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728 and 732 Selva Lakes Cir (vault) BUILDING PERMIT NUMBER I NSPECT I GINS F 0 0 T I N SLAB----- - ____- •----- --- - FRAMING.___._ •- ---- -- __--- ------ COVER UP-- INSULATION- P--INSULATION--.-_----_-_________--FINAL BUILDING- CERTIFICATE OCC- ELECTRICAL PERMIT #t_J3D.!2__ INSPECTIONS ROUGH________________________ FINAL ----------------------- 2F/ - 32 r MECHANICAL PERMIT #t_ PLUMBING PERMIT __--- 2---------- • NOTES: CITY OF Beate 0;&I d4 Office of Building Official REQUEST FOR INSPECTION Permit No. Date w A.M. Time P.M. J-3 Received ,�J/ 0__s l/ � .� 1 Locality Job Address CS 1_ Contractor LU MECHANICAL ELECTRICAL PLUMBING CONCRETE ❑ Air Cond. & G pRough Wiring ❑ Rough Heating p Footing Pole Top Out ❑ Fire Place p Temp p Sewerp Slab FinalPre Fab ng ❑ Lintel Insulation A.M. READY FOR INSPECTION Friday Wed. Thurs. Mon. Tues. A.M. O� �0`^ P.M. Inspection Made Final Inspection 13 ❑ Certificate of occupancy Inspector � Date CITY OF ATLANTIC BEACH I i J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 h. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030552 Date 6/15/05 Property Address . . . . . . 728 SELVA LAKES CIR Tenant nbr, name . . . . . . REPAIR SIDING/ FRAMING Application description . . . SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor ------------------------ ------------------------ VALLEY, BILL & DONNA KUNKLE PROPERTY INSPECTIONS 728 SELVA LAKES CIRCLE 12755 CATTAIL POND CR N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 821-4070 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 1000 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 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s r a Ink BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc. D. Fbakr BUILDING / ZONING DEPARTMENT iggins r� 800 Seminole Road S. oerr J Atlantic Beach,Florida 32233 v �`£1F31�`� (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: OC_ I V tb L Q (2A Applicant: 6w Ydl ) PEUPCON In::P� Project: jD 0_- '!5A l a(A(, K- This permit application has been: Ltd Approved Reviewed and the following items need attention: 7(4 PC 101 �' � (,C Tco� rfc � c o,Js �Z �p►'�.1 Please re-submit your application when these items have been completed. Reviewed By: Date: - _S- Date Contractor Notified: CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptna,coab.us Application Number . . . . . 07-00000599 Date 5/03/07 Property Address . . . . . . 732 SELVA LAKES CIR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MURPHY, KENNETH ARLINGTON FUEL OIL CO INC 732 SELVA LAKES CIRCLE 5703 ARLINGTON ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 743-5833 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . 5/02/07 Valuation . . . . 0 Expiration Date . . 10/29/07 ---------------------------------------------------------------------------- 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. 05/02/2007 14:00 19047202274 ARLINGTON FUEL OIL PAGE 01/01 Y CITY OF AI'LA?MC BEACH MECHAMCAL PER?4ff APPLICATION Dow a � 7 tropert�►Addr+e�: �3� �.hr a L A�S C:r twmec: trx�ar: r/�l�10 n Tt*p"uc Contractor Address. Zaa Arl( fan 6X,=4 _ -___ Fxx#: 7_ plo - aa74 C J4X FL 3j;) JI ba aoadio wA w,of pani ai"w far dviq dw aeea* de'ea I it On abaft sesleaont,we iev*y SVW rQ pates MW work in ooeard MM wftr/ba tlR+op.d}iMs coed speoi6wlfo wdtiob eaa es Nee fioeeoEw4 ws wowd==vA t,ds Cdr of Admfw tomb wdioa000 e d epi of T"4 4f HtMIt Fsd: ff omer aoeosttsai a bdW doao an dib bm"leliag at si,ro do boacklg.paewk Number. Q fJrs: LP N� __Peed t kik © Oil Q othw-- MEICHANICAL RQUOIdEM TO BB UMALLED NATURE MWORK Nest Spae _Rea=od Fkw IL ReAlcoad ❑ Air Coo&tivai®g: —Rom _Central ❑ Duct Smear: Matxtid O co�1 ❑ �� p Naar+8udldiog ❑ Coonag Tows:Capacity 1[- E peg ❑ Fuv Sp dn�Number of Aeads Q Elevator: __ Mmult Escalator (Mwbw) to Rcp"=MeM ofPxis<i%Syat= o GawJime P+mepa (Nut *) o Tarin (Muld ) o ?*W Itww9Md a 0 LPG Coutikhm (Namber) (�a>�P ❑ Ujftfired Pressure Yeses! a Exiormim or Add-oo so ftau*System © Boilers Q Fos Pipiag 11 oma-Specify ❑ older—Spccify LJSr ALL NUUMEM AM ctxNDz 41*01Mw't"sqt rr a vaa a's nppeo.ie>� rr.�Q u�oe. newiprio. bfoaa!1f trie�or Your s: � ZL&TXM—SUNWAOM N0SX9 s,YOUDIACM A Ant HAMDi M'S �►ppCor+nt ww&*W EMS Doteriptioa h64dA BTUa Amy YAM= ca WAW r"R CA M Saar A�iaa arses.&6M Agacy SM Som"ok Road a,A,clar de Barer,Moil" 333334"". M.....�.row��9N.lt1Y� R+.. /OAA�'fR9_t;leli. Meetn•/hrwr rr•M�wfv�r+�s+eei#w� . + N y�`f r L lr� CITY OF ATLANTIC BEACH ' SIDING PERMIT APPLICATION Date: r Job Address: 72 ,b" 5c-L c-,,f9 L *1<—S- C t n. Owner of Property: ,�c G t ,� �i•vn.�c !Jq [c'y Address: S,61 Me Telephone: .2&Z o/y? Legal Description: Block umber: t Number: Zoning District: Siding Contractor: c Contractor's Address: /2 7 r S' 6177W %^'o C Telephone: Y-2-1 Ya )y Fax: 3 z i Y-7 � A Describe proposed use and work to be done: 1 f, k fir, /Lr M�n , .et�_ Present use of land or building(s): /�t S i D �✓i i ft Valuation of proposed construction: / Is approval of Homeowner's Association or other private entity required?_ N/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. 1. Provide detailed information of product being used and how it is to be attached,i.e.,fasteners,etc. 2. Provide completed Owner's Authorization Form if applicant is other than property owner. Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: JF2/ <<a7o Fax: f(Z/ 4'a7dr E-Mail: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page I Revised 3/04/04 4 I hereby certify that all info tin rovided with this application is correct. Signature of Owner: Date: I hereby certify that I have read and a this application an ow a 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 trueecZandthal e plans ppo g data have been or shall be provided as required. Signature of Contractor: Date: AS TO OWNER: T ' ' Sworn to and subscribed before me this day of 20 �s State of Florida,County of Duval ` Notary's Signator . Personally kno JENNIFER SCHLUE(ER MY COMMISSION N p0121�t ✓ produced Identification *: EXPIRES:Mayus Poo e's Bay ` Qv I �� Tw�ry Type of Identification Produced y� AS TO CONTRACTOR: ^ / /l Sworn to and subscribed before me this ?��h day of �� ' 1� 120 CJS. State of Florida,County of Duval Notary's Signature. 5 � JENNIFERSCHI.� -:, Personally known Y; *- MY COMMISSIU ,ro EXPIRES May �P�duced Identification +'E,oF w4 Boden TMu"ry PL)W Type of Identification Produced K 52 l 1� 0 _ — O 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 3/04/04 CITY OF ATLANTIC BEACH 1S4 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030092 Date 4/14/05 Property Address . . . . . . 732 SELVA LAKES CIR Tenant nbr, name . . . . . . ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4200 Owner Contractor ------------------------ ------------------------ FINKLE, DENNIS COPPEN ENTERPRISES 732 SELVA LAKES CIRCLE 455 ATLANTIC BLVD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 334-4704 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. All u BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 13 2 S,5w4 L A-te4e S C Date A(%e{ [c9 S� Heated Square Footage @ per sq ft= $ Garage/ Shed S�Q- @ $ jr2 per sq ft= $ Carport/Porch �-)@ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ zoo 35' $ 3S Total Valuation 1st $ /coo o $ �� S,2 cc) Remaining Value per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + '/z Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ S 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: $ 3' CITY OF ATLANTIC BEACH cc: r s�' BUILDING / ZONING DEPARTMENTlg . Higgins v 800 Seminole Road S. Doerr =-- Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 6,5--36622- Property 5 -3oa92Property Address: --13 Z S—L✓14 S Applicant: a x2 &,N( _&J- Project: JProject: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 4 Date: 14 If Z,/0S Date Contractor Notified: Jan 28 04 08: 07a Information Systems 247-5845 p• 1 RECEIVI- D •��;,a,y CITY OF ATLANTIC BEACH BUILDING & ZON'.NG s� 9 r� CITY OF ATLANTIC BEACH ' APR 13 2005 ROOFING PERMIT APPLICATION r Date: BY: Job Address: 3 2 �L��c�_I_ tl� L "L Owner of Property: 01-11? .04�1 a Address: '2-3 2— -"S al z l e-,:y� C c% Telephone: Contractor: (!Fej,4gnv State License Number: CC LCA 3 Contractor's Address: - �-r' �� CJ:e Telephone: Fax: Scope of Work: 12 Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: 2cs0 Product Name(Example:Timberline): W�(9�J !'n -e Manufacturer(Example:GAF): �- ASTM.Designation(s): --3 l G 1 Required Inspections: Sheat d Final Signature of Owner: .Fv Date: ��G Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this y day of �� 20 State of Florida,County of Duval Batu Notary's Signature: f �►1tSt +�3�m • a � un®14,2008 ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ' ,20 . State of f iorida,County of Duvalq/7 Notary's Sign ..WWMW Ova- [3 Personalty k own �` ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 1 Revised 2121/03 Doc#2005124374,OR BK 12409 Page 1391, Number Pages. i Filed& Recorded 04113/2005 at 08:58 AM, Tax Folio number JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit number RECORDING$10 00 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and S accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property: 2 General description of improvements: 3 Owner information: k- a. Name and Address: �3 2 42, b. interest in property � 01 c. Name and address of fee simple titleholder(other than owner): j 4. Contractor's name and addres!E- 4 3 ✓�G `( b a. Phone number: .Fax number. �-� �l q&)A Z 2 33 5. Surety information: ' a. Name and address: d.Amount of bond: b. Phone number: c.Fax number: 6. Lender's name and address: a. Phone number: b.Fax number: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a),Florida Statues. Name and Address: a.Phone number: b.Fax number: 8. In addition to himself/herself,owner designates of to receive a copy of the Lienor',Notice as provided in Section 713.12(l)(b),Florida Statutes. 9. Expiration date of Notice of Commencement ( expiration date is one (1) year from the date of Recording unless a ifferent date is s ed) Signature of Owner: Sworn to and subscri before me this ` day of Notary: Known personally/ID shown: My commission expires: a � 1 Job Survey Date: 0 Z Owner: Owner phone number: �;,,c j (o Z I.cJ nProject address 732 v�?V LA 4-e !" 2-�)Lfq� Project name: . . . . . . . . . . . . . . any • • . . . • . . • • . • • • V• 0 . . . . . . . . . . . . V_ ; (AoF . . . . . . . . . . SUN 2 6 202. . . . . . . . . . . . . . . \. . . . . . . . . . . • .h•(l c� 182 . . . . . . . . . . . . . . . . . . ' I COP . . . . . . . . . . . �. . Number Job description tt n 3 h w 4 d 5 - , Job Survey Date: 2- Owner: Ue), I ; Owner phone number: Project address 3 2 e luA LA C- Project name: . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . I . . _ . . . . . . . . . . . . . . . . . . ��•p,t�-5' -- . . . . . . . . . 3 �. . _ r - :.� . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . Number Job description 1 3 4 5 Job Survey k Date: Owner: Owner phone number: Project address Project name: , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F Number Jab description Z 3 4 t l 1y { tj �� - Page 1 of 1 y a f� y 1` r� -T file://A:1MVC-003S.JPG 06/24/2002 1 1 11 1. 11 Page 1 of 1 _ 4 � a _ f r, f �w^?4r 3xn� ;:�...°✓"sr+ey�,` x'",s �r:�i'��`"i�r ��.."�`.�. im 'er•, i41�� 2'i.. file://A:\MVC-001 S-JPG 06/24/2002 PSR-3844 12771 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION --- -- ----- LOCATION INFORMATION ----- Permit Number : 12771 Address : 728 SELVA LAKES CIRCLE Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 32233 class of Work :REPAIR ------ LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot : 127 Twp: Proposed Use: Section: 0 Subd:O Rng: 0 Dwellings : 1 Subdivision: SELVA LAKES #3 Est . Value: 0 .00 Improv _ Cost : 750 . 00 Total _, ' .. . . 25 .00 . 25 . 00 TNF , _-_. - APPLICATION FEES --- - n..R�IATION y. �"', ---- 'Jame' ' L %%ALLEY PERMIT 25 . Or, %ddr ; LVR' !WES CIRCLE E r ' FLORIDA °2 Phon9 ': {' 5 ftt ----- C:. p R R MORMAi Ir,�i Name Addr". L1. Exp . NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATFO5.N,,0 14 OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. S1 RecFi t: HH3�i 1 CASH 00100093221000 ATLANTIC,, BEACH BUILDING DEPARTMENT CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : �/ ) ! j Address: Phone: Lot ; Block or Unit _ Subdivision: Contractor: , Address : 6 foo' PARk CT, City, State and Zip >A Phone State LicenseL Describe work to be performed: �17P) ID/Ii/1. Valuation of Proposed Construction:_' +� Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information PSR-3844 e 1578 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ - -- L)CATION INFORMATION -------- ,PermittNumber: 9578 Address : 728 SELVA LAKES CIRCLE Permit mit Type: SCREEN ENCLOSURE ATLANTIC BEACH . FLORIDA 3223'- .Nass of Work, ADDITION -- - -------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : 127 Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 D,t-,,ellinas : 1 Code: 0 Subdivision: SELVA LAKES #3 Estimated Value : 52400 . 00 Improv . Cost : 80 . 001 Total Ytt 530 , 00 Arn—mir, fi3n , nn OWNER INFORMATION ---- APPLICATION FEES F-11,1- VALLF'' PERMIT 530 ,00 SELVALAKES CIR(' WATER IMPAr;T FEE el 0 . rl!" ATI ANT Ia', -C BEACH , FLORIP SEWER 1XPACT FEE I' r -i'7 I - `=580 WATER METER/TAP Sn RADON GAS-H.R - S _ 8-0 .010 CONTRACTOR INFORMATION RADON CAB 5% 50 . 00 !.1Fr'r1ME ENCLOSURES, JN;:' CAPITAL IMPROVE , S,0 .00 SEWER TAP 50 .00 CROSS CONNECTION Tvpe : SEC H IMPACT FEE CONST.SURCHARGE Sq nr Ff7V?-'FOE/ATL.BCH , SO NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 330.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 1/20/95 00 Rept: 0027175 M63221000 6864 By: CI-7TY OFJ ATLANTIC BEACH PERMIT CALCULAT�I;ON SHEET Address �7 0 ��_ � ✓i`t L �{ �CF— S (' � : Date Heated Square Footage �. @ $ G per sq ft = $ Garage/Shed @ $ per sq ft = $ CarporPorch) @ $ per sq ft = $ ✓ Deck �-' @ $ � per sq ft = $ Patio @ $ per sq ft = $ / nn TOTAL VALUATION : $ Total Valuation 1st $ �, Ra—pc _d $ Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ �y ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ "� ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: i I i J A N 51995 j Building and Zoning CITY OF ATLANTIC BEACH I PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS I f,p ` h j Owner ( s ) : ��1 \A'k Address : 'lZ$ Set V�. L-A Cly . Phone : Lot # l21 Block or Unit # Subdivision: Se-W6 14054.3 Contractor : LA�IYYIr_ Enc'l(J1 a yr c' c_w ay- Address : �(DM- 3 �1_ lh'ps . .AU Phone No: Describe work to be done : i� 1 1 s Present use of building : Valuation of Proposed Construction: 2woo 0 0 Proposed use: �t� war ` 1roQW1 Is this an addition? If yes , what are the dimensions of the added space: O ft . X « ft . Will the added area be heated and cooled? t'� C) New electrical (or increase)? �'Jc) New plumbing fixtures? 1I6 New fireplace? �j6 New Heat/AC? N0 SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS NOTICE OF COMMEN EMENT , AND OWNER/CONTRACTOR AFFIDAVIT , IF OWNE CONTRACTOR. Signature OWNER: Date: � V Signature CONTRACTOR : ew.- F-� cn G f"��ANN1NG.b7ON1N1 ..._.. +ern'Rwr/ry'R•.^r19T•!,•'•T•l'A.�D•1..'rTT97{T�� F Ul>' l-.L .5 O I MAP SHO WING .130 .. �'.l]. :�- ti LOT 127, SELVA LAKE'S UNIT TIIRF'F. ACCORDING TO TNF,' P7.4T THI RF'OF-' AS RECORDED IN PLAT BOOK 44, PAGAS 60, 60A Al`D IO COUNTY, ITORIDA,j/rrF,;VT PUI�ldC RRCORDS 01' L'UVAI. d S' Ice 7 If SCALE 1'-2d C 1I(1 !. BEnt9tICS ESTABLISHED rROM PIE PLAT. 2. f' OF SENA LAKES C1RCl.E HELD 1`11M. I 3. ,IELU WORK 12/7/91 r Art C40 rA HO.1 DATED 11/19 91 Or AOD HOVIC WjM9CR_ IOj � T+o�T l•N V I / 15.15'('I.AT/ �rrmp 1/2'1.x: P R 0 f0,!Ir) S/R•rtfnAR j 1 H0.113741 FOUNO s/dhEBAR n.,7074 FL),, N R.L.S.4e2♦ _27.38 fr'_AT S }- }(LI - r ux'T..-�T"{s-1.,u, I! a!LINE fM1Nn 1/x'LP. 140.1C 74 1 ' 4.0'wron rmcF. ( l- O /P.P6 R. -i b [L 3d •:.10' I' Pn..:la.•.o' V'f f .J fLDOn tlFYnn1,N 2.50'■ .3.0' o ,.� n-'jc 2•-V4 3.0' A/C PAD d-,7 A,":Flit) U1 26 s T ;2 ^1}J � � T a7 7.LM•;r rt),,+.... Yr 1i q r� r:i' 4.0•WOOD FENCE r41 •.±�./ i�r' > 1.,1,: r' / ' 1 C• f't}, 'y iU O' •. b � IhJ •?~ O ,7 H r0 U: 7 00 co 47 0 0 '�'• r- co 190' '•n' :.D' cO ,e ; ,v f Z z I, � `(�71:6' L:P'�f COvr�:f TF)"I E�..+. n' 4 • lir fOl1N0 1/21.P. f.6d ,,70'. e r!"JNn 5/R•PEMR 1/(rf a $ 4 QQ• Y rr (: 16..10 •.n -'--- - - -� _ s:�. �.._ su (_�rs"GT �i -,1�,•n„r i_n r r: r:ola�u r t� r� MY42'00" c FouNo s/e'REeAx 38.78 FL/ J R.LS.4624 95.76' COMM1110 fn!Rt0 5✓n'Pf P.CR 91.63'PLAT R.L.S.1621 , SF�L VA CJPf 'I_;A' 910546 33/91 29/91 34/91 /wP`LR11T-1011-� P.1�M-J�IRMAYT"T Prr�'+�•r.R Y.1Yr 7rMr AIC/Y/Mr!•AIR LCXTAOt J'OIM.sp -r)XvKnf f.^. lr�rT r Ir'1t or, rrrre� ��IIpT P.0.0-!CUNT Or c10mmxAvjFwrxr Ir.a4-IOlrrr Or [3DXT00r/P CT7I1r,T Frl,1[:-X��`G1I� r-Gr P/- 1.:'TFIT�.'7 !- .{�t'nar l.O.A-Iroltrf tar 1DPIA/711J.'O r.Aa-rQ]NT Or /t[ FJYF CT/n' JI.c._r;i'f;]' �r r.4r I+,C -lOIXT Of NJt7l 0.,v.-OryjcAr, !"*T'r!'7 TO1.rlr>' 'Jr.R f'Orr" !J D.tMJT1CJ NOISTX lir, -ro;g OP,rA=W J'o-raa.r t^!.M'^F1rTT 8 DJVM'rj XAffsour P9 -lAfr7lLrlr r9• -slab lr ry, L+-fR11•d AAY•IR l DtIXOT'f7 ICL7T AK 1t) ` �grmt(, .J<_l;-nrrn'(. .lr,�''�'►r*"�'.-1'°• �' rarrvTrrr vss•r f+'a'�`irr�+r .Xa+1�41+ - D 'R00NL'Y & S0N .S' r� I►;r4er:s- n ,R..:?f 404-JR7-6307 (TAX IT-) Arf-J'J-0'+.! e2na r�1.4NDI n� DOUL"ARDr JAq)_ro;rv_h! rr. 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C ."r A'�'.TTr •IIN�e.t % PAP . ---•-'----• .._._._.------- .---'--..__ 3Tl l o=orxr s fT r fn D'R9 JZT R/d" ,art)t rr" J. �-- A rxttr tvl cantrnJx tTrr �U9-J'cn'tic ,�,�� 1�� 1GrtISAJiTrorrAt }f7tTldtm7 >rr'cR 14^r I<r"ATr't rm• .rrrYlT' "Xrr.j.citi l fFrfl�'tT ,R I.?,'"Q .'� , xe.m ix" or P.I*"'['Mr R'r r' r^'T ^Ir.rfln-n .-. •7�'+'•1' Descrtpaon and Framrny Component SctrOuw ConriyurRlpy_ ' T f Roof►arms r fiaat Spare. Z3O57 STQaJ[,T{� tiL�.u- ""orarhany tiny Wall of: Wall Com onorns Roof burin Well 1)Edge Eaarn. 2 / Z)►orta: I _ J • PoTto _ � Wal!Components Non-0earin Wall s i 1)Top Plan: 601.1 G ay--Tr. - O J �►orb: ? ��, r . . a Elements common to ail walls 1)Sow Pau: - -71 — Z)Klctptats Rall&A FU Chair tall' - ><1 LL o 6)l1STt►J4 w.tolJSf �'NoS?e5T0.JGTURE� PGRId�LTEi�. ihlD w A � 1 I I + I u O a Cf CE 1� o.1 J �o � 7 aootc scbawy v.m u- Z 4 ►- i _ � p IL JSitAKK'~ SGQE-SIJ Rooµ - r �Tt� QDOF St.OPF a 1soEit gcdM soot SFA.a e E.etc) — ibsTS S.ntr. s.r.�t_ FtosT a Y J Z*2 � If,C.A{rt_►T6 t�272 51DE IFLE�/�TIDtJ rrart7.rr r>a+e. ..a.r�+rr+ r ♦ Oc, Aluminum Assoclat!on of FI e.41C Mc.-MoNraat FbAda ChapLr Company Mame �4 Clwm Game �� ' a N L Screen Room-Master Plaru for Duval County :Met• 1, W 2 Date Job 9 e eloST TJ�E v.s '� •` �� • j� s s29 A I * i I —— , . I i , � i r a"&A 4111 !lig i i� �i ' 1'j � `i�i� •6 w � r g i � I � i i l i n N w..ar ✓etr..n•ron.Iw\eorin•h.. 1 W' -T P .T +• "•,r Me.•r Ir05 w.• wr rEA 1.T 14 1 .+• 11, Iv n •T.•r 171 11 r.iww./+b w•eevlr aeo.♦r•r I«'.�./\• IC• Q erWT ..n�ri+e 1t•.w..^�e 7A•twi.r.a t W^•Y f • W' V.rr I v r ! P I f r f 0..'M t- .r -1• .r W' 11' .)'. 1+ 1P 1P �11' r 17-r 1 -r It Or H •aM 11 + It. .r 1..6, .r 1t- r el 11 No& r/fM M�rPr.r/W.CIv r lW��•Iu«bM✓fIM•. U R+ ne I 1 i ♦ Numinum Aawclatlon of ibM16a,Inc.•NORMa/I FbM1de CMptu Company Nam• - � f ' - �• fl Screen Room-Marter►Isna for Oursl County Cilent Nem• V�l`f-'L6 i f U i r=l.s1 free•) 2 of t Otl. Job 0t I I PSR-3844 10605 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Permit Number : 10605 Address : 732 SELVA LAKES CIRCLE Permit Type: FENCE ATLANTIC BEACH . FLORIDA 32233 Class of Work ' NEW ------ -- LEGAL DESCRIPTION -------- Constr . Type: WOOD FRAME r,ot : 128 Bloch : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: SELVA LAKES Estimated. Value : 5735 . 00 Improv . Cost : 50 .00 Total Fees : $10 .00 Amount Paid: $10 ..00 Bate Paid: 8/11/95 T.. r.._ -.m EENr C' -- - TNPORMATTON APPT.T( ATTON PIPES ----- -Name: KEN MURPHY PERMIT $10 .00 Address - ?32 SELVA LAKES CIRCLE WATER IMPACT FEE S0 . 00 ATLANTIC BEACH , FLORIDA 32: SEWER IMPACT FEE $0 .00 Prune : 904 ' 249-9-IF7 WATER METER/TAP $0 . 01) FADON GAS-`H.R . S : 150 . 00 CONTRACTOR INFORMATION -- _- RADON CAB 5% $0 . 00 Name: PR''PEF?TY OWNER CAPITAL IMPROVE. $0 .00 Address - SEWER TAP 50 .00 CROSS CONNECTION 50 . 00 License: Type : SEC H IMPACT FEE 50 .00 CONST . SURCHARGE 50 .00 SCHARGE/ATL .BCH . $0 . 00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER _`FAILURE TO COMPLY WITH THE MECHANIC'S LIENG IMPROVEMENTS" CAN RESULT IN `,PROPERTY OWNER PAYINGTWICE FORTHE BUILD \-qQING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR 7LICABLE PROVISIONS OF LAW. PARTMENT 1 APPLICATION FOR FENCE PERMIT Owners name__ __ U P \ ___________Phone L14 Job Address__ 2 �J e t�/4- -----C - ------------------ Lot-LL-Block and/or Unit ISubdivision ------------ ------------- Contractor if different from ovner__.Ak/}-L_1-1aCp_1 ----------------------------------------------------------------- Valuation of fence • 3S" Corner or int rior Type construction_,1 Show location and height of fence as well as location of street<s). �i Owner signatureDate - - ------- ------ - ---- -----_- Contractor signature___________ __________ Date 1 'L.lC7II.SSl:C'i:ts"S:'ti:`L�tt�Fl:':.YIY'd:G�i3'i6'.^h',S�E.fit.m8..'.'•"k'i"Y`a"+'F�*>rYS:t7t5"3'L*�°:t'�:d'"r,S'.�lR�'..iPA:*_":deli,^,..",kC�.4�RiY,�»6�8R'�e�•'97:1r:�29*:.E':Sri15iu'GL�L`.ffii '''"•.<scr;v:t;.;�r;•.�•;'..y,p._YdFk ISA ,� IC7 1�1� __Io' r�'1�'(.I ��A R r �:7' LITH T_J' C�1-� LOT 12 8, SEL.i'A LA WS UNIT 1:xIREE ACCORI.0,'G' TO TELE PLAIT TI;f'T?Z0I,' A.57 RECORDED IN PLAY' BOOK '44, PAGES 60, CCOA AAV 60E, OF TEE' CURF.EArT FURLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0' 5' 10' 20' _4L, 6tWC r . i SCALE 1"-20' I 1 NOTES: 1. BEARINGS ESTABLISHED FRO:J TFSE PLAT. SSC" 'r o 2. BEARING OF SELVA LAKES CIRCLE HELD FIXED. Pr 3. FIELD WORK 10/13/91 Ofv+rYO-r �? A ofT10 Sr it jV !s TION S 43'57'28" W 15.1 'PLAT POR I S 43'51'48" W 15.11 COMPUTED A J C e2'23'04" W 27.36'PLAT 82'23'02" W 27.43 CO!APUTED FOUND 1/2"l.P t NO.iG74 I'IIUIJD 5/6"REBAR I r R.LS.4824 _ - _ 38.78'lr�� FOUND 1/21.P.1 J NO.1674 "� r: Ccv iD i J r � : •5.30�.<,: : :•L�to' `'� .: 'a :1t,�s'�'�3s.so' f' � � � o 2.43' L .•7.4b''t� `� o v c f-Lj FLOOR ELEVATION SL 2 m 2.50'x 3.0' 1 c N A/C PAD ' Ip lyd U 7.00' 4 r cn o ho 700' ..Ln 0 0 1 f r ( ` M 1 04 c r:7 CryI 00 Q i i r a c5 6 .• (� cD[6 ofT .'I• Z Z U (� f, 1.2U' 1., 0' A • ' b 1 • 1.G' 17.00'7.00` 1.0 _ '� I J'nv !- 19.01'- 1 20. 34 AL- F FOUND 1/2"1.P I T a'' q ph; 1,70... P.T. '•16.30' •<' 0 14.30 •. � SET it FOUND s/�"REHAB/ 35.80' 39.00 PLAT & COMPUTED N 8.3'42'00" E R.LS.4624 P 95.58' LLAT TED �--FOUND 5 E'RFBkR 1 95.83' u1T R.LS.4624 SEL VA LAKE'S (5)O 'R/9) CI-FCL 411543 33/91 29/91 34/91 ----------.----____-- .9 l _rjrlig_A_hJCh7 AryX'RXPd4 X N0HVA4rXT A/C rt:NoTE3 AIR COWIT'IOWN L YltbfQlJlRr CON71WL 1Vlh'r 30~-3xcDN1J.7 I.tv.-l.t7YJN 1'�t'R uh /Jedait >;,� '.O.C.-POI1J7' Or G�UiLrIJYIJC[�CYNT 'r.L_d:.-r).i117' OF GbAC1iWND (URVX I''.T. PXIT)1'i 4 I'f'TNr OY 1NTfT1VYXICY jR for O.FI-I"Jlh. Or DwII1NIM0 r.r_�-rorl„ OF TXF'.srL4C CC'P.t'x Bt.X.-I11C�fa' e 3 G -pOlh? 01r CiItCYJY o.it i'.-Oy'71Cilr jux"gp.= VoLfr, R�'lr'-FLIG'l i OT ![/�' J-1 P/1':-l-ovXR M- Ls N P.XM7TI1 Nblt71� T •-tOIM' Old rJA%;KH7 F`d.-PdG.T PDO.00'-rr9Ts DKhrorX3 SOUrII 0 -D3t71�8 9q.I't-SQU,AFCS lY?4r" �1 -111TI;r G.'N'T.r DZ.WrrI3 XA-TT r)'-.!lIIJiITrtS ASL-DYAD 800 vntr Jg1A7YrGY 1rJ�S7w V.VL 11�hJ0I1 T aIGTdOX.tL F,067Al'1C VaYlt11171 --•----__-IZCf,Yr�lL�r1��1� ~4� Y �s�LT�`p - O 0 ATET Y CSC. S 1 S'' P.r? � �. z�ia�,{ � ' fr.ur lsro.) 0a-3�4-irros -,289 BLANDING BOULEVARD, J_4.C}�C3IVI•L�. F.Z.O£.lDA. �� 1104-367-6307 - -- Ez-;.-RTrFY TOc.r.x. uoRrcc C �� YLr�rEs�rA_�)r�F - aar7 EK s�+'kFIH:fi e,tt�PN� P'Lf7' rhITJ S"JNTXT r3 L rXIX ARD COM• XT :iXrnr'JXN7it1'TVN Ot" Lt; J iLZJt:.'Uf Y V rT 0VArYAS CAPrrF*UA P t7llr Pyr fiTIrPYTY PfatldJ4LT IIt3► AtiYTr4arllT TNPA^d1�1! TSIR Lccsr:aN Rr' .ut ry7-poy)XXh7J OX srt17 PAA`.:$i77T; YY:1 rr97J 9tTPl7IT ►t� BftCltlt3!• TtXusrt lf1 1aT[ee4 SIcTT �wls'IOr{ e1dA TH,LT rrrrs sVr7Yi".r r/>Cm 9S)v It:f17r•Nd: r=rlr!r;l.L sr,+xz,a� es .t-4 .r Cr ronH &' rrvy rwxDA X4"W PppYS9JrOALlL r V? tyls70X A I)f Cd11'i(LJt jj�T"o 1'LO)UPA ADWWNTtZATIYX COr.X If:P?V/JrY Y9 vg%' T7N 47to T 1L6JV&4 JYAMW Q 8 Itd`7 CSd� syTa r 7 rill T18 !01' 1iWrJr Kitlbrl lrr TITw sr2 TAl. rWo.D L'JXA?tD JOYA BIA-7 �gdlN 00 r►YTA+D Ih J?tt1tKY R1PY DUYgt___- r CYalTMT. D�TIA IIB/a3 XIP. 12D0 rhD []-.CVW ATJr )MAVMY-yr SET Du:T)TY:I 3XT 6/19" Airy 1"" ,o/" ° -- t�PHALY CVIXP17S O-liwm F117! C-)-C140.Yf1 cur 7L.,-porrx JVtx ,NWSDJVrf0XAL 7171. IFiRg 1`Tlr LNAT-,Tl) 71TT9 r:un I'd r' �1Fi1i.lAal B CRXBMI'I7' RLS./B�ZI t'1t p �"� X.45dt1lss+k'79 Ol r 1LL1 d/'RB 1T7 K. CITY OF f4,6stic Office of Building Official 3 v REQUEST FOR INSPECTION j.�26,?- F Date / — —Ci / PermitA .1 Q e Time A.M. 3 v 7 Received Distrl v p Job Locality �jame e's 7 ILDI CONCRETE ELECTRICAL PL BING �C�ond. ICA ing ❑ Footing ❑ h /Fe Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fh,�kPIace ❑ Pre F�\\b READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. _� friday�P.M. A.M. Inspection Made Inspector. < Final lnspection C�/ Certificate of Oocupa Date CITY OF 4&"4c Beac4 Office of Building Official J(; REQUEST FOR INSPECTION Date_ �`% (' G Permit No. Re Time ceived .M A District No, Job Address �2�� /74` l///�--- I— BUILDING lity / f/ Name_ Contractor_ ��!y"1 BUILDING ELECTRICAL PLUMBING Framing " ooT MECHANICAL rnJ Rough Wiring ❑ Rough Re Roofing Slab ❑ Temp Pole F, Top Cond.& ❑Top Out 7 Lintel Heating F1Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. T Wed. Thurs. A.M. Friday p,M Inspection Made I- �� A.M. p P.M. Inspector Final Inspection❑ Certificate of Occupancy Date e, I CITY OF 18W4a4_ Office of Building Official Date REQUEST FOR INSPECTION ��I �� '— Time — Received A.M. Permit No. �0 '7 (r Z, • P.M' Dict No. Job Address C �/ Owner's Locality Name Contractor BUILDING CONCRETE or Framing ❑ Footing PLUMBING Re RoofMECHANICAL ing ❑ Rough Wiring ❑ Slab Temp Pole ❑ 4 ".gAir.Cond.& ED Top Ou Heating Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. �W�ewd /rl Thurs. A.M. Inspection MadeZI2 Friday A.M. -------P.M. P.M. Inspectorye �(CppC'Q "r ------- Final Inspection❑ Certificate of Occupancy Date CITY OF fQ !/ Office of Building Official REQUEST FOR INSPECTION Date / Permit No.ime Received • 5 A M, District No. ✓ Z v L r"` �> c P 3 3 6 0 ZJQ,�-, Job Address Locality- O 7 7 ()P�k Owner's / Contractor --� BUI II�G CONC ETE LECTRICA PLUMBING MECHANICAL ❑ Footing ❑ `RoOgtrVtlirin Roug Air. Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION - M Mon. Tues. Wed. Thurs. Friday Inspection Made P.M. Inspector Final in spectio Cert.nate of Occupancy Date (frdifirtttr of (Orrupattry CITY OF Ervartncrnt of Bnildntg Atoprrtimt 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 si.rgle family residence Bldg.Permit No. Group Type Construction Q 4- Fire District.. A X OsvnerofBuilding PYOPertit_. Address P• C• Box T5.57 Building Address icy__.% s i Building Official ✓' Date: 7/8/91 POST IN A CONSPICUOUS P"CS maw Tprtrf it,jtr of CITY `"rrliitt�tr OF */>& '�P�1a,Yfllipn f At �Uil�?-� '�vxafi This Certificate issued tn� �n��1PrfIAn f pursuant to the re Building Code cert: requirements of Section tying that at the time issuance o of the Southern Standard various ordinances re ance this structure 109 regulating building was in culnpliance with the g construction or use. For the following. Use Classification single famil Group-JA� — TYpe Construction residence Bldg.Permit No. 3092 oftcr of Building RGM Firc Pro ertiDistrict. es m ingAddm" rAddress P, Q i'Y—Atlant_;r_B -- eath'_-F 3 Building Official Br'–---gg.�_�_ p, Date:—ZZ81 —�— rM7 IN A CONarICUOUs KAct CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23446 Address: 732 SELVA LAKES CIRCLE Permit Type: STAIRCASE ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA LAKES Est. Value: Parcel Number: Improv. Cost: 1,982.00 OWNER INFORMATION Date Issued: 2/08/2002 - M OLF, DORI Total Fees: 30 0 LVA LAKES CIRCLE Amount Paid: 3 � [} BEACH, FL 32233 Date Paid: 2/08/. 0 Work Desc: REMO / E WI-.R-NF l l_ , QRA CONT I( - :w�., PIa FEES HUSTON, DEBORA IWtli- -•' �IvllT 30.00 25, 6 t , ,•K � � n ,fit < 't st >y s ''W, �.,., , Mix '�' t,oLIUMME. ".^ ate. 's- iA� {g" ,. '. ` E i..8'tla.•. .. �x•�s -..t, z Cf� . .raw. 1:: �•, 3 _ ��.z9f� � �r -. � ��`� fs' x�,art• s, k<.e+��'t . .; Z�. � }» �" {ate��, �� ._, A:•�' .'. �. , �-� � .,� ARs#tt,tA. WT�ru.•'�,,. ' 'Y.-",:"l`•r u'`4 y °�tl7* 1 r✓w }•q y-�I NOTICE- INS S iR� O INSPECTION • �L uN. k U. BUILDING MATERIAL, RUBBISiA I is � ({ E CED IN PUBLIC SPACE, AND MUST BE CLEARED UP ANDER "FAILURE TO COMPLY WITH THE C .° �&UILIEN AW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Doer: DSMITH Type: OC Drawer: 1 Date: 2/11/92 91 Receipt no: 32875 14 PERMITS-BUILDING 1 $39:98 Trans number: 786468 CK CHECKS 1137 $38.98 AT TIC B CH BUILDING DEPT. Trans date: 2/11/ 14-54-25 ftClt-� ' F RECEIVED FEB 5 S j CITY OF ATLANTIC BEACH Mf Atlantic BMW` PERMIT APPLICATION REMODEL,ADDITIONS, OR ALTERA MOVING, DEMOLITIONS JOV Owner(s) D,� l o/,c - Job Address 7 3 Z .SCIG.4 Cs je Phone 6 q</ 7 Lot# Block or Unit# Subdivision Contractor Debrk #t4579AJ StateLicense# Address 3 20 0 ,9lJ die r0 SS/Nf VO l Phone 6,0�{� City � u i Ile _ State - zip �� Shu 3 2 2 Z 3 Describe work to be done 11/41&Ya1lS Gvc' Old E Sa-8777 d y-144 I1. -c . Present use of building Valuation of Proposed Construction 1 3 L co Proposed use 1 W4I Is this an addition? 0 If yes, what are the dimensions of the added space: ft.x ft. Will the added area be heated and cooled? New electrical (or increase) New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT,AND OWNER/ CONTRACTOR AFFIDAVIT, IF WNER IS CONTRACTOR. Signature of OWNER Date: <-' Signature of CONTRACTOR ' \ Date STATE OF FLO1 A COUNTY OF Sworn to (or affirmed) and subscribed before me this � day of 200 AS TO OWNER: Notary's Signature �Personally known 4W .►�'r�4b_ Mark H D Produced Identification My Commission 00072685 Type of identification produced or W Expires November 15,2005 Swornto (or affirmed) and subscribed before me this Z day of 0 AS TO CONTRACTOR: Notary's Signatur ow Lorle S Jofreorf Personally4*MYCOMMIsaftemew known Produced Identification ,"d� fires�28,2004 Type i entification pribduced f CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET ._� 3 i S ��✓,,� 1,�K F s C�,� , , Address 6y.,(Vo — Dat e Heated Square Footage @ $ per sq ft = $ Garage/Shed 114 @ $ per sq f t = $ V Carport/Porch AP @ $ per sq ft = $ Deck �� @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ z- / 1 $ fJ� Total Valuation 1st $ ' (000 9 )--, 2— $ t� Remaining Value $)) � per thousand dr portion thereof TOTAL BUILDING FEE $ Z + 1/2 Filing Fee $ ! ( ) Fireplaces @ $15 . 00 $ 4 BUILDING PERMIT FEE $ G WATER IMPACT FEE $_ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ -3 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : i Job Survey Date: < U 7— Owner:Owner. Owner phone number: c l r ; to`t q 7 '�J Project address 7Z2- Project 32Project name: -�. . Pk l . . . . . • . . . . . . . . . . . . . a3( - _ . . . . . . . f . . . . . .. . . . . . . . . . . . .. . . . -,'IN - . . . . . . . . . . . . . . . • . M(;Sr. LIS i(o A-. &j/ . . . . . . . . . . . . . . . . 1 � APPROVED . . CITY OF ATLANTIC• E.� • BUILDING OFFICE . FEB •0 8• a0i • . . . . . . . . . . . . . . . . . . . . . . . . . ��.`-• -� . . . . . . . . . . . . . . . . . . . . � 4 _Number job description 1 T b-e cdN lrc 3 4 5 i Job Survey Date: Owner: Owner phone number: Project address Project name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . @ .. . . . . . . . . . . . . . . . . . . . . . . .3.+ T o Number Job descri tion I 4 5 Job Survey Date: /,;/o 2- Owner: f Owner phone number: y�,�: .. (,,�(417 /W Project address 3 ? 1v„ LA�e� Project name: . . . . . . . . . . . . . . . . . . . . . . . . . . L . . . . . . . . . . . . . . . . �. ~ . . . . . . . . . . . . . . . f ` . . . . . . . . . . . . . . . �. . . . . . . . . . `. . . . . . . . . . . . . .. . . i, . . . . . . . . .. . I. . . . . . . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number Job description 1 3 4 5 Staircase & Millwork: Hampton Series Handrails, Balusters, Newels, & Stair Parts Page I of 2 Staircase & Millwork Corporation 800 - 878 - 9778 0, Welcome about our b- Stair Parts * Gallery Hampton Rail * Studio Parts C a ton ial' Hampton Cl. Conternpo The Hampton series is based on trop Work simplicity of installation. This rail 0 Staircases system is typically installed newel to newel to minimize labor costs. 0 More Info Many of the custom home builders About who buy Hampton balusters and 0 Us newels specify our Gallery- or * Web Links Studio— handrails to offer their clients a unique balustrade that can * Search be installed quickly and economically. Hampton balusters (part#5005) are 1-3/4" square, 32", 36", or 42" in length, and they are available in poplar or red oak. Hampton newels (part#4005) are Y4 max` 3-1/2" square, 48" or 55-1/2" in length, and they are also available in poplar or red oak. [home] top I To receive a FREE quote or more information about any of our staircases or stair products, call 800-878-9778 or E-mail Staircase & Millwork Corporation today. (pssst...please mention our Web site) taircase & Millwork Corp. www.mrstair,com httn-//www.mr,Qtair.com/hamnton.htmI 02/05/2002 of (err n�rttnr� CITY OF Driattrimrnt of +Snilding 3mivrrtinn 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 _ Single Family Residence Bldg.Permit No. 3093 Group WZ1r Me TMCaW..Eion____Sji_ Fire District A �'3II i r• Bench Owner of Building 'r� rrt-�Prt-iaG Address P_() BOX 659 B�ildingAddress 7 C -Lake--; ( i r,,:-wity�tlantiC Beach, FL 32233 Br:-- on C. F2Xd Building�Official `Date: 10/18/91 POET IN A CONSpICUOUa ►LACE ClT,' OF 'Q os c Office Date Of Building Official -/S _9 EC EST FOR "NSPECTIpN T;me Rece;�,ed A'M• Permit No. Owners r `C Job AddreNo. ss District Fl iy �C —7 Name "�-`C�j�1 N / BUILDING kcal Framing ❑ CONCRETE Contractor Re Roofing ❑ Footing13ELECTRIC lSlab !n el Rough Wiring ❑'�ti►BiNc Mon. ❑ 'nP Pole Rough q ECHA AL Tues. READY Atr.Gond.g Inspection eetln9 ❑ Made Wed FOR INSPECTION Fire Place InsPeCtor Thurs. Pre Fab ❑ _ A M. Friday A.M. P.M.- P.M. Final Inspection O Certificate of Occupancy � Date ct ry OF Office o i B Date uilding Official � -f _ � REQUEST FpR IIVSPECr1pN Time Received l ' 0 P•M. Permit No. 3( 17 JobAddr Own er,s ess ' /\ (°�' C / District No. /� �rn - l O Ir Y BUILOIN(; Framing ❑ CONCRETE Locality Contractor Re Roofing ❑ Footing L _ Slab CT RI C�AL_� Lintel ❑ RoughpWiring C ❑ T,C.em P /1 ie Rough ME Mon. r _..4 rues. REq �.(,h ToP Out Air.CCo d.&ICgL �. Heating Inspection Made _ Wed.Dy FOR 1NSPECTION Fire Place Inspector I l' rhPre Fab A.Mo Friday A.M. P.M. -P.M. FinallnsPection❑ Certificate of Occupancy Date C/Y O//ice of Building Date Official REQUEST FOR IIVSPECTIO (J Tune � �� / Received N `3 P.M. rmitNo. a Q Add, 7 Name's (T/ District No. Fra Rot '777 _. Loca/i Re Rooting �� N9 RETE ❑ ❑ 'CA c Slab Z 0 Lintel ❑ Tern firing l -- Mon. C7P Pole ❑ Roug Tues READ Top Out r. ANICA ❑ Inspection MadY FOR rIVSPECTrOIV HeaFire PIting . _ wed Inspece tor Thur Pre Fe� O Friday P M -P A. �--G-��.01�i Final/ nspection❑ Certificate o/ OccuPancy Date TOare . r OF �ej�a l � a � °re 0Rng Cf 0 Ae�Ofl9g G FCT�OH O CCHC MOn. r4,O Slab"ng FTF olsrry r °Np lnsnsp�r'On Mane Tees �lOre! O O `FC �rrpr Tem gh wlrn /! 3c 7 Seq O yF019 O Tp �Me�N �h+r/ON �✓� q Fye aringn NSC M. Frlaay �eF b� F/na/!ns 0 cenlfl.0 re et Oare Of tir 4paryCY 7I T J-q, GateOffice of c3() Time Po N Jp6 .4 A^, R l NSpFC/s/ r/01V o &eP.,Mlt No. Rp°t/,79 C p OiBtrlpt 'V 9 Ivo.FpotiHCRFTF Slab 9 Mpn. Cl�tet O F4Contractor FCTR/�, "'�alitY Mad oes °jp obi "Dector a RF e iy A�YFo Tug a/H� op oot p�cT/oH � �FcHA T FNeati,, 4 ire P M 40\ % %F baps pmat t°spacUpn O \p'M• �niricar M. Oats a Of Ocpopanc Y 0003097 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH I°'rnnXT INr'0RHAT10M - - - I-OCATrU" INr0RHATICIN permit number : 3k7i°17 Address: 73:: 15ZLVA LAKE"- permit Type: mu2LDIM13 ATLANTIC 13EACH, FL.CRrDA -32Z-,33 Class or work: NEW ---------•-- LEGAL D"-UftSPTICN -------- - consFstr. Typpe z WOOD rftANLS Lot% lZtS Ltlock: 3ectlon: proposed time DUrLr-X Township: RHO'. ►' Dvellings: 1 Code: C1 21ELV'A LAtsR�5 Estimated Value: !�C. CC Improv. €"cyst : EDb. as Total Pees: S- 2102. no Amount raid: !%Zio2• o0 Date Pal-cf . 1v!'219/*1-g0 a� Work besc. : noDEI- "c— Ut12T-DUpLr r o WNER IN1rCiRnATIL7N -- - - ArrLICATXOM rErv: ---- Ha1ne: Ron rcrtniT �D4*3"3, 0 Actor etas: ro "LIN n--17 WATER InrACT rEE �'3'3C.00 hTLhtiTI�G BEACH, tt° LIL1RII�A 3�' .33 `nEWMn It4rACT rZE V Il?'3�t. C►1� Phone: t"Ntl4?�'47"-Kl'�':�� WA'TLR ME'TEH 11316-4. r11') RADON OAZ--H. tS. `LR. 316. On CONTttACT131$ XMFC1ltMATI13N RADOM 0AIS - `3W 45 1•00 Name z ttoH rRrjrEkTIE1S 'MATER TAP 50. on Address: 4-3"l t3tSLYA LAME"- CIRCLE `3ENt°tt TAP 1$0.CU ATLAH'TIC REACH rLL. j2a 33 HYDRAULIC "-"ARE 50. 00 Lic,e�:se: Fft00-34-"31 Ty pe, 0 RE-IN1-Q5rtcT rEE "IS". V-10 =EC. H InPACT rZE $U. 1010 OTHER lit). CIO NOTES: 1 NOTICE –ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ�TO REVOCATION FOR VIOLATIQN OF APPLICABLE PROVISIONS OF LAW. ATLANT EACH BUILDING DEPA TIME T I By: ARK 0003098 40 DEPARTMENT OF BUILDING /� O f CITY OF ATLANTIC BEACH (k' 1 LOCATION INrOft"ATIO" --' f ermit Ne:mber: 3tt�1a Address: 7 t3 311✓LV'A LAKCM Permit Tp pe: SUtLDIttO ATLAwrxic "EACH, PLORXDA '32Z3'-1 LEClAL DESCRIPTION --------- Ci®ss ox work: NEN constr. Tppe�: WOOD fi'FtANit� Lot-: 1'2.T $iocls: �ectxc�n: ToVnstsxp: RHO, Proposed Use % DUPLEX b Dwellings: 1 cote O ubdlvlsxon: :3ELVA LAr"_ ESLxmat.ed YaluE: 50. 00 TvLail t 102. 00 Do-te Paid: work vesc. : ffo"EL "L." UNI -DU!°iL1E3S CtNNE�! Stt!°C11YRl7A 7 SON ___ --- APPLICATION rEMI'5 - - --- AdCr eBs: ru 'rr'ox t9nl WATER IN PAIC I' rEE 00 ATLANT V+ LNEAICM, FLOR.t:PA 3' 3 nZWEtt 21YYA+CT trE>✓ �1CD"3D. Oe► WATER nETE" 119.CID RADONC3A�-'N. R. 'i. --- -- CO"Tfil4C'T'O!t 1N!''ORNSATION -•_ RAPID" 10A'4 - Ox X1. 00 "ami: Ntr3ti P't°tC?PMltTr!'L�'-t NATMR TAP 040. 00 Address; g;!'ml ZLrLYA >`.AlTfr'M-5 CIRCLE 3Ewn" 'TA %$O.00 r ATLh"TIC- LSLAC" N'L. �1 2�'�4 ffYC>NS14ULI+ itthNSE ).CDC► NOTES: t!3>EC.. H X"PA+CT ME laO•loin OTHER SCD. OCA NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TgjREVOCAjt_QN,,�FQQR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,I 81627- ATLANTIC BEACH BUILDIN,DEPARTMENT By: ddress VA lot� r S �� 4 ated Square Footage f `l S O @ per sq ft = $ ► /(-S -rage/Shed @ $ ��c') per sq ft = $ �, s zport/Porch 4", @ $ f , 5r Per sq ft = $ ck _ @ $ per sq ft = $ do ~-'- @ $ per sq ft = $ TOTAL VALUATION: $ i IV 7 � Y7 :al Valuation 1st $ /000 �, 5", #6y7 q, (m $ any . GZ mainder Valuation per thousand or portion thereof a ,7 7 ------------------------------------------ Total Building Fee $ 31TIONAL PIIa'IITS and/or FEES REQUIRID ; + Filing Fee $ S O lianical / �. Fireplaces @ 15.00 $ 1S. cb BUILDING IFERMIT FEE $ gybing ' i metric/New L------------------------------------------------ actric/Temp atic Tank BUILDING PERMIT $ �' • Ua i WATER METER CHARGE $ 1 wring Pool SE's IMPACT 3 FEE $ / C O WATER IMPACT FEE $ C,_? C) ;n MISCEJJ ANEOUS ' $ ;er Connection fen Connection :er Meter a�� city $ ovation Certificate GRAND TOTAL DUE $ o� �'�' Cm -------------------------------------------------------------------------------------------- a ATIONS and/or NOTES Address L 0 C V pe Iq ` 73 rt VO4 1A VE Heated Square Footage f qS O @ $, er sq ft = $ �1�S Garage/Shed A10(0 @ $ J �. �� per sq ft = $ S Carport/Porch @ $ Per sq ft = Deck @ $ per sq ft = $ Patio r-� @ $ per sq ft = $ TOTAL VALUATION: $ (61 t V 7 Tota Valuation 1st $ S� # 6 y y, $ C) Remainder Valuation per thousand or portion thereof a 7 y � -------------------------------- F ----------1 Total Building Fee $ ADDITIONAL PEL,II'I.5 and/or FEES REQUIRED � + k Filing Fee $ 13 y• s o 4, Fireplaces @ 15.00 $ l5• � Mechanical —ter i BLTILDING'PMUT FEE $ 13 3 Plumbing ✓� ' Electric/New � �-' Electric/T�p ------------------------------------------------ ---------------------------------y�3 =-�-- BUILDING PERMIT $ Septic Tank WATER MEZI;R agym $ Well SEWER IMPACT FEE $ Admi ng Pool WATER IMPACT FEE Sign MISCELLANEOUS . $ Water Connection Sewer Connection czrY $ � • ®� Water Meter Elevation Certificate !GRCM AND TOTAL DUE $ ----------------------------------------------------------- ---------------------------------- CALCULATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee 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 TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _ SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) �VALVE WATER CLOSET VALVE -___-WATER CLOSET, TANK OPERATED (4) OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) _____FLOOR DRAIN ( 1 ) 6) SHOWER STALL DOMESTIC (2) ____-LAUNDRY TRAY (2) _ r 04- LAVATORY ( 1 ) ___-_COMBINATION SINK AND TRAY (3) __I_-WASHING MACHINE (3) _____POT, SCULLERY SINK (4) _ _DISHWASHER (2) -----WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) _____DENTAL LAVATORY ( 1 ) __KITCHEN SINK WITH WASTE GRINDER (3) -----DENTAL UNIT OR CUSPIDOR ( 1 ) __BIDGET (3) _____ URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) -____COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) ____-DRINKING FOUNTAIN ( 1/2) LAVATORY, BARBER/BEAUTY SHOP (2) _____LAVATORY, SURGEONS (2) SURGEONS SINK (3) --)--ICE MAKER ( 1/2) --t)-WET BAR (2) TOTAL FIXTURE UNITS_2�4_5, @ $20. 00 EACH $___ ____________ JOB INFORMATION � _G CIA_ Cr?C C r ------------------------------ TR ^' ' RIGHT-J SHORT FORM 1-01-8� ob #: RGM Htg Clg or: OCEAN STATE AIR CONDITIONING Outside db 32 94 Inside db 70 75 Design TD 38 19 Daily Range - M Inside Humid . - 50 Y : Trane Jacksonville DSO Grains Water - 49 Const. Quality a ' # of Fireplaces 1 HEATING EQUIPMENT COOLING EQUIPMENT � ' Make TRANE ake TRANE - odel Model ype Type fficiency / HSPF 0.0 COP/EER/SEER 0.0 eating Input 0 Btuh Sensible Cooling 0 Btuh eating Output 0 Btuh Latent Cooling 0 Btuh eatinq Temp Rise 0 Deg F Total Cooling 0 Deg F ctual Heating Fan1202 CFM Actual Cooling Fan 1202 CFM tg Air Flow Factor 0.036 CFM/Btuh Clg Air Flow Factor 0.048 CFM/Btuh pace Thermostat Load Sensible Heat Ratio 82 � =========================================================================== ROOM NAME AREA | HTG | CLG | HTG | CLG ' SQ.FT. | BTUH � BTUH | CFM | CFM ' OWNSTAIRS | 720 | 19592 | 14956 | 704 716 PSTAIRS | 756 | 13860 | 10157 498 | 486 =========================================================================== ntire House | 1476 | 33452 | 25113 | 1202 | 1202 entilation Air | | 0 | 0 | | ' atent Cooling . ' . 5487 . . ~========================================================================== YALS | 1476 | 33452 | 30600 | 1202 1202 - * MANUAL J : 7th Ed . RIGHT-J : V1 . 50 _ 3 0' (� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY LICENSE NUMBERS mP145 State RF0037503 OWNER BUILDING CONTRACTOR TYPE OF BUILDING / SINKS SHOWERS _LAVATORY I WATER HEATERS / BATH TUBS _DISHWASHERS URINALS DISPOSALS WASHING MACHINE _CLOSETS FLOOR DRAINS OTHER NOTAL FIXTURE COUNT X$3. 50 + $1 00 J DATE ;/O! / ,,U/ F0 TOTAL A COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE HOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . --- r, u, L.uuc cerr1r�eo by FAA1* to meet all requirements of Manual Form J -- ----- MANUAL J : 7th Ed . ---- RIGHT-J : V1 . 50 ------ TR _____----_______ | 1 | Name of Room | UPSTAIRS | | | 2| Running Ft. Exposed Wall | 87.0 Ft. Ft. | | 3 | Room Dimensions, Ft. | 28.0 x 27.0 Ft. | x Ft. | | 4| Ceilngs,Ft | Condit. Option | 10.0 | heat/cool . ____________________________________________________ -------------------- . ' . | TYPE OF | : COT: | Area | Btuh | Area | Btuh | | EXPOSURE | |NO. |Uval | Lbs : Length: Htg | Clg : Length : Htg | Clg | ------------------------------------------------------ ------------------- . . . | 5 | Gross | a| 12D | 3.0| 1 .8 | 870 | **** | **** | | **** | **** ( � | Exposed | b| 12D| 3.0 | 1 .8 | 0 | **** | **** | | **** | **** | . . r . . Walls and | c | 13D | 1 .6 | 1'. 1 | 208 | **** | **** ( | **** | **** | | | Partitions | d | | 0.0| 0.0 | 01, | | | e | | 0.0| 0.01, 0 | **** | **** | | **** | **** | � | | f | | 0.0 | 0.0| 0 | **** | **** | | **** | **** ( . ______________________--_______ . ____-_______________ ` ____________________ . . . . . | 6 | Windows | a| 3C| 27.6 | ** | 72 | 1984 | | | & Glass | b | 7C| 49. 1 | ** | 10 | 491 | | | Doors Htg . | c | | 0.0 | ** | 0: 0 | **** | | | **** | | | | d | | 0.0 | ** | 0 | 011 **** | | | **** | � ( |e| | 0.0| ** | 011 0| | f | | 0.0 | ** | 01, 01, . __________________________-____. _______________-____ . ____________________ . . . . . | 7 | Windows | North |23.0| 48 | **** | 1104 | | | & Glass | NE&NW | 0.0 | 0 | **** | 01, | **** | | | | Doors Clg . | E&W |72.0 | 12| **** | 864 | | | | SE&SW | 0.01, 0 | **** | 0| | **** | | | | | South | 38.0 | 12 | **** | 456 | | **** | | | | | Horz | 168. | 10 | **** | 1680 | | **** | | -------------------------------- . . ` . | 8 " Othr doors | a | 11C: 17.9 | 10.6 | 0 | 0| 0| | | | | | | b | | 0.0| 0.0 | 01. 0 | 0 | . _________-_____________________ . ____________________ . ________________-___. . . . . | 9 | Net (a | 12D | 3.0 � 1 .8 | 798 | 2426 | 1443 | | | | | | Exposed b : 12--D 3.0 | 1 .8| 01, 0 | 0 | | | | | | Walls and | c| 13D | 1 .6 | 1 . 1 | 208 | 333 | 233 | | | | | | Partitions | d | | 0.0 | 0.0 | 0 | 0 : 0 ( | | | | | |e | | S.0 | 0.0 | 0 | 0 | 0 | | | | | | | f | | 0.0 | 0.01, 0 : 0 | 0 : | | | . ________-______________________ .' __________________�* .` ____________________ . ' ' | | 10 | Ceilings | a | 16G | 1 .3| 1 .4 | 756 | 948 | 1073| | | | b| | 0.0 | 0.0 | 0 | 0 : 0 | | | | | | | c | | 0.01, 0.0| 0| 0 | 0 | . _________________-____________- . ____________________ . __________________ . . . | 11 | Floors | a | 22A | 30.8 | 0.0 | 87 | 2678| 01, | | | ' b | | 0.0 | 0.0 | 0 | 0 ' . . | |' | c | | 0.01, 0.0 | 0 | 01, 0 ( | . _______________________________ . ____________________ . _______- ` ' ' | 12 | Infiltration a | 45.6| 9. 5 | 82| 3741 | 779 | --------------------------------- -------------------- ` ' ' | 13| Subtot Btuh Loss=6+8. .+11+12 | **** | 12600 | **** | * | 14 | Duct- Btuh Loss | 10% | 1260 | **** | : 15: Total Btuh Loss = 13+14 | **** | 13860 | . _______________________________ . ____________________ . _____ ` ` ' | 16 | Int. Gains: People @ 300 | 4 | **** | 1200 | . | | Appl . @ 1200 { 0 | **** 0 | | | 17 | Sub-tot RSH Gain=7+8. .+12+16 | **** | **** | 8832| | 18 | Duct Btuh Gain1325 � % | *� Printout certified by ACCO to meet all requirements of Manual Form J ----- MANUAL J: 7th Ed . ---- RIGHT-J : V1 . 50 ------ TR --------------- 1 : _____________1 | Name of Room | Entire House | DOWNSTAIRS | | 2 | Running Ft. Exposed Wall | 166.0 Ft. | 79.0 Ft. | | 3 | Room Dimensions, Ft. | | 20.0 x 36.0 Ft. | | 4 | Ceilngs,Ft | Condit. Option | 10.0 | | 10.0 | heat/cool | ----------------------------------------------------- -------------------- I . . . | TYPE OF | : CST : | Area | Btuh | Area | Btuh | | EXPOSURE | |NO. |Uval |Lbs :Length : Htg | Clg : Length : Htg | Clg | . ___________________________________________-________ -------------------- . . . | 5 | Gross : a | 12D { 3.0 | 1 .8 | 1660 | **** | **** | 790 | **** | **** | | | Exposed | b | 12D | 3.0 | 1�'8| 0| **** | **** | 0| **** | **** | | | Walls and * c | 13D | 1 .6 | 1 . 1 | 520 | **** | **** | 312 ' **** | **** | | | Partitions | d | | 0.0 | 0.0 | 0| 0" **** | **** | | | | e | | 0.01, 0.01, 0| **** | **** | 0| **** | **** | | | | f | | 0.0| 0.0 | 0 | **** | **** | 0| **** | **** | . _______________________-_______ . _-__________________ . ____________________ . . . . , | 6 ( Windows | al 3C | 27.6 | ** | 229| 6309| **** | 157| 4325| **** | � | & Glass | b| 7C |49. 1 | ** | 22 | 1080 | **** | 12 | 589 | **** | | | Doors Htg. | c | 0.0 | 0 | 0 | **** | 0 : 0| **** | | | | d | | 0.0 | 0| 0 | **** | 011 0| **** | | | | e | | 0.0 | ** | 0| 0 | **** | 0| 0 | **** | | | | f | ( 0.0 | ** | 011 0 | **** | 011 0| **** | . __________________-____________ . ____________________ . ____________________ . . . . . | 7 | Windows | North | 23.0 | 68( **** | 1564 | 20| **** | 460 | | | & Glass | NE&NW | 0.0| 0| **** | 0 | 011 **** `| 0| | | Doors Clg. | E&W |72.0 | 41 | **** | 2952 | 29 | 2088| ( | | SE&SW | 0.0 | 0| **** | 0| 0| **** | 0| | | | South | 38.0 | 120| **** | 4560 | 108 | *** 4104 { | | | Horz | 168. | 22| **** | 3696 | 12 | **** | 2016| . _______________________________ .____________________ . __________________�_ . . . . . | 8 | Othr doors | a | 11C | 17.9 | 10.6 | 20 | 357| 212| 20 | 357| 212| | | | b | | 0.0 | 0.01, 0 | 0 | 0 0 | 0 | 011 � -------------------------------- | -------------------- ____________________| � 9 | Net | a | 12D | 3.0 | 1 .8 | 1411 | 4289 ( 2551 | 613 | 1864 | 1108 | � | Exposed | b| 12D| 3.0 | 1 .8 | 0| 0 | 0| 0| 011 0 | | | Walls and c ,' 13D : 1 .6 | 1 . 1 : 520 | 832 | 582 | 312: 499 | 349| | i Partitions |d | | 0.01, 0.0 | 0 | 0 | 0 | 0 | 0| 0| | | | e | | 0.0 | 0.01, 0 | 0 : 0 | 0 | 0| 011 | f | | 0.0 | 0.0 | 0 | 0 | <) | 011 0 | 0 | � ----------------------------------- |--------------------- | -------------------- | | 10| Ceilings | a | 16G| 1 .3| 1 .4 | 1476 | 1851 | 2094| 720 | 903| 1022 | | | | b | | 0.0 | 0.0 | 0 | 0 | 0 | 0 | 011 0 | | | | c | 0.0 | 0.0 | 01 0 | 0 | 0 | 0| 0, -------------------------------- ' ' ' | 11 | Floors | a | 22A | 30.8 | 0.0 | 166 | 5109| 0| 79 | 2432| 0 | | | | b : | 0.0 | 0.0 | 0| 0 | 011 0| 0 | ' | | | c | | 0.0 | 0.0 | 0 | 0 | 0 | 011 0| -------------------------------- ' ' | 12| Infiltration a : 45.6 | 9.5 , 271 | 12364 | 2576 | 189 : 8' -------------------------------- . . | 13 : Subtot Btuh Loss=6+8. .+11+12 | **** | 32192| **** | **** . | 14 | Duct Btuh Loss | 10% | 1260| **** | 0% | : 158 Total Btuh Loss = 13+14 | **** | 33452 | **** | **** | ' ' _______________________________ . ____________________ . _________ . . . | 16 | Int. Gains: People @ 300 | 6 ( **** | 1800 | 2| ** | | Appl . @ 1200 | 1 | 4-4-k NP | 1200 | 1 | *** | 17 | Subtot RSH Gain=7+8. .+12+16 | **** ' - - - - rrinrouc cerrzried by ACCA to meet all requirements of Manual Form J ~' - RIGHT-J CALCULATION PROCEDURES A,B,C,D Job #: RGM 1-01-80 ' Procedure A - Winter Infiltration HTM Calculation* ------------------------------------------------------ � 1 . Winter Infiltration CFM ---------------- � 1 .2 AC/HR x 14760 Cu.Ft. x 0.0167 296 CFM � . . | 2. Winter Infiltration Btuh � | 1 . 1 x 296 CFM x 38 Winter TD = 12364 Btuh | . . / 3. Winter Infiltration HTM | � 12364 Btuh / 271 " Total Window = 45.6 HTM | . & Door Area ` Procedure B - Summer Infiltration HTM Calculation$ --------------------------------------------------------------------- | I . Summer Infiltration CFM - . . . 0.5 AC/HR x 14760 Cu.Ft x 0 0167 123 CFM ' . . . � . . | 2. Summer Infiltration Btuh ' . ' . 1 . 1 x 123 CFM x 19 Winter TD = 2576 Btuh � . . | 3. Summer Infiltration HTM ' | 2576 Btuh / 271 Total Window = 9. 5 HTM ' | & Door Area _______-__________-_-___________________________________________-____ . Procedure C - Latent Infiltration Gain ` ______________________________________________________________________ � 0.68 x 49 gr.diff . x 123 CFM = 4107 Btuh ' _____________________________________________________________________. Procedure D - Equipment Sizing Loads -----------------------------�________________________________________ | 1 . Sensible Sizing Load . | . . . | Sensible Ventilation Load ' | 1 . 1 x 0 Vent-CFM x 19 Summer TD = 0 Btuh ' | Sensible Load for Structure (Line 19) + 25113 Btuh � | Sum of Ventilation and Structure Loads = 30600 Btuh ' | Rating and Temperature Swing Multiplie x 1 .00 RSM � 0 | Equipment Sizing Load - Sensible + 25113 Btuh ' . . . . | 2. Latent Sizing Load ' ` . ` . | Latent Ventilation Load ^ ' � 0'68 x 0 Vent-CFM x 49 gr.diff . = 0 Btuh � | Internal Loads = 230 x 6 No. People + 1800 Btuh | | Infiltration Load From Procedure C + 4107 Btuh � | Equipment Sizing Load - Latent = 5487 Btuh � ____________________-________________________________________________ . *Construction Quality is: a No. of Fireplaces is: 1 ' MANUAL J : 7th Ed . RIGHT-J : V1 . 50 TR ^' , RIGHT-J LOAD AND EQUIPMENT SUMMARY 1-01-80 For: OCEAN STATE AIR CONDITIONING By : Trane Jacksonville DSO Job #: ROM Wthr : Jacksonville-AP FL r Zone : WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS Outside db: 32 Deg F Outside db: 94 Deg F Inside db: 70 Deg F Inside db: 75 Deg F Design TD: 38 Deg F Design TD: 19 Deg F Daily Range M Rel . Hum. . 50 % Grains Water 49 gr HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING Bldg . Heat Loss 33452 Btuh Structure 25113 Btuh Ventilation Air 0 CFM Ventilation 0 Btuh Vent Air Loss 0 Btuh Design Temp . Swing 3.0 Deg F Design Heat Load 33452 Btuh Use Mfg . Data n Rate/Swing Mult. 1 .00 Total Sens Equip Load 25113 Btuh INFILTRATION LATENT COOLING EQUIP LOAD SIZING Const Dual a # Fireplaces 1 Internal Gains 1380 Btuh Ventilation 0 Btuh HEATING COOLING Infiltration 4107 Btuh N 0 Area (sq . ft. ) 1476 1476 Tot Latent Equip Load 5487 Btuh Volume ( cu. ft. ) 14760 14760 Air Changes/Hour 1 . 2 0. 5 Total Equip Load 30600 Btuh Equivalent CFM 296 123 -' HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY Make TRANE Make TRANE Model Model Type Type Efficiency / HSPF 0.0 COP/EER/SEER 0.0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 1202 CFM Actual Cooling Fan 1202 CFM Htg Air Flow Factor 0.036 CFM/Btuh Clg Air Flow Factor 0.048 CFM/Btuh Space Thermostat Load Sens Heat Ratio 82 MANUAL J : 7th Ed . RIGHT-J : V1 . 50 TR 3618 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMA110N Permit Number : 3618 731 SELVA LAKES CIRCLE - Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 -lass of Work: NEW LEGAL DESCRIPTION ----------- Constr. Type: WOOD FRAME Block: Section: Proposed Use; SINGLE FAMILY Township: RNG: 0 ,wellings: I Code: 0 -:ubdivision : SECTION H - stimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $60. 50 Amount Paid : $60. 50 Date Paid: 4/ 8/91 A THING IN NEW AA-E FAMILY RESIDENCE OWNEH INFORMATION - - - - - - APPLICATION F-EES Name: RGM PROPERTIES, INC. -fCf T-( S.-3: 7_31 SELVA LAKES CIRCLE PERMIT $60. 50 ATLANTIc, BEACH, FLORIDA WATER IMPACT FEE $0. 00 Ph011e: (904)241 --/191 SEWER IMPACT FE E $c). (-10 WATEP, M E 11,E*h� $0. 00 ------- CONTRACTOR INFORMATION RADON 6 A 5- -11. R. $0. (-.)o Name: F. W. FAIR PLUMBING Co. RADON GAS 5% $0. 00 Address: PO DRAWER 51558 WATER TAP $0. 00 JACKSONVILLE BCH, FL 32240-- 1, SEWER TAP $0. 00 1-,icense: Type: 0 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 SEC. H IKPACT�,� FEE $0. 0o OTHER $0. NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 79/ jzjgh,,�� 9,a /,a - PLUMBING CONTRACTOR F. W. FAIR PLUMBING CO' PANY LICENSE NUMBERS MP145 State RF0037503 OWNNER BUILDING CONTRACTOR :YPE OF BUILDING J SINKS _SHOWERS LAVATORY _WATER HEATERS J. BATH TUBS DISHWASHERS URINALS DISPOSALS s CLOSETS :- / WASHING MACHINE FLOOR DRAINS OTHER 3 _DOTAL FIXTURE COUNT X.;3. 50 + $15. 00 DATE TOTAL A l0U1.1IL j NSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH 'IHE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . r Pp.p ' ��4 3617 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFURMA'tiUN - Permit Number: 3617 Address: 727 SELVA LAKES CIRCLE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223'--: Class of Work: NEW ----------- LEGAL DESCRIPTION -------- -- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0 Subdivision: SECTION H Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $60. 50 Amount $60. 50 INS3,41i _P11IMRTNr. TN MPW ; NGI.P. PAMTLY RESIDENCE ------ -- - OWNER INFORMATION APPLICATION FEES Name: RGM PROPERTTE, INC. PERMIT $60. 50 Address: 72-7 SELVA LAKES CIRCLE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32. SEWER IMPACT FEE $0. 00) Phone: ( 904)241-7191 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: F. W. FAIR PLUMBING Co. WATER TAP $0. 00 Address: PO DRAWER 51558 SEWER TAP $0. 00 JACKSONVILLE BCH, FL 32240 8 HYDRAULIC SHARE $0. 00 License: Type; 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 11' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION JQ7 PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY LICENSE NUMBERS MP145 State RF0037503 OVI ER BUILDING CONTRACTOR YPE OF BUILDING / e� ►p, SINKS I SHOWERS _LAVATORY L WATER HEATERS �.: BATH TUBS ! DISHWASHERS T� URINALS ' DISPOSALS CLOSETS J WASHING MACHINE FLOOR DRAINS OTHER Fi TOTAL FIXTURE COUNT X,3. 50 + .� Y15. 00 DATE TOTAL Al',OUP;T NSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH ',HE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . Jf 3481 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --------- LOCATION INFORMATION Oermit Number: 3481 Address: 355 SAILFISH DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA Class of Work: REPAIR ---------- LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 ,�.)ubdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $15. 00 Amount Paid: $15. 00 Date Paid : 5/91 OWNER INFORMATION APPLICATION FEES Name: MILLS PERMIT 515. 00 Address : 35`3 SAILFISH DRIVE WATER IMPACT FEE $0. 00 ATLANTIC REACH. FLORIDA :'4-' SEWER IMPACT FEE $0. 00 Phone : WATER METEk $0. 00 RADON GAS-H. R. S. $0. 00 -------- CONTRACTOR INFORMATION -- RADON GAS - 5% $0. 00 Name: JEFF' ROBERTS PLUMBING INf WATER TAP $0. 00 Address: 81 S ROSCOE BLVD SEWER TAP $0. 00 PONTE VEDRA FL 32082 HYDRAULIC SHARE $0. 00 1-irense: RF0037899 Type: RE-INSPECT FEE 50. 00 SEC. H IMPACT FEE $0. 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO,REVOCATION FOR-.00 VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: 111'/_1191 1 • I 219 CITY OF >4��aatiG �e��i — �Qvtccui BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD P.O.BOX 26 REQUIRED SUBMITTALS ATLANTIC BEACH.FLORIDA 32233 Each application for building permit must be accompanied by two complete TELEPHONE(904)249-2395 sets of plans, including a detailed site plan. indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); and a recent survey of the land for new construction and additions. APPLICATION CHECKLIST 1. Building Application form ,y 2. Two complete sets of plans —�t Ft,2 TO / lA-S%E✓L I�yIfN 5 3. Detailed Site plan - RE r e--✓C `r0 4. Recent Survey, if required /rr 5. Owner/Builder Affidavit" /— `Required when owner acts as contractor TIME REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8.00 a m until 4:30 p.m. Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permi_ t__ number, job location and tYvae of inspectioq needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinspections. FP! OF PROPERTY DESCRIPTION �ij�`{CjC4L - �Laa 716 OCEAN BOULEVARD P.O.BOX 25 Lot #_ _��_fe" - Block #--------Section #________ ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 SQL Vi---z� 5--- Subdivision: ______ DESCRIPTION OF WORK /� •� Street !lame or Address:_73-2__ If in w-ArLMD HAZXIR40- area complete page 3. Brief Flood Zone: ---- Description: J jQ --sxS�1�Q - Class of Work: N rKV (New/Remodel/Addition) __ ---- ZONING INFORMATION Type of Construction: ' �r'��__`��s-`-`--- � Zoning Proposed Estimated Value District:---------Use:--------------------- Materials: -------- Exceptions or Variances Granted:------------------------- Solid or Filled ------------------------------ ________ ------------------ Ground: Roof:----------- OWNER INFORMATION n Method of Heating:____________-- . p1 "n ------ Phone o------------ 1L� ---� -- Property Ovners J -- l- = Mailing_ Q� -�.�5� 2-� - --------------- AddressZip: A ----------- CONTRACTOR INFORMATION Phones �1..�� 2 X1.7_ Contractor: ---- ' -_-' Mailing -20� � ------------- Addreess•_&3__S__.� ----_ --------- Ep3 Z2 ------G- -------------------------------- xiiony Date 1 912- License Number: -- 1 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 Al COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO d" GIVE AUTHORITY TO VIOLOORELAWSCINCEL ANYTMANNER,+IINCCLUDINGSIONS OF ATHEllyFGOVERNING�OFTCONSTRUCTION OR- OR LOCAL THE REGULATIONS, ORDINANCES, • _ PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS j, CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLA t1S AND SUPPORTING DATA HAVE BEER OR SHALL BE PROYI D AS REQUIRED. _�_ ---Y ` Owner Signature _ - -- 1 � Contractor Signature_ -- y -- - ---Date__ - T v FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :-------------------------------------------- Flood Zone: _______________________ Required Lowest Floor Elevation: --------------- If building is located within a flood hazard zone, 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 affecting the proposed development. Date--------------Applicant's Signature-----------------------_-- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ----------- ----------------------------------- Building Department Representative page 3 . . . | Zo | UFM 'Air Required | **** 1 498 | 486 : i*** --- Printout certified by ACCA to meet all requirements of Manual Form J -- � � MANUAL J : 7th Ed . RIGHT-J : V1 . 50 TR RIGHT-J WINDOW DATA 1-01-80 ob #: RGM / S D W G L S S O N A S O O W C W S | K I A L O T H V G N H V V H H N H , Y R L A W R A H L G C R R G T A A ) L Z E M D G -r Z L O X Y T M R R DOWNSTAIRS n s a c n n n n 2 90 1 .0 0.0 0.0 1 .0 38.0 108'' 0.0 n e a c n n n n 2 90 1 .0 0.0 0.0 1 .0 72.0 29.0 0.0 n n a c n n n n 2 90 1 .0 0.0 0.0 1 .0 23.0 20.0 0.0 y s a c n n n n 1 0 1 .0 0.0 0.0 1 .0 168. 12.0 0.0 UPSTAIRS n s a c n n n n 2 90 1 .0 0.0 0.0 1 .0 38.0 12.0 0.0 n n a c n n n n 2 90 1 .0 0.0 0.0 1 .0 23.0 48.0 0.0 ` n w a c n n n n 2 90 1 .0 0.0 0.0 1 .0 72.0 12.0 0.0 y w a c n n n n 1 0 1 .0 0.0 0.0 1 .0 168. 10.0 0.0 ` � ' -. ' � . 0003301 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- rERrrrT sNrnrcrlATrrzN - - ----- L�CATscIN INr�rtrTATraN -------- rermlL Humber: '3'301 Address: T'3'2 EELVA Lhf"iL''J CIRCLE ATLANTIC; BEACH, rl ORXDA rermlt Type: ELECTRICAL - _ _--------- LECtAL p"CRII'TI1DN Class or worm: NEW Lot: B1OCR: zec.tion: constr. 'Type: WOOD PRAHE Township: AHU, O proposed Use: nrNC3LE rA"XLY Cc►de: Bubdlvls2on: Dwellings: 1 O Estlm®ted Value: C.M. 00 rmprov. cost: 90. 00 Toted tees% S1gO. 00 Amoaint psrd: 040.Do . v i ♦ r ----__.__ _-- OWNER IKMftnATIOH -- - ---- ArpLTC:ATTON rEEE ---- - Name: Ron rROrENTMIC rrnnxT Address: 7'-32 �?LLVA LAKE C XRCLV, WATER TnrACT PEM 00 ATLANTIC BEACH, rLOR IDA n2' O'3 nrWER XneACT rIMS, 50. 00 rt►ane: K +�14P f30-1L+22 WATER HETER !TO. 00 RADON DA15-H. R-15- 30. Do CON'TRACTIOR rNr"RnATZON - RADON CIAO - Off: 50. 00 Name: ADICrN`B ELECTRIC INC. MATER Thr 50.00 AdCTress: r- 0- BOX "_22'3 FEWER Thr 15o.013 ,TACI4ZONVXLL1S, rL. -322005 "T )RAULIC SHARE °10. 00 Li cense: Type: t ftE-r xnrECT r'EE S!O. tat) nrC. H XnrhC.T rZE mob.100 OTHER on. too NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IIV q� E�E v. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBr *R&D REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CFtE ATLANTIC BEACH BUILDING DEPARTMENT JOB 9753 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 10-16 19 90 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WO HE ATTACHEDDESCRIBED IN PLANS AND SPETHE CIFWING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Adkins Electric,Inc. JOURNEYMAN ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME RGN Properties ADDRESS: 732 Selva Lakes Cir. RFD BOX BETWEEN: BLDG.SIZE RES. (--f APT. ( 1 comm. ( 1 PUBLIC l 1 INDUS. ( 1 NEW 1--ice OLD ( 1 REW. 1 1 ADDITION ( ) TRAILER ( ► TEMP. ( ► SIGNS ( ) SO. FT. FEE SERVICE: NEW INCREASE ( 1 REPAIR ( 1 ! r O C, CONDUCTOR SIZE AMPS /.Sv COPPER ( 1 ALUM. l 1� SWITCH OR BREAKER �sv AMPS PH ? W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS. 0.30 AMPS. SWITCHES — INCANDESCENT — FLUORESCENT&M.V. FIXES 0.100 AMPS, OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING HER MOTORS AMPS CEIL HEAT: KW-HEAT CONDITIONING COMP.MOTOR OT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS f 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 : 0003300 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERRIT INr0RNATI10N _- -- LCICATZION INr0ftnATI0N ---------. Permit Number : 33C1C► Address: 7"2:5 151EELVA LAREn CIRCLE Permit Type: ELECTRICAL, ATLANTXC SEACii, rLIORXDA 32233 Class ox Work: NEN ---- - LEGAL D'Lrnc tIrTIL-%N ---------- Constr. Type: WOOD rRAYPE r vt: Hlock: '"eotion: PropoBed Uses% 15XH%3L.E rAnXILT Township; RHO: b Dwellings: 1 C:oc(e: Ct =TubcliviSion: Estimated Value: 310. an improv. cost., la'0. foto Total reeS% SA410. CC► Amount. raxci: !!�4C►.IDLI vote, raici: 1t 7/•'91 work Desc. : MN2tIO; IZMAnr�5, 1r", '_4W, 240VCtLT ---------- TOWNER INr*R17A1rI0N ------- -- ---- ArPLIC:ATXt3N rMEn ----- Name% Ran rmorERTXEn rEft"xT 1540• CC Address; 726 ZELVA LAnE`Et"I CIRCLE WATER IRrACT rEE ".On ATLANTXC: 15EA-C", PLORIDA '32233 tMWER IMPACT rEE 150. OU rnone: 1�K)4 f Tk3Ci-1 ?: WATER "E'rER `P10. 010 RADON R. '8. `fit). at1 ----- CONTRACTOR INMRnATX0ff RADON UA5 - n% R0• tot) Name: ADKX"- trLECTRIC INC. WATER TAP :3a. 1010 AdciresS: r. 0. BOX '°t223 MEWER TAP 410.010 .TACN130MVILLE, rL. 3:2':'..1]43 HYDRAULIC 15HARE 3t?. 013 License: EC* 1022'24 Type: 1 RE-IN!5rECT rEZ "SID. 00 '"4EC. ?i IMPACT rEE 00 OTHER �X}• � NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRVDYMENS�i /07191 :F4111F: 01:23 PN ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT T. j IOCATION F N VIOLATION OF APPLICABLE PROVISIONS O'F LAW. CwKk ' ATLANTIC BEACH BUILDING DEPARTMENT CONTRACTOR COPY s JOB 9752 CITY OF ATLANTIC BEACH, FLORIDA 5�J Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 10-16 19 90 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,2EGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Adkins Electric Inc. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATU E JOURNEYMAN NAME RGM Properties ADDRESS: 728 Selva Lakes Circle RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES. (""1SAPT. ( 1 COMM. ( ) PUBLIC ( 1 INDUS. ( 1 NEW (--f OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW(-4' INCREASE ( 1 REPAIR ( 1 FEE Aff•do CONDUCTOR SIZE Z AMPS IJ-D COPPER ( 1 ALUM. (--r SWITCH OR BREAKER �-S� AMPS PH W �VOLT RACEWAY O EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED $ TOTAL FEES -- 0003281 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH IUCATXOK Permit Number : 32151 ddress: 732 `:SLLVA LAKES +CXRCLE Permit Type: MECHANICAL ATLANTIC ]BEACH, rLOkrDA .lass of Work: NEW -- LEOAL PZ�[CRXPTTOH ------ constr. Type: MOOD FRAME: Lot; tslock: Sect Ion Proposed Use; ninaLE rAnX1.T Township: RHO1 0 Dwellings: 1 Code: tl luDdlvlslon: Estimated Value: DO improv. Cost; 'Aq. on Total !'Mees: 1p47. 00 Amount Paid: '-4417. On Date Pald: 1!' '2."'"_y1 Work DeBC. : INI-ATALL HEATxNO AND AxR-cnr#nSTxa"xmt3 ---------- UMntn X"r0t"ATXOM --- - ---- AP L C t PEMS - - - name: - Name: ItEY'HANx PLrRnxT Qj47'. 1019 Address; 7-3Z "-8LHA LAKEt� ! ClftCLE WATER rHPACT FEE 4317. On A`?'LAHTxC BEACH, P1.0ItrDA 32233 $EW8R IMPACT PEE Pnc"ne: C�CT4)`w"4 ►-iSi! 1 9/A'TEtt "E"TE R tD0. M RADON UA'lft 0tl.CL'► K'L'1"i*ACTon rNr'ormATrt]N - __._ _ RADON 0A'5 n7: 311, 00 Name: MEAN :STATt HEAT APC NATER TAP iaC. 00 Address: 141Y6 ATLANTIC" "LVD JEWz t TAP 11St1. +Dt7 "tP T'UNE LSL''AY..H !`'L '322Z *,l HTDRAUILIC: eHAAtt V0.Ov License; Type: s`, ftE-xN'►1PELT f''EE '-19t7. 1111 lgac. H x"PACT ;! EM 1$O. Or-) OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By. ^i BUILDING AND ZONING INSPECTION DIVISION 30 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. 11. 73, Sch LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attaclLed 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 y Contractor (Print) n.�.n/ q Master 6q //W y Name of / Property Owner Signature of Owner Signature of or Authorized Agent ' Architect or Engineer 1111. GENERAL INFORM A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON VJ Electric THIS BUILDING OR SITE?_S! //❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER�o7F CONSTRUCTION ❑ Oil PERMIT r3 7� ❑ Other — Specify _ /J uv IV. MWHANICAL EQUIPMENT TO tE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ,u✓��1 Residential or ❑ Commercial Heat ❑ Space ❑ Recessed )� Central O Floor rk New Building Air Conditioning: ❑ Room 06 Central ElExisting Building / �r Duct System: Material ❑ Replacement of existing system I :i .5 Thickness c jk New installation(No system previously installed) Maximum capacity ` s c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p-m• ❑ Fire sprinklers: Number of head• I ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tanks (number) Remarks Cl LPG containers (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers Q Other -- Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A � Number Units Description Model Number Manufacturer (Tons) Cy ' 7L,<,:)17 HEATING FURNACES, BOILERS, FIREPLACES Capadty AnrovfnR Number Units Description Model Number Manufacturer (BTU) Agale7 TANKS Iiowr Many Nominal Capacity Type Liquid Name at Serial Approving and Dimensions Contained Manufacturer No. Agency �z170� 0003282 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - ---- PEl!lilT St4J"'C►K17ATIC134 --.__ -... - - -- LOCATION I NIN-01 3ATInN - ----- Permlt Humber : :�2'L"2 Address: 1r.;6 2WLLVA LAKE`3 C.Xht:LLr eermit Type: nec"ANICAL ATLA"IC BEACH, PI-ORIDA-`223-C C1Bss Ox Mori.: NEN LtUAL DEQCI4IP`TIC)N - Cons'tr. Type% WOOD PA"11; Lot.: BI OCR Section: Propooed Us+e% nINOUE PAPiILY Township: KNE: C Dwellings: 1 Gadee: 0 �ubdlvislan: estimated value: 1110. 100 ,Improv. k'ost : 150. Cth TotBl Pees: 547. +Oct Amount Paid: 4$47. ot) Date f Sid: 1 /1 2/1431 Worh :DSC.e : ZNnTALL HE'EATSNCi AND AIR C.O"D1TIt�NSN0 ------.- _ -- trlwmrft _ ArPL.ICATIL?N - Nsme: KEYHANI }`"enmvr "?. On Address: 7*2M JELYA LAt E'-9 CIRCLE NATEK xnrAC:T prEr 9.0. 100 ATLANTIC I:tAr,", PLORIDA ;12223 `LiEWEK SHNACT PEE %0. 010 WATER nETER X50. CNC? RADON CIAO ti. R. 12DC1. bn _. _ ._.___ C�C1tt`Z FdAk "S"C1i! INIrC�Rt1ATIC1f�i liADCEN DAJ - n7; 100.00 Name: OCEAN STATE NEAT A/'C MATER TAN 50.00 Address: 1476 ATLANTIC BLVD "EWEtt TAY 50.on NE;rTUNE BEACH PL 32233 HYDfCAULIC 1-4HA"M !�MU•00 LIcerise: Type^ C* RE-INinf'LL`r PEE Sa.CC t5EC:. H IMPACT FEE .%C• on OTHER 1301, 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. ["FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN HE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT-TTO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIZBEACH UILDING DEPARTMENT By: l WILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: And OF Intersecting Streets: Between BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Contractors Name of Mechanical Master Contractor (Print) r - C 7 Name of Property Owner r/ Signature of Signature of Owner Architect or Engineer or Authorised Agent Ill. GENERAL IN B. A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? 5700 ❑ Got—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT �C� 7 ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED URE OF WORK (Provide complete list of components on back of this form) "YLI Residential or ❑ Commercial Heat ❑ Space ❑ Recessed ❑ Centro) ❑ Boor X New Building El Existing Building Air Conditioning: ❑ Room Control .r El Replacement of existing system Duct, System: Material - �!}' Thickness New installation(No system previously installed) &r Maximum capacity t� _c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P.M. ❑ Fire sprinklers: Number of head ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeoiwd) ❑ Tanks (number) Remarks ❑ LPG containers--(number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boiler ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT �? Capacity Approving Number Vnita Description model Number Manufacturer (Tons) cy FHEATINr: FURNACES, BOILERS, FIREPLACES Capacity Approving ]number Vnits Desc ption model Number manufacturer (BTU) Ai'�y TANKSA ronin How many Nominal Capacity 'type Liquid Name a< Serial PP 6 and Dimensions Contained Manufacture: No. Agency � v ADDRESS BUILDING PERMIT # 077 INSPECTIONS FOOTI140 INSULATION — SLAB STEEL ----------------- FRAMING--------i1----- FIRE FINAL BUILD C/O ------------------ ELECTRICAL PERMIT # ______ INSPECTIONS ROUGH________________ FINAL_—_- ----____-- PRELIMINARY SENT TO JEA..... ......... FINAL SENT TO JEA____________________ CALL TO JEA ------- MECHANICAL PERMIT # _ _____________ INSPECTION ROUGH___ _, _ PLUMBING PERMIT # INSPECTIONS UNDER SLAB____ ROUGH �.o...-..a j..——---- to S o 6\.Z:/ 1V s� i* ,apr•3393' a=//•-ko'S4' N '6�� v a //9./s •W� XN35 5J.-36 S.lo3•-19'33'/•x/. A o� �•, ° C p ° 1p.t0 aeC•2�a4 -04*96'39- .v,• I p�D . p XN� N O civ, NJsCp Q �.�'Vti /32.0(0'��Jtc1a n n J p0�� \„ nrq$ N� N r 0 Val $ �N W'y m w rx tiyyawN' (p � 7 S.fo9•�4'34'N/ O; •�` �T=` � �0 � � Gi CAI•35tb3' O ,.,,• Nor Y� �' �j t�� 1 ti�b1�•y /��1 v .tot^•3',...�• .t•t 73' .1t .DN �c,, to /� 0 W. I) 0I 5.75'2/59-N. _ ' 4z•O oo � � � o�to•4�b�s��/� s �L Cal.•3487' qeC=3488' d•�o118 n4 QUA Ib 6 o___ r �ss° CYPRESS Qtro •o� ia _7715.8/•23'39-W. _�� „/07.35.0 •• /od.//' :-8�•� \ /1 Csl=34.Su�J7S5� �► z �/ �/ '" /.r� `t`�.Zo56 d•�3 33 PV..Cil=337' --.N ( `'�� A .ate=34.59'd•GYo•oio•22-��jl n a >e�ti� i �AnZ �' / 5./7' to•u� nn �`to`� n N Z C1� �`. . moo c��O �3• / vZN n/`%'33'3&'w. .�° � ,. ;:;,, In W .o �. •�b—•9 1 a � _ t,1 Cr•I.•3.50O' --� d '. N SOD �r y_.� ��0. -��..,._.� �. 14 'v01 \'S Q �� c cN•3.567' '_-; a w e.�q'�o ® .a,Pc•3s.c39'd=a6v3'S5" V; �rj �,� ti ?abs. \9�. `! NC? O C{� .G) '6�`, ;no, ° N.�e011 5 a, v o F NC9 ARC•/8.46'd=04.7/Qj' m•-�� O n/.8?•39'49 it! '0• D 4 : C G4!•3S 50-— Vp .a p L'+ 4RC•35.5 'd•x•2341 N(n \o A 715 34'?9%✓ Z y N n NOQ. O N X0`0 �.4RC•3ti?(ob'd'OB'//'4?'(W'.D A E, 97O CU 6k&D 111 LUN v' c �9_a9 !� K I9 C 7 -- N 14ie- 1 N areoJS-� OJIy alt 0 110 A' t y A1O&•/6(DO-W 9575' - /05.00• 11.1 734 j.: w v City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee 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 TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _____SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET VALVE WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) -----URINAL WALL LIP (4 ) __D__SHOWER GROUP PER HEAD (3) _____FLOOR DRAIN ( 1 ) SHOWER STALL DOMESTIC (2) _-___LAUNDRY TRAY (2) LAVATORY ( 1 ) ___-_COMBINATION SINK AND TRAY (3) _S WASHING MACHINE (3) -----POT, SCULLERY SINK (4) j__DISHWASHER (2) _____WASH SINK EACH SET OF FAUCETS (2) „__KITCHEN SINK (2) - DENTAL LAVATORY ( 1 ) ___KITCHEN SINK WITH WASTE GRINDER (3) _____DENTAL UNIT OR CUSPIDOR ( 1 ) _BIDGET (3) _____URINAL STALL, WASHOUT (4) __C) FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH ---- FOOD DISPOS. (4) _ ___URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN ( 1/2) BLOWOUT (8) _____ _ ___LAVATORY, BARBER/BEAUTY SHOP (2) _____LAVATORY, SURGEONS (2) _ __SURGEONS SINK (3) __t_�_ICE MAKER ( 1/2) C.. WET BAR (2) TOTAL FIXTURE UNITS__________ @ $20. 00 EACH $ ,� _____ ___ JOB INFORMATION__ % v�_ i.)q 'oeV z ( _ , /Z I--------- 127 CITY OF BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD P.O.BOX 26 REQUIRED SUBMITTALS ATLANTIC BEACH,FLORWA 32233 Each application for building permit must be accompanied by two complete 'TELEPHONE(904)249-2395 sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); and a recent survey of the land for new construction and additions. APPLLICATION CHECKLIST V/ 1. Building Application form / _ 2. Two complete sets of plans 12Ef�2 TO M�-S 7F2 �r4ru S 3. Detailed Site plan .. ��.2 Td N14ST�2 IG�Y41U S 4. Recent Survey, if required — 5. Owner/Builder Affidavit" �� "Required when owner acts as contractor TIME REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8.00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit number, job location and type of inspection, needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up building, use building permit number and reference other applicable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinsoections. CITY OF PROPERTY DESCRIPTION tr&u.ce& Fead - �'607cda 716 OCEAN BOULEVARD � -7-Block # __ P.O.BOX 25 Lot #_ 2__ ----_---Section i -- ATLANTIC BEACH,FLORIDA 32233 ui -------- TELEPHONE(904)249-`1395 Zia Street Name-- J Q � _4_ft / BARD DESCRIPTION OF WORK or Address: �.----!-.1^_--=e--��--r�_------�r � �j + v^ � �UPe 1 r/ v ______area complete page 3. Brief J� Flood Zone:-------_ Description: V� "wn_�-211�e• Class Work: ,- �-_ (Neer/Rememodel/Addition)__ tom• ZONING INFORMATION Type of r. 4 1'I ( yy Construction: - ��It�`. Zoning Proposed ( Estimated Value District:---------Use:--------------------- Materials:__________________________ Exceptions or Variances Granted:_______________________ Solid or Filled ------ ------------------------------------ Ground:--------------Roof•----------- OWNER I14FORMATIOH Method of Heating: __j_'�JJJ. tlC4L ' Owner:_R_ J___ --------- Phone: _-__�. �7_a22q Property -- - Mailing -1 Address__ ------------------- -- -r-� iY_ l r�_---•'�.1°��f - ---- - ' ----- zip'-- � ---- CONTRACTOR INFORMATION _ `, - i_ N ---- ""_�----------- Phone:, � _02 Contractor: Z / _ - Mailing -! Address: -�_- ----(`2 ----------------- "7 4 T-1, A N 7=j_ ----------------------- Zip'-- _---- --- --- --- -- - Expiration _ A O L License Number: 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, IN ANY MANNER, INCLUDING THE REGULATIONS, ORDINANCES, OR LAMS GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS _ CONTINGENT UPON THE ABOVE ZNFORMAT ON BEING TRUE AND CORRECT HD THAT THE PLANS AND SUPPORTING :• DATA HAVE BEEN OR SHALL BE PROVIq� AS REQUIRED. ---Date--- -- Owner Signature _ __ - t ;. Date 2111. Contractor Signature_ -------- FLOODPLAIN DEVELOPMENT INFORMATION 't'yps of Development : _____________________ ---------------- Flood Zone: --__-_ ---------- Required Lowest Floor Elevation: --------------- If building is located within a flood hazard zone, 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 lags or ordinances affecting the proposed development. Date __ PP ------------ Applicant's Signature -------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department -------_--- ----------------------------------- Building Department Representative page 3 0003077 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PL�hRZT INFC7RlZATIC)N ------ ------- LOCATZON IHMRftATXON ---------- Permit Number: '31077Address: fiL 6 StIvk L14!sLCs Ci fzc- Permit Type% PLUNbXMO ATLANTIC BEACH, PLORZDA '322'33 Class or Mork: ADDITION --------- LEOAL DEisCRrrTZC)N ---------- Constr. Type% WOOD FRAHE of: 127 151OCk: 2Jectlon: Proposed Use: SZKOLE FAI!'ILY TOvnshlp: RNC]: 0 Me111ngs: 1 Code: o "Subdivision: 1ESELVA LAKES stlmated Value: 30. 00 Improv. cost: 50. DO T cl. go Amount Paid: 9159.0O Work Desc. : INSTALL PLUITDIHO AND PIXTUM E15 TO ADDITXO "3 --------- OWNER rNfrL' n"ATION --------- ---- APPLICATION P'EE3 ----- Name: RGH FERHZT V6,%. 00 o0 ddress: PO bOX 1507 MATER ZHPACT FEE 90. 00 ATLANTIC bEACtt, FLUXXDA 32233 SEWER xnPACT PEE 30. 0o rhone: t f - WATER PIETER 30. 00 RADON CLAS-ft. h. 1N. 30. 00 ------ CC)N`tRACTOrt INF0RflATxOff ------- RADON DAIN - nx 30. oo Name,. F. W. FAIR PLUIlBZNO CO. WATER TAr 30. 0o Address: rO DRAWER 013b15 :SEWER TAr 30. oo JACR'SONVILLE ISCH, FL 32290-1'3 HYDRAULIC 15HARE 50. 00 lcense: Type: 0 RL°-INEPLaCT f"EE 30.00 90. 011 NOTES: OTHER 30. 00 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE£Tjo REVOCATION.FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. HA ATLANTIBEACH BUILDING PARTMENT By 'h Lu JOB COPY 0003077 X� DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- t'Et4M17 INt'Clttlih7rC1N - ---- _- - LkCATXON XHrt3ftttATx Off Permit Number: Cctress: teermitType: PLUN$INCAT7l9lR" ,L Lkc ID-A.0_.:H_ . S3 Mass OX Wort.: ADDITrOM - ---- -- LMAL Df5`3�"RYPTX0N -------- Constr. .Type' WOOD r tAnE ot: 127 131ocls: 'flection: P-roposea Ilse: :`3IN10LI5 rAnXLY Township: RNO: 0 Dwellings: I Coae: 0 lNUDETIVISlonz ' l%LVA LAlsIVS Estima;'*tea value: $0. 00 Improv. cost : 50. oo Total treee: X64. Do AmoUnt f aIO: !3�f5AJ. too Date Paid: lo/-z P,!m Work. De SC. : rNST'AL.L PLUMEIHC! AND Fl} TIL' -L5 TO Annvrxoms --- -- - - 0Wt{"Eft ]H1 tiIISTSf 7'SttH -- - AI't'LIC•ATION rEe'� Hame: ROM I'l.tt?TX T Do caress: Po oux L,s37 WATER IMP ACT F tE So. or, ATLANTIC bth+Gtt, fi LORIDA J2 _3 SEWER XnPACT !'er SCJ. on Phone: C ) - WATER nETER 190. 00 RADON DAIS-1i. R. 3. 510. 00 - ----- LC WrRAC"TO t INFOftnATXOH -- - ---- RADON UA$ - M7: !%0.oo Name: F'. W. FAIR PLtJ?TBXND CO. MATER `TAP '50. 00 caress: ru DRAWER nlnne 'SEWER TAP 010. on ACKISDHVILLE BCH, FL HYDRAULIC VHARE !�10. oo sces�Fse: Type: to RLr-IN':4f E T PEE Mio.0o NOTES: OTHER moo.00 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING UON ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ 4tW REVOCATI9,;Q R VIOLATION OF APPLICABLE PROVISIONS OF LAW. ' ATLANTIBEACH BUILDING DEPART ENT 1 By; L' CONTRACTOR COPY DEPARTMENT OF BUILDING 0003077 CITY OF ATLANTIC BEACH s _ `P'ERTTIT IHFt7RnATIttN -- --- _ - - -- - - -- LOCATION rHFOn"ATrUH Permit Number Address: A4".,5 �"7►7 A' NEILlYc'�'M,�'*Lti'rtT'1DACJJ"."'� Permit 'type: PLUn$ItRt1 �j� Class or Worm: ADDITXUH __ _ --_-_._ - LtUAL DLrttWRIPT1ON -------- -- r.onstr .. Type: WOOD FRAnts Lot: 127 block- '15ect ion: erbpo sed Use: 15XN fLE A'AnIL7 Township: RICO: U Dwellings: 1 Code: bSubdivision; '�ILLVA LhtSL� Estimated value: !00• C'D rmprov. kora. : CAU. nuc► Total Fees% Uh Amount f'e,id: �tS+i. YtiC1 Date Pard: 10i 241"�U Work Detc. : INISrALLL f LunblHC4 AHD rxxru L"- TO ADDI'TrowB tilMNEft YT;1`VtSlR P.TX"H _ _ _. ._ _. . _._ _._._ _ Ap'1 t XUAT10H FEE'" - - -Name: RG" Fix"nIT �ki4. Cn Address: PCt 13LIX t3*37 WATER X"PACT FEE 10+0.CC ATLANTIC SMAV.", FLU"IDA 92:233 3EMER InPAC'T r8Z 50. 010 PhC+ne: c WATER nETER 3C?. 01D RADON OAS-H. It- t5. JVD. at) -------- CONTRAC TOR II`(1 OhftATIL'DH -- RADON DA*6 -- nN !Ofc. UO Name's r. M. FAltt PLUnt3IMU CO- MATER TAP VC• bU Address: rU DRAWER nlndtS t3EMER TAP %C.f►'-) JAGTC3C7tX fIi.LE 13CH, PL "32'240-13*3 "TDRAULIC 1-1"ARn R0. 00 t.1CeuME . Type: C1 RE-l"" PeCT rrE 00. 00 JMfD. H InPACT FEE UT"Eft eU. arc► NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN 15 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. j ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEf,�T,rP, REVOCATIf : R VIOLATION OF APPLICABLE PROVISIONS OF LAW. .f ATLANTI BEACH BUILDING qiPART ENT By: 0003077 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH .I'm rortnAT10H ___ _ -- _ .. LLW-ATION Iftrt1ft"A' X0H Re'rmit. ttumt•ex z 307"7 CfdresEc: a1, j �"' Permit Types: f'LLififYtK0 A ffrx t_l t.(,,1��fxxt7h.'9 C1088 OX Work: ADDITTt)ff -.._ _. _ ___._ _ LCOAL i)f'+.. VftIPTX0H --_________ C'onstr. Types: Wlik1U f"ftAllR" of : 127 Block % tqectxon t PTopoSed Use: SINt3Lf7 rAHILr Tc+rtnsizlF+: Rfit3: C► I1Mel.lingts: 1 �GOaE : �Cf ubalvlslon : 'VLLVA L.AfSE25 'L"'StIme'ted Value: 9$0. 100 r Improv. Ct. gt-tt : 114 0. 0Cl Total freemt V641. 00 C ` Work Ve"sc. T119TALL Pt,onbxwt ANP Prm- a t^� `m ApDXTICIKI�5 Nramv: RGtf f' .ftt^f 17 �. c7a Attar s: Po "" Y 7 WATEfS 1"PAVT T frEE 90lo. +DC> P.TLAWTTC. bf:At,:Ji, PLOrtIDA Lt?_.' t3EWK R IMPACT rt1,E 1$0. 10ty PiOc,n�: C r WATE'ft nETER 3Cf. 00 RADC31t OAS--ft. R. 15. !00. 00 _ ___.._. 1:t?N7fR lC�:"7 C3fR f tflF"tiF4l9ATYL}T4 "Avon 0An - nx st). too K:3i7lIE t f` . W. f*Alft f Ltffll�INCi t:l7. WATrft TAP V0. uo Adaress: Pia DRAWER n7ltltlt'! I-tMWER TAY 900. 00 JACtC SC9td1 3L t.E 8C..", P`L 32240-1tlnhY'DRAUL2C: ?MARE 1$0. 00 1 e=onse z Type-. 0 ftt--l ff"ZI ECT I'Mis *k).00 "MC.. fI XnrAC.;T I-EL 4C1. 00 Lt. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC EACH BUILDING DEPARTMENT [:,By: f� is g+ if Io 1 l� 0003076 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ------ PermitrNumber PtPr17R.313TL511Pt AOdtress- LOCATION IPtFORPlA't�'IpefF��i£S "7 3� -(u A ` L. i rc, Permit Type: PLUH111INO ATLANTIC ISEACH, FLORIDA '322'33 class or Mork: ADDITION ---------- LEGAL DEJCftIPTXOM ---------- Constr. Type: MOOD FRAPPE Lot% 128 Idlock: Section: Proposed Use: SiNOLE FAnILT Township: "NO: 13 Dwellings: 1 Code: 13 Subdivision: selves lakes Estimated Value: 313. 1313 Improv. Cost,. 013.1313 Total Pees: !%154. 1310 Amount Paidt: SlS4. 1313 Mork D ---------- OWNER INMRHATION -------- ---- APPLICATION FEES ----- Name: ROH 11*ERliIT 9154. 1313 Address: PO BOX ClDT MATER IMPACT PEE 913.on ATLANTIC btACH, FLORIDA 3223 SEWER IHPAcIr FEL"' 313. on Phone: C > - MATER HETER 913. 1313 RADON OAS-H. R. IS. 313. on ------- CONTRACTnR INmYtMATION ------ RADON OAS - nx 313. 1313 Name: F. W. PAIR PLUNlIINO CU. MATER TAP 313. 1313 Address: PO DRAWER '31SO15 SEWER TAP 913. DO JACKSONVILLE 15CH, FL 322410-1=ib HYDRAULIC: SHARE 913. DO License: Type: 13 RE-INMPECT frim 913.1310 SEM. 11 IHPACT rte 913. 1313 OTHER 313. Do NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT UILDING IMPROVEMENTSiN THE PROPERTY OWNER PAYING TWICE FOR B ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT--TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ ATLANTIC EACH BUILDING EPARTMENT PY Y B : CAN �i JOB CO 0003076 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- -- rEPtrTrT srtl�t�TcrrATrllzt _ ______ _ LbC;ATrC]N rNP'`C1ftt7ATr.L'1H ---------�5-�— Permit dumber; '311Tr"i Address: LATt� < �tt; r'L.1�11�SDAC�p�Z`,3J Pe�r ftlt Type! PLUIMSINB AT rC Glass ox Work: ADDITrum ----- - LMAL DL''SCftrrTxaH ------- ---- Constr . Type: WOOD PRAIIlf_r Lot: 126 block, erection: Proposed Use% :E5rMt3LE r'AnXI-T Township: RM0, a Dwellings: 1 Code: C subdivision: selves lakes sstimated value: 150. 00 improv. Cost : 1511. 00 Total frees% 15L"+4. 1111 Amount Paid; 19C94. Cit'► Date Poics: 20P24J--"0 Mork Desc. : 1"-TALL PLUMBING FIXTUR - - ----- OWNER 1MMftr1AT10M ---- -___ _____ AP'P'LrLATICIN IrLEn ----- Maine: R%3n Pzft"rT 1%154.100 Addr&08 : eO BOX (557 WATER 1171 ACT FEE SO.no ATLAHTrC PJEACH, FLOft1DA 322nD tNrwEn xnrAC..T rEM 311. at) Phone: t > - WATER "ETER 150. CC RADOM OA3-H. R. 25. 1511. *0 - --- CONTRACTu t .Itdro thATION -- - - ftApa" "AS - zx 1511. 00 Name-. F. W. r'ArR f LUTTBrHo CCD. WATER TAP 50. 00 Address: rO DRAWER nlnM6 SEWER TAr 1501. C1tJ JACKSONVILLE bCTt, rL '322411-1Z iS H`lDRAULrC :SHARE 15b. 111'.1 �lcerrse: Type-. U RE-INISP•ECT frE:e !410.Ot'.1 !SEC. H r RPAC:T rte 510. 00 OTHER 50.00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IIV� BQ0VNEIANTS ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBT T Rb) REVOCAT OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHRE ATLANTIC EACH BUILDING PARjMENT r /J� By: CONTRACTOR COPY t t 0003076 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - - -- rennxT ITif umnATTCfH - - -- -- - - - -- LtlCATxt7N 1hrU RATION __ _ -- I'ermit Numbers 3K?7e Adctreas: � z�'� Peri ftlt Typel PLUMSIHO ATLAr�S'SC Al �A i i . Gass ox Morkj,r ADDITXOH ----- -- - I-EOAL DEnCftXrTXOH ---__ conBt.r .. Type a WOOD rRAMr Lot: 1213 block: Section 1 Proposed Use: nXHOLE YrAnxi r Township: It Nb: O Dveillrcgs: 1 cope: C/ --iubctiviaion% selva lakes Estimated Value: RC1. On improv. Cost % %0. 00 Total frees: �L1%4. cc Amount. Paid s lot5ll. On Date Fluic: lC1tzq; --ifu Work DeSc. : SH*-t%TALL PLUIMBINO FIXTUIR "s TO ADDI ------- ---- OWER xHFOftPA7r0l4 - _ __ ____... _,-- ArPLICATSIDH rV..1rZ -- --- Hemet Ron PEn"iT 1164.100 Adc]re£ss: rO BOX t357 WATER xMf AUT PEE $0. On ATLANTIC. IMEA?CH, FLORXVA -12-2'33 t�lf:;WER InrA(!T rISIS 1510. 00 Phone% K > wA reft 150. no "ADD" CfA -t!. ft. :]. 150. On COMTRAC.TUR r"rfsMATION - - - - - - RADON OAS - Z% CAO. 00 Ha:rie: F. W. FAIR Pt unj5x"o va. MATER TAP %0. 00 Address: PO DRAWER :. 1nn6 SEWER TAr $0.UK) JACK,SORVILLE bC", rL 32240-IMMe "YDRAULxc SHARE 50. 00 Lleense: Type: C INE-INISPMT PEE 191C"?.00 3e°c. m xn ACT rEE S". 00 L)THEft 9P U.CYC) NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMYPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB gPREVOCATQV,FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. DPW ATLANTIC EACH By: BUILDING D PAR�M,,ENT aN 0003076 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Iler"it -number; 7A Pervalt Type: AT c%jass ox workADDITION Type'? WOUD rRAMft LOL I I Z8 bloCk I necti on i Une: �IIJQLE: 1 ArLIL7 Townwhipt Y4 HU 13velllngs: Y Code, selve Ankes Valuet $0. rmprcov. Cost % AU• an Total reesz Amount Paic: Date Paid: 1 2 4 T10 ADVITION P Etc IT Hemet FWATER InPACT P-EV mi hdar&eSt eo "UX Mn7 I-gE: ' 1 0 ,4L , , IMAICH, FLORIDA 4ewrn xnrAk7l' rtr- rricine; WATEft "FTJER so�VJU A IDC-Ift 0A*-'4-Ti. 15. ISO. 00 ftAOX3H YCIAS -- PLU"151'"10 CV- WATZft TAP AddreSEZ rO DRAWER n1nn6 MCWMft TAr fit).cot) JA+C:K-50NVILLE 3Z2'qt-f-1 "n "yVRAULIC SHAftt Be Typel C) WE-1hisvecT rMt QFC:. n rnPACT rZt '40. 00 !00. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE PERMIT MIT V' BUILDING MATERIAL, RUBBISH fANDDEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND MATERIAL, AWAY BY EITHER CONTRACTOR OR OWNER. BUILDING I L �2 COM PLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN "FAILURE TO COMPLY WITH 55 ry r%iAi M r a PAYING TWICE FOR BUILDING IMPROVEMENTS. THE PROPERTY OWNER PA ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1� ATLANTIC BEACH BUILDING Ouf:PAR MENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION / PLUMBING CONTRACTOR F• ��. FAIR FLUI BIPIGCOi: A LICENSE NUMBERS MP145 State RF0037503 O NE R BUILDING CONTRACTOR ,®5�� TYPE OF BUILDING SINKS _SHOWERS _LAVATORY 1 WATER HEATERS : BATH TUBS J DISHWASHERS URI NALS _DISPOSALS CLOSETS - - / WASHING MACHINE FLOOR DRAINS OTHER ILTOTAL FIXTURE COUNT X$3. 50 + $100 DATE /O / 925 TCTAL AIll 0U1 T INSTALLATION OF PLUMBING AND FIXTURES 11UST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.