY OF �f 4&6a14c //�S�-0;&Vc 2 Office of Building Official REQUEST FOR INSPECTION (y� Permit No. Date Time , �� A'M. District No. Received P.M. /0 IR, Job Address Locality Owner's Contractor -0 Name -� BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL BUILDING Framing Footing 11 Rough Wiring ❑ Rough Heating Re Roofing Slab F-1TempPole O / Top Out Fire Place El Lintel ❑ Final Pre Fab READY FOR INSPECTION M. Mon. Tues. Wed. Thurs. Friday P. Inspection Maae � _F.M. Final Inspection �.(9 Inspector Certificate of Occupancy Date CITY OF Office of Building Official n / AREOUEST FOR INSPECTION Date Permit No. Time ; �,/,I A.M. District No. f CPM Received / / IX— / D7, ( Locality Job Address Owner's Contractor NamePLUMBING MECHANICAL CONCRETE ELECTRICAL Air.Cond.& El BUILDING Rough Wiring Rough - Heating Footing L Top Out 0 Framing Slab Temp Pole Fire Place Re Roofing - -Lintel Final Pre Fab -� READY FOR INSPECTION Friday�— Tues. Wed Thurs. - 3 Inspection Mace vle.� + �— Final Inspection Inspector Certificate of Occupancy Date PLU1•IBING YEK11I1' i ELECTRIC PERMIT BUILDING PERMIT WORKSIiEET TEMPORARY ELECT. _ eated Square Footage � ____per s ft $ S o arage/Shed o—@ $ per sq ft - $ 7 �d• 0 arport @ $ per sq ft a $ orches @ $ per sq ft - $ eck @ $ Der sq ft - $ atio @ $ per sq ft - $ TOTAL VALUATION $ O1r7 .5-0 s $ otal Valuation Data 1st D ?o z ! '-d �-mainder Valuation @ $ a.()(-)per thousand or portion thereof TOTAL BUILDING FEE + k FILING FEE $ as FIREPLACE @15 . 00 $ ��� 00 TOTAL BUILDING PERMIT $ - - ------------------------------------- ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TEMPORARY $ ELECTRICAL PERMIT $ kTER METER SIZE $ ACCOUNT Nllt1BER :WER IMPACT FEE $ +TER CONNECTION $ (@10 . 00 per fixture unit) 'PROVED BY: - TOTAL BUILDING./.PLAN FILING FEE TOTAL WATER METER CHARGE $ ��60 TOTAL SEWER IMPACT FEES $ 103S . 60 TOTAL WATER CONNECTION CHARGE $ �0 . MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $1 4o , 1395- s� F,. 63- PLUMBING WORKSHEET _L SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS r' —.T.-. r---- WASHING MACHINE �T WATER HEATERST DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT ' ' �T 3sa �• 0 FIXTURE 'UNIT 'BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. I o BATHROOM GROUP CONSISTING OF •.Z, LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITZ URINAL, WALL LIP (4 UNITS) T FLOOR DRAIN .Cl UNIT) WASHING MACHINE RES. URINAL, PEDESTAL: SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED L WATER CLOSETS, TANK-OPERATED `T- (8 UNITS) O UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD S (2 UNITS) SHOWER) (2UNITS) LAUNDRY. TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) 3 KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ .$-10.,00. EACH 1 1 . j'Lulibilqu !'L Jlil i/ • ELECTRIC PERMIT � BUILDING PERMIT WORKS}iEET TEMPORARY ELECT. ,ated Square Footage WSJ^� @ $ er sq ft a $ irage/Shed 4-O '7 @ $ 0O per sq ft - $ /7 •�o��o . 60 Irport @ $ per sq ft s $ )rches @ $ per sq ft - $ ck @ $ per sq ft - $ Itio @ $ per sq ft = $ TOTAL VALUATION $ & � /� S - ,tal Valuation Data is 7 /SS . m is nder Valuation @ $ v�.60 per thousand or portion thereof �Q TOTAL BUILDING FEE $ p�a• + k FILING FEE $ O a� FIREPLACE @15 . 00 $ ' co TOTAL BUILDING PERMIT $ ---------------------------------- UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ECT. TEMPORARY $ ELECTRICAL PERMIT $ rER METER SIZE $ ACCOUNT NUMBER ,TER IMPACT FEE $ TER CONNECTION "$ (@10 . 00 per fixture unit) 'ROVED BY: TOTAL BUILDING/PLAN FILING FEE $ U . TOTAL WATER METER CHARGE $ F, • �0 TOTAL SEWER IMPACT FEES $ /6 z - 0 TOTAL WATER CONNECTION CHARGE $ "7O. 00 MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ / 56 -//- PLUMBING WOQRKSHEET SINKS .2 SHOWERS DISHWASHERS .3 CLOSETS BATH TUBS FLOOR DRAINS ' WASHING MACHINE WATER HEATERS IT 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. JS BATHROOM GROUP CONSISTING OF I LAVATORY (1 UNIT) WATER CLOSET, LAVATORY AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNIT), URINAL, WALL LIP (4 UNITS) FLOOR DRAIN .C1 UNIT) . WASHING MACHINE RES. URINAL, PEDESTALp SYPHON (3 UNITS) STT JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED �— (8 UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/0 OVERHEAD (2 UNITS) SHOWER) (2UNITS) - LAUNDRY TRAY BIDGET (3 UNITS) �— (2 UNITS) KITCHEN SINK (2 UNITS) i o` DISHWASHER (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.'Od. EACH / @ A9•OG 2'0• 00 CITY OF ATLANTIC BEACH 3 APPLICATION FOR BUILDING PERMIT Owner C r/�i'cG' 7_7 r 1�_Address_ 7�_ -Z_�_ ---Zip s z 3_>_phon -------- - z ------ - 11- -T- Architect_/; < C Y_ �J _Address�.Z--_1T`�-�ey, L _zip �a Contractor �__Address�/ L'[y� _�E1 . �F`___ziPIL. i_Phonetiy/_ / 1 �' Contractor's License number.................expiration------------ _Block or Section Subdivision---------------Zoning-------- Lot------ --------- Street-------------between--------------and-----------------side----------- Type Construction------ ____---No. Units----------No. Fireplaces----------- Purpose of Building---------------------------Est. Valuation S______________ Utility Method - Water_____________ Sewer____________ Dimensions - Building-------------- Lot------------ _Size Footings----------- Sz. Piers____________Sz. Sills - Greatest Span Sills_______________ -- -- Sz. Ceiling Joists __-__-_Distance Distance-on-Centers Span_______ Sz. Floor Joists Distance on Centers---------Greatest Span_______ Sz. Rafters ---------Distance on Centers---------Greatest Span_______ Method of Heating Solid or Filled Ground Roof__-_______ Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner_ _ bate___�_ Signature Contractor t / page 2 FLOODPLAIN DEVELOPMENT INFORMATION w 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 ________--_ ----------------------------------- BuQding Department Representative page 3 S + L CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT cc- Ovner _C^=�1 /'0� 7 71 s T1 Address �7� -Z ---zip l z __phone-— --- - - _.- - �7 Architect_/__< < Y_ /'�� _Address /.Z___i ,� X� � _zip �a�� _phonee2 L_`1�l Contractor��y.y� Z-t Address _C zip Z_phonee7_y/_U v Y Contractor's License number.................expiration............ Lot_ Block or Section Subdivision _Zoning________ Street between _____and side --------- ----------------- ----------- Type Construction No. Units---------- Fireplaces -------------- ----------- Purpose of Building---------------------------Est. Valuation S______________ Utility Method - WaterSever ------------- ------------ 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---_-------Roof Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner _ � - � - Date___ .T- Signature Cont actor_ Date__�_ ___, .7 page 2 FLOODPLAIN DEVELOPMENT INFORMATION w Type of Development :-------------------------------------------- r 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 ___-______---------------------------------- Bui�ding Department Representative page 3 T CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 July 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 #5272----519 Selva Lakes.-Circle Permit #5273----523 Selva Lakes Circle Permits issued to Adkins Electric Company ene ely, Angers Community Delvelrector cc; building fil RA/t e CITY OF C ,q& /3=44-0;&" a �> Office of Building Official y REQUEST FOR INSPECTION Dat Permit No. Time A.M. Received P.M. District No. Job Address locality Owner's uo \ Contractor Name BUILDING CONCRETE ELECTRICAL. / PLUMBING MECHANICAL Framing m,� Footing ❑ Rough Wiring Rough d / Air.Cond.& Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out / Heating Lintel ❑ Fire Piece ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday-P.M. A Inspection Made No Inspector Final inspection❑ Certificate of Occupancy Date CITY OF 4&aAr,&'c Beac4-0;&Ia'& Office of Building Official REQUEST FOR INSPECTION Date!`�O V Permit No. � Time A.M. Received P.M. District No. JobLocality Owner's %, �,�� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Tap Out ❑ Heating Lintel ❑ Final C Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon Tues. Wed. Thurs. Friday P.M. Inspection Made — Inspector Final Inspection❑ Certiticate of Occupancy Date CITY OF 4&an iC /s ec.,cli-I&U4& Office of Building Official REQUEST FOR INSPECTION J Date Permit No. Time A.M. Receivedp. District No. ob Add ess Localit Owner's 1 Name BUILDING CONCRETE LECTRICAL PLUM NG MECHANICAL Framing Footing ❑ irin Rough ❑ Air.Cond.& ❑ Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final Fire Place ❑ Pre Fab READY FOR INSPECTION M A.M. Tues. Wed. Thurs. Friday P.M. 6 t� A.M. Inspection Made P.M. i Inspector i-tnspection❑ Certificate of Occupancy Date CITY OF Office of Building Official 1 REQUEST FOR INSPECTION Date + Permit No. ✓� i Time M, Received ' District No. f Job Address Locality Owner's �j� ,y ��y�„ ^C, Name , V //� / /(�JCdIJ'— k ntractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough X Air.Cond.6 ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Wed Thurs. Friday P.M. it Inspection Made � Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 196 / IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: M STER ELECTRICIAN SIGNATURE JOU NAME 1`' ���f S ADDRESS: -S 1 9 SUVA LftWl, L 'Q RFD BOX BLDG.SIZE BETWEEN: RES. ( ) APT. ( 1 COMM. ( 1 PUBLIC ( ► INDUS. ( 1 NEW( OLD ( 1 REW. ( ) ADDITION ( ) TRAILER (( I TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW 1141 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. 1 1 SWITCH OR BREAKER AMPS PH 'I W AWVOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES _ CONCEALED OPEN TOTAL --F0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN J _ FORWARDED lOd� $ TOTAL FEES CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1q� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM ASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME P?004011S ADDRESS:4i23 StAvk s L(L RFD BOX BLDG.SIZE BETWEEN: RES.(/ APT. ( 1 COMM- ( 1 PUBLIC ( 1 INDUS. ( 1 NEW( '1 OLD ( 1 REW.( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW C I INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE C AMPS � � COPPER ( 1 ALUM. 1 1 SWITCH OR BREAKER L AMPS PH W V1/OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES _ CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT - FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN -. FORWARDED $ TOTAL FEES �� � BUILDING AND ZONING INSPECTION DIVISION 0, CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. `aLi_.V P, (.s4KE 5 �,rZ `� Li LOCATION Street Address: c p OF Intersecting Streets: Between 6C_Ml N Bot 1= And BUILDING 04 Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of MechanicalContractors Contractor (Print) 00_7 _y"3 5�–_K_E Master ` 78�Q Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer 111. GENERAL IN ON A, Type of heating fuel: f3. IS OTHER CONSTRUCTION BEING DONE ON �I Electric THIS BUILDING OR SITE? /❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE HUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed k Control O Floor New Building El Existing Building Air Conditioning: 13Room #1 Control ►I Duct System: Materiel�t–` Thickness ❑ Replacement of existing system New installation(No system previously installed) Maximum capacity � t>c.) c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p m. ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps.-- (number) (Reeei od) ❑ Tanks (number) Remarks ❑ LPG containo (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIA CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A ravint Number Unite Description Model Number Manufacturer (Zona) Uti (x% `1 – r i✓ LJ ff FURNACES, BOILERS, FIREPLACES Capacity Approvinsber Units Description Model Number Manufacturer MM) Agency L_ TANKS Approving Now Many N0010W Cap&dty Type Liquid Name of Serial PP 8 and Dimensions Contained Manufacturer No. Agency BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. Sig il Li-s- `i-3 LOCATION Street Address: ? OF Intersecting Streets: Between S.EM - — �� And 1 L-I��-l� BUILDING SE't„vr4 LA Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given cifr doing the work as described art erein the and ab accordanceve statement w chehereby City agree to pnvfllemordindan�es and standardrk in s with the attacl>_ed plans and spa of good practice listed therein. Contractors Name of Mechanical Master IYl I-t€ it (c, Contractor (Print) ' Name of Property Owner Signature of Signature of Owner 1v, Architect or Engineer or Authorised Agent III. GENERAL IN ATION AType of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON J THIS BUILDING OR SITE? > Electric ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Oil ❑ Other — Specify NATURE OF WORK IV. MECHANIC/1l EQUIPMENT TO BE INSTALLED Residential or El Commercial (Provide complete list of components on back of this form) Heat ❑ Space ❑ Recessed Control O Root X New Building ❑ Existing Building Air Conditioning: ❑ Room Control ❑ Replacement of existing system Duct System: Materia IVU Thick �/ pQNew installation(No system previously installed) Maximum capacity 0 ©n c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. ❑ Fire sprinklers: Number of head ❑ (number) FRomarAks THIS S*ACE FOR OFFICE USE ONLY Elevator ❑ Menlih ❑ Escalator (Ibuivad) ❑ .Gasoline pumps (number) Q Tank —(number) ❑ LPG containor —(number) ❑ Unfired pressure vessel Permit Approved by Dete ❑ Boilers Permit Fee ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capacity A =wing Number Unita Description Model Number Manufacturer ('ions) cy IIEATiNr _ FURNACES, BOILERS, FIREPLACES Capacity ADp Mmnber Units Description Model Number Manufacturw (BTU) Ai= 7 I ng � TANKS Serial Approving Hary Many Nominal �1? Aty Type Liquid Name o! No. Agency and Di Contained Manufactmbr DEPARTMENT OF BUILDING 836 PERMlT NO. CITY OF ATLANTIC BEACH,FLORIDA 00 T PERMIT TO BUILD � 9,4NICK THIS PERMIT MUST BE POSTED ON JOB 3U651 A 87 3flo 900CAC Date Jan 27, 19 3665 A 3/20/11 48 0 lOflfl! Valuation$ Fee$ This permit not valid until above fee has been paid to City Treasurer,and is f subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State AW 786 �I has permission to by�W 11 Heat be AC � i Classification Residential Zone I p,q.q properties Owned by Block_ _S� Loc_ s Circle � House No. 519-523 Selva I,a1ce I According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4-------► O Building material, rubbish and debris --� ? from this work must not be placed in public space, and must be cleared up and haul d away by either con- tractor of o)� r•. Building Official. i CONTRACTOR FOR OFFICE PERMIT DATE NUMBER USE ONLY PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH ' APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 519-523 Selva Lakes Circle t PLUMBING CONTRACTOR F. W. FAIR PLUMBING COIMIPANY V � LICENSE NUMBERS MP145 State RF0037503 OWNER R. G . M . Properties BUILDING CONTRACTOR R. G . M . Properties TYPE OF BUILDING Duplex 2 SINKS 2 SHOWERS _LAVATORY 2 WATER HEATERS _BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 6 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 28 TOTAL FIXTURE COUNT X$3. 50 + $10. 00 DATE 1 / 28 /8 7 TOTAL AMOUNT $108 .00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. N /= i i'MENT OF BUILDING 8307 OF ATLANTIC BEACH,FLORIDA PERMIT NO,-_. i PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i ng.Ctl Tl. Date Jan. 27, 19 37 1091,OOCKT iI Fee$ 1.0 .STC 353U I A I /PS/0 Valuation$ 1307 0OCACS This permit not valid until above fee has been paid to City Treasurer,and is `-530 1 .4 1/PB/g subject to revocation for violation of applicable provisions of law. 1 (��I F.W. FALR FI,U.M This is to certify that has permission to TNI?MT T AI III�IRTN(' Classification aSIDMIAL Zone Owned by R(I'1 PROPER= Lot Block S/D House No. 519-523 SELVA LNOS CIRC According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4- 10, O Building material, rubbish and debris ZI from this work must not be placed in public space, and must be cleared _ up and_hauled away by either con- j j tr*ctor r own�r. ` I I ding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL SEWER WATER i DEPARTMENT OF BUILDING Q CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. V 3 O 5 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date J&Y1ur'xy 27, 1987 496.50 T Valuation$ 12",062- 50 Fee$-496.,f! 4 96*50CKT )5t31 1 It 1 /c"d/8 This permit not valid until above fee has been paid to City Treasurer,and is 6305 60CA subject to revocation for violation of applicable provisions of law. 5 J 1 1 n 1 /2P/9 This is to certify that P-ETHmi, 1112 Third Street NE-Ptme Beach has permission to build TowhbDuse as W plans Classification Residential Zone Owned by FJ2� Properties Lot 53 *5'/ Block vF dt 11 S/D Selves T airPc House No. 519-523 SELVA LAMS CIRCLE According to approved plans which are part of this permit N NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 O Building material, rubbish and debris � from this work must not be placed in public space, and must be cleared = up and hauled away by either con- trastorlor owner. wilding Official. 1 FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER .Nr r i BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT • CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: July 14, 1987 Building Contractor: Reyhani,Inc• Building Permit Number: 8445 Address: 519 & 523 Selva Lakes Circle Legal Description: Lots 31 $ 32 Unit I Selva Lakes Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as .Du-DJ-ex Lowest Floor Elevation: 13,7 ��/�S 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 ____ 7L14187_____ ____7V-y.17 Public Works ____ 7L 14187_____ Planning Director 711 87 �� v Building Inspector _________j;3187 AF 44 ► MAP SHOWING SURVEY OF 53 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , 11A ?1B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. mow BY BY 3'S o0' X y- 0-6 o.gw.�e✓ Fogies �u TY . Q �W770 n Z.g' 5731 qT � ¢� �.Ql�E5 SS 1 SS,,Q l`4,� LOT ZZ A LoT S4 S`rvcco/ due ti Lo�vEsr Fin//sN l� O Ftca.Q Ga•E1!�<� � X X .Qi 7.9' �:S'WooD � Q 3�►ti�R1sD 8.%" � F��E M \ /70' iso '•..'D,�1vLr,�. �2/Z• �c..NG �i?ivV/.t/Et/T -�- sZ. -7e) .oma X, "6 ` 1A Ao -WTIiIS IS A BOUNDARY SURVEY. ✓ ICTIIIS PROPERTY LIES IN FLOOD ZONE '�" WHICH IS THE AREA E -k1,4-r7oA 5 SA6WIV 140 BY FLOOD MAPS REVISED lV,4770v(/f{G 6 COMMUNITY PANEL NO... D,4774,fvt *k NO BUILDING RESTRICTION LINE BY PLAT. ,QP/t G s 8✓ /GrQT �o,C ¢/, I HERESY CERTIFY TO: �QNESE T/TGE f A6:57-eACT THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD Or LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLOFLORIDA H. A. DURDEN ADMRI IDISTRATION CODE.A STATUTE$ AND CHAPTER 21 HH-+s 0 & ASSOCIATES INC. rLbpfloA wiole-1 an ywvirow No. ��77 LAND / SURVEYORS SIGNED -� yL Y zS 19 e7 PoN Oltloe Box 50470 1103 South Third StreN SCALE: jed,sorwme Beach.Florida 32260 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. /�7�00-13 Tntifiratr of Orrupttury CITY OF l�Qitl3f�C aGQ�s- ��4+lif�ii BrVar#mrn# of +Nnilhing JnoprMon This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification New °P_.$i d en t i a l Bldg.Permit No. 4 , Group Type Construction came Fire District. Atlantic Beach OwnerofBuilding RG" ;S_ Address__439 Se1V3 Lakes Circle Building Address 519—& l V Laketocality_.____ _ Circle B Tule 1A 1987 Rene' Angers ; Building Official Date: POST IN A CONSPICUOUS Pt ct AF 44241 MAP SHOWING SURVEY OF LOT 54 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , 11A AND 11B, OF THE CURRENT PUBLIC RECORDS OF DUVAL, COUNTY, FLORIDA. ro't V�1 R �vl�f/✓ EASEn fEn/T t37` O 174-It n-7. /o' SEtNEf! E4 nAEn/T f3Y --A'V 1508, '-GT. 28c):--:� 1tv�rL— 0rwvv �o� ucu� v✓rCE ARr'6 QW m A �i 7G co.k.ic av rvo. S 0 h� Win' 7z' �o ' V �3' 7 w,tc,C :•C��vc - • 20 2�2 E a - • � Ac" lR L dy sZ�Ll�if c�1'C£s I0• A (D • /.b Gc%�[xW.4�SJ1PCTcv./!✓NE CSY/r d ��/' • T/Ir3 �r Lresnn✓�fCaLG�o Ztr-tff -cam•t%-Xtftfcw ELc r�� O / rt ie�ntO�CcwiiNunl/l7 �✓0.. /Zoo7 oacf c (//1 • G4�i(,rivss sY 06. ¢3�,y�Bs/. !/, /,//(�!//6. /EKED Fist/iQL/z ���✓E� S'�r✓ I HERESY CERTIFY TOS,-C�E-ePy` p� ,�ft�CE.P/Cfl � G>-Q�t/ESE 'T/7ZE `THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLO4H. A. DURDEN ADMRINIASTATUTES TRATION CODE.D CHAPTER 21 HH-6 FLORIDA ASSOCIATESINC. •ww1ow waauTaw uwvarow ao..4,77 ND RVEYORS SIGNEDod 0moa Box 60670 03 South Third Sand SCALE:s&40nv"Beach.FlwWa 32260 THIS SURVEY NOT VALID UNLESS THIS PRINT 18 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF r� ctic �eacCi - ��vuda 800 SEMINOLE ROAD ATLANTIC BEACH. FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904) 247-5805 _—A"4f,_1998 SUNCOM 852-5800 Lifetime Enclosures, Inc. 8629-3 Phillips Highway Jacksonville, FL 32256 Re: Required Inspections for Construction In the City of Atlantic Beach Dear Sir: Please be notified that a review of our records reveals that no inspections have been performed at the following addresses: #11415 1625 Linkside Drive Mike Stanley #11417 1665 Park Terrace West Nancy Potter #12119 451 Snapping Turtle Court West Carlton Jones #12666 2266 Oceanforest Drive West Joseph Sherin #13291 2325 Oceanforest Drive West Carroll #13292 1049 Little Cypress Key Edward Weiss #13293 523 Selva Lakes Circle Karen Dunmire #13401 1830 Selva Marina Drive #303 Patricia Riefensnyder #14285 1404 Linkside Drive Barbara Combs #15109 501 Levy Road William Echols #15434 1136 Linkside Court West Beth Robertson #15498 2279 Seminole Road William Duffey #15499 2233 Seminole Road #3 Property Owner #16776 567 Selva Lakes Circle Joann Hoza Please review your records and advise whether the work was performed by your company and schedule the appropriate inspection to close out the files. Please call me at (904) 247-5826 if you have any questions regarding this matter. S' rely, 2 Don . Ford . T Building Official DCF/pah cc: Homeowner