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543 and 547 Selva Lakes Cir (vault) CITY OF ATLANTIC BEACH _ l 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 TS INSPECTION PHONE LINE 247-5826 fN � yJlil�`� Application Number . . . . . 05-00030202 Date 4/29/05 Property Address . . . . . . 543 SELVA LAKES CIR Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4025 Owner Contractor ------------------------ ------------------------ MADDOX, GARY FIRST COAST ROOFING, INC. 543 SELVA LAKES CIRCLE 5151 SUNBEAM RD, SUITE 23 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (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 CODE y�}' y5p fi" BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 5L �) 5Fc-%4A- C(L - Date 6) Heated Square Footage per sq ft= $ Garage/Shed O @ $ ` per sq ft= $ Carport/Porch @$ per sq ft= $ Deck @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ X015, 3S $ 3S� Total Valuation 1st $ [6lv 3oz5 $ stc� Remaining Value $5. per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ sy ZONING: + V2 Filing Fee $ :;LS FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ 93 , 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: $ �� CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT ° sig Hi r� 800 Seminole Road S. Doerr J V Atlantic Beach,Florida 32233 _ (904)247-5800 (904)247-5845 Fax RECEIVED www.coab.us CITY OF ATLANTIC BEACH BUILDING &7_Q L PLAN REVIEW COMMENTS APR 27 2005 Permit Application # b !5 - �OZo Z— BY: Property Address: Applicant: I�l �S'! cc) ,)5, �o Project: F T7 rmit application has been: Approved Reviewed and the Following items need attention: Please re-submit your application when these items have been completed. Reviewed By:_ -v Date: LA )qP VD/ Date Contractor Notified: Rpr 11 05 11 :44a city of Atlantic Beach Bu 904-247-5845 p• 1 FRECEIVED ATLANTIC BEACH ING 8 ZONING 7 CITY OF ATLANTIC BEACH 2 7 2005 A ROOFING PERMIT APPLICATION Date: Job Address: SNS 5{� l�k� fftl ani, B �ti — Owner of Property: ` A Address: S J q 3 el✓a 1 etke- Cr. Telephone: �l 7 ~X134 3 Contractor: Rah kt 604^a State License Number: C.0 C o n - 47 Contractor's Address: JrlSl Svahrran 564.C7 JgrlC�i✓v�'Ik- �( Telephone: :71 I RfrH Fax: Scope of Work: Pe-ryoP Deck Slope: f / Greater than 2:12 a �� Less than 2:12 Valuation of work: 'f Product Name(Example:Timberline): ^ Manufacturer(Example:GAF): drn117 ASTM Designation(s): Required Inspections: Sh thing and F• a,11 .. Signature of Owner: Date: Signature of Contract eJC � Date: AS TO'OWNER: G-49V p �d� _ Sworn to and subscribed before me this day of (�►L— 20 . ,• f State of Florida,County of Duval / l Notary's Signature: CCC__�rrrr ��&N COY > My Conisaion OiJ03155i9 ❑ Personally]mown nx � C] Produced Produced identification /�l� �1 ,,,d; Expires May 03.2008 -, Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signature: KPersonally known ,,a• Cary Flarold Produced identification My Conxrsssion D003156W Type of identification produced or Expires May 03.2006 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.usRevised 221103 Page 1 Citt, or Rtlantic 2eacn Tau :u-r--c-r a .... ... NO i SCE OF CONRYENCENENT Tax Folio No. State of County of To Whom It May Concern: and zp;accordance wit..Section 713 of T`ne undersigned hereby informs you that improvements wtil t e made to certain real progeny, ,the Florida Statutes ,the following information is stated in this NOTICE OF COMtIvIENCEMENT./CO � � L. Legal Description Description of property being improved: el a iqke Ulan Address of prope. being improved: General desc ption of improvements: esd 1��, I'1 �1 Address: Owner r g► owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): ,.1� Name - tratctor. Con AG ovvil�� 7 1 Fax No: Telepuone.Nc}: f Surety(if any) Amount of Bond S Address: Fax No: Telephone No: Nance and address of any person maj ing a loan for the constnwdon of the improvements Name: Address: Fax No: Phone No: Name of person within the State of Florida,other than himself, designated by owner upon whom notate,or other documents may be aim served Name: Address: Fax No: Telephone No: In addition to himsel; owner designates the following person to receive a copy of the Laenor's Notice as provided is Section 713.06(2x'0',,Florida Statues. (Fill in at Owner's option) - Name: Address: Fax No-. Telephone No: unless a different date is Expiration date of Notice of Commencement(the eicpiration date is one(1)year from1¢. date of recording specified): THIS DE S SPACE FOR RECORWS u'SE ONLY ®WNirrR Date:10 Signed: f �y in the County of Duval State Before the chis -f scar d O Of Florida,has personally app Notary Public at Large.State of Florida County of D val. My commission expires: or Personally Known: Produced Identification: Doc#2005146308,OR BK 12441 Page 425, Number Pages: 1 i0% CafV1Fteroltl Filed&Recorded 04/27/2005 at 11:50 AM, *y Commlasion DW315NO JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Vp Expires May 03,2008 Cc: CITY OF ATLANTIC BEACH Jv d LHig ns Doerr/ ZONING DEPARTMENT 800 Seminole Road 1 1 Atlantic Beach,Florida 32233 (904)247-5800 - -- (904)247-5845 Fax ; E V Y J,31�'y CI B BUILDING �Z(7�'5Et� C,C i PLAN REVIEW COMMENTS OCT 2 7 2004 i Permit Application # 04- 2 9 9�O G _ BY: Property Address: 543 Sf LVA I-AK� s CT Applicant: G• t - M A p P 0 X Project: WLACE 5101N G WIT1 SAMA MUTER This permit application has been: ED/ Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L-1� Date: l0('Zq (d(- II r • SELVA LAKES HOMEOWNERS ASSOCIATION REQUEST FOR. ARCHITECTURAL APE& VAL This request from is to be completed by the Homeowner and submitted to the(ARC)prior to the commencement of work. -)A'fE RECEIVED BY ARC ' THIS SECTION TO BE COMPLETED BY HOMEOWNER Date: _ 'name: " �� L, t t-t l J Lot# ------ c c 610 Address:,--- - l--- --- --------- home Phone: { o _ Other Phone:__— _. J r �. Contractor: Describe the work to be done: (i.e. Screen roorn, addition, fence,garage door, siding,outdoor lights, etc.) c- x ;c;2 ��3; ST2t,�f 7 ur?� D�2�`��w�+y r 14 1 ",;rI A s ,J CE �(�d r C &c t t�,-KkPAfA0� Qj A-,p/e 7 e C( 0 kJT/2Ac T ! NST C L radon. Attach a copy of your'survey indicating the location of the work to be done. Describe Locr.tion:.. _ �i�7-CIL1 C�.'L t Specifications: Attach a copy of the plans,drawing,picture,specifications(material,color,etc.) All exterior paint must meet SLA specifications. �. ,' �, Jn 2 F 4)A P- hT d Estimated date of comptetion__ �-' ,Z Cy)Y 64-'(4 1 C � G.,` L ! M Ai C I k r �' C V << C L L 0 LIJ NOTE: Owners are resl)6nsibla,for the conduct of the contractor. You are required to supmise the work being done. You are personally responsib�and liable for any damage done to common property or adjacent property. Alien required by The City of.Atl tic Beach,you a ired to ov' a the ARMC with a copy of the building permit. Homeowners Si aturc: / , } � �" `- __ Date: Date Approved.__.r I/i/d — -- Date Denied ARC Signature ��;. < r�.�'� _ a..�c. i s k,r,�l� C✓L�1'1menu or cof,�1d' ions: M r�n.rzl- y-"'�� [ / OY:+ Y SiC(+i'1 4!.N`I &V d.,. - wYYt+w li!JJf C. � ro Ota ��11�� r1) Y. A'14.NN 17+rt'3 afTll'�''YeriST' wT _ dtf(..Z.w 0-4) MAP SHOWING BOUNDARY SURVEY OF LOT 59 BLOCK N/A ACCORDINGTO THE PLAT OF SELVA LAKES UNET TWO ,:.S RECORDED IN PLAT BOOK 43 , PAGE(S) 1 1 , 1 1A & 11 B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. "1it17F•IED T0; GARY L. MADDOX, S. SIMONE MADDOX, MIDDLEKAUFF MORTGAGE COMPANY, TRUSTMARK NATIONAL BANK, GIBRALTAR TITLE SERVICES, INC. AND COMMONWEALTH LAND TITLE INSURANCE COMPANY. - - -- — —sANOP/PER LANE (40 R/GHT OF-w ) _ N 06'23'54; W 35.05' (MEAS-) N 06'45'00" W 35.00' (PLAT) 1 Ir 0.2 I + .E'>•0 t3 I � L cGooulw► coww+s IL 0.5''. 2• I I 7 a 21 i Z ' in r I I N�I ZZ q o ; or Q 4 4 o s• iD M j h ,.al o14' ••� o i w Cri c0 {� omvE•. x• USErE7+r A" rte+ Ay}1ALT ROAD —� gKiRE3S t ETtES: • LAKES E � S 06'I8'00" E 35.00'VA ��As.) G`IRCL s oe'1 e'o0- t 34.92' (50' R/CHT—OF--WAY% L OT 55 4 OT 55 T- 30' v E Y 0 ,� ,. auR>~cs ARE BASEa ON X ,�„a-arnn.� ¢ s s. sTRucvRE+a 54S 9'�' t4mow As STM Fixe ZONE t DA,fD� 9S:�I:3CS. h� YORS INC s 1tJY F E M.A �t00D YAPS PANEL f -- AsISOCIATED SURYE Tf-s Ig A uR►mom SURVE� DNt". TILE EXTENT OF UNCEVu12O4hL PIPES AND uRFIES. If• ANY, NCt T)ETERMINEA. 4 LAND A ENGINEERING SURVEYS , "/OR [WARCiIASN1ALLY SENSIrVE Aar:As .f ANr. MG' " / p,0. @;JX 302017 E1' TH3 sultvCr. •- 5915 CEDAR HILLS 90ULE�',*RD S THIS SURVEY WAS BASED ON iF.GAl OESC1t,PTOOR kSfwf rS- AND iE FLORIDA 32210 REcros vm NOT SEARS Rr 1h%S q,RVEYt1R FOR E►sE +Ts. T,�rs wrE�►�+` L s •j/yCK$�{!V1LLE, ON RESNICTON5 "AT MAY AFFECT NS PARvXL. 904-711-6469 •. ,titc OTILaVAU CTATED At[ .RON PlptS I-MNO IIArR NG � yET t3 NOT vA110 ,IhIt5S LURVtYQWI �c,GA� SCAt -S EWCtZED S V �END�A�REYtATiOM>t I HEREBY CERTIF" THIS SURVEY WAS pQNE UNDE K MY LE ^- .AS IRON PIPE w,AkKED P_L DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL O „ Aatioc 5439 N T U CItAP.ER � FOIj'4D IRON PIN OR f:PC P-R-C' P>7'N1 0p r.E'A%:C ' " STAN ;OR LAND SURVEYING PURSUANT T F ;I�rEcI.Ne � fUUNO CC)Ik.RE?E wotiul+ItNf �c r. .- NON1 of corwa�Nu b1G17-6. F R ADMi iSTRATION DE• AP1 R 2' S, x r,N05� CUT {)H DRItt NOTE CA - k X r! UIN i!NI( f 1 Nr I P Ir w WIRE fUNICE Vr'v. - OtF!CA: "CURX,,.or~�iwE s. CITY OF ATLANTIC BEACH S:� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 'A INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029206 Date 11/02/04 Property Address . . . . . . 543 SELVA LAKES CIR Tenant nbr, name . . . . . . REPLCE SIDING W/SAME MAT. Application description . . . SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300 Owner Contractor ------------ ------------ ------------------------ MADDOX, AT OWNER 543 SELVA LAKES CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 247-4303 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 300 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING GQDE& &%M C A 1AK WELDING OFFICIAL 7LRECEIVED QF ATLANTIC BEACH!IL.� OCT 2 7 2004 CITY OF ATLANTIC BEACH ING PERMIT APPLICATION SID BY: / Date: 4(41t Job Address: > �L� -AJ' E C Owner of Property: rT Y 3 Address: 3 SeLVA �'°r s Cl'i2C Telephone: Legal Description: Block Number: Al Lot Number: Zoning District: Siding Contractor: r y�jlje 4 ''// Contractor's Address: P e. `z Telephone: Fax: Descr'be proposed use and work to be done: 12f OMC�e CC A-C � ' ( 0l) r Frz0tj1: ® t co-�f,� t'31 /� L Present use of land or building(s): S t j P 47-4 4 L Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Step 1. Attach detailed information on product to be used. Step 2. Attach detailsEation attachment of product,i.e.,fasteners,etc. I hereby certify that all ivide ith his a plica ion is orrect. Signature of Owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Revised 1/17/03 Page I t Address and cont information of person to receive allcorrespondenceregarding this application (please print). Mailing Address: L V KP'5 ` ' j 3J�313 Telephone: 7— .3 Fax: E-Mail: AS TO OWNER: `� _ Sworn to and subscribed before me this_� 7� day of b/ Y�`�✓ ,20 State of Florida,County of Duval ,;�*�'e�'• Lisa K.Gay MY COMMISSION# DD138981 EXPIRES October 14,2006 Notary's Signature: `' ZINC [T"Personally known ❑ Produced identification Type 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: ❑ Personally known ❑ Produced identification Type of identification produced fuf; jC5 ft 1U'7 � 14 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 1/17/03 Page 2 w.. V BUILDING OFFICE v OCT 2 9 2004 ' BY: tA tAj ve 1 'pw e 4z cj( rrrLI �'� b 0,�t Z,)e � aktc K MAP SHOWING BOUNDARY SURVEY OF LOT 59 �jBLOCK N/A ACCORDING TO THE PLAT OF SELVA A LAKES UNCI TWO AS RECORDED IN PLAT BOOK 43 , PAGE(S) 1 1 , 11 A & 11 B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GARY L. MADDOX, S. SIMONE MADDOX, MIDDLEKAUFF MORTGAGE COMPANY, TRUSTMARK NATIONAL BANK, GIBRALTAR TITLE SERVICES, INC. AND COMMONWEALTH LAND TITLE INSURANCE COMPANY. SANDP/PER LANE (40 !TIGHT—OF—WAY N 06'23'54" W 35.06' (MEAS.) N 06'45'00" W 35.00' (PLAT) 3/fir-'No./04g 1.1' 0.3' 1. ' 0.3' J/41-0'Noa — — — —I — — — —❑ ❑—❑—❑ 0- 0.2'o0. D� o.g• o.a'xo.e N COQUINA g W LQ g COLUMNS Cl n- v I II II v vC'7 0.3' WINDOW PORCH sH 2 ' � 21r 10 3i 7. lq ❑ Ld E .(.� n K N I a o= a ate' "�7.2' op �o I our o�Ln h I / W ww �-c4 y5.3' 0.3' I m C9 ❑ I j 9 � nm w W o Ci O' ,o u v O f1 of O 0.6-A& U 1.3, I � Q18.0' � aD 5.3' M l>7 ,1.0' 1.4' r-N Go a0 0.3' 1.1' Z to CONC. cc DRIVE', co \ - - - -\ 5' JEA EASEMENT — — — — — — — — I - - - - - - �7. . \ 0 o '0 30' EASEMENT "A" FOR \ ASPHALT ROAD INGRESS k EGRESS do DRAINAGE & UTILITIES. SEL VA LAKES `/�yAla./0+9 liz'No./o*Q CIRCLE I S 06'18'00" E 35.00' (PLAT) S 06'18'00" E 34.92' (MEAS.) (60' RIGHT—OF—WAY) 107 56 30' L 07 55 1" = E Y J v O GENERAL S1. BEARINGS ARE BASED ON O , PLAT 1300K PAGE 11B Gj 2. STRUCTURE NO. 543 910YM HEREON UES WITHIN FLOOD ZONE X AS BEST DETERNw A FROM F.E.M.A. FLOOD MAPS PANEL SSOCIATED SURVEYORS INC. THE DATED D4-11-1989 O J. THIS IS A SURFACE SURVEY ONLY.. T THE EXTENT OF UNDERGROUND FOOTINGS, LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED. 4. JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT LOCATED N P.O. BOX 382017 BY THIS SURVEY. 5915 CEDAR HILLS BOULEVARD 5. THIS SURVEY WAS BASED ON LEGAL DESCRIPTIONS FURNISHED AND THE PUBLIC JACKSONVILLE, FLORIDA 32210 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, TITLES, COVENANTS �J r3 904-771-6468 OR RESTRICTIONS THAT MAY AFFECT THIS PARCEL. 6. UNI ESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. S S d 7. 11115 SURVEY IS NOT VAIID LINIESS SURVEYOR'S OFF1CIAl SEAL IS EMBOSSED HEREON. I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGEND/ARBREVIATION3 DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL O SET IRON PIPE MARKED P.C. = POINT OF CURVE STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER ASSOC. SURVEY •' OR L.B. 5488 P.T. = POINT OF TANGENCY 61G17-6, F R ADMI ISTRATION ODE, APT R 2, F.S. 0 FOUND IRON PIN OR PIPE P.R.C. = POINT OF REVERSE CURVE ■ FOUND CONCRETE MONUMENT P.C.C. = POINT OF COMPOUND CURVE X CROSS CUT OR DRILL HOLE C/L — CENTERLINE X X CHAIN [INK FENCE 1.P. — IRON PIPE OR PIN BY: CHARLE 8. HATCHER W-Wr WIRE FENCE O.R.V. — OFFICIAL RECORDS VOLUME FLORIDA CERTIFICATE NO. 3771 ❑ -U WOOD FENCE B.R.L. = BUILDING RESTRICTION LINE JOB N0, 11483 DATE 08-03 -1995 A = CENTRAL ANGLE R/W = RIGHT of WAY --- R RADIUS P.L.S. = PROFESSIONAL LAND SURVEYOR SCALE: 1" = 30' DRAFTER__�� ,NX ___ A ARC N.T.S. = NOT TO SCALE CITY OF ✓vw �g� IEWA_� �4� uNing Dtficial O of B ECTION T FOR INSP REpUEs permit No. trict N / v Av. P cality pate Aecelved MECHANICAL Contractor PLUMBING Air.Cond.& ,lob Addfess Heating ELECTRICAL Rough place Top out � Flre t4a owner'!----- NCRETE Rough Wiring = pre Fab Nam Co Temp Pole _ Sewer BUILDING r Footing � - P.M J0 Final Slab INSPE BION Framing Friday- Re Roofing Lintel READY V:O Thurs. AM Wed. P.M• Mon Tues Final InsPecbon C ccuPancy Made Certificate of O Inspe�ion Date Inspector Cir,OF Date Office —"" _ Time /`p of'3WIdi ReCei ed C1 REQUEST F n9 Off7 I icial A M �R/RSPEC7'10N N�'ner's °.Addles PM l�J J ame / s — Permit No. C/ eU/CD/NC �� c strict/V F�'�! 0. Re arnin Roofing g CONC �A'�v Footing RETE Slab E Contractor �Ocality titon. Lintel Rough iri CAS � 9h W � 141 TernP Pole ng PL A4 C Final a/NG l nsAecti Tues. Rough insPe"Or°ry Made Rdq�R/Ivspz Sewer 7,0P out 0 Air' M CCHAiVICAL CTipN C l teati�nd'$ Thurs. Fire Place g Friday Pre Fab \AM F nal l nsPectioRM. Date certificate of n pQCUPa�/ APPLICATION FOR FENCE PERMIT Owners Name ��E�� IceI�f G� ls' Phone ZZ Judi Address S�7 Sel Vx C4�ees e,"/t. Lot Block and/or Unit # 2- Subdivision 's Caatra.ctor if different from owner Valuation-of fence- SQ Corner or Interior Lot____ j�jdlL Type of Construction t,d 00 � �-eA/Ce Show location and height of fence as well as location of street(s). �OPG� Owner Signature Date3-?S Contractor Signature Date C-11i Y OF AT LArd i K, ot=hv1-t nr7DART11A1=A1T nl= RI III nimr- /L_1 /-%I % 1 Ll 1 IVIL-1 v I 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 i -- �P%Ud - �� `tA LAKES N -PERMIT INFORMATION LOCATION INF R Permit Numer: 19776 � ress• 547 SEL. IRC E 1^ Pessst Tvne: FENCE ATLANTIC BEACH, FL 233 1 Book: 43 Class OT worK:NEVV 1 Vvv11w+IN• ""'lye• Prnnncarl11ca• SINGI F FAMII Y Lotts):60 Block: 2 ?ISecti; n: I . V---- ---- - - -- — - rI 1/e I n I�I—n I Square Feet: I Subdivision: SCLVA Lr\f�CJ 4 cis v�t. o- 4Parcel Number* _ Improv. Cost: 250.00 OWNER INFORMATI f Date lssued: 3;22!2;;00 Name: KALLAO, STEVE Total Fees: 10.00 Address: 547 SELVA LAKES CIF CLE Amount Paid: 10.00 I ATLANTIC BEACH, FL 322'114 1 Date Paid: 3/21/2000 Phone: (000)000-0000 Work Desc: FOUR-FOOT WOOD FENCE PER PLANS CONTRACTORS r _ APPLICAT ow FF-Is PROPERTY OWNER RIWI T 10.00 I J InNMctions Rqquired I I I I 1 NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRiOR TO INS.ECTI O N IBUILDING MATERIAL, RUBBISH AND DEBRIS FROM T HIS WORK MUST NOT BE PLACED IN PU IC Sr ACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 1 "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN yTHE ' ROPERTY , OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" TO REVOCATION; _ FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEC ; s1e.8e 14 Date: 3/23/00 01 Recei t: 8844548 ATLA RIC UILDING DEPT. ©e 88883221888 J f I +tee• MA. SHOWING SURVEY JF LOT 60, SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , 11A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA. G �4 Y 'Z" ,1,usa✓,�✓ fvo c•Mc. Ca[cwt�/ oO /41NVMLN7 O AJ.W.dlX pro \^\ u T S7 -1 (4J2 . ras«o V � �M •••'. •• P3' �VOPG•r %tT.b.. a= �0 �voc�F 87 si' r Qe q�\ .� 6 dO /Z Sri! N E�.s �.nct ,vr,Cy ti SY'1 Se A/c, L.-kS GmJe x v GwlIQ(. - oe G(urSe r�6� work 75- /7.9' e ��•r..w 5.Iy.tMrNT oY /'t-4T. ITr.IisPC �.': :.••.';' NI E DES's, 5"Le I , LAvotl&s \� nioT sy 7-.•y5 SuRv,Ey. TIS O B C/AlG LE �. Som' 4S ' co" E 661 o AS � .�bn/ilL. 6� T•C I'�i�T /�L �TLt�I . G�E9 �_fZceo zo�/E ••C ,KtS d� Ria iaC/� Q�a.�.tl�.W/Ty /1U/EZ .�.b. /Z.o . T�y p ,4 S I HE-"KEYPT�RSSi X59, ES'E THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA SOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 D MlINI "CODE- & ATRATIONRDEN ADSTATUTES CHAPTER 21 HH-. FLORIDA H. A. U ASSOCIATESINC. '"io?anao�wZE/l�Lo.. 177 LAND SURVCYORSS�— Post OMloe Box 50670 1103 BoUln Third 84r«t SCALE: JecksorMM Beach,florid. 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT 10 EMSOSStD WITH THE SEAL OF THE ABOVE SIGNED. a �" o z CITY OF ATLANTIC BEACH SIS J 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept2coab.us Application Number . . . . . 07-00000985 Date 7/10/07 Property Address . . . . . . 547 SELVA LAKES CIR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CRUISE TDG PLUMBING 547 SELVA LAKES CIRCLE 4426 LOYS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 545-7341 --------------- ------------------------------------------------------------ Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/06/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 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 PLUMBING PERMIT APPLICATION Date: Y Property Address: c7 7-7? - 5cl I y Lak e (f Owner: C Y- L. S e Telephone#: �. -- �L/ Contractor:4zz_4 13 .6 PL,4,- �J 'y\7 Z�-nc_ Telephone#: Contractor Address: Ll Ll a L L'0y 5. 10(-L Fax#: Contractor Signature: 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, L3 New list the buildin 5ermit number: u Re-Pipe Number of Fixtures: Bath Tubs L Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845- http:/Iwww.cl.atiantic-beach-fl.us Revised 9/06 NTIC BEACH CITY OF ATLA 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 ..` INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: :31 Building-deptncoab.us Application Number 07-00000957 Date 7/09/07 Property Address . . . . . . 547 SELVA LAKES CIR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9665 ------------------------------------------------- Application desc BATH REMODEL --------------------------------------------------- Owner Contractor ------------------------ ------------------------ CRUISE FISETTE CONSTRUCTION & REMODEL 547 SELVA LAKES CIRCLE 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 992-4782 -------------------------- Structure Information 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL 2 Flood Zone . . . . . . . . ZONE X ------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 9665 Expiration Date . . 1/05/08 -------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US ' -------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Grand Total 120 . 00 120 . 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 PERMIT f BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road 0 Atlantic Beach,Florida 32233 IL Jl�f (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: G ,f Y N PLANNING Property Address: �G'V Z Y N BUILDING = Y N PUBLIC WORKS Applicant: A�� &Xelte,47-9 Al & Y N PUBLIC UTILITIES Y N FIRE DEPT. Project: 1341-H ,g r7Y7:N:: PUBLIC SAFETY w APPROVAL R UIR D AGENCY: RECEIVED BY: INITIAL: DATE: w� Y N D.E.P HUFSTETLER a Y N S.J.R.W.M. CARPER LU _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP EVIEWED BY: INI AL: A E: ® 1 ST REV PLANNING 2ND REV D PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® � 3RD REV Return this form to the Building Department once you have entered your comments into the AS400. Z- -io_ A4 BUILDING PERMIT APPLICATION rJi pl J CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 -17 1, - -/1 Job Address: .S& AW� Permit Number: Legal Description 1-12)- a 1 o4- b vo Valuation of Work(Replacement Cost) $ ■ Class of Work(Circle one): New Ad ion Alteration epair e ■ Use of existing/proposed structures) Circle one): ommercial eside ■ If an existing structure, is a fire spr er system installed?(Circle one : es o N/A ■ Is approval of homeowner's association or other private entity required?(Circle o Yes No Describe in detail the type of work to e performed: " Clzo Property Owner Information Name: Address: City State�IZip s --Phone a� 1 Contractor Information: - uali A ent: � ��- Name of Company: tg State = Address. 1,1;0i 1G. S{ . City = _Zip Office Phone Job Site/Contact bee 6 ele 1 -(3 (,6 C� State Certification/Registration# 16 l Office Fax# � �R.2 Architect Name&Phone# i Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the issuance o�fa ermit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void iwork is not commenced within six(6) months, or i construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced f I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work wi 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 other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: icon` "C' Signature of Contractor: Sworn to and subscribed before� JP -, Uncia Hotienbec;. Sworn to and subscribed before e this Day of °` ue`�= Commission#DD32960 this.15 Day of ° Expires: Jun 16,200: Bonded Thru Notary Public: Notary Public: Linda Hollenbe,- Commission#DD32960 REVISED 03.05.07 Expires:Jun 16,200 Bonded Thm N 40 It t ti l 4 �.. -OD y X � � N vo of •moi � SO -co v Ile i x s � � i i i i i a i i I NOTICE OF COMMENCEMENT Tax Folio No. State of r County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and.in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICES C M NC EMEE N`-C Legal Description of property being improved: i Address of property being improved: / General description of improvements: Owner. r A A S p Address: '? �� l�P,h.+ �- Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: c` Contractor: S TT" e Address: n Q Telephone No.: L( - Fax No: Surety(if any) Amount of Bond$ Address: --- Telephone No: Fax No: Doc#2007214583,OR BK 14064 Page 131, Number Pages:1 Name and address of any person malting a loan for the construction of the int Number &Recorded o7�p2/2007 at 12:20 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 Address: Phone No: Fax No: Name of person within the State of Florida, other himself, designated by owner upon whom notices or other documents may be than served: Name: Address: Fax No: Telephone No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): TRIS SPACE FOR RECORDER'S USE ONLY OWNER Date: Signed: in the County of Duval,State Before me day of jar P Linda j-tplter Nz;,, Of Florida,has%pe5a�llyaState of Florida,COU of Duval. zQ �= Commission#DD3296(k. Notary Public at Large, _ a =� Q'Expires: Jun 16,2001 My commission expires: - or . P Bonded Thru Personally Known: A._:-.�•. Produced Ide tification: - R-�-oy z � NOTICE OF COMIVIENCEMENI' Tax Folio No. State of r County of To Whom It May Concern and in accordance With Section 713 of The undersigned hereby informs you that improvements will be made to certain real Property, c the Florida Statutes,the following information is stated in this NOTICES COMMENCEMENT- the O a�CE�r• e Legal Description of property being improved 4 �-<< e. 1 ok ( 3 a3 ) Address of property being improved: General description of improvements: �, t Address: Owner S Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: ^ 'y Contractor:js, S t .` . Z,St Address: Telephone No.: dZ9 2 4 L-(Q3 d 9 Fax No: Q04 )q(,, Surety(if any) Amount of Bond$ Address:— 131, Telephone No: Fax No: Doc#2007214583,OR BK 14064 Page Number Pages:1 Name and address of any person making a loan for the construction of the im Filed&Recorded 07/02/2007 at 12:20 PM, COURT DUVAL COUNTY JIM FULLER CLERK CIRCUIT CO Name: RECORDING$10.00 Address: - --- Phone No: Fax No: --------- wner upon whom notices or other documents may be Name of person within the State of Florida,other than himself, designated by o served: Name: Address: Fax No: Telephone 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: Fax No: `lam Telephone No: unless a different date is Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Date:15--Q '� Signed: the County of Duval,State Before me s�ppenally day°fAll (-t t j'S-Q ",,. 1,1Yid2 iUI!t l iD Of Florida,has appeared of Duval. ►'lr"! , Co4tmission#DD32960< Notary Public at Large,State of Florida, oa_Expires:Sun k6,200I My commission expires: / /.� or •...•oe- Eon&d Thru Personally Known: 21 P All Produced Ide cati tifion: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Jsll>, Application Number . . . . . 05-00030237 Date 5/06/05 Property Address . . . . . . 547 SELVA LAKES CIR Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4025 Owner Contractor - -- - --- -- -- - --- -- ------- - - ---------------------- CRUISE, JOE FIRST COAST ROOFING, INC. 547 SELVA LAKES CIRCLE 5151 SUNBEAM RD, SUITE 23 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (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 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 W PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -Q.. it BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date 6-� •C4 b.� Heated Square Footage @$ per sq ft= $ Garage/Shed per sq ft= $ Carport/Porch n @ OY-_per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 4o2e, 3- ' $ 35 Total Valuation 1" $ /Poo $ zC� ?,0 2 Remaining Value $3 per thousand or portion thereof , CONSTRUCTION TYPE: TOTAL BUILDING FEE $ SS ZONING: + '/Z Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ S 3 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: $ CITY OF ATLANTIC BEACH D D. For r BUILDING / ZONING DEPARTMENT (-t.-Higgins i J v 800 Seminole Road Atlantic Beach,Florida 32233 -all�r (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: T Project: LLL z This permit application has been: DpeApproved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: W' Date: Date Contractor Notified: •'R1�' 1 1 05 11 : 44a City of Atlantic Beach Bu 904-247-5845 P. 1 ?pLUlr� r r CITY OF ATLANTIC BEACH R**FIND PER1NUT APPLICATION Date: Job Address: jj; �-.�_ �+ •� G �C c�S' ,►__ "L \7 c� . Owner of Property: �� ►�L�� Address: �. G� Telephone: Contractor ti ► "`StG.ate License Number: 7 Contractor's Address: 5 15 ( JTelephone: ` 'Fax: J Scope of Work: V� ► 6�- '�N • 1{- r o o Deck Slope: 'r Greater than 2:12 �,(J�-Less than 2:12 Valuation of work: LIOA, Product Name(Example:Timberline): 4Kkdv <- Manufacturer(Example:GAF ASTM Designation(s): _ J Required Inspections: Sheathing anddFFin Signature of Owner: !� Date: Signature of Contract t �" Date: _ AS TO'OWNER: Sworn to and subscribed before me this ,day of 20 State of Florida,County of Duval / Notary's Signature: h� " C" MOI 1925re,sonally known My ComrrriwM DMV 550 roduced identification �a Expires May 03.20M - Type of identification produced �L AS TO CONTRACTOR: Sworn to and subscribed before me this dayY of '20 State of Florida,County of Duval Notary's Signature: f Cary Herold EK1rsonally known • My Commission DW315M ❑ Produced identification p Expiros May 03,2tll]8 Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http:l/www.ciatlantic-beach_fl_usReviscd 221/03 Page I City Of Atlantic neacn ou NOTICE OF COMMENCENENT Tax Folio No. State of County of i t. �e To W-hom It May Concern: and in accordance with Section 713 of The undersigned hereby informs you that improvements will be made to certain real property, the following information is stated in this NOTICE OF COMMENCEMENT ,_ the Florida Statutes, a,,Jae Legal Description of property being improved: Pi Address of property being improved: General description of improvements: �c 1.,.� C�,r„�=-�_ Address: �U Owner: , w- is oy Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contrraac`(tor: nn �& '>Address: Fax No: Telephone No.: 7_31 -r�$ Surety(if any) Amount of Bond Address: Fax No: Telephone No: Name and address of any person making a loan for the construction of the improvements Name: Address: Fax No: Phone No: upon whom notices or other documents may be Name of person within the State of Florida,other than himself,designated by owner served: Nance: Address: Fax Na: Telephone No: of the Lienor-s Notice as provided in Section In addition to himself owner designates the following person to receive a copy 713.06(2yb),Florida Statues. (Fill in at Owner's option) Name: Address: Fax No: Telephone No: unless a different date is Expiration date of Notice of Commencement(the eicpiration date its one(1)year&orn the date of recording specified): T_ - THIS 5gACE FOR RECORDER �5E ONLY ®WKER y_ Date: Signe day of in the County of Duval,State Before me chis________-- Of Florida,has personally appeared Notary Public at Large.State of Florida County of Duval. My commission expires: or Personally Kwn: -v no6Z produced identification: L Cary Herold Doc#2005155198,OR BK 12453 Page 2330, ray Commission DD0315569 Number Pages: 1 . Filed&Recorded 05!03!2005 at 03:17 PM, a w Expires May 03.2006 JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10 00 Is CITY OF ATLANTIC BEACH J l 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001255 Date 9/17/08 Property Address . . . . . . 547 SELVA LAKES CIR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 850 --------------------------------------- Application desc garage door -------------------------------------- Owner Contractor -------------- ------------------------ BROWN, EDMUND C. OVERHEAD DOOR CO. OF JAX N. 547 SELVA LAKES CIRCLE 6884 PHILIPS PARKWAY DR. 2 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268-1627 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL FloodZone-------------------ZONE-X ----- - ------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . - 17 . 50 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 850 Expiration Date . . 3/16/09 ---------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 08-, 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 ..�_ BUILDING DEPT@COAG US >>� BUILDING PERMIT APPLICATION DUVAL COUNTY a R40, r }ar 1<* L k. 'x 2 VALIJF+ ON SIIZ UNDER ROOF. �k� wx 1,:JOBADDRESSa.. ... E. Tf,2fJCT�I� ea. FL 32233 UU� }y, a 4EGALI=DESCRIPTION rw .:._ a. ,,.,x: - ❑NEW BUILDING ❑DEMOLITION UrRESIDENTIAL LOT BLOCK SU8 DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL mi 1 ❑ACCESSORY BLDG. -86`"FIRE e 2Yv n#3ips3 ?x ... F,3. sf ` ? ❑ALTERATION 7eD CRIPTI©I RF�NDRK .•>. 3�-^-_ 11 ❑POOL/SPA ❑YES ❑N/A 9,R PAIR ❑NO �� C�� r✓ I ICI MOVE ❑OTHER 4 k �A RUL'h*[TVVVNER,h ARG"IT�CT1fNGINEE,.- :t ,/ 15 MPANY NAME: a 23.COMPANY NAME. 9.NAML=Z 16.NAM • 24.LICENSEE NAME: 17.STATE E FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: n S �� J�� q 6� (� I'�• 16.ADDRE g� / 26.ADD(2ESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.C LL PHONE: 29.CELL PHONE: , 14.EMAIL ADDRESS: 22,EMAIL ADDRESS: 30,EMAIL ADDRESS: +r ? %FEE SIMoPLI;TinN ORD �R� � D . AGELEND ExMN , & R t T. eta r. 7- -• =. , lF,..TREK:..... 35.NAME: 31 NAME: 33.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are f!naled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT ONTRAGTOR pis .. RPM; Quetlflet Only - ��, s„+.a�J,s_ '�({ entpowerafAtf6�neynfAgerlc'� etter,Requlred .;`-!ahcxa.,.:,a:rr.. � r� �'�/• r Signed: Date: ^ — Si Date: n2PA in the county of Before me this�pC.day of ,20 n the county of Before me this ay of Duval,State of Florida,has personally a peared Duval,State of Florida,has personally a geared `N`01�;I;{Iiilrlr/j//Z !!S{{Ililll/! herin by himself/herself and affirmth�at� t�tet6�n'd�i�clarations are herin by himself/herself and�tt'iTn�`It at all state �!is�g+�d declarations are e .•��AtdSS10/dA..VZ��!// V ��N o •"' O � true and accurate. true and accurate. ;GoQ�RONFr•-� / Notary P �0 9Fn C�"y6�y ' Large,StSM f Qty of Notary Pu arge,State of Nota �Y 0 ®® — e sonally Known rsonally Known q — _ ntifica n- Produced Ide 11❑Produced Ide ication- •fb • a Notary Signature: C Notary Sig tures ' . }JI c p✓°:.,..:: :�,��._ u.•�.._ �.. .. .. i '� ANTIC BEACH ITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. FILE COPY COAB FORM BLDG01:REVISED:11/6/2007 REVIEWED BY: DATE: /a O .F.';•,:'+,FraiS::IFNte3r'.+ru:awLT.3:i>.v7tr. :%: j Florida Building Code Online Page 1 of 1 w' CA Of. ATMENT OF; BasHome Log In I Hot Topics I Submit Surcharge Stats B Facts Publications FBC Staff BCIS Site Map f Links ! Search Product Approval ta! USER: Public User • Affairs Product Approval Menu > Product or Application Search >Application List Search Criteria Refine Search Code Version 2004 FL# 4861 • Application Type ALL Product Manufacturer ALL �� Category ALL Subcategory ALL Application Status ALL Compliance Method ALL Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL ` Product Model, Number or Name ALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure ALL Other ALL Search Results-Applications FL# TManufacturer Validated By vpe Status FL4861 New Overhead Door Corporation John E. Scates, PE Approved Category: Exterior Doors Subcategory: Sectional Exterior Door Assemblies�(972)466-0550 DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Fax(850)414-8436 O 2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer Product Approval Accepts: ® eCi v.ds19R'w .A Bob :.OR. AtFRDVEO V6RIFY 11ttD.//WWW.flr7rlclahiil1dlnu nro/nr/nr nnn kt ac„v nli�/nnno VW—��q Me,0r&,,Wd.crnoG�1 Overhead Door Company Engineering Services 1900 Crown.-Drive Farmers Branch,Texas 75234 Telephone: (972) 869-16136 Fax:(972) 869-1671 ODC Jacksonville 6884 Phillips Parkway C rive North Jacksonville, Florida 32256 (904)268-1627 July 'I", 2003 T o*Vhom It May Concem: The Following Overhead Door Corporation residential windload doors have been designed and tested in accordance with the Flor da Building Code and their respective windload pressures comply with the Florida Building Code for Exposure C, 120 mph. - 408950 W indload, 1801280/381,37/55.5 psf,9'-0"max 409886 W indload;18012811381,31/46.5 psf,16'-0"max Max Roof Height 15 feet ' 409341 W indload, 180/2801381,37155.5 psf,Post, 16-0"max 409888 W indload, 18012811381,31146.5 psf,1 B'-0"max-Max Roof Height 15 feet 409337 W indload,180/2801381,37/55.5 psf,Post,18'-0"max 408951 W indload,390,37/55.5 psf,9'-0"max 409892 W indload 390 346 psf 16'-D .:max=-Vex Roof Height 15 feet 410026 Windload,39Ua .b p Ps�t,. `-A".max '.09893 Whdload;390 31t46'S{psf `A-0'Qaax lvl�xt-wofHeight 15feet :09432 W indload,390,35.1/52.7 psf,Post,1 B'-0"max 409977 W indload, 190/490,37155.5 psf,Post,10'-0"max 409960 W indload, 1901490,37/55.5 psf,Post,16-0"max 409978 W indload, 190/490,37155.5 psf,Post, 18'-0"max Sincerely, Concur, Mickey Womack LeRoy Krupke, P.E. Project Engineer Registered—State of Florida, Overhead Door Corporation rrya,y;J'. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904) 247-5845 V Q ' LJ)jM E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �y -� �>la C D ment review required Yes No � I Building Applicant: �F_ �00 Planning & Zoning Public Works Project: ,I Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: �LDIN PLANNING &ZONING PUBLIC WORKS Reviewed by: ,. Date: —0 PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF Office of Building Official REQUEST FOR INSPECTION I /J Date (1 Permit No. Time A.M. Received P.M. i trict o. Job Address t/ v Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Xl" Temp Pole _ Top Out ❑ Heating Lintel ❑ Final Sewer C Fire Place ❑ READY FOR INSPECTION re Fab Mon. Tues. Wed. Thurs. Friday . A.M. inspection Made PM Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF !p O Office of Building Official _� REQUEST FOR INSPECTION C Date d J� Time Permit No. Receive _ A.M. P.M. District No. Job Address Owner's Locality Name Contractor BUILDING CONCRETE ELECTRICAL Framing ❑ FootingPLUMBING MECHANICAL Re Roofing ❑ Slab -- Rough Wiring Rough Temp Pole Air.Cond.& ❑ Lintel = Final - Top Out 17 Air. Sewer Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thu rs. Friday A.M ✓ Inspection Made A.M. P. Inspector M. Final Inspection Certificate of Occupancy Date CITY OF A&srfcc Office of Building Official ,k EOUEST FOR INSPECTION DateV Time Permit No. Received q M -� P District N . JobAd dress Owner's • Name �ca Slab Lintel lily BUILDING Contractor Framing ❑ CONCRETE ELECTRICAL Re Roofing r Footing Rough Wiring PLUMBING / MECHANICAL LiTemp Pole — Rough Q/ Air.Cond.& Top _ Final P Out ❑ Heating Sewer READY FOR INSPECTION Fire Place Mon. Tues Pre Fab Wedgy Thurs. M Inspection Made — // Friday A . A.M. Inspector Final Inspection O Certificate of Occupancy Date CITY OFbe Q� Office of Building Official �� REQUEST FOR INSPECTION Date �� Time Permit No. zo Received A.M. q _ Distric o. Job Address Owner's t Name Contractor BUILDING CONCRETE ELECTRICAL Framing [�� Footing P MBING MECHANICAL Re Roofing ❑ Slab Rough Wiring Rough ❑ mac/ Temp Pole ^ / Air.Cond.& Lintel Final _ Top Out 14/ Heating Sewer Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. 'J Wed. Z.�Ours. A.M. Inspection MadeA. � Friday.P.M. P M. Inspector Final Inspection❑ Certificate of Occupancy Date BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA r r CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Reyhani,Inc. Building Permit Number: 9606 Address: 543 Selva Lakes Circle Legal Description : Lot 59 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 ---Duplex--------------- Lowest Floor Elevation: 14.21 ---------- ---------- ---------- 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 --------------- --------------- --------- Public Works --------------- --------------- --------- Planning Director --------------- --------------- --------- Building Inspector --------------- ADDRESS L CONTRACTOR OWNER BUILDING___/�Y D J� MECHANICAL_YCPQ�_ PLUMBING__&O ELECTRICAL TEMP POLE_________ MISC__________- ELECTRICIAN DATE FAILED DATE PASSED TEMP POLE JEA ---------- ----------- ----------- FOOTING ----------- ----------- ROUGH PLUMBING -_J')12- SLAB FRAMING �� MECHANICAL/FIREPLACE TOP OUT PLUMBING ROUGH ELECTRIC FINAL ELECTRIC ----------- ----------- FINAL BUILDING ----------- ----------- ELEVATION SUBMITTED CERTIFICATE OF OCCUPANCY ----------- ----------- DATE ORDERED DATE ISSUED BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING // � � Sub-division Se i V 4, lt'r-Ka 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 attaciLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) lA--rrz_ Master Name of Property Owner Signature of OwnerQ Signature of or Authorized Agent Architect or Engineer III. GENERAL I FO ON A, Type of heating fuel: 8. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT Q Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed X Central O Floor New Building Air Conditioning: ❑ Room X Central ! El Existing Building ff c Duct System: Materiel-DJLT�QARLQ Thicknest— l— ❑ Replacement of existing system Z Maximum capacity c.f.m.ZC `� New installation(No system previously installed) El or add-on to existing system ❑ Refrigeration ❑ Other — Specify Q Cooling tower: Capacity q.p.m. ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Recall ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Cl When Dat a— [3 Approved by Da Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ty Aroving Number Unita Description Model Number Manufacturer ( ) Ateacy Z,tv E ` n c, fc �. HEATING - FURNACES, BOILERS, FIREPLACES Capacity Affrovilillig Number Unita Description Model Number Manufacturer (UM) AXII Li TmAp3o --,)Cr 0 6 u I%.-- A. _A. `` 60 TANKS Now Many Nomlaal Capacity Type Liquid Name at Serial APF;�6 and Dimensions Contained Manufacturer No. Agency DEPARTMENT OF BUILDING 9608 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Mar h 22 19_ 89 Valuation$ Fee$ 108.00 (013.10 T This permit not valid until above fee has been paid to City Treasurer,and is C195 1 A 4/06/6c, subject to revocation for violation of applicable provisions of law. 96 raj a norAc This is to certify that FAIR PLUh'BING C01kIPANY E95 8175r4W has permission to DWAX i n ct a l l 12himbing Classification New Rec i dant i a l Zone PIM Owned by RrIM Prnnertins Tnr s Lot__ SQ Er E►a Block iln i t TI S/D 4P1va Takes House No. _ 543–S47 Selma i akPc Ci rel e According to approved plans which are part of this permit I t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE —� ` -0 O Building material, rubbish and debris -i from this work must not be placed in public space, and must be cleared tup andhauled away by either con- /'�vener. � i' Building Official. r FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL i SEWER WATER I CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION '# PLUMBING CONTRACTOR F. j�'. FAIR PLQP,*,BING COi PANY LICENSE NUMBERS :'.P145 State RF0037503 OWNER_ R (� \p D O CJ IRA r Ls BUILDING CONTRACTOR_ \ CN\ TYPE OF BUILDING��, Y _SINKS _SHOWERS -LAVATORY WATER HEATERS off- BATH TUBS _DISHWASHERS URINALS d DISPOSALS lv CLOSETS OA WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT X$3. 50 +/$)10. 00 DATE / / TOTAL AMOUNT /y INSTALLATION OF PLUMBING AND FIXTURES TMST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . (11krdif-ira#r of (Orrupaurp CITY OF 0044,60 Uppartmpnt of +vnilding Jnspprtinn 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 C4uiGcation New Residential Bldg.Permit No. 9606 emu Type Construction Frame Fire District Atlantic Beach P nrr+ Dry Addreu_ 439 Selva Lakes Circle O«ner of Building n P�� Building Address 7 Selva lakes C i tol.lar---._ °Alva Lakes By: — Rene' Angers Building ORrcid Date:— - POST IN A CONSPICUOUS ►LAC[ E BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Ss Building Contractor: Reyhani,Inc. Building Permit Number: 9606 Address: 547 Selva Lakes Circle Legal Description: Lot 60 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 -----2U-P121 Lowest Floor Elevation: 14. 21 -/1 r_L_ - - ---------- required as built n/a Sales Tax Certificate: ----- date ubmitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief Public Works --------------- ------/--------- --------- Planning Director -`1 u v Building Inspector ----------- 304814 y MAP SHOWING SURVEY OF LOT 60 , SELVA LAKES UNIT TWO, AS RECORDED IN PLAT BOOK 43 , PAGES 11 , 11A AND 11B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. x /Z' cot a...1,c/ �'r✓aoo FE,/II�E M ON V MLNT ♦ Q A/.W.C.IIr M W+7"57 ,0 1'11 CIO V \ P3' Ca.�iL W �7. ' al S3 to tor✓Esr N N /13oN U S /t/o. 3f7 x `fr •�f X7.9' : s�r14•,4a,r .--_mac' `C. 1 �(�.s.+►Nsiy FAS�Mt'NT BY P"T_ IT✓4-150P M 1.6• /O¢8 S �y T/Es B Y' /2�r Al SEL ✓�Q L��ES Os — N�.✓c4T�b BY TW3 =uRVEy. s� 5' om• 45" 00� E .SfT,� �i♦O.ti /GSuK�A T/o w-TX P G�E3 / ceo zo n/E G• .a.C3 d>' R�+o �C•f�s�Ni.S�.a .�/JriL /8 �i�s GZ►K.GI�/iTY �1(/(/EZ .t.b. /soo 77 aao/c. HERESY CERTFY T/G9pQ G'EoQGE.(. f EZE C/i ✓" fos, CAQTfFE T ✓/.tG[4 t/ �(, /T s, 5 c CCc�S THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 471.027 H. A. DURDEN ADMFLOIN TRATION CODE IDA STATUTES AND CHAPTER 11 HH-6 FLORIDA & ASSOCIATES INC. ' w�aR wso�al•wwao wrarow No. f/ 7 LAND �' Lf�1�Y' rZEiL(o.CE SURVEYORS Poet Office 1 0 $i Box 50070 — 1103 South Third Street SCALE: Jackaonvl8a Beach,Florida 32260 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. Zo3�7 CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 �- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 DATE: _PRE-SERVICE DIVISION DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY : X0510 - 5� 7 _bel va_ ,La. /fes _C71'rc le___________________ ------ ' ------------------------------------------------- ------ ' --------------------- ------------------------- ------ ' ------------------------------------------------- ------ ' ------------------------------------------------- SINCERELY, xa'-ai 0_' Y BUILDING INSPECTION DIVISION cc:FILE JOB 5741 V CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 3-23 1988 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE PERFORMS DID WORK IN ACCORDANCE IN WITH THEWITH ECTRICALACHED PLANS AND SPECIFICATIONS, REGULATIONS, CODES AND CITY OF WHICH ARE A PART HEREOF, AN ATLANTIC BEACH ORDINANCES. Adkins Electric, Inc. JOURNEYMAN ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE NAME RGM Properties ADDRESS: 543 Selva Lakes Cir. RFD BOX BLDG.SIZE BETWEEN: 1' ~: St & Plaza Rel RES.( ) APT, ( ) comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( 1- OLD( 1 REW.( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SQ. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER PH SSU AMPS W /(-VOLT EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. gSIZE LIGHTING OUTLETS CONCEALED OPEN RECEPTACLES CONCEALED OPEN O-JO AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-NEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN , FORWARDED TOTAL FEES JOB 5742 J CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 3-23 19 SS IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO HEREOF, AND ACCO DANCE WITH THE IELECTRICAL TH THE A CHED PLANS AND SPECIFICATIONS. WHICH ARE A PARPERFORM SAIWORK IN ACCORDANCE REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Dill Bazemore i Adkins Electric Inc. ELECTRICAL FIRM: MASTER ELECTRICIAN 1 GNA1 UR,E JOUBNEYMM NAME RGM Properties ADDRESS: 547 Selva Lakes Cir. RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: IIth St & Plaza Rd. RES.( ) APT. ( 1 comm. 11 ) PUBLIC l 1 INDUS. ( 1 NEW f ) OLD ( 1 REW.( 1 ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SO. FT. FEE SERVICE: NEW(-,---- INCREASE ( 1 REPAIR ( 1 hod CONDUCTOR SIZE AMPS ��-� V COPPER 1 ALUM. ACEW SWITCH OR BREAKER �J-( AMP PH W 1 VOLT R--- EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES O•!O AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS SCELLANEOUS q� MIr TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA ANO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S tTOLFEES i DEPARTMENT OF BUILDING J 63 0 6 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.._ PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 14•r'8. j 514.5rrKTt 111 Date Dj rnh 22 19 '98 9841 1 A 3/28/1,11 0 8 Valuation$ 134,3: .00 Fee$ 514.50 9841 1 A 3/28/8, 1013(l This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Reyhani,Inc. RR0034591 1112 Third StrPPt Neptime Reach 379-33— has permission to build Duplex Classification New Ree i danti a l Zone PIID i Owned by RGIk4 Prn1 Art l .S, Tnc Lot 59 h(1 B1ocklinit II S/D I House No. According to approved plans which are part of this permit NOTICE—A L CON RETE FORMS = AND FOOTINGS UST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE r--i O Building material, rubbish and debris ? from this work must not be placed in public space, and must be cl d = up and hauled away by ei a co tr4apr or owner. Builg Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL - SEWER WATER J 1,06 io 11-0 ! ..!. Ii L y ' BUILDING PERMIT WORKSHEET ELECTRIC PERMITTEMPORARY ELECT. � --ted Square Footage �5��- @ $- ��_per sq ft = 3rage/Shed 407 @ $ �U �U per sq ft — $ 6�y� � U 3 rport@ $ 17, per sq ft = $ arches @ $ per sq ft - $ 'ck @ $ per sq ft — $ ' 3 do @ $ per sq ft = $ TOTAL VALUATION $ •��, q10 6, 0 )tal Valuation Data 1st y $ �3,� mainder Valuation @ $ c;i.00per thousand or portion thereof TOTAL BUILDING FEE $ + k FILING FEE $g}as , FIREPLACE @15 . 00 co TOTAL BUILDING PERMIT $ , - ----/� -------------------------------------------- -------- UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ QCT. TE2•1PORARY $ ELECTRICAL PERMIT $ PER METER SIZE $ ACCOUNT NUMBER JER IMPACT FEE $ FER CONNECTION $ (@10. 00 per fixture unit) 'ROVED BY: 51I.�OI TOTAL BUILDING/PLAN FILING FEE $ , 116-06 TOTAL WATER METER CHARGE $ �f'� 00 �U 01020,60' TOTAL SEWER IMPACT FEES 00 'TOTAL WATER CONNECTION CHARGE $ SQA MISCELLANEOUS CHARGES $ r GRAND TOT`�fiAy OVED rANTIC BEACH PLANNING & ZONING OFFICE 22 988 L k1)czi; PLUMBING WORKSHEET SINKS 2 SHOWERS DISHWASHERS. 3 CLOSETS BATH TUBS --- FLOOR DRAINS I WASHING MACHINE WATER HEATERS ' DISPOSALS Ll LAVATORY URINALS OTHER TOTAL FIXTURE COUNT A.J '� S�Z , !R) 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. /8 BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (I UNITS �T URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (.4 UNITS) URINALS PEDESTALP SYPHON WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED (4UNITS) (8 UNITS) BATHTUB (W/OR W/0 OVERHEAD T SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) T BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10..,00 EACH- �/ @ /40.0d • `R` PLUMBING PERMIT - BUILDING PERMIT WORKSHEET ELECTRIC PERMIT � TEMPORARY ELECT. sated Square Footage �� @ $ e sq ft = $ , T vg7.s arage/shed �b0 @ $ �� mer sq ft - $ 7, Uo o arport @ $ per sq ft - $ orches @ $ per sq ft - $ eck @ $ per sq ft = $ atio @ $ per sq ft = $ TOTAL VALUATION $'4A ' s6 $ i )tal Valuation Data 1st $ �� UDO 13, g??, � ,mainder Valuation @ $ a.UC)per thousand or portion thereof TOTAL BUILDING FEE $ + -k FILING FEE $ S FIREPLACE @15 . 00 $ /S 00 TOTAL BUILDING PERMIT $ , --------------------------------------------------------------A --------. .UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ECT. TEI•IPORARY . $ ELECTRICAL PERMIT $ TER METER SIZE $ ACCOUNT NUMBER WER IMPACT FEE $ TER CONNECTION $ (@10. 00 per fixture unit) PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ , 0 TOTAL WATER METER CHARGE $ 00 TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ v6, 7 1395— t3 , 13kDG7 PLUMBING WWSHEET SINKS SHOWERS DISHWASHERS CLOSETS _ BATH TUBS FLOOR DRAINS _ WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT T 3S� T!, 00 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. 1 BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (31 UNIT) URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (.4 UNITS) URINAL, PEDESTAL, SYPHON WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (4UNITS) (8 UNITS) i BATHTUB (W/OR W/0 OVERHEAD (2 UNITS)SHOWER STALL, DOMESTIC 1 SHOWER) (2UNITS) BIDGET (3 UNITS) -T LAUNDRY TRAY (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) 3 KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10-,00- EACH, ` CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT 4/3 9 �EL lJ•4�f�,c�r •t c�- Owner1SAddress�TG}�yTic_ c� zip 3Z_y,/3_phone_? 7 Architect / . LGy L��z/E Address / fT_ 11_�zipjjvJ, _phone 2 � iiiY7,u�.to T .-�•7E9 Contractor'4y� j � AddressE��,y� g�cs�____zipz3 _phone,�y_�_V1 Contractor's License numberLUag:�_3yV.f'_1____expiration_:Zge Lot_-:�_ Block or Section Subdivision---------------Zoning........ Street between and side ------------- -------------- ----------------- ----------- Type Construction C-_ No. Units---------- Fireplaces ---- ------- ----------- Purpose of Building---------------------------Est. Valuation 8______________ 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 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_ � `i _� ��1�__Date ............. Signature Con actor_ �_ ✓ to %_ page 2 4 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= _-a(fApplicant 's Signature �� ----------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department _-_________ ----------------------------------- Building Department Representative page 3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT 0wner1S lic_:s _Addreae_&1TL .vTic_ c� zip3y_y3_phone.?V_7-a�_ Architect / . LLy LX z/E__Addresa / �T_ 1r_ �,�zip�iY�o _phonee2y.9=_ls• Contractor �x�, � Addreae F- ,4-��ya g�c ____zip y_:L 4 _phoney_/_y�y. Contractor's License number",aca34<.r.Tj____expirationjLZfea-?___ Lot_ 2P __Block or Section---------Subdivision_______________Zoning........ Street-------------between--------------and-----------------side----------- Type Construction No. Units---------- Fireplaces ---- -------- ----------- Purpose of Building--------------------------- 9 Utility Method - Water_____________ Sewer____________ Dimensions - Building--------------Lot-------------Size Footings___________----------- Sz. Piers Sz. Sille -_Greatest Span Sills_______________ ------------ Sz. Ceiling Joists---------Distance on Centers---------Greatest Span_______ Sz. Floor Joists _________Distance on Centers---------Greatest Span_______ Sz. Rafters Distance on Centers---------Greatest Span_______ Method of Heating-----------Solid or Filled Ground_----------Roof Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner- -- `� =- _�.- �� --Date- ----- ----� Signature Con actorL � __ _�J? -V�i',�ate_ �__ . page 2 t 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 Signatur ----------------------------- ---------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------------------------------- Bui] ding Department Representative page 3 APPLICATION FOR WATER METER DATE: CONTRACTOR: �. --- -- -------------------------------- BILLING ADDRESS: 1��/ G� _-I_ ---------------------------- SERVICE ADDRESS: J_ --� 2 --��L� -- -- -------------- LOT: -4_- : -----__UNIT:- .....SUBDIVISION:,-,-C ACCOUNT NUMBER: o��D�O ,j _ 22 i / METER SIZE: ___J��________ I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. At�- - ----------------------- CONTRACTO ----- --------------- - ------------ CITY F ATLANTIC BEA APPLICATION FOR WATER METER DATE:—CONTRACTOR: BILLING ADDRESS:_—_ G _G ------- =3aa33------------------------------ SERVICE ADDRESS: aJ LOT: --� -- :-------UNIT:_ _____SUBDIVISION: ACCOUNT NUMBER: METER SIZE: 3�v / -------------- I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. G• ------- ------------------------ CONTRACT ------- --------------- ----------- CITY OF rLANTIC BEACH CITY OF ATLANTIC BEACH No. 0880 FLORIDA March 22 19 H NAME Reyhani, Inc. ADDRESS 1112 Third Street Suite 9 CITY Neptune Beach 32233 C 3130,P0CRTD 9(''12 1 A 3/29/00 Water Impact Fee #40-343-3700 P AID ' Sewer Impact Fee #41-343-5200 9E 1121E'11060.00111ICA7- �$2,O�6.Oa12RlD1l 10DU1 MAR 2 8 198J .$3,130.00 Lots 59 $ 60 Unit II Selva Lakes - ---.fid Z_CA 7 I _ CITY OF ATLANTIC BEACH P_ A I D_ ATLANTIC BEACH, FLORIDA 32233 TELEPHONE: 249.2395 MAR 28 bb"i UTILITY BILL WATER WATER SEWER GARBAGE OTHER TOTAL DATE METERS DUE Z ,1 <w W Z 3 i.-DD - _ ^ 00 t4 ZFa C `~ OO up < doILs RETAIN THIS STUB Q„� Q = W p SERVICE DISCONTINUED Z IF NOT PAID WITHIN 0 PAYABLE IN ADVANCE ~ _ CLL O NO REFUNDS 30 DAYS OF DATE SHOWN _ 0 to V " w Q N 0 WN < m < � < m USN J � O Z -AV4 LL N m W N W F- U 0 z Q m W Ly„ U J W It Z FW- 5 ` 3 w < U V <m mm _ >O � W oZ < W < 3f Za -w wX JD MID 0 a DEPARTMENT OF BUILDING t CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD �oB THIS PE B D2arch 22 19 8� 3519 Date 9607 aCP!C. Fee$ 82 00 3519 Valuation$ I i101 This permit not valid until above fee has n paid to City Treasurer,and is w. subject to revocation for violation of applicable provision s°Heat/Air This is to certify that ocean State has permission to IN iAl I Zone Classification Owned by Block s:+.�----_— ILotLO— IHouse No. According to approved plans which are part of this permitNOTICE—ALL CONMUSTE FOP- AND FOOTINGS IN- SPECTED BEFORE POURING. PE MIT AFTER DATE OF ISSUE HS o Building material, rubbish and debris ��---� —, Z from this work must not be placed in public space, and must be cleared up and hauled away by either con- b 0 owner. Building Official. I CONTRACTOR PERMIT DATE FOR OFFICE USE ONLY NUMBER PLUMBING II ELECTRICAL SEWER WATER Trr ifiratr of Orrupattrg CITY OF la 1Qh14 &4A.. nw 4 %partmrnt of Bntiatng Jnaprrtton 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 Residential Bldg.Permit No. 9606 Grou TypeConstrudionFrame girt District. Atlantic Beach , P OwnerofBuilding RGM Properties--Address-139 Selva lakes Circle Building Address S43 Selva 1 k 4 ('ir.Fi,A ___..__SelvaLakes By:- -- — _ Rene' Angers Building Official Date: _ -- POST IN A CONSPICUOUS •LAC[ `IS CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ±� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000001 Date 1/02/09 Property Address . . . . . . 547 SELVA LAKES CIR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BROWN, EDMUND C. ARCTIC AIR OF NE FLORIDA, LLC 547 SELVA LAKES CIRCLE P.O. BOX 50496 ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-1816 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/01/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i CITY OF ATLANTIC BEACH 07 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY Ji:IY� 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE rc.`L O ❑ -04 YES PERMIT#: ? Atlantic Beach, FL 32233 PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: tJ1ECHANI;AL CONTRACTOR: `` Gl 8.ADDLE,S�. 114 3;? 10.CE(Lv_LJPHONE: .FAX NO.:9 STFLORIDA LICENSE NO: Z�}ii C013.OFFICE PHONE: . 12.EMAIL ADDRESS: C4 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE:: rALTERATION ORK: 16.BUILDING: 17.S VICE: 18.CURRENT CODE: LLATION ❑ NEW RESIDENTIAL ❑'06 FLORIDA BUILDING CODE ENT OF EXISTING SYSTEM d EXISTING ❑ COMMERCIAL MECHANICAL /ADDITION TO EXIST SYSTEM ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED ENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM CENTRAL 21. DUCT SYSTEM: MATERIAL: /Li` 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 VALUE FOR OTHER ITEMS: OR COIL IN DUCTS ETC. 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. APPROVING NUMBER MODEL# MANUFACTURER TONS AGENCY OF UNITS (n� .} DESCRIPTION FJ` r le W 03 t A/C__ 32.HEATING EQUIPMENT: FURNACES BOILERS FIREPLACES.AIR HANDLERS ETC. gpPR VIN NUMBER MODEL# MANUFACTURER BTU AGENCY OF UNITS DESCRIPTION TYPE LI UID APPR VIN NUMBER MANUFACTURER SERIAL# AGENCY GALLONS CONTAINED COAB FORM BLDG03:REVISED:8/13/2007