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2009 Selva Madera Ct (vault) ADDRESS BUILDING PERMIT NUMBER______ / INSPECTIONS FOOTING.____= SLAB '7_ a� FRAMING_-_-Z&; COVER UP4;� _9_ INSULATION__ Q-1 6-92 2 FINAL BUILDING___ L _ Q?�_ CERTIFICATE ELECTRICAL. PERMIT # C_?d �___-------_-_-._ INSPECTIONS ROUGH___fY_ FINAL---// SSa3 � MECHANICAL PERMIT PLUMBING PERMIT #__ �� NOTES: -Ulm M)/\J& POOL- �fJSPE Cz�o�s: ST��L_ Cj S \Jlj r CITY OF ATLANTIC BEACH 1js1� 800 SEIVIINOLE ROAD =` ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034257 Date 11/17/06 Property Address . . . . . . 2009 SELVA MADERA CT Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 22198 --------------------------------------------- ------------ Application desc REMOVE & REPLACE ROOF - SHINGLE TO SHINGLE -------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FAIRWEATHER, RICHARD HOME DEPOT INSTALLED ROOFING 2009 SELVA MADERA CT. 207 KELSEY LANE SUITE G ATLANTIC BEACH FL 32233 TAMPA FL 33616 (8 13) 630-2498 -------------------------------------------------------- Permit ROOF PERMIT Additional desc Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 22198 Expiration Date . . 5/16/07 -------------------------------------------------------- Fee summary Charged Paid Credited Due -------- ---------- ---- ------ ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 140 . 00 140 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r .ri rLy f. µs, CITY OF ATLANTIC BEACH r f PLAN REVIEW SHEET Routed to: Hufstetle Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane R.Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# 0& - M9 5 Property Address 26q SQjy,4 /V6460 l:/ . Applicant: - 0 M Project: � � �� &if lel E "7p 1Sff1/V 6t6 ./ This permit application has been: Approved as noted by the 61 D4" Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: 221V - -11'/D00. D.4 d�oa . DD �f! /DDO.Oa /d �• 06 • N TRK. - /5�a .00 Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. de Reviewed By: -Cl) Date: ZZ0 Date Contractor Notified: RECEIVED CITY OF ATLANTIC BEACF! ' BUILDING &ZONING CITY OF ATLANTIC BEACH NOV 13 2006 ROOFING PERMIT APPLICATION Date: 10 -31-06 Job Address: Owner of Property: �tcr� bQrlll�Ilr\ �Git�We4�f,��,� Address: ;2p09 SeW 4 /no-c6rc.., Gf Telephone: 9o4c-1�6-8F8S Contractor: Qulcy, (`n. ulIt . 3 State License Number: Contractor's Address: sle A Telephone: Fax: Scope of Work: tq Ct ct f f-0 G Deck Slope: b 1 Greater than 2:12_ Less than 2:12 Valuation of work: a 199 Product Name(Example: Timberline): -r(mber(,4 U(trcA GAf Manufacturer(Example: GAF): _ �J9� ASTM Designation(s): J D 30/ 2 Required Inspections: Sheathing and Final Signature of Owner: Date: 10-31-66 AS TO OWNER: Sworn to and subscribed before me this I day of 007-081: 20 06 State of Florida,County of Duval .�`��00 ALAN O0'i''�. Notary's Signature: •'�iassioti' �'s ''% Ci:•a��J�. o�'. 9 y ❑ Personally known Produc?f identification �* 4#DD336890 Jam:o� Type identification produced o „ e��:• e Signature of Contractor: Date: AS TO CONTRACTOR: 0 Sworn to and subscribed before me this `7� day of NU h4,n�,L. 20 (�( State of Florida,County of Duval ��— Notary's Signature: P" Notary Publk;State of Fbrida Michael James Holeva Personally known My Commission DD51736 E❑ Produced identification %anis Epims 02113/2010 Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2/21/03 •Timberline Ultra Shingle Page Page 1 of 1 Specifications for Timberline Ultra Super Heavyweight Design Lifetime Ltd.Transferable Warranty (( LLLL Smart Choice®Protection for the first 10 years it IFF ii/�,, 110 mph Ltd. Wind Warrantyt ff 1V floiI �i Fiberglass Asphalt Shingle Algae-Eater'" Protection available in certain areas wm (check sample board for details) Class A rating from UL ' Passes UL 997 110mph Wind Test CSA A123.5-M90 and CSA A123.5-98 ASTM D3018 Type 1 ————-—————-—— ASTM D3161 Type 1 ASTM D3462* Dade County Approved Meets Wisconsin Administrative Code 13-1/4"x 39-3/8"Metric Approx. 64 Pieces/Sq, (Metric) 12"x 36-15/16"English Approx. 78 Pieces/Sq. (English) 4 Bundles/Square Approx. 256 Nails/Sq. (Metric) Approx. 312 Nails/Sq. (English) S 5/8"Exposure(Metric) 5"Exposure(English) *Product is manufactured to meet or exceed ASTM D3462; values from subsequent testing may vary depending on storage conditions. ON tApplies only when: (a) product is installed using six nails per shingle and(b) product is installed in conjunction with Timbertexp Ridge Cap Shingles(Note: On the West Tlmberline� Uitrap shingles Coast,any GAF Ridge Cap shingle may be used); otherwise,wind warranty is 90 mph are available nationwide For Distinctive Ridge Cap Shingles, use matching TIMBERTEX@ or PacificRIDGE" Ridge Cap Shingles Applies to Timberline Ultra White Shingles Only. http://www.gafcom/Content/GAF/RESI/ROOF/RS T40Ultra.html 9/12/2006 ,ku,am to: -7 5/67 Name:THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services Doc#2006391590,OR BK 13633 Page 2031, Address:3200 Cobb Galleria Pkv.Ste. 200,Atlanta,GA 30339 Number Pages:1 Filed&Recorded 11/09/2006 at 02:00 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY This Instrument Prepared By: RECORDING$10.00 Name: lit�A4' quLL" Addres • • (zo- 0- -J" Ft- 3 2_21") Property Appraisers Parcel Identification: NOTICE OF COMMENCEMENT Permit No. >��—/ Folio No. STATE OF FLORIDA COUNTY OF DU i/A-C. The undersigned gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. i 1 Legal description of ro t/U-3`7 0 F- :),3 � gproperty(in de t addmss.if availablg: n i-1- a C)0 Sel'v� General description of improvement. Owner I uqr j G`me ndraddr* Fir Interest in Property:04419'r Name and address of fee simple titleholder(if other than Owner): Contractor—name and address: The Home Depot At-Home Services 207 Kelsey Lane,Suite G Tampa,FL 33619 Phone Number 813-630-411.1 Fax Number: 813-6304112 Surety—name and address: Lender—name and address: Phone Fax Number. Amount of (} Number: Bond: $ Persons within the State of Florida designated by Owner whom notices of other documents may be served as provided by Section 713.13(1 xa)7.,Florida Statues: Name and address: Phone Number: Fax Number. In addition to himself;Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statures.(Fill in at Owner's option) Phone Number: Fax Number: Expiration date of oticc of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified). Signature of Own r Signature of Owner ZjChod �klroJp&. r Printed Name of Owner Printed Name of Owner Sworn to and subscribed before me by ✓who is personally known to me or produced as identification,and who did a an oath, 31 4*1Wif��20 o6 � PLAN N O �' i, Signature of Notary _ ` OP ......, p G Sta of Flo a� o� 12,2 •• Printed Name of Notary: Clifford Alan U;•��J� �O� Commission No./Expiration: July 12 2008_ — ;�a#DD3368 Sir a FILE COPY �i 9 °19hlsist;•• �� 01/01/2002 00:02 4073811946 ROSAURA VAZQUEZ PAGE 01 Florida Building Code Online /)i f '"l- ' -- C) 4, L71 A 8CIS Horne Log IM Hot TOPICS Submit Surcharge Stats IN Facts Publications F8C Staff 8 Product Approval USER: Public User Comrntit, Affairs Product Approval menu �o Product or Application 5earch > ApplientiOn Lift R-1 1 iSearch Criteria lCode Version 2004 FL# $7�--Fz p lication Type ALL Product Manufacturer p --tegory ALL Subcategory A I A App.11ca-tlo.n.Staltus... . .. ........... .............. Search Results - pplications FL# I Dme Manufacturer Va-lidated 131 ."WWWOMMMMMINi — FL183-RI Revision GAF Materials Corporation History FLO, FL183,12 Model, TImberline Ultra Description., Premium Laminated Shingle Category: Roofing phalt Shingles ISubcateigorr. As PCA AdmIn!gr ,91g—n ftparbwo"t pf CepmmunNy Affairs jq0jqdy Building Code Online codoo and Standards 2555 ShUmOrd Oak Boulevard roijahassee, Florida 32399-2100 (850)467-Z824, suncom 277-1824, Fax(850)414-8436 C) 2000-2005 The State of Florida,All rights reserved. gg" product Approval AcCePtV http://www.floridabuilding.org/pr/pi�_appjst.aspx 11/13/2006 01/01/2002 00:02 4073811946 ROSAURA VAZQUEZ PAGE 02 1 A M 10 MIAMI•DADE COUNTY.FLOILMA MEMO-DADE FI AGL.FR BUMDWG BUILDING CODE COMPLIANCE ORFLCE(BCCO) 141 WEST FLAGLYA 9TRSST,SUITS 1603 pRODUCI'CONTROL DIVISION MIAMI.FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2909 NOTICE OF ACCEPTANCE ffOA GAF Materh&Corporation 1361 Alps Road. Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable Hiles and regulations governing the use of construction materials. The docurocntation submitted has bma Reviewed by MON—Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.-The Miami-Dade County Product Control Division(Tin.Miami Dade County)and/or the AW(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes.If this product or material fails to perform in the accepted manwr,the manufacturer will incur the expense of such testing and the AM way immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade Cowty Product Control Division that this product or material fails to meet the m quirements of the applicable building code. This product is approved as desczibed herein,and his been designed to comply with the Florida Building Code. inchrding the High Velocity Hurricane Zone. DESCRUMON:GAF Timberline Ultra Shh0r, LABELING:Poch unit shall bear a permaneat label with the maaufacturee's name or logo,city,state and following statement: "Miami-Dade County Product Cwtrol Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the perfonnance of this product TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufactu=of the product of process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other proposes shall automadcally terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVMTISENEE NT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacttaer at its distdbutots and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#03-0219.06 and consists of pages 1 through 4, The submitted documentation was reviewed by Frank Zuloap,RRC. NOA Na:04.0305.02 Exporsoan D&W oa►12" Appro dDate:0ars4f04 Pao 1of4 01/01/2002 00:02 4073811946 ROSAURA VAZQUEZ PAGE 03 ROOFING AsSBMBLY APPROVAL caftm: Roofing Sub-Ca eoary: 07310 Asphalt SW405 Dimeasional vaak_TT=; wood 1. SCOPE This revises GAF Timberline Ultra Shingle as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION Pr oduet 12d "Wt De�ecrlutiaa e GAP Timberline Ultra 13'/:x 393/s' TAS 110 Fiberglas reinforced heavy weight asphalt roof shingle,with a laminate profile 3. EVIDENCE MMMT1'M: T9461M Idem Test Dix Center for Applied Engineering TAS 100 02/23/94 Underwriters Laboratories,Inc. ASTM 3462 ASTM D3462 03/26/94 Underwriters Laboratories,Inc. TAS 107 Mo&fcd ASTM D 3161 04/13/94 Center for Applied 090[P.nginecring ASTM DW2 03/19/97 FRI Asphalt Technologies,Inc. TAS 100 GAF-04l -01 OV13/04 Underwriters Laboratories,Inc. TAS 107 04NK04273 02/20/04 4. LIMI'fAT10N3 4.1 Pire classification is not part of this acceptance:refer a cuaent Approved Roofing Materiels Directory for fire ratings of this product. 4.2 Shall not be installed on roof mem heights in excess of 33 ft. 4.3 All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code- s. LNSTALL.ATION 5.1 Shingles shall be installed in complim=with Roofing Application Standard RAS 115. 5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115 S3 The manufactum shall provide clearly written application instructions. SA Exposure and course layout shall be in compliance with,Detail'A', attached. 53 Nailing shall be in compliance with Detail 13',attached. 6. LABELING 6.1 Shingles shall be labeled with the Miami-Dade Logo or the wording "Miami-Dade County Product Control Approved'. NOA No.a0440.;0'5.02 Kaptrattoe Date:0422118 Appmvd Dube:04/12/04 page 2 of 4 01/01/2002 00:02 4073811946 RQSAURA VAZQUEZ PAGE 04 7. BUILDING PERNITI'REQUIRTMENTS 7.1 Application for building permit shall be accompanied by copies of the following: 7,1,1 'Phis Notice of,Acceptance. 7.1.2 Any other documents required by the Building Official or the applicable code is order to properly evaluate the installation of this system. B. MANUFACTURING PLANTS 8.1 Tampa,FL DETAIL A DECK FULL 6th 17'OFF 4th 11"OFF 3rd eo OFF 2nd FULL 1 st NOA No.:04--0305.02 mgA"oe..Date:04n2M Approval Date:04/22/04 Page 3 of 4 01/01/2002 00:02 4073611946 ROSAURA VAZQUEZ PAGE 05 DETAIL B Release Tape 6 fastener8 7-L" 7 " 134" 1" " 74 5-6/8• Front Side(Maximum Vope 12:12) 39.3/8• Release Tape . 2" 1. 6 fasteners 7j7 13�• 4 6" Front S06(Maximum Slope 21:12) Tab Sealant /" 2" L— A 3/8" 1/2' ,Sado Sloe END OF TATS ACCEPTANCE NOA Na:04.0305.02 SxcpS,atlon Dau,W22AD9 Approval Date:04/22/04 PW4of4 q1 CITY �ITY OF �D � D' ecce-&7&u-J, � 000 I �, Office of Building Official REQUEST FOR INSPECTION, Date r / 7 Time Permit No. Received p�r3 l� A.M. P.M. J ress Locality - ClJ Owner's Name /Q C % Contractor -'t BUILDING CONCRETE ELECTRICAL LUMBING MECHANICA Re Roofing ❑ Slab ng Rough Wiring ❑ Rough 101Air o InsulationTemp Pole ❑ Top Out ❑ Lintel Final ❑ Sewer ❑ Heating ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday Inspection Made A.M. P.M. Inspector Final Inspection Certificate of Occupancy Date CITY OF AL TAUT IC BEACH COMPLAINT tIANAGEMI.-Ill- 5Y.;Ti !-i Tr!<Etj (date/time) : CCUPLAINANT. p Last Nome ._.--- AGGRESS: ._1L �'S _�,t First Nrirnu C. T r/STATE/ZIP: _ _' 'jR TELEPHONE: —.__.) �.. � �G_ - - -- -- ----- -- - COMPLAINT: LOCATION: PROPERTY OWNERS PHONE: PROPERTY OWNERS NAME: ,LN DEPARTMENT FORWARDED TO: _ COMPLAINT TAKEN BY: + ----- ---_-- DATE/TIME: 'OFFICE USE ONLY INVESTIGATED: (date/time) ASSIGNED DEPT./DIVISION: -- INVESTIGATOR: � -"— --------�____._.. PRIORITY: CONDITIONS FOUND: ---------------- ACTION TAKEN: CCMPLIANCE: a l � CI-(.Y 0I AL -IA1111C HUACH CO)MPI HINT ?1Afl-1(;E li i11- 'A- 'EN ( date/timj CCMPLAINANT ' - Last NamE, C. T'i/STATE/ZIP: ---- __ - - - - - TELEPHONE: - - COMPLAINT: LCC ,TION: le PROPERTY PROPERTY OWNERS PHONE: - - -- - PROPERTY OWNERS NAME: — --- DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: [)ATE /TTh1L , 'OFFICE USE ONLY - - - INVESTIGATED: (date/time) ASSIGNED DEPT. /DIVISION: _ INVESTIGATOR: - � - ------ - - --- - PRIOF?ITY: CONDITIONS FOUND: ---�'---"-- -- -_..-_ - ACTION TAKEN: CCMFLIANCE: _T�_-l_CE PLAYERS . C H A M P I O N S H I P 1. 388 2. 511 5 I l�, f� �� o'� Ir Ve I 60re 6� 3. 162 3 1 /17t�G, Q`f /WPn`�ie Sf• �N Sim' (.(iA 4. 360 4 �a�� (fi r✓ '_v)ce&— Fe- c&e-f<s IQ- 5. 454 4 6. 381 4 p,(C )f bj B h ge 7. 439 4 �fi --e+— d-}, 8. 215 3 _ tt L 6b�. (s w 1 9. 582 5 v ( 1 11-N rs <j h C zs s 3492 36 10. 395 4 `0 VL 11. 529 5 u- kA 12. 336 4Jj� 13. 172 3 14. 438 4 15. 426 4 16. 497 5 17. 132 3 18. 440 4 3365 36 PAR: 36 36 72 YARDS: 6857 , Address— Heated ddress_Heated Square Footage 8 @ $ 53. 00 per sq ft = $ S�, Garage/Shed _1 7::-@ $_ Per sq ft = $ 1 b ,r(o C, Carport/Porch " ---r_ $ f � _(� 0 per sq ft = $ � � � a. 0 d Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total�Valuation- 0 •$ 4/� p, C�p lst $ /00,0O0 A Reminder Valuation ,3 ..,per thousand or portion thereof --------------------------------------------� Total Building Fee $ Co O O ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ 1 Fireplaces @ 15.00 $ i S ac) .4echanical Plumbing ; BUILDING'PERMIT FEE $ / 0 0 Q Electric/New Electric/Tem Septic Tank BUILDING PERMIT $ 06 Well WATER M= CHARC E $ 915160 S,dnming Pool SEWER IMPACT FEE Sign WATER IMPACT FEE $ � 0. 0 0 Water Connection MISCELLANEOUS $ Sewer Connection (J p ti a gy3 t�$ 2 7� 3 j Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCUL ATIONS and/or NOTES 1 C1TY OF. V Building Official Ottice uiOR INSPECTION REQUEST permit No. ' District No. A.M. pateP.M•a t G yet ►pcality ��/Y 7b✓ TimRece ��../� 1 � l MECHANICAL Contractor Job Address PLUMBING Air.cond. 8 is ELECTRICAL Rough Heating ❑ Dwne Fire place Name ONCRETE Rough wiring -fop Out pre Fab ❑ Temp pole BUILDING m9 � ' ❑ Slab Framing ❑ ❑ CTION FridaY Re Roofing Lintel FOR IN$PE rn READY -Thurs. AM 12,O 1 1 P M tN�nf Final InsPection❑ InsP-tion Made Certificate of Occupancy 1 Inspector _ Date PSR-3844 6237 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r Ekrli] I VF'Uf MATION __._ _ -------- LUNATION INFORMATION ----- Permit Number: 6237 Address: 2009 SELVA MADERA COURT Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 :lass of Work: ADDITION -------- LEGAL DESCRIPTION --------- Constr. Type: ALUMINUM Lot : Block : Section : Proposed Use: SCREEN ENCLOSURE Township: RNG: 0 Dwellings: I Code: O Subdivision : SELVA NORTE Estimated Value: $4500. 00 Improv. Cost : $0. 00 Total Fees: $52. 50 Amount Paid: $52. 50 Date Prai rl • 1 --'?1/92 Work Desc. : CONSTRUCT ALUMINUM FRAMED SWIMMING POOL ENCLOSURE PER PLANS OWNER INFORMATION _ - ---- --- APPLICATION FEES ------ Name: ROBERT AND MINNIE SUE VAN.NOY PERMIT $52. 50 Auldres- : 2{)09 SELVA MADERA COURT WATER IMPACT FEE $0.00 ATLANTIC; BEACH, FLORIDA 322'33 SEWER IMPACT FEE $0. 00 l'hcrnt_—: (904 )241-6530 WATER METER $0. 00 RADON GAS-H. R. S. $0. CIO - --- - - CONTRACTOR INFORMATION -- ---- RADON GAS - 5% $0. 00 Name: ACTION ALUMINUM PRODUCTS, IN WATER TAP $0. 00 Address: 2023 ABEX COURT SEWER TAP $0. 00 APOPKA, FLORIDA 32703 HYDRAULIC SHARE $0. 00 License: CGC053605 Type: O RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER Sly. U0 NOTES: PAID DEC 9910092 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 j'` Address_2 (00 5—� E < V'`} j� 6 Q R-y}- L-T— /.S'c,2E�N�pg1C4-ps uRE Heated Square Footage 003 (1 $ per sq ft = $ Garage/Shed ----� -'(� @ $ --- --— per sq ft = $. Carport/Porch U �.� $ per sq ft = $ Deck 1� _ ( $ _ ersgft = $ Patio V S _A @ $ er sq ft = $ 1l)TAL VALUATION: $ L/ ra o s- `-' /✓ .CSU $ Total Va uation lst sso v �y coo $ Remainder Valuation $ per thousand or ` portion thereof -------------------------------------------- Total Building Fee ADDITIONAL PERMITS and/or FEES REQUIRID ' + Filing Fee 7.sa Mechanical ; Fireplaces @ 15.00 $ Plumbing ; BUILDING PEP„'��T FEE $ 5�.5 v Electric/New Electric/Temp Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ O STAnrdnp, Pool SE VER IMPACT FEE $ _ d Sign — WATER 12-TACT FEE $ p Water Connection MISCELLA MUS $ — O Sewer Connection _- ° OiZ 04- .D o A,1 $ O — Water deter _ $ Elevation Certificate GRAND TOTAL DUE $ --------------------------------------------------------------------------------------------- CALCLIATIONS and/or NOTES TVO 11"1-LI•LA= 1'XI'XIn' ANQ( /' Lao AT LAIN ocwL24 K"ANIXI>sAOQ AT EACH !AFTER Y/ 1/4• ,y . AT[AOI fgl♦al lLIM [AOI IIK Q YAM TNLU KILT 7D lNIQ AND 'Xt'Yl n' A/Q(I GUTTER •I.I t• IAGi AT MACE LAGS t4' O.C. Y/ Tw 1/1' i1K1 MACE 7' L04 Ill 7.K.I. ts'O.C. ALZQ ' • TO FASCIA KILTS TO )CML AT KMAIIpa 17 anTG w LiLL TMRK - xx Km 014 X!• LAG[70 OUTTSRACC Full t/I•Xt-1/1<• LAGS XL'Xln'Arctt Y/ L{ /IOCET Y/ STAGGE.40 AT CUM SAACL TO VI'THRu S(LTI I•LAO N' O.0 1MDDQNO W CIN�Tia ma-XI/s. A/4C*, 10 TO �j X Y/ Tw 1/I' Tiff /1 IOLT7 TO KAN r RLS"X IV VEK rTAKAMI AL WTTOR KAN MAX RDar PANUS •• art Ors AAO W CPT IDWAL IrIX KAIs e'loa1 EACH steric TLo yr Taal Kat:v/vAfTclls KANt�rTTK)no artTQ Ex7RL/O0 GUT L CVT OFF L CM CPTIOILL catty * OT L I'fr OFT IONAL 1 A - L / 14 i/! 30WO(t G SOC Of ALL box eEAAa.0 1 CA SOC Of WS ROK W-44)INK K)®N PLhCt Of nf*LSOLTi. (� STRUCTURAL GUTTER DETAIL BOX BEAM TO EXTRUDED GUTTER DETAILS "CTE, FOR SPAN%rnvt N' USE rWQ 114X t' Ura TAW TIDE IF )m 1'XI'XI/L• ANG-ES TIP AND )OTTCH W/ It-1/4' DRIYE FIM AIYETI aallS,[ 4•X2'X1/1L' ANCA.ES W/7• BEw )_sem TVO 1/r PLATES V/8-L/4' DRIVE PIM RIVETS AS UCVN FDX L L 7•I-)LMQ 00 I_ �.j - aa1SE L2-V4' KrVETS FIX I L r I-SEAMS O O O O O CRM TIONS MDL FASCIA tr2JTV T./•C.VAC<ZU tu 7Q T2 r.r an ANQE TEAM m.Lt1ID+' vinl 4 110 S.7Li' UO Olt IX7 tL�ui%ln•Aux. USE r1¢'1Q/t'A!['i c tea AH[LE V/V4' T)/N UQ VITH E-L/I' THCI XLTS TD Vr rTRAP ON EACH PLMLIM VTTH 3=CDLJHS lxt 01 LAME! KLT2 SEM Alp Tw 1/4LAZ t1Qi TD FASCIA KIK SPIS Al La1V11 IN EACH SIDE Cr SEAM —STRAPS /AST KQARED ON SEAMS 9MALLE7t THAN 7' I-)CAMS. BEAM :.: . " =BEAN DETAILS 1T1 ♦ o 'maser . 4* KAM Ixz E COVIA PLATE 7FAS-CIA0 T22114 Tw 1/4•x2-CACI SIDE /Muw[ NCL FASCI.1 '� Vx14 L. FDR SPANS DYER CCLLM )SDI SEM _lt'-1' ADD AMBEAM y — s I r.M. . * rr,a/s'A)EA+I cp+ccTTnl - -- - ANGLE DM CCAP lAE t'XZ'X1n' ANGLE WCID[W/Two 1/I'THRU OPT I OW. TWOTI/V r4W Y1.Ts TO ILVI TMK-y"L - - - - t-�x IA., -)IL IS IMTO)EMI Ti AND OWE 1/I'0• LAG TD FASCIA y ON EACH r IDE LLY L T"o'/,"x 1 L T -- —S1Ls.OZ<•.$r.L.� LA6/ tac)1 bloc Cl,qot DFM) / 14.1/4' SC`tM(1 PA SIDC OF ALL toX KMO ANO ] EA WE OF I=SOX SWC)INS K Lf.0 N PLACE Of THA U•BOLTS. BOX BEAM DETAILS T2 G• _ ' iG NRE GTED X-1 54�_ I - L 7 INC/SEAMS LME 1/Y PLATES_FSR-spm)-If..1)PrOk4TH] III S.A.S. )D fftTIP L TTUN . EACH SEDC IF SPL= 2 srrs -F0&LSRk L TL�� 3/• 1 L 9 Dal KAPK USE =21—:LQr._ 'O O 11/8-PLATES WITH 4 n/ S.M.S. T1ctlet _ TUF�a Cr EACH ME0 0 Fr \ O O t��\ R c . I -*CTE.FOt SPANS QY"M' rxr oNu AM \ �If QA -- — INT CRD>t ATTi IiSI 1/14• FLATCS. KAAIL K to X 3/�'9 AM1C34A XpL go ma INTERIOR A lAA WT2 OLPFQPE L7 PSF — I21tL�ALt: 493 PSF _ 7 � ■USE MIN .07' TYPICAL ELEVATI❑N 103 PSF PLATES W1 12 S.M.S. AS SHOVN �• x-)RActw It Nm REwIRo a RE1TJal I WALU Fol SPANS LKDER t1' _ MANSARD BQ —Z, T — BEAM SPLIC ADAL O 0 o O 1�fl 1.1r NICE)SLEEVE 12ETHLEESEN Col 1ST�uerlcN 0 0 0 0 CXr U>43 AL" I WAT 1 0 0 F R SCREEN ENCLOSURES *'•�':: ENGDCaT jai Na I IGb I i EXTERIOR EXTERIOR TOP VIEW — VI' s 2C� ORE �TE3/1/89 SAM ' t•a�T' �r CABLE BRACE 84 SU1Tr,,I�n. REVISION$/89 W-BRACE DETAILS -4'Ll-or NCH❑R DETAIL- p qc� WINTER PARK FL. ---3/1/90 D►L ' .aes RAMMS ENGINEERING, INC ° = 1 1 r z �•ALARGOt u- CTLINM ovri 1s• R1a 2'XLf ANGU ON 1x2 - srn _ - Q 24' WAX 3t IAX AK�,g•t!vAu`LITI FO�-4F�r�RGE1FL1�EFCE7RrJ tE-rcWr.JDICS,4RcawTmBY onNP7L. 17 ANCHOR »n M OTno 11 EYDG CHA T.DR DKXX rAworT v_wACu 5 MAX,spt.Q �L IT .. e!,3 Z,�\ --r ALAYOUT�Ea -,, DETAIL OF ANCHORING T❑ FOOTING ROOF BRACIN cz8,,.x- BEAM AND COLUMN.- SCHEDULE MARK SIZE TYPE SPLINE MAX. BEAM SPANS AT GIVi N SPACINGS T I T i T 2 4'-0' 5'-0' 6'-0' 6'-6' 1 7'-0' 7'-6' 1 8'-0' SEC 2'X3' SNAP 6r 8:. 14'-11' 13-8' 13'-2' 12'-8' 12'-3' AF-2370 2'X4' SNAP - '- 18'-1' 16'-6' 15'-4' 14'-10' 14'-4' -2468 26'-11' 26'-0' 25'-2' 24'-4' - � LAP 30'-0' 28'-ll' 28-0' a7'--e- LAP - 8'-8' 35'-6' 34'-2' 33'-0' 31'-Il' NAP AF-6673 2'X9' LAP 38'-0' 36'-7' 35'-4' 34'-2' 33'-2' �- AF-3050 2'X9' FiEAVT _ - _ - - -46'-8' 42'-1Q' 41'-3' 39'-IO' 38'-6' 37'-3' ■u NOTE, MAXIMUM PLRLIN SPACING - 96'1 AREA P SCREEN PANEL NOT Til EXCEED So S%L FT, 603 3'X6' I- 23'-7' 22'..3. 21•-5. 703 3'X7' I- L3 - 29'-3' 26-11' 23-10' 604 4'X8' I- 35-0' 33'-3' 31'-11• . 904 4'X9' I- 3-4'-3' "Ax MAX. COLUMN HEIGHTS AT GIVEN SPACINGS LAP- MARK SIZE TYPE BEAM 4'-0' S'-0' 6'-0' 6'-6' 7'-0' 7'-6' 8'-0' SNAP 2 '=3.1(2' 0'-2 3/8' 9'-4 I/2' 9'-U2' 8'-6 3/4' 8',-3 L2' 8'-2.1/2' AF-2370 2 X 4 uyAp 2 X q - - ' - 2'-7 3/4' 11'-7 1/4' ll'-2' 10'-9 U2' BD'-3 L4' 10'-1 I/2' WX7 �P_ L .1"15 r0lr �(i'-2° 14�. s}' 13�o° ' I'LL 4•' IZr-1 u 11�-1u 111-2u P 2 la'i�- z4'-6�[4 22'-1 L2' 20'-3 1/Z'19'-6 1/4' 8'-10 1/4' 36'-3' 17'-B 1/4' P - -P E 23'-5 3/4 24'-7' 23'-9 L4 23'-LY •is .• ::: AF-6673 2 X 9 LAP -- '-H_7Li 31'ca'-1/2' 2B'-7' 2T-6' 26'-6 I/4' 23'-8' 24'-10' f9m,m6x_lm_N P11-m 2:051 FAILS is DESIGN CRITERIAM (6XI. T6 A{LEE U ROOF AND SIDES S)V4-L BE COVERED VITH SCREEN CLOTH BEING 60% OPEN OR GREATER ONLY. y� DESIGN VIND LOAD IN L OUT 2) THE EXISTING STRUCTURE MUST BE CAPABLE OF SUPPORTING THE LOADED SCREEN ENCLOSURE. TEST LOAD VIRD LLL OUT 3) METAL S SMALL BE GROUNDED PR KEJ_ 68o-22 4) MICNORSTRUCTURES TO CONCRETE 16 KksI7RT SHALL t�1/4�V THUNDERBOLTS, OR APPRIIVED EOUAL EDg. DESIGN LNE LOAD'DOVN DESIGN LIVE LOAD U' TEST LOAD LP AND DOVN CARRY BEAM TABLE MAX 2 X 6 CARRY BEAM SLREETI NCL SLR£ 2 X 7 CARRY BEAM SCREE?/ ENCLOSURE 43'- ' -'_ 14'-0' 45'-2' B' TT►ICAL 37'-2' 16'-0' 3b'-0' CAMP 14'-0' 16'-0' 17'-3' 20'-0' 20'-t' ftAN Q -23�silT S31 .-� d.7 oI� - 50 1 OilGIIX y iyrr— -SPMr LL -Gc7n.�PLI F�5 W%T-" Icip£'� ST�rJ17A2r7 (ljlJll_[71ti1Cs Cc7pE WIT14 ac? QU RE-_gISiVr.1S >rO2 I10 MPH WI .to -.9E A'Lpnll� w1T� l Sr7lInJD E1.1GIrJEJ=2Jr�iCr i'O(L 4GTZG"cEfvl E1�1G' AP SHOWING SU RVEF JF - U,7 - 5,'l- V,9 NQQr crN/r 7-WO AS RECORDED IN PLAT BOOL(�PAGES 37J 37 4 OF THE CURRENT PUBLIC RECORDS OF G�U6�i1L _COUNTY, FLORIDA CERTIFIED TO WI,4L15 CdN7-e4C7-0,C5 @E%? I foherf M. Vdnnoy 41 DEC 171992 A4Mnld .sue Vde)"? aur/ dd nk/North f/oriws, N•A rLlinne5afd rare /rz��rance co,��d�r �Uflding and Zoning cw DAN TWO A,,INA BAR N kq,Ipb tl �t0 �. la°pQ'SS"W. iPecord SEt,VA �,b�� o°02'41"&5 65. 0o',Qer5. . F 01, `0.3 . 90. 9 9`Ac>�. j 5.09 4 •� Zf, %2»/P.-R[.5. No.3196 fila!Cork,mor- /5 a Fez-00 ZO v ��A"M �' 50, for Goner f/eav/.ra//� n Or/7y., Ufi/. dna 5�'rY�ry k -u/ve O / 7— � IR 1=!�D U 4011 ^A• `V ,t IG' r� 5;A, Non-ldn9crrr< •�. 1, s V p D p�aGH " 11 e.T N ��„�o.�o� dr �. plp13N\N _ t 4.V G 1 ` f-QTY I�OC2V1nlA v 3`li N �I O t N i•E��-.- �t o� a �.7 .I •d� ° t�c�� wltw snap M 71r.M;[I.: 4 rO '.t'.0 4.!• N /01 13.9 t�M r (8,09 U o o.s• G.6 n/On-Idn5enl z I.4 3. �� r- -'_-•-•,,.._....----^,. �° �-fry%•'/R &ko`K p.�.S. N0.3198 lJ=93°30'/7'' P=600 , 4 48, 47 ' 111: '56"W frx/�Z'•/I-- -I6.¢z r Al. 8*47'4,0",E. � Al. 7°3.6 �/O�'�. �fr,,. /P.�� R-Z5, Pl _. N0. 3398 \ 06i.Co.* P-t.s.No 339 �-- '0EN6 MARK d'z �5,/5�, 9oc/ 17dll in /Z" Pdlm E/•(9•03) 5 V4 "449,5A-2,4 COG/ �Ir"G��G: f�G7. 30 !�9' MP �MEtiT 5 Pk ` "TO 5 HO � � " REC Z / �OV✓r � ✓ /�y Z 5P, /95iz 7-� ACV �/-Co0 40uE �,�,� a�� t/Uz-Y Z Z, 7'0 5'40V,1 LEGEND DATE 5-7"z NOTES: FX-1X DENOTES FENCE CONCRETE MONUMENT JOB NfO. NOTE.,IRON/ e01 c7T NOTES IRON PIP(FOUND 157/9 1.Bearings are based on NOTES CROSS CUT z.Ants is a oU �rY� .. .,,..,,.._._..,_..survey.3. Elevalion5 Shown thus (15.0) refer to N.G.V.D. c! 1929. hard A. Miller & Associates, Inc. 4.Subject proper f{es within Zone "XA{%� asshownon F I A.F1I od HazardBoundary ssional Land Surveyors Map,..._ 0001 O Comm Wily No,-1�007� 11330-5 St.Johns Industrial Parkway North dated er1 /9, X969 5aa�f/, Jacksonville,Florida 32216 5.Unless otherwise noted,any portion of the subject parcel that maybe deemed as Wetlands by 642 State or Governmental Agencies. has not been determined and any liability resulting I HEREaY.,E IFY THAT THE SURVEY SHOWN HEREON MEETS THE MIN11"'UM lheretTonl is not the responsibility of the undersigned, tECHNirt „rAN OS SET FOpTH BY THE FtnR10A R RD nr LAND 6.There may he Restrictions or Easements of Record evident ed by title examination that have 5URVEy PVR ANT To 5EC11ON 17;.027 FtORIOA SrATU not been shown hereon. NOT VALID UNLESS EMBOSSED WITH A Sb YOR'S SEAL R R A. MILLER, NO. 38 CHK. By— F.8. 2/c: PG 5ft L OT 89 w V,4 /voter ' u,,V/r 7-WO - AS RECORDED IN PLAT BOOK PAGES-!Lf-2-7—'!-0F THE CURRENT PUBLIC RECORDS OF G�uVAL COUNTY, FLORIDA. , i P//4 L/-6 GoNTf4`7-0� D CERTIFIED TO fobcrf M Ydnnoy A,lMnle- .54le Ydnr?oy 5VI7 16d nk/Nor fb F/orid�, A1-4 DEC 17 1992 MingeSa/d TWe /n�quranc7e Corned-r 38 ' �--- - — P 9� uilding and Zoning TWp +aha ggP1NA 6A�p�n1 ,d°oo'S5"W k'ecord SEGVA `�ti�° O;z '41r. 00 •Pec• FQ h 5 0V 43'0311 Zf Nu.-3 96 f/Ja�Cork,Mora, 50 Orny., Ufi%. dna SeW�'Yar wlvee 7461 o rY r��r�euc 4Tno.� i �GL1C�d 7_-Ori� "A•• � M �„� _,�--•�~ �tG• r� Nom=�dnge.r� NT L07 31bG� c , a a J f c� 0 YY i.sveratN � I-STY ( 000In)A o N . OenLA n10a^ldnjen} �-- N 12,•2'� ' 2r.4 PL,S- ND.3398 /Jt 93°30'17` x`600 48. 47 ' �: o —N 39"'08'56"W Fix%%Z' �P-OuroJen k 36.42 N• 847'48"E. N• 7°36 jr 0L Ne. 39 No3"49,0 MA,PK Wd ndI%in /Z" V4 "4,OZ ?,4 CCaU,4, 30, lal9Z 7'D 5 HO 1ti/ /MQ�OV MEAJT 5 po' , ��c/is � ✓��y z�, iq 2 rO ,4 00 /=4coz,, i,ve L11-16". a�� J 1 �EC�I��fc'E/� � •.Jl._IL y' r z, l�-� 2_ 7� ��c�w ��utilc�a t�c.l� LEGEND DATE 5-z'-9z FM NOTES CONCRETE MONUMENT SGALF,NOTES: NOTES FFNCE JOB NO j34NOTES IRONNOTES IRON PIF[FOUND 157/g1.Bearings are based on _ NOTES CROSS CUT — 2.Thlsisa 3. Elevations shown thus (15.0) refer tot4G.V.D. of 1929. Richard A. Miller & Associates, Inc. 4.Subject property I es within Zone "X" as shown on F I,A.F ort Hazard Boundary Professional Land Surveyors Map— foo/ Cornmu�i�y No..( � — , 11330-5 St.Johns Industrial Parkway North dated vri /7, r9B9 P�vr flc>a71 Jacksonville Florida 32216 (904)642.M'FY 5. lJnlesS otherwise noted,any portion of thesubject parcel that may be deemed as Wetlands byState or Governmental Agencies, has not been determined and any liability resulting I uEREBYTHAT THE SURVEY 5HOwN HEREON TWEETS THF MINIMUM therefrom is not the responsibility of the undersigned• TECHNI41. KAN .Ds SET FORTH BY THE FLORIDA 9 ARO OF LAND 6.There may he Restrictions or Easements of Record evidenced by title examination that have suRVEyO ,PVA ANT TO 5ECIION 17,7,0V rLURIOA S1anI not been shown hereon. NOT VALID UNLESS EMBOSSED WITH A Su rOR'S SEAL k R A. MILLER, P, .S. GE T. NO. 38 CHK. By_ --F.B. Zlti — —PO fib M M �M APPROVED D C BUILDINGNO OFFITIC CEgin DEC 21 1992 DEC 171992 Building and Zoning 1 v N 4:D � r s� �2 2 2 D AIF,,pROVED DEC 171992 ClTBU LDING;rOFFICECH DEC 21 1992 Building and Zoning v N o� ci Q 0 4�) i .50 �2 2 DEC 171992 ApA� 1C gECH ciIP B�Lo,NGoFF Building and Zoning DEC 211992 j , s� �2. o 2 MINUTES OF THE COMMUNITY DEVELOPMENT BOARD OF THE CITY OF ATLANTIC BEACH, FLORIDA December 15, 1992 7:00 P. M. CITY HALL PRESENT Gregg McCaulie Ruth Gregg Don Wolfson Robert Frohwein AND Alan Jensen, City Attorney George Worley, II, CD Director Pat Harris, Recording Secretary ABSENT Samuel Howie Mark McGowan Pat Pillmore Chairman Gregg McCaulie, called the meeting to order and asked for approval of the minutes from the meeting of November 17, 1992. Upon motion duly made and seconded said minutes were approved. NEW BUSINESS: I. Application for Variance filed by New Community Baptist Church to construct an addition to the church which will encroach the setback requirements on property at 84 Lewis Street; Reverend James R. Jennings introduced himself to the board and stated that the congregation had grown, from 4 to over 100 members in the last year and additional space was required by the church to accommodate the membership. After discussion Don Wolfson moved to grant the variance on the condition that the adjoining lot also owned by the church be combined with the lot on which the church is situat-ed and the addition be constructed in an L shape so that the addition does not encroach the required rear yard setback. Mrs. Gregg seconded the motion and the variance was unanimously granted. II. Application for Variance filed by Robert B. Persons, Jr. , and Gloria M. Persons construct an addition to a non-conforming structure located at 311 Tenth Street. Mr. Persons introduced himself to the board and stated the reasons a variance was requested. He presented letters from neighbors stating their approval of the proposed construction. After discussion the board determined that the addition would not increase the nonconformance. Ms. Gregg moved to approve the variance as submitted. Mr. Frohwein seconded the motion the variance was unanimously granted. III. Application for Variance filed by Mary Dorsett and Martha Fischer to construct a detached garage which will encroach the rear and side yard setback requirements on property located at 1070 East Coast Drive. Kenneth Gaskill, builder for the applicants, introduced himself to the board and explained the reasons the variance was requested. Ms. Dorsett also introduced herself to the board as owner of the property. After discussion related to possible alternatives, the applicants requested that the application be deferred until the next regularly scheduled meeting at which time they would submit an amended application. The board agreed to the deferment. IV. Application for Variance filed by Willis Contractors, Inc. , on behalf of Robert and Minnie Vannoy to construct a pool enclosure that encroaches the side yard setback requirement on property located at 2009 Selva Madera Court. David Willis introduced himself to the Board and explained that the construction of the house had been altered to save a large tree on the property at the request of the Tree Conservation Board and a variance was needed to build the pool enclosure. After discussion Ms. Gregg moved to approve the variance. Mr. Frohwein seconded the motion and the variance was unanimously granted. Mr. Wolfson reported that two items previously denied by the Community Development Board and appealed to the City Commission were upheld by the City Commission because it was determined that the Community Development Board had acted legally and complied with the City ordinances. He also noted that two additional appeals were scheduled for the first Commission meeting in January. There being no further business to come before the board the meeting 1-!2! was adjourned. SIGNED:ATTEST:/_5 1-?47-,,C'/ C /�a __f��'��/f 'rVROV5D CITY OF ATLANTIC BEACH pLANNlNG OFFICE &ZONING SEC 1 i ��92 CITY OF ATLANTIC BEACH 4' DEC 171992 PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITION Building and Zoning Owner(s):Pnh6 j ►tel. Qmj M vtVVie 57VCP- U Grp id Address.:97n f)t Sejvrt, fl " (J Phone: 2 Lt- Lot # _ Block or Unit # Z Subdivision Contractor: Pere- Describe work to be done:►v� ti u�. �G�c��E� V Present use of building: Valuation* Proposed use: C' OS C/%A e - Is this an addition? -IA If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? xjo_ New electrical (or increase)? AID New plumbing fixtures? _ New fireplace? New Heat/AC? /ICJ SUBMITI 0 COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN AD ITION TO THE/EXISTING STRUCTURE. U�'�C�t.� Date: 4a` r7'�lZ/ Signature OWNER- -_- Signature CONTRACTOR: Date: lli �Z Veja(o+0 y f��r -[v 0091 eQa 110361F62408 �W"tj 1 imoo - q 10 3rd S-t c,c-f 3223 N(-t)4Vh( 4,adi , �1� 01`E1C1AL RECORDS PERMIT NO. TAX FOLIO NO. 169506-1654 NOTICE OF COMMENCEMENT COUNTY OF DUVAL STATE OF FLORIDA The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter '713 , Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description of the property) : LOT 82, SELVA NORTE' , UNIT TWO, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 40, PAGES 37 AND 37A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 2 . street Address (if Available) : (Unassigned) Selva Madera Court Atlantic Beach, Florida 32233 0 3,. General description of improvements: C °; Construction of detached, single-family dwelling. r -- w C, Owner information: w cr ` c (a) Name and Address: d �4 �! U C: Uj x Cr cr_ C W. Cn t1 (b) Interest in Property: FEE SIMPLE. (c) Name and address of fee simple titleholder (if other than owner) : n/a C;"D 5 . Contractor (name and address) : CNA ACL WILLIS CONTRACTORS , INC. v \ Cn Nwz \\ ca CD 7- 6. Surety: O oma= W n c-, N ,rc-, (a) Nae and address. n/a m (b) Amount of Bond: $n/a 7 . Lender (name and address) : Sun Bank/North Florida, National Association 8 . Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Chapter 713 . 13 (1) (a) 7 . , Florida Statutes: (name and address) : n/a In addition to himself, owner designates Darlene Riggs of Sun 9 . Bank/North Florida, National Association to receive a copy of the Lienors Notice as provided in Section 713 . 13 (1) (b) , Florida Statutes. lo . Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a uiffare,iL date is specified) OWNER: ROBERT M. VANNOY OWNER: MINNIE SUE VANNOY Sworn to and subscribed before me this 30 day of June 19 92 �10 ry Public, e of U19r.icla :.at. Large -- My commission expires: 54 (Notarial Seal) RICHARD T. MOnEHEAD FAY C6MMiSSbN EXPIRES JUne 5, 1993 TOO ARY PySt:IC UNDERWRItERS DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTH'.jh1TY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA .322U2 THE FOLLOWING FINAL INSPECTION(_'-' ) 11AVE Et1•.i-N PIMA, nNCr Akl% SATISFACTORY: i i i i SINCERELY, r BUILDING INSPECTION DIVISION cc:FILE CITY OF AWaKtee Sead - �'(azcda 800SI \IIN4)I I K(►%I) %1 LAN If(* III V If. I LORIM 32.',;`1 -444 77•I I III H)\L 004i -'47.;Sud N(I1 I C:1` To: Water Department City of Atlantic Beach Date: �/- /�- ' 2 Please be advised that the fir►al building i1irpectiorl hil'7 been completed on each of the fL)llowiny a d d I e.:, ► :• ars(, construction water is no longer required : Permit Number Address I z J L -------------- -------------- -------------- -------------- Sincergly, Don C. Ford Building Official DCF/pah cc: City Manager .- •-. �.. ��,..,�-..-._..R.....,,,......,a.,.,. ..<r.'+" •'Y,FYi�AR't..if"a*..,r..: ...:�� .'� :`,t. �; ��•'7,t^.e.. � •,-.-c.:'�,s�y. f � 1 Trrtifiratr of Orriapanry E CITY OF R DrVartmrnt of Nu lding hiyrrtion f' This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard C 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 BIdg.PermitNo._ 5579 _ Group W irame Type Construction S>/f Fire District Atlantic Beach t;hert M. Vannoy anbdYinnie Sue ggnnov OsvnerofBuilding_ _ Address_ g Colvn Mad.+ a f nn� _ E Building Address_ 2009 Selva_Madera Cti,.,,,y —Afa ti B ch.- 'L 23 DOLT C, FORD Building Official Date:___J L—LL _- S►— POST IN A CONSPICUOUS P"Ca V ° MAP SHOWING SURVEY OF LOT 9Z 'or _ VA NORTE' L/N/T Two Du✓ Z- COUNTY, FLORIDA. AS RECORDED IN PLAT BOOK 40 PAGES OF THE CURRENT PUBLIC RECORDS OF CERTIFIED TO l/1///L 15 CONTRACTORS ` /Coberf M. t1dnnoy �j w 11 Minnie Sue Vdnnoy /d�� Al. 4. Z,! Sun Bdnk/North /or /1i/1-nne5of6 T�/e �/75urance Comp `y ding and Zoning Z �� a RoEN T 5. 10"00,55"W Qecorc/ A MARINA G ,\a D� - B5 00' /Peck h� 5./D°0528'"v1/ Acf S�LVA y.ay.0°02'4/"E, fj5. 29 Acr< 5.09' 1FQ�. 5 01 43 03 E f ,�f ,'y2.. p.1.5. �/o.339B 0.0 ? J fnd c0/7c.mon. 15 O FcooO FCVOa 7-0"& "A" � 50 EdSemerrf r sono. f/ed�wa//�I �; l,' Dray. , Ut//• and 5ewer5 � / T C /� i. ° _ b ` o rr 4L d O 6? C-. T.1 �Lb00 Z01IE •A.r (� a e z' = (EA, Non "' / �^. a s. � a e za.3• O v L07- B.l' U Iv AC MV 13.e' 3 O �.� Q, �- K1 I-Sly COQUrr.JA r O �� F.F.EL( &.03) NIT .d 1^ ° sao• a a.s P.F.E-: .I p O 13.9• �2.z T ;, io'X /0' A10/7-tdnyenf E.A. ES/tj7l. :I' 21.4• �� / N 12.2 N — — - Fnd /2„IP- A117. Rn/o.3398 3'cor.�c Box arm�degfn'c 1 d=93°3o'/7" 2 ,, o N 39 w P 60o I 3' 4 8. 47 ' 4 36.42 ' N. T° 36 '/0`-E /ti/. 8°47'48„E fixe //z-/P PL y• NO 3398 BEn/cN MAFK Z�j.00' Pt.S. NO.3398 50d nd/y in /2" J. z° z3'/ fd/m E/.(9•B3) SEL VA A44 DESA CO UA-,;'7- (5 0 A-,;'7- (50"f1w) IZECNEGrCEO OGT. 30 19`�Z TO 5f_/OI.V IMPROVEM��75 2�V/sEO Jcic 5�Z /992 TZ7 ADD Fe-COC' Z�uJE Cic1E QEGG/EGJIE� JULY ZZ, 1992 TD LEGEND5-z8-9z DATE---;---- i DENOTES CONCRETE MONUMENT SCALE /�9—�¢ x-x DENOTES FENCE JOB NO.----- NOTES: p O DENOTES IRON PIPE SET • DENOTES IRON PIPE FOUND /�eCOr� P/dT % DENOTES CROSS CUT — 1.Bearings are based on Oun dr -------survey Richard A. Miller & Associates, In 2.This isa .— Professional Land Surveyors 3. Elevations shown thus f 15.0) refer to G.V.D. as shown on F.I.A.Flood Hazard Boundary 11330-5 St.Johns Industrial Parkway North 4.Subject property lies within Zone 000/ 0 - /20075 Jacksonville,Florida 32216 Map— 000/ O Co m nity No.__�— (gpq)6qZ dated moi/ /7 /989 5.Unless otherwise noted,any portion of the subjlect parcel that may be deemed�s Wetlands iHEREBY ECFwr,1(L TAN us SE FORnI BY THE FLORIDA B ARD OF by State e Governmental Agencies,fhthe uotd Ben determined d.rmined and any liability resulting I1ECHNISURVE o E PU N ANT To EEcRFY THAT THE F1 a z DVEY OZW FLORIDA sEON MATUs THE MINI therefrom is not the responsibility 6.There may be Restrictions or Easements of Record evidenced by title examination that have not been shown hereon. H RD A. LLER, P.L.SCE T. N0. 38 NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL MI . CHK. By - F.B. 21_O PG 5B--- ��G�r1GY Mgn'C� a z a y� n 0 0 FEDERAL EMERGENCY MANAGEMENT AGENCY r NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS Gi x, 1992 Building and Zoning ....-------.-1+ Note: PAPERWORK BURDEN DISCLOSURE NOTICE horizr floor GENERAL-This information is provided pursuant to Public Law 96-511,(The Paperwork Reduction Act of 1980,as amended),dated December 11, 1980,to allow the public to participate more fully and ALL BUmeaningfully in the Federal paperwork review process. HOMES WALLS, AUTHORITY-Public Law 96-511,amended; 44 U.S.C.3507; and 5 CFR 1320 ELEVAI Dtstingul DISCLOSURE OF BURDEN- Public reporting burden for the collection of information entitled is open,v "Post-Construction Elevation Certificate/Flood proof i ng Certificate"(FEMA Form 81-31 and 81-65)is worts or n estimated to average 12 minutes per response,including the time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the forms. Send comments regarding the burden estimate or any aspect of the collection, including suggestions for reducing the burden,to: Information Collections Management,Federal Emergency Management Agency,500 C Street,S.W. 20472; and to the Office of Management and Budget,Paperwork Reduction Project(3067-0077),Washington, D.C. 20503. r ALL B HOME WALL WITH, Distins enclos, equipn either 1 greater solid w access reterer I ELEVATION CERTIFICATE O.M.B.No May 31, 1 y31, 19 9 933 Expires M FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OT ER DESCRIPTION(Lot and Block Numberset .) CII A ��T_,�P1vo- no e, Gini f , PIa+ ,L VC�-� �fll.l Y� a C—"1 t�✓►l 1C� STATE P CODE SECTION B FOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION (in AO Zones+use depth) I 0-U275 CTJ-A d -1 S 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): X NGVD'29 ❑Other(describe on back) 8. For Zones A or V,where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:❑_ I I.❑feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level__ . 2(a). FIRM Zones Al-A30, AE, AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation Of L I I I I �,❑feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I IJ.❑feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ❑1 LLOI feet above li'J or below❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ❑J.❑feet above❑ or below❑(check one)the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference level)elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:❑ NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4) 5.The reference level elevation is based on: actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is:L I I I I I.LJ feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I I I I I I LJ feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31,MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30,AE,AH,A(with BFE),V1—V30,VE, and V(with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued BFE), a building official, a property owner,or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8- Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. /certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) ��C �1_ AAt I Ie r MNY NAMEQE pct 5Lkru� ►►��11er S � � ADDRE =-2-77 (P -.-, CIT,Y1 STATE ZIP " A ict SI U ATE C �3� Copies should be made of this Certificate for: 1)community official,2) insurance agent/company,and 3)building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS,OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD IEVEL ELEVATION BASE BASE FLOOD "' ADJACENT :i'"'�/�: REFERENCE FLOOD 9V'( ELEVATION } REFERENCE ADJACENT GRADE LEVEL ELEVATION LEVEL GRADE . .. ..r.:.::.•:.'r::. ..�.!ADJACENT;'. :':..r.:. • GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 THE NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt a floodplain management ordinance containing certain minimum requirements intended to reduce future flood losses. One such requirement is that the community"obtain the elevation of the lowest floor(including basement)of all new and substantially improved structures, and maintain a record of all such information." The Elevation Certificate is one way for a community to comply with this requirement. The Elevation Certificate is also required to properly rate post-FIRM structures,which are buildings constructed after publication of the Flood Insurance Rate Map(FIRM), for flood insurance in FIRM Zones Al-A30,AE,AO,AH,A(with Base Flood Elevations[BFE's]), V1-V30,VE,and V(with BFE's). In addition,the Elevation Certificate is also needed for pre-FIRM structures being rated under post-FIRM flood insurance rules. Use of this certificate does not in any way alter the flood insurance purchase requirement. The Elevation Certificate is only used to provide information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper flood insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB).Only a LOMA or LOMR from the Federal Emergency Management Agency(FEMA)can amend the FIRM and remove the Federal requirement for a lending institution to require the purchase of flood insurance. Note that the lending institution may still require flood insurance. This certificate is only used to certify the elevation of the reference level of a building. If a non-residential building is being floodproofed, then a Floodproofing Certificate must be completed in addition to certifying the building's elevation. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30,AE,AH,A(with BFE's),V1-V30, VE, and V(with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A(without BFE's),a building official,a property owner,or an owner's representative may also provide the information on this certification. SECTION A Property Information The Elevation Certificate identifies the building, its owner and its location. Provide the building owner's name(s),the building's complete street address,and lot and block number. If the property address is a rural route or PO box number,provide a legal description or an abbreviated location description based on distance from a reference point. SECTION B Flood Insurance Rate Map Information In order to properly complete the Elevation Certificate, it is necessary to locate the building on the appropriate FIRM,and record the appropriate information. To obtain a FIRM,contact the community or call 1-800-333-1363. The Elevation Certificate may be completed based on either the FIRM in effect at the time of the certification or the FIRM in effect when construction of the building was started. Items 1 -6. Using the FIRM Index and the appropriate FIRM panel for the community, record the community number, panel(or page) number, suffix,and Index date. From the appropriate FIRM panel, locate the property and record the zone and the BFE (or flood depth number)at the building site. BFE's are shown on a FIRM for Zones Al-A30,AE,AH,V1-V30, and VE;flood depth numbers are shown for Zone AO. Item 7. Record the vertical datum system to which the elevations on the applicable FIRM are referenced. The datum is specified in the upper right corner of the title block of the FIRM. Item 8. In A or V Zones where BFE's are not provided on the FIRM,the community may have established BFE's based on data from other sources. For subdivisions and other development greater than 50 lots or 5 acres,establishment of BFE's is required by community floodplain management ordinance. When this is the case,complete this item. Page 3 SECTION C Building Elevation Information Item 1.The Elevation Certificate uses a building's reference level as the point for measuring its elevation. Pages 5 and 6 of this Elevation Certificate package contain a series of eight diagrams of various building types that are to be used to help determine the reference level. Choose the diagram that best represents this building, record the diagram number,and use the indicated reference level to measure the elevation as requested in Items 2a-d. i Item 2. Depending on the property location's FIRM Zone,complete Item 2a,2b,2c, or 2d. Use the reference level shown in the appropriate building diagram as the point of measurement. As shown in the diagram on the back of the Certificate,for all A Zones,the elevation should be measured at the top of the reference level floor. For all V Zones,the elevation should be measured at the bottom of I the lowest horizontal structural member of the reference level floor. Reporting of elevations in Items 2a and 2b should be to the nearest tenth of a foot, or alternatively, unless prohibited by state or local ordinance,the reference level elevation may be"rounded down"to the nearest whole foot("rounding up" is prohibited). Item 2(a). For structures located in FIRM Zones Al-A30,AE,AH,and A(with BFE's), record the elevation (to the nearest tenth of a foot) of the top of the floor identified as the reference level in the applicable diagram. Item 2(b). For structures located in FIRM Zones V1-V30, VE, and V(with BFE's),record the elevation(to the nearest tenth of a foot)of the i bottom of the lowest horizontal structural member of the floor identified as the reference level in the applicable diagram . Item 2(c). For structures located in FIRM Zone A(without BFE's),record the height(to the nearest tenth of a foot)of the top of the floor indicated as the reference level (from the applicable diagram)above or below the highest adjacent grade immediately next to the building. Item 2(d). For structures located in FIRM Zone AO,the FIRM will show the base flood depth. For locations in FIRM Zone AO record the height(to the nearest tenth of a foot)of the top of the floor identified as the reference level(from the applicable diagram)above or below the highest adjacent grade immediately next to the building. For post-FIRM buildings,the community's floodplain management ordinance requires that this value equal or exceed the base flood depth provided on the FIRM. For those few communities where this base flood depth is not available,the community will need to determine if the lowest floor is elevated in accordance with their floodplain management ordinance. Item 3. Record the vertical datum system used in identifying the reference level elevations for all buildings. If the datum used in measuring the elevations is different than that used on the FIRM,then convert the elevations in Items 2a-d to the datum used on the FIRM, and show the conversion equation under the Comments section on Page 2. Item 4. Indicate if the elevation reference mark used appears on the FIRM. Reference marks other than those shown on the FIRM may be used for elevation determinations. In areas experiencing ground subsidence,the most recently adjusted reference mark elevations must be used for reference level elevation determinations. Item 5. Indicate if the reference level used in making the elevation measurement is based on actual construction or construction drawings. Construction drawings should only be used if the building does not yet have the reference level floor in place, in which case the Elevation Certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be needed once construction is complete. Item 6. Record the elevation measurement of the lowest grade adjacent to the building (to the nearest tenth of a foot). Adjacent grade is defined as the elevation of the ground,sidewalk,patio,deck support,or basement entryway immediately next to the structure. This measurement should be to the nearest tenth of a foot if this Certificate is being used to support a request for a LOMA/LOMR. SECTION D Community Information Completion of this section may be required by the community in order to meet the minimum floodplain management requirements of the NFIP. Otherwise,completion of this section is not required. Item 1.The community's floodplain management ordinance requires elevation of the building's"lowest floor"above the BFE. For the vast majority of building types, the reference level and the lowest floor will be the same. If the community determines that there is a discrepancy, record the elevation of the lowest floor. i. Item 2. Enter date. These terms are defined by local ordinance. SECTION E Certification Complete as indicated. The Elevation Certificate may only be signed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30,AE,AH,A(with BFE's), V1-V30,VE, and V i (with BFE's) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also sign this certification. In the case of Zones AO and A(without BFE's), a building official, a property owner,or an owner's representative may sign this certification. Certification is normally to the information provided in Sections B and C. If the certifier is unable to certify to the selection of reference level diagram 6,7 or 8(Section C, Item 1), e.g., because of difficulty in obtaining construction or building use information needed to determine the Distinguishing Feature(s),the certifier must list the Feature(s)excluded from the certification under Comments on Page 2. The diagram number used for the Reference level must still be entered in Section C, Item 1. Page 4 j INSTRUCTIONS The following 8 diagrams contain descriptions of various types of buildings. Compare the features of your building with those shown in the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate (Section C, Item 1) and complete the Certificate. The reference level floor is that level of the building used for underwriting purposes. NOTE:In all A Zones,the reference level is the top of the lowest floor;in V Zones the reference level is the bottom of the lowest horizontal structural member(see diagram on page 2). Agents should refer to the Flood Insurance Manual for Instruction on lowest floor definition. DIAGRAM NUMBER 1 DIAGRAM NUMBER 2 { ALL SINGLE AND MULTIPLE FLOOR BUILDINGS(OTHER ALL SINGLE AND MULTIPLE FLOOR BUILDINGS(OTHER THAN f THAN SPLIT LEVEL),INCLUDING MANUFACTURED(MOBILE) SPLIT LEVEL),INCLUDING MANUFACTURED(MOBILE) HOUSING AND HIGH RISE BUILDINGS,EITHER DETACHED OR HOUSING AND HIGH RISE BUILDINGS, EITHER DETACHED OR ROW TYPE(E.G.,TOWNHOUSE,ETC.);WITH OR WITHOUT ROW TYPE(E.G.,TOWNHOUSES,ETC.);WITH OR WITHOUT ATTACHED GARAGE, ATTACHED GARAGE. Distinguishing Feature-The first floor is not below ground level(grade)on Distinguishing Feature-The first floor or basement(including an all sides'.This includes"walkout'basements,where at least one side is at or underground garage')is below ground level(grade)on all sides'. above grade.(Not illustrated) HIGHER FLOORS ' ' HIGHER FLOORS � (IF ANY) ' 1 ' (IF ANY) � ' 1 ' 1 GRADE FIRST FLOOR GRADE FIRST FLOOR /-- ✓ BASEMENT IN ` CLUDING UNDERGROUND GARAGE) REFERENCE LEVEL REFERENCE (TOP OF FLOOR) LEVEL { (TOP OF BASEMENT FLOOR') t I i DIAGRAM NUMBER 3 DIAGRAM NUMBER 4 ALL SPLIT LEVEL BUILDINGS, EITHER DETACHED OR ROW ALL SPLIT LEVEL BUILDINGS,EITHER DETACHED OR ROW TYPE(E.G.,TOWNHOUSES,ETC.);WITH OR WITHOUT TYPE(E.G.,TOWNHOUSES,ETC.);WITH OR WITHOUT ATTACHED GARAGE. ATTACHED GARAGE. i i Distinguishing Feature-The lower level is not below ground level(grade)on Distinguishing Feature-The lower level(or intermediate level)is below all sides'.This includes"walkout'basements,where at least one side is at or ground level(grade)on all sides'. above grade. HIGHER FLOORS HIGHER FLOORS HIGHER FLOORS HIGHER FLOORS (IFANY) (IFANY) (IFANY) (IFANY) 1 I I 1 1 I 1 I I 1 I I I I I 1 1 I i I 1 I I 1 1 1 I I ( 1 I I I 1 1 UPPER LEVEL GRADE UPPER LEVEL GRADE INTERMEDIATE GRADE INTERMEDIATE GRADE i LEVEL LEVEL LOWER LEVEL C17 LOWER LEVEL l i i i REFERENCE J LEVEL REFERENCE TOP OF FLOOR LEVEL (TOP OF BASEMENT FLOOR') FOP `i Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level i (grade)on all sides is considered a basement even though the floor is used for living purposes,or as an office,garage, workshop, etc. Page 5 I Note:In all A Zones,the reference level Is the top of the lowest floor;In V Zones the reference level is the bottom of the lowest horizontal structural member(see diagram on page 2). Agents should refer to the Flood Insurance Manual for instruction on lowest floor definition. DIAGRAM NUMBER 5 DIAGRAM NUMBER 6 ALL BUILDINGS,INCLUDING MANUFACTURED(MOBILE) ALL BUILDINGS,INCLUDING MANUFACTURED(MOBILE) HOMES ELEVATED ON PIERS,POSTS,COLUMNS,SHEAR HOMES ELEVATED ON PIERS,POSTS,COLUMNS,SHEAR WALLS,WITH OR WITHOUT PARKING AREA BELOW WALLS,WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. ELEVATED FLOOR. Distinguishing Feature-For all zones,the area below the elevated floor Distinguishing Feature-For V Zones only,the area below the elevated is open,with no obstruction to the flow of flood waters(open wood lattice floor is enclosed,either partially or fully,by solid breakaway walls."When work or readily removable insect screening is permissible). enclosed area is greater than 300 square feet or contains equipment servicing the building,use Diagram Number 7;this will result in a higher insurance rate.The enclosed area can be used for parking,building access or limited storage. HIGHER FLOORS (IF ANY) i HIGHER FLOORS (IF ANY) 1 , ELEVATED REFERENCE FIRST FLOOR ELEVATED FIRST FLOOR LEVEL REFERENCE LEVEL 9 � rdr ENCLOSEDAREA DIAGRAM NUMBER 7 DIAGRAM NUMBER 8 ALL BUILDINGS,INCLUDING MANUFACTURED(MOBILE) HOMES ELEVATED ON PIERS,POSTS,COLUMNS,SHEAR ALL BUILDINGS CONSTRUCTED ABOVE AN UNFINISHED WALLS,SOLID NON-BREAKAWAY WALLS,WITH OR SPACE,INCLUDING CRAWL SPACE. WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature-For all zones,the area below the elevated floor is Distinguishing Feature-For A Zones only,the area below the first floor is enclosed,either partially or fully,by solid aM-breakaway walls,2[contains enclosed by solid or partial perimeter walls,is unfinished,and contains no equipment servicing the building.For V Zones only,the area is enclosed, equipment servicing the structure.The area can be used for parking, either partially or fully,by solid breakaway walls"having an enclosed area building access,or limited storage. greater than 300 square feet. For A Zones only,with an area enclosed by solid walls having proper openings,—and used only for parking,building access,or limited storage,use Diagram Number 8 to determine the reference level. ' HIGHER FLOORS ' HIGHER FLOORS ' ' (IF ANY) (IF ANY) i � 1 i1 1 GRADE FIRST FLOOR ELEVATED ENCLOSED AREA REFERENCE FIRST FLOOR LEVEL FTI— REFERENCE CRAWL SPACE LEVEL Openings GRADE Under the National Flood Insurance Program's risk classification and insurance coverage, a floor that is below ground level(grade)on all sides is considered a basement even though the floor is used for living purposes, or as an office,garage, workshop, etc. Solid breakaway walls are walls that are not an integral part of the structural support of a building and are intended through their design and construction to collapse under specific lateral loading forces, without causing damage to the elevated portion of the building or supporting foundation.An area so enclosed is not secure against forceable entry. If the area below the lowest floor is fully enclosed, then a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade.Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. If neither of these criteria are met, then the reference level is the lowest grade adjacent to the structure. Page 6 vUS 00V—MENTPn1NUNOOEPICE. 1990-517-751 -1302/30BB5 593-117A 5/90 br aez J CITY OF l �' lY �' Office of Building Official REQUEST FOR INSPECTION Date Permit No. � Time A.M. Received P.M. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pale ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab RE Y FOR INSPECTION �M. - Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy-------------------------- i Date CITY OF ` fr4tCGl�stic /.�efrc�i-�la�saP� ✓ " 6� i � Office of Building Official 1-- a`�3 PY REQUEST FOR INSPECTION � p-Date _9 Permit No. � / 13 Time /O A.M. Received a MDistrict No. �C) U Job/"dress Locality Owner' /� Name � Contractor CCC�CCC/// i ILD CONCRETELECTR� U BI ECHANI taming ❑ Footing ❑ Rough Wiring ❑ Rough ❑ 8L Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION M. Mon. Tues. Wed. Thurs. Friday P. A.M. Inspection Made P.M. Inspector Final InXi Certificate of Occupancy, Date CITY OF 4&64dw Bim-0;&U-c& �- Office of Building Official REQUEST FOR INSPECTION Date _ Permit No. (y Time / A.M. Received District No. e V Q Job Address li Owner's 6' Name Contractor f� BUILDING CONCRETE ELECTRIC LU GING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ ovgff ❑ Air.Cond.& ❑ Be Roofing ❑ Slab ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. �n.p.!tion Tues. Wed. Thurs Friday P.M. A.MMade S P• Inspector Final Inspe`i Certificateo ncy Date CITY OF* V 4&4a is 131113112404-&7&iC& Office of Building Official n REQUEST FOR INSPECTION Permit No. (� Date as M p �S�.X.�l�"-' istrictN� Time _ . Received 9 Job Address Owner's Contractor Name PLUMBINCa—`> MECHANICAL BUILDING CON RETE ELECTRICAL ❑ Rough Wiring ❑ HeatingCond.8 ❑ Framing ❑ Footi g Top t Re Roofing ❑ Slab ❑ Temp Pole ❑ Fire Place ❑ Lintel ❑ Pre Ft READY FOR INSPECTION Mon. Tues. 1-�Q- Thurs. :Fr-ida'y; i»�71992� A.M: Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION 2— Permit No. Date 1 A.M. Time P.M.Time No. ^ Received Locality Job Address --)k f^ Owner's Contractor —�=L, Name PLUMBING MECHANICAL BUILDING �L�NC `, ELECTRICAL ❑ Air.Cond.A ❑ � �` RoughWiring ❑ Rough Heating Framing ❑ 4;;;joong Top Out ❑ Slab ❑ Temp Pole ❑ Fire Place 0 Re Roofing ❑ Lintel ❑ pre Fab Y FOR INS CTI A.M. rs. Friday Mon. Tues. A.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date V Ot,��u CITY 0F V i4of.i. 4&aa& B -&;&u*4As Office of Building Official �^ REQUEST FOR INSPECTION .� 7/� - 1-92- Permit No. �U O* L Date / ! Time / AyM: District No. G' Received �v /f�/�� /1 �( r o 09 5e- Job Address ` Owner's ; LL S Contractor Name ECHANICA IL G CONIC ETE CTRIC LUMBING Rou ❑ Air.Con . F MrMT ❑ Footing ❑ Rough Wiring ❑ Heating Slab ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Friday -P•M. Wed. Thurs. � Mon. uea'. 92 P.M. Inspection Made a KERRF PI Final Inspection El Inspector Certificate of Occupancy �L) �-CAV Date i CITY OF / 4& a is BeacA-0;&U-4& Office of Building Official REQUEST FOR INSPECTION Date / Permit No. TimeA.M.- QQ Received �'' P.M. District No. Job Address / Locality NameOwner's � v/ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHAN Framing ❑ Footing ❑ Rough Wiring ❑ Rough EJir. rn Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTLQN A.M. Mon. Tues. Wed. Thur.. Friday P.M. Inspection Made Inspector Final Inspection❑ _ Certificate of Occupancy Date CITY OF 4&4od c Be ls-d9&U4& Office of Building Official REQUEST FOR INSPECTION 9 Date Permit No. Time V Received < P.M. District No. JobAddress Locality Owner's Nam //Y eT �"� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.S ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab �OR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday—P.M. Inspection Made f TCit O r C�sf0 �Se Inspector ��77 � s''1y //'-��a ,/ •nal Inspecti n �W/A))) �/CJ tr Wvrtificate of Occupancy STEL / //Date CITY OF Office of Building Official �} REQUEST FOR INSPECTION —7 Date / 7 ( -�) Permit No. / Time A.M. Received p M District No Locality Owner's Job A rens // Owner's t\3 tl�c `� Contractor 1 �� f I•} Nam ILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Fra 1 ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Fire Place ❑ Ltel Pre Fab READY FOR INSPECTION =FridayLt�!--P.M. A.M. Mon. Tues. Wed. Thurs. c- Z A. A Inspection Made < 'M' Inspector �� Finallnspection❑ Certificate of Occupancy Date 5 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT Iii, �_,_ MATIU , r_�.;ATION INFORMATION ------- Permit Number: 5879 Address: 2009 SELVA MADERA COURT Permit Type: SWIMMING POOL ATLANTIC BEACH, FLORIDA 3223' Class of Work : NEW ---------- LEGAL DESCRIPTION ------- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: POOL/SPA Township: RNG: U Dwellings: 1 Code: 0 Subdivision : SELVA TIERRA Estimated Value: $12000. 00 Improv. Cost: $0. 00 Total Fees: $30. 00 Amount P#It.id: $30. 00 Dnt4? P61d*' c)/15/92 i MMIMU PUU:_ PLA"' _ ._ OWNER INFORMATION ---- APPLICATION FEES ----- i,awe: BOS VANNOY PERMIT $30. 00 A rid.T r_ss : 21009 SEL`?A MADERA COURT WATER IMPACT FEF. $0. 00 ATLANTIC BEACH, FLORIDA 322`-l'i SEWER IMPACT FEE 5O. OCA Ptictr�e: t ' WATER METER $O. 00 RADON GAS-H. R. S. $0. OC -- - -- CONTRACTOR INFORMATION ------- RADON GAS - 5% $0. 00 Name: A9UAP0011. OF JACKSONVILLE, INC. WATER TAP $0. 00 Address : 2251 URBAN ROAD SEWER TAP $0. 00 JACKSONVILLE, FL :32210 HYDRAULIC SHARE $0. 00 '.icense: OP C013600 Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $O. 0t OTHER $0. 0c 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." VALIDATION DATE: 09/16/92 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SLg TO REVOCB. --)R VIOLATION OF APPLICABLE PROVISIONS OF LAW. 04ANM $�0 7' ATLANTIC BEACH BUILDING DEPARTMENT By: I < SEP 10 ' 92 10 : 18 FROM CHEMICALS L_ti C MARKTG PAGE . 001 .u0 .y o MR 97 = #iot�tr of. commencement r� SEP 111992 irr TO whom it mov concern, onCefn Building and Zoning a . The ssnderolved hereby inform, Yett Ut>tl if1'ept'OYsett0nta w111 be made to Certain reel �QlOtdaBee with seetlen 713,13 of the �'lot'lds StstutN/, the foliotwinr tntotmatlo>ti Off' COKMtNCtKINT. "'edti leA pn th1sYN07'lC>E wy laaaorltftlen It prvPArtj ___.,,..�Ot__$.2� 5 ��$__N4r p '_ 11nit i wo :} CNNWSI d*=rIption of Improvements -SW 1i7UD�LIP.Ota�..--------- ----- _ W Pd. owner Addru/ Owner'/ Interest in site of the lmpreveesOnt'.---- ,_.•r_aa__ Q A*Skaple Title holder fil ettM Ulan ow►neq) -----_.-.-..r..---„-.r Neste __--__.- .---••--------- -----.. � L � Addrasr CarbWtor ---A KE�k5�.4 .Qt:..?. c onville ---rn� -- ---------------- cn z w -- -i-. ...------- H o o c Addraa ------Z �_--�J�j !.�3oa�-,�_�a�kson_v_111 L. Flo r-f d ---32210 --- , Od P:4 a O x a AU"W (lt any) ---------------- ------- ._----- _ ---_--------r-------rrr__-..• --------------Amount of bond 1• •- Plaine Ind Wdren 9r en ,1, 7 per m/kist` s loan for the wunruetien et.the improvements, a . . AAdnaw --_-- --••__r.•o.o_..........•......__..---------^_`-^---_.u. NOW of ptlnooa within ilio 5tste of Ptatidt, v'hee thea hiaWIt doymnrt by owna upon whom notices or other deevnseaa my be WVWr {f�� ........-•.. - .. Addrew .._rr___. ...,_��.-.... 1111 wldisfeft to himself, owner desigmilps. OW lalt&u►i4eS Person to receive a COPY It the Llersor's ?talk& as P1 V Od Jnr SOCU04 713.94 117 [b], r'Orfda &UA"W&'4(Till in'at Owner's option). Meow AddW ------------------a-_-- ---.•--------------- lMN1 Maes ran rsnco.pRfr•e ve■Osco ------ Owner iwarn to and subserlbed btivro m• this AQ----h day of - t �J? ---- - -- ----- -- ---......... Noah Public t 1 Hoary pvw Stele of Florida t etanliaiatt Expire/leiy 29,1"4 w�+.d n,,.zrep faU►•tmwarss 1aa� ,i'• r CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT oZOOcj Job Address —4 —�a 5 E L vft Lot # Block # Subdivision S 6 1 PW ,Q�"� Owner 3 ANN Address Contractor Address ti License Number Valuation $ / p� Gallons SITE PLAN ADDITIONAL PERMIT REQUIRED ..front FOR ANY TREES REMOVED. - "All treesito remain must be barricaded in En a Dug 2 minimum of 5 it. from the trunk of each w p p R NSIC gEAC`t _ ��y�OFNAjR A�r��Na nrcicE tree. Barricades must be installed BEFORE m site clearing and remain in place during p�PNN r, �g92 ALL phases of construction. SEP 1 ftp � rear Signature Owner Date Signature Contractor C Date L r.: SEP 111992 Building and Zoning ._ 41 1'7■ S H OI �..'�] _ L v r 8z _ 5E1- V4 NORTE UNI 7* 7-WO AS RECOROEO IN PLAT BOOK,_PAGES_--37f_-37,4 OF THE CURRENT PUBLIC RECORDS OF nuYf14 COUNTY, FLORIDA. CERTIFIED TO !N/41_15 Coyre4c7-0,q.5 �A,Qp�N 9 rApa y��YA �ARlNA i0 000'15:5;"w. Aecord g. - B5. 00'Re< � 5./0'05'2,9"W roc/. 4' �. D'43 03 E• B5. 29 4cl, f/T�cane.mors. �g t 0.0, � � i V �� Ufi%• dnaI oeweh� cone. Hea�wa//- '� rV�• fJ��-�� .N 4 c�Y' N_I�rb�td co 24 fj3.3' Mon-ldn9enl itN L a T le/ 'D�j N X �Q' ✓ / C c.EC I1 PSR-3844 6078 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PLRMIT INFORMATION LOCATION INFORMiLiTION ------- Permit Number : 6078 Address; 2009 SELVA MADERA COURT Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Class of Work : NEW ---------- LEGAL DESCRIPTION ----------- Constr. Type: WOOD FRAME Lot: 82 Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0 Subdivision : SELVA NORTE Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $498. 52 Amount Paid: $498. 52 + P n-j ,.! 7 7�_ 11 / 3/92 Work Dt_ L I" IRRIGATION ME OWNER INFORMATION -- - APPLICATION FEES Name: MR. AND MRS. VANNOY FERMIT $0. 00 Address, 2009 SELVA MADERA COURT WATER IMPACT FEE $0. 00 ATLARTIC REACH, FLORIDA 32WER IMPACT FEE $O. (!. Phone: (904)241-6530 WATER METER- , $145. Ou RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: PUBLIC WORKS IDEPARTMEN'i WATER TAP $353. 52 Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 License: Type. 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 -OTHER S0400 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVqr - ON FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -,,EE,1i6i m#kER, *912$.00 ATLANTIC BEACH BUILDING DEPARTMENT By: 5686 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION I - LOCATION INFORMATION , Permit Number: 5686 Address: 2009 SELVA MADERA COURT Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 'Class of Work: NEW - -------- LEGAL DESCRIPTION ---------- Constr. Type: WOOD FRAME Lot : 82 Block: Section : ' Proposed Use: SINGLE FAMILY Township: RNG. 0 Dwellings: I Code: a ':-;ubdivision: SELVA NORTE Estimated Value: $0. 0C) Improv. Cost! $0. 00 Total fee $60. 00 Amount $60. 00 P Work I FEE FOR I" WA*17 METER Pi, FOR 3/4" PER11i'f* 55-./9 OWNER INFORMATION ---------- ---- APPLICATION FEES Name: WILLIF, CONTRACTORS, INC. PERMIT $0. 00 2009 SELVA MADERA COURT WATER IMPACT FEE $0. 00 ATLANfIL BEACH, FLORIDA SEWER .IMPACT MPACT FEE $0. 0 rnone: (90,'1 )249-53,56 WATER METER $60. 00 RADON GAS-H. R. S. $0. ou ------- CONTRACTOR INFORMATION RADON GAS - 5% $0. OL, Name: F!J61...1C WCRKS DEPARTMENT WATER TAP $0. 0c Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 License: Type: 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.95 VALIDt, ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT,! REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $.00 ikEEiPT I# %NH ATLANTIC BEACH BUILDING DEPARTMENT By: APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME ----------------------- - MAILING ADDRESS__a -- -------------------- PHONE NUMBER- DATE- ------ SERVICE REQUESTED ----------------------------------------------- SERVICE LOCATION__ ____O_ 3__ DATE SENT TO DATE RETURNED PUBLIC WORKS_& ��_ y 2 _____ TO BUILD. DPT. ---------------- DATE OWNER RECEIVED NOTIFIED--------------------- JUN 16 1992 • P-UBI-IC WORKS CLa tk) fi M7 fes, JUN 161992 Building and Zoning T9 CITY OF ATLANTIC. BEACH, FLORIDA }' Appfawd by APPLICATION /OR ELECTRICAL PERMIT Q' Q, TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: r IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THIi FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED FLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF. AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPS;O,N ELECTRIC, CO., INC. j L qG 6 P. 0. BOX 50398 JACKSONVILLE ELECTRICAL FIRM: NAME � 'c zf; ADORESS.- ZOi 9F f.ZC�eV-11,1.RfalaOX__,_. BLDG.SIZE BETWEEN: RE8.�1 APT.( 1 COMM. PUBLIC( 1 INDUS.( 1 NEW 1 11 OLD 1 1 Raw.'( 1 ADDITION( I TRAILER( 1 TEMP.( 1 SIGNS 1 ) I !R. L FEE G{ SERVICE: NEW INCREASE( 1 REPAIR I CONDUCTOR SIZE ` PWITCHOR-BREAKER ?065' Mn PH 13wi LT (Ay- "W.SERV.SIZE AMPS PH W VOLT ACEWA I FEEDERS NO. SIZENO. SIZE NO. SIZE I UGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL I fo O.sO AMM. I •t-too AMM. } SWITCHES INCANDESCENT FLUORESCENT Ik M.V. FIXED 0.100 AMM. ovwR APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.,RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 ov MOTORS H.P. VOLTAGE PHS NO. 1 VOLTAGE PNS I MISCELLANEOUS TRANSFORMERS: UNDER 800'V. OVER 800 V. NO. KVA I NO. lKVA NO.NEON TRANSF. N0. VA. MA. MOTOR SIZE SWITCH FLASHE CH SIGN ' I FORWARDED , TOTAL FEES I LEI i f_ 56 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- ------ LOCATION INF,_-.A1ATION Permit Number: 5817 Address: 2035 SELVA MADERA COURT Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 3223 Class of Work: NEW ---------- LEGAL DESCRIPTION -------- Constr. Type: N/A Lot: Block: Section: Proposed Use: SINGLE FAMT1v Township: RNG: 0 Dwellings: 0 Code: O Subdivision : selva norte Estimated Value: x0. 00 Improv. Cost : $0. 00 Total. Fees : $27. 50 Amount; Paid: $2j". 50 Date' Pdi`dt� 8/21 /92 x�. IiLater tank, etc. _ - w OWNER INFORMATION -- ---- APPLICATION FEES Name: DAVE WILLIS PERMIT $27. 50 �.d lx EACs : 2009 SELVA MADERA COURT WATER IMPACT FEE $0. 00 ATA-ANTIC BEACH, FLORIDt 33 SEWER IMPACT FEE Phone- WATER METER RADON GAS-H. R. S. $L�. _- --- - CONTRACTOIN INFORMATION -- RADON GAS - 5% $0. 00 Name: GRIFFIS GAS COMPANY WATER TAE' $0. 00 Address: 66911 103RD STREET SEWER TAE' $0. 00 JACKSONVILLE, FL 32201 HYDRAULIC SHARE $0. 00 License: 03:39 Type: 6 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." VALIDiRTIOW odiellFe ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TQ,REVOCATION FORS VIOLATION OF APPLICABLE PROVISIONS OF LAW. OW s.(K) 794 ATLANTIC BEACH BUILDING DEPARTMENT By I BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: �e OF Intersecting Streets: Between �A �� And `�— BUILDING Sub-division t,%tL tC� - 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 Contractor (Print) 6Master f� Name of �11(. Property OwnerDAA-7-TC ' Signature of Owner Signature of or Authorized Agent �� Architect or Engineer III. GENERAL INFORMATION A' Type of Mating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? {r_ [ Gas—M LP ❑ Natural ❑ Central Utility IF YES, GIVE HUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed ❑ Central O Fbw New Building ❑ Air Conditioning: ❑ Room ❑ Central ❑ Existing Building ❑ Duct System: Material Thicknes ❑ Replacement of existing system Maximum capacity t.f.m. New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p-m. ❑ Fin sprinklers: Number of Mad% ❑ Hevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump% --(number) (Reeeiv ❑ Tanks (number) Remarks LPG container (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boiler Q Other — Specify ,, Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approvlt� Number Units Description Model Number Manufacturer (W=—) I►seaeY HEATING PPMvft FURNACES, BOILERS, FIREPLACES Capadty /y Number Units Description NOW Number Manufactures (NM) Ytiw r'–fr o c:-N TANKS 'low Many Nominal Capacity Type I+14uid Name of �� Ap�T°r y and Dimensions Contained Manufactures No. ^6C1'cY 'Lu AA: 5823 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORh,, !*ION ---- LOCATION INFORMATION --- - Permit Number: 5823 Address: 2009 SELVA MADERA COURT Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 3223', Class of Work : NEW -- --------- LEGAL DESCRIPTION ---- - Constr. Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: O Dwellings: 1 Code: O Subdivision : SELVA NORTE Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $55. 00 Amount ' isaid: $55. 00 Date Paid 8/25/92 n sL.' r�TRAL HEAT AN1, : N NEW RESIDENCE OWNER INFORMATION ------- -- ---- APPLICATION FEES ----- Name. VANNUY/WILLS PERMIT 855. 00 Address: 2009 SELVA MADERA COURT WATER IMPACT FEE 80. 00 ATLANT :C .BEACH, FLORIDA 322:33 SEWER IMPACT FEE 80. 00 Ptjor,t:-: (904): 49-825.1 WATER METER 80. 00 RADON GAS--H. R. S. 50. OU ----- - CONTRACTOR !NFORMATION -- --- -- RADON GAS - 5% 80. 00 Name: OCEAN STATE HEAT & AIR WATER TAP 80. 00 Address: 1476 ATLANTIC BLVD. SEWER TAP $0. 00 NEPTUNE BEACH, FLORIDA 3:' HYDRAULIC SHARE $0. 00 1,1c-)se: MHAN-.786 Type: RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE 80. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION* CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 31213 APPLICATION FOR MECHANICAL- PERMIT - CALL.IN NUMBEfi IMPORTANT -- Applicant tO Complete all items in sections 1. II. III, and IV. KOUILDING Street Address:_ L7n � �Intersecling Streets: BetweenAnd Sub•divirion _ II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcvs statement we hereby agree to pt•Ic•m so;d -o•s .;th the ettecVd plans and specifications which ere • pert hereof and in accordance with the Cit oI good prect,ce listed therein. Y of Jecison-Tit wd;naress a-j Name of Mechanical Contractors Conkector (Print) Matter Nance of Property Owner Ugasture of Owner Signature of w Authorized Agent Architect or Engineer 111. 6HdE�tA1. FO T1 A. Type-Yf heating fuel: B. IS OTHER CONSTRUCTION BEING DON[ ON t,-r-UU Hectnc THIS BUILDING OR SITE 1 C ❑ Gee—❑ U ❑ Natural ❑ Centra)Utility ❑ Oki IF YES. Give NUTANER OF{,CONSTRUCTION i PERMIT --- ❑ Other — Specify IV. NECitANWAL EQUIPMWT TO U INSTAUAD NATURE OF WORK (►pe.wo complete 60 sof csompo"his on back of this forts) C°l Residential or ( I Commercial "Got ❑ Spec$ ❑ R-7 s� Can►ref O Floor ❑ New Building Air Condr/iwinq: ❑ RootsC." ❑ Existing Building / sr Dttct Syshrn: M•hriat�.:',f, l� TAlcisou Tl� C1 Replacement of existing system M•sirwum capacity- IN 0041101 e.fss. 0 New Installation(No system previously installed) • Refr;"a6 ❑ Extension or add-on to existing system ❑ CooN•g sower: Capacity ❑ Other — Specify_ van ❑ Fin sprinkles: Number of he•� ❑ Efe.eto. Q IA•nliA ❑ Eu.l.►e..____ („u,nbe,1 THIS SPACE POR OFFICE USE ONII► ❑ 6•sohM plrinK —(number) ❑ Taut. (number) Remarks ❑ LPG cenl•iaaus (t%mbw) ❑ Uafirod peeawre trete ❑ &040" Permit Approved by Da/� ❑ Othw — Specify Permit F.. LIST ALL EQUIPMENT ADt CONDITIONING AND REFRIGERATION F'QUIPMENT Nunsber Unit, Desatlas MO&I Number K"uttkcturer canarijy A t HEATING t FURNACES. BOILERS. FIREPLACES _ Number Unita Description Xo4N Number X"uttteturtr (B?U) — 0 2X2 TAN KS NOW many Nowinal Capaelty aaA Dlmeoaiona 4yrpe Liquid Name at Serial ApiCr�o�vin6 - Contained >Kaautnlcttnres No. I;ncT TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address / Enclosed are our (blue) copies of the permits. Please update your records accordingly. Th y , N CITY OF ATLANTIC BEACH /vcb CITY OF ATLANTIC BEACH, FLORIDA APPlOvedby APPLICATION FOR ELECTRICAL PERMIT A-� TO THE CHIEF ELECTRICAL INSPECTOR: DATE. _( 19 � IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. �1� BILL THOMPSON ELECTRIC CO., INC. �� P. 0. BOX 50398 BEACH, FL 32240.0398 ELECTRICAL FIRM: MASTER ELECTRICIAN IGNATURE �/ /� JOURNEYMAN NE_ ADDRESS: D'// S e%A //CSG eG —RFD—BOX AM - - BLDG.SIZE BETWEEN: RES. ( 1 APT.( 1 COMM. ( ) PUBLIC ( 1 INDUS. 1 1 NEW( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.. SIGNS ( 1 SO. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPERf ALUM. / zy� SWITCH OR BREAKER S AMPS J PH W OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O-]O 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•i OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. I MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED S - --- TOTALFEES _ M 5661 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION -------- LOCATION INFORMATION ---- --- Permit Number : 5661 Address: 2009 SELVA MADERA COURT Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223: Class of Work: NEW ----------- LEGAL DESCRIPTION --------- Constr. Type: WOOD FRAME r.f-,* - Block : Section: Proposed Use: STNGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: O Subdivision : SELVA NORTE Estimated Value: $0. 00 Improv. Cost : $0.00 Total Fees: $81. 50 Amount Paid: 581. 50 Datt # tlx7/16/92 MS , ,6LE FAMILY RESIDENC'r - _ OWNER ZNFORMATIOH __. _... _._ --- - APPLICATION FEES NVtxldIt'Y PERMIT $81. 50 Address: 2009 SE',VA MADERA Cuus; i WATER IMPACT FEE $0. 00 ATLANT F r' BEACH, FLOP-r" i SEWER IMPACT FEE- $0. 00 P h o n : {90=s )Ll`39 3614 ktATER �4 T C). RADOhtCrA -'1 : R. S. $0. 0C, ------- CONTRACTOR 'INFORMATIOM - RADON GAS - 5% $O. 00 Name: C .Al.JDF: E. MERRITT & SONS WATER TAP 50. OU Address : 19 ')? RIVER OAKS ROA SEWER TAP $O. 00 JACKSONVILLE, FL HYDRAULIC: SHARE $0. 00 Type: RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE S0. 00 OTHER $O• pe 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." VALIDATI.- . DATE: 07/16/92 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDwSUBJECT TO REV 7 ON FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ;_ $,00 ELEIPI NUMBER; ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PLUMBING CONTRACTOR: �" < J LICENSE NUMBER; OWNER: 11/4 / u BUILDING CONTRACTOR:_ \n!A TYPE OF BUILDING: SINKS r SHOWERS LAVATORY WATER HEATERS CZ BATH TUBS , DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE ` FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 r INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. p r. 5579 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r`t.KT,.1 INe0RMA1'IOiY --- ------ LOCATION INFORMATION --------- Permit Number: 5579 Address: 2009 SELVA MADERA COURT Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW - -------- - LEGAL DESCRIPTION --------- Constr. Type: WOOD FRAME Lot : 82 Block: Section : Proposed Use: SINGLE FAMILY Township: RNG: O Dwellings: 1 Code: 0 Subdivision : SELVA NORTE Estimated Value: `3171015. 00 Improv. Cost : $0. 00 Total Feer - $2867. 83 Amount •'paid : $2.867. 83 //�� //)) : Esl29J92 /&060 Wore RUCT NEW SINGLE FAM11 RESIDENCE PER PLANS 145,17 8I;3 + OWNER INFORMATION --�---- ---- APPLICATION FEES ----- NameVANNOY PERMIT 1 $1029. 00 AHri ,,r_r : 1_332 VAULOIR COURT WATER IMPACT FEE $690. 00 FALLSTON, MU 21047 SEWER .IVPAGT FEE $1.035. 00 i,hon&: (90^ )2.19--5:356 WATEI� METER $85. 00 ,WA DP N GAS-H. R. S. $27. 39 -- ---- CONTRACTOR INFORMATION - RAdON GAS -- 5% $1. 44 Name: WILLI", CONTRACTORS, INC. WATER TAP $0. 00 Addrese: 3390 ISA-BELLA BOULEVARD SEWER TAP $0. 00 JACKSONVILLE BEACH, FL 3225 HYDRAULIC SHARE $0. 00 License: CGC0318_' Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTFTER $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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCAT_IQN FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT /iROPERTY DESCRIPTION CITY OF f i Lot �, �•- �, ��tatc'C �«li - T�aZic�c2 _ Black I___--___Section ...... � '3 710OCEAN Bo ULEVARD y A P.O.BOX 26 _-! v 6 a� G•i JUN 1 6 99 C BEAC11.FLO RrDA 32233 iubdivis cont TELEP11ONE -•.--_- (N0112�9 1495 itreet Name f Building an l Zonlnq sr Addrees:___ _ � � Vel4 qo� CYC DESCRIPTibn OF WORK -If-in a-BLOOD HAZARD 'lood Zone•:--------------area complety page 3, Brief ,/--- Deecription ,y5�_-_-ar•��r-��I�� • 1- Claes of Works(lier/Romcdel/Addition)__ /-4-ai :011ING INFORMATION -----"------ Type of / ! / ' Constructions w Boal r" z� zoning j Proposed Pietricts- _Uses T-----•" ---------------- Estimated Value • ------------------- :xceptions or c5 O ariances Granted: �I `N�= Materials: 96 B4 ��c --------=----------1 -- ---------------.1 _ ------------------------ Solid or -----------------� Filled S �aJ� �3 Grounds --!__-----Roof OWNER INFORMATION s------------ i Method of Heating: Fiec Property Owners __ Q kQ 0 /` O - - ------- y --- Phones Addrees C7KG OO `/fes nailing 33 /e 1 _, i ---- ----------- -- -- O✓ ---------------------------- 1 l s a M ----------- -2 ---- ----------------- Zipl---------------- CONTRACTOR INFORMATION Contractors_ Ul l f Cam rS ,��C, Z q Mailing -- --- - ------ Phones------..3... Addrees s_ 3 370 rTs9414- 91 _ _y Cvr�sfl., lCe G, (-(, rel, �ZZSa ---------------------- Zips License Number � � Expirat on -- 7------------------------ Date I I HERESY CERTIFY THAT I NAYS READ AND EXAMINED TMIS APPLICATION AND KNOW TME SAME TO at TRUE ,fiAND CORRECT. ALL PROVISIONI OF TNk LAME AND ORDINANCES OOVERNINO THIS TYPE O[ vORK vILL AE eye\\\ OIVI:COMPED VITN, MNtTNER SPECIFIED NEREIN OR NOT. TNR ORANTIHO OF A PERMIT DOES NOT ►RE5UnE TO 1 �! OiVt AUTNONITY TO VIOLATE OR CANCEL THC ►ROVISIONI Or ANY FEDERAL, STAT[ OR LOCAL RULE. I,.r.- a ♦• REOULATIONS, OIIDINANCES, OR LAWS IN ANY MANNER, INCLUDING THC OOV[RNiNO OI CONSTRUCTION PERFORMAMCC OF COMITRUCTION or THE PRO.)tCT, OR THE I UNDtRSTANO THAT THC 19SUANCE OF THIS PERMIT IE ►';' two CONTINOCMT UPON TMC ABOVE INFORMATION 891HO TRUC AND CONR[CT AND THAT THC PLANS AND SU►►ORTIRC DATA HAVE BEEN OR SMALL IE PROVIDED AS REOUIREO. 1471_11 1' I- �.,, of Owner Signature _ Date lQ �!••�*n_...- _ . �.-._ - Contractor Sigcaaicaar.�_- --- —--- ------- - _ V �b_ r Date 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. a BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET _WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) 2— COMBINATION SINK AND TRAY (3) j_WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) / DISHWASHER (2) Z WASH SINK EACH SET OF �j FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE ? DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET v DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY _ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) 1 JACUZZI (2) i ;\' URINAL STALL, WASHOUT (4) TOTAL- FIXTURE UNITS I > @ $20.00 EACH $ JOB INFORMATION C"Q �C V/a M J4 a r- rz CT ' s f , I a FLOODPLAIN DEVELOPM"r INFORMATION Type of Developments wwwwww--w-wrwwwwwwwww-----...w-r--....------... Flood Required Lowest Floor Elwvationt .7 S / ww w�Nw..w-w � Zf building is located within a flood hazard zone, a survey sunt be wade AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base Stood elevation established for that zone. No final inspection will be trade and no certttieate of occupancy will be issued until the survey to on Bila, with the Building Department. • COMMENTS% Applicant Acknowledgements I understand that the issuance of this permit is ooetinVwnt upon the . above information being 1 correct and that the plans and supporting data have been or shall be provided as required- I •prow to comply with all applicable provisions of Ordinance Me. 25-7-11 and all other lave or ra ordinances affecting the proposed develoT mt Date ( b- / Z • --------�__--Applicant s Signature ----w- _--- -- . ------------ L------------------------f-------- Department Use Required Lowest Floor Elevation w---w----------- As Built Lowest Floor Elevation ................. Survey Filed with Building Department ........... -- ------- ------------- - -- Building Department Representative t page 3 r ,i CITY OF A4444 &act - 57&UW4 P.O.Box n A"AMC BEACH.FLDMA 3221.3 BUI�UING PtiFt AefL11SjA SUM TELUHOaana)S4&23M ftEOt1IK�D SU�MIT�►L� ,Each application for building peemit must be accompanied by three• complete sets of plans, including a detailed site plan, indicating location of utilities, parking, Bize of yards, setbacks and other data as required by code and/or the building, zoning or community developmet departments of thL• City of Atlantic Beach; one set of Florida Energy Efficiency Code sheete (on new construction or additions of 500 eq. 1t. or more); a ' recent survey of the land for new construction and addition&; and ' a tree survey or letter certifying no tree& on property. �1P�TI0 CHECl��'� w�l: Building Application fora �_✓/ Three complete sets of plans including detaile-d site plan _3. Recent survey, including tree survey or letter certiiyjiio no trees on property Owner/Builder Affidavit (required when owner rester us contractor 5. Energy Sheets ( 6. Notice of Commencement 7,77) TIME REQUIRED FOR PERMITTING; APPLICATIONS ARE: CONSIDERED IN THE ORDER RECEIVED SCHEDULED INSPECTIONg Requests for inspection are taken from 8:00 a. m. unti4:30-p.--M.. Inspections are made the following working day; please apecify am or pry inspection. When calling in an inspection please have the pe, mit rjumber, Job location and tynit of inpaL• o needed. Inspections are scheduled as follower 1. Footing 2. Under slab plumbing/sever/electric 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, , use building permit number arid reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc. ) b. Insulation Final inspection 7. Finish Floor elevation survey/Certificate of Occupancy , BUILDING CARD MUST BE POSTED OR NO INSY (:T1C)NS WILL BE MADE Concrete cannot be poured and work cannot be cuvered up until the building card is SIGNED by the inspector. You may be requizcd tv uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to poem they building card. A far? of 315.00 in charged for all reincpe•cticoriv. .411 TREE REMOVAL JUN - 51992 SECTION A APPLICATION' MUST BE RECEIVED BY NOON OF THE WEDNESDAY�81:�0�1��4099 Yowls«~llllj , &4 hex/-2�7-5W6 2. C 4�1;�dTd�MMOVW d- e lvptN�r Z-ID g/SNS ANer n SECTION B (To be oontl Med by appom a Mose an a d*V dweft and wMdh M rot p vm .* , AK 0. _ t•What charges are propMd b the show WSAW NIe4 2.What b the pugvn of these proposed dwon Tv *2. C. Aar- Ci /C1te ., su�e 3.SM*trees proposed for romovd as bom: , THEE COUNT SPECM. SIZE(136H x HCONDITION SC'e 4*G�4 , i 4.Vv*the"trees be robMed on the sone p qwW 5.it not.wN MpWoemewl bees be pblpled? . e.Spedfy proposed replaoemeM bees as bNvws: ,lJ p,v,i=, TREE COUNT SPECIES SIZE x HEIM I Y 7.Attach she plan. (SKIP SFCTI%l s`ANT)COMr-LE-Tri.SIMWOM C) � e J SECTION B - (All other Applicants) 1 . Property Zoning: 2 . Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/ DBH of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked f) Trees to be relocated should be clearly marked g) Location of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k ) Location of utilities, accesses and easements. 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only ) o) Staging areas for equipment and material storage SECTION C I agree to comply with the rules and practices established in Chapter 23, Article II of the Code of Ordinances of Atlantic Beach. Lit f�OwrArs $i gn twre ate --Ali trees to remain must be barricaded ��.-tom '� a minimum of 5 it.frcm the trunk of each tree. Barricades must be installed CITY USE ONLYsite clearing and remain in place during ALL phases of construction." Applicant has complied with all provisions of ChaptBr 23 and requirements of the Tree CoT r,gAbq �aVed as Noted By Date S �2_ Tree Conservation Board Designee Date i NOTE: "Tree Protection for Builders and Developers" is available at City Hall or from the Division of Forestry , 8719 West Beaver Street, Jacksonville, FL . 32220. ( 781 - 1434 ) i WILLIS CONTRACTORS, INC. 3390 Isabella Road Jacksonville Beach, FL 32250 (904)249-5356 907, 90 VANNOY TREE SURVEY L0+ %Z SeIuS f'ludc-,, ; GT, 20 '' St, J U N ' S 1992 NOTE: - Measurements were taken from -edge of gutter. TREE # i TREE TYPE i WEST TO EAST ; SOUTH TO NORTH! Building c=nd Zoning 1 Palm 8 ft. 27 ft. 2 Palm 26 16 3 Palm 28 16 4 Palm 19 27 5 Palm 18 36 24" Water Oak 17 55 Tree 6 is damaged, in distress, has a dead heart, should be removed 7 7" Sweet. Gum 31 99 8 Palm 34 97 9 Palm 36 94 10 Palm 28 90 11 Palm 28 86 12 Palm 28 83 13 Palm 36 84 14 Palm 30 80 15 Palm 34 71 16 Palm 33 66 17 Palm 40 66 18 Palm 39 60 19 8" Sweet Gum 30 57 20 Palm 35 57 21 Palm 38 55 22 Palm 31 49 23 Palm 35 45 24 6" Live Oak 33 33 25 Palm 34 36 26 7" Fla. Elm 34 33 27 5 ' Holly group (3) 33 22 28 Palm 45 28 29 Palm 44 32 30 Palm 46 30 31 Palm 45 34 32 Palm 45 36 33 Palm 48 49 34 Group 2 Palms 2 Elms 46 60 35 12 " Maple 46 94 36 4 Maples 3"-8" 59 19 37 8" Fla. Elm 60 24 38 Palm 62 31 39 Palm 55 36 0 Palm 53 40 f ©��1 C' rc,(e re VANNOY TREE SURVEY TREE # 1 TREE TYPE ; WEST TO EAST ; SOUTH TO NORTH 41 Palm 55 54 4 Palm 57 56 43 Palm 113 18 44 11" Bay 122 25 45 Palm 132 14 Palm 134 31 47 Palm 120 47 48 Palm 120 50 4 Palm 119 46 Palm 113 45 5 Palm 112 37 2 16" Fla. Elm 126 81 1 MAP SHOWING SURVEY OF LOT 8Z SEL V4 /VORTE' UN/T rW0 AS RECORDED IN PLAT BOOK 4-0 PAGES 37 f 37 A OF THE CURRENT PUBLIC RECORDS OF OUVAL COUNTY, FLORIDA. CERTIFIED TO W/LLIS CON7-e4cTo/P5 Z gRDEN TWO t pav Maq/�lA_ y. /0000'55''w. .�ecora! VA------ ; . . . ,�tiT�° y 5./D 05 ZB W. Acf. ��y• 5.0°02'4/"E. - B5. 00',Qe�• � o ,• IFP' S• 0'43'03"E 85. 29'Acl. RI-S.nlo.3398 4' O 50' Ed5eme'?l {Or n C017c. 11edWWd11 l d/w/ 5ewer5Q / T C y w/G'c1/ver-� o i� b 1 co `e 1,\'Z4 � J � rNon-fdr7yenf L O T P/ 1 o N N `° io x ,Q,✓�41Esq A10r/-Id,?genl Bot- ��p�e�r..�G , P[.5• No.3398 d=93°30'/7" eQ°600 ' 48. 47 ' o N 39° 8 5 0 ' 6"W Frx�%z"/P-Our�en v �� N. 7 36 �/O N• 8 47'48"E' flan %2^1R f/>d�2''/R 25.00' RL•5•Nu.339B P.L•5. No. 3398 d= Z° 2 3'/5" BEA1cr�l MA.PK Sod 17.91/in /2" Palm E/.(9•B3) SEZ V,q A114 Oz-,�?,q COU � JUN 161992 , . } i Bui(din.2 and Zonlnry LEGEND DATE 5-28-9z ■ DENOTES CONCRETE MONUMENT SCALE NOTES: x-x DENOTES FENCE JOB N0. /3489 [ O DENOTES IRON PIPE SET /PeCOrq� P�O�T DENOTES RON PPE FOUND 1.Bearings are based on x DENOTES CROSS CUT 2.This is a 'bol-117drV survey. 3. Elevations shown thus (15.0) refer to .G.V.D. of 1929. Richard A. Miller & Associates, Inc. 4.Subject property Iles within Zone X" as shown on F.I.A.FIQod Hazard Boundary Professional Land Surveyors Map 0001 OComm Pity No /20075 11330-5 St.Johns Industrial Parkway North dated ri 17, 19,09 '�kyr H� Jacksonville,Florida 32216 5.Unless otherwise noted,any portion of the subl'ect parcel that may be deemed as Wetlands (904)642- by State or Governmental Agencies, has not been determined and any liability resulting I HEREBY E IFY THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM therefrom Is not the responsibility of the undersigned. TECHNI L TAN S SET FORTH BY THE FLORIDA 8 RD OF LAND 6.There may be Restrictions or Easements of Record evidenced by title examination that have SURVF 0 .PUR NT TO SECTION 472.027.FLDRIDq STATU not been shown hereon. -A'gh� a NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL A RD A. MILLER, P. .S. CE T. NO. 38 CHK. By F.B. Zero PG bB