Loading...
623 and 627 Selva Lakes Cir (vault) CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT r 249-2395 JOB LOCATION -ps, (-TR n ni .- PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMIPANY LICENSE NUMBERS MP145 State RF0037503 OWNER R.r"m p" pF�TTr� BUILDING CONTRACTOR RGM PROPc,RTIES TYPE OF BUILDING DUPLEX _SINKS 1 SHOWERS _LAVATORY 2 WATER HEATERS _BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 5 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 25 TOTAL FIXTURE COUNT X$3. 50 + $10. 00 DATE 6 / 15 / 87 TOTAL AlrIOUNT, $97 .50 INSTALLATION OF PLUMBING AND FIXTURES ITUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . 1s_ i DEPARTMENT OF BUILDING 8682 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.,.. PERMIT TO BUILD j THIS PERMIT MUST BE POSTED ON JOB Date_ May 14 19 ` 7 97.50 Valuation$ Fee$ 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. iF.W. FAIR PLOMBING 1 This is to certify that I I has permission to b II Classification New Residential Zone PUD 9ZI50 T a7,5IINT Owned by RGM Properties. Inc n7� V;6 a Lot 79 8 80 Block Unit TT 068 A 9753 IA 5/!510 C 7 T hknc f i rrl House No. 623 627 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- i SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4— 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- tractor ar bwper. Building Official. I J FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER i PLUMBING �f ELECTRICAL i SEWER WATER i ADDRESS--- c2 -- -------- CONTRACTOR------------------------------------------------------- OWNER---------------------------------------------------------��--- BUILDING_�-� MECHANICAL PLUMBING_ as ELECTRICAL6' J`f' TEMP POLE--------- MISC----___--_- ELECTRICIAN___________________________ DATE FAILED DATE PASSED TEMP POLE JEA ----------- ----------- FOOTING ----------- ----------- ROUGH PLUMBING SLAB ----------- ----------- FRAMING ----------- ----------- MECHANICAL/FIREPLACE --__--___-- TOP OUT PLUMBING ----------- ----------- ROUGH ELECTRIC ----------- ----------- FINAL ELECTRIC ----------- ----------- FINAL BUILDING ----------- ----------- ELEVATION SUBMITTED ----------- CERTIFICATE OF OCCUPANCY ----------- ----------- DATE ORDERED _____-____- DATE ISSUED January 8, 1998 Lewis Dwight Corbitt 623 Selva Lalces Circle Atlantic Beach, FL 32233 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 623 Selva Lakes Circle a/k/a Lot 79, Selva Lakes RE#172027-5554 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 17, Section 17-8, For Rent signs are prohibited from being placed on trees, fences, lamp posts, telephone poles or private walls. For Rent Sign not over 4 square feet placed in front of home permitted. You are hereby notified that unless the conditions above described are remedied within two (2) days from the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida. Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED cec#7133 CITY OF l��°��t,cc �eacl - �Qcvuda S00 SEIVIINOLE ROAD ATLANTIC BEACH.FLORIDA:32233-5445 --- ---- TELEPHONE(904)247-5800 Janua , 1998 FAX X904)247-5805 SUNCOM 852-5800 Lewis Dwight Corbitt 623 Selva Lalces Circle Atlantic Beach, FL 32233 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 623 Selva Lakes Circle a/k/a Lot 79, Selva Lakes RE#172027-5554 ` Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 17, Section 17-8, For Rent signs are prohibited from being placed on trees, fences, lamp posts, telephone poles or private walls. For Rent Sign not over 4 square feet placed in front of home permitted. You are herebv notified that unless the conditions above described are remedied within two (2) days from the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and 5500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah CC: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED cec#7133 ------------ Trrtifiratr of (orrupaurg CITY OF A& tik &,"k- RMI& Erpartmrnt of +Bniibing Nopprtion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. use Claui6cNion ;il,g;'_. <,mil^ Bldg.Permit No. 8680 �� A�izntic Beach Group Type Construction 1 Fire District. T lobi Reyh ad _-- owner ofBuilding x�*il �rGUr'1"t3E�: Address—_ soaingAaaress 627 Se�S-;;`Q LL,,,Li;ry_._.Atlantfc Beach By:- Don C. Ford 3l2 6-/9 1 _ -- Bdiidin�o(ficial Date: MOT IN A CONVICUOU" PL C[ DEPARTMENT OF BUILDING 8680 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date May 14 19 87 Valuation$ 110,804.00 Fee$ 457.50 This permit not valid until above fee has been paid to City Treasurer,and is 4 67•b n T subject to revocation for violation of applicable provisions of law. 457 f 50CKT This is to certify that RP, by ani r Tnc RR0034.591 ROG -0MAC 1112 Third Street Neptune Reach 32233 P.,07 I A. 9/US9 �T]t1U has permission to build Townhouse Classification New Residential Zone PUD Owned by R(%1 Prol2erties, Inc Lot 74 F 90 Block 11nit TT S/D Relva T.akpe House No. 623-627 Selva Lakes Circle According to approved plans which are part of this permit Lk NOTICE—ALL C CRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4—. O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and)auled away by either con- tra or owner. Buil difi official. FOR OFFICE PERMIT DATE -GQNTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER PLU;•4bit4G # ELECTRIC PERMIT BUILDING PERMIT WORKSHEET TEMPORARY ELECT. leated Square Footage �1 @ $ c3g`50 per sq ft = $� arage/Shed 17Zb0 @ $ per sq ft = $ '� O2(�a• OCA arport @ $ per sq ft = $ orches @ $ per sq ft - $ eck @ $ Der sq ft = $ ' atio @ $ per sq ft = $ TOTAL VALUATION $ �Q .5-d . S-6 $ otal Valuation Data 1st $ '5v, U00 . ?(!�7 S—d v?A $ ?mainder Valuation @ $ a.0()per thousand or portion thereof TOTAL BUILDING FEE $ + k FILING FEE $ FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ 073 - - -- ------ -------------------------------------------- ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TEMPORARY $ ELECTRICAL PERMIT $ \TER METER SIZE $ ACCOUNT NUMBER ,WER IMPACT FEE $ ,TER CONNECTION $ (@10 . 00 per fixture unit) /PLAN FILING FEE TOTAL BUILDING PROVED BY: . . TOTAL WATER METER CHARGE $ (�S-d U TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTI0N CHARGE MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: ,i 1395 s� F,. w PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS TTS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS _ DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT 'BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. I o BATHROOM GROUP CONSISTING OF �, LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (31 UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. �T URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (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 ` cZ Q•/0'a0 �Go,do 1 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT •. �3 9 Sty t_JA LRtctZ G R- Owner�AA9?_V_U _f 4 __Address ...zipjz _phone �7-01. Architect � �_ � Addrese_/.i �7_ � d _zipLvJo phoneaLf_yf_ T/�IKO � P"7Contractor Xf��,��.,���Addrese��pfk�� � ___zip _phone,2y Contractor ' s License number/,��'6 o o, 1expiration__ Lott____Block or Section_________Subdivision---------______Zoning........ Street between______________and-----------------side -------- ----------- Type Construction___ ___No. Units----------No. Fireplaces Purpose of Building---------------------------Est. Valuation 8 -------------- Utility Method - Water_____________ Sewer____________ Dimensions - Building-------_------Lot-------------Size Footings___________ Sz. PiereSz. 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, _Date__ i Signature Con actor page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :____ _ -________________ Flood Zone:-----c Required Lowest Floor Elevations , _3 --------------- 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_L__,_'.- -_Applicant 's Signature ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ____-______ ----------------------------------- Bui�ding Department Representative page 3 _---- —_-- P LU"I B I N G PERMIT -- - - �:; • ELECTRIC PERMIT � BUILDING PERMIT WORKSNEE�6 TEMPORARY ELECT. ► gated Square Footage //D 9 @ $ _pe sq ft = $lam, (�/�o•S� 3rage/Shed �400 @ $ M,00 ___per sq ft - $ �o?U� •� i rport @ $ per sq ft - $ )rches @ $ per sq ft = $ !ck @ $ per sq ft = $ ' Itio @ $ per sq ft = $ TOTAL VALUATION $ eo ital Valuation Data 1st , mainder Valuation @ $ .5-7)per thousand or portion thereof TOTAL BUILDING FEE $ 136, + -1 FILING FEE $ FIREPLACE @15.00 $ �• �0 TOTAL BUILDING PERMIT - ------------------------------------------------------------------------------ UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ` CT. TE1•iPORARY $ ELECTRICAL PERMIT $ PER METER SIZE $ ACCOUNT NUMBER JER IMPACT FEE $ i "ER CONNECTION $ (@10. 00 per fixture unit) 'ROVED BY: � ' '^ �l� 00 -{ .TOTAL BUILDING/PLAN FILING FEE 46 fD OOTOTAL WATER METER CHARGE $ � . yO °°TOTAL SEWER IMPACT FEES $ /U 3�. 60 �o ` N(�6 01) TOTAL WATER CONNECTION CHARGE $ o'Z 60 • 00 MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ PLUMBING WORKSHEET SINKS SHOWERS _ DISHWASHERS d� CLOSETS �T BATH TUBS FLOOR DRAINS J WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS' THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND �T BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) TT DRINKING FOUNTAIN (!� UNIT). URINAL, WALL LIP (4 UNITS) �- FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. -T URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE- OPERATED WATER CLOSETS, TANK-OPERATED -t (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (z UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) �1 TOTAL FIXTURE UNITS @ $10.;00. EACH `d� ID,Do aQO.OU CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT y39 SdI-VA des GR- Owner � Address P- i?l,' 3���---zip?-----phonee-t7-01-: Architect 1 �_ J,.g____Addrese_ �r_,j�ltack_zip3Lv-Lo phone;yf_yL J � Contractor zip _phone 2 /-y_5 Contractor 's License number�� o o ��1_____expiration_ ,�� --- Lot_1 ,.___Block or Section Subdivision---------------Zoning........ Street betweenand side -------- ----------- Type Construction______/ ___No. Unite----------No. Fireplaces___________ Purpose of Building---------------------------Est. Valuation 9______________ 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 ��:�_ _�_ ' ✓ _Date___ Signature Cont actor _} _ L��f� _Date___ page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone ---�-------------- - - -- ------=----------------------- - Required Lowest Floor Elevations_____ ______ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date__+ ___ %_Applicant 's Signature_ -- ------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation ........ ______ Survey Filed with Building Department ___________ ----------------------------------- Bui.�ding Department Representative page 3 t • PLANS REVIEW CHECK LIST Addres Owner_ --------------------- Legal Descriptio �y Q ----Contractor � --- a=-------------- ------- �, � License Humber ------------------------ ------------------------ License on File (T�) NO Section 24-101 * Zoning Regulations Zoning District__P`/z) --- Proposed Use Required Lot Size___ ______ Actual Lot Size___----------- Setbacks Required ProvidedPf� Section 24_17 front CORNER LOT INTERIOR LOT ------ -- , rear _ _ _ Flood Zone_____ (2--,_______ � side-1 11 _ ________ Required Elevation = J_ side-2 ------ -------- Max. Height Allowed__5___ Proposed Height 4___-__ Section 24-82 * Minimum Lot Coverage Required Heated Area L1. 8OO '�F Proposed Area_ Section 24_161 * Offstreet Parking Number Spaces Required__ (--- Spaces Provided____ Section 24_82 * Duglicate Buildings Is ther similar building within 500' of proposed buildin YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities _✓_'__ City of Atlantic Beach Utilities ----- Private Sourc TI TANK WELL Plans Reviewed by:__ Date Building Permit #_ � ,, I SUED DENIED BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : August 29, 1990 Building Contractor: RGM PROPERTIES Building Permit Number: 8680 Address: 623 Selva Lakes Circle Legal Description: Lot 79 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 _ Single Family Attached___ Lowest Floor Elevation: --------- ---------- -__-__---- 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 _______________ 0003161 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PE)f?MI7INl�'C1ItnATxtSN - - I,.aC:ATxaN INI*C]RnATxC1H -----___ Permit Numbers 31 1 AdCresB: 623 JELVA LAICL3 CxItCL1L Permit Type: $UILOXII40 ATLAH`I'xC. L'ZAt:H, I-LORMA 32233 class ox Works ADDITXOH - --------- LISOAL 0E33CRxPTxOH ----- - Constr. Type: WOOD II-RAnE Lot: TL's Block,. 1-11ectIon t tropoBed Uses ncltrE:H Township: RHO* C1 Dwellings, 1 Code: C) 4UbdjvIsionz 2"tELV'A LArr "s3 E"st.1mated Value. -410. DO Improv. Costs ipC1- CC Total reel: 937. 30 Amount Paid% '��►�• �� Date Paid,. 11�'2C51"5C? work De•Bc. 21CRE,EN po tCH OVER C1014c 2E E rA11'xO OWNER IMPIORMA'TIC)H ---- --- - --. __ APPLICATION lrZM'% --_-- Name: MR. & ntt`n. HEHItL"-ney JP°ERnIT 05311• nu Address, L"i2` 3L"LVA LAKE$ +CIRC:L.E WATER 1"r ACT PEE" `fin•M FL]iLA C . CC ATLAHTIC br-ACN, Et Cr P'hc,r,e: r tii4?2�i -C1!972 WATER nETEft 9 0. %30 RADION OA*a-H. Pt. 'DO. 00 _ +CON7'RAcTOR XH P UfFtnATION - "-- RADON OAS - 3x C4 0. OLI Name: ATLANTIC: COAST "OffE nrfty- WATER TAI" got). +DC Address* I^C1 MOR17"^J-H$ 3LWER TAf 500.100 Nlrf°'TUNE BEACH, rL 321'-13 HYDRAULIC tlHARE SC• 100 License: crtC*^J468r 74 Types b ttL-IHf3rECT Ir'EE 130.M1 SEC. " xn!'AC T F Et 100.101-1 OTHER &0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING:MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED AWAY BY EITHER CONTRACTOR OR OWNER. LIEN LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANICS'ILDING IIMPROVEMENTS.IN THE PROPERTY OWNER PAYING TWICE FOR BU ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. SC>2 e,•-) Address J C_ v�'� "� [ o; heated Square Footage `- @ $ per sq ft = $ iarage/Shed @ $ per sq ft = $ p 150er s ft = $ r C� ,8 �o D ,arlx�rt/Porch 5 @ $ _ P q deck — @ $ per sq ft = $ 'atio @ $ per sq ft = $ TOTAL VALUATION; $ t: 'otal Valuation 1st ander Valuation s:c per thousand or portionTotal Building Fee -thereof ------------------------------------ , $ DDTTIONAL PERAITS and/or FEES REQUIRED + 2 Filing Fee $ /� S Fireplaces @ 15.00 $ fechanical i BTJ=ING'PEFMT FEE 'hnbing , 2ectric/New t------------------------------------------------- ,lectric/Temp BUILDING PERMIT $ eptic Tank WA= M= CSCE $ !ell S&TER IMPACT FEE $ ginning Pool WAS IMPACT FEE $ .i8n MISCELLANEOUS $ Nater Connection $ .ewer Connection $ `alter Meter Ievation Certificate GRAND TOTAL DUE $ - ------------------------------------------------------------------------------------------- .. ��C[JLATIONS and/or NOTES CITY OF ATLANTIC BEACH PERMIT APPLICATION FOR REMODEL, ADDITION OR ALTERATION Owner(s) : Az' / //LS NNrS /7 cNNcSEY Address: 623C�4 Rc'�� C,�2cte t4•4 Phone: Z- Lot # v Block or Unit # Subdivision: Contractor: ejNG- f-(7Z.4,jT.c �oAcT ��hE ��u License No. e2C010?4_ Address:,./2p. 4X de 12. AlCPlnNc' 4y- P. 322T3 Phone: ZS�i-o�7Z Describe work to be done: /2 X Z/ -ca,;kxn1 1512 14 oUc'2 coAjcXf,2' A-iiO Present use of building: S;,A/41e- FA�iLy 2��% c6- Proposed use:-- -4 t i Is this an addition? _ If yes, what are the dimensions of the added space: L ft. X 'Ll ft. Will the added area be heated and cooled? �4"! New electrical (or increase)? No New plumbing fixtures? ( New fireplace? t-1/0 New Heat/AC? `-' SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE. Signature OWNER: c Date: Signature CONTRACTOR: Date: '»yam LU U 1L \Jo � � 0 (� 2 x a I . L N R`ON,v (� W � � CITE �� p1NG OFF1C w � v J 00 IL Z rk, o 0 � � --7 E/M �/V/1S/X3 v 1 x Z - Q, ' N _ a -? a 0 0 c� cn CITY OF nn // /n�/-� ��A� 4& /3 iP=A-99&4!da Office of Building Official _ �REQUEST FOR INSPECTION 3 Permit No. Date Time t d P.M: D tract No. Received /_ ' � ` � Job-Addreqs Locality Owner's Name Contractor V v` BUILDING CONCRETE ELECTRICAL PLUM Iii fs ECHANICAL Roughwiring in ❑ Rough ❑ Air.Cond.& El Framing ❑ Footing ❑ Heating Re Roofing El Slab ❑ Temp Pole D. Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab —� READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs.�_ Friday P.M. Inspection Made ��� Final lnspectio -----! Inspector Certif irate of Occupancy Date CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD J 1� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: JJ3� Building-d ptgcoab.us Application Number . . . 08-00000007 Date 1/04/08 Property Address . . . . . . 623 SELVA LAKES CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4200 --------------------- -- - --- - --- - --- - --- ---- ------- ---- - - ---- - - - - Application desc reroof fl 183 ------------ ----- --------- ---- - --- ---- - --- -- - - --- --- -- - --- - - - Owner Contractor -------- ----- ----------- _ BRISCOE PLEMMONS ROOFING INC 623 SELVA LAKES CIRCLE P. O. BOX 37475 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236 ----------- ---- ----------------- ------- ----- ------------ Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee . . . . 51 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 4200 Expiration Date . . 7/02/08 ----------------------------- ----- - ---- --- - ----- ------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH07-1 x z 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 rxi OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US DUVAL COUNTY l= BUILDING PERMIT APPLICATION 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF an0c Beach, FL 32233 V6)- 0 n f] 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF:STRUCTURE: ❑NEW B DING [I DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ ITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ,.y I' I / ❑REPAIR ❑POOL/SPA ❑YE$.� ❑N/A C- ElMO,��c ❑OTHERNO PROPERTY OWNER: CONTRACTOR: ARCHITECT 1 ENGINEER: g.NAME: 15.COMA Y NAME: 23,COMPANY NAME: 16. E: 24.LICENSEE NAME: 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: a.ADDRESS: e,9 45,7,K 3 2U7 1- 26.ADDRESS: vv c^7�Lx 11.OFFICE PHONE: 12.FAX NO.: 19.O NE: 20.F NO.: - 27.OFFICE PHONE: 28.FAX NO.: _2929.CELL PHONE: 13.CELL PHONE: Z / 9-3 Y� 14.EMAIL ADDRESS: 22.EMAI ADDAS: 30.EMAIL ADDRESS: � , FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33,NAME: 35.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 finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r 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 BND �SNANCTED OING, CONSULT WIJOB SITE BTH OUR EFORE HE FIRST INSPECTION. IF YOU INTEND TOTAIN LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT ,Powecof Attor ey or Agency Letter Required) (Qualifier Only) Signe Date: / � nod: ~©� Before me thi d 20 in the county of Before me this�&91/41ay of 2007 in the county of Duval,St e o nda, s personally appea Duval,S e f Florida,has pe 11 appeared 0anclae')e- herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. (� �, Notary Public at Large,State of_-F-= Notary Public at Large,State of County of 'County of ❑Personally Known ❑Personally Known 1 ./ -;Flo - T Produced Identification- UVrorduced Identi Ion- �J V Notary Si e: Nota Signatu •" .'•,, NINGHAM HI LE L.G °� •` °� Notary Public S lorida r' tate of Florida =r°• EMy Commission Expires Feb 14,2010 C �ISSIOAb 28,2010 Commission#DD 523638 :' Commission#DD 518533 COAB Fo 1�0021tional Notary Assn, Bonded By National Notary Assn. NOTICE OF COMMENCEMENT State of ' Tax Folio No. County of 4->u✓ d, �-- 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 NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: [�Z �Y°v LCL "I'E S General description of improvements: 'Rao Owner: r l S d li Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: iContractor: Address: �U Sd Y,- 37y,-7� Telephone No.: 9 23-6�2!K Fax No: Surety(if any) Address: Amount of Bond S Telephone No: Fax No: - --- Name and address of an person making a loan for the construction of the in Doc#2008003090,OR BK 14335 Page 467, Y Pe g Number Pages: 1 Filed&Recorded 01/04/2008 at 09:21 AM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING$10.00 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: Telephone 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: 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): THLS SPACE FOR RECORDER'S USE ONLY OWNE /le,2/"� Si at Be ore me thi day of in the Co of Duval,State Of Florida,has personally appeared Public at Large,State o !ori ountyD / uv oorK. CUNNINGHAM M commission expires: ,, Notary Public-State of FloridaP nally Known: _uty Commission Expires Feb 28.2 ced Identification- -iii Commission#DD 523638 ' "` Bonded By National Notary Assn. f CITY OF ATLANTIC BEACH s-) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000683 Date 5/16/08 Property Address 627 SELVA LAKES CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4385 ----------------------------------------------------- Application desc reroof ---------------------------------------- Owner Contractor ------------------------ _ _ MCDONALD INTEGRITY ROOFING SYSTEMS 627 SELVA LAKES CIRCLE 5570 FLORIDA MINING BLVD ATLANTIC BEACH FL 32233 BLDG 300 STE 310 JACKSONVILLE FL 32257 (904) 721-4280 -------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 52 . 00 Plan Check Fee . 00 Issue Date Valuation 4385 Expiration Date . . 11/12/08 -------------------------- Fee summary Charged Paid Credited Due ---- ---------- ---------- Permit Fee Total 52 . 00 52 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 52 . 00 52 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � CITY OF ATLANTIC BEACHF7 Op I'' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL v_ Ll 32233 OFFICE (904)247-5826•FAX NO.:(904)247-5845 BU I LDI NG-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 11 SO.FT.UNDER ROOF �a-7 S,Et,V F} L FK-r', , -rte 4U-r( , L '37-2--s3 �� 3gS 0-bVowt "5V 1 (VA 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: J: -1 (i-d5-AAE n, 5C-1A L )( s U ❑NEW BUILDING El DEMOLITION X-RESIDENTIAL OT ft) BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ®ALTERATION ❑ACCESSORY BLDG. 8,FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A c /VJ ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME. 15.COMPANY NAME: 23.COMPANY NAME. -r�ornPts Me�o�P,Lb t "'�E 1 E iU 16.NAME: 24.LICENSEE NAME. TSEPtA 5AMPLE 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.. 25.STATE OF FLORIDA LICENSE NO.: '5EL.vA i- AKES C.tg_ Q s -5 Tt C /7 !1 .�, L 18 ADDRESS'45S70 FLOXIC)A 26 ADDRESS ATL�Q r7 A IA, CAIVlINaj aLYto.I 'L73/0 -372Z 3:3 !A`2"0 V1L.L1FF L 32-z 11.OFFICE PHONE: 12.FAX NO.: 19.OFF)CE PHONE: 20.FAX NO.: 27.OFFICE PHONE. 28.FAX NO. 90�/ 1-1 9 ,/ `o-1355 13.CELL PHONE: 21.CELL PONE: :715tf &A I TTD Al 29.CELL PHONE: 0-7- q0til $7L( - 9053 14.EMAILADDRESS: 22.EMAILADDRESS: 30.EMAILADDRESS: 4 m tr\ FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. p 33.NAME: 35.NAME: / 32.ADDRESS. A) 34.ADDRESS: /1"C 36.ADDRESS. hi Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR If Agent,Power of Attorney or Agency Letter Required) Iffier OMy) Signed: �" �-� Date:-"qc1 /���'fY Signed: te: O f)3 0t0 p Befor me this 3�*K day of 200ain the county of Before rKethis Ok day of 200$in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared `T-O a M A-s ✓Vl C-b 0AJ ,+L ) `1�bS E7 P r-] S P'm P c.ET5 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of �L County of bu V PtL _ Notary Public at Large,State of County of 0rL ❑Personally Known / {CPersonally Known FProduced Identificatio �Dl_ I71rProduced Identification-75 Notary Signature: Notary Signature: otary Public State Of Florida Ei NGeneva Archer �v'u Notary Public State of Florida My Commission D0711498 = �� Geneva Archer Expires 09/05/2011 My Commission D0711498 COAB FORM BLDG01: 9�or n°a Expires 09/05/2011 NOTICE OF COMMENCEMENT State of Florida Tax Folio No. 172027-5556 County of Duval 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 NOTICE OF COMMENCEMENT. Legal Description of property being improved:_#1:43-11 17-2S-29E #2:SELVA LAKES UNIT 2 #3:LOT 80 Address of property being improved: 627 Selva Lakes Circle,Atlantic Beach,FL 32233 General description of improvements: Re-roofing Owner:_Thomas McDonald Address:_627 Selva Lakes Circle,Atlantic Beach,FL 32233 Owner's interest in site of the improvement: Residence Fee Simple Titleholder(if other than owner): Name: Contractor: Integrity Roofing Systems,Inc. Address: 5570 Florida Mining Blvd.,#310,Jacksonville,FL 32257 Telephone No.: 904/721-4280 Fax No: 904/260-1355 Surety(if any) Address: Amount of Bond$ Telephone 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: Telephone 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: 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Doc#2008116131,OR BK 14.188 Page 344, �igned: ' -;>'n cJ�� Date:_04/30/08 Before gfe this_3 th day of_April,2008_in the County of Duval,State Number Pages:1 Filed&Recorded 0510612008 at 09:31 AM, )f Florida,has personally appeared_Thomas McDonald JIM FULLER CLERK CIRCUIT COURT DUVAL lotary Public at Large,State of F orida,County of Duval. COUNTY4y commission expires: 5 11 RECORDING$10.00 'ersonally Known: - or roduced Identification: L pxv po Nptary Public State of Florida r Geneva Archer ^` a� My Commission DD711498 '�f 0!rv�a\ Expires 09/0512011 r CITY OF ATLANTIC BEACH sJ 800 SEMINOLE ROAD r} ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 24,7-5826 Application Number . . . . . 08-00000865 Date 6/24/08 Property Address . . . . . . 623 SELVA LAKES CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4800 ------------------------------------ Application desc REROOF, SHINGLES ONLY ----------------------------------------------------- Owner Contractor ------------------------ CORBITT PLEMMONS ROOFING INC 623 SELVA LAKES CIRCLE P . O. BOX 37475 ATLANTIC BEACH FL 32233JACKSONVILLE 8 L 32236 924 -- ------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . 00 Permit Fee 55 . 00 Plan Check Fee . Valuation . . . . 4800 Issue Date . . . . Expiration Date 12/21/08 Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. IIIIIIaaar• Jun 24 08 10:09a Plemmons Roofing Inc 904 7836794 p1 i I :�{'s':,: !°,' "7 CITY Ot"IFlyANTZ BEACH ,,�.�` J•• .y bw FEMINOLF Rtyiµy'f.ATLANTK:BEACH,Ft 32233 0�" I � toM124cAx N0.I(PO.1)297.tld45 BUILOII'•!f DEPTOCOA64.1,16 i BUILDING PE'F MMIT APPLICATION I DUVAL COUNTY t.JCMLAPD `y z.MALI/Ar10N O WORIt 9.0.FT ROOF 3 •r4, o A.L14r34l OEbONIPn101v; !1 f`J It"OF wr7111c: rr UV OF STRUCTURE: 1 i 0 NCINBUILOaJr; rJ rAmtx.rnoN F6IDCNTIM. LUT, 81.UCK _8UoOIV131ON I ' j ❑AO irr ION ❑CONVURTINCI Im MMERCIAL 7.DESCRIPTION OF Wr)RIC :. (]AL.TE RATION ❑ACC EGsoRY 6I.rK4 IUFIRE SPRINKI;FR, /'eQ�T' 'v �+ Qq/j, r1 j U RkPA1R ❑ OL!%R A 1 17 YF.S 0 N/A �=rl 3�q,�{ ir–li -6 b1�+ n.1 0 ,' � MOVE n I Q NO P ERTY C ARCHI T! IN8! : 11 NAME rt r,� /J r ..`II: t•,COMPANY NAME 23.COMPANY NAMC� 1e. z4,LICENbFV NAME: r ( mo '1 10,ADDRESS: 1'/.tr TESW F LORIWl ..•.6N6E NU.: 25.STACI E OF FLORIDA . a tENM Nq.: la:73 f'Ivcz Lc>Lt(Ce.s �r'%c% 0 1e aPORE 26.AD0rccs5: 101:'L P 0. W11_0 i 11.OFFICU PHO NF. 112 rnx NG.: I 17.OF 2a.F 'l1.t]FfICE f+IIONG. i ��84- , 2B FAX NU.: r 13.CELL PH NE 1 21.CELL PILONE 5 24.CELL F'HONB I 14.CMnIL ADDRC::1: ., 22 EMAP 30.CMA II.Al1nRESti: { I tJE7r �f V 4 I ►J ER: l r O7 R T1 MN owNeD BON C10MPANY: MORTO GE LHNOpft; 31.NAME: 33.NAME: { 36,NAME: 32.AOORFSe: 31.ApORESS; l 93.ADORERS: l Application ie hereby made to obi,In Ait to do the worst ;i1td Irlbtellalklne as indicated. I certify that no(work or InatallaUon has corrtnteneed prior to the tasuanee of a POMI1t rid that all work will h:yoerformed to meet the standards of till lows req acing construction in thin juriscli0ion. This peirnil betolneo null and told If work Is not conirj-nced within six(6) Months, or if construction r work is suspended of abandoned for a Period of six (6) month3 of any time after work fat commenced. I undkt%tand that separate pale ftg must be secured for Electrical Work,Plumbi ,Slgns,Wells,Pools,Furnaces,8olle;frol,Heaters,Tanks, Air Conditioners etc. OWNER'S AFFIDAVIT-I Certify that all the or@guing information*,eocurate and that all worts will be done in com iance with all applicable laws regjIGIirng crulslrulaton and zoning. I wit not occupy or use Chit eWmiliced building or any part thorof, until ail InW.ctions are finaled and prior to obtainln0 a cadiftcate of occupancy o cnmpletlon canoed by'the building official,as required by low. ** WARNING��TO OWNER: * YOUR FAILURE TO RECORD NOTICE OF OMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YsP R PROPERTY,A NOTICE OF COMMENCEMENT MUST BE RECORDED AI D POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 0 . IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC9RDIING YOUR NOTICE OF COMM NCEMENT. OWNER or AGFA + CONTRACTOR 11 A nl.'Riiwix pt AN trr'r� d I eniav pariiyle parµlirW � (UuONPrrOnly) f{gnyt �;'� gate: 9lgned,' f( Clrla �e "� perura niK thla S-T_day Dt 2007 In the munty of • } Bofors me l"111— day of 1,2OD7 in NG county of Duval,SWk d FlerWa hes perFtxwl appeared Dw •Slate d FI 1 n./O� t�slpvrefxl y sPpwfad hdlin by himself r hurtaelf Ovid aRlrtlts thel 00 statemon&and dvdsrr llo si are :i herin by Iihnedt/fiercest mid alflrms Ihat all staklmenK and dedoralions are true and accurdta, �r.���1 j true and nccurale -. Notary Public at Lalao.Slate of_. 1 1 . Cour V of_ _7 t4 1NtoytaLry-Pudic nt Larpe,$into uF Coun Q eiaonaNy l6rann t1 ya'Ytll6aneNy l(llpWn 0 P'QUU 00 WbnINN 411011• r 0 i'rorrucw 10 MIlf"lgn _ Notary$IOnetrre ° I Notary aignalum:. MAR IA SMITH i �•r,Y P Ir, i Notwy Public. State of Florida I r MIll SMITH c My�o,,,I,,,�tofN Expires Aug 31,2011 :i'R�"�e�;•, Notary Public-I State of Florida :':0 r cpna FORM BL[ + Commissio # DD 672077 ; , .My Corttmission E Aug 31 2011 8 Through National Notary Assr1 � 'oma; Co,,,n,ission 1t DD 672077 ti,�;of F�F`' Bonded Ttutxugh ational Notary Assn 7 iw Ed Wtl2E:01 800E eE -unr ON Xdd WO6d rV , CITY OF 0)ks%F 4&aa is Office of Building Official n` REOUEST FOR INSPECTIONAM�() Permit No. Date TimeA.M. DisRict No. Received // P.M. a� lily Job Address Owner's Contractor Name BUILDING CONCRETE ELECTRICAL P WING MECHANICAL El Rough Wiring Rough Air.Cond.& C1Framing _ Footing = Heating Re Roofing Slab Temp Pole Top Out Fire Place ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. Tues. Wed. A.M. Thurs. Friday—P.M. P.M. inspection Made Final Inspection❑ Inspector — Certificate of Occupancy Date CITY OF 4&4a& BeccA-99laWu Office of Building Official REQUEST FOR INSPECTION YQ Date / — X Permit No. Time A.M. District No. Received P.M. Job Address Locality Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBIk MECHANICAL Air.Cond.8 ❑ Framing ❑ Footing ❑ Rough Wiring ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole El. Top Out Fire Place ❑ Lintel ❑ Final ❑ Pre Fab READY FOR INSPECTION A.M. Thurs. Fri- -day P.M. Mon. Tues. Inspection Maae Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF y &.,Jlk -0;fia& Office of Building Official REOUEST FOR INSPECTION 01O CA —r Permit No. Date ll Time A.M. istrict N Received M. Locality Job Address Owner's Contractor Name MECHANICAL BUILDING C CRETE ELECTRICAL PLUMBING �� Rough Wiring Rough ❑ Air.Cond.8 [IFraming / ❑ Heating Re Roofing Slab �'l Temp Pole C Top Out Fire Place ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION Thurs. may ter`^"• t Mon. Tues. G Wed �(� P.M. Inspection Made Final Inspection El Inspector Certificate of Occupancy Date 7 94 CITY OF �- A&$Wc Ve4d- Office of Building Official / x� REQUEST FOR INSPECTION Date / � vp7 Permit No. Time A.M. , Received P.M Dis ict No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL j Framing / Footing _ Rough Wiring Rough Air.Cond.& LI Re Roofing _ Slab Temp Pole - ut OL— Heating Lintel Final - Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab on. �'�/� A.M. o 1 Tues Wed. Thurs. Friday P.M. CA Inspection Made d 2 Inspector Final Inspection Certificate of Occupancy Date CITY OF Tom-34V�* Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received District No. ���� Locality, Job Address Owner'syy� ren Contractor Name L ► ' 1 BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Footing11 Rough Wiring :_ Rough Air.Cond.& Framing Slab ❑ Temp Pole Top Out Heating Re Roofing — Lintel Final Sewer Fire Place C ❑ — Pre Fab READY FOR INSPECTION A.M. Tues � Wed. T urs. l Friday PM. Mon. P.M. Inspection Made Final Inspection fir' Inspector Certificate of Occupancy Date A , CITY OF /*(tu is dead 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 March 11, 1988 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final insUCctions have been made and are satisfactory: Permit #5732----591 Selva Lakes Circle Permit #5733----595 Selva lakes Circle Permit #5486----623 Selva Lakes Circle Permit #5487----627 Selva Lakes Circle Permit #5813----547 Pelican Key Permit #5814----551 Pelican Key Permits issued to Adkins Electric Company, Sincerely, y'"', ! _ Rene' Angers Community Development Director RA/tb cc: file CITY OF ATLANTIC BEACH - - No. 4482 FLORIDA 19 j,a..T 14 2510, NAME Reybihni,Inc. 2530.00CKT0 8873 in 5/20/07 ADDRESS 1117 Third Street 4482 900CACG 8873 IA 5/20/87 CITY Neptine Re=-h- 37?33 10001 Water Impact Fee #40-343-3700 $360.Mi Sewer Impact Fee #41-343-5200 $2,070.00 $2,530.00 Lots 79 $ 80 Unit II Selva Lakes 623-627 Selva Lakes Circle ACCOUNT # SERVICE ADD NAME � • When Signed, [ MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH ACCOUNT # �(pp� 90 SERVICE ADD �" NAME y° l MAILING ADDRESS Y 7" tlf 2 ` � } �� � � .Y•t �o�}it+r2� �tt '� to r. � ; i.'f�,S .:; skt�: f. Y' "^ t - ; �•, "i'.:t #� �+r�v� � ti. #�+ -�Ia F c� - y ta,r. -,.• 7 q CITY OF ATLANTIC BEACH, FLORIDA 5 � Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: f ZI19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER E ECTRICIAN SIGNATURE NAME t7 C DYJr.JI"�� ADDRESS: �Q 2 lt�V N � AAA 5 RFD-80 X BLDG.SIZE — BETWEEN: RES.( 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SO. FT. SERVICE: NEW(' ) INCREASE ( ) REPAIR ( 1 FEE O C7 CONDUCTOR SIZE AMPS l7 COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH � W nL�VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT - FLUORESCENT&M.V. FIXED 0'100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED TOTAL FEES O � g7 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT L I TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR ADOING THE CCORDANCE WITH ORK AS DESCR THE ATTACHED BPLANS AND SPECED IN THE T CATIONSE HEREBY AGREE TO PERFORM SAID WORK IN ACC WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY 0 ATLANTIC BEACH ORDINANCES. DuRgumELECTRICAL FIRM: ASTER ELECTRICIAN SIGNATURE NAME t 'p c ADDRESS: C• �1 �� �• I Vk I �pti,'4.S _RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SO. FT. FEE SERVICE: NEW('1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS V COPPER ( 1 ALUM. 1 SWITCH OR BREAKER �D AMPS PH W ZIL VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 31.J00 AMPS, 0.30 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 CELL HEAT: KW HEAT O-1 OVER PHS NO. 1 H.P. VOLTAGE PHS MOTORS H.P. VOLTAGE MISCELLANEOUS _ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA _ - . NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — 00 FORWARDED $ TOTAL FEES L' 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. S�Lvr� � I� Street Address: �� LOCATION Q –rte.- -�> And OF Intersecting Streets: Between BUILDING SEIy A' - Sub-division II. IDENTIFICATION — To be completed by all applicants work in accordance in consideration of permit given for doing1ns the aa partdescribed heeof and in accordancenwith het we r City oeby f Jacksonvillee to mordinances and standards with the attached plans and specifics Of good practice listed therein. Contractors Name of Mechanical Q Master Contractor (Print) Name of C�/` Property Owner Signature of Signature of Owner Architect or Engineer or Authorized Agent I11. 6ENERAL I ATION A' Type of heating fuel: B. �S— IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? Electric Cl Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Oil Q Other — Specify NATURE OF WORK IV. M[CMANAL EQUIPMENT TO tE INSTALLED IC Residential or ❑ Commercial (Provide complete list of components on back of this form) New Building Heat ❑ Space ❑ Recessed kCentral O Floor ❑ Existing Building Air Conditioning: ❑ Room X Centre) it ���111 --_ i pp Replacement of existing system Duct System: Material TMrck^ --� /\ reviousl installed) El New installation(No system previously c.f.m. Maximum capacity ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. Q Fire sprinklers: Number of head ❑ Esuletor�---(number) THIS SPACE FOR OFFICE USE ONLY ❑ Elevator Monlift ❑ (Received) ❑ Gasoline pum (number) ❑ Tankt (number) Remarks Q (number) LPG containers ❑ Unfired pressure vessel Permit Approved by Dete Q oilers Permit Fee 13 Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approv!>tsr Description Model Number Manufacturer (Tons) Y Number Units t� PLACES Capacity /Lppim'� DATING - FURNACES, BOILERS, FIRE Number Units Description Model Number Manufartnrer (BTU) s TANKS ApprovingSerial Aon.Many Nam naI Capacity 'on Liquid �!actu Manufacturer No. Agency and Dl Contained DEPARTMENT OF BUILDING 8681 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 5P900 T THIS PERMIT MUST BE POSTED ON JOB 5P•00CWT U9/09/9 Date_lay 1 t 19 97 8601 eTICRC "JJ85 I A 9/09/ Valuation$ Fee$ 52.00 I 001' This permit not valid until above fee has been paid to City Treasurer,and is i subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State Heat/Air — i i i has permission Classification New KINIKKUK114 Zone PATI II Owned by R Lot_ 79 8 80 Block IIn i t TT S/DS 1S t�ec r House No. 623x627 Selva t nkt- , ri rcl P 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 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra Or 4owngr. 1 Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER I WATER i ��r