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2021 Selva Madera Ct (vault) i CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233- Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23413 Address: 2021 SELVA MADERA COURT Permit Type: RE-ROOF Class of Work: ALTERATIONATLANTIC BEACH, FLORIDA 32233 Proposed Use: SINGLE FAMILY Township: 0 Range: 0 Book: Square Feet: Lot(s): Block: Section: 0 Est. Value: Subdivision: Improv. Cost: 5,515.00 Parcel Number. Date Issued: 2/04/2002 --- OWNER INFORMATION Total Fees: Name: VICTOR BUSH N 60"00 ELL _Address: 2021 SELVA MADERA COURT Amount Paid: 60.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/04/2002 904 448-2040 Work Desc: RE R_ CONTRACTOR LICATION FEES r JACK C. WILSON ROOFING C " :11, - 60.00 �7 ��'�€%a+�.s. `�•`,c�,s' �`mak' _ -.• �'M1� i 11 ON OW NOTICE - IN, C�'I � tD AT LAST 24 FOUR PRIOR TO SPECTION BUILDING MATERIAL R MUST BE CLEARED UP A � iIAUST.N P# Ed PUBLIC SPACE, AND CRAG" "FAILURE TO COMPLY WIC Y TM. 1 SULT IN THE PROPERTY OWNER PAYING --- _ S" ISSUED ACCORDING TO APPROVED PLANS WH "PAF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CITY OF ATLANTIC BEACH Date: 2/84/82 81 Receipt: 8831435 CHECKS 19879 - - 88188883221898- - __ (PCITY OF A`Q2o4c Fe4d - 9Qaz_�a 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT DATE Applicant NAME %C,2Z ADDRESS Owner NAME T14-n le- ADDRESS Location of tree if different from owner 's address : Reason for Removal! Rear Lot Line Ex indicate •�ossition of •�P ' '� UN 2 i_ 1988 tree on o +� lot a a Building and Zoning b b .r4 Front Lot Line Building ficial BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: 6/24/87 Building Contractor: G 4 M Construction Building Permit Number: 8409 Address : 2021 Selva Madera Court Legal Description: Lot 80 Unit II Selva Norte Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Single Family Comments: BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: y: Fire Chief 24187 C7 /� �' Public Works 6/24/87 Planning Director 6/24/87 Building Inspector 6/24/87 AF 44241 MAP SHOWING SURVEY OF LOT 80 , SET,VA NORTE UNIT TWO, AS RECORDED IN PLAT ROOK 40 , PAGES 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. azw,I 5'E[. ✓i( itit s(,Pi/t/ft c��{�E'f.�'.v 7- C)7- I , ,����-� w /08 z•sl , �lv cv t'E Etio 4 TZ J,�L Cha YZ",�/ o ro y � h \A LoT 7� � � /u /�p �► D Q •16.5 �' Llil ,v�E GoT d/ p�K yo ,vim / 78� ri°°;pct IT o N o 00 �odcio 3�- d � � t � �30 •�„-� 6-7 7-Z.-A4 THIS IS A BOUNDARY SURVEY. THIS PROPERTY LIES IN FLOOD ZONE WHICH IS THE AREA BY FLOOD MAPS REVISED K�/C COMMUNITY PANEL NO. NO BUILDING RESTRICTION LINE BY PLAT. 1 HSE(REBY CE/RTI FY TO: TE-�P,P� f� ,SEE✓E_S ,-�A�/ {ji 1- >/ IAIV/C-1J_ !5r4 E T�7Z E. ✓/�t/C S Bif.t/K E A HISS RVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLOH. A. DURDEN ADMRINIATRATION CODE.STATUTE$ AND CHAPTER 21 HH-6 FLORIDA m & ASSOCIATES INC. -� , re wia�.Tc •u�virow wo.¢�7 LAND suRVii ORS SIGNED E �� 11i PoolBox 50670 O1103Third Strat SCALE:.JadmB"ch,Florid. 32260 THIS SURVEY NOT VALID UNLESS THIS PRINT 19 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA Q �+ PERMIT TO BUILD PERMIT NO. 9566 THIS PERMIT MUST BE POSTED ON JOB Date June 22, 19 88 Valuation$ Fee$ no fee This permit not valid until above fee has been paid to City Treasurer,subject to revocation for violation of applicable provisions asas urer,law,and is This is to certify that has permission to Classification Res ident i3& Owned by TeZone Lot e C House No. 2021 Selva Madera Courtlock--S/D According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE SPECTED BEFORE POURING. Irl_ PERMIT VOID SIX MONTHS ��--� AFTER DATE OF ISSUE �♦ Z Building material, rubbish and debris from this work must not be placed in public space, and must be cleared I up and hauled.-.way by either con. tract hauled. FOR OFFICEPERMIT Official. USE ONLY NUMBER DATE CONTRACT PLUMBING I ELECTRICAL II � 1 SEWER WATER "No CITY OF FeacCi - 9&u,?(4 716 OCEAN BOULEVARD --_ I P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 June 24, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5330----2021 Selva Madera Court Permit issued to Adkins Electric Company Sin rely, Re"' gers Community Devel ment Director cc: building file W to F UTILITY AGREEMENT (Water and Sewer) e THIS AGREEMENT, made and entered into this 26fi;, day of Febnlary, 1987 , by and between the City of Atlantic Beach, Florida, a municipal corporation, hereinafter referred to as "City", and and its successors and assigns herein referred to as "User". VEREAS, User owns land in Duval County, Florida, described as follows: 8� k IOP- Selves Tvo ^ and WHEREAS, User plans to develop said land by constructing 1 buildings, 1 residences and/or other improvements thereon consisting of -Single Fal and W[17MAS, The City is the owner of a water plant, water distribution system, sewage treatment system and sewage collection plant in the vicinity of the above described property; and 1,I1EREAS, User will need water and sewer service, and User desires City to furnish same; and WHEREAS, City is willing to operate such water and sewage treatment system so that all buildings constructed on User's property by User may have furnished to them water and sewer service, subject to all terms and conditions of this Agreement, NOW, THEREFORE, in consideration of the premises and other good and valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, the parties hereto agree as follows: (2) 1. Upon the terms and conditions herein contained, the City agrees to provide potable water and domestic sewer services to the User's Property. The term "domestic sewage" used in this paragraph and referred to throughout this Agreement is defined as follows: Human waste including liquids and solid matter carried from plumbing fixtures normally carried off by drains and sewers, and except where specifically excluded bath and toilet wastes, laundry wastes, kitchen wastes and other similar wastes. It does not include commercial or industrial waste. 2. City agrees that after User has connected to the system, thereafter City will provide, at its costs and expense, but in accordance with other provisions of this Agreement, including rules and regulations and rate schedules, sewer service and water service to User's Property in a manner conforming to reasonable requirements of public governmental agencies having jurisdiction over City's water and sewer operations. 3. User shall, at its costs and expense, install all of the potable water distribution and domestic sewage collection lines which may be required on User's property, including engineering cost, to connect City's plant tolthe User's property, and all other facilities necessary to make it possible for the City to provide adequate potable water and domestic sewage service. A one year maintenance bond guaranteeing improvements may be required. If buildings more than two stories in height are constructed on the User's property, the User, at its own expense, agrees to furnish to the City any equipment which may be necessary for pumping potable water to the additional height with associated back-flow preventers, (3) At all times during the construction of the potable water and domestic sewer lines and related equipment, the City shall have access to the construction and the right to inspect the construction to insure that the lines and related equipment are being installed in accordance with the plans and specifications approved by the City. User shall construct the domestic sewage disposal lines in such a manner as to insure that no water from air conditioning systems, ice machines, swirn-Ling pools or any other form of condensate water shall flow into the domestic sewage disposal lines of the City and nothing other than sewage in its strictest sense shall be discharged into the domestic sewage disposal system of the City. City shall inspect all connections made by contractors, plumbers, builders, etc. to any portion of the sewer system that discharges into the sewage collection system owned or operated by City or contemplated to be awned and operated by City under the terms and conditions of this Agreement prior to being covered up. City shall only be obligated and will only provide water and sewer service to User's property upon 100% completion of all terms and conditions of this Agreement. 4. User shall pay a planning and inspection fee in order to defray all actual costs to City of preparing and executing this Agreement, including any attorney's fees; and conducting the inspection and testing of the installation of the User's Extension; and all other administrative costs incident to accepting the User's extension, Said fee shall be equal to one half of building permit fee. 5. User shall pay City a "Sewer Impact Fee" of $1,035.00 per residential unit and a water impact fee of $10.00 per fixture unit/or as otherwise (4) provided in the City's Code of Ordinances. 6. The City shall provide water and sewer service to User's property upon payment to City of the standard meter charges as provided in the City's Code of Ordinances ($85.00/ 5/8 x 3/4 inch meter) . 7. Payment of the Sewer Inpact Fee, Water Impact Fee, Planning/ Inspection Fee and Water Meter Charges, shall be made in full at the time City approves the plans. 8. In the event, at a future date, City's charges, rate schedules or fees are revised, subject to the operating rules and regulations and approval of governmental authorities having jurisdiction, then in that event, User and/or assigns shall pay the charges, rates or fees then in effect on date of payment. 9. Hydraulic share of main extensions-payment or refund, User recognizes that water or sewer utility service to th User's property is provided by the use of a main extension and other improvements constructed by a prior developer and that User is obligated to refund to said prior developer User's share of the cost of said main extension or other improvements. Accordingly, User shall pay its pro rata share of the cost of said main extension or other improvements to City. Said pro rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ With respect to utility facilities installed by User to which future developers connect directly, and in consideration for monies expended by User toward said facilites, City shall refund to User, or User's successors or assigns, solely from monies collected from said future developers, said (5) future developer's pro rata share of the cost of said facilities, Said refunds shall be calculated on the basis of the hydraulic capacity, and demand of said future developer whenever feasible, The refund obligation of City hereunder and the benefits to User related thereto shall expire five (5) years from the date of execution of this Agreement, Said refund shall be made to User within sixty (60) days of the receipt of payment by City from a future developer, 10, If. any damage is done by User, its agents or employees to the existing potablA water lines or domestic sewer lines of City or other utilities CATV, electric, phone, or the potable water lines or domestic sewer lines installed pursuant to this Agreement, during or after the installation thereof and by reason of construction work, User shall at his expense, make such repairs as are required to restore said potable water or domestic sewer lines to the condition which existed before such damage occurred,. but in the event User does not restore said potable water or domestic sewer lines (but this clause shall not be construed as to require the City to make such reparis or restoration) , User shall provide the City and its agents adequate access and facilities for the n6�ing of said repairs. All costs incurred by the City in making such repairs shall become immediately due and payable and shall be considered in all respects the same as if said charge had arisen in connection with the rendition of the regular services of the City, 11. Notwithstanding any provision of this Agreement, the City shall have no obligation to provide sewer services to any customer producing sewage which is unusually burdensome, unusually costly to process or substantially detrimental to the sewage system. 12. This Agreement shall be beinding upon the parties hereto, their successors in interest, grantees, transferees and assigns, In the event User transfers any part of the User's property, it will cause its transferee to comply in all respects with the provisions of this Agreement. 13. In the event the City sells either its sewer treatment plant or collection system or its water treatment plant or water distribution system to any governmental body or any other purchaser, then, in such events, this Agreement shall terminate as to the City on any protion sold and all of its obligations or liabilities hereunder shall cease and determine for that portion sold. 14. The City may shut off the water to the User or any other person and refuse. to accept sewage from the User or any other person if the User or any other persons shall fail to pay any sums due hereunder when the same becaue due and payable. Nothing herein contained, however, not any action taken by the City in pursuance hereof shall impair any other remedy which the City might have, at law or equity, for breach of this Agreement by Owner or any other person. 15. City does not guarantee an uninterrupted supply of water for any . purpose or water at any particular pressure for any purpose and reserves and shall have the right to shut off the water in its main at any time for the purpose of making repairs or extensions or for other purposes incidental to its water supply and will not be responsible for any damage caused by low pressure. City shall have the right to turn off water service at the maul where the User has been found to be useing water illegally, and to assess a fee for restoration of service. 16. The City shall have the right to assign and transfer this Agreement at any time provided, however, that no such assignment or transfer shall impair the rights or increase the obligations to the User or any other person pursuant to this Agreement. (7) 17. Unless sooner terminated as provided herein, the initial term of this Agreement shall be 15 years. After the initial term of 15 years from the date of the execution of this Agreement, the terms of this Agreement shall automatically be renewed for successive terms of five (5) years each, unless written notice of termination of this Agreement is provided by either party hereto, not less than ninety (90) days prior to the commencement of any such renewal period. 18. It is expressly agreed and understood between User and City that there are no other written or verbal agreements applicable herein between User and City. 19. This Agreement may be amended and modified from time to time as necessary by mutual written agreement of the parties hereto. IN WITNESS WHEREOF, the User and the City have caused these presents to be executed the day and year first above written. Signed, sealed and delivered in the presence of: User Witness City of Atlantic Bea Witness CITY OF Y Office of Buildlg�fficial 6 c, REQUEST FO S ECTION 1_ Date Permit o. Time A.p� Received M. Dist ct o. Job AddiessLocality Owner's Name 1 11 Contr or / , v BUILD G CON RET ELECT CAL PLUMBING MECHANICAL Framing C Footing ❑ Roug iring ❑ Rough E Air.Cond.S ❑ Re Roofing E Slab ❑ Te p aIle ❑ Top Out Heating Lintel ❑ inai ❑ Fire Place ❑ ADY FOR INSPECTION Pre Fab A.M. Mon. ues. Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector FinallnspectionVe/' Certificate of Occupancy Date CITY OF Office of Building Official / REQUEST FOR INSPECTION �� S Date o/ Time Permit No. Received A.M. P.M. District No. JOb D Address X1 8 r nd1 ©t-,-V- Owner's Locality Name CD YV� BUILDING CONCRETE ECTRICAL PLUMB'IN'G` Framing ❑ Footing ❑ MECHANICAL Re Roofing ❑ Slab Rough ❑ Air.Cond.& ❑ (1Q�I Lintel � FeaP Pole ❑ / Top Out ❑ Fire Heating Place ❑ READY FOR INSPECTION Pre Fab Mon. m Tues. Wed A.M. _ Thurs. Friday_P.M. Inspection Made A t\q P.M. Inspector Final Inspection❑, Certificate of Occupancy Date CITY OFP- Office of Building Official (� REQUEST FOR INSPECTION Date /J / Time Permit No. Received A.M. P District No. Job Address Owner's Locality Name �� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing Footing ❑ Rough Wiring ❑ Rough MECHANICAL Re Roofing _ Slab emp Pole _Top Out Heatingnd.8 ❑ Lintel ❑ Fi I 1f Fire Place6 ❑ READY F R INSPECTION Pre Fab Mon. es. Wed. A.M. Thurs. Friday _P.M. Inspection Made A.M. P.M. Inspector Finallnspection —/ Certiticate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date Time Permit No. 6% / Received A.M. OP.M. District No. Job Add s Owner's Locality Name BUILDINGContractor / CONCRETE ELECTRICAL Framing K/ Footing ElPLUMBING MECHANICAL Re Roof ng ❑ Rough Wiring 1�Rough Slab ❑ Temp Pole ❑ ❑ Air.Cond.$ Lintel ElFinal Top Out [�% Heating ❑ Fire Place n READY FOR INSPECTION Pre Fab Mon. Tu s. �yt� r V Wed' Thurs. A.M. Inspection Made A/_ _ 7cl� Friday Inspector r M' Final Inspection C Certificate of Occupancy Date MMMONNOW CITY OF 4&40t4c /3eczc,4-4;&U-j, Office of Building Official REQUEST FOR INSPECTION Date Time Permit No. V / Received A.M. P.M. District No. Job Address Owner's ,/y� /'1 Locality Name 4�' / BUILDING Contractor CONCRETE ELECTRICAL Re Roofing ❑ Footing ❑ Rough Wiring ❑ �UMBI MECHANICAL Slab ❑ Temp Pole ❑ Air.Cond.& ❑ Lintel ❑ Final Top Out ❑ Heating ❑ Fire Place ❑ Mon. READY FOR INSPECTION Pre Fab Tues. Wed ) Thurs. Inspection Made _ Friday_ A.M -P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date�� � Time Received A.M. Permit No. �' 0 P.M. District No. Job Address p Owner's Name Locality BUILDING CONCRETE Contractor �, Framing p ELECTRICAL PLUMBING Re Roofing ❑ Slab Rough Wiring p Rough MECHANICAL Lintel p Temp Pole p Top Out p Air.Cond.& p Final ❑ ❑ Heating ' READY FOR INSPECTION Fire Piece p Mon. Tues. Pre Fab Wed. on Made Thurs. Friday A.M. Inspector / C Final Inspection❑ Certificate of occupancy Date CITY OF 4&aN,4c Office of Building Official REQUEST FOR INSPECTION Date op � r �7 Time Permit No. Received A.M. q V O� P.M. -X District No. f Job Address Owner's Locality Name_ BUILDINGContractor ,/C} CONCRETE Framing G Footing ELECTRICAL PLUMBING Re Roofing Rough Wiring C Rough MECHANICAL Slab ❑ Temp Pole Air.Cond.& ❑ Lintel ❑ Final Top Out ❑ Heating Fire Place ❑ DY FOR INSPECTION Pre Fab Mon. Tues. Wed. � ,QO Thurs. A.M. Inspection Made , Friday A.M. �-----P.M. Inspector / C Final Inspection❑ Certificate of Occupancy Date i � M I � � �� � - � � M °� o � l CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner _ f _ ddreas_ �Z_ _v'_._____ziA:j.-3} _phone�4.faW Architect Address zip......phone .- 1 ,0 " f/ Contractor G_ v L � ------ Address____-_____ __________z _phone_ _____ Contractor's License number_ 0�_ Daif�s____expiration Z- Lot_ O _-Block or Sectionj/ Subdivision ./ Street /between--------------and-----------------side----------- Type Construction__z�_Q �k,,-t_No. Unite------------No. Fireplaces Purpose of Building_���_________________Est. Valuation 8 —n Utility Method - Water___C Sewer ----.- __jA 4----- Dimensions - Building �_S G /LLotL�✓ __Size Footings_,ZL,41u ----------- Sz. Piers------------Sz. Sills-------------Greatest Span Sills____-__________ Sz. Ceiling Joists Distance on Centers Greatest Span_______ ------- Sz. Floor Joists � �,t�iVtance on Centers _ L `___Greatest Span_zL____ Sz. Rafters _____Distance on Centers---------Greatest Span_______ Method of Heating Solid or Filled Ground_ Roof___,/ Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner------- - --------------------Date----------------- Signature Contracto _ --------- Date-174Z�-'_______ page 2 City of- Atlantic Beach Fixture Unit Workeheet for Water Impact Fee. FIXTURE UI4ITS 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 TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. - ,?--BATHROOM GROUP CONSISTING OF _© _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) -f)--WATER � - __0___WATER CLOSET VALVE WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) _Q__BATHTUB/SHOWER (2) : URINAL- WALL LIP (4) _ Q__SHOWER GROUP PER }LEAD (3) __0_FLOOR DRAIN (1 ) _ O__SHOWER STALL DOMESTIC (2) _ ©__LAUNDRY TRAY (2) __1 __LAVATORY ( 1 ) __0__COMBINATION SINK AND TRAY (3) --(--WASHING MACHINE (3) _ Q__POT, SCULLERY SINK (4) __/__DISHWASHER (2) _WASH SINK EACH SET OF FAUCETS (2) ___KITCHEN SINIS (2) __DENTAL LAVATORY (1) ____KITCHEN SINK WITH WASTE GRINDER (3) _ _DENTAL UNIT OR CUSPIDOR (1) _D__BIDGET (3) _ _URINAL STALL, WASHOUT (4) ___FLUSHING RIM SINK (8) _-0 -COMBINATION SINK AND TRAY WITH n FOOD DISPOS. (4) ___URINAL, PEDESTAL, SYPHON JET leez BLOWOUT (8) DRINKING FOUNTAIN ( 1/2) _ O__LAVATORY, BARBER/BEAUTY SHOP (2) __/___LAVATORY, SURGEONS (2) • _ _SURGEONS SINK (3' ) _V _URINAL STALL, WASUOUT(4) TOTAL FIXTURE UNITS, /• -T—_ @ X10. 00 EACH /J JOB INFORMATION-_- © �- O -- ------ --- - --- --------------- t FLOODPLAIN DEVELOPMENT INFORMATION Type of yp Development : _ Flood Zone: ---------------- Required Lowest Lowest Floor Elevation: If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date-2'/1j&2-----Applicant 's Signature_ ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------------------------------- Bui]ding Department Representative page 3 I I i I DEPARTMENT OF BUILDING Q /) (�(� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4 0 J.. O I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB -a9 75 T Date_ 2/21.07 19C191 .75CKT 2512 1 2/25/5 Valuation$ 83.702-00 Fee$ 291.75 5409 sOVICAM 2512 I rx 2/25/€3 This permit not valid until above fee has been paid to City Treasurer,and is 1 Olin 1 subject to revocation for violation of applicable provisions of law. This is to certify that Cr. & M. COntractOrS((!renvi11etg1ewe) 447 Atl. Blvd. Atl Bch R(M23980 has permission to build O)i rlvl e FaIndI�z Classification Nana Residential Zone Owned by Grenville & Ifeuse Lot 4 Block II s/D Selva. Norte House No. 2021 qelya Madera Coi= According to approved plans which are part of this permit i NO CE— C CRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. i PERMIT VOID SIX MONTHS ,t AFTER DATE OF ISSUE 4—� 4 10 O Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared = up and bayled away by either con- tract on- tracto;� owner. ilding Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER Heated Square Footage /` 3 I @ $ per sq ft = $ j 1) Garage ed 6 @ $ le ry per sq ft = $_�� Carpo or /© 2— @ $ OS per sq ft = $ �o!J•1b 42 . @ $ _per sgft = $ t/() Patio @ $ per sq ft = $ TOTAL VALUATION: $ �1j, %�d() 8� �la�•sd $ QG YO Tota a cation 1st $ 5-0, p 0 Remind r Valuation ' , 00per thousand or portion thereof -------------------------------- -----------� Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED ; + 2 Filing Fee $ 9 S i Mechanical �" ; Fireplaces @ 15.00 $ Plunbing „/ ; BUILDING!PERMIT FEES Electric/Naq ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ gJ, Well WATER METER CHARGE $ - � Stiimuing Pool SEWER IMPACT FEE $ 41-0 Sign WATER IMPACT FEE $ 215,6f� Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter / $ Elevation Certificate ^ Z GRAND TOTAL DUE $�? ---------------------------------------------------------------------=------------------------ CALCULATIONS and/or NOTES 45- 3 3 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: a 19 b 7 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM- AmfkqTtR ELECTRICIAN SIGNATURE JOURNEYMAN NAME 113 M �,Qn)S� ' ADDRESS:- S�•W A MPtt .ULA RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( 1 comm. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ') OLD ( 1 REW. l 1 ADDITION 1 1 TRAILER ( ► TEMP. 1 1 SIGNS ( ) SO. FT. SERVICE: NEW( INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE O AMPS COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER a Q� AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED I OPEN t TOTAL RECEPTACLES _ CONCEALED OPEN TOTAL 0.90 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.� OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN _ FORWARDED loo S L) s oa TOTAL FEES 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: .,2c) 2 OF Intersecting Streets: Between �b S� And �eMS to BUILDING SE-Ll — Sub-division C. 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) Master ioc Name of Property Owner lac Signature of Owner signature of or Authorized Agent Architect or Engineer III. GENERAL IN RM ON A, Type of heating fuel: 6. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ❑ Gas_❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MIICMANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) X Residential or ❑ Commercial Heat ❑ Space ❑ Recessed X,Central O Floor X New Building Air Conditioning: ❑ Room )� Central I ❑ Existing Building / Duct System: Materiel 1)0C_&A9b Thicknea � ❑ Replacement of existing system �[ __�� in('✓✓ �\ � c.f.m. �New installation(No system previously installed) Maximum capacity //V� ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. ❑ Fire sprinklers: Number of head ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump (number) (Received) ❑ Tanks_ (number) Remarks ❑ LPG containers —(number) ❑ Unfired pressure vessel Permit Approved by Dafa ❑ bilem ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Units Description Model Number ]Manufacturer (Tons) cY DATING FURNACES, BOILERS, FIREPLACES Capacity Approving Number Units Description Model Number EManufaatnrer (BTCi) Ai�7 do C —t2 ZS U C — TANKS A rovin How Many Nominal Capacity Type Liquid serial PP 6 Name od Agency Dimensions Contained Manufacturer No. DEPARTMENT OF BUILDING S 410 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 2/24/F7 19 39900 T Date 380ONT 5366 ! A 4/14/Fl 38.00 Valuation$ Fee$ 0410 *00CAC This permit not valid until above fee has been paid to City Treasurer,and is 5366 1 A 4/14/9' subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State M-lAR 786_ has permission to bM install }leatIm and air conditioning Classification NGW Rp-SidC'.iltial Zone Owned by O'renville and Meuse Lot 80 Block II S/D Selvs IDbrte House No. n21 SPlva Madera Court According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE / C 4 i O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up and yapled away by either con- tractoyJr�owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF 'ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION 2021 qF TMLT PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY LICENSE NUMBERS MP145 State RF0037503 OWNER G�FM CONSTRUCTION BUILDING CONTRACTOR G & M CONSTRUCTION TYPE OF BUILDING SINGLE FAMILY 1 SINKS _SHOWERS 3- LAVATORY 1 WATER HEATERS 2 BATH TUBS 1 DISHWASHERS URINALS 1 DISPOSALS 2 CLOSETS 1 WASHING MACHINE FLOOR DRAINS OTHER 13 TOTAL FIXTURE COUNT X$3. 50 + $10. 00 D ''TE 3 19/ 87 TOTAL A iOUr'T $55 . 50 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . DEPARTMENT OF BUILDING p /� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. Q 411 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Fs 10 T Date 2/24/87 19 5595OCKT 3705 1A 3/20/9 Valuation$ Fee$ SS-50 SO 04 1 1 00CAC 3705 1A 3/2f1/8 This permit not valid until above fee has been paid to City Treasurer,and is 1 Dort subject to revocation for violation of applicable provisions of law. This is to certify that F.W. Fair Plumbing Co. MP1�5 has permission to bi X inefiall nitsnninR Classification New Residential Zone Owned by Greny!_112 and � use Lot__ $t7 Block rI S/D Selva Norte House No. 2021 Selva Madera Court According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —� �—— ► O Building material, rubbish and debris _q from this work must not be placed in public-space, and must be cleared up ands]Iauled away by either con- tractgeor owner. / Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL I � I SEWER WATER i CITY OF ATLANTIC BEACH No. 3838 FLORIDA Febri kw�z 24 19--al NAME C;rpmri 71 P & 14mLgP- ADDRESS_ 447 Atlantic Tt13 CITY Atlantic Beach I ?5fl.nb TL 12000CK 2 i I I'A• 2/25/0' Water Impact Fee fi0--343-3700 03 ... OCACf II c n $�• Suer Impact Fee 141-343-5200 $1,035.00 ,OCOI $1,250.00 Lot 80 Blk II Selva Norte 2021 Selva Madera Court < When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER '4�w Z MV J. SUMMER CALCULATIONS CLIMATE ZONES 1 2 3 SINGLE DOUBLE SOF AS-BUILT BASE GLASS OR x - GLASS OR GLASS I AREA x SPM = SUMMER OR x SPM SPM (9B) - AREA CLEAR TINT" CLEAR TINT" SUM. PTS. POINTS N 38.3 Z N 40.7 41.5 34.9 7 S NE 57.7 NE 61.5 61.6 57.7 51.0 E Z 79.7 E Z 84.9 83.9 79.7 68.9 Z. SE 79.1 SE 85.4 84.3 79.1 68.8 S Z3 66.2 S 73.2 72.7 58.2 Sys/ 79.1 SW 85.4 84.3 79.1 68.8 W 79.7 31 p5S. W 84.9 83.9 9. 68.9 22#5 NW 57.7 NW 61.5 61.6 57.7 51.0 H• 66.2 H' 290.2 250.1 267.0 195.3 Cn a N ifs. _j, N Z 12 Z IS 14 Z. 2p• -Act 'r ,9 .'7Ci ZZ COND. TOTAL BASE BASE ADJUSTED AS-BUILT .15 x FLOOR - GLASS = ADJ. x GLASS = GLASS GLASS AREA AREA FACTOR SUBTOTAL BASE SP SUBTOTAL .15 Z z�} Z . BASE SUM. PT. AS-BUILT COMPONENT BASE SUM. _ COMPONENT AREA x MULT. = SUMMER DESCRIPTION AREA x PT. MULT. SUMMER DESCRIPTION POINTS 9C THRU 9G POINTS EXTERIOR -7 .9 S ?(a a ADJACENT •7 3 EXTERIOR 7.7 7' 00 ADJACENT Z cc 2.9 Z o � 1 UNDER ATTIC6 IG 3 I i O M OR SINGLE 6 N kd5 3S Z L) ASSEMBLY •6 1 � SLAB -37.0 l -t� o RAISED - 3.99 0 "- FOR SLAB-ON-GRADE USE PERIMETER LENGTH ALONG CONDITIONED FLOOR IN PLACE OF AREA. v INFILTRATION J15 8.0 1 L4 ke W los 4 toLd USE FLOOR AREA OF CONDITIONED SPACE. 1v TOTAL COMPONENT BASE SUMMER POINTS TOTAL COMPONENT AS-BUILT SUMMER POINTS F- TOTZ--7 BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT COOLING BASE CSM x BASE = COOLING AS-BUILT x DM x CSM x CCM = COOLING SYSTEM SUM. PTS. POINTS SUM. PTS. 9H (9K)��9L�- l_ POINTS .4s3bOa3.rj 12. f �c IZC�Ft`7,� NUMBER BASE AS-BUILT NUMBER AS-BUILT AS-BUILT AS-BUILT HOT OF x BASE HWM = HOT WATER HOT WATER OF x HWM x HWCM = HOT WATER WATER BEDROOMS POINTS SYSTEM DESC. BEDROOMS 9M 9N POINTS SYSTEM 3803 ,�� O C1Jt1✓t 3 g®� t l 4 H = Horizontal Glass(Skylights) " .2(a). Tint Multipliers may be used for glass with solar screens, film,or tint. For glass with known Shading Coefficient, see sec.903 -2- WINTER POINT MULTIPLIERS 9B WINTER OVERHANG FACTORS (WOF) CLIMATE ZONES 1 2 3 ORIEN OVERHANG RATIO TATION 0.0 0.18 0.27- 0.36- 0.47 0.58 0.71- 0.84- 1.19 1.73 2.74- 5.67- 0.17 0.26 0.35 0.46 0.57 0.70 0.83 1.18 1.72 2.73 5.66 U SINGLE PANE GLASS N 1.0 1.08 1.12 1.16 1.20 1.24 1.27 1.31 1.38 1.45 1.51 1.57 NE/NW 1.0 1.13 1.20 1.26 1.33 1.39 1.45 1.50 1.63 1.74 1.84 1.93 E/W 1.0 .50 .16 - .20 - .60 - .95 -1.32 -1.73 -2.51 -3.31 -4.05 -4.64 SE/SW 1.0 .88 .77 .66 .52 .39 .25 .10 - .21 - .48 - .74 - .96 S 1.0 .92 .84 .74 .60 .46 .29 .13 - .24 - .54 - .67 - .73 DOUBLE PANE LASS N 1. 1.13 1.19 1.25 1.31 1.37 1.42 1.48 1.58 1.6 1.79 1.88 NE/NW To 1.23 1.35 1.46 1.58 1.68 1.78 1.87 2.09 2.46 2.61 EIW .77 .62 .46 .28 .12 - .05 - .24 - .59 - .96 -1.29 -1.56 SE/SW 1.0 .90 .82 .72 .61 .51 .40 .28 .03 - - .40 - .57 S 1.0 .94 .87 .78 .67 .55 .41 .27 - .04 - .29 - .40 - .45 OVERHANG RATIO = L/H T- T � L H L H ❑� H 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK FACE BRICK LOG INTERIOR INSUL. EXT. INSUL. R-VALUE WOOD FR WOOD NORM WT. LT WT NORM LT WT 0- 6.9 12.6 6 INCH R-VALUE EXT ADJ R-VALUE EXT ADJ EXT EXT EXT 7- 10.9 4.2 R-VALUE EXT 0- 6.9 11.1 10.4 0- 2.9 11.2 6.8 8.8 11.2 8.8 11 - 18.9 3.5 7- 10.9 4.4 4.4 3- 4.9 7.3 5.1 6.1 5.6 4.9 19-25.9 2.2 3-6.9 2.8 11 - 12.9 3.7 3.6 5- 6.9 5.7 4.2 4.8 4.3 3.9 26& Up 1.4 7&Up 2.1 13- 18.9 3.4 3.3 7- 10.9 4.6 3.5 4.0 3.3 3.1 R-VALUE BLOCK 8 INCH 19-25.9 11 - 18.9 3.0 2.6 2.8 2.2 2.2 0-2.9 7.9 R-VALUE EXT 26&Up 1.5 1.5 19-25.9 1.9 1.7 1.8 3-6.9 5.7 0-2.9 3.0 STEEL 26& Up 1.3 1.2 1.3 7-9.9 3.8 3-6.9 2.2 R-VALUE EXT ADJ 10&up 3.0 7&Up 1.7 0- 6.9 15.1 13.1 7- 10.9 7.3 6.6 9E CEILING WINTER POINT MULTIPLIERS(WPM) 11 - 12.9 5.7 5.2 UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF 13-18.9 5.2 4.9 R-VALUE WPM -R-VALUE WPM CEILING TYPE 19•25.9 4.6 4.4 19-21.9 5- 6.9 6.5 R-VALUE DROPPED EXPOSED 26&U 2.7 2.6 22-25.9 1.7 7- 8.9 4.3 10- 13.9 2.9 3.3 26-29.9 1.4 9- 10.9 3.4 14-20.9 2.0 2.1 30-37.9 11 - 12.9 2.9 21 &Up 1.3 1.3 38&U .9 13-18.9 2.6 19-25.9 2.0 9D DOOR WINTER POINT MULTIPLIERS(WPM) 26&Up 1.3 CREDIT MULTIPLIER FOR ATTIC RADIANT BARRIER = .65 DOOR TYPE EXT ADJ 9F FLOOR WINTER POINT MULTIPLIERS(WPM) WOOD 15. 3.3 SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE See 903.2(e)) INSULATED 16.8 1 .5 R-VALUE WPM R-VALUE WPM R-VALUE WPM 0-2.9 18. 0-2.9 9.9 0- 6.9 8.3 3-4.9 9.3 3-4.9 5.1 7- 10.9 3.0 5-6.9 7.6 5-6.9 3.6 11 - 18.9 2.2 7& U 7.0 7&U 2.9 19&U 9G INFILTRATION WINTER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(DM) With Return W/O Return INFILTRATION PRACTICE WPM R-VALUE Air Duct Air Duct (See Table 9P) 4,P-4.9 1.14 1.10 PRACTICE # 1 10.9 5.0-6.6 1.12 PRACTICE #2 .4 6.7&Up 1.09 1.06 PRACTICE '3 1 11 DUCTS IN CONDITIONED SPACE 1.00 1.00 -5- WINTER CALCULATIONS CLIMATE ZONES 1 2 3 BASE SINGLEOR DOUBLE x WOF AS-BUILT GLASS x BASE _ WINTER OR GLASS x WPM WPM = GLASS OR AREA WPM AREA POINTS CLEAR TINT" XCLEARINT" (9 WIN. PTS. N 5 7.3 N 13.8 13.68.1 NE 4.6 NE 10.7 10.56.0E Z - 9.2 - E Z - 3.8 - 3.6 - 5.7 SE -22.7 SE -18.1 -17.5 -17.3 S -28.4 S -24.0 -23.0 -22.3 7 T7, SW -22.7 SW -18.1 -17.5 -22. -17.3 W - 9.2 W - 3.8 - 3.6 - 9. - 5.7 .S NW 4.6 NW 10.7 10.5 4.6 6.0 Cn H' -28.4 H' -67.6 -59.1 -57.7 -45.0 a 2 1 � I 113 i W S COND. TOTAL BASE BASE ADJUSTED AS-BUILT .15 x FLOOR + GLASS = ADJ. x GLASS = GLASS GLASS AREA AREA FACTOR SUBTOTAL BASE WP SUBTOTAL .15 3Co 1 1 -Z 7 COMPONENT BASE WINBASE COMPONENT WIN. PT. - BUILT . AREA x = WINTER AREA x MULT. - WINTER DESCRIPTION PT. MULT. POINTS DESCRIPTION 9C THRU 9G POINTS EXTERIOR 2.2 5 Z Z�Z 3 S Z 20(a IS :j ADJACENT 3.6 a 3 1 � N EXTERIOR 15.4 o ADJACENT Z 13.3 �4Z• o . . J UNDER ATTIC 1.2 M OR SINGLE 1.2 2.6 ASSEMBLY 1.2 SLAB2S77 8.9 1 1 o RAISED .96 ' J LL FOR SLAB ON GRADE USE PERIMETER LENGTH ALONG CONDITIONED FLOOR IN PLACE OF AREA. v INFILTRATION 7.4 ' USE FLOOR AREA OF CONDITIONED SPACE. 1 � TOTAL COMPONENT BASE WINTER POINTS r TOTAL COMPONENT AS-BUILT WINTER POINTS i-- v TOTAL I BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT HEATING BASE HSM x BASE = HEATING AS-BUILT x DM x HSM x HCM = HEATING SYSTEM WIN. PTS. POINTS WIN. PTS. 19H 91 9J POINTS 5s (`72?S, lal9z,y 18�S�O7,�i 1 . t Z io 143,E BASE I BASE I BASE TOTAL AS-BUILT AS-BUILT AS-BUILT TOTAL COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT a POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS oFrom P.2 From P.2 Enter on P.1 From P.2 From P.2 Enter on P.1 ' H = Horizontal Glass(Skylights) For glass with known Shading Coefficient, see sec. 903.2(a).Tint Multipliers may be used for glass with solar screens, film, or tint. -4-